True/False MCQ · Labour Dystocia and Prolonged Labour
Concerning the management of prolonged first stage, which of the following statements are TRUE?
- AAugmentation is used when poor progress is due to inadequate contractions
- BCaesarean is never indicated in prolonged first stage
- CAugmentation should be started before excluding CPD
- DWatchful waiting is appropriate for a prolonged latent phase
- EHyperstimulation cannot occur with augmentation
Show answers and explanation
- A. True
- B. False: Caesarean is indicated for CPD, malpresentation, failed augmentation or fetal compromise.
- C. False: CPD and malpresentation must be excluded before augmentation.
- D. True
- E. False: Hyperstimulation can occur with augmentation and must be monitored for.
Management of prolonged first stage
- Watchful waiting: for prolonged latent phase only.
- Augmentation: for inadequate contractions, after excluding CPD and malpresentation, with monitoring for hyperstimulation.
- Caesarean: for CPD, malpresentation, failed augmentation or fetal compromise.
Why A is true
Augmentation is for inadequate contractions.
Why B is false
Caesarean is indicated in defined situations.
Why C is false
CPD and malpresentation must be excluded before augmentation.
Why D is true
Watchful waiting suits a prolonged latent phase.
Why E is false
Hyperstimulation can occur with augmentation, so contractions are monitored.
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