Secondary Arrest of Cervical Dilation

The cessation of cervical dilation for 2 hours with a history of previously normal dilation is termed secondary arrest. The management of this condition varies considerably; however, an initial assessment and examination of the patient (including vaginal) are probably warranted, to document cervical dilation, fetal station, presentation, and position. Placement of an intrauterine monitor should be considered to assess the adequacy of uterine contractions. Alternative measures include ambulation, amniotomy, and oxytocin augmentation if the uterine contractions are judged inadequate. There is a high association with CPD, and a significant number of these patients will need operative delivery.

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