Dystocia
u
Difficult labor
disproportion:
Mechanism of Dystocia
uFactors
Uterine contractions
Cervical resistance
Forward pressure exerted by leading fetal part
UTERINE DYSFUNCTION
Mechanism of Dystocia
uSecond
stage of labor
mechanical relationship between fetal head size and position and pelvic
capacity.
FETOPELVIC PROPORTION become apparent in 2nd stage of labor
of labor: . . . the diagnosis of arrest of labor should not be made until adequate
time has elapsed.
uAdequate
of uterine Dysfunction
Disorder
stage Disorder
uPROM
uPrecipitous
Fetopelvic Disproportion
uPelvic
Capacity
Face Presentation
u
The head is hyper extended so that occiput is in contact with fetal back.
If not the fetal brow is pressed against the maternal symphysis pubis
engagement
rotation
uFlexion
descent
flexion
uExtension
internal rotation
uExternal
extension
rotation
external rotation
Preterm infants
Cord coil
Fetal malformation
Contravted pelvis
High parity
Brow presentation
Transverse Lie
u
high parity
Placenta previa
Hydramnios
Contracted pelvis
Compound presentation
uExtremity
uBoth
uIn
chorioamnionitis
partum hge
uUterine
tears
uuterine
uFistula
uPelvic
formation
floor injury
complication
fetal sepsis
Mechanical trauma such as nerve injury, fracture
cephalhematoma
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