27-year-old woman presents with obstructed labor, emergency relief by cesarean section

(Disclaimer: This article is for general use only. To protect patient privacy, the information in the following content has been processed.) Abstract: The 27-year-old woman had a smooth labor and delivery, and after initiating labor, the doctor gave close observation to the progress of labor during labor. She was given an immediate cesarean section to terminate the pregnancy, and the procedure went smoothly and the fetus was delivered. She was given an immediate cesarean section to terminate her pregnancy. She had one spontaneous miscarriage in the past, her last menstrual period was on January 5, 2021, and she was due on October 12, 2021. She had stopped menstruating for more than one month and tested positive for urine HCG. She started to feel the fetal movement at 18 weeks of pregnancy. She had no significant abnormality in Down screening, system ultrasound and glucose tolerance test. The fetal movement was normal in late pregnancy, but at 9:00 on October 5, she developed lower abdominal distension with vaginal bleeding, so she went to the outpatient clinic. After the admission, no obvious abnormalities were found in the routine blood, coagulation function and electrocardiogram, and the fetal ultrasound showed that the fetus was cephalic and the estimated weight was about 3780g. At 16:30 on the same day, the vaginal examination showed that the uterine opening was 3cm, the fetal head was -2, the contractions were good and the fetal heart rate was normal, at 21:40 the vaginal examination showed that the uterine opening was 6cm, the fetal head was -2, the contractions were good and the fetal heart rate was normal. The fetal position was considered to be anterior uneven tilt, which led to fetal head impaction, stagnant fetal head descent, slow dilatation of the uterine opening, prolonged labor, and obstructive labor. The cesarean section went smoothly and the fetus was delivered in time to avoid fetal distress and neonatal asphyxia. The general condition of the newborn was good and the maternal vital signs were normal after the operation. On the 6th day of hospitalization, the mother had resumed defecation and bowel movement, normal blood count, good lactation of both breasts, no abdominal pressure pain, good healing of abdominal wound, and little vaginal bleeding, so she was discharged. We are glad that the fetus was delivered smoothly after the timely caesarean section. Since maternal abdominal fat is thick and prone to wound fat liquefaction and infection, it is important to take good care of the wound and review any uncomfortable symptoms, such as wound pain and increased vaginal bleeding, in a timely manner. Encourage giving breastfeeding, which can promote mother-child relationship as well as overall newborn nutrition and growth of the newborn. It is recommended that mothers should undergo pelvic floor rehabilitation as soon as possible after delivery to correct pelvic floor dysfunction and reduce the occurrence of vaginal laxity and bladder prolapse. It is very hard to bring up the newborn after delivery, and it is easy to be overwhelmed and produce anxiety and depression, so family members should give more care and help to avoid postpartum depression. Once obstructed labor occurs, doctors should actively look for the cause, for some reasons can be given to correct the normal delivery, but most obstructed labor need to be terminated by cesarean section, otherwise it will easily lead to obstructed labor, fetal distress, uterine rupture, etc. Otherwise, the risk of obstructed labor, fetal distress, uterine rupture, etc. is not good for the mother and the fetus.