(O63.0) Prolonged first stage (of labour)

Prolonged first stage of labour occurs when the cervix does not dilate to the desired rate during the process of childbirth. this can be caused by a variety of factors, such as a baby that is too large for the mother's pelvis, an abnormal fetal position, or a contracted uterus. prolonged first stage of labour can lead to complications such as fetal distress, increased risk of infection, and increased risk of cesarean section.

Prolonged first stage of labour is a condition where the labour process lasts longer than usual. this can be due to a variety of causes including a slow rate of cervical dilation, inadequate uterine contractions, a large baby, a narrow pelvis, or an abnormal fetal position. this can lead to increased risks of maternal exhaustion, fetal distress, and infection. treatment may involve the use of medications to stimulate or strengthen uterine contractions, manual manipulation of the fetus, or caesarean section.

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• Perform a physical exam to assess the mother's condition.
• Order laboratory tests to check for infection.
• Conduct an ultrasound to measure the size of the baby's head.
• Perform a fetal heart rate monitoring to check for any abnormalities.
• Conduct a pelvic exam to check the position and shape of the baby's head.
• Order an amniocentesis to check for any genetic abnormalities.
• Evaluate the mother's contractions to determine the effectiveness of labor.
• Perform an episiotomy if necessary.

Additional measures:

• Administer oxytocin to increase the intensity of contractions.
• Perform a cesarean section if necessary.

Main goal: To reduce the duration of the first stage of labour.

• Monitor the fetal heart rate and the mother's contractions.
• Administer oxytocin to increase the strength and frequency of contractions.
• Administer analgesics or anaesthetics to reduce pain.
• Encourage the mother to change positions throughout labour.
• Provide emotional support to the mother.
• Encourage the mother to drink fluids and eat light snacks.
• Administer antibiotics if the mother has a fever.
• Perform an episiotomy if necessary.
• Perform an assisted delivery if necessary.

The best way to prevent prolonged first stage of labour is to ensure that the mother is in optimal physical and mental health prior to the onset of labour. this includes eating a balanced diet, exercising regularly, getting adequate rest, and managing stress levels. additionally, it is important to ensure that the mother is monitored closely during labour and that any signs of prolonged labour are addressed quickly and appropriately.