Pregnancy, Childbirth, & the Puerperium

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This delivery has progressed into obstructed labor - an obstetric emergency which may result in both fetal and maternal death if not treated emergently.\n\nWhen considering the causes of obstructed labor, the adage is that three factors should be considered: the power, the passenger, and the passage.\n\nThe history of an uncomplicated vaginal delivery earlier along with the adequacy of the pelvis suggests that the \u0027passage\u0027 is normal.\n\nLikewise, presence of regular and strong contracts indicates a normal level of \u0027power\u0027.\n\nThis most likely means that there is a problem with the \u0027passenger\u0027 (i.e. the fetus) - but there is no evidence of fetal anomalies.\n\nHowever, the fetal birth weight is rather high - meaning that the baby might be too large to"}]}

Want to continue playing?

Open your Clinical Odyssey account today.

Enjoy unlimited access to 600+ simulations.
Safely improve your skills, anytime and anywhere.
Get answers to your follow-up questions from practicing physicians.