final stage of any pregnancy is delivery.The correctness of the management of labor largely determines the state of the mother and child health in the future.During birth the medical staff to take timely and appropriate measures to avoid many complications.That is why in our country labor, usually performed in specialized establishments equipped with all necessary equipment.
labor management tactics has traditionally expectantly-active, ie in the course of delivery is not only closely monitored, but also the prevention and correction of deviations occur, and an emergency delivery is used when necessary.
The jurisdiction of physiological childbirth, there are three periods, with each of them medical personnel to adhere to certain tactics of childbirth:
When conducting physiological delivery should also take into account the following features: the woman's age, the volume of the uterus and the fetal position, the first and second generations.All these features are very important and help to choose the best tactics of labor management in each period.
woman is in the prenatal ward, general hygiene (enema, shower, shaving) it previously held.
systematically in the external obstetric research period disclosure is made, there is a state of the uterus in the battles, as well as outside them.Every two hours, made entries in the history of labor management, and every 15 minutes the doctor listens to the heartbeat of the fetus.Observation of the progressive baby's head through the birth canal by using the following methods:
If contractions have mothers too painful, it is recommended to maintain anesthesia mutual reduction of the upper and lower segments of the uterus and prevent fractures in cervical delivery.
delivery Keeping in the first period does not imply strict adherence to bed rest.She can walk, sit, rocking in a rocking chair, etc.All this is quite possible, if there is no obstetric or extragenital pathologies.
When the cervix is fully dilated, begins the second stage of labor.Uterine contractions become more frequent and extended, the fetal head rotates, moving through the birth canal.Woman in labor feel a lot of pressure in the rectal area, as well as pain in the legs and pelvis.Short relaxation periods are replaced by strong vain attempts.
women in childbirth regularly measure blood pressure and other indicators, as well as the need to carry out anesthetic.All data entered in the partograph.Target management tactics can change it in the second period.It depends on the state of women in labor, active labor and the duration of the course of the period.
here in the first place comes the experience of the medical staff and the individual management of labor.As soon as the head midwife preparing to receive the fetus and begins to help his birth, at the same time trying to prevent tears from mothers, for example, performing an episiotomy.
Once born head, the doctor will determine whether or not there entanglement, and when it is detected trying to dislodge the cord down.By using certain methods of delivery management helps obstetrician appear one hanger, and then another.Then there is a newborn calf and foot.From the mouth and nose of the child aspirated mucus, and the eyes are washed with sterile water.Toddler at a time is placed between the mother's legs, so that part of the placenta through the umbilical cord blood came out to him.After about 3 minutes the umbilical cord is cut and the child takes the first breath and screams.At the same time the condition of the newborn evaluated by the Apgar score.The child is examined to identify possible pathologies and then placed on the mother's abdomen for the first lactation.
order not to disturb the natural course of labor, in the third period is prohibited to palpate the uterus, or the right of the placenta does not happen.When the placenta separates yourself in a natural way, the risk of bleeding is minimal.
tactics of labor management in this period is reduced to waiting.The doctor monitors the color of skin mothers, pulse and blood pressure.It is also necessary to observe the bladder: a crowded bladder reduces the contraction of the uterus, and thus disrupted the normal flow of the placenta.
At this point, management of labor maternity offer a tighter, however, if the birth of the placenta and does not occur, the obstetrician has resorted to a method for external retrieval.Attempts to isolate the last before the placenta separates, is strictly prohibited.
next important task - examination of the vaginal walls and the cervix.If you find gaps impose catgut sutures.The integrity of the perineum following episiotomy or her injuries also reduced by suturing.
After the discharge of the placenta becomes a new mother postpartum women, there comes the post-natal period.Within two hours puerpera still in the maternity ward under the care of doctors and midwives who monitor her general condition.Two hours later, the woman transferred to the postnatal ward.
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