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A woman with suspected obstructed labour has not passed urine for several hours. The presenting part is...

A woman with suspected obstructed labour has not passed urine for several hours. The presenting part is deeply impacted in the pelvis. Which explanation best accounts for the urinary problem?
- Increased renal filtration during labour
- Pressure from the presenting part and possible bladder dysfunction
- Excessive milk production
- Reduced fetal movement
Which of the following is an appropriate indication for augmentation after assessment?
- Established labour with inadequate uterine contractions and slow progress
- Suspected cephalopelvic disproportion
- Suspected uterine rupture
- Persistent fetal compromise requiring urgent delivery

Answer

  1. Pressure from the presenting part and possible bladder dysfunction best accounts for the urinary problem in a woman with suspected obstructed labour who has not passed urine for several hours.

  2. Established labour with inadequate uterine contractions and slow progress is an appropriate indication for augmentation after assessment.

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