Anomalies of labor

Anomalies of labor activity, unfortunately, are quite often: up to 10-12% of all births. These are violations in the preliminar period, that is, with the very first rare and weak painful spasms in the lower abdomen and in the lower back (without the involvement of the uterus muscles); too weak or excessively rough labor activity or complete lack of coordination.

Why are some children born before the term and what does it threaten?

Preterm birth is the term that occurs after the 28th and until the 39th week of pregnancy, and the premature birth is a fetus born with a mass of more than one kilogram and a growth of more than 35 cm, which is viable.

Complex delivery: delivery induced, cesarean section, labor in a double

Induced births are a method of artificial delivery of labor. The fact is that sometimes it is necessary that labor starts, but they do not start on their own.

Anesthesia of labor during abnormal labor

The conducted research has shown that under the conditions of using electroacupuncture for the treatment of weakness of labor activity, qualitatively other changes in the contractile activity of the uterus occur, than against the background of the use of drug-induced rhythmostimulation. These changes contribute to the faster completion of labor, without causing deterioration of the fetus.

Regulation of labor during its anomalies

Currently, there are a number of highly effective domestic and foreign antispasmodics. At the same time, from an infinite number of different drugs studied and applied over the past few years, only a few who have stood the test of wide practice on the basis of their effectiveness, harmlessness for both the mother and the child and the ease of execution can be offered now.

Impossibility of lowering the presenting part of the fetus

Progressive advancement of the presenting part of the fetus in the cavity of the small pelvis (lowering) is an important sign of normal delivery. Lowering usually begins with the maximum opening of the cervix and is easily traced in the phase of deceleration and especially in the second stage of labor. In some parturient women, subsidence is completely absent.

Prolonged deceleration phase

The prolonged phase of deceleration is characterized by an increase in its duration in primiparas by more than 3 hours, in repetitive ones - by more than 1 hour. Under normal conditions, the average duration of the deceleration phase is 54 minutes in primiparas, and in 14 months - in multi-generators.

Secondary cervical dilatation

Secondary cervical dilatation can be recorded when the maximum opening on the Friedman curve in the active phase of delivery is stopped for 2 hours or more.

Prolonged active phase of labor

Prolonged active phase of labor is characterized by a delayed opening of the cervix. The rate of opening is less than 1.2 cm / h in primiparous and less than 1.5 cm / h in multiparous women.

Prolonged latent phase of childbirth

The latent phase is the time between the onset of labor and the onset of the active phase (the rise of the curve indicating the opening of the cervix). The average duration of the latent phase in primitive women is 8.6 hours, in the case of re-parenting - 5.3 hours.

Convulsive contractions (tetany, or uterine fibrillation)

Convulsive fights are characterized by a prolonged contraction of the uterine musculature. In tetany, the uterus contraction follows one after another, pauses between them are not observed. With the onset of tetany, the frequency of contractions increases (more than 5 fights in 10 minutes), their intensity progressively decreases and rapidly because of incomplete relaxation, the uterine hypertonus increases.


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