OBSintermediate
Why is normal labour classified as a retrospective diagnosis in obstetrics?
Answer
Because it requires the entire process—from spontaneous onset through delivery without operative intervention to healthy maternal and neonatal outcomes—to be completed without complications before the diagnosis can be confirmed.
Explanation
The definition depends on events that unfold over time, including whether labour remains spontaneous and whether operative intervention is needed. It also incorporates the pregnancy context and outcome. A clinician can assess progress during labour, but cannot confirm every element of normal labour until delivery is complete. **Key takeaway:** The diagnosis combines onset, presentation, intervention, and outcome.\n\n**Glossary:** **Singleton**: one fetus; **retrospective**: assessed after the course or outcome is known.
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