Precipitate labor is defined as labor with a combined duration of the first and second stages of less than two hours. It is more common in multiparous women and occurs due to hyperactive uterine contractions and diminished soft tissue resistance, allowing a dilation rate of 5 cm per hour or more. Risks for both mother and baby include lacerations, postpartum hemorrhage, uterine inversion or rupture, intracranial hemorrhage in the baby from rapid delivery without time for molding. Treatment involves hospitalizing women with a history of precipitate labor prior to delivery, suppressing contractions during labor, controlling delivery of the head, liberal episiotomy use, and inducing labor through membrane rupture and controlled delivery

1. PRECIPITATE
LABOUR
Britto.v
Associate professor in nursing

2. DEFINITION:
•A labour is called
precipitate when the
combined duration of the
first and second stage is
less than two hours.

3. INCIDENCE
• It is common in multipara and may be
repetitive.
• Rapid expulsion is due to the combined effect
of hyperactive uterine contractions associated
with diminished soft tissue resistance.
• Labour is short as the rate of cervical
dilatation is 5cm per hour or more for the
nulliparous women.

4. MATERNAL RISKS;
It includes
• Extensive laceration of the cervix, vagina and
pernium (to the extent of complete perineal tear)
• PPH due to uterine hypotonia that develops
subsequent to unusual vigorous contractions
• Inversion
• Infection
• Uterine rupture
• Aminiotic fluid embolism

5. FETAL RISKS:
It include
• Intracranial stress and haemorrhage because
of rapid expulsion without time for moulding
of the head.
• The baby may sustain serious injuries if
delivery occurs in standing position ,bleeding
from the torn cord and direct hit on the skull
are real hazards.

6. TREATEMENT:
• The patient having previous history of precipitate
labour should be hospitalised prior to labour.
• During labour, the uterine contraction may be
suppressed by administering ether or magnesium
sulphate during contractions.
• Delivery of the head should be controlled.
• Episiotomy should be done liberally .
• Elective induction of labour by low rupture of
membranes and conduction of controlled delivery is
helpful .
• Oxytocin augmentation should be avoided.

7. THANK
YOU