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.

Placental insufficiency and labor anomalies

Placental pathology, including its insufficiency, accounts for 20-28% of the causes of perinatal pathology and mortality. Chronic placental insufficiency against the background of a high degree of its immaturity and disruption of compensatory-adaptive mechanisms, primarily vascular ones, can lead to absolute placental insufficiency and numerous complications during childbirth.

Diagnosis of labor anomalies

The central problem in modern obstetrics is the regulation of labor, since the clarification of the nature of the mechanisms stimulating the contractile activity of the uterus is a necessary prerequisite for reducing the number of pathological births, surgical interventions, hypo- and atonic bleeding, and reducing perinatal mortality.

Rationale for the use of dual-channel internal hysterography

Prediction of labor and the strength of uterine contractions is almost impossible. Some authors begin to use uterotropic agents (oxytocin, prostaglandins) in labor when uterine activity, according to internal hysterography, does not exceed 100 units during an hour. Montevideo.

Clinical and biophysical evidence on the coordination of uterine contractions in labor

Recognition of the initial symptoms of uterine motor dysfunction during labor, comparative assessment of the effectiveness of treatment of labor abnormalities based on clinical observations alone are very difficult, therefore, at present, methods of monitoring during pregnancy, even at home, during labor are becoming increasingly important - external and internal hysterography, cardiotocography.

What are labor anomalies?

Anomalies of labor activity are a pressing issue in modern scientific and practical obstetrics. The importance of this issue is primarily due to the fact that this pathology is one of the main causes of serious complications for both mother and child.

Management of obstructed labor

Childbirth, which completes pregnancy, is the stage at which responsibility for a successful outcome for the mother and fetus rests with the maternity hospital physician.

Obstetric tactics in the management of preterm labor

The problem of protecting the health of mothers and children is considered an important component of health care, which is of primary importance for the formation of a healthy generation of people from the earliest period of their lives.

Bleeding in the postpartum period

Bleeding in the early postpartum period. This includes the loss of more than 500 ml of blood in the first 24 hours after birth. This complication is observed in 5% of all births. Most often, the cause is uterine atony, as well as tissue trauma or hemorrhagic diathesis.

Stillbirths

Stillborn babies are babies born dead after 24 weeks of pregnancy. Intrauterine death of the fetus can occur at any stage of pregnancy or during labor. Stillbirth causes great emotional stress for both the mother and the obstetric staff, so the pain and the process of delivery in these circumstances may seem useless and futile, and the mothers themselves may feel guilty and consider that what happened is in some way a punishment for them.

Anomalies of childbirth - Overview of information

Among the factors that complicate the birth process, the most important are the following: features of the mother's pelvis; features of the fetal presentation, as well as types of presentation; strength of uterine contractions. The disproportion between the sizes of the fetal head and the mother's pelvis is due to an unfavorable combination of their diameters. Difficulty in bringing out the shoulders.