alexa Clinical Image on Obstructed Labor in Mearg General Hospital West Tigray, Ethiopia | Open Access Journals
ISSN: 2329-9126
Journal of General Practice
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Clinical Image on Obstructed Labor in Mearg General Hospital West Tigray, Ethiopia

Solomon Gebre*

Mearg General Hospital, Emergency Surgical Department, Dansha, West Tigray, Ethiopia

*Corresponding Author:
Solomon Gebre
Mearg General Hospital, Emergency Surgical Department
Dansha, West Tigray, Ethiopia
Tel: 251911366834
Email: solomongebre300gmail.com

Received date: April 28, 2017; Accepted date: May 03, 2017; Published date: May 10, 2017

Citation: Gebre S (2017) Clinical Image on Obstructed Labor in Mearg General Hospital West Tigray, Ethiopia. J Gen Pract (Los Angel) 5:i003. doi: 10.4172/2329-9126.1000i003

Copyright: © 2017 Gebre S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Introduction

This a 37 year old G=7 P=6 women with a GA= 38wk+2 presented with pushing down labor pain of three days duration after she referred from nearby health center, she had six alive babies who was born at home , she had no ANC follow-up, on physical examination her vital sign were BP= 99/60 PR=120 bpm T°=39.3 RR=32bpm and pertinent finding were dry bucal mucosa, fast and shallow breathing , Term size gravidi uterus with "three tumor abdomen", FHB=192 bpm with titanic uterine contractions, edematous vulva on PV CX=Fully dilated station=+1 Grade 3 MSAF exasive caput and milding and difficult to insert urinary catheter Investigations Bg=O- Hct= 40% U/A =NA(no urine sample).

Intraoperative Findings

general-practice-rheumatic-Distended-bladder

Figure 1: Distended bladder.

general-practice-rheumatic-Vertical-Classical-uterine

Figure 2: Vertical/Classical uterine incision.

general-practice-rheumatic-Mopping-endometrial

Figure 3: Mopping endometrial cavity.

general-practice-rheumatic-uterine-incision

Figure 4: Repairing uterine incision.

general-practice-rheumatic-abdominal-wall

Figure 5: Closing the abdominal wall.

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