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    Problems With The Power 1

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    Khibul Lim
    Dysfunctional labor refers to abnormal uterine contractions that prevent normal cervical dilation, effacement, or fetal descent during labor. It can be caused by factors like maternal fatigue, large fetus size, inappropriate use of analgesia, or uterine abnormalities. Risks of dysfunctional labor include prolonged labor, maternal exhaustion, infection, and fetal hypoxia or distress. Management may involve assessing for cephalopelvic disproportion, giving IV fluids, stimulating contractions through measures like nipple stimulation or oxytocin infusion, and assisting labor progress through positions changes or ambulation.

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    Problems With The Power 1

    Uploaded by

    Khibul Lim
    21 views15 pages
    Dysfunctional labor refers to abnormal uterine contractions that prevent normal cervical dilation, effacement, or fetal descent during labor. It can be caused by factors like maternal fatigue, large fetus size, inappropriate use of analgesia, or uterine abnormalities. Risks of dysfunctional labor include prolonged labor, maternal exhaustion, infection, and fetal hypoxia or distress. Management may involve assessing for cephalopelvic disproportion, giving IV fluids, stimulating contractions through measures like nipple stimulation or oxytocin infusion, and assisting labor progress through positions changes or ambulation.

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    Dysfunctional labor refers to abnormal uterine contractions that prevent normal cervical dilation, effacement, or fetal descent during labor. It can be caused by factors like maternal fatigue, large fetus size, inappropriate use of analgesia, or uterine abnormalities. Risks of dysfunctional labor include prolonged labor, maternal exhaustion, infection, and fetal hypoxia or distress. Management may involve assessing for cephalopelvic disproportion, giving IV fluids, stimulating contractions through measures like nipple stimulation or oxytocin infusion, and assisting labor progress through positions changes or ambulation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    21 views15 pages

    Problems With The Power 1

    Uploaded by

    Khibul Lim
    Dysfunctional labor refers to abnormal uterine contractions that prevent normal cervical dilation, effacement, or fetal descent during labor. It can be caused by factors like maternal fatigue, large fetus size, inappropriate use of analgesia, or uterine abnormalities. Risks of dysfunctional labor include prolonged labor, maternal exhaustion, infection, and fetal hypoxia or distress. Management may involve assessing for cephalopelvic disproportion, giving IV fluids, stimulating contractions through measures like nipple stimulation or oxytocin infusion, and assisting labor progress through positions changes or ambulation.

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    of 15

    PROBLEMS

    WITH THE
    POWER 1
    DYSTOCIA

    long, difficult, or abnormal labor


    Inertia
    sluggishness of contractions or
    slow force of labor
    Classifications:
    1. primary = occurring at the onset
    Common Causes of Dysfunctional
    1. Inappropriate use of analgesia
    Labor
    2. narrowed the pelvic diameter
    3. Poor fetal position, malpresentation, Large fetus(over
    4000 grams)
    4. Extension rather than exion of the fetal head
    5. Overdistention of the uterus
    6. Cervical rigidity (unripe)
    7. full rectum or urinary bladder
    8. Maternal exhaustion
    Maternal risks:
    prolonged or nonprogressive labor, pain, fatigue,
    dehydration
    infection
    Traumatic operative births

    Fetal risks:
    Hypoxia
    Fetal distress
    Birth injuries
    DYSFUNCTIONAL LABOR

    abnormal uterine contractions


    that prevent the normal
    progress of cervical dilation,
    effacement (primary powers),
    or descent (secondary powers).
    Risk Factors:
    Body build (e.g., 30 pounds or more overweight, short
    stature)
    Uterine abnormalities
    Malpresentations and positions of the fetus
    Cephalopelvic disproportion
    Overstimulation with oxytocin
    Maternal fatigue, dehydration and electrolyte imbalance,
    and fear
    Inappropriate timing of analgesic or anesthetic
    administration
    Ineffective Uterine Force

    uterine contractions become


    abnormal or ineffective
    Hypotonic Uterine Contractions

    Slow, infrequent uterine contractions


    with decreased intensity during the
    active phase of labor
    < 2-3 contractions occurring within a
    10-minute period
    strength of contractions does not rise
    above 25 mm Hg
    uterus is easily indented even at the
    Hypotonic Uterine Contractions
    Causes:
    1. Cephalopelvic disproportion
    2. malpositions
    3. administration of analgesia
    4. bowel or bladder distention
    5. overstretched uterus due to
    multiple gestation
    a large fetus
    Hydramnios
    grand multiparity.
    Maternal Risks:
    Postpartal hemorrhage
    Maternal Exhaustion
    Infection
    Prolonged PROM
    Psychologic trauma
    Fetal Risks
    Fetal infection
    Fetal and neonatal death
    Management:
    ultrasound to rule out cephalopelvic disproportion
    assess : fetal heart rate and pattern, characteristics of
    amniotic fluid, and maternal well-being.
    IV fluid therapy
    nipple stimulation, and oxytocin infusion can be used to
    augment the progress of labor
    Assist with measures to enhance the progress of labor
    (e.g., position changes, ambulation

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