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Professional Technical IVT

Bandl's ring

Pronunciation: BAND-ulz ring

A pathological retraction ring of the uterus that forms at the junction between the upper and lower uterine segments during obstructed labor.

Full Definition

Bandl's ring, also known as a pathological retraction ring, is a dangerous complication of prolonged obstructed labor characterized by excessive retraction of the upper uterine segment, creating a visible or palpable ridge across the abdomen. This condition occurs when the lower uterine segment becomes overstretched while the upper segment contracts forcefully against an obstruction, such as cephalopelvic disproportion or malpresentation. The ring typically forms at the junction between the upper and lower uterine segments and rises progressively higher on the abdomen as labor continues. Bandl's ring is a sign of impending uterine rupture and requires immediate cesarean delivery.

Usage

Usage note: Always include the possessive apostrophe; this is an eponymous term named after Ludwig Bandl.

In Context

  • "The appearance of Bandl's ring at the level of the umbilicus necessitated emergency cesarean section." — Emergency obstetric note
  • "Recognition of Bandl's ring formation prevented catastrophic uterine rupture in this case of CPD." — Case study documentation

Also known as

pathological retraction ring constriction ring

Don't confuse with

physiological retraction ring uterine contour

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