Pregnancy terms decoded
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.
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.
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.
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.