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← Older revision		Revision as of 15:50, 8 April 2025
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	[[File:Stages_of_Childbirth.png\|Stages of ~~Childbirth~~\|~~thumb~~]] ~~'''~~Prolonged labor~~'''~~		{{SI}}
			{{Infobox medical condition
			\| name = Prolonged labor
			\| image = [[File:Stages_of_Childbirth.png\|250px]]
			\| alt = Diagram showing stages of childbirth
			\| caption = Stages of childbirth
			\| field = [[Obstetrics]]
			\| synonyms = [[Failure to progress]], [[dystocia]]
			\| symptoms = Labor lasting more than 20 hours for first-time mothers, or more than 14 hours for women who have given birth before
			\| complications = [[Fetal distress]], [[infection]], [[postpartum hemorrhage]]
			\| onset = During [[childbirth]]
			\| duration = More than 20 hours (first-time mothers), more than 14 hours (subsequent births)
			\| types = [[Prolonged latent phase]], [[prolonged active phase]]
			\| causes = [[Cephalopelvic disproportion]], [[malpresentation]], [[ineffective uterine contractions]]
			\| risks = [[First-time pregnancy]], [[epidural anesthesia]], [[induction of labor]]
			\| diagnosis = [[Cervical dilation]] less than 1.2 cm per hour in first-time mothers, less than 1.5 cm per hour in women who have given birth before
			\| differential = [[Braxton Hicks contractions]], [[false labor]]
			\| prevention = [[Proper prenatal care]], [[exercise]], [[hydration]]
			\| treatment = [[Oxytocin]], [[amniotomy]], [[cesarean section]]
			\| medication = [[Oxytocin]]
			\| prognosis = Generally good with appropriate intervention
			\| frequency = Occurs in approximately 8% of all pregnancies
			\| deaths = Rare with modern medical care
			}}
	'''Prolonged labor''', also known as '''failure to progress''', is a term used in [[obstetrics]] to describe a labor that is taking longer than expected. This condition can occur during the [[first stage of labor]], the [[second stage of labor]], or both. Prolonged labor can pose risks to both the [[mother]] and the [[fetus]], and it often requires medical intervention to ensure a safe delivery.		'''Prolonged labor''', also known as '''failure to progress''', is a term used in [[obstetrics]] to describe a labor that is taking longer than expected. This condition can occur during the [[first stage of labor]], the [[second stage of labor]], or both. Prolonged labor can pose risks to both the [[mother]] and the [[fetus]], and it often requires medical intervention to ensure a safe delivery.

	==Causes==		==Causes==
	Several factors can contribute to prolonged labor, including:		Several factors can contribute to prolonged labor, including:
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	* [[Maternal exhaustion]] - fatigue in the mother, which can slow down the labor process.		* [[Maternal exhaustion]] - fatigue in the mother, which can slow down the labor process.
	* [[Epidural anesthesia]] - while it provides pain relief, it can sometimes slow down labor.		* [[Epidural anesthesia]] - while it provides pain relief, it can sometimes slow down labor.

	==Diagnosis==		==Diagnosis==
	Prolonged labor is typically diagnosed through regular monitoring of the labor process. This includes:		Prolonged labor is typically diagnosed through regular monitoring of the labor process. This includes:
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	* [[Fetal descent]] - the baby's movement down the birth canal.		* [[Fetal descent]] - the baby's movement down the birth canal.
	* [[Contraction pattern]] - frequency, duration, and strength of uterine contractions.		* [[Contraction pattern]] - frequency, duration, and strength of uterine contractions.

	==Management==		==Management==
	Management of prolonged labor depends on the underlying cause and the stage of labor. Common interventions include:		Management of prolonged labor depends on the underlying cause and the stage of labor. Common interventions include:
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	* [[Assisted delivery]] - using tools like [[forceps]] or a [[vacuum extractor]].		* [[Assisted delivery]] - using tools like [[forceps]] or a [[vacuum extractor]].
	* [[Cesarean section]] - surgical delivery of the baby if vaginal delivery is not possible.		* [[Cesarean section]] - surgical delivery of the baby if vaginal delivery is not possible.

	==Risks and Complications==		==Risks and Complications==
	Prolonged labor can lead to several complications, such as:		Prolonged labor can lead to several complications, such as:
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	* [[Postpartum hemorrhage]] - excessive bleeding after delivery.		* [[Postpartum hemorrhage]] - excessive bleeding after delivery.
	* [[Uterine rupture]] - a rare but serious complication.		* [[Uterine rupture]] - a rare but serious complication.

	==Prevention==		==Prevention==
	While not all cases of prolonged labor can be prevented, certain measures can help reduce the risk:		While not all cases of prolonged labor can be prevented, certain measures can help reduce the risk:
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	* Proper management of maternal conditions like [[gestational diabetes]] and [[hypertension]].		* Proper management of maternal conditions like [[gestational diabetes]] and [[hypertension]].
	* Encouraging the mother to stay active and maintain a healthy diet during pregnancy.		* Encouraging the mother to stay active and maintain a healthy diet during pregnancy.

	==See also==		==See also==
	* [[Labor (childbirth)]]		* [[Labor (childbirth)]]
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	* [[Fetal monitoring]]		* [[Fetal monitoring]]
	* [[Maternal health]]		* [[Maternal health]]
			==See also==
	==~~Related Pages~~==
	* [[Labor (childbirth)]]		* [[Labor (childbirth)]]
	* [[Obstetrics]]		* [[Obstetrics]]
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	* [[Fetal monitoring]]		* [[Fetal monitoring]]
	* [[Maternal health]]		* [[Maternal health]]

	[[Category:Obstetrics]]		[[Category:Obstetrics]]
	[[Category:Childbirth]]		[[Category:Childbirth]]
	[[Category:Medical conditions]]		[[Category:Medical conditions]]

	{{Obstetrics}}		{{Obstetrics}}
	{{medicine-stub}}		{{medicine-stub}}

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2024-05-28T00:28:29Z

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[[File:Stages_of_Childbirth.png|Stages of Childbirth|thumb]] '''Prolonged labor'''

'''Prolonged labor''', also known as '''failure to progress''', is a term used in [[obstetrics]] to describe a labor that is taking longer than expected. This condition can occur during the [[first stage of labor]], the [[second stage of labor]], or both. Prolonged labor can pose risks to both the [[mother]] and the [[fetus]], and it often requires medical intervention to ensure a safe delivery.

==Causes==
Several factors can contribute to prolonged labor, including:
* [[Cephalopelvic disproportion]] (CPD) - when the baby's head is too large to pass through the mother's pelvis.
* [[Malpresentation]] - abnormal positioning of the baby, such as breech or transverse lie.
* [[Uterine inertia]] - weak or uncoordinated uterine contractions.
* [[Maternal exhaustion]] - fatigue in the mother, which can slow down the labor process.
* [[Epidural anesthesia]] - while it provides pain relief, it can sometimes slow down labor.

==Diagnosis==
Prolonged labor is typically diagnosed through regular monitoring of the labor process. This includes:
* [[Cervical dilation]] - measuring the opening of the cervix.
* [[Effacement]] - thinning of the cervix.
* [[Fetal descent]] - the baby's movement down the birth canal.
* [[Contraction pattern]] - frequency, duration, and strength of uterine contractions.

==Management==
Management of prolonged labor depends on the underlying cause and the stage of labor. Common interventions include:
* [[Oxytocin]] - a hormone administered to stimulate stronger contractions.
* [[Amniotomy]] - artificially breaking the water to speed up labor.
* [[Assisted delivery]] - using tools like [[forceps]] or a [[vacuum extractor]].
* [[Cesarean section]] - surgical delivery of the baby if vaginal delivery is not possible.

==Risks and Complications==
Prolonged labor can lead to several complications, such as:
* [[Maternal infection]] - increased risk of infection for the mother.
* [[Fetal distress]] - decreased oxygen supply to the baby.
* [[Postpartum hemorrhage]] - excessive bleeding after delivery.
* [[Uterine rupture]] - a rare but serious complication.

==Prevention==
While not all cases of prolonged labor can be prevented, certain measures can help reduce the risk:
* Regular prenatal care to monitor the health of the mother and baby.
* Proper management of maternal conditions like [[gestational diabetes]] and [[hypertension]].
* Encouraging the mother to stay active and maintain a healthy diet during pregnancy.

==See also==
* [[Labor (childbirth)]]
* [[Obstetrics]]
* [[Cesarean section]]
* [[Fetal monitoring]]
* [[Maternal health]]

==Related Pages==
* [[Labor (childbirth)]]
* [[Obstetrics]]
* [[Cesarean section]]
* [[Fetal monitoring]]
* [[Maternal health]]

[[Category:Obstetrics]]
[[Category:Childbirth]]
[[Category:Medical conditions]]

{{Obstetrics}}
{{medicine-stub}}

Prolonged labor - Revision history

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