CASE ON DYSTOCIA (DEC 11, 2017)

CASE#1 A 34 y.o., G2P1(1001), was admitted due to low AFI of 3cm

LMP = March 2, 2017 BW= 135 lbs Ht= 5 feet
Vital signs: BP=110/80 HR=80/min T=36
FH=33cm FHT=136/min LLQ
IE : Cervix 3cm dilated, 30% effaced, cephalic, station -2, intact BOW
Uterine contractions every 5 – 6 min, lasting for 40sec. Negative CST

4 hrs after admission, IE revealed 4cm dilated, 50% effaced, cephalic, st-2
Uterine contractions moderate to strong, every 3 -4 min, lasting
for 40 sec
2 hrs after, IE: cervix 5 cm dilated, 70% effaced, station-2
Uterine contractions every 3 – 4min, strong, lasting for 50sec
After 2 hrs, amniotomy done revealing clear AF. IE: cervix 6 cm, 70%
effaced, station -2
After 2 hrs, IE: cervix 7 cm dilated, 80% effaced, station -2
After 2 hrs, IE remained the same

1. a. Compute for the AOG on admission, EDC, EFW by fundic height

b. Give the complete admitting diagnosis

2. Plot the labor in the Friedman’s curve

3. What abnormal labor patterns are observed in her labor?
4. What are the possible causes?

CASE#2 A 22 y.o., G1P0 , was admitted due to labor pains of 4 hrs duration
LMP = March 10, 2017 BW= 130 lbs Ht= 4’11 feet
Vital signs: BP=110/80 HR=80/min T=36
FH=31cm FHT=144/min LLQ
IE : Cervix 4cm dilated, 50% effaced, cephalic, station -3, ruptured BOW
Uterine contractions every 5 min, lasting for 40sec. Negative CST.
Oxytocin drip was started

2 hrs after admission, IE revealed 5cm dilated, 50% effaced, cephalic, st-2
Uterine contractions moderate to strong, every 3 -4 min, lasting
for 40 sec
2 hrs after, IE: cervix 6 cm dilated, 70% effaced, station-2
Uterine contractions every 3 min, strong, lasting for 50sec
After 2 hrs, IE: cervix 7 - 8 cm, 80% effaced, station -2
After 2 hrs, IE: cervix 9 cm dilated, fully effaced, station 0
After 2 hrs, IE: cervix fully dilated, st 0
After 2 hrs: IE: remained the same
1. a. Compute for the AOG on admission, EDC, EFW by fundic height
b. Give the complete admitting diagnosis

2. Plot the labor in the Friedman’s curve

3. What abnormal labor patterns are observed in her labor?
4. What are the possible causes?