OBSTRUCTED LABOR

 “It is in which in spite of good uterine contraction the progressive descent of the progressive part is arrested due to mechanical obstruction?

Causes:-

Continues pain

Formation of pathological retraction ring (Bandle ring)

Discomfort

Fault in Passage:-

(i) Bony:- Contracted pelvis

Cephalo pelvis disproportion

(ii) Soft tissue obstruction

Cervical dystocis

Fibroids

Tumors’

Fault in Passengers:-

Transverse lie

Brow presentation

Congenital malformation

Big body

Compound presentations

Locked twins

Clinical Features:-

Continuous pain

Discomfort

 Sed temp

Edemas of Vagin’s & vulva

Rest Less ness , tachycardia

Dehydration

Hard & tender upper segment

Distended & tender Lower segment

Formation of retraction rings b/w umbilical & symphysis pubis

Offensive discharge due to distension

Excessive molding of head

Long caput formation

Asphyxia

APH & Shock in mother

Prevention:- Early detection of antenatal (Cause like big baby small women, Mal presentation & position)

Continuous monitoring during labor.

Management:-

Start RL Sol to treat dehydration

Antibiotic citrazine IV 

Stop oxytocin

Assess gen. condition

Carry on investigation

O2 Adminitraion

Sedatives

Catheterization

Blood transfusion

Vaginal swab culture for sensitivity

Conduct CS if fetus in good condition 

Rupture of uterus laparotomy