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The LUS overdistension, by fetal head malpositions (OPP, OTP, A) and malrotations, lead to dystocia, customization of vascularization, and En decrease. The En reduction in PDL shows that drugs made use of through the LNA, often neighborhood anesthetics and opioids, cannot control the "dystocic pain", that varies from regular labor pain. The IU administration in work therefore the consequent diagnosis of dystocia recommend preventing the many and ineffective top-up medicine