(abnormal labor) hongfanzhen@hotmail.com15098863720

?

dystocia

abnormal uterine action

,

(uterine atony) hypotonic uterine atony hypertonic uterine atony

()

100mg.

20mmHg),30s5-6min60s1-2min.

(prolonged latent phase) 16h(8h)8h(prolonged active phase) 8(4h)1.2cm/h,1.5cm/h protracted active phase) 2h

prolonged descent)lcm/h2cm/hprotracted descent)lhprolonged second stage) 2h1h protracted second stage) 1h(prolonged labor) 24h

6

Bishop

Bishop(1964Pelvic scoring of elective induction Obstet Gynecol )33465079809

Bishop Scoring System

Score

Dilation(cm)

Effacement(%)

Station

Consistency

Position of Cervix

0

Closed

0-30

-3

Firm

Posterior

1

1-2

40-50

-2

Medium

Midposition

2

3-4

60-70

-1,0

Soft

Anterior

3

>/=5

>/=80

+1,+2

From Intrapartum Obstetrics

4cm,2cm, 2.5U4-5/

PGs) 10mg 10mg

(vacuum extraction)(forceps delivery)

100mg

tetanic contraction of uterus) (constriction ring of uterus)

3h(precipitate delivery)

K1

2520ml5-10%20ml

Question

contracted pelvis)

18cm16.5~17.5cm16cm11.5cm10~11cm9.5cm10cm8.5~9.5cm8cm

10cm8.5~9.5cm8.0cm7.5cm6.0~7.0cm5.5cm

2cm

VitD

1cm

,

2~4

15cm15cm

Question

Next class

90106%7%(breech presentation) 3%4(fetal lie)(shoulder presentation) (compound presentation)

(persistent occiput posterior positionpersistent occiput transverse position) 13590

, 13545

1.

2.

3.4.

1cm/h

(sincipital presentation)occipito-pubic position)occipito-sacral position)

(anterior asynelitism)posterior asynelitism)

face presentation),

Breech presentation

3%-4%()

(left sacro-anterior,LSA)(left sacro-transverse,LST)(left sacro-posterior LSP)6

30

Incomplete breech presentationComplete breech presentation Frank breech presentation

1. 2. 3.4.

180

303036-37

3500g

4cm

3 8

K

-

MSV

shoulder presentation),

fetal macrosomia) 4000gshoulder dystocia)

>10.0cmAC>HC2cmGDM