Multiparous woman with a non-progress of labour (Obstructed labour)

Signs of Obstructed labour in a Multiparous woman at term

1. When the history was dug deeper,  it is usually  apparent that woman is contacting for 2-3 days.  So do not take admission to labour ward as the onset of labour.  The actual labour may have started few days ago.

2. Sunken eyes because of labour pains and dehydration and dehydration.

3. Urinary ketones (2+ and above)

4. Sub-umbilical flattening and evident bladder bulge. This is classical of  occipitoposterior position causing obstrction of labour.  Baby's sinciput hitching against pubic symphysis causing urethral swelling and swollen bladder.

5. If you scan such a woman, you will see star gazing fetus.

6. Occasionally there is presence of Bandl's ring.