What is obstructed labour complex?
‘Obstructed labour injury complex’ is a term for a broad range of injuries that the patient suffering from an obstetric fistula may encounter. These can be divided into primary conditions directly due to the ischaemia from the obstructed labour and conditions that are secondary to this ischaemic damage.
How do you assess obstructed labour?
A key sign of an obstructed labour is if the widest diameter of the fetal skull remains stationary above the pelvic brim because it is unable to descend. You should be able to detect this by careful palpation of the mother’s abdomen as the uterus relaxes and softens between contractions.
What are the common causes of obstructed labor?
The major causes of obstructed labor were cephalo-pelvic disproportion, and malpresentation and malpresentation. Additionally, the commonest complications were sepsis, stillbirth, postpartum hemorrhage, uterine rupture, and maternal death.
What is considered obstructed labour?
Labour is considered obstructed when the presenting part of the fetus cannot progress into the birth canal, despite strong uterine contractions.
What is the difference between prolonged labour and obstructed Labour?
The P’s of prolonged labor are a small passage (pelvis) relative to the passenger (baby) and power (poor contractions). Obstruction occurs when spontaneous delivery cannot be achieved. The causes include cephalo-pelvic disproportion, abnormal presentation or features of the fetus and abnormalities of the genital tract.
What are the prevention of obstructed labour?
The skills specific to preventing and managing prolonged and obstructed labour include: identification of risk factors; assessing pelvic outlet; diagnosing presentation and position of the baby; assessing descent of the fetal head; recognizing obstructed labour; and vacuum extraction.
What is the difference between prolonged labour and obstructed labour?
What is Partogram in labour?
The partograph is a tool for monitoring maternal and foetal wellbeing during the active phase of labour, and a decision-making aid when abnormalities are detected. It is designed to be used at any level of care.
What does minus 1 mean in labor?
A negative number (-5 to -1) means the baby’s head is not engaged. Fetal station indicates the position of the baby’s head in the mother’s pelvis and indicates the progress of labor.
How many women die as a result of obstructed labour?
The number of maternal deaths as a result of obstructed labour and/or rupture of the uterus varies between 4% and 70% of all maternal deaths, amounting to a maternal mortality rate as high as 410/100,000 live births 5.
What is the prognosis of prolonged obstructed labour?
If cesarean section is obtained in a timely manner, prognosis is good. Prolonged obstructed labour can lead to stillbirth, obstetric fistula, and maternal death.
Who is at risk of uterine rupture after obstructed labour?
Women who have undergone caesarean section previously for obstructed labour are particularly at risk of uterine rupture in subsequent labours, especially if stimulated by uterotonic drugs, or if remote from clinical facilities. Fistula formation is more common in the primigravid woman.
Why is obstructed labor so common in less developed areas?
An increasingly long time in labor also indicates a mechanical issue that is preventing the fetus from exiting the womb. Access to proper health services can reduce the prevalence of obstructed labor. Less developed areas have inadequate health services to attend to obstructed labor, resulting in a higher prevalence among less developed area.