L7: Obstructed Labor Flashcards

1
Q

Def of Obstructed Labor

A
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2
Q

Etiology of Obstructed Labor

A
  • Faults in Power
  • Faults in Passages
  • Faults in Passengers
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3
Q

Etiology of Obstructed Labor

  • Faults in Power
A

Contraction ring opposite fetal neck.

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4
Q

Etiology of Obstructed Labor

  • Faults of Passage
A
  • Bony Pelvis
  • Soft Tissue Passages (Uterine, Ovarian, Vaginal, Vulval & Perineal)
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5
Q

Faults in Passage Causing Obstructed Labor

  • Bony Pelvis
A
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6
Q

Faults in Passage Causing Obstructed Labor

  • Soft tissue Passages
A

(Uterine, Ovarian, Vaginal, Vulval & Perineal)

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7
Q

Faults in Passage Causing Obstructed Labor

  • Soft tissue Passages (Uterine Causes)
A
  1. Fibroids (especially cervical fibroid or pedunculated subserous fibroid).
  2. Cervical stenosis, dystocia, carcinoma.
  3. Placenta previa centralis.
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8
Q

Faults in Passage Causing Obstructed Labor

  • Soft tissue Passages (Ovarian Causes)
A

Ovarian tumors & other pelvic soft tissue tumors.

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9
Q

Faults in Passage Causing Obstructed Labor

  • Soft tissue Passages (Vaginal Causes)
A
  1. Stricture or undilatable stenosis.
  2. Congenital septa.
  3. Tumors.
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10
Q

Faults in Passage Causing Obstructed Labor

  • Soft tissue Passages (Vulval & Perineal Causes)
A
  1. Rigid perineum.
  2. Hypoplasia
  3. Edema.
  4. Tumors.
  5. Hematoma
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11
Q

Etiology of Obstructed Labor

  • Faults in passengers
A
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12
Q

Pathophysiology of Obstructed Labor

A
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13
Q

Complications of Obstructed Labor

A
  • Maternal
  • Fetal
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14
Q

Complications of Obstructed Labor

  • Maternal
A
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15
Q

Complications of Obstructed Labor

  • Fetal
A
  1. Fetal distress.
  2. High perinatal mortality (due to asphyxia, birth injuries, excessive moulding & infection).
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16
Q

CP of Obstructed Labor

  • Hx
A
17
Q

CP of Obstructed Labor

  • Ex
A
18
Q

CP of Obstructed Labor

  • General Ex
A
19
Q

CP of Obstructed Labor

  • Abdominal Ex
A
20
Q

CP of Obstructed Labor

  • Vagainal Ex
A
21
Q

TTT of Obstructed Labor

A
  • 1st aid
  • Immediate TOP
  • Exploration
22
Q

TTT of Obstructed Labor

  • 1st Aid
A
22
Q

TTT of Obstructed Labor

  • Immediate TOP of Labor
A
23
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

24
Q

Prevention of Obstructed Labor

A
25
Q

DDx of Retraction Ring

A