Page 263 - Critical Maternity & Newborn Health Nursing
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2.Rupture uterus.
3.Necrotic vesico-vaginal fistula.
4.Infections as chorioamnionitis and puerperal sepsis.
5.Postpartum hemorrhage due to injuries or uterine atony.
Fetal:
1.Asphyxia.
2.Intracranial hemorrhage from excessive molding.
3.Birth injuries.
4.Infections.
Management
-Management of obstructed labor is about its prevention in the
antenatal and intrapartum period.
-The nurse should highlight any predisposing factors antenatally
and noting any history of prolonged labor or difficult births.
-During labor skilled abdominal examination will alert the nurse
to any malpresentation or failure of the presenting part to advance
despite optimal uterine contractions.
- Observations of maternal and fatal condition
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