How to deal with abnormal delivery?

summary

Abnormal childbirth is what we usually call maternal dystocia. Usually, abnormal childbirth occurs when the expectant mother is pregnant and full-term, but the baby can not be born smoothly. There are many reasons for abnormal childbirth, such as abnormal birth canal, incorrect fetal position, insufficient maternal productivity, pregnant mother tension and so on. How to deal with abnormal delivery? Next, I'd like to share my views with you.

How to deal with abnormal delivery?

First: conservative treatment in the case of uterine inertia, prolonged labor, but no serious mechanical obstruction, it is estimated that the fetus can be delivered from the vagina, should be based on conservative treatment. If the labor process is prolonged and the rest is not good, it is easy to cause fatigue or exhaustion. Therefore, more spiritual comfort and encouragement should be given. Take orally 10-15ml hydrochloraldehyde mixture, intramuscular injection of dolantine or promethazine 50mg, or intramuscular injection of diazepam 10mg.

The second is to actively deal with severe mechanical obstruction, such as cephalopelvic disproportion and / or malposition, resulting in fetal failure to deliver, or any emergency situation threatening the safety of mother and child during delivery, such as fetal distress, umbilical cord prolapse, or threatened uterine rupture, active measures should be taken to end the delivery.

Third: fetal head aspiration or forceps is suitable for those whose head position has been connected and the uterine orifice has been opened completely; Hip traction is suitable for breech position; The combined internal and external buttock traction is suitable for those who are not connected in transverse position and head position; Cesarean section, where the fetus can not be delivered from the vagina, or because of the urgent situation from the vagina delivery conditions are not complete, can be cesarean section.

matters needing attention

1. To make pregnant women understand that pregnancy and childbirth are normal physiological processes, enhance their confidence in childbirth, eliminate unnecessary ideological concerns and fears, mobilize their subjective initiative, care about pregnant women's diet, rest and defecation, and avoid excessive use of sedative drugs too early. 2. For those who have uterine atony, close observation, careful analysis and timely treatment should be carried out. Abnormal fetal position should be corrected as soon as possible. Use progesterone more than before. Patients with uterine diseases should be cured before pregnancy.