Track labor stages

The article was consulted by Specialist I Pham Thi Yen – Obstetrics and Gynecology Department – Share99 Hai Phong International Health Hub

Every woman goes through labor differently. Monitoring labor stages makes this process safe and convenient.

1. What is labor?

Labor is the course of many phenomena, most importantly, the contractions of the uterus cause the cervical to clear gradually and as a result, the pregnancy and placenta are wiped out.

Determining labor in the event of a real uterus contraction, if there are 12 contractions per hour is already in labor, the characteristics of labor contractions really help distinguish from fake labor contractions:

  • Regular contractions, causing pain.
  • The distance between contractions is shortened.
  • The contraction gradually increases in intensity and duration.
  • There is a link between the intensity of contractions and pain.
  • Causes removal of the cervical opening.
  • The pregnancy is down.
  • Antisyms do not prevent contractions.

Diagnosis of labor:

  • Abdominal pain.
  • Vaginal pink viscosity.
  • Labor contractions.
  • Remove the opening of the cervical opening.
  • Establishment of the amniotic head.

Labor

The process of labor causes regular contractions

2. Stages of labor

Stages of labor include:

Phase 1:Removal of the cervical opening, this period from the time of real labor to when the cervical is fully open: the average time is 15 hours. This period is divided into 2 periods:

  • Subconscious period: 8 hours.
  • Operating period: 7 hours.

Phase 2: The pregnancy book from the time the cervical is fully opened until the pregnancy is out.

  • Child comparison: 30 minutes – 2 hours, average 50 minutes.
  • Baby: 15 minutes – 1 hour, average 20 minutes.

Phase 3: Book each other from after pregnancy book to each other's book out on average 5-30 minutes.

3. Track labor stages

3.1. Full body tracking

  • Vessels: During labor, the pulse must be monitored every 4 hours, ensuring early detection of abnormal vascular changes during labor and immediately after calving. Normal pulse 70 – 80 times /min;
  • Blood pressure: During labor blood pressure is measured every 4 hours if normal labor takes place. If there is rapid bleeding or pulse, blood pressure must be measured more often;
  • Temperature: During labor, temperature is measured every 4 hours, if the labor progresses normally;

3.2. Monitoring of uterus contractions

Current period:

  • Catch the uterus mound by hand: every 1 hour

average:

  • Shrink time: 20"
  • Break time: 3' – 4'
  • Monitor monitoring, average 3 mounds/ 10 minutes, intensity: 40 mmHg

Monitor the mound

Monitor helps monitor gos-on and heart attacks during labor

Operating stage:

  • Catch the uterus mound by hand every 30 minutes

average:

  • Shrink time: 30'' – 40''
  • Break time: 2' – 3'

When the cervical is almost complete:

average:

  • Shrink time: 40"–50"
  • Time off: 1'–1'30"
  • Monitor monitoring, an average of 3 – 4 mounds / 10 minutes, intensity: 60 – 100 mmHg.

When the cervical is almost complete: average: 4 – 5 bouts of mounds / 10 minutes, intensity: 80 – 100 mmHg

3.3. Fetal heart rate monitoring

  • At the potential phase: listen to the pregnant heart at least once every 1 hour; at a positive phase every 30 minutes. Listen to the pregnancy heart immediately after the amniotic rupture or before and after the amniotic arrest;
  • The time of hearing the pregnancy heart is in addition to the contraction of the uterus. At the stage of calving listen to the pregnancy heart after each push;
  • Count the gestational heart rate in 1 minute, comment on the pregnancy heart rate is even or not?
  • Normal: average gestational heart rate from 120 – 160 times / minute, even, clear. Abnormal gestational heart rate > 160 times/minute or < 120 lần/phút hoặc không đều.

3.4. Monitoring amniotic fluid

  • Amniotic fluid: description of the shape of the amniotic sac (flattened, puffy, pear)
  • Amniotic fluid: natural or amniotic fluid, description of the amount, color, smell, time of amniotic rupture
    • Amniotic fluid breaks at the right time: when the ≥ 5 cm
    • Early rupture: when there is real labor but breaking at the wrong time
    • Young rupture: when there is no real labor
  • Amount of amniotic fluid:
    • Normal: 500 – 1000 ml
    • Amniotic fluid: > 2000 ml
    • Amniotic mitigation: < 500 ml
  • Amniotic fluid color:
    • Opaque white: normal
    • White in: premature pregnancy
    • Yellow, blue: signs of pregnancy failure
    • Red-brown color: still still-still pregnancy
  • Smell of amniotic fluid:
    • Fishy: Normal
    • Stink: infection

Vaginal examination, removal of the cervical opening

Monitor the extent of cervical deletion

3.5. Monitor the extent of cervical deletion

  • Vaginal visits should be restricted to avoid infection;
  • Vaginal visits every 4 hours at the potential phase, every 2 hours at the positive phase, when the amniotic fluid breaks and when deciding to give the maternity push. In case the labor progresses rapidly, it is possible to visit the vagina to assess the cervical, the degree of the throne;
  • The potential phase lasts 8 hours: the onc start of labor until the cervical opening is 3cm;
  • The positive phase lasts up to 7 hours: from the time the cervical opening is 3cm to 10cm (opened);
  • Normally the cervical is soft, thin, without edema. The line that shows the cervical opening eraser on the labor chart is always to the left of the alarm line;
  • Abnormalities if: the cervical does not progress, edema, the line that shows the opening of the cervical opening moves to the right of the alarm line or the cervical opening runs out without the head reaching;

3.6. Monitor the progress of the pregnancy

  • Monitor the degree of development of the fetus by externally rubbing the abdominal wall and visiting the vagina;
  • Assess the progress of the throne: there are 4 levels: high liquid, wishing, tight and shortlisted. Once in, there are 3 levels: high, medium and low
  • Write the degree in the labor chart. Early detection of stagnant labor;
  • If the pregnancy does not progress, if it is in the commune gland, it must be transferred to a place with surgical conditions.

4. Caring for pregnant women in labor

4.1 Subconscious period

  • Nutrition: Feeding women with nutrients
  • Personal hygiene: Provide clothing, tam pads, paper panties, paper towels, personal hygiene instructions
  • For gentle advocacy maternity except in the following cases:
    • Infusion, premature amniotic fluid, pathology…
    • Change the dressing regularly, observe the color of the amniotic fluid (for prematurely breaking amniotic fluid)
    • Notify medical staff of abnormal signs (water, vaginal blood)
    • Instructions on how to breathe, push, rest so that the pregnant woman manages the pain
    • The medical staff is considerate, caring and helping to give the maternity peace of mind, calmness and cooperation.

4.2 Phase of operation

  • Nutrition: feeding maternity porridge
  • Hygiene: Hygiene of the – the biological floor when examining, supporting birth
  • Instructions on how to breathe, push, rest so that the pregnant woman manages the pain
  • The medical staff is considerate, caring and helping to give the maternity peace of mind, calmness and cooperation.

4.3 Post-birth period

  • Nutrition: feed the mother porridge, drink milk, eat soup
  • Personal hygiene: wipe the face, neat hair column, breast hygiene, hygiene of the biological floor, keep the sewing layer of the student clean, dry.
  • For mothers: Health workers guide breastfeeding, proper nutrition, exercise, how to clean breasts and genitals, how to keep the sewing layer of the rye clean, dry.
  • For babies: Babies at birth are warmed, monitor urination, breastfeed early after birth to enjoy colostrum, place the baby on the back of the head slightly high, face tilted to the side.

At Share99 International Health Hub, there is a full maternity service as a solution to help pregnant mothers feel secure because there is a team of doctors throughout the pregnancy. When choosing a full-service maternity, a pregnant woman can:

  • The process of pregnancy is monitored by a team of specialists
  • Regular examination, early detection of abnormalities
  • Package maternity for the convenience of childbirth
  • Infants receive comprehensive care

For direct advice, please click hotline number or register online HERE. In addition, you can register for remote consultation HERE

SEE MORE:

  • Active treatment of stage 3 of labor
  • Fetal stools: Things you may not know
  • The link between gestational diabetes and amniotic residue

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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