1. OBSTRUCTED LABOUR.

3. FAULT IN THE PASSAGE. FAULT IN THE PASSENGER.
ETIOLOGY.
FAULT IN THE PASSAGE.
FAULT IN THE PASSENGER.

4. Bony obstruction. Soft tissue obstruction.
FAULT IN THE PASSAGE.
Bony obstruction.
Soft tissue obstruction.

5. BONY
e.g. Contracted pelvis

6. e.g.Cephalopelvic disproportion

7. SOFT TISSUE OBSTRUCTION
e.g.Cervical dystocia:

8. e.g.Cervical or broad ligament fibroid

9. e.g. Impacted ovarian tumor

10. e.g.Non gravid horn of a bicornuate uterus:

12. FAULT IN THE PASSENGER . Transverse lie. Brow presentation.
Congenital malformations.
Big baby.
Occipito posterior positions.
Compound presentation.
Locked twins.

13. Transverse lie

14. Brow presentation

15. Congenital malformations

16. Big baby

17. Occipito posterior positions.

18. Compound presentation

19. Locked twins

20. Fetal Ascitis

21. MORBID ANATOMICAL CHANGES
BLADDER
UTERUS

22. Formation of bandl’s ring
UTERUS:
Formation of bandl’s ring

23. BLADDER: Bladder become an abdominal organ.
Patient fails to empty the bladder.
Bladder walls get traumatized.
Blood stained urine.
Pressure necrosis.
Genito urinary fistula.

24. Genito urinary Fistula

25. SIGNS OF OBSTRUCTED LABOUR.
EARLY SIGNS:
PRESENTING PART DOES NOT ENTER THE PELVIC BRIM.
SLOW CERVICAL DILATATION.
LOOSELY HANGING CERVIX.
EARLY RUPTURE OF MEMBRANE OR FORMATION OF A LARGE ELONGATED SAC OF FORE WATERS.

26. LATE SIGNS: MOTHER MAY BE DEHYDRATED AND KETOTIC AND IN CONSTANT PAIN.
CLINICAL SIGNS:-
PYREXIA, TACHYCARDIA.
DIFFICULT ABDOMINAL PALPATION.
DIFFICULT ABDOMINAL EXAMINATION.
COMPLICATED VAGINAL EXAMINATION.

27. CONTI… LESS URINE OUTPUT,HAEMATURIA. EVIDENCE OF FETAL DISTRESS.
PHYSIOLOGIC RETRACTION RING.
VISIBLE RETRACTION RING OR BANDL’S RING.
HOT,DRY VAGINA.
PRESENTING PART WILL BE HIGH AND IMMOVABLE.