pathologic retraction ring n.
A constriction of the junction between the thinned lower uterine segment and the thickretracted upper uterine segment caused by obstructed labor; a sign of impendingrupture of the uterus. Also called Bandl's ring.
pathologic retraction ringmedical dictionary
A constriction located at the junction of the thinned lower uterine segment with thethick retracted upper uterine segment, resulting from obstructed labour; this is one of the classic signs of threatened rupture of the uterus.
Physiological Retraction Ring
It is a line of demarcation between the upper and lower uterine segment presentduring normal labour and cannot usually be felt abdominally.
Pathological Retraction Ring (Bandl’s ring)
It is the rising up retraction ring during obstructed labour due to markedretraction and thickening of the upper uterine segment while the relativelypassive lower segment is markedly stretched and thinned to accommodate thefoetus.
The Bandl’s ring is seen and felt abdominally as a transverse groove that mayrise to or above the umbilicus.
Clinical picture: is that of obstructed labour with impending rupture uterus (seelater).
Obstructed labour should be properly treated otherwise the thinned loweruterine segment will rupture.
pathologic retraction ring,
a ridge that may form around the uterus at the junction of the upper and lower uterinesegments during the prolonged second stage of an obstructed labor. The lowersegment is abnormally distended and thin, and the upper segment is abnormally thick. The ring, which may be seen and felt abdominally, is a warning of impending uterinerupture. Also called Bandl's ring. Compare constriction ring, physiologic retraction ring.
Posted on November 3, 2009 by KathyI recently received the following comment:This is a really great post. I had never heard of women having a VBAMC before…butnow that I know about this I am curious. I have had 1 CS, after a 24 hr homebirthturned emergency. Our daughter was born still after Csec to save her life wasperformed…Our miracle baby was born c-sec after more than 24hrs of VBAC-ing labor. His heartrate de-celled enough times that we decided to get him out, after I was stuck at 9/5cm’s for many, many hrs with no progress!As it turned out, i had an obstructed labor…and a Bandel’s Ring, so baby was nevercoming out vaginally. So, now I am concerned for the next baby (prob a yr from now).Should I attempt another VBAC? How do I find out if I have a true Bandels Ring? Whatare things I can do to prevent this from happening?I’ve done some research into this topic, but it is frustrating.What is “Bandl’s Ring”? There are two types of uterine muscles, one to help the cervixdilate and the other to help push the baby out. At their juncture, rarely (usually duringa prolonged and/or obstructed labor) a ring develops around a “depression” in thefetus, usually over the neck. [Click here to see a picture of a woman's abdomen,showing the stark outlines of the baby's body, due to a Bandl's Ring. Sometimes whenthis happens, even a birth by C-section is difficult, because the ring prevents the birthof the shoulders and the rest of the body. Usually, the uterus will greatly constrict,