Normal Labor and Delivery in Noida
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  • Parts 1
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Ongoing, First published Jun 10
First Stage of Labor​
Normal Labor is heralded by spontaneous onset of painful contractions of the uterus which result in softening and dilatation of the cervix (mouth of uterus). Mostly, it is associated with blood stained mucoid discharge from vagina (show).You would be advised to get admitted to labor ward at this stage. As these contractions of uterus increase gradually in severity and come more frequently they may result in, leaking of amniotic fluid through vagina, breaking of the water bag.
The initial part of first stage of labor is called the latent phase. The standard duration of the latent first stage has not been established and can vary widely from one woman to another. As the cervical dilatation progresses from 5 cm until full dilatation, regular painful uterine contractions become more intense and this characterizes the active first stage of labor and usually does not extend beyond 10-12hours.
Fetal well being is assessed in healthy pregnant women in labor by auscultation of fetal heart rate
Per vaginum (PV) examination is required to check the progress of labor in active phase.
Relaxation techniques, including progressive muscle relaxation, breathing, music, mindfulness and other techniques are recommended for healthy pregnant women requesting pain relief during labour, depending on a woman's preferences.
Manual techniques, such as massage or application of warm packs may also be used.
Parenteral opioids, such as fentanyl, diamorphine and pethidine may be prescribed on request for pain relief. Labor analgesia can be requested by inhalational analgesia, epidural analgesia at the start of active first stage.
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