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Prolonged Labour
Prolonged Labour
Hassan, MD
Causes
Unripe cervix, false labor, sedation, uterine inertia
Complications
Maternal fatigue/exhaustion due to lack of sleep,
Maternal dehydration that can lead to a combination
of contractures and contractions
Indications
Accurate diagnosis of Labour
Primigravidae
Singleton fetus
Vertex presentation
No evidence of fetal distress
Diagnosis
When the time exceeds 2 hours
Management
Depends on the cause.
Diagnosis
When exceeds 30 minutes
Causes
1. Uterine atony
Big uterus due to poly, multiple pregnancy, myoma,
following prolonged labour, traumatic delivery,
excessive analgesia, anaesthesia
abnormalities
Complications of prolonged
obstructed labour
Maternal
Fetal complications
1. Cord Prolapse
2.
3.
4.
5.
6.
7.
8.
Birth Asphyxia
Meconium Aspiration Syndrome
Convulsion
Jaundice
Neonatal Sepsis/Septicemia
Diarrhoea
Birth injury
An overview on pathophysiology of
prolonged obstructed labour
Ruptured Uterus
PPH
Obstetric fistulae
Infection, paralytic ileus
PRECIPITOUS LABOR