CPM Certified Professional Midwife

Category - The Postpartum Period

A primigravida has experienced labor pain for 18 hours, and examination reveals that the fetal head is at the level of the ischial spine. Which of the following is possible cause?
  1. Faulty pelvic architecture
  2. Deflexion of the head
  3. Weak uterine contractions
  4. All of the above
Explanation
Answer: D - All of the above

This is a case of a primigravida with prolonged labor due to deep transverse arrest. Causes of deep transverse arrest include:
1. Faulty pelvic architecture
2. Deflexion of the fetal head
3. Weak uterine contraction
4. Laxity of the pelvic floor muscle
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