obg

1. NA NAZNEEN VOHRA
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2. 2

3. Obstructed labour is the failure
of the presenting part of the
fetus to descend through the
birth canal, because there is an
impossible barrier preventing
its descent, despite strong
uterine contractions.
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4. World wide
–Prevalence is 2-8%
–Maternal mortality rate is 8%
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5. 5

6. 10/26/2015 6

7. 10/26/2015 7

8. 10/26/2015 8

9. 10/26/2015 9

10. 10/26/2015 10

11. 10/26/2015 11

12. 10/26/2015 12

13. 13

14. 14

15. 15

16. 16

17. 17

18. 18

19. 19

20. 20

21. 21

22. Prolonged labour
Mother appears weak
Abnormal vital signs
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23. Malpresentation
Bandl’s ring
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24. 24

25. Foul smelling meconium
Oedema of the vulva and cervix
Caput on the fetal head
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26. Full bladder
Fundal myoma
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27.  CBC
 Serum
electrolytes
Sonography
• TAUS
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28. o Rehydration
o Catheterization
o Caesarean delivery
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29. Fistula
PPH
Slow involution
Shock
Paralytic ileus
Sepsis
Death
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30. Neonatal sepsis
Convulsions
Facial injury
Severe asphyxia
Death
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31. Skilled birth attendance
Using the partograph
Birth preparedness
Nutritional education
Delaying early marriage
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32. The prognosis of subsequent
pregnancies depends on the cause
for obstructed labour.
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