Week Six: Dystocia: When the P's Don't Work
The physical process of birth involves the POWERS, the PASSAGEWAY, & the PASSENGER.
These two articles provide a review of labor dystocia.
From emedicine, Abnormal Labor & from American Family Physician, Labor Dystocia in Nulliparous Women.
To make things more complicated, we may be redefining normal labor. Here is the original article from Zhang.
Graphing your patient's labor on a partograph is a way to visualize her labor progress. Try this out on a patient or two.
Now, reflect back on the births you have attended and contemplate this reproduction of Pieter Schenk's painting depicting Queen Isabel giving birth to Prince Luis. Think about the birthing room from a biopsychosocial* perspective and be ready to discuss.
What are the other "P" components involved in birth?
*Biopsychosocial model is a conceptual framework for understanding a patient's medical problems. The model assumes that psychological and social factors must be considered with biological factors to understand disease.