《自然分娩》PPT课件.ppt

Natural Labor Process 自然分娩过程 Hospital Time interval of Labor pains Mother’s sense The uterine mouth Baby （阵痛间隔时间） （子宫口） Most women do not need to be hospitalized until the 10-minutes interval begin Finally going to the hospital. At this point, the doctor will do internal diagnosis (内部诊断） Most mothers are equipped with fetal monitors （胎儿检测）to confirm fetal heart sounds Continues to recognize the fetal heart sounds, and to disinfect the genital area, shave the pubic hair of episiotomy (会阴切开术） Beginning mother baby Approaching the 10-minutes interval Lower abdomen（下腹部）may feel hard irregularlyLike minor physical pain This situation may last about 10-20 seconds The uterine mouth has not open yet In such a position, the chin will close to chest 7~10-minutes interval Labor start The lower abdominal pain becomes regular May feel sudden contraction Pain lasts about 30~40 seconds Whenever the uterus contracts, the uterine mouth will gradually open. Down with whirling 1~2-minutes interval The most painful periodpain lasts about a minute and a halfAt this time there begin to be a feeling of falling and the amniotic fluid (羊水）brokeFetal head is toward the direction of her mother‘s anus（肛门）, from the beginning of labor pain until now, the fetus will do 90-degree turn. Now mother will be moved to delivery room, if amniotic fluid is defeated, the doctor will check the status of the amniotic fluid. In addition, if the uterus has been fully open, the nurse will guide the mother how to use her strength After starting forcing The interval pain happen at 1-minute intervalthe pain time is longer than pain interval you can faintly see the babys head. Doctors will suppress the perineum (会阴）by hand to prevent perineal laceration. Sometimes doctors will do episiotomy before the baby’s head is delivered After the fetal head is delivered Labor pains become very slightafter the fetal head is delivered the pain stop for a moment then there will be mild pain aga