Complications of labor
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This document discusses several potential complications of labor and delivery, including: 1) Preterm labor or premature labor, which occurs more than three weeks before the due date, and can result in premature birth. 2) Long or prolonged labor, which is determined by labor stage and cervical changes, and may occur after 20 hours of regular contractions. Causes include a large baby, abnormal baby position, or a small birth canal. 3) Obstetric trauma during vaginal delivery without instruments, which includes 4th degree perineal lacerations and injuries to the cervix, vagina, bladder or urethra.
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Complications of labor
This document discusses various complications that can occur during labor and delivery. It covers topics like preterm labor, preterm prelabor rupture of membranes, prolonged labor, obstructed labor, shoulder dystocia, hydrocephalus, precipitate labor, and rupture of the uterus. For each complication, it describes the causes, risk factors, clinical features, management, and potential maternal and fetal outcomes. The goal of management is outlined as arresting or preventing further progression of labor to improve outcomes for both the mother and baby.
Complications of labor
1. Uterine inversion occurs when the uterus turns inside out, causing the fundus to prolapse through the cervix. It can be incomplete or complete and acute or chronic in timing. Risk factors include fundal pressure during delivery and premature cord traction.
2. Symptoms include severe abdominal pain, feeling of prolapse, and shock. Management involves calling for help, resuscitation, and manual reversion of the uterus or hydrostatic reduction techniques. Surgical management may be needed if manual reduction fails.
3. Perineal tears range from first degree involving skin only to third degree involving the anal sphincter. Risk factors include primiparity. Management involves repair, analgesia, antibiotics
5 pelvic floor exercises for women
To strengthen your pelvic floor muscles, sit comfortably and squeeze the muscles 10-15 times in a row. Don't hold your breath or tighten your stomach, buttock or thigh muscles at the same time. When you get used to doing pelvic floor exercises, you can try holding each squeeze for a few seconds.
Physiological changes during pregnancy
Physiological changes during pregnancy can be extensive. The uterus grows dramatically in size and the cervix softens. The breasts enlarge and darken. Throughout pregnancy, the body retains more fluid and blood volume increases. Respiration increases to support higher oxygen needs. The heart works harder pumping more blood. The kidneys and liver increase in size. Many hormonal changes prepare the body for childbirth and nurturing a baby.
Uterine prolapse management
This document discusses the prevention and management of uterine prolapse. Key points include:
1. Prevention focuses on limiting pelvic floor injury during childbirth through measures like avoiding prolonged labor and encouraging postnatal exercises.
2. Treatment is usually only when prolapse causes symptoms that interfere with daily activity.
3. Management options include conservative measures like pelvic floor exercises and pessaries, as well as surgical procedures like vaginal hysterectomy with pelvic floor repair to correct defects.
4. Surgical repair aims to tighten the anterior, middle/apical, and posterior compartments using techniques such as anterior and posterior colporrhaphy.
Pelvic floor
The document summarizes the pelvic floor muscles (PFM), including their three layers, innervation, fiber types, functions in support, continence and sexual function. Assessment methods are described like digital examination grading scales and tools like perineometers. Dysfunctions are outlined such as supportive, hypertonic, incoordination and visceral. Causes and characteristics are provided for each.
High risk pregnancy
This document discusses high risk pregnancies and obstetric emergencies. It defines a high risk pregnancy as one complicated by a disease or disorder that could endanger the life of the mother, fetus, or newborn. Examples of conditions that can cause high risk pregnancies include heart disease, diabetes, twins/triplets, and bleeding disorders. The document also discusses various maternal and fetal complications that can occur during each trimester of pregnancy. It emphasizes the importance of emergency obstetric care and having multispecialty support to successfully manage complex high risk pregnancies and emergencies in order to save lives.
Discomforts during pregnancy
Pregnancy can cause many physical discomforts as the body changes. Common issues include symphysis pubis dysfunction (SPD) which affects the pelvis, coccydynia or tailbone pain, thoracic spine pain from breast and rib changes, and postural backache from weight gain and posture shifts. Physiotherapy can help with techniques like massage, taping, exercises and supports to relieve symptoms and maintain mobility.
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Complications of labor
This document discusses various complications that can occur during labor and delivery. It covers topics like preterm labor, preterm prelabor rupture of membranes, prolonged labor, obstructed labor, shoulder dystocia, hydrocephalus, precipitate labor, and rupture of the uterus. For each complication, it describes the causes, risk factors, clinical features, management, and potential maternal and fetal outcomes. The goal of management is outlined as arresting or preventing further progression of labor to improve outcomes for both the mother and baby.
Complications of labor
1. Uterine inversion occurs when the uterus turns inside out, causing the fundus to prolapse through the cervix. It can be incomplete or complete and acute or chronic in timing. Risk factors include fundal pressure during delivery and premature cord traction.
2. Symptoms include severe abdominal pain, feeling of prolapse, and shock. Management involves calling for help, resuscitation, and manual reversion of the uterus or hydrostatic reduction techniques. Surgical management may be needed if manual reduction fails.
3. Perineal tears range from first degree involving skin only to third degree involving the anal sphincter. Risk factors include primiparity. Management involves repair, analgesia, antibiotics
5 pelvic floor exercises for women
To strengthen your pelvic floor muscles, sit comfortably and squeeze the muscles 10-15 times in a row. Don't hold your breath or tighten your stomach, buttock or thigh muscles at the same time. When you get used to doing pelvic floor exercises, you can try holding each squeeze for a few seconds.
Physiological changes during pregnancy
Physiological changes during pregnancy can be extensive. The uterus grows dramatically in size and the cervix softens. The breasts enlarge and darken. Throughout pregnancy, the body retains more fluid and blood volume increases. Respiration increases to support higher oxygen needs. The heart works harder pumping more blood. The kidneys and liver increase in size. Many hormonal changes prepare the body for childbirth and nurturing a baby.
Uterine prolapse management
This document discusses the prevention and management of uterine prolapse. Key points include:
1. Prevention focuses on limiting pelvic floor injury during childbirth through measures like avoiding prolonged labor and encouraging postnatal exercises.
2. Treatment is usually only when prolapse causes symptoms that interfere with daily activity.
3. Management options include conservative measures like pelvic floor exercises and pessaries, as well as surgical procedures like vaginal hysterectomy with pelvic floor repair to correct defects.
4. Surgical repair aims to tighten the anterior, middle/apical, and posterior compartments using techniques such as anterior and posterior colporrhaphy.
Pelvic floor
The document summarizes the pelvic floor muscles (PFM), including their three layers, innervation, fiber types, functions in support, continence and sexual function. Assessment methods are described like digital examination grading scales and tools like perineometers. Dysfunctions are outlined such as supportive, hypertonic, incoordination and visceral. Causes and characteristics are provided for each.
High risk pregnancy
This document discusses high risk pregnancies and obstetric emergencies. It defines a high risk pregnancy as one complicated by a disease or disorder that could endanger the life of the mother, fetus, or newborn. Examples of conditions that can cause high risk pregnancies include heart disease, diabetes, twins/triplets, and bleeding disorders. The document also discusses various maternal and fetal complications that can occur during each trimester of pregnancy. It emphasizes the importance of emergency obstetric care and having multispecialty support to successfully manage complex high risk pregnancies and emergencies in order to save lives.
Discomforts during pregnancy
Pregnancy can cause many physical discomforts as the body changes. Common issues include symphysis pubis dysfunction (SPD) which affects the pelvis, coccydynia or tailbone pain, thoracic spine pain from breast and rib changes, and postural backache from weight gain and posture shifts. Physiotherapy can help with techniques like massage, taping, exercises and supports to relieve symptoms and maintain mobility.
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The document summarizes various obstetric surgical procedures including:
1. Dilatation and evacuation procedures to remove products of conception from the uterus such as suction and evacuation.
2. Cervical cerclage procedures like McDonald's technique which reinforce a weak cervix to prevent miscarriage.
3. Destructive procedures like craniotomy and evisceration which reduce the fetal bulk to facilitate delivery in cases of obstruction.
4. Common vaginal procedures including forceps delivery, episiotomy and breech extraction.
Breech presentation
This document provides information on breech births, including definitions, types, diagnosis, and management. It begins with an introduction defining breech birth as birth where the baby exits the pelvis feet or buttocks first instead of head first. It then describes the different types of breech presentations (complete, incomplete, frank), discusses diagnosis using clinical exams and ultrasound, and outlines the management of breech births including external cephalic version, vaginal delivery or cesarean section depending on the situation. The conclusion states that breech presentations can be effectively managed with early diagnosis and skillful techniques from obstetricians.
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The document summarizes normal labor, delivery, and the postpartum period. It describes the four main factors that determine labor (contractions, pelvis, fetus, psychology). It then explains the stages of labor and delivery in detail, including first, second and third stages. It discusses management of each stage. It also covers the postpartum period known as the puerperium, including typical uterine bleeding, lactation, and involution over 6 weeks.
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Classification of pelvis
This document describes the Caldwell-Moloy classification of female pelvis types. There are four main parent types - gynecoid, anthropoid, android, and platypelloid - which are categorized based on the shape of the pelvic inlet. Each type has distinct anatomical features of the inlet, cavity, outlets, and differing obstetric outcomes. Intermediate or mixed pelvis types also exist with combinations of parental features. Clinical significance varies with each type, such as engagement and rotational difficulties for android pelvises and delayed stages of labor in small gynecoid pelvises.
Normal labour and management
The document discusses the structure and function of the myometrium, the muscular layer of the uterine wall, during labor and delivery. It contains three layers of smooth muscle (longitudinal, circular, and oblique) that contract during labor due to hormones like oxytocin and prostaglandins. Calcium entry into uterine muscle cells allows the interaction of actin and myosin fibers to cause contractions. Synchronized contractions of the myometrium expel the fetus through the birth canal in three stages: cervical dilation and effacement in stage one; fetal expulsion in stage two; and placental separation and delivery in stage three.
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This document discusses abnormal labor and its management. It defines normal labor and describes abnormal labor as a difficult labor pattern that deviates from typical progression. Abnormal labor can be caused by issues with the cervix, uterus, maternal pelvis, or fetus. It further outlines the stages of labor and describes factors that can contribute to prolonged latent phase, dysfunctional labor, and dystocia. The management of abnormal labor may include amniotomy, oxytocin administration, operative vaginal delivery, or cesarean section depending on the specific issues present and labor progression. Close monitoring of labor and timely interventions are important to properly manage abnormal labor.
Mechanism of labour
This document discusses the process of labor and delivery. It begins by defining labor as the series of contractions that expel the fetus, placenta, and membranes from the uterus through the vagina. It then discusses the three powers involved in delivery - the uterus, pelvic passages, and fetus. The document goes on to describe pelvic anatomy including types of pelvises and measurements. It concludes by outlining the normal mechanism of delivery, including engagement, descent, flexion, internal rotation, extension, restitution, external rotation, and shoulder and body delivery.
Face presentation
Face presentation occurs when a baby's head is fully extended so the face is the leading part. It has an incidence of about 1 in 300 births. Face presentations are either primary, occurring during pregnancy due to fetal anomalies, or secondary, occurring during labor due to factors like a contracted pelvis. The most common positions are right and left mento-posterior and mento-anterior. Diagnosis is made through palpation and ultrasound. Labor progresses through engagement, flexion or rotation of the chin, and restitution. Failure of rotation to mento-anterior usually requires interventions like c-section.
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Labor is a physiologic process during which the fetus, membranes, umbilical cord and placenta are expelled from the uterus.
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Normal labor and delivery is defined as the spontaneous expulsion of a single, mature fetus through the birth canal within 3-18 hours without complications to the mother or fetus. Labor involves 3 stages - the first stage is cervical dilation, the second stage is baby's descent and birth, and the third stage involves delivery of the placenta. Uterine contractions increase in frequency and strength during the first stage to dilate the cervix by 1 cm per hour. The fetal head engages and descends through the birth canal during the second stage before birth. The third stage sees delivery of the placenta within 30 minutes.
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The document describes the physiological changes that occur during the postpartum period. It discusses the involution of the uterus, which returns to its non-pregnant size within 6 weeks. It also covers changes in other systems like the endocrine, cardiovascular, respiratory and urinary systems. The postpartum period allows the body to recover from pregnancy and birth by returning the organs to their pre-pregnancy state through processes like autolysis and homeostasis over a period of 6 weeks.
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The document discusses complications of the third stage of labor and postpartum hemorrhage (PPH) management. It defines PPH as blood loss exceeding 500 ml after birth and describes primary PPH occurring within 24 hours and secondary PPH occurring beyond 24 hours. Causes of PPH include uterine atony, trauma, retained tissues, and coagulopathy. The management of PPH involves controlling blood loss, replacing blood volume, and treating the underlying cause. For primary PPH, this includes uterotonic drugs, uterine massage, exploration for trauma. For secondary PPH, common causes are retained placental fragments, so uterine exploration is often needed.
Complications of puerperium
This document summarizes common complications that can occur during the puerperium period after childbirth. These include puerperal pyrexia (fever) which can be caused by infections in the genital tract, breast, respiratory tract, or urinary tract. Other causes include wound infections or thrombophlebitis. Problems with breastfeeding may also occur such as engorgement, cracked nipples, mastitis or breast abscess. Coagulation disorders can increase the risk of thromboembolism, which is a leading cause of maternal mortality. Finally, psychiatric disorders like postpartum blues, anxiety, depression or psychosis may develop during this time.
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The document summarizes the normal mechanism of labor with an occiput anterior position of the fetal head. It describes the key stages of engagement, descent, flexion, internal rotation, crowning and extension of the head. Internal rotation occurs as the presenting part rotates anteriorly upon meeting resistance from the sloped pelvic floor. This allows the anteroposterior diameter of the head to align with the widest diameter of the pelvic outlet to facilitate delivery. The stages ensure the fetus progresses safely through the birth canal during a vaginal delivery.
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Vaginal bleeding in late pregnancy can be caused by placenta previa, placental abruption, ruptured vasa previa, or uterine scar disruption. It is important to determine the diagnosis as treatment depends on the underlying cause. A history, physical exam, ultrasound, and labs can help identify conditions like placenta previa or abruption. Placenta previa is treated expectantly if no active bleeding, while abruption may require delivery depending on grade. Ruptured vasa previa and uterine rupture require emergent delivery.
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Normal labor progresses through four stages: first stage of dilation, second stage of baby delivery, third stage of placenta delivery, and fourth stage of recovery. The first stage has latent and active phases where the cervix dilates from 0-10 cm. Abnormal labor can occur if there are issues like large baby size, fast or slow progression, or medical complications. Some types of abnormal labor include shoulder dystocia, uterine rupture, precipitous labor, and postpartum hemorrhage. Preterm labor is when labor starts before 37 weeks of pregnancy.
ABNORMAL DELIVERY
The document discusses various types of abnormal and complicated deliveries including prolonged labor, malpresentations of the baby, multiple pregnancies, and operative vaginal deliveries. Prolonged labor can be caused by factors like inadequate contractions, overdistention of the uterus, an unfavorable baby position, or a small pelvis. Malpresentations occur when the baby is not head down and include breech, face, brow, transverse lie, and occiput posterior positions. Multiple pregnancies commonly refer to twins but can also include triplets. Operative vaginal deliveries like forceps and vacuum extraction are sometimes needed to assist delivery when spontaneous vaginal birth is not possible due to issues like fetal distress, maternal exhaustion
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3. Destructive procedures like craniotomy and evisceration which reduce the fetal bulk to facilitate delivery in cases of obstruction.
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This document provides information on breech births, including definitions, types, diagnosis, and management. It begins with an introduction defining breech birth as birth where the baby exits the pelvis feet or buttocks first instead of head first. It then describes the different types of breech presentations (complete, incomplete, frank), discusses diagnosis using clinical exams and ultrasound, and outlines the management of breech births including external cephalic version, vaginal delivery or cesarean section depending on the situation. The conclusion states that breech presentations can be effectively managed with early diagnosis and skillful techniques from obstetricians.
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The document summarizes normal labor, delivery, and the postpartum period. It describes the four main factors that determine labor (contractions, pelvis, fetus, psychology). It then explains the stages of labor and delivery in detail, including first, second and third stages. It discusses management of each stage. It also covers the postpartum period known as the puerperium, including typical uterine bleeding, lactation, and involution over 6 weeks.
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This document describes the Caldwell-Moloy classification of female pelvis types. There are four main parent types - gynecoid, anthropoid, android, and platypelloid - which are categorized based on the shape of the pelvic inlet. Each type has distinct anatomical features of the inlet, cavity, outlets, and differing obstetric outcomes. Intermediate or mixed pelvis types also exist with combinations of parental features. Clinical significance varies with each type, such as engagement and rotational difficulties for android pelvises and delayed stages of labor in small gynecoid pelvises.
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The document discusses the structure and function of the myometrium, the muscular layer of the uterine wall, during labor and delivery. It contains three layers of smooth muscle (longitudinal, circular, and oblique) that contract during labor due to hormones like oxytocin and prostaglandins. Calcium entry into uterine muscle cells allows the interaction of actin and myosin fibers to cause contractions. Synchronized contractions of the myometrium expel the fetus through the birth canal in three stages: cervical dilation and effacement in stage one; fetal expulsion in stage two; and placental separation and delivery in stage three.
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This document discusses the process of labor and delivery. It begins by defining labor as the series of contractions that expel the fetus, placenta, and membranes from the uterus through the vagina. It then discusses the three powers involved in delivery - the uterus, pelvic passages, and fetus. The document goes on to describe pelvic anatomy including types of pelvises and measurements. It concludes by outlining the normal mechanism of delivery, including engagement, descent, flexion, internal rotation, extension, restitution, external rotation, and shoulder and body delivery.
Face presentation
Face presentation occurs when a baby's head is fully extended so the face is the leading part. It has an incidence of about 1 in 300 births. Face presentations are either primary, occurring during pregnancy due to fetal anomalies, or secondary, occurring during labor due to factors like a contracted pelvis. The most common positions are right and left mento-posterior and mento-anterior. Diagnosis is made through palpation and ultrasound. Labor progresses through engagement, flexion or rotation of the chin, and restitution. Failure of rotation to mento-anterior usually requires interventions like c-section.
Mechanism of Labour and stages of labour
Labor is a physiologic process during which the fetus, membranes, umbilical cord and placenta are expelled from the uterus.
Normal labour and delivery
Normal labor and delivery is defined as the spontaneous expulsion of a single, mature fetus through the birth canal within 3-18 hours without complications to the mother or fetus. Labor involves 3 stages - the first stage is cervical dilation, the second stage is baby's descent and birth, and the third stage involves delivery of the placenta. Uterine contractions increase in frequency and strength during the first stage to dilate the cervix by 1 cm per hour. The fetal head engages and descends through the birth canal during the second stage before birth. The third stage sees delivery of the placenta within 30 minutes.
physiological changes in puperium
The document describes the physiological changes that occur during the postpartum period. It discusses the involution of the uterus, which returns to its non-pregnant size within 6 weeks. It also covers changes in other systems like the endocrine, cardiovascular, respiratory and urinary systems. The postpartum period allows the body to recover from pregnancy and birth by returning the organs to their pre-pregnancy state through processes like autolysis and homeostasis over a period of 6 weeks.
3 stage mamangment
The document discusses complications of the third stage of labor and postpartum hemorrhage (PPH) management. It defines PPH as blood loss exceeding 500 ml after birth and describes primary PPH occurring within 24 hours and secondary PPH occurring beyond 24 hours. Causes of PPH include uterine atony, trauma, retained tissues, and coagulopathy. The management of PPH involves controlling blood loss, replacing blood volume, and treating the underlying cause. For primary PPH, this includes uterotonic drugs, uterine massage, exploration for trauma. For secondary PPH, common causes are retained placental fragments, so uterine exploration is often needed.
Complications of puerperium
This document summarizes common complications that can occur during the puerperium period after childbirth. These include puerperal pyrexia (fever) which can be caused by infections in the genital tract, breast, respiratory tract, or urinary tract. Other causes include wound infections or thrombophlebitis. Problems with breastfeeding may also occur such as engorgement, cracked nipples, mastitis or breast abscess. Coagulation disorders can increase the risk of thromboembolism, which is a leading cause of maternal mortality. Finally, psychiatric disorders like postpartum blues, anxiety, depression or psychosis may develop during this time.
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The document summarizes the normal mechanism of labor with an occiput anterior position of the fetal head. It describes the key stages of engagement, descent, flexion, internal rotation, crowning and extension of the head. Internal rotation occurs as the presenting part rotates anteriorly upon meeting resistance from the sloped pelvic floor. This allows the anteroposterior diameter of the head to align with the widest diameter of the pelvic outlet to facilitate delivery. The stages ensure the fetus progresses safely through the birth canal during a vaginal delivery.
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Preterm and postterm birth refer to neonates born too early or too late, respectively. Preterm birth is defined as delivery before 37 weeks of gestation. Causes of preterm birth include spontaneous preterm labor, preterm premature rupture of membranes, multifetal pregnancy, and various contributing factors like prior preterm birth and infection. Diagnosis involves assessing symptoms, cervical changes, fetal fibronectin levels, and cervical length by ultrasound. Management may include tocolysis, corticosteroids, antibiotics, magnesium sulfate, and in some cases cerclage or induction of labor. The goal is to prolong pregnancy when possible to improve neonatal outcomes.
Dr padma priya's ppt
Dr. Padmapriya Vivek is the primary Gynecologist, Obstetrician, Infertility Specialist at Gleneagles Global Hospitals, Perumbakkam, Chennai. By encompassing 16 years of experience, Dr. Padmapriya remains as the foremost Gynecologists and Obstetricians in Chennai. Dr. Padmapriya Vivek has raked many accolades in her illustrious journey.
Imp 1
This document provides an overview of obstetrics and pregnancy. It discusses topics such as the definition of obstetrics, the stages of pregnancy, fetal development, physiological changes during pregnancy, signs and symptoms of pregnancy, calculating the due date, discomforts of pregnancy, complications of pregnancy, signs and symptoms of labor, diagnosing true labor versus false labor, and common diagnostic techniques, treatments and procedures in obstetrics such as AFP screening, amniocentesis, cesarean section, and contraction stress tests.
USMLE GENERAL EMBRYOLOGY 020 Anatomical basis of delivery (Normal - C.S.).pdf
Normal vaginal labor refers to the process of childbirth where the baby is delivered through the vagina without the need for surgical intervention such as a cesarean section.
During normal vaginal labor, the cervix dilates and effaces, allowing the baby to pass through the birth canal.
Cesarean sections, often referred to as C- sections, are surgical procedures used to deliver a baby when vaginal delivery is not possible or not safe for the mother or the baby.
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Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
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Chapter 5
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Chapter 6
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Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
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Complications of labor
- 2. INTRODUCTION • Preterm labor also known as premature labor. It’s when your body starts getting ready for birth too early in your pregnancy. Labor is premature if it starts more than three weeks before your due date.
- 3. • Preterm delivery also known as premature birth is the birth of a baby at fewer than 37 weeks gestational age. These babies are known as preemies or premmies.
- 4. • For multiple gestations use the 7th characters it starts from 1-9 • 0=not applicable or unspecified • 1=fetus1 • 2=fetus2 • 3=fetus3 • 4=fetus4 • 5=fetus5 • 9=other fetus
- 5. LONG LABOR • Prolonged labor can be determined by labor stage and whether the cervix has thinned and opened appropriately during labor. If your baby is not born after approximately 20 hours of regular contractions, you are likely to be in prolonged labor. Some health experts may say it occurs after 18 to 24 hours.
- 6. Causes of long labor • The baby is very big and cannot move through the birth canal. • The baby is in an abnormal position. Normally, the baby is head-down facing your back. • The birth canal is too small for the baby to move through. • Your contractions are very weak.
- 7. Obstetric trauma • Obstetric trauma during vaginal delivery without instrumentation is an injury to the mother while giving birth by vaginal delivery without the aid of birthing instruments.
- 8. • Obstetric trauma includes fourth-degree perineal lacerations; laceration of the cervix, vaginal wall or sulcus; injury to bladder or urethra; and repair of obstetric lacerations of the uterus, cervix, corpus uteri, bladder, urethra, rectum and sphincter ani. C-section deliveries are not included.
- 9. ICD-10-CM GUIDELINES • Preterm labor- O60 • Failed induction of labor- O61 • Abnormalities of forces of labor- O62 • Long labor-O63 • Obstructed labor due to malposition and malpresentation of fetus- O64
- 10. • Obstructed labor due to maternal pelvic abnormality-O65 • Other obstructed labor- O66 • Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified- O67 • Labor and delivery complicated by abnormality of fetal acid-base balance-O68 • Labor and delivery complicated by umbilical cord complications-O69 • Perineal laceration during delivery- O70
- 11. • Other obstetric trauma- O71 • Postpartum hemorrhage- O72 • Retained placenta and membranes, without hemorrhage- O73 • Complications of anesthesia during labor and delivery- O74
- 12. • Other complications of labor and delivery, not elsewhere classified- O75 • Abnormality in fetal heart rate and rhythm complicating labor and delivery- O76 • Other fetal stress complicating labor and delivery- O77 • https://www.medesunglobal.com
- 13. THANK YOU