Title: unsatisfactory progress of labour

Jun 17th, 2015
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33 years old gravida three, para four at 38th week 1 day of period of gestation presented with unsatisfactory progress of labour lasted more than 8 hours, with history of gestational diabetes. Baby was in occipto transverse position, with type I moulding and caput 3x3 cm noted. 

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Title: unsatisfactory progress of labourSummary33 years old gravida three, para four at 38th week 1 day of period of gestation presented with unsatisfactory progress of labour lasted more than 8 hours, with history of gestational diabetes. Baby was in occipto transverse position, with type I moulding and caput 3x3 cm noted.Introductiona. Background of studyUnsatisfactory progress of labour is basically a difficult labour or abnormally slow progress of labour. To define abnormal labor, a definition of normal labor must be understood and accepted. Normal labor is defined as uterine contractions that result in progressive dilation and effacement of the cervix. By following thousands of labors resulting in uncomplicated vaginal deliveries, time limits and progress milestones have been identified that define normal labor. Failure to meet these milestones defines abnormal labor, which suggests an increased risk of an unfavorable outcome. Thus, abnormal labor alerts the obstetrician to consider alternative methods for a successful delivery that minimize risks to both the mother and the infant.A prolonged first phase of labour may result from oversedation or from entering labour early with a thickened or uneffaced cervix. It may be misdiagnosed in the face of frequent prodromal contractions. Protraction of active labor (second stage) is more easily diagnosed and is dependent upon the 3 P' s; power, passage and passenger the baby itself.b. Rational and signi

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