SlideShare a Scribd company logo
CERVICAL DYSTOCIA
MIDWIFERY
12/06/2020
DEFINITION
• CERVICAL DYSTOCIA IS ONE WHERE THE DESPITE
EFFECTIVE CONTRACTIONS OF THE CERVIX
(external os ) FAILS TO DILATE , ALTHOUGH IT MAY
EFFACE .
TYPES OF CERVICAL DYSTOCIA
1. PRIMARY
PRIMARY TYPE OF DYSTOCIA OCCURS PREDOMINANTLY DURING THE
FIRST BIRTH .THE NON DILATION MAY BE DUE TO THE PRESENCE OF
EXCESSIVE FIBROUS TISSUE OR SPASM OF CIRCULAR MUSCLE FIBRES
SURROUNDING THE OS .
CONTINUED…..
2.SECONDARY
THE SECONDARY CERVICAL DYSTOCIA RESULTS USUALLY FROM THE EFFECT OF
SCARRING OR RIGIDITY OF CERVIX FROM THE EFFECT OF PREVIOUS OPERETION
OR DISEASES
RESULT OF CERVICAL DYSTOCIA
ETIOLOGY
THE CERVIX BECOMES TINNED AND OUT AND WELL APPLIED TO THE HEAD
INITIALLY, THE UTERUS CONTRACTIONS REMAIN GOOD,
BUT LATER BECOME INEFFECTIVE
EDEMA OF THE ANTERIOR LIP OCCUR
DELIVERY MAY BE ACCOMPLISHED BY AVULSION
(TEARING AWAY ) OF THE ANTERIOR LIP OR
DETACHMENT OF THE CERVIX
MANAGEMENT
IN THE PRESENCE OF ASSOCIATED COMPLICATIONS , WHERE
VAGINAL DELIVERY IS FOUND UNSAFE , CESAREAN SECTION IS
PERFORMED
IF THE HEAD IS SUFFICIENTLY LOW DOWN WITH ONLY THICK CERVIX
LEFT
IT IS THEN PUSHED UP MANNUALY DURING CONTRACTION OR
TRACTION GIVEN BY VENTOUSE
IN OTHER WHERE THE CERVIX IS VERY THINNED OUT , BUT ONLY
HALF DILATED A DUHRSSEN ‘S INCISION AT 2 AND 10 O’CLOCK
POSITIONS MAY BE FOLLOWED BY VENTOUSE OR FORCEPS

More Related Content

What's hot

Version..
Version..Version..
Umbilical cord and cord abnormalities
Umbilical cord and cord abnormalitiesUmbilical cord and cord abnormalities
Umbilical cord and cord abnormalities
Abhilasha verma
 
Puerperal Pyrexia
Puerperal PyrexiaPuerperal Pyrexia
Puerperal Pyrexia
Farjad Baig
 
Hyperemesis gravidarum
Hyperemesis gravidarumHyperemesis gravidarum
Hyperemesis gravidarum
jagadeeswari jayaseelan
 
Cord prolapse & cord presentation
Cord prolapse & cord presentationCord prolapse & cord presentation
Cord prolapse & cord presentation
Jasmi Manu
 
Premature labour
Premature labourPremature labour
Premature labour
Balkeej Sidhu
 
Causes and onset of labour
Causes and onset of labourCauses and onset of labour
Causes and onset of labourDrpawan Jhalta
 
Lecture on Lochia and deep vein thrombosis
Lecture on Lochia and deep vein thrombosisLecture on Lochia and deep vein thrombosis
Lecture on Lochia and deep vein thrombosis
sadashiv dawre
 
Preterm labour
Preterm labourPreterm labour
Preterm labour
Shaells Joshi
 
Cervical dystocia
Cervical dystociaCervical dystocia
Cervical dystocia
SupriyaMahind
 
pre eclampsia
pre eclampsiapre eclampsia
pre eclampsia
Snehlata Parashar
 
Fetal non stress test
Fetal non stress testFetal non stress test
Fetal non stress test
Kishan Parekh
 
Vacuum Delivery
Vacuum DeliveryVacuum Delivery
Vacuum Delivery
sunil kumar daha
 
Induction of labor
Induction of laborInduction of labor
Induction of labor
Snehlata Parashar
 
HYPEREMESIS GRAVIDARUM
HYPEREMESIS GRAVIDARUMHYPEREMESIS GRAVIDARUM
HYPEREMESIS GRAVIDARUM
Arkab Khan Pathan
 
Uterine malformation
Uterine malformation Uterine malformation
Uterine malformation
Godwin Pangler
 
Injuries to the birth canal
Injuries  to the birth canalInjuries  to the birth canal
Injuries to the birth canal
Lakshmi Aishwarya
 

What's hot (20)

Pph
PphPph
Pph
 
Fetal distres
Fetal distresFetal distres
Fetal distres
 
Version..
Version..Version..
Version..
 
Umbilical cord and cord abnormalities
Umbilical cord and cord abnormalitiesUmbilical cord and cord abnormalities
Umbilical cord and cord abnormalities
 
Puerperal Pyrexia
Puerperal PyrexiaPuerperal Pyrexia
Puerperal Pyrexia
 
Hyperemesis gravidarum
Hyperemesis gravidarumHyperemesis gravidarum
Hyperemesis gravidarum
 
Cord prolapse & cord presentation
Cord prolapse & cord presentationCord prolapse & cord presentation
Cord prolapse & cord presentation
 
Premature labour
Premature labourPremature labour
Premature labour
 
Causes and onset of labour
Causes and onset of labourCauses and onset of labour
Causes and onset of labour
 
Lecture on Lochia and deep vein thrombosis
Lecture on Lochia and deep vein thrombosisLecture on Lochia and deep vein thrombosis
Lecture on Lochia and deep vein thrombosis
 
Preterm labour
Preterm labourPreterm labour
Preterm labour
 
Cervical dystocia
Cervical dystociaCervical dystocia
Cervical dystocia
 
pre eclampsia
pre eclampsiapre eclampsia
pre eclampsia
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancy
 
Fetal non stress test
Fetal non stress testFetal non stress test
Fetal non stress test
 
Vacuum Delivery
Vacuum DeliveryVacuum Delivery
Vacuum Delivery
 
Induction of labor
Induction of laborInduction of labor
Induction of labor
 
HYPEREMESIS GRAVIDARUM
HYPEREMESIS GRAVIDARUMHYPEREMESIS GRAVIDARUM
HYPEREMESIS GRAVIDARUM
 
Uterine malformation
Uterine malformation Uterine malformation
Uterine malformation
 
Injuries to the birth canal
Injuries  to the birth canalInjuries  to the birth canal
Injuries to the birth canal
 

Similar to Midwifery cervical dystocia

Orbital pathologies radiology
Orbital pathologies radiologyOrbital pathologies radiology
Orbital pathologies radiology
Dr. Mohit Goel
 
Posterior vitreous detachment (PVD)
Posterior vitreous detachment (PVD)Posterior vitreous detachment (PVD)
Posterior vitreous detachment (PVD)
Md Riyaj Ali
 
healing of extraction socket power point presentation
healing of extraction socket power point presentationhealing of extraction socket power point presentation
healing of extraction socket power point presentation
aggarwalaayushi98
 
Retinal tears and detachment
Retinal tears and detachmentRetinal tears and detachment
Retinal tears and detachmentbizalum
 
Diabetic retinopathy for medical student
Diabetic retinopathy for medical studentDiabetic retinopathy for medical student
Diabetic retinopathy for medical student
Riyad Banayot
 

Similar to Midwifery cervical dystocia (6)

Orbital pathologies radiology
Orbital pathologies radiologyOrbital pathologies radiology
Orbital pathologies radiology
 
Posterior vitreous detachment (PVD)
Posterior vitreous detachment (PVD)Posterior vitreous detachment (PVD)
Posterior vitreous detachment (PVD)
 
healing of extraction socket power point presentation
healing of extraction socket power point presentationhealing of extraction socket power point presentation
healing of extraction socket power point presentation
 
Retinal tears and detachment
Retinal tears and detachmentRetinal tears and detachment
Retinal tears and detachment
 
Diabetic retinopathy for medical student
Diabetic retinopathy for medical studentDiabetic retinopathy for medical student
Diabetic retinopathy for medical student
 
Axia lif patient presentation
Axia lif patient presentationAxia lif patient presentation
Axia lif patient presentation
 

Recently uploaded

Evaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animalsEvaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animals
Shweta
 
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf
ARTIFICIAL INTELLIGENCE IN  HEALTHCARE.pdfARTIFICIAL INTELLIGENCE IN  HEALTHCARE.pdf
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf
Anujkumaranit
 
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdfAlcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Dr Jeenal Mistry
 
For Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #Girls
For Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #GirlsFor Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #Girls
For Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #Girls
Savita Shen $i11
 
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...
GL Anaacs
 
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTSARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
Dr. Vinay Pareek
 
Antiulcer drugs Advance Pharmacology .pptx
Antiulcer drugs Advance Pharmacology .pptxAntiulcer drugs Advance Pharmacology .pptx
Antiulcer drugs Advance Pharmacology .pptx
Rohit chaurpagar
 
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
kevinkariuki227
 
Ophthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE examOphthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE exam
KafrELShiekh University
 
Ocular injury ppt Upendra pal optometrist upums saifai etawah
Ocular injury  ppt  Upendra pal  optometrist upums saifai etawahOcular injury  ppt  Upendra pal  optometrist upums saifai etawah
Ocular injury ppt Upendra pal optometrist upums saifai etawah
pal078100
 
Non-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdfNon-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdf
MedicoseAcademics
 
Physiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdfPhysiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdf
MedicoseAcademics
 
micro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdfmicro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdf
Anurag Sharma
 
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfMANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
Jim Jacob Roy
 
BENIGN PROSTATIC HYPERPLASIA.BPH. BPHpdf
BENIGN PROSTATIC HYPERPLASIA.BPH. BPHpdfBENIGN PROSTATIC HYPERPLASIA.BPH. BPHpdf
BENIGN PROSTATIC HYPERPLASIA.BPH. BPHpdf
DR SETH JOTHAM
 
BRACHYTHERAPY OVERVIEW AND APPLICATORS
BRACHYTHERAPY OVERVIEW  AND  APPLICATORSBRACHYTHERAPY OVERVIEW  AND  APPLICATORS
BRACHYTHERAPY OVERVIEW AND APPLICATORS
Krishan Murari
 
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptxTriangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Dr. Rabia Inam Gandapore
 
Surgical Site Infections, pathophysiology, and prevention.pptx
Surgical Site Infections, pathophysiology, and prevention.pptxSurgical Site Infections, pathophysiology, and prevention.pptx
Surgical Site Infections, pathophysiology, and prevention.pptx
jval Landero
 
Are There Any Natural Remedies To Treat Syphilis.pdf
Are There Any Natural Remedies To Treat Syphilis.pdfAre There Any Natural Remedies To Treat Syphilis.pdf
Are There Any Natural Remedies To Treat Syphilis.pdf
Little Cross Family Clinic
 
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model SafeSurat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Savita Shen $i11
 

Recently uploaded (20)

Evaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animalsEvaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animals
 
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf
ARTIFICIAL INTELLIGENCE IN  HEALTHCARE.pdfARTIFICIAL INTELLIGENCE IN  HEALTHCARE.pdf
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf
 
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdfAlcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
 
For Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #Girls
For Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #GirlsFor Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #Girls
For Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #Girls
 
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...
 
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTSARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
 
Antiulcer drugs Advance Pharmacology .pptx
Antiulcer drugs Advance Pharmacology .pptxAntiulcer drugs Advance Pharmacology .pptx
Antiulcer drugs Advance Pharmacology .pptx
 
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
 
Ophthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE examOphthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE exam
 
Ocular injury ppt Upendra pal optometrist upums saifai etawah
Ocular injury  ppt  Upendra pal  optometrist upums saifai etawahOcular injury  ppt  Upendra pal  optometrist upums saifai etawah
Ocular injury ppt Upendra pal optometrist upums saifai etawah
 
Non-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdfNon-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdf
 
Physiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdfPhysiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdf
 
micro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdfmicro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdf
 
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfMANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
 
BENIGN PROSTATIC HYPERPLASIA.BPH. BPHpdf
BENIGN PROSTATIC HYPERPLASIA.BPH. BPHpdfBENIGN PROSTATIC HYPERPLASIA.BPH. BPHpdf
BENIGN PROSTATIC HYPERPLASIA.BPH. BPHpdf
 
BRACHYTHERAPY OVERVIEW AND APPLICATORS
BRACHYTHERAPY OVERVIEW  AND  APPLICATORSBRACHYTHERAPY OVERVIEW  AND  APPLICATORS
BRACHYTHERAPY OVERVIEW AND APPLICATORS
 
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptxTriangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
 
Surgical Site Infections, pathophysiology, and prevention.pptx
Surgical Site Infections, pathophysiology, and prevention.pptxSurgical Site Infections, pathophysiology, and prevention.pptx
Surgical Site Infections, pathophysiology, and prevention.pptx
 
Are There Any Natural Remedies To Treat Syphilis.pdf
Are There Any Natural Remedies To Treat Syphilis.pdfAre There Any Natural Remedies To Treat Syphilis.pdf
Are There Any Natural Remedies To Treat Syphilis.pdf
 
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model SafeSurat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
 

Midwifery cervical dystocia

  • 2. DEFINITION • CERVICAL DYSTOCIA IS ONE WHERE THE DESPITE EFFECTIVE CONTRACTIONS OF THE CERVIX (external os ) FAILS TO DILATE , ALTHOUGH IT MAY EFFACE .
  • 3. TYPES OF CERVICAL DYSTOCIA 1. PRIMARY PRIMARY TYPE OF DYSTOCIA OCCURS PREDOMINANTLY DURING THE FIRST BIRTH .THE NON DILATION MAY BE DUE TO THE PRESENCE OF EXCESSIVE FIBROUS TISSUE OR SPASM OF CIRCULAR MUSCLE FIBRES SURROUNDING THE OS .
  • 4. CONTINUED….. 2.SECONDARY THE SECONDARY CERVICAL DYSTOCIA RESULTS USUALLY FROM THE EFFECT OF SCARRING OR RIGIDITY OF CERVIX FROM THE EFFECT OF PREVIOUS OPERETION OR DISEASES
  • 5. RESULT OF CERVICAL DYSTOCIA ETIOLOGY THE CERVIX BECOMES TINNED AND OUT AND WELL APPLIED TO THE HEAD INITIALLY, THE UTERUS CONTRACTIONS REMAIN GOOD, BUT LATER BECOME INEFFECTIVE EDEMA OF THE ANTERIOR LIP OCCUR DELIVERY MAY BE ACCOMPLISHED BY AVULSION (TEARING AWAY ) OF THE ANTERIOR LIP OR DETACHMENT OF THE CERVIX
  • 6. MANAGEMENT IN THE PRESENCE OF ASSOCIATED COMPLICATIONS , WHERE VAGINAL DELIVERY IS FOUND UNSAFE , CESAREAN SECTION IS PERFORMED IF THE HEAD IS SUFFICIENTLY LOW DOWN WITH ONLY THICK CERVIX LEFT IT IS THEN PUSHED UP MANNUALY DURING CONTRACTION OR TRACTION GIVEN BY VENTOUSE IN OTHER WHERE THE CERVIX IS VERY THINNED OUT , BUT ONLY HALF DILATED A DUHRSSEN ‘S INCISION AT 2 AND 10 O’CLOCK POSITIONS MAY BE FOLLOWED BY VENTOUSE OR FORCEPS