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Prevention of Labor Dystocia
Aka: Prevention of Labor Dystocia, Labor Dystocia Prevention
- See Also
- Labor Dystocia
- Labor Dystocia Management
- Management: General Measures
- Avoid early hospitalization in Latent Phase of Labor
- See Latent Phase of Labor for management
- Consider Structured Intermittent Auscultation (SIA)
- Preferred over Continuous Electronic Fetal Monitoring
- Consider using CEFM only in high risk pregnancies
- Informed Consent regarding Labor Anesthesia
- Epidural Anesthesia increases risk of ceserean
- Avoid epidural and intrathecal Anesthesia until >4 cm
- Encourage ambulation
- Avoid induction if Cervix unripe if possible
- See Bishops Score
- Consider Cervical Ripening
- See Cervical Ripening
- Antepartum labor classes (e.g. Lamaze)
- Patient Education on what to expect in labor
- Physician and nurse team impacts Labor Dystocia
- Be patient in slow progressing nullip
- DeMott (1992) Am J Obstet Gynecol 166:1799-810 [PubMed]
- Increased total contact time decreases ceserean rate
- Radin (1993) Birth 20:14-21 [PubMed]
- Continuous Labor Support
- Encourage Doula use
- Continuous Labor Support shortens labor by 35 minutes and reduces C-Section and operative Vaginal Delivery risk
- Bohren (2017) Cochrane Database Syst Rev (7):CD003766 [PubMed]
- Amniotomy when in Active Phase of Labor
- Employ alternatives to labor Analgesics
- See Non-Pharmacologic Pain Control in Labor
- Consider high dose Oxytocin Augmentation in nullips
- Decrease labor duration by 2 hours without added risk
- Merrill (1999) Obstet Gynecol 94:455-63 [PubMed]
- References
- Shields (2000) ALSO, F:1-14
- Warenski (1997) Clin Obstet Gynecol 40(3):525-32 [PubMed]