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shoulder dystocia? picture a fetus that is big around the upper thorax. the head is big enough to pass thru the birth canal but then gets hung up. the anterior shoulder is stuck behind the simphysis and you have to put posterior pressure with your fingers or fist to disloge it for the delivery to progress

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What is pathophysiology of dystocia?

Dystocia, or difficult labor, occurs when there are complications during childbirth that impede the progress of labor. The pathophysiology involves factors such as inadequate uterine contractions (uterine dysfunction), abnormal fetal positions (malpresentation), or maternal pelvic abnormalities that can obstruct the passage of the fetus. Additionally, factors like maternal exhaustion, excessive fetal size (macrosomia), and uterine abnormalities can contribute to dystocia. This complex interplay of mechanical and physiological factors can lead to prolonged labor and increased risk of complications for both mother and baby.


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