Labor :A Winning Marathon of Fertility.... first Blog

Clildbirth is a labourous work so it is a labor. It is very, very hard work so childbirth process called aptly Labor.The physical activity of giving birth is called labor and in the hospital you give birth i.e. delivery room.Put the two together and you have a labor room.so in a room where delivery of baby conducted called LABOR room.
Labor in Obstetric is a basic term without which Obstetric and Gynaecology subject is nothing in Medical field during MBBS study.

 So to understand this Labor which is a basic term i thought to write 1 st blog on Labor under this section of blog in a simple lucid language.
Labor in which the delivery events occurs.
series of events that take place in genital organs in an effort to expel the viable products of conception out of womb through vagina Into outer world is called as labor.Giving birth to a child is, indeed, labour, and hard labour at that and it’s long, painful, exhausting process - you feel like you’ve just run a marathon and WON a marathon !There is some theoretical terms and concepts to understand in Labor.Labor occurs in a Four Stages.

10 signs that you are in labor shown in picture below.

4 stages Of Labor in picture

First Stage of Labor begins with uterine contractions which are regular and contractions cause complete cervical dilatation at 10 cm.such strong  Contractions continues till delivery of baby.Contractions also occurring in a Antenatal period also in any month  but they are not such strong to deliver baby in womb.

The pain which is felt during delivering the baby is referred as Labour pain.

First Stage has 2 phases like 1)latent phase (<3 cm) and 2) an active phase (3-10 cm)

The latent phase begins with mild, irregular uterine contractions that soften and shorten

the cervix.Contractions become progressively more rhythmic and stronger.Patient will get more nd more pain.Pain is so severe.Pain relief medications can be given to relieve pain. epidural Anesthesia can be considered in some patients for painless delivery. The active phase usually begins at about 3-4 cm of cervical dilation and is characterized by rapid cervical dilatation and downward displacement of the fetal head. True labor is more consistent with first stage of labor.
Contractions in true labor occur at regular intervals,Intervals gradually shorten and Intensity gradually increases.Pain is in the back and abdomen of mother.

There is a progressive cervical thinning and dilatation of cervix occurs.True labor pain is associated with show and formation of bag of amniotic fluid in front of baby head which is called as forewaters which is associated with downward displacement of the fetal head .Second Stage of Labor which begins with complete cervical dilatation and ends with the delivery of the fetus. Labor or childbirth process which is longer requires operative interference or sometimes instrumentation required for delivery to be conducted.

In Nulliparous women means not delivered baby in her life at all ;the second stage of labor should be considered prolonged  if it exceeds 2 hours in the absence of regional anesthesia and in multiparous women meanshaving 2 or more childbirths in which second stage should be considered prolonged if it exceeds 2 hours with regional anesthesia or 1 hour without it.Most important is a Third Stage of Labor which  is the period between the delivery of the fetus and the delivery of the placenta and fetal membranes. Delivery of the placenta often takes less than 10 minutes, but the third stage may last as long as 30 minutes.

In this 3rd stage ,Normal Vaginal Delivery of baby going to occurs.Fourth Stage of labor means at least 1 hour observation after the expulsion of placenta i.e.Placental delivery and membranes.

General condition of the mother and behavior of uterus are carefully to be monitored.Monitoring of Baby and mother in this stage done.

There is also a stage which is before labour starts i.e. Prelabor stage.

Most of Complications occurring in all stages.but serious in 3rd stage So delivery will be conducted in Hospital settings now a days to minimize this complications. Postpartum Haemorrhage is a most dreadful complication occurring in 3rd stage due to which maternal deaths occurring in high numbers.

Labor occurs through mechanism.Best explained in video from Youtube

https://youtu.be/CK9XDPTwMe0

Watch video to understand 

Mechanism Of Normal Labour

Postpartum Haemorrhage occurs mostly due to mismanagement of 3rd stage of labor so Government has decided to focus ,concentrate on 3rd stage and give training to all Healthcare providers in Public health.So labor is Childbirth with Winning momento trophy of life and is like a Winning Marathon of Fertility....

मराठी भाषा मध्ये वाचायचे असल्यास For Marathi to understand

@crazycervix