5.19 正常分娩.pptVIP

Objective Definition of labor. Determinate Factors of Labor Anatomical considerations: The female pelvis. The fetal skull. The stages of labor. The mechanism of labor (vertex, LOA). Management of normal labor. Uterine Contractions Periods of relaxation between contractions are essential to the welfare of the fetus. Rhythm Increase in frequency and duration ★Symmetry and Polarity The intensity of the upper segment of the uterus is the most strong  ★Retraction:The myometrium of the upper uterine segment does not relax to its original length after contractions;rather, it becomes relative f