This document discusses various types of abnormal uterine contractions that can occur during labor. It defines disordered uterine action as any deviation from normal uterine contraction patterns during labor. The types discussed include uterine inertia, precipitate labor, tonic uterine contractions/retraction, spastic lower segment, cervical dystocia, constriction ring, and generalized tonic contraction. For each type, the document describes the definition, causes, clinical features, diagnosis, and management.
Obstetrics and Gynecological Nursing
The PPT contains detailed information about Abnormal uterine action, its classifications, causes, sign and symptoms and management.
When fetal head is delivered, but shoulders are stuck and cannot be delivered it is known as shoulder dystocia.
The anterior shoulder becomes trapped behind on the symphysis pubis, whilst the posterior shoulder may be in the hollow of the sacrum or high above the sacral promontory.
Obstetrics and Gynecological Nursing
The PPT contains detailed information about Abnormal uterine action, its classifications, causes, sign and symptoms and management.
When fetal head is delivered, but shoulders are stuck and cannot be delivered it is known as shoulder dystocia.
The anterior shoulder becomes trapped behind on the symphysis pubis, whilst the posterior shoulder may be in the hollow of the sacrum or high above the sacral promontory.
Cord prolapse is a frightening and life-threatening event that occurs in labor. Rapid identification and immediate appropriate response may well save the life of a neonate. Therefore, clinicians should be knowledgeable in its recognition and management.
This ppt is made by Mr. arkab khan pathan under guidance of Mrs. RAKHI GOAR. this ppt contain the detail and all the lecture notes of HEG.
THANK YOU.
Arkab khan
Abnormal uterine action is the one of the factors causing dystocia in which uterine forces are insuffiently strong or inappropriate coordinated to efface and dilate the cervix. Pelvic contraction is often accompanied by uterine dysfunction and the two together constitute the most common cause of dystocia.
Cord prolapse is a frightening and life-threatening event that occurs in labor. Rapid identification and immediate appropriate response may well save the life of a neonate. Therefore, clinicians should be knowledgeable in its recognition and management.
This ppt is made by Mr. arkab khan pathan under guidance of Mrs. RAKHI GOAR. this ppt contain the detail and all the lecture notes of HEG.
THANK YOU.
Arkab khan
Abnormal uterine action is the one of the factors causing dystocia in which uterine forces are insuffiently strong or inappropriate coordinated to efface and dilate the cervix. Pelvic contraction is often accompanied by uterine dysfunction and the two together constitute the most common cause of dystocia.
Nice presentation For midwifery.
Presented under supervision of Dr. Stella Ass. Lecturer at Muhas
Presenter John Marco
Registration number 2019-04-13514
BSc. Midwifery
Third year student at Muhimbili university of health allied science (MUHAS).
Topic: Abnormal Uterine action.
it contains a presentation on injuries that occur during baby birth
summary:
Maternal injuries following childbirth process are quite common.
VULVA
PERINEUM
RISK FACTORS FOR THIRD DEGREE PERINEL TEAR
REPAIR OF COMPLETE PERINEAL TEAR
VAGINA
CERVIX
PELVIC HEMATOMA
DIAGNOSIS OF RUPTURE UTERUS
Pathophysiology of Normal Labour by Sunil Kumar Dahasunil kumar daha
Please find the power point on Management and pathophysiology of Normal Labour . I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Pathophysiology of Normal Labor:
A series of events that take place in female genital organs to expel the product of conception that are fetus, placenta, membranes) out of womb through the vagina into the outer world. We further describe pathogenesis and features of different stages of labor
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
2. DEFINITION
Any deviation of
normal pattern
uterine contractions
affecting the course of
labour is designated
as disordered or
abnormal uterine
action.
3. ETIOLOGY
Prevalent in first birth
Advancing age of mother
Prolonged pregnancy
Over distension of uterus
Psychological factor
Contracted pelvis
Malpresentation
Injudicious administration of sedatives,
analgesics and oxytocics.
4. Normal polarity
Uterine inertia
Excessive
contraction-
a) Precipitate labour
b) Tonic uterine
contraction and
retraction
Abnormal polarity
Spastic lower
segment
Cervical dystocia
Constriction ring
Generalized tonic
contraction
5. UTERINE INERTIA
A common type of disordered uterine
contractions but is comparatively less
serious.
Uterine Contractions-: Intensity is
diminished, duration is shortened, good
relaxation in between contractions and
the intervals are increased.
6. DIAGNOSIS-:
1. Less pain during contractions.
2. Less hardening of uterus
3. Uterus becomes relaxed after contraction,
fetal parts are well palpable and FHR
remains good.
4. Internal examination reveals-
a) poor dilatation of cervix
b) membranes usually remain intact.
7. Effects on mother and fetus-
Maternal exhaustion
fetal distress are unusual and appear
late.
8. MANAGEMENT
1. Caesarian Section- if presence of contracted
pelvis, malpresentation and evidence of fetal
or maternal distress.
2. Vaginal delivery-
Active measures-
Acceleration of uterine contractions by
low rupture of membranes followed by
oxytocin drip.
9. PRECIPITATE LABOUR
A labour is precipitate when the
combined duration of first and second
stage is less than 2 hours associated with
hyperactive uterine contractions
Labour is short as the rate of cervical
dilatation is 5cm/hr or more.
10. Maternal Risks-
Extensive laceration of vagina,
cervix and perineum.
PPH due to hypotonia that
develops subsequently.
Inversion
Uterine rupture
Infection
12. MANAGEMENT
Patient having previous history of precipitate
labour should be hospitalized prior to labour.
Administer ether or magnesium sulphate to
suppress contractions.
Oxytocin augmentation should be avoided.
Carefully conduct the delivery. Delivery of
head should be controlled.
Episiotomy should be done liberally.
13. TONIC UTERINE CONTRACTION &
RETRACTION
This type of uterine contraction is
predominantly due to obstructed labour.
Pathological anatomy of uterus-
Gradual increase in intensity, duration and
frequency of contractions
Relaxation phase becomes less and less;
ultimately state of tonic contractions develop.
Retractions continues
Lower segment elongates and becomes thin
14. A circular groove encircling the uterus is
formed between the active upper segment
and distended lower segment, called
pathological retraction ring (bandl’s ring).
15. CLINICAL FEATURES
Patient is agony and exhausted
Abdominal palpation reveals-
a) hard and tender upper
segment
b) tender and distended lower
segment
Bandl’s ring is placed obliquely
b/w umblicus and symphysis
pubis and rises upward with
course of time
FHS usually absent
16.
17. Internal examination reveals-
a) dry and hot vagina
b) offensive discharge
c) cervix fully dilated
d) membranes absent
18. TREATMENT
Rupture of uterus is to be excluded
Correction dehydration and keto-
acidosis by RL infusion
Adequate pain relief
Antibiotics
Caesarean section
19. SPASTIC LOWER SEGMENT
Uterine Contraction-
1. Fundal dominance is
lacking.
2. Inadequate
relaxations in between
contractions.
3. Basal tone is raised
above the critical level
of 20mm Hg.
20. Diagnosis-
a) patient is agony with unbearable pain
referred to back.
c) Premature attempts to bear down.
21. Examination
Abdominal palpation reveals –
-tender uterus
-palpation of fetal parts is difficult.
-fetal distress appears early.
Internal examination reveals-
Thick, oedematous cervix
Inappropriate cervix dilatation
Absence of membranes
varying degree of caput
22. MANAGEMENT
Caesarean section is done in majority of
cases.
Pain management
Correction of dehydration
Avoid oxytocin augmentation
23. CONSTRICTION RING
It is the form of
incoordinate uterine action
where there is localized
spastic contraction of a ring
of circular muscle fibres of
uterus.
Usually situated at the
junction of upper and lower
segment around the
constricted part of fetus
usually around neck.
24. DIAGNOSIS
Ring is not felt per abdomen. It is revealed
LSCS in first stage, during forcep
application in second stage and during
mannual removal in third stage.
25. MANAGEMENT
Based on stage at which diagnosis is
made.
1st stage- cut vertically to deliever the
baby
2nd stage-LSCS section may be
performed
3rd stage- deepening the plane of
anaesthesia
29. Primary cervical dystocia
Structurally normal cervix that does not
open and relax associated with tension
and pain due to failure of external os to
dilate and ineffective uterine
contractions.
30. TREATMENT
1) LSCS- in presence associated complications
2) If head is low down with only thin rim of
cervix left behind, rim may be pushed up
mannually during contraction or traction is
given by ventouse.
3) In others, where cervix is much thinned out
but only half dilated, duhrssen’s incision at 2
and 10’o clock positions followed by forceps
or ventouse extaction is quite safe and
effective.
31. SECONDARY CERVICAL DYSTOCIA
This type of cervical dystocia result from
excess scarring or rigidity of cervix from
previous births, operations or cancer.
Treatment –
Usually L.S.C.S
32. GENERALISED TONIC CONTRACTION
In this pronounced
retraction occurs
involving whole of the
uterus upto the level of
internal os. Thus there
is no physiological
differentiation of active
upper segment and
passive lower segment
of uterus.
33. CAUSES
Failure to overcome the obstruction by
powerful contractions of uterus
Injudicious administration of oxytocics
34. CLINICAL FEATURS
Prolonged labour having severe and
continuous pain.
Tense and tender uterus, small in size
Fetal parts not palpable and FHR not
audible
36. TREATMENT
Correction of dehydration and
ketoacidocis- by rapid infusion of RL
Antibiotics
Analgesic
Tocolytics
Caesarean section when obstruction
suspected.
37.
38. CONSTRICTION RING
Manifestation of localized
in-coordinate uterine
action.
Undue irritability of
uterus.
Present at the junction of
upper & lower segment
usually at constricted part
Upper segment contract &
retract with relaxation in
between; lower segment
remains thick & loose.
RETRACTION RING
End result of tonic
uterine contraction &
retraction.
Following obstructed
labour.
Always situated at
junction of upper &
lower segment.
Upper segment is
tonically contracted
with no relaxation
39. Constriction Ring
Maternal condition is
almost unaffected
unless labour is
prolonged.
Uterus feels normal.
Fetal parts are easily
felt.
Ring is not felt.
F.H.S is usually present.
Retraction Ring
Features of maternal
exhaustion & sepsis
appear early.
Uterus is tense & tender.
Not easily felt.
Ring is felt as a groove
placed obliquely.
Usually absent