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Obstetrics Case Discussion: Abnormal Labour Assessment and Management

Explore obstetric case studies on abnormal labor progression, contraction efficiency, risk assessment, and partograph interpretation. Learn to identify abnormalities and devise appropriate interventions.

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Obstetrics Case Discussion: Abnormal Labour Assessment and Management

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  1. Case discussion \ ObstetricsAbnormal labour Dr Ban Hadi \ 2019

  2. Case No 1 MrsLaylaahmed a 25 years old G2P1 woman admitted on the 1st of October at 10:00 am with labour pain. ANC records are normal. No medical diseases. Blood group A + OE: Temp.37 C0, PR 88 bpm, BP 120/70mmHg. FHR 140 bpm Uterine cont. 3/10 min each lasts for 35 sec. Fetal head 5/5 palpable PV: 5 cm dilatation, intact membranes. Q1: What is the stage of labour? Q2: Are contractions efficient or not? Q3: Is this patient at high risk group or not? Q4: Plot these findings on partograph.

  3. Case No 1 continuation After 4 hours: Temp.37C0, PR 90 bpm, BP 130/70mmHg. FHR 130bpm Uterine cont. 4/10 min each lasts for 45 sec. Fetal head 3/5 palpable PV: 7 cm dilatation, ruptured memb. With a clear liquore. Q1: Is the progress of labour normal or not? Q2: Are contractions efficient or not? Q3: Plot these findings on partograph

  4. Case No 1 continuation After 4 hours: Temp.37.5 C0, PR 110bpm, BP 150/100mmHg. FHR 100bpm Uterine cont. 6/10 min each lasts for 55 sec. Fetal head 1/5 palpable PV: 7 cm dilatation, ruptured memb. With a meconium stained liquore, moulding ++. Enumerate the abnormalities seen now.

  5. Case No 2: MrsYasmin admitted to the labour room with labour pain, she is a 40 weeks pregnant primigravida, O\E: The head was 3/5 palpable, the cervix was 5 cm dilated. The membranes were ruptured spontaneously and it was a clear liquore. Observation after 4 hrs revealed the following partograph:

  6. Case No 2 continuation Q1: Describe labour progress. Q2: What further action would you consider?

  7. Case No 3: MrsHeyam is a 34-year-old woman, para 2 vaginal deliveries , pregnant 38 weeks presented with labour pain. O/E: No fetal head was palpable abdominally, the cervix was 4 cm dilated with intact membranes. FHR 130 bpm. After 4 hrs: the cervix 5 cm dilated, contractions 2\10 min each lasts for 15 sec. with the following partograph:

  8. Case No 3 continuation: Q1: What are the abnormalities? Q2: What will be your further action?

  9. Case No 4: Describe the abnormality in this partograph?

  10. Case no 5:Q1: Describe the abnormality seen.Q2: What is the cause of this abnormality?

  11. Question examples? a) What is the chart called? b) Describe the chart in front of you. c) Describe the stages of labour. d) What abnormal labour pattern does the diagram illustrate? e) How would you manage this obstetric problem?

  12. Q: Define primary dysfunctional labour, and outline its causes and possible treatments.

  13. Thank you

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