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What does Bandl's ring indicate in labor?

A successful vaginal delivery

An abnormal retraction ring in obstructed labor

Bandl's ring is specifically associated with obstructed labor, indicating an abnormal retraction ring that can form when the uterus is unable to effectively contract against a fetal presenting part. This phenomenon occurs when there is a failure of descent of the fetus, often due to a mechanical obstruction, which can lead to severe complications for both the mother and the baby. The formation of Bandl's ring is an indication that the lower uterine segment is retracted while the upper segment continues to contract, highlighting the potential for uterine rupture or other labor-related emergencies. Recognizing Bandl's ring is critical in clinical practice as it necessitates urgent evaluation and intervention to prevent adverse outcomes.

Normal cervical dilation

A sign of fetal distress

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