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单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,*,RENJI HOSPITAL,dystocia,Teng Yincheng,8/12/2024,1,dystocia 8/24/20231,Definition,Dystocia literally means difficult labor and it is characterized by abnormally slow progress of labor,It is the consequence of four distinct abnormalities that may exist singly or combination,8/12/2024,2,DefinitionDystocia literally m,Abnormal of the powers(uterine contractility and maternal expulsive effort),Abnormalities of passenger(the fetus),Abnormalities of the passage(the birth canal),Categories of dystocia,8/12/2024,3,Abnormal of the powers(uterine,Abnormalities of the powers,Uterine dysfunction,hypotonic primary,uterine inertia secondary,Uterine hypertonic,Dysfunction,uterine hypercontractility,8/12/2024,4,Abnormalities of the powersUte,Abnormalities of the powers,8/12/2024,5,Abnormalities of the powers8/2,Abnormalities of the powers-uterine inertia,1.Etiology of uterine inertia,Cephalopelvic disproportion or Fetal malposition,Abnormal of uterine muscle,Imbalance of endocrine system,Administration of analgesia,psychical-factors,Others fatigue,8/12/2024,6,Abnormalities of the powers-,Abnormalities of the powers-uterine inertia,2.Clinical findings,Failure to progress,Lack of progressive cervical dilatation,Prolonged latent phase,Prolonged active phase,Protracted active phase,Prolonged second phase,Lack of fetal decent,Prolonged descent,Protracted descent,Prolonged labor,8/12/2024,7,Abnormalities of the powers-,Abnormalities of the powers-uterine inertia,3.diagnosis,Palpation:,strength,duration,frequency,Tocodynamometer,Vaginal examination,8/12/2024,8,Abnormalities of the powers-,8/12/2024,9,8/24/20239,8/12/2024,10,8/24/202310,Abnormalities of the powers-uterine inertia,4.Effect on maternal and fetus,maternal,fatigue,acidosis,infection,postpartum hemorrhage,cesarean section rate,fetus,birth injury distress,prolapse of umbilical cord,stillbirth,8/12/2024,11,Abnormalities of the powers-,Abnormalities of the powers-uterine inertia,5.management,hypotonic general management,physical methods,drugs,Hypertonic Sedative,8/12/2024,12,Abnormalities of the powers-,Abnormalities of the powers-,hypercontractility,1.Clinical findings and diagnosis,Precipitate delivery,Constriction ring of uterus,Tetanic contraction,of uterus,8/12/2024,13,Abnormalities of the powers-,Abnormalities of the powers-,hypercontractility,2.Effect on maternal and fetus,Precipitate delivery,soft birth canal trauma,Rupture of uterus,Fetal distress,Fetal death,stillbirth,8/12/2024,14,Abnormalities of the powers-,Abnormalities of the powers-,hypercontractility,3.management,Prophylaxis,Tocolytic therapies,Forcep,operation,8/12/2024,15,Abnormalities of the powers-,
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