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 babies born prematurely and what are the risks?

Premature birth is a birth that occurs after the 28th week and before the 39th week of pregnancy, and a fetus that is born weighing more than one kilogram and measuring more than 35 cm in height and is viable is considered premature.

Complicated induced labor, cesarean section, twin births.

Induced labor is a method of artificially inducing labor. The fact is that sometimes labor needs to start, but it does not start on its own.

Anesthesia of labor in abnormal labor and delivery

The study showed that when electroacupuncture is used to treat weak labor, qualitatively different changes in the contractile activity of the uterus occur than when drug-induced labor stimulation is used. These changes contribute to a more rapid completion of labor without causing deterioration in the condition of the fetus.

Regulation of labor activity in its anomalies

At present, there are a number of highly effective domestic and foreign antispasmodics. At the same time, from the infinite number of different drugs studied and used over the past years, only a few can be offered at present that have stood the test of widespread practice based on their effectiveness, harmlessness for both mother and child, and ease of implementation.

Failure of the fetus to descend anteroposteriorly

Progressive movement of the presenting part of the fetus in the pelvic cavity (descent) is an important sign of normal labor. Descent usually begins with maximum dilation of the cervix and is easily observed in the deceleration phase and especially in the second stage of labor. In some women in labor, descent is completely absent.

Prolonged deceleration phase

The prolonged slowing phase is characterized by an increase in its duration in primiparous women by more than 3 hours, and in multiparous women by more than 1 hour. Under normal conditions, the average duration of the slowing phase is 54 minutes in primiparous women and 14 minutes in multiparous women.

Secondary arrest of cervical dilation

Secondary arrest of cervical dilation can be recorded when, during the period of maximum rise on the Friedman curve in the active phase of labor, dilation stops for 2 hours or more.

Prolonged active labor phase

A prolonged active phase of labor is characterized by a slow dilation of the cervix. The rate of dilation is less than 1.2 cm/h in primiparous women and less than 1.5 cm/h in women who have given birth to many children.

Prolonged latent labor phase

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 primiparous women is 8.6 hours, in multiparous women - 5.3 hours.

Cramping contractions (tetany, or uterine fibrillation)

Spasmodic contractions are characterized by prolonged contraction of the uterine muscles. In uterine tetany, contractions follow one after another, with no pauses between them. When tetany occurs, the frequency of contractions increases (more than 5 contractions in 10 minutes), their intensity progressively decreases, and hypertonicity of the uterus rapidly increases due to incomplete relaxation.

Family and Children