正常分娩医学ppt课件.pptVIP

Cardinal Movements of Labor Descent Flexion Internal rotation Extension External rotation Expulsion * * Cardinal Movements of Labor Descent Flexion Internal rotation Extension External rotation Expulsion * * Cardinal Movements of Labor Descent Flexion Internal rotation Extension External rotation Expulsion * * * Cardinal Movements Some question： Best position for labor and birth? Worst position for labor and birth? * * * * * * * * * Natural delivery Natural delivery Natural delivery DR. Emma Normal Labor and Delivery Natural delivery or C-section，this is a question. * Objectives * Determinate factors of labor Three “P’s” Power Passage Passenger * Determinate factors of labor * Power: Contractions Determinate factors of labor Three “P’s” Power Passage Passenger * Determinate factors of labor * Passageway Soft tissues Cervix Vagina Perineum * Passageway Soft tissues Cervix Determinate factors of labor * Passageway Pelvic Bones and Pelvimetry Determinate factors of labor * Passageway Pelvic Bones and Pelvimetry R L Determinate factors of labor * Passageway Pelvic Bones and Pelvimetry Determinate factors of labor * Passageway Pelvic Bones and Pelvimetry * Determinate factors of labor * Passager Size of passenger Number of passengers Position of passenger: Lie Presentation Attitude Position Determinate factors of labor * Passager Size of passenger Number of passengers Position of passenger: Lie Presentation Attitude Position Passenger: Lie Passenger: Attitude Passenger Descent Fetal head journey through the pelvis until Crowning Flexion Fetal head tucks into chest Important so that smallest diameter of head presents May depend on pelvic type/shape Passenger: Presentation Passenger: Presentation Passenger Passenger: Position The relationship of a site of the presenting part to the location on maternal pelvis Examples: LOA, ROP, RMT, LSA, etc. Asyncliticism: lateral deflection of the head with regards to the sagittal suture Anterior