(Disclaimer: This article is for scientific purposes only. To protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: The patient in this case was a young woman who was admitted to the hospital for labor due to irregular lower abdominal distension, redness, and intensified uterine contractions. After completing the relevant examinations, vaginal trial of labor was recommended, but due to cervical edema and maternal fatigue labor was obstructed, it was recommended that lidocaine hydrochloride injection be given to soften the cervix and encourage the patient, and then hysterotonin was given to strengthen the contractions, and the total course of labor exceeded 24 hours, which was a stalled labor, but the fetus was delivered successfully, and the woman was discharged from the hospital 3 days after delivery. Basic information] Female, 26 years old [Type of disease] Retarded labor [Hospital] Jiangbin Hospital of Guangxi Zhuang Autonomous Region [Date of consultation] February 2022 [Treatment plan] Trial of labor + medication (Lidocaine hydrochloride injection + Hysteronin injection) [Treatment cycle] Hospitalization for 5 days [Effect of treatment] Effective medication, successful delivery of the fetus, and smooth discharge from the hospital 3 days postpartum A. Initial interview Patient reported that the last The patient reported that her last menstrual period was on May 4, 2021, and her urine HCG was positive for more than 1 month after menopause. She went to the hospital to check the ultrasound, which indicated that she was pregnant in the uterus, and her expected date of delivery was February 11, 2022, and she came to our outpatient clinic at 11 weeks’ gestation. At 11 weeks of pregnancy, she came to our hospital for outpatient card construction and regular obstetrical examination. She started to feel the fetal movement at 19 weeks of pregnancy, and the obstetrical examination went smoothly, with no obvious abnormality in the Down’s syndrome, systematic ultrasound, and glucose tolerance test. In late pregnancy, she developed mild edema of both lower limbs, her blood pressure and urine routine were normal, and her fetal movements were normal. 4 am on February 4, she began to experience irregular lower abdominal distension and redness, and her contractions gradually intensified at 10 am, so she went to the hospital for consultation. Outpatient fetal monitoring examination suggested irregular contractions, sterilized gynecological examination, cervical canal regression 50%, the mouth of the uterus is not open, diagnosis: pregnancy 1, 0 pregnancy, 39 weeks of live birth, aura of labor, admitted to the hospital to wait for delivery. The patient was admitted to the hospital to await delivery. After admission, she completed the routine blood tests, coagulation function, fetal ultrasound and other tests, and assessed the condition of the birth canal and the size of the fetus, but there was no obvious abnormality, and no indication for cesarean section was found. At 7:00 a.m. on February 5, vaginal examination showed that the uterine opening was 2 cm, fetal head -2, contractions were good, and the patient was sent to the waiting room for observation, and the labor progressed smoothly. at 10:40 a.m. on February 5, vaginal examination showed that the uterine opening was 5 cm, the fetal head was 0, and the patient entered into the active phase of the labor process. at 13:30 a.m. on February 5, the patient wanted to push and started to use abdominal pressure, and vaginal examination showed that the uterine opening was 9 cm, the edge of cervix appeared to be edematous, and fetal head was 0, and there was no progressive descent of the fetal head at this time. At 15:30 on February 5, the cervical opening was 8 cm, and the fetal head was +1. We explained to the patient that the cervical dilatation would be reduced due to the edges of the cervix becoming edematous and hardening at this point in time, and that this would affect the progress of labor, and we suggested that a cervical injection of lidocaine hydrochloride be given to soften the cervix and facilitate the opening of the cervix, and that this would help to soften the cervix. cervix, which is favorable to the opening of the cervical opening, the patient agreed to cooperate with the treatment, and lidocaine hydrochloride cervical injection was given immediately. Third, treatment effect Obvious cervical edema occurs in the late active stage, injection of local anesthetic drugs can soften the cervix and promote the opening of the uterine mouth, so the patient was given lidocaine hydrochloride injection cervical injection, the cervical opening of the uterine mouth was complete at 17:30 on February 5, and the patient was instructed to push. Due to the patient’s failure to sleep last night and today’s prolonged contractions, there was obvious fatigue and it was difficult to cooperate with the force, so the strength and density of contractions were weakened and the patient lost her confidence in cesarean section. At this time, the patient was given psychological counseling, so as to let the patient regain her confidence in cesarean section, and she was encouraged to eat energy foods to help recover her strength, and was given intravenous drip of Hydrocodone injection to strengthen the contractions. After treatment, the patient finally delivered a live baby at 19:30 on February 5, but the total labor duration exceeded 24 hours, which was a stalled labor. She recovered 3 days after delivery and was discharged after 5 days of hospitalization. After being discharged from the hospital, it is recommended to pay attention to strengthening nutrition and giving some nutritious, easy-to-digest and absorb foods, such as millet porridge, eggs, brown sugar water, fresh fruits and vegetables, etc., to promote the recovery of physical strength. After being discharged from the hospital, attention should be paid to avoid wind and cold, it is recommended to bring a hat to avoid the head from being cold and causing pain. As childbirth is a physically demanding process, it is recommended to take bed rest, avoid heavy labor and lifting heavy objects to prevent uterine prolapse. In addition, postnatal psychological adjustment is equally important, especially for first-time mothers, the first time to face labor and contraction pain, easy to produce a sense of fear, so the family should give more encouragement and comfort. V. Personal perception During the process of labor, if the total duration of labor exceeds 24 hours from the beginning of regular contractions, as in the case of this patient, stagflation is considered to have occurred. There are many reasons for staghorn labor, such as abnormalities of the obstetric tract, abnormal fetal position, and macrosomia, etc. These factors are relatively common and easy to be detected earlier, but there are also some minor problems during labor, such as cervical edema, maternal fatigue, and psychological factors, etc., which are relatively easy to be ignored, and often these insignificant problems can lead to staghorn labor, so we should closely observe the entire labor process, and deal with them as soon as possible once the abnormality is detected. Therefore, it is necessary to closely observe the labor process and deal with any abnormalities as soon as they are detected so that the progress of labor will not be affected.