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Anatomy Abnormal labor a7189997

Blood in urine in labour is diagnostic of :

A
Impending scar rupture
B
Urethral injury
C
Obstructed labour
D
Cystitis
High-Yield Explanation
In obstructed labour, bladder becomes an abdominal organ due to compression of urethra between the presenting pa and symphysis pubis - patient fails to empty the bladder The transverse depression at the junction of superior border of the bladder and distended lower segment is confused with the Bandl's ring The bladder wall get traumatized which may lead to blood stained urine, a common finding in obstructed labour Ref: Datta Obs 9e pg 379.

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