CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

A multiparous client at 38 weeks’ gestation has been in the latent phase of labor for over 15 hours. Which of the following are likely causes of the dysfunctional labor?

I.Cephalopelvic disproportion
II.Analgesia is given too early in labor
III.Abnormal fetal head position
IV.Hypertonic contractions
  1. I and II
  2. I and III
  3. I, II and III
  4. All of the above are likely causes.
Explanation
Answer: A - Cephalopelvic disproportion and analgesia given too early in labor are the most likely causes of prolonged latent phase of labor. Abnormal fetal head position causes prolonged deceleration phase. Hypertonic contractions are the usual cause of prolonged descent.
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