Complicated delivery

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Reasons - insufficient readiness of organism to delivery, infections of genital organs, abortions, obesity, various pregnancy complications, woman`s tiredness during delivery and other reasons can lead to appearance of this delivery complication



Episiotomy

Sometimes, when a baby`s head can be seen already, doctor decides to use episiotomy.

Episiotomy is used only on medical indications:

-    perineal tear threat

-    fetus acute hypoxia, to avoid birth traumas

-    breech presentation - to reduce probability of head traumas, which goes last

-    premature birth - to relieve delivery of premature baby, his bones are soft
and can be traumatized easier

-    green amniotic fluid - to relieve delivery of a baby, who suffered during pre-natal
period

-    uterine inertia - birth pangs don`t intensify with time or slacken.

-    cervical dilatation slows down, and delivery are delayed.

Reasons - insufficient readiness of organism to delivery, infections of genital
organs, abortions, obesity, various pregnancy complications, woman`s tiredness
during delivery and other reasons can lead to appearance of this delivery complication.

Delivery, started after long (during several days) pains in the lower part of
belly, accompanied by irregular birth pangs, what leads to a woman`s strong tiredness, are often complicated. This period
is called pathologic preliminary period.

You can find out uterine inertia basing on study of character of birth pangs,
according to the results of examination - absence of cervical dilatation and according
to monitoring of birth pangs intensity.

Treatment is fulfilled depending on discovered reasons. Doctors allow women to
have a rest, administer anaesthetics, sedatives and somnifacients. After several
hours labor is induced again. If labor doesn`t intensify, then doctors administrate
preparations, which induce labor (oxytocin, prostaglandins).

Administration of medicines is fulfilled on the background of anaesthetization,
more often epidural anesthesia, and while careful monitoring of fetus condition. If labor doesn`t intensify
during several hours, then doctors use Cesarean section.

Premature birth

Premature birth are diagnosed, if labor starts on 28-37 weeks of pregnancy. Frequency of premature
birth is 6-8% of all cases.

A baby is born prematurely, his organs and systems are developed not enough.
Depending on duration of gestation premature baby`s weight is from 500 to 2500
g. Premature babies receive birth traumas more often.

Reasons of premature birth:

-    cervix uteri insufficiency

-    previous spontaneous miscarriages or abortions

-    uterine defects

-    abruption of placenta

-    placenta previa

-    multiple fetation

-    fetal hydrops

In 50% of cases doctors fail to determine the reason of premature birth.

While premature labor, if cervical dilatation hasn`t happened yet, they administrate
medicines, preventing to labor development.

If this brings no effect or cervical dilatation is too big, then they direct
labour very carefully, with good anaesthetization, to prevent premature baby`s
birth traumas. Sometimes doctors resort to Cesarean section for the sake of fetus.



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