This does not necessarily mean that the woman or fetuss health is being compromised, but it is painful and is an important indication for doctors to pay attention to warning signs of prolonged labor. Prolonged active labor
The phase of labor that extends into multiple hours (at least 14). The cervix usually dilates to over 4 cm before active labor occurs. When it first begins, it is encouraged that women stand up, walk around, and eat or drink. If failure to progress extends beyond this point, preventive measures need to be taken. Causes
Fetal malpresentations
Fetal malpresentations are irregular positions of the crown of the fetal head in relation to the mothers pelvis (the fetus is in an abnormal position). Some important ways to manage fetal malpresentation are making rapid evaluations of the condition of the women pertaining to vital signs as well as the heart rate of the fetus. If fetal heart rate is abnormal, and if membranes have ruptured and amniotic fluid is atypical, it is important for medical professionals to determine the presenting part of the fetus and the position of the fetal head. Possible delivery methods, if this is the case, are compound presentation, vaginal breech delivery, or caesarean section for breech presentation depending upon the severity of the malposition. Uterine contractions
This refers to uterine conditions that result in the uterus not having enough coordination or strength to dilate the cervix and push the baby through the birth canal. Issues with uterine contractions are the main cause of prolonged labor during the latent phase.
Aliskiren/hydrochlorothiazide, sold under the brand name Tekturna HCT among others, is a fixed-dose combination medication for the treatment of hypertension (high blood pressure). It contains aliskiren, a renin inhibitor, and hydrochlorothiazide, a diuretic. It is taken by mouth.The most common side effect is diarrhea.Aliskiren/hydrochlorothiazide was approved for medical use in the United States in January 2008, and for use in the European Union in January 2009. Medical uses
Aliskiren/hydrochlorothiazide is indicated for the treatment of essential hypertension in adults. References
External links
"Aliskiren hemifumarate mixture with hydrochlorothiazide". Drug Information Portal. U.S. National Library of Medicine.