Abnormal labor

Question 1

Prolonged latent phase and management :

Answer 1

Nulliparous:>20 hr
Multiparous:>14hr

management : Expectant management

Question 2

Prolonged active phase and management :

Answer 2

Nulliparous:>Dilation rate <1.2 cm/hr
Multiparous:Dilation rate >1.5cm/hr

management : Oxytocin

Question 3

Arrested active phase & Management

Answer 3

*Nulliparous:>4 hr without cervical
changes With adequate contractions
*Multiparous: >6 hr without cervical
changes
Without adequate
contractions

management : Cesarean-section

Question 4

Prolonged second stage & Management

Answer 4

*Nulliparous: Fetal head descent rate <1cm/hr
*Multiparous: Fetal head descent rate
<2cm/h

management : Encourage to push

Question 5

second stage arrest of labour
definition

Answer 5

insufficient fetal descent after pushing for :
>3h if nulliparous
>2h if multiparous

** minus 1 hr without epidural

Question 6

risk factors for second stage arrest of labour

Answer 6

• maternal obesity
  *excessive pregnancy Weight gain
  *diabetes mellitus

Question 7

second stage arrest of labour etiology

Answer 7

*cephalopelvic disproportion
*malposition
*inadequate contraction
*maternal exhaustion

Question 8

management of second stage arrest of labour

Answer 8

** operative vaginal delivery
** cesarean delivery

Question 9

Prolonged 3rd stage & management

Answer 9

**Passed 30 minutes and no delivery of the
placenta

✓Manual removal of placenta under
analgesia in the theater