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M., 28 years old, para 2. Full term of pregnancy. Initiation of labor was 8 hours ago. Uterine contractions are every 3 minutes and lasts 35-40 seconds. The membranes ruptured 20 minutes ago. Pelvic sizes: 25,28,31,20. Fetal head rate 132 per minute with satisfactory characteristics. Probable fetal weight is 3000 g. Vaginal examination: the cervix is completely dilated. The amniotic sac is absent. Fetal head is in 0 station. Sagittal suture is in the right oblique diameter of pelvic inlet. Anterior fontanel is located to the right side anteriorly and posterior fontanel is near sacral region to the left side. What is the diagnosis?

Primipara N., 25 years old. Delivery at term. Initiation of labor was 8 hours ago. The amniotic sac is ruptured. Pelvic sizes: 25,28,31,20. Fetal heart rate is 136 per minute with satisfactory characteristics. Uterine contractions are occurring every 3 minutes and lasts 30-35 seconds. Vaginal results: the uterine cervix dilatation is 6 sm. The amniotic sac is absent. Fetal head fixed to the inlet of pelvis. Face line is in the right oblique size. Chin is located anteriorly.  What is the diagnosis?

Primipara N., 25 years old. Delivery at term. Initiation of labor was 8 hours ago. The amniotic sac is ruptured. Pelvic sizes: 25,28,31,20. Fetal heart rate is 136 per minute with satisfactory characteristics. Uterine contractions are occurring every 3 minutes and lasts 30-35 seconds. Vaginal results: the uterine cervix dilatation is 10 sm. The amniotic sac is absent. Fetal head is in -1 station. Face line is in the right oblique size. Chin is located posteriorly.  What is the management of labor?

M., 28 years old, para 2. Full term of pregnancy. Initiation of labor was 8 hours ago. The membranes ruptured 20 minutes ago. Pelvic sizes: 25,28,31,20 cm. Fetal heart rate is 132 per minute with satisfactory characteristics. Per vaginum: the cervix is completely dilated. The amniotic sac is absent. Fetal head is in outlet plane of pelvic. The chin is palpated under the symphysis. What is the moment of labor biomechanism?

M., 28 years old, para 2. Full term of pregnancy. Initiation of labor was 8 hours ago. The membranes ruptured 20 minutes ago. Pelvic sizes: 25,28,31,20 cm. Fetal heart rate is 132 per minute with satisfactory characteristics. Per vaginum: the cervix is completely dilated. The amniotic sac is absent. Fetal head is in outlet plane of pelvic. The chin is palpated under the symphysis. Managemant of labor?