Obstructed Labour

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ICD10 CODE: O64-O66

Failure of labour to progress despite good uterine contractions.

Management

Treatment LOC
  • Set up an IV normal saline line and rehydrate the patient to maintain plasma volume and treat dehydration and ketosis

HC3

HC4
  • Start 5-day course of antibiotics: Amoxicillin 500 mg every 8 hours or erythromycin 500 mg every 6 hours
  • Plus metronidazole 400 mg every 8 hours
  • Refer urgently to HC4/Hospital for further management

HC3

HC4

H

NOTE: Every woman with prolonged/obstructed labour should receive the management protocol for prevention of obstetric fistula (see section 16.6.4)

Prevention

  • Careful monitoring of labour using a partogram for early recognition
  • Active management of labour