Page 261 - Critical Maternity & Newborn Health Nursing

 Malpresentation of the fetus; Breach presentation, Face

presentation, Brow presentation, Shoulder presentation Compound

presentation

 Locked twins

 Congenital abnormalities of the fetus

 Large fetus

 Hydrocephalus

 Hydrops fetalis

 Fetal abdominal tumors or ascites

Diagnosis:

It is the clinical picture of obstructed labor with impending rupture

uterus (excessive uterine contraction and retraction).

History

• Prolonged labor,

• Frequent and strong uterine contractions,

• Rupture membranes.

General examination

It shows signs of maternal distress as:

• Exhaustion,

• High temperature (38 c),

• Rapid pulse,

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