If, however, there is prolonged obstructed labor, the intervening soft tissues become ischemic. – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 3c9389-NDUzZ Approximately 80% of American women will eventually have at least one child, 1 and the majority of these women will undergo labor. Prolonged labor may also be referred to as "failure to progress." Obstructed labour Definition :- obstructed labour can be define as a labour where there is poor or no progress of labour in spite of good uterine contraction. Methods A baseline criteria-based audit was conducted from October … This study evaluated the impact of a criteria-based audit of the diagnosis and management of obstructed labour in a low-resource setting. Dystocia : Guidelines, reviews Preventive measures: Careful observation, proper assessment, early detection and management of the causes of obstruction. Objective In low-resource settings, obstructed labour is strongly associated with severe maternal morbidity and intrapartum asphyxia, and consequently maternal and perinatal deaths. SINGAPOREAN JOuRNAl Of buSINESS EcONOmIcS, ANd mANAGEmENt StudIES VOl.2, No.2, 2013 34 OBSTRUCTED LABOUR: THE MAIN CAUSE OF VESICO - VAGINAL FISTULA – REVIEW OF LITERATURE Prof. Bimbola kemi odu Faculty of education, Ekiti state university Ado-ekiti, nigeria Abstract This area undergoes pressure necrosis, and within 3-10 days postpartum, the tissues slough off. In women with obstructed labour and intrauterine fetal death, destructive delivery is the method of choice if obstruction makes vacuum delivery impossible. In obstructed labor, a depressed pathological ring (Bandl’s ring) may develop at the juncture of lowerand upper uterine segments, indicating an impending uterine rupture. Prolonged labor can be determined by labor stage and whether the cervix has thinned and opened appropriately during labor. 1 Introduction. View the Summary of Protocol Amendments.. Background and Objectives for the Systematic Review. The second stage of labor is regarded as the climax of the birth by the delivering woman, her partner, and the care provider. Abnormal labor may be referred to asdysfunctional labor, which simply means difficult labor or childbirth.When labor slows down, it’s called protraction of labor. One of the tools used to monitor labor and prevent prolonged and obstructed labor is the partograph, a single sheet printed paper on which labor observations are recorded. Management. Links. (Fistula care., 2011). This protocol was amended on July 7, 2016. Curative measures: Caesarean section is the safest method even if the baby is dead as labour must be immediately terminated and any manipulations may lead to rupture uterus. Dysfunctional Labor (Dystocia) Nursing Care Plan & Management.