Practical model for the detection and management of labor progress abnormalities

Abstract

The main objective is to present a practical theoretical model in the management of labor progress abnormalities. The concepts of normal and abnormal labor to be used are described; The graphic instrument to be applied with their respective alert curves, the systematic evaluation of the anomaly and the clinical behavior to be followed: It is a retrospective descriptive study of 250 parturients in which the work model has been used in the management of abnormal evolution of childbirth Among its objectives are the knowledge of the evolution of the birth, whether normal or abnormal, the frequency and type of anomalies in the progress of the delivery, the route of the delivery, the clinical behavior and the perinatal result obtained with the application of the model of proposed work. The clinical profile of parturients is similar to the population that attends the Maternity Hospital Zacamil National Hospital. It was detected that anomalies in the progress of labor occur with a frequency of 28%; prolongation and arrest of the active phase in the same proportion approximately (45% urs 46%). In all cases, a systematic evaluation of childbirth is performed with an oxytocin use result in .56% of cases due to inadequate uterine contractility. The 5% caesarean section rate for the sample in general and in pregnant women with phase abnormal active file of 17%. All infants were categorized as vigorous 5 minutes after birth through the APGAR score.