Management Of Labor

To understand the process of labor (CDS), mothers need to recognize the warning signs and plan to go to the hospital or maternity hospital in time, to avoid any uncertainty.
How is CDS understood?
CDS is a process of many phenomena. It is important that the uterine contraction causes the cervix to open gradually, resulting in the fetus and placenta being removed. The process of labor goes through 3 stages:
- Stage 1, the cervical clearance stage, at this stage has the longest time in 3 stages of labor, compared with 8-12 hours, the 4 to 6 hour period.
- Phase 2 is the period of pregnancy, this is the period where the mother has a lot of pain, the time in the baby is 30-50 minutes, the chicken is 20 - 30 minutes

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- Phase 3 is the period of elimination, the average time is 20 - 30 minutes, that is 15 - 20 minutes.
Signs that identify CDS
- Pregnant women in the last weeks of pregnancy naturally have abdominal pain in the lower abdomen, bouts of pain, each pain is about 20-30 seconds long, then rest for 3-4 minutes, then the pain reappears. In 10 minutes, the body develops 2-3 pain, accompanied by pink mucus in the vagina
- Sometimes women do not feel pain, but suddenly in the vagina a lot of water is wet the pants.



This is a case of early amniotic rupture.
- There are cases of incomplete appearance, only vaginal discharge pink, or back pain without feeling abdominal pain.

Why is there abdominal pain in CDS?
The cause of labor in labor includes many different factors: changes in the concentration of hormones such as estrogen, progesterone, prostaglandin. Changes in neurological, hormonal and local mechanical factors.
Uterine contractions cause abdominal pain, which is automatic, regardless of the woman. Uterine contractions are rhythmic, regular, increasing in intensity and duration of contraction. At first labor, the uterus is light and thin, but gradually, the uterus is more, stronger and longer

When the uterine contraction occurs, the uterus becomes mound, the woman will feel pain, go to the rest of the uterus, the pain will not hurt anymore.




The effect of uterine contractions during labor.
Normally during pregnancy, the cervix closes and is closed by cervical mucous plug. When the fetus is full term, under the action of uterine contractions causing labor.
A contraction of the uterus causes the cervix to erase (the inner and outer neck merge into one) and slowly unfolds, releasing the mucous node and breaking capillaries, blood dissolving into the mucous node causing viscosity pink vagina.
Uterine contractions help the unborn baby's head to fall down and escape to the vagina. After the fetus is released, the uterine contraction helps the uterus to contract at the same time causing the placenta to flap and the placenta to escape.
The labor is complete, the uterus continues to help the uterus to contract well enough to stop the bleeding, so the woman will not lose blood.
The fetus process is like?
In the second stage of labor, pregnant women experience increasing abdominal pain and a sense of urgency and desire to have a bowel movement.



At that time, the cervix is almost fully open, the fetal head is low. Mothers are instructed to go to the delivery table or at the delivery bed.
After 20 - 30 minutes following the labor of the woman with the uterine contraction and the guidance of the doctor, the fetus is released into the vagina, the doctor supports the baby and has a suction action to help the baby speak up crying was born; The midwife weighs the baby to see how much she weighs.
She was warmly warmed and bathed on a special table, after the umbilical cord was removed, she received eye drops and received a meningeal injection with vitamin K1 1mg intramuscularly. Within the first 24 hours, babies are vaccinated against TB and hepatitis B.
Preventive
CDS is an unwanted labor for a woman, so abdominal pain occurs whenever she should go to the hospital immediately, day or night.
The hospital's obstetrics department is always available 24 hours a day and has a team of midwives and doctors ready to accept women..

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