English: Maternal and foetal sequelae of prolonged obstructed labour. General maternal signs and symptoms include fever, sepsis, distress, pain, agitation and exhaustion. Due to the sustained compression of the L4-5 nerves and S1 roots, maternal foot drop is also likely to occur following delivery. Purple shading represents ischaemic necrosis of maternal tissues from the pressure of the foetal head during unrelieved obstructed labour. These purple areas are at high risk of becoming obstetric fistula(s).