- October 14, 2017 at 16:01 #3639Parents LifeKeymaster
Normal labor is a complex procedure that requires sufficient uterine contractions, a fetus of a sufficient size to navigate the maternal pelvis and favorable pelvic dimensions in accordance with a fetal size. Fetal presentation, position and the attitude of flexion of the fetal vertex can influence the duration of labor, one probability of success and the safety of the vaginal delivery attempt. Labor is not a passive process for the obstetric provider. It requires a careful look at the cervix over time, an assessment of uterine contractions as well as an assessment of fetal descent inside the pelvis.
These evaluations distinguish females who would take advantage from obstetric interventions from those ones who are progressing normally. Abnormal labor can increase maternal and fetal risk of a negative outcome. Further, we will review the evidence supporting nowadays knowledge about abnormal labor and the management strategies shown to reduce maternal and fetal death once abnormal labor is determined.
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