Cervical Dystocia

Subject: Midwifery II (Theory)

Overview

Despite uterine contractions that are typical, the cervix does not dilate. You can have primary or secondary cervical dystonia. Primary cervical dystocia is a disorder that mostly affects first-time mothers and in which the external os fails to expand although the typical pattern of uterine contraction is maintained. Previous cervical trauma, such as a Manchester repair procedure or forced dilatation and curettage, might result in secondary dystocia. The cervix thins out significantly and is well applied to the head. The uterine contraction starts out strong but eventually loses its effectiveness. Caesarean sections are preferred when there is an underlying problem that makes vaginal birth risky. If the head is sufficiently drooped and there is only a thick cervical rim left, the rim may be manually pushed up during contraction.

CERVICAL DYSTOCIA

Despite uterine contractions that are typical, the cervix does not dilate. You can have primary or secondary cervical dystonia.

Primary cervical dystocia: In this condition, which mostly affects first-time mothers, the uterus continues to contract normally but the external os does not enlarge. The non-dilatation could be brought on by the spasm of the circular muscles around the os or by the presence of excessive fibrous tissue.
Secondary dystocia is brought on by earlier cervical damage, such as a Manchester repair procedure or a forced dilatation and curettage procedure. Another reason why the cervix doesn't enlarge despite strong uterine contractions is cervical cancer. In this circumstance, the labor is typically ended by caesarean section.

The cervix thins out significantly and is well applied to the head. The uterine contraction starts out strong but eventually loses its effectiveness.

Management:

Caesarean sections are preferred when there is an underlying problem that makes vaginal birth risky.
If the head is sufficiently drooped and there is only a thick cervical rim left, the rim may be manually pushed up during contraction.

Things to remember

Despite uterine contractions that are typical, the cervix does not dilate.
You can have primary or secondary cervical dystonia.
Primary cervical dystocia is a disorder that mostly affects first-time mothers and in which the external os fails to expand although the typical pattern of uterine contraction is maintained.
Previous damage to the cervix, such as a previous Manchester repair, results in secondary dystocia. either through surgery or earlier forcible dilatation and curettage.
The cervix thins out significantly and is well applied to the head.
The uterine contraction starts out strong but eventually loses its effectiveness.
Caesarean sections are preferred when there is an underlying problem that makes vaginal birth risky.
If the head is sufficiently drooped and there is only a thick cervical rim left, the rim may be manually pushed up during contraction.

Questions and Answers

Define cervical dystocia and also write its types?

Cervical Dystocia