How will diagnose abnormal progress of labour. Discuss its management in a PHC set up.

Abnormal progress of labor refers to situations where the labor process does not follow the normal pattern, leading to complications that can affect the safety of both the mother and the baby. In a Primary Health Center (PHC) setup, diagnosing and managing abnormal progress of labor requires careful monitoring, timely interventions, and appropriate referral when necessary.

### Diagnosis of Abnormal Progress of Labor

The first step in diagnosing abnormal labor is to assess whether the labor is progressing according to the expected stages: the latent phase, active phase, and the delivery of the baby. There are specific clinical signs and symptoms that can indicate abnormalities in labor progression.

1. Assessing the Duration of Labor:
   - The latent phase (early labor) typically lasts 6-8 hours for a primigravida (first-time mother) and may be shorter in multigravida (women who have given birth before). An extended latent phase of more than 20 hours in primigravida or 14 hours in multigravida may be considered abnormal.
   - In the active phase, the cervix should dilate at a rate of about 1 cm per hour. If cervical dilation is slower than this, it could indicate a problem.

2. Monitoring the Frequency and Intensity of Contractions:
   - Normal contractions are strong, regular, and occur every 3-5 minutes. If contractions are weak or irregular, it could signify an issue such as uterine inertia.
   - If contractions are too frequent or strong without a proper interval, this may point to hyperstimulation or ________ ______ ______ _________ __________ ____ ________ _________ __________ ______.
___ ______ ____ ___ _________ _________ _______ ________ ____ _________.
___ _________ ____ ______ _______ _______.
___ __________ ______ ______ _____ ________ ___ _________ __________.
____ _________ ________ ________ ________ _____ ____ _________ __________ ____.
_____ ______ _________ ____ _____.
________ ____ ___ ______ _________ _____.
______ _____ __________ ___ ___.
______ __________ ____ _____ ___ ________ _______ __________ ________ ________ ____.
__________ _______ ___ ___ __________ ___ _____ _____.
___ _____ _______ _______ ______ _________ ______ _____.
______ _________ ___ ___ _____ ____.
___ _________ _________ _____ _______ _______ _______ ______ _______ ______.
__________ _____ ___ _________ _________ ___ ______ ___ __________ _______ ____ _______.
_________ _______ _________ ____ __________ __________ ___ ____ ___.
_________ ______ ________ ___ ____ ____ ____.
_________ ________ _________ __________ ____.
_____ _________ _______ ________ _______ ______ ______ _______ _____ _____ _____.
_______ _____ ______ ________ ___ _________ ____ _____ _______.
_____ ___ ____ _________ _________ ____ _____ ___ ___ _____ ________ _________.
_________ ____ ______ __________ ____ _______ _________ _________.
________ ____ __________ ____ _________ _____ ___.
__________ ________ _______ ________ _____ _______ _______ ______ ______ ________ _____.
______ _________ _______ ____ ____ ____ _____ ____ ____ _________.
___ _____ ___ ________ ________ ________ _________ _______.
________ ________ _______ _______ _______ _______ ________ ___ _______.
__________ _________ _______ __________ ____ ______ ________ ________ ___ ___ ____ ________.
_____ ___ ________ ____ _____ _______ ______ ____ ___ _______ __________ ____.
___ ____ __________ ____ ____ ___ ________ ____ ______ __________ __________.
________ ___ __________ _________ ____ ______ ______ _________ __________ ____ ________.
___ ______ ________ _________ ______ __________ ________ _______ __________ _______.
______ ________ _____ _______ ____ ________ _____ _____ _____ _____ ___.
_____ ______ _____ __________ ____ _____ ________ _______ ____ ______ __________.
_______ ______ ______ _____ ________ ______ ______ ________ _______.
_______ ________ ______ ______ _________ ____ ________ ___ ______ ______ _______.
__________ ___ ______ ______ _____ _____ ______ _________ ___.
______ __________ ________ ____ ____.
_____ ___ _______ ____ _____ __________ _________ ________.
____ ____ _____ ______ _________ _____ __________ _______ _____ __________ __________ ___.
____ _______ ____ _______ __________.
______ ___ ____ _______ _______ _____.
____ __________ _______ _________ ___ ________ _______ ________.
_________ ___ __________ ____ ___ _________ ___ ______ __________ ______ _________ ____.
__________ ______ ___ ____ ___ _______ _________ __________.
___ __________ _______ ___ ____ _____ _______.
______ _________ ______ _______ ______ _________ ____ _____.
________ _____ _____ ______ ____ _________ ________ ___ __________.
____ __________ _______ ____ ________.
_____ __________ _______ __________ ___ _______ _______ _________ _____.
___ ______ _______ _________ ____ _____ _______ __________.
_____ _______ ______ __________ ________.
_________ ___ _____ _________ _________ ________ __________ ____ _______ ____ __________.
_________ ________ ______ __________ ______ ____ ____.
__________ ______ _____ _______ __________.
_____ ______ _________ __________ ______ ____ ______ ________.
__________ ________ ______ ___ ________ _______ __________ ____ ____ _____.
_____ ______ ___ ______ _________ ________ ________ __________ ____.
______ ______ ________ __________ ______ ________ _______ ___ _________ _______.
___ ___ ________ ______ ____ ____ ____ ________ ________ ____.
_________ __________ __________ _________ __________ ________ _____.
____ _____ _______ ______ _________ ________ ________ ______ ______.
________ __________ ________ _________ _________ _________ _________ ________.
_______ ___ _____ __________ ______ ____ ____ ___ ____ ___ __________.
______ _________ _______ _________ ______ _________ _______ _______ __________ _________ ________ ______.
________ ________ ______ _____ _____ _________ _______ ______ _______ _____ ________ ___.
______ _____ _____ ______ _________ ________ __________ ____ _______ __________ _____.
______ ___ ______ __________ ___ __________ _________ _____ __________ _____.
_________ _____ ________ _______ ___ _________.
_____ _______ __________ ______ ______ _________ __________ _______ ___.
__________ _____ ____ _______ __________.
___ __________ _________ _________ _____.
________ ___ ____ ____ _______ ______ __________ ___.
____ _______ _____ ___ _____ _________.
_____ ________ ______ _________ ___ _______ _________ __________ _________ _______ ________ ______.
_____ _____ _________ _____ ____.
___ ___ ______ ____ ______ ____ ___ ____ _____.
_______ ____ _______ ______ ______ ___.
______ ________ ________ ______ _____ ______ ________ __________ ____ ______ ____ _____.
______ __________ _____ _________ ______ _________ ________ ____.
________ ________ _______ ______ ____ __________ _________ _________ ______ _____.
_____ ____ ____ ___ ________.
_________ ___ _____ ____ _________ _______ _____ ____.
______ ______ ________ _________ ________ _________ _____ _________ _____.
_______ ____ ___ ______ _____ ____ _________ _____ _____ ____ ______.
_______ __________ _____ _________ ____ ____ ____ _______ _______ _____ __________ ____.
_________ _____ __________ _____ ___ _________ _________ ____ ___ __________ __________.
__________ ____ ______ _____ _____ __________ ___ _______.
______ _________ ____ __________ ____ __________.
____ _____ _______ _____ __________ __________ __________ _____ ____ __________ _________.
___ __________ ___ _________ ____ _____ _______ _________ _____ __________ ____.
_____ ______ _________ ___ __________.
_________ ________ __________ ______ _____ _________ ________ ________ ________ _________ _____.
_____ ________ _____ _____ ________ _________ ________ _____.
____ _________ _______ _______ ____ _________ ___ __________ ________.
________ ____ ______ ___ ______ __________ ___ _________ ______ _________ ______ __________.
________ _____ ________ _________ ______.
_______ __________ ___ ___ ______ ____ ______ __________ _____ ___ __________.
_____ ___ __________ ____ __________ __________ ______.
____ ____ ____ _________ ________ ___ _______ __________ _____ _______ ___ ________.
_______ _____ ____ ____ ___ _________ _______ ______ ________ ____ ____ _____.
____ _______ __________ ______ ____.
______ __________ _________ _______ ______.
_________ ___ _____ ___ ____ _________ ______ ___ ____.
________ _____ ________ ___ ______ ______ ______ ________ ____ ____.
_______ _______ __________ _______ __________ ___ _________ ___.
_____ ____ _______ ______ _______ _________ _____ _________ _____ _______.
__________ __________ __________ ________ __________ ______ ___ ____.
________ ____ _________ ____ ___ ________ ____ _________ __________ ________ _____ ____.
_________ ____ ______ __________ ____ ______ _______ ____ ____ ______.
____ ________ ___ ________ __________ _____ _____ __________ ____ ___ __________ _________.
_________ _______ __________ _______ ____ ____ ___ __________ ____ ________ _________.
__________ ___ ________ __________ ________ _______ ___ ___ ______ __________ ________.
_______ ____ _____ ______ _________ _________ ________ ___ ___.
______ ____ ____ __________ ____ ____ ________ ______.
Get Full Answer on WhatsApp