Preg­nancy terms de­coded

Mother & Baby - - CONTENTS -

About

Dys­to­cia is slow or dif­fi­cult labour or de­liv­ery. It is usu­ally caused due to the in­ef­fec­tive or disor­dered con­trac­tions of the uterus. There are three types of dy­to­cia-foetal dys­to­cia, ma­ter­nal dys­to­cia and pla­cen­tal dys­to­cia. In foetal dys­to­cia, the ab­nor­mal foetal size, shape or po­si­tion leads to dif­fi­culty in de­liv­ery. Pla­cen­tal dys­to­cia is dif­fi­culty in de­liv­er­ing the pla­centa. Ma­ter­nal dys­to­cia is the dif­fi­culty in de­liv­ery caused by an ab­norn­mal­ity in the mother.

Health com­pli­ca­tions

One of the ma­jor com­pli­ca­tions of dys­to­cia for the baby in­clude not get­tig enough oxy­gen, which may re­sult in death. In shoul­der dys­to­cia, where the baby’s head gets de­liv­ered but the shoul­ders are stuck, it can get dif­fi­cult to de­liver a baby and the child can end up with a con­di­tion called erb’s palsy which is a com­pli­ca­tion of the arm move­ment.

Dos and Don’ts

Get ad­e­quate ex­er­cise: Ex­er­cise reg­u­larly and squat more of­ten be­fore you plan a preg­nancy. Ex­er­cis­ing will help your pelvis grow and might help avoid dys­func­tional labour re­sult­ing in C-sec­tions.

Do not keep your blad­der full: A full blad­der may in­hibit uter­ine ac­tiv­ity and in­ter­fere with the foetal de­scent. Make sure that you empty our blad­der every one to two hour dur­ing labour to make de­liv­ery easy.

Di­ag­nose

To di­ag­nose a dys­to­cia, doc­tors check for the di­ala­tion of the cervix. You could ex­pe­ri­ence dys­to­cia if your cervix hasn’t di­lated at all over the course of two hours, in­di­cat­ing labour has stopped. Also, if the head of the foe­tus is in the same place in the birth canal dur­ing the first and sec­ond ex­am­i­na­tions, it could sig­nify that the baby has not moved far­ther down the birth canal dur­ing the last hour.

Treat­ment

Foetal ma­neu­vers to re­po­si­tion the foe­tus, op­er­a­tive vagi­nal de­liv­ery or ce­sarean de­liv­ery is used to make de­liv­ery easy and treat fe­tal dys­to­cia. A num­ber of tech­niques like chang­ing po­si­tion, mas­sag­ing and us­ing med­i­ca­tions is used to in­duce uter­ine con­trac­tions and treat pla­cen­tal dys­to­tia.

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