Normal-and-normal-labor2 The births are a natural physiological process that starts spontaneously with pains of the lower abdomen (contractions). The beginning of labor is the presence of 2 contractions (contractions of the uterus) in 10 minutes.
Divided into 3 periods.
Period 1 of labor is the period of cervical dilatation (latent phase, active phase).
The latent phase of labor lasts up to 4 cm cervical dilatation and can last up to 7 hours.
The active phase of labor begins after disclosure of the uterine throat 4 cm. The rate of cervical dilatation:
In primiparous -1 cm per hour;
In multiparous -1.5-2 cm per hour.
The 2nd period of labor (the period of exile) begins from the moment of complete disclosure of the uterine throat (10 cm) and the attachment of the involuntary contraction of the muscles of the anterior abdominal wall. Continues in primiparous women up to 2 hours.
In multiparous up to 1 hour.
The second stage of labor ends with the birth of the fetus.
3 period of labor – separation of the placenta and the birth of the afterbirth.
During the first and second period of labor, the following indicators are monitored:
- Pulse, blood pressure
- Breathing rate
- Fetal heart rate
- Frequency and duration of contractions and attempts
- Fetal head height
- The integrity of the membranes, the time of discharge and the nature of the amniotic fluid
dynamics of cervical dilatation
- Urinary dynamics
All these indicators are recorded in the program, a graphical record of the dynamics of labor activity is maintained.
During childbirth, the pregnant woman is in the individual delivery room, the presence of a partner in childbirth is welcomed.
It is recommended the adoption of light fast-food and the choice of provisions for childbirth. At the request of the woman in labor, childbirth can be taken both on the bed and in any comfortable position, including on the gynecological chair.
The first 24 hours after birth are called the early postpartum period. It is necessary to carefully monitor the hemodynamic parameters of the puerperal, the density of the uterus bottom, the nature of postpartum discharge.