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Normal Labor ,Delivery and the Puerperium Department of Obstetrics and Gynecology , The general hospital  of Tian Jin medical university Zhang  Xuhong
Four major factors determined labor and delivery ,[object Object],[object Object],[object Object],[object Object]
The power :  The characteristics of myometrial muscle are unique which compared with skeletal muscle   ,[object Object],[object Object],[object Object],[object Object]
An important ancillary force in expulsion of the fetus is that produced by increased maternal intra-abdominal pressure.
Pelvic Planes ,[object Object],[object Object],[object Object],[object Object]
Main pelvic diameters ,[object Object],[object Object],[object Object]
Cervical Effacement ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
Psychological factors  :recent research has shown that it act an important role in labor.because of fearing labor pain,a considerable number of women suffered dystocia.
Labor ,[object Object],[object Object],[object Object]
What is the regular contraction ? ,[object Object],[object Object],[object Object]
Preparation for labor ,[object Object],[object Object],[object Object],[object Object]
Engagement ,[object Object],[object Object]
[object Object],[object Object]
 
[object Object],[object Object]
Labor is divided into three stages ,[object Object],[object Object],[object Object]
Third stage  : is   from the birth of  the  baby to the delivery of placenta and membrances .
Length of stages 5~15min 5~15min Duration of third stage 5~30min 1~2hours Duration of second stage 1.5cm/hour 1.2cm/hour Rate of cervical dilatation during active phase 6~8 hours 11~12 hours Duration of the first stage multipara primipara
Management of first stage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Second stage of labor----Descent of the fetal head T he  mechanism  of the labor : six-movements of the baby enable it to adapt to the maternal pelvis. They are: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Descent ,[object Object],[object Object],[object Object],[object Object]
Flexion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Internal Rotation ,[object Object],[object Object],[object Object]
Extension ,[object Object],[object Object],[object Object],[object Object]
External Rotation ,[object Object],[object Object]
Expulsion ,[object Object]
 
Clinical management of second stage ,[object Object],[object Object],[object Object],[object Object]
Clinical management of third stage ,[object Object],[object Object],[object Object]
Signs of placental separation ,[object Object],[object Object],[object Object],[object Object]
Perineal laceration classified as: ,[object Object],[object Object],[object Object],[object Object]
 
Puerperium  ,[object Object],[object Object]
lochia ,[object Object],[object Object],[object Object],[object Object]
Lactation   ,[object Object],[object Object],[object Object]
Induction and Augmentation of labor ,[object Object],[object Object]
Several principles about oxytocin used should be note: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of induction ,[object Object],[object Object],[object Object],[object Object]
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6.Normal Labor,Delivery And The Puerperium

  • 1. Normal Labor ,Delivery and the Puerperium Department of Obstetrics and Gynecology , The general hospital of Tian Jin medical university Zhang Xuhong
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  • 4. An important ancillary force in expulsion of the fetus is that produced by increased maternal intra-abdominal pressure.
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  • 11. Psychological factors :recent research has shown that it act an important role in labor.because of fearing labor pain,a considerable number of women suffered dystocia.
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  • 20. Third stage : is from the birth of the baby to the delivery of placenta and membrances .
  • 21. Length of stages 5~15min 5~15min Duration of third stage 5~30min 1~2hours Duration of second stage 1.5cm/hour 1.2cm/hour Rate of cervical dilatation during active phase 6~8 hours 11~12 hours Duration of the first stage multipara primipara
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