NormalLaborXIEMEIQING29092006.pptVIP

Normal LaborXIE MEIQING29/09/2006; Labor means the process of the birth,which is finished by the effective coordination of uterine contractions and pushing-down efforts, the lower segment stretching, effacement and dilatation of cervix. It is a process. Labor begins from the onset of uterine contraction and terminate with the expulsion of the products of pregnancy.;There is another term—delivery,which describes the phenominum of the actual expulsion of the products: fetus and placenta.But it has the same meaning as labor in Chinese.;?Several definitionsabortion: 28 week pregnancylabor:≥28 week pregnancypreterm labor :28 → 37  week pregnancyterm labor:≥37→ 42  week pregnancypostterm labor :≥ 42  week pregnancy; Labor can be normal or abnormal.It is influenced by three essential factors，We can named the three factors in “ The Three P” the three P1. the powers ---- forces2. the passage ---- birth canal3. the passenger ----  fetus(baby) and placenta; The power1 uterine contraction : is involuntary, rhythm, symmetry and polarity, called retraction ?2 abdominal wall contraction and lelator ani contraction :called bearing—down efforts,is voluntary，which help to deliver the baby after the cervix os fully dilated.They create from the contraction of abdominal wall muscle and diaphrum muscle and lebator ani muscle.;a.????? rhythm: the uterine contractions are rhythmical\ periodic and progressive.which called “Pains”. In the very beginning of labor, each contraction last about 30 seconds, and the interval between two contractions is 5 to 10 minutes, as the labor progresses, each contraction may last longer and longer, and the intervals may become shorter and shorter and be stronger and stronger. And when the cervix fully dilates,the uterine contraction may be as longer as 60 seconds,and the intervals may be 1 to 2 minutes.;b.??