Medicine an Surgery notes

Apr 24th, 2015
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NORMAL LABORDefinitions: Labour: It is a sequence of regular painful uterine contractions that results in progressive effacement and dilatation of the cervix and voluntary bearing-down efforts leading to the expulsion per vagina of the products of conception (i.e. the fetus, membranes, umbilical cord, and placenta) after 28 wks.Labor is a physiologic process during which the products of conception (i.e. the fetus, membranes, umbilical cord, and placenta) are expelled outside of the uterus. Labor is achieved with changes in the biochemical connective tissue and with gradual effacement and dilatation of the uterine cervix as a result of rhythmic uterine contractions of sufficient frequency, intensity, and durationCervical dilatation in the absence of uterine contraction suggests cervical insufficiency, whereas uterine contraction without cervical change does not meet the definition of laborDelivery: is the mode of expulsion of the fetus and placentaTerm: from 37 completed weeks to 41 weeks (or from beginning of the 38th wk to beginning of 42nd wk).Normal labor: labor at term. False labor: Contractions irregular, no cervical changes, no progress of the cervix, do not generate much uterine pressure. False labor contractions disappear with i.m. narcotics.Position: relationship of presenting part to maternal pelvisAttitude: relationship of foetal head to neck and its other body partsLie: Fetal longitudinal axis in relation to mothersPresentation: Fetal pole closest

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