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    Prolonged Labour

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    annu panchal
    Prolonged labour is defined as labour exceeding 24 hours or no delivery being imminent after 12 hours of established labour. The main causes of prolonged labour are inefficient uterine contractions, pelvic abnormalities in the mother that restrict fetal descent, a large fetus, malpositions or malpresentations of the fetus, and psychological factors in primigravid women. Management depends on the identified cause but may include oxytocin infusion, operative vaginal delivery, or caesarean section. Complications for both mother and baby can arise if labour is prolonged, including maternal exhaustion, lacerations, uterine prolapse, and fetal hypoxia or brain injury.

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    Prolonged Labour

    Uploaded by

    annu panchal
    142 views3 pages
    Prolonged labour is defined as labour exceeding 24 hours or no delivery being imminent after 12 hours of established labour. The main causes of prolonged labour are inefficient uterine contractions, pelvic abnormalities in the mother that restrict fetal descent, a large fetus, malpositions or malpresentations of the fetus, and psychological factors in primigravid women. Management depends on the identified cause but may include oxytocin infusion, operative vaginal delivery, or caesarean section. Complications for both mother and baby can arise if labour is prolonged, including maternal exhaustion, lacerations, uterine prolapse, and fetal hypoxia or brain injury.

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    Prolonged labour is defined as labour exceeding 24 hours or no delivery being imminent after 12 hours of established labour. The main causes of prolonged labour are inefficient uterine contractions, pelvic abnormalities in the mother that restrict fetal descent, a large fetus, malpositions or malpresentations of the fetus, and psychological factors in primigravid women. Management depends on the identified cause but may include oxytocin infusion, operative vaginal delivery, or caesarean section. Complications for both mother and baby can arise if labour is prolonged, including maternal exhaustion, lacerations, uterine prolapse, and fetal hypoxia or brain injury.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    142 views3 pages

    Prolonged Labour

    Uploaded by

    annu panchal
    Prolonged labour is defined as labour exceeding 24 hours or no delivery being imminent after 12 hours of established labour. The main causes of prolonged labour are inefficient uterine contractions, pelvic abnormalities in the mother that restrict fetal descent, a large fetus, malpositions or malpresentations of the fetus, and psychological factors in primigravid women. Management depends on the identified cause but may include oxytocin infusion, operative vaginal delivery, or caesarean section. Complications for both mother and baby can arise if labour is prolonged, including maternal exhaustion, lacerations, uterine prolapse, and fetal hypoxia or brain injury.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Prolonged Labour

    Traditionally labour is prolonged if it exceeds 24 hours. When labour is activity


    managed, It is termed prolonged if delivery is not imminent after 12 hrs of
    established labour.

    The first Stage


    The latent phase considered prolonged over 20 hrs in primigravidae or over 14
    hrs in multigravida.
    Primary dysfunctional-labour progress in active phase of labour is slow and the
    cervix dilate less than 1 cm on hour.
    Secondary arrest:- After normal progress in early labour, cervical dilation is
    arrested in active phase.
    Cause in 1st stage
    1) In-efficient uterine contraction (Power) is the most common cause of
    prolonged labour. The cervix dilates slowly or not at all.
    2) Pelvic abnormalities (Passage). A contracted pelvis and pelvic tumors prevent
    normal progress in labour.
    3) The fetus (Passenger):- a large fetus malposition of the occiput of
    malpresntation inhibit the progress of labour.
    4) Psychological cause:- Abnormally tense or apprehensive women tend to have
    prolonged labors. The primigravidae more often affected than multigravidae.

    Management
    When progress in labour is slow the cause must be identified weak uterine
    action may be rectified with a syntocinon infusion Caesarian section if nor
    progress despite good uterine contraction Obvious disproportion or
    malpresentation of the fetus indicate the need for operative deliveries.
    Nursing Care
    Maternal condition: She may be exhausted, dehydrated and ketotic and may be
    suffering severe pain
    - Encourage and reassure the mother
    - Help to adopt a comfortable position
    - Adequate analgesia should be affered because it will
    enable her to rest.
    - Administer IV infusion
    - Empty bladder regularly
    - Test urine for ketoses
    - Record intake and out put
    - Allow sips of water
    - If membrane ruptured 24 hours before high vaginal swab is taken for culture
    and sensitivity and antibiotic is started
    Fetal Condition: -
    - Monitor the fetal heart beat
    - Observe amniotic fluid (meconium)
    - Avoid aspiration at delivery
    The Second Stage
    The exception in this phase should be continuous descent and advance of the
    fetal head.
    Causes of a prolonged 2nd stage of labour:
    1. Hypnotic uterine contractions
    Manegement – syntocinon infusion is commenced in
    order to stimulate adequate contraction
    2. Ineffective maternal effort.
    Fear, exhaustion or lack of sensation may inhabit
    woman’s ability to push and cause delay, especially in
    primigravida.
    3. A rigid perineum.
    A forceps delivery is performed under local anesthesia.
    4. Reduced pelvic out let.
    A forceps delivery is performed if possible or, in severs cases, Caesarean
    section.
    5 Large foetus
    An operative delivery will be necessary.
    Complications of Prolonged labour
    Maternal:
    - oedema
    - Laceration
    - Uterine prolapsed, PPH
    - Cystocele or rectocele- over stretching of pelvic floor muscles
    - Retention of urine
    - Urinary tract infection during peripureum.
    Fetal:
    - Difficult instrumental deliveries
    - Hypoxia
    - Intracranial hemorrhage

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