Passageway - Maternal

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PASSAGE

GROUP 17 BSN - 2E
What is
Passage?
Namely the maternal soft tissue like
the cervix, as well as the pelvis.
Now, during labor, the cervix dilates
and effaces, meaning it gets wider
and thinner, to allow for an easier
passage of the fetal head
Pelvic Anatomy
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Cephalopelvic disproportion (CPD) occurs in a pregnancy where there is mismatch in
size between the fetal head and the maternal pelvis, resulting in ‘failure of the fetus to
pass safely through the birth canal. This may be caused by the fetal head outgrowing
the capacity of the maternal birth canal, or by presentation in a position or attitude that
will not allow descent through the pelvis

Situation NCP
A Primigravida mother who is full-term experienced cephalopelvic
disproportion during labor between the fetal head and maternal pelvis,
resulting in the inability to progress labor and endorse immediate cesarean.
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Shoulder Dystocia
in which one or both of the baby's shoulders get stuck. This gives no symptoms of
its happening and cannot be prevented. Contributing factors may include having a
big baby, having a narrow pelvis, or being in the wrong position. Serious problems
may occur, including the damaging of the unborn child's nerve endings.

Situation NCP
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Cervical arrest refers to a situation during labor where the cervix stops
dilating for an extended period despite regular, adequate uterine
contractions. This typically happens during the active phase of labor (when
the cervix is expected to dilate from 6 cm to full dilation at 10 cm).

A 28-year-old pregnant woman, at 39 weeks gestation, is admitted to the


labor and delivery unit with regular contractions and spontaneous rupture of
membranes. Despite labor progressing for several hours, cervical dilation has
stalled at 6 cm, with no further dilation observed for over four hours. Fetal
heart tones remain reassuring, but the prolonged labor raises concerns of
cervical arrest. The healthcare team faces the challenge of determining the
appropriate interventions to ensure the safety of both the mother and the
fetus, while minimizing the risks associated with prolonged labor or potential
operative delivery.
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GROUP 17 MEMBERS:

ABAYA, JESABEL ANTENOR, LARAH

ALAS-AS, RAYA BALON, ZENITH

ALVAREZ, APPHIA BONAOBRA, SHANE

AMBATALI,MIKE BRUZULA, DIANE

AMPOG, MICHELLE CABALLERO, WESLY

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