Stages delivery.
not known what causes that precipitate labor, but it is believed that substances produced by placenta, the mother or fetus, and mechanical factors as the size of the baby and its effect on muscle uterine contribute to delivery. Therefore coordinated effects of these factors are the cause of the occurrence of contractions.
We talk about the onset of labor when you combine several situations such as uterine contractions, effacement (or shortening the length of the cervix) and dilation of the cervix.
First stage of labor: The
onset of labor occurs when uterine contractions occur every 3 minutes, with a duration of 30 ssegundos or more each and increasing intensity. The contractions are becoming more frequent and more intense until one every two minutes and produce effacement and dilatation of the cervix, allowing call this period as "period of expansion." The duration of this period is variable depending on whether the mother's first pregnancy (average of 8 hours) or multiparous (average of 4 hours). The stage ends with complete dilation (10 cm) and effacement of the cervix.
second stage of labor:
Also called "second stage". It is the passage of the child through the birth canal, from the womb to the outside, thanks to powerful uterine contractions and abdominal contractions pushes].
We talk about the onset of labor when you combine several situations such as uterine contractions, effacement (or shortening the length of the cervix) and dilation of the cervix.
First stage of labor: The
onset of labor occurs when uterine contractions occur every 3 minutes, with a duration of 30 ssegundos or more each and increasing intensity. The contractions are becoming more frequent and more intense until one every two minutes and produce effacement and dilatation of the cervix, allowing call this period as "period of expansion." The duration of this period is variable depending on whether the mother's first pregnancy (average of 8 hours) or multiparous (average of 4 hours). The stage ends with complete dilation (10 cm) and effacement of the cervix.
second stage of labor:
Also called "second stage". It is the passage of the child through the birth canal, from the womb to the outside, thanks to powerful uterine contractions and abdominal contractions pushes].
Third Stage of Labor:
Mother and newborn with unmilical cord still attached, in a bathroom
is called "enlightenment" and begins in the expulsion of the placenta , cord and membranes and this takes between 5 and 30 minutes. For many authors, the delivery end there but others consider a fourth term would be the immediate recovery and ending two hours after delivery. In this period called "early puerperium, the mother and child should be closely monitored due to the increased possibility of complications such as uterine atony.
Mother and newborn with unmilical cord still attached, in a bathroom
is called "enlightenment" and begins in the expulsion of the placenta , cord and membranes and this takes between 5 and 30 minutes. For many authors, the delivery end there but others consider a fourth term would be the immediate recovery and ending two hours after delivery. In this period called "early puerperium, the mother and child should be closely monitored due to the increased possibility of complications such as uterine atony.
Anesthesia for childbirth:
Although for centuries childbirth has been done without any anesthesia in the past few decades have developed much of painless childbirth techniques. Initially
infiltrating the skin of the perineum with local anesthetics to ease the pain of the episiotomy or incision of the perineum to prevent tearing. In recent thirty years it is increasingly frequent number of deliveries performed with epidural anesthesia or epidural anesthesia. This is the introduction into the epidural space by a catheter to be injecting small doses or a continuous infusion of local anesthetic and the right amount sufficient to eliminate the pain but not the force of contraction. In this way you can really enjoy a painless childbirth, it can contribute to the contraction and awake at the time of delivery with which you can enjoy the moment of birth. Epidural anesthesia should be performed by experienced anesthesiologists to minimize adverse effects.
epidural anesthesia is also used in the event of childbirth cesarean become . only need to strengthen the local anesthetic dose through the epidural catheter.
Complications of epidural anesthesia are minimal in the hands of experts.
Complications of childbirth:
infiltrating the skin of the perineum with local anesthetics to ease the pain of the episiotomy or incision of the perineum to prevent tearing. In recent thirty years it is increasingly frequent number of deliveries performed with epidural anesthesia or epidural anesthesia. This is the introduction into the epidural space by a catheter to be injecting small doses or a continuous infusion of local anesthetic and the right amount sufficient to eliminate the pain but not the force of contraction. In this way you can really enjoy a painless childbirth, it can contribute to the contraction and awake at the time of delivery with which you can enjoy the moment of birth. Epidural anesthesia should be performed by experienced anesthesiologists to minimize adverse effects.
epidural anesthesia is also used in the event of childbirth cesarean become . only need to strengthen the local anesthetic dose through the epidural catheter.
Complications of epidural anesthesia are minimal in the hands of experts.
Complications of childbirth:
delivery complications can occur during any period of birth and require prompt and effective intervention to prevent damage to the mother and her baby.
The progress of labor can not be due to uterine contractions weak or irregular not produce cervical dilation is usually treated with intravenous synthetic oxytocin or prostaglandin gel cervical topic.
also may be due to fetal pelvic disproportion due to fetal macrosomia or narrowing of the pelvic canal.
Fetal distress is the appearance of signs indicating fetal biophysical deterioration. The term fetal distress is falling into disuse in recent clinical literature, and are using the "suspected fetal welfare loss" or "loss of fetal well-being." The signs to which reference are basically did before altering the normal pattern of fetal heart rate. To this the mother is monitored with a tococardiografía Fetal which establishes a certain relationship of two variables that are fetal heart rate and the frequency and intensity of uterine contractions. In yet another sign that suggests the loss of fetal well-being is the appearance of amniotic fluid green or tinged with meconium (fetal stool), which is expelled when the fetus or chronic incidentally has a deficit oxygen. Both
no labor progression and fetal distress are treated by shortening the period of expansion, either by forceps, vacuum extractor or practicing an emergency cesarean.
puerperal fever in the past has been a major cause of maternal death due to poor asepsis during labor, as well as increased susceptibility to infection by the mother if she has anemia or malnutrition. For delivery
spent in the most physiologically possible both the mother and her partner must be sufficiently prepared for the "proof" that they face.
Social aspects of childbirth:
Labor, which in most cases without incident, has become a high-tech medical process, which occurs in delivery rooms of large hospitals, with a team composed of multidisciplinary medical obstetrician, midwife, anesthetist, pediatrician ... In Western society
developed countries the birth of a child has been medicalized to dangerous extremes, where the emphasis is on getting a healthy baby at any price and where it tends to increasingly frequent practice of cesarean births. Sometimes C-sections are more common in private hospitals than in public for several reasons.
Delivery is conceived by the society as a painful process, almost like a disease when it is a physiological process in which pain is present. There is much panic to pain, that spinal anesthesia (epidural anesthesia) is a medical act increasingly in the delivery of Western world.
At delivery, where the main protagonists are the mother and the child is born, traditionally have been denied the father's presence and collaboration in the delivery. In some societies, childbirth is barred to all men. In the last decades of the twentieth century, the father has an increasingly more active.
Childbirth psychoprophylactic
This article or section needs sources or references appear in a reputable publication such as textbooks or other publications on the subject.
refers to the birth of a child vaginally, without anesthesia, in which the woman works and trust in their reproductive role in their inner wisdom, as well as their ability to give birth. Trust in the weight that the mind can exert on the body and delivery conceptualized as a full and joyful experience.
Recent research shows that the support of the perinatal educator (who has accompanied the couple during pregnancy in preparation for this moment, and which has already established a relationship of trust), brings great benefits in the management of pain, better development and lower cesarean delivery. Therefore, for successful delivery psychoprophylactic, experts recommend the presence of it during labor, without supplying the support and respect the space of the father.
order to carry out deliveries of this type is critical that a medical team, in addition to a high professional level, be sensitive to assess the benefits of natural childbirth without anesthesia and profoundly human experience is for women , your partner and your baby to live birth psychoprophylactic. The attending physician labor should be in favor of birth is as natural as possible
The progress of labor can not be due to uterine contractions weak or irregular not produce cervical dilation is usually treated with intravenous synthetic oxytocin or prostaglandin gel cervical topic.
also may be due to fetal pelvic disproportion due to fetal macrosomia or narrowing of the pelvic canal.
Fetal distress is the appearance of signs indicating fetal biophysical deterioration. The term fetal distress is falling into disuse in recent clinical literature, and are using the "suspected fetal welfare loss" or "loss of fetal well-being." The signs to which reference are basically did before altering the normal pattern of fetal heart rate. To this the mother is monitored with a tococardiografía Fetal which establishes a certain relationship of two variables that are fetal heart rate and the frequency and intensity of uterine contractions. In yet another sign that suggests the loss of fetal well-being is the appearance of amniotic fluid green or tinged with meconium (fetal stool), which is expelled when the fetus or chronic incidentally has a deficit oxygen. Both
no labor progression and fetal distress are treated by shortening the period of expansion, either by forceps, vacuum extractor or practicing an emergency cesarean.
puerperal fever in the past has been a major cause of maternal death due to poor asepsis during labor, as well as increased susceptibility to infection by the mother if she has anemia or malnutrition. For delivery
spent in the most physiologically possible both the mother and her partner must be sufficiently prepared for the "proof" that they face.
Social aspects of childbirth:
Labor, which in most cases without incident, has become a high-tech medical process, which occurs in delivery rooms of large hospitals, with a team composed of multidisciplinary medical obstetrician, midwife, anesthetist, pediatrician ... In Western society
developed countries the birth of a child has been medicalized to dangerous extremes, where the emphasis is on getting a healthy baby at any price and where it tends to increasingly frequent practice of cesarean births. Sometimes C-sections are more common in private hospitals than in public for several reasons.
Delivery is conceived by the society as a painful process, almost like a disease when it is a physiological process in which pain is present. There is much panic to pain, that spinal anesthesia (epidural anesthesia) is a medical act increasingly in the delivery of Western world.
At delivery, where the main protagonists are the mother and the child is born, traditionally have been denied the father's presence and collaboration in the delivery. In some societies, childbirth is barred to all men. In the last decades of the twentieth century, the father has an increasingly more active.
Childbirth psychoprophylactic
This article or section needs sources or references appear in a reputable publication such as textbooks or other publications on the subject.
refers to the birth of a child vaginally, without anesthesia, in which the woman works and trust in their reproductive role in their inner wisdom, as well as their ability to give birth. Trust in the weight that the mind can exert on the body and delivery conceptualized as a full and joyful experience.
Recent research shows that the support of the perinatal educator (who has accompanied the couple during pregnancy in preparation for this moment, and which has already established a relationship of trust), brings great benefits in the management of pain, better development and lower cesarean delivery. Therefore, for successful delivery psychoprophylactic, experts recommend the presence of it during labor, without supplying the support and respect the space of the father.
order to carry out deliveries of this type is critical that a medical team, in addition to a high professional level, be sensitive to assess the benefits of natural childbirth without anesthesia and profoundly human experience is for women , your partner and your baby to live birth psychoprophylactic. The attending physician labor should be in favor of birth is as natural as possible
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