L7: Obstructed Labor Flashcards by Ahmed Farag

Q

Def of Obstructed Labor

A

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Q

Etiology of Obstructed Labor

A

Faults in Power
Faults in Passages
Faults in Passengers

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Q

Etiology of Obstructed Labor

Faults in Power

A

Contraction ring opposite fetal neck.

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Q

Etiology of Obstructed Labor

Faults of Passage

A

Bony Pelvis
Soft Tissue Passages (Uterine, Ovarian, Vaginal, Vulval & Perineal)

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Q

Faults in Passage Causing Obstructed Labor

Bony Pelvis

A

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Q

Faults in Passage Causing Obstructed Labor

Soft tissue Passages

A

(Uterine, Ovarian, Vaginal, Vulval & Perineal)

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Q

Faults in Passage Causing Obstructed Labor

Soft tissue Passages (Uterine Causes)

A

Fibroids (especially cervical fibroid or pedunculated subserous fibroid).
Cervical stenosis, dystocia, carcinoma.
Placenta previa centralis.

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Q

Faults in Passage Causing Obstructed Labor

Soft tissue Passages (Ovarian Causes)

A

Ovarian tumors & other pelvic soft tissue tumors.

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Q

Faults in Passage Causing Obstructed Labor

Soft tissue Passages (Vaginal Causes)

A

Stricture or undilatable stenosis.
Congenital septa.
Tumors.

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Q

Faults in Passage Causing Obstructed Labor

Soft tissue Passages (Vulval & Perineal Causes)

A

Rigid perineum.
Hypoplasia
Edema.
Tumors.
Hematoma

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Q

Etiology of Obstructed Labor

Faults in passengers

A

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Q

Pathophysiology of Obstructed Labor

A

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Q

Complications of Obstructed Labor

A

Maternal
Fetal

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Q

Complications of Obstructed Labor

Maternal

A

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Q

Complications of Obstructed Labor

Fetal

A

Fetal distress.
High perinatal mortality (due to asphyxia, birth injuries, excessive moulding & infection).

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Q

CP of Obstructed Labor

Hx

A

Q

CP of Obstructed Labor

Ex

A

Q

CP of Obstructed Labor

General Ex

A

Q

CP of Obstructed Labor

Abdominal Ex

A

Q

CP of Obstructed Labor

Vagainal Ex

A

Q

TTT of Obstructed Labor

A

1st aid
Immediate TOP
Exploration

Q

TTT of Obstructed Labor

1st Aid

A

Q

TTT of Obstructed Labor

Immediate TOP of Labor

A

Q

TTT of Obstructed Labor

Exploration of Birth Canal

A

Exploration of birth canal: Is mandatory after any vaginal manipulations to exclude any traumatic lesion specially rupture uterus

Prevention of **Obstructed Labor**

DDx of **Retraction Ring**