Adeniran's Part Flashcards
Obstructed labor
Poor or lack of progress of labour despite good uterine contractions
Maternal causes of obstructed labour
P’s of labour: Passage
Contracted pelvis
Abnormal pelvis: Android, anthropoid
Pelvic tumor: Fibroid
Abnormality in the uterus and vagina
Foetal causes of O.L
P’s of labour: Passanger
Macrosomia
Malpresentation
Malposition
Short cord
Cord round the neck
OPP position
Compound presentation
Predisposing factors of O.L
Childhood malnutrition leading to contracted pelvis
Child under 17years
Hx of obstructed labour
Medical conditions like DM
Female Genital mutilation
How to diagnose O.L
Slow cervical dilatation
Early rupture of membranes
Maternal exhaustion;
Scanty urine
Dehydration
Ketosis
Oedematus vulva
Vagina is hot and dry on V.E
How to prevent O.L
Antenatal services
Risk assessment and prompt referral
Good antenatal attendance
Management
Give D/S to correct dehydration
Tocolytics to stop contraction e.g salbutanol
If the head is still at the brim, what should be done to bring the baby out?
CS should be done
If the head is between the two ischial spines, what should be done?
Use forcep or vacuum to bring the baby out
If the o.l is due to rigid perineum, what should be done?
Give Episiotomy
If the baby is dead and the head is low, what should be done?
Destructive CS
Maternal conplications of O.L
Ruptured uterus
Postpartum haemorrage
Vesico vaginal fistula
Rectal vaginal fistula
Infection
Foetal complications of O.L
Fractured clavicle
Erb’s palsy
Ruptured liver
VVF
Is when there is a hole between the bladder and vagina, causing leakage of urine through the vagina
Vesico vagina fistula
RVF
Abnormal connection between rectum and vagina.
Rectal vagina fistula
