Presentation
Brow presentation usually converts spontaneously to vertex or face presentation. The 2nd most common abnormal presentation is breech (buttocks before the head). [msdmanuals.com]
Referral note indicated that she presented at the health center in the second stage of labor, which was delayed for more than two hours. [ncbi.nlm.nih.gov]
Entire Body System
- Disability
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An example of a structured proforma has been produced by the RCOG. [ 1 ] Complications [ 1 ] Fetal Brachial plexus injury occurs in 2.3-16% of shoulder dystocias. [ 5 ] 90% resolve without leaving permanent disability. [patient.info]
- Pain
Immediately after the epidural had worn off, the patient complained of hip pain and was found to have a significant symphyseal separation on radiography. [ncbi.nlm.nih.gov]
You have new or worsening pain, even after you take pain medicine. You have bleeding from your vagina that fills 1 sanitary pad within 1 hour. You have swelling in your perineum that does not get better within a few days. [drugs.com]
Chest pain, pain between the scapulae, or pain on inspiration—Pain occurs because of the irritation of blood below the woman's diaphragm Hypovolemic shock caused by bleeding, evidenced by falling blood pressure, tachycardia, tachypnea, pallor, cool and [en.wikipedia.org]
Once our client’s daughter was born, it was recorded that her right arm had bruising and she appeared to be in a significant amount of pain. [penningtonslaw.com]
Getting an epidural to help with pain during labor. An epidural is pain medicine you get through a tube in your lower back that helps numb your lower body during labor. It’s the most common kind of pain relief used during labor. [marchofdimes.org]
- Fatigue
A nutritionist talked about cancer fatigue, decompensation, and calorie needs. Over the stay, at least 29 professionals-;nurses, physical therapists, a nutritionist, and nine M.D.s-;attended to his needs. [news-medical.net]
Other missing variables of interest were stress, fatigue and when in the delivery process the women were admitted to hospital. [obgyn.onlinelibrary.wiley.com]
- Rigor
Furthermore, rigorous routines for LD diagnosis and oxytocin augmentation are important. [ncbi.nlm.nih.gov]
What is surprising perhaps is that the use of the partogram itself was only rigorously evaluated 20 years after its introduction 5. The WHO partogram is an adaptation of the one formulated and described by Philpott and colleagues. [doi.org]
Gastrointestinal
- Vomiting
If vomiting occurs, fluids can be paused for 5–10 minutes and then restarting more slowly. [en.wikipedia.org]
Musculoskeletal
- Narrow Pelvis
pelvis that is difficult for a fetus to traverse during labor. [doi.org]
Both the shape and orientation of the pelvis changed.[12] Other primates have straighter and wider pelvises compared to humans.[12] A narrow pelvis is better for bipedal locomotion but makes childbirth more difficult. [en.wikipedia.org]
Use of traction before external rotation of the head is futile and stressful for the fetus because the shoulders cannot traverse the pelvis in transverse rotation. [wjgnet.com]
Fetus
- Spontaneous Rupture of Membranes
[…] contractions—women who present with spontaneous rupture of membranes without contractions are not included in the review). [effectivehealthcare.ahrq.gov]
Psychiatrical
- Fussiness
Your baby is irritable, fussy, or cries constantly and you cannot soothe him. When should I contact my healthcare provider? You have new or worsening pain, even after you take pain medicine. [drugs.com]
Urogenital
- Amenorrhea
Some of the more common complications that can be considered nutritionally relevant are high perinatal morbidity and mortality ( 62 ), infections of the uterus and the urinary tract ( 6 ), maternal mortality ( 10, 11, 63 – 65 ), and secondary amenorrhea [doi.org]
Neurologic
- Irritability
[…] neck caused by contraction of the sternocleidomastoid muscle ; can be acquired or congenital ( congenital muscular torticollis ) Pathomechanism of acquired torticollis Sternocleidomastoid or trapezius muscle injury Cervical muscle spasm Cervical nerve irritation [amboss.com]
Your baby is irritable, fussy, or cries constantly and you cannot soothe him. When should I contact my healthcare provider? You have new or worsening pain, even after you take pain medicine. [drugs.com]
Chest pain, pain between the scapulae, or pain on inspiration—Pain occurs because of the irritation of blood below the woman's diaphragm Hypovolemic shock caused by bleeding, evidenced by falling blood pressure, tachycardia, tachypnea, pallor, cool and [en.wikipedia.org]
- Dystonia
Neighbors "dysthyroid" in a sentence, "dysthyroid exophthalmos" in a sentence, "dystin johnson" in a sentence, "dystocia" in a sentence, "dystocias" in a sentence, "dyston" in a sentence, "dystonia" in a sentence, "dystonia musculorum deformans" in a [eng.ichacha.net]
Treatment
Eight studies were identified, four about the onset and duration of active phase of the first stage of labour, one on the diagnosis of dystocia, and three focused on the treatment of dystocia. [ncbi.nlm.nih.gov]
It is not intended as medical advice for individual conditions or treatments. [drugs.com]
Prognosis
PURPOSE: To describe the risk factors and labor characteristics of Clavicular fracture (CF) and brachial plexus injury (BPI); and compare antenatal and labor characteristics and prognosis of obstetrical BPI associated with shoulder dystocia with obstetrical [ncbi.nlm.nih.gov]
Risk factors advanced maternal age abnormal pelvic anatomy short stature maternal diabetes post dates macrosomia prolonged first or second stage of labor improper maneuver (fundal pressure) oxytocin augmentation Treatment and prognosis Complications Maternal [radiopaedia.org]
Prognosis : guarded to good. Pathogenesis Etiology Maternal vs Fetal (see above); combination of maternal and fetal causes most common. [vetstream.com]
The thickness of cerebral cortex which determines postpartum prognosis of the foetus can be measured by ultrasound. Complications Obstructed labour: with its sequel as rupture uterus. [gfmer.ch]
The prognosis of birth traumas is usually favorable, with most injuries resolving spontaneously within weeks to months. [amboss.com]
Etiology
Geometric analysis reveals that borderline adequate pelvimetry likely played a significant role in severe shoulder dystocia etiology, even with a small-for-gestational-age infant. [ncbi.nlm.nih.gov]
[G. dystokia, fr. dys-, difficult, + tokos, childbirth] Farlex Partner Medical Dictionary © Farlex 2012 dystocia Difficult childbirth, difficult labor Obstetrics A period of nonprogression of labor ≥ 4 hrs after the cervix has dilated to 3 cm Etiology [medical-dictionary.thefreedictionary.com]
Pathogenesis Etiology Maternal vs Fetal (see above); combination of maternal and fetal causes most common. Pathophysiology Deviation from normal labor Stages of normal labor First : uterine contractions increasing in frequency and duration. [vetstream.com]
[…] of 100% oxygen.[5][6] There is considerable controversy over the diagnosis of birth asphyxia due to medicolegal reasons.[7][8] Because of its lack of precision, the term is eschewed in modern obstetrics.[9] Cause[edit] Basically, understanding of the etiology [en.wikipedia.org]
Epidemiology
Epidemiology Shoulder dystocia occurs in 0.58-0.70% of vaginal deliveries. [ 1 ] Aetiology These may be remembered as 'The Powers' (uterus), 'The Passenger' (fetus) and 'The Parts' (pelvis). [patient.info]
Pathophysiology
The general principles guiding the causes and the pathophysiology of perinatal asphyxia are grouped into antepartum causes and intra partum causes. As these are the various points to which insults can occur to the foetus. [en.wikipedia.org]
Pathophysiology Deviation from normal labor Stages of normal labor First : uterine contractions increasing in frequency and duration. Normally 12-24 h in duration. [vetstream.com]
(Please refer to the Pathophysiology for information regarding adequate contractions.) Abnormal labor constitutes any findings that fall outside the accepted normal labor curve. [emedicine.medscape.com]
Pathophysiology: To characterize a labor as abnormal, a basic understanding of normal labor is necessary. Normal labor starts with regular uterine contractions that are sufficient enough to result in cervical effacement and dilation. [www1.cgmh.org.tw]
Pathophysiology of uterine contractions in obstructed labour The obvious purpose of labour is to deliver the fetus and then placenta, whether the labour becomes obstructed or not. [doi.org]
Prevention
As a result, the prediction of shoulder dystocia remains elusive, and the cost of trying to prevent one by performing a cesarean delivery remains high. [ncbi.nlm.nih.gov]
Data are too limited to support or refute the use of prophylactic manoeuvres for the prevention of shoulder dystocia. RHL Commentary by Melo B 1. [extranet.who.int]