The correct answer is DPathologic retraction ring / Bandl’s ring – marked stretching and thinning of the lower uterine segment. It occur at any stage of labor. When it occurs during the 1
st stage, it is the result of uncoordinated contraction. During 2
nd stage, it is caused by obstetric manipulation. During 3
rd stage, it is the result of administration of oxytocin.
During an obstructed labour the uterus cannot empty, so the thinned lower segment elongates . Sometimes a palpable ring (Bandl's ring) forms between the upper and lower segments. You may sometimes see or feel three distinct abdominal swellings:
(1) the bladder,
(2) the lower segment,
(3) the upper segment.
Bandl's ring separates the lower and the upper segments.
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Karnataka PGET 2007 MCQs
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