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Complications of Labor and Delivery – Abnormal Labor | Comprehensive Lecture Notes and Clinical Management Guide

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This document provides an extensive overview of abnormal labor and its complications, including shoulder dystocia, PROM/PPROM, precipitous labor, obstructed labor, prolonged labor, induction and augmentation of labor, malpresentations such as face, brow, and breech presentation, and their corresponding diagnostic features, mechanisms, and management. Each topic is supported with clear definitions, causes, signs and symptoms, clinical findings, complications, and step-by-step obstetric and nursing management. It serves as a complete academic resource for nursing and midwifery students, offering in-depth explanations aligned with maternity and obstetric examinations.

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COMPLICATIONS OF LABOR AND
DELIVERY : ABNORMAL LABOR.

NZIYA DERICK, BScN, RN.

,SHOULDER DYSTOCIA
NZIYA DERICK, BScN, RN.

,INTRODUCTION

• Dystocia is a term used to explain a difficult birth,
typically caused by a large or awkwardly positioned
fetus, by smallness of the maternal pelvis, or by
failure of the uterus and cervix to contract and expand
normally.
• According to Albers (2001) dystocia is a term used for a
difficult or slower labor and it includes both failure to
progress and prolonged labor.

, The delay can occur during:


• The latent phase of labor.

• The active phase of labor.

• The second stage of labor.

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