DYSTOCIA

• Difficult labor and delivery due to problems with one of the "five P's" (Passenger, Passageway, Powers, Person, Psychological response) leading to maternal exhaustion, infection, trauma, and fetal injury and death.
• Diagnostic exams include: Vaginal exam, pelvimetry, ultrasound, leopold's maneuver.
• Main nursing diagnosis are pain and anxiety.
• Management include sedation for hypertonicity; stimulation of labor for hypotonicity; C/S; prophylactic antibiotic; constant monitoring of fetal and maternal vital signs; provide rest; monitor presence of cord prolapse or rupture of membranes, regularly assess fatigue and pain.