By the end of postgraduate training, using a patient-centred approach and appropriate selectivity, a resident, considering the patient’s cultural and gender contexts, will be able to...
Key Feature 8a: In a patient presenting with dystocia (prolonged dilatation, failure of descent): Diagnose the problem.
Skill: Clinical Reasoning, Selectivity
Phase: Hypothesis generation, Diagnosis
Key Feature 8b: In a patient presenting with dystocia (prolonged dilatation, failure of descent): Intervene appropriately. Skill: Clinical Reasoning, Selectivity
The onset of labour occurs when a women begins to have regular contractions leading to cervical change. (Advise women to present to Labour and Delivery if she meets criteria for the 511 rule, see this post.) The whole process of labour is partitioned into 4 stages, which themselves may be subdivided.
The 4 causes of dystocia are categorized into the 4 Ps.