Gynaecology and Obstetrics Section

TREATMENT

• Dilating the cervix by mechanical means using operators hand
• Administration of oxytocin 30 to 40 IU mixed in 5% dextrose saline as slow intravenous drip
• Administration of calcium borogluconate 250 to 300 ml intravenous may help to increase the uterine tone.
• Gradual traction on the fetus along with massage of the cervix may help to relax the partialy dilated cervix
• Warm saline douche - 5 liters of warm saline is prepared and infused into the uterus to promote uterine contraction aiding in cervical dilatation
• Cervicotomy – Traction is applied to engage the fetus in the cervix and the cervix is incised laterally to widen the opening and the fetus is delivered.
• Caesarean section may be resorted as a last option