Week3

Question 1

Dystocia

Answer 1

Long difficult, or abnormal labor. Includes:
Precipitous Labor or birth
Dysfunctional labor
alterations in pelvic structure (passage- pelvic shape)
fetal causes
maternal position
psychologic responses (anxiety= increase cortisol and epinephrine. Relaxes smooth muscle (uterus), increases uteroplacental insufficiency).

Question 2

Precipitous Labor/birth

Answer 2

any delivery 3 hours or less w/o emergency delivery.

Question 3

dysfunctional labor

Answer 3

ineffective uterine contractions or maternal bearing down efforts (POWER- this is number one cause )
DEFINITION: abnormal uterine contractions that prevent the normal progress of cervical dilation, effacement, or decent.
* can be hypertonic or hypotonic
RISK FACTORS: body build, uterine abnormalities (ex bicornicate uterus), malpresentation and position of fetus, shape of pelvis and inappropriate timing of medications, LGA babies)

Question 4

How does the fetus cause dystocia

Answer 4

Passenger- abnormal presentation (breech, macrosomia, LGA (CPD=large baby), number of fetuses

Question 5

hypertonic dysfunction

Answer 5

is less common. Uterus contracts to much and instead of contracting on top is contracting in the middle so its not pushing the baby down or opening the cervix.