Management of labor and delivery

Labor can be induced artificially. This is usually done by administering oxytocin such as Pitocin or Syntocinon. The main function of this drug is to stimulate the uterine contraction and increase the rate of contraction. Prostaglandins can also be administered because it can help dilate the cervix and also have some ability to induce labor. Another aspect of labor is that it can be slowed when discovered that the uterine contraction is too fast.

This is usually done by given Terbutaline which can slow the rate of uterine contraction. Delivery procedures In delivery, the clinician first does a vaginal examination to determine the position and the station of the head of the baby. When the contraction, dilation is completed, the woman will be given certain instruction such as to try and strain. This is aimed at helping to move the head of the baby via the pelvis and all subsequently help to dilate the cervix so that more of the head portion appears.

In some situation perineal laceration can be done to help the woman to facilitate or help in the delivery of the infants. This is done when about 3-4cm of the head portion appears. In some cases some forms of maneuver can be done so has to reduce the risk of laceration. The maneuver is known as Ritgen maneuver. There are situations where the woman would be assisted to deliver the child. One of the ways in which the woman can be helped is termed “assisted vaginal delivery” which encompasses different method of delivery.

One of the assisted vaginal deliveries is known as the forceps-assisted vaginal delivery; it entails the use of different types of specially designed forceps to help the woman. Assisted vaginal delivery it’s a surgical procedure designed to effect vaginal delivery. There are various criteria which must be seen before assisted vaginal delivery is carried out. Such criteria can be of maternal, fetal, uteroplacenta factors. Another form of delivery which is very common whenever there are complications is the cesarean delivery.

This involves the surgical delivery of the baby. The surgery is done on the abdomen of the woman and her uterus and it’s mostly indicated when the doctor considers it safe for the woman compared to the vaginal delivery. Indications for cesarean delivery include; prolonged labor, abnormal position of the fetus such as breech presentation, when the fetus is in great distress or when the woman had already done a previous cesarean delivery.

Conclusion

Success and proper management of labor involves the collective efforts of the mother, the doctor, nurses and other paramedics. Mothers should adhere to the instructions given to her during the ante-natal care and clinician must also take note of the medical history and other relevant information that can help in the proper management of labor and delivery

Reference

Errol, N. , Julian, R. and John, T. (2002). Labor and delivery. Obstetrics-Normal and Problems of Pregnancies. Churchill Livingstone, Inc