What is Discoordinated labor?
Discoordinated labor occupies one of the first places among the anomalies of the uterus contractile activity because of the frequency of traumatic complications on the part for a mother and a fetus. In this case the frequency of cesarean section is from 10 to 30% and the fetus distress is 35%.
What is the pathophysiology of obstructed labour?
Labor is considered obstructed when the presenting part of the fetus cannot progress into the birth canal, despite strong uterine contractions. The most frequent cause of obstructed labor is cephalo- pelvic disproportion, a mismatch between the fetal head and the mother’s pelvic brim.
What are the 4 abnormalities of labor in relation to power?
INTRODUCTION. The diagnosis of abnormal labor (dystocia) has four major etiologic categories: (1) the “passage,” or pelvic architecture; (2) the “passenger,” or fetal size, presentation, and position; (3) the “powers,” or uterine action and cervical resistance; and (4) the “patient” and “provider.”
What is the management of obstructed labour?
The treatment of obstructed labour may require cesarean section or vacuum extraction with possible surgical opening of the symphysis pubis. Other measures include: keeping the women hydrated and antibiotics if the membranes have been ruptured for more than 18 hours.
What is Partograph and its purpose?
The partograph or partogram has been established as the “gold standard” labor monitoring tool universally. It has recommended by the World Health Organization (WHO) for use in active labor [1]. The function of the partograph is to monitor the progress of labor and identify and intervene in cases of abnormal labor.
What causes precipitate labour?
While it’s not clear exactly what causes precipitous labor factors that can increase the risk include: History of multiple deliveries which have weakened the pelvic muscles. History of rapid labor. Uterus that contracts with great strength.
What are the complications of obstructed labour?
Common maternal complications of obstructed labour include sepsis, paralytic ileus, postpartum haemorrhage, fistula formation. Common fetal complications of obstructed labour are severe asphyxia, neonatal sepsis and death. Early referral can save the life of the woman and the baby in case of obstructed labour.
What is the pathophysiology of labor?
Term labor is a physiologic process involving a sequential, integrated set of changes within the myometrium, decidua, and cervix that occur gradually over a period of days to weeks, culminating in rapid changes over hours that end with expulsion of the products of conception (fetus and placenta).
What are the P’s of abnormal labor?
In general, abnormal labor is the result of problems with one of the following three P’ s: Passenger (infant size, fetal presentation [occiput anterior, posterior, or transverse]) Pelvis or passage (size, shape, and adequacy of the pelvis) Power (uterine contractility)
What is active stage of labor?
During active labor, your cervix will dilate from 6 centimeters (cm) to 10 cm. Your contractions will become stronger, closer together and regular. Your legs might cramp, and you might feel nauseated. You might feel your water break — if it hasn’t already — and experience increasing pressure in your back.