Protrahiert

Protrahiert is a term used primarily in medicine, particularly in obstetrics, to describe a labor or delivery that is abnormally slow or prolonged. This designation is typically made when labor progresses at a rate significantly slower than expected based on established timelines for dilation and effacement of the cervix, and the descent of the fetus.

In obstetrics, protrahiert labor can be categorized into different phases, such as protrahiert first stage (further divided into latent and active phases) or protrahiert second stage. Factors contributing to protrahiert labor can include issues with uterine contractions, the size or position of the fetus, or the pelvic structure of the mother.

The management of protrahiert labor often involves careful monitoring of both the mother and the fetus. Interventions may be considered if the labor is not progressing and poses risks. These interventions can range from medical management, such as administering oxytocin to augment contractions, to surgical interventions like cesarean section if vaginal delivery becomes unsafe or impossible. The specific approach depends on the individual circumstances, the stage of labor, and the well-being of the mother and baby.