DYSFUNCTIONAL LABOUR(disorders
c
of uterine action):
c c
j.kiilu
, INTRODUCTION:
• Normal labour is characterised by progress
c c c c c
• Dysfunctional labour is one that does notrec c c c c c c
sult in normal progress of cervical effacem
c c c c c c
ent, dilatation, and fetal descent
c c c c
• Dystocia is a general term that describes anydif
c c c c c c c c
ficult labour or birth
c c c
,• A dysfunctional labour may result from:
c c c c c
– problems of the powers of labour
c c c c c
– the passenger
c
– the passage
c
– the position
c
– the psyche or a combination of all the above
c c c c c c c c
• Dysfunctional labour is often prolonged butm
c c c c c c
ay be unusually short and intense
c c c c c
, Problems of the powers c c c
• Powers include: uterine contractions and them
c c c c c c
aternal effort to push out the baby
c c c c c c
• Powers of labour may not be adequate to expelth
c c c c c c c c c
e fetus because of ineffective contractions orineff
c c c c c c c
ective maternal pushing efforts
c c c
• Effective uterine activity is characterised by coor
c c c c c c
dinated contractions that are strong and numer
c c c c c c
ous enough to propel the fetus past theresistanc
c c c c c c c c
e of the woman’s bony pelvis and softtissues
c c c c c c c c
c
of uterine action):
c c
j.kiilu
, INTRODUCTION:
• Normal labour is characterised by progress
c c c c c
• Dysfunctional labour is one that does notrec c c c c c c
sult in normal progress of cervical effacem
c c c c c c
ent, dilatation, and fetal descent
c c c c
• Dystocia is a general term that describes anydif
c c c c c c c c
ficult labour or birth
c c c
,• A dysfunctional labour may result from:
c c c c c
– problems of the powers of labour
c c c c c
– the passenger
c
– the passage
c
– the position
c
– the psyche or a combination of all the above
c c c c c c c c
• Dysfunctional labour is often prolonged butm
c c c c c c
ay be unusually short and intense
c c c c c
, Problems of the powers c c c
• Powers include: uterine contractions and them
c c c c c c
aternal effort to push out the baby
c c c c c c
• Powers of labour may not be adequate to expelth
c c c c c c c c c
e fetus because of ineffective contractions orineff
c c c c c c c
ective maternal pushing efforts
c c c
• Effective uterine activity is characterised by coor
c c c c c c
dinated contractions that are strong and numer
c c c c c c
ous enough to propel the fetus past theresistanc
c c c c c c c c
e of the woman’s bony pelvis and softtissues
c c c c c c c c
