- October 14, 2017 at 16:22 #3643
A careful investigation of abnormal labor progress, maternal status and fetal heartbeat are needed just before a dystocia diagnosis. Whenever maternal and fetal status permit, expectant management is suggested for females with intact membranes in the latent phase along with an abnormal labor duration in excess of 20 hours and 14 hours. There should be waiting time until the patient has reached a minimum of 6 cm of cervical dilation just before the entry into the active phase of labor.
The adequacy of uterine contractions within the active phase should be assessed over 4-6 hours prior to making a diagnosis of labor arrest if maternal and fetal status permit prolonged observation. Important to assess labor progress within the context of maternal and fetal tolerance because the well-being of both will require priority over set hourly thresholds for labor duration within the first or second stage.
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