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Ring? much thicker above than below the care for caesarean sections
- occurs at the ring. And then the Uterus tries to Abnormal presentations and
junction of the upper and lower uterine compensate by increasing in tone and position
segments. The Ring usually appears intensity & frequency of contractions.
at the 2nd stage of labor as a As a result, the lower uterine segment What are the Maternal Risks?
horizontal indentation across the lengthens and thins, and becomes
abdomen and is a warning sign that a tender. Upper segment becomes hard Puerperal sepsis
dysfunctional labor is occurring; it is and thick, and progressively retracts. rupture of the lower segment,
formed by excessive retraction of the Sometimes when this happens, even maternal hemorrhage
upper uterine segment. a birth by C-section is difficult, maternal exhaustion, inertia, and
-A Constriction of the because the ring prevents the birth of arrest of contractions
junction between the thinned lower the shoulders and the rest of the body. maternal fistula, lacerations
uterine segment and the thick Usually, the uterus will greatly
retracted upper uterine segment constrict, which disrupts placental What are the fetal Risks?
caused by obstructed labor; a sign of blood flow, and therefore oxygen flow,
impending rupture of the uterus. to the fetus. Asphyxia
Intracranial hemorrhage
Why does this occur? What are the Contributing Factors? Delayed complications—delayed
milestones, convulsive disorders,
There are two types of uterine An abnormality in a mother’s pelvis mental retardation etc.
muscles, one to help the cervix dilate (a contracted pelvis). placental abruption
and the other to help push the baby Fetal causes (hydrocephalus, fetal uteroplacental insufficiency with
out. At their juncture, rarely (usually ascitis, sacrococcygeal tumours, resultant fetal hypoxia and
during a prolonged and/or obstructed conjoined twins distress.
labor) a ring develops around a Cephalopelvic disproportion still births and neonatal death
“depression” in the fetus, usually over Previous caesarean section, still
the neck. It is formed by excessive births and previous prolonged
retraction of the upper uterine labor.
Retraction Ring
Members:
Busa, Ana Marie
Nodalo, Evelyn
Tan, Louie
Ymas, Christine