Prolonged Labour.pptx-uterine inertia-uterine contractions

Prolonged Labour.pptx-uterine inertia-uterine contractions

1. Prolonged Labor

2. Definition The labor is said to be prolonged when the combined duration of the first and second stage is more than the arbitrary time limit of 18 hours.

3. Causes First Stage of Labor Second stage of labor Abnormal uterine contractions Uterine Inertia Contracted pelvis Inability to bear down Cervical dystocia Regional Analgesia Pelvic tumor Constriction Ring Full bladder Cephalo-pelvic disproportion Contracted pelvis Malposition Pelvic tumor Malpresentation Malposition, Malpresentation Congenital anomalies of fetus Congenital anomalies of fetus

4. Dangers Maternal Fetal Maternal Distress Fetal Hypoxia Chorioamnioitis Intrauterine infection/Pneumonia Postpartum hemorrhage Intracranial hemorrhage Uterine rupture Supermoulding of head Cervical tears Cephalohematoma Increased operative delivery Caputsuccedeanum Sub-involution

5. Treatment

6. Actual Treatment Careful evaluation of the cause to be done Correction of dehydration

7. Definitive treatment Vaginal examination Amniotomy/oxytocin infusion is adequate Pain relief and comfort Choice of operative delivery-cesarean section Avoid difficult instrumental delivery