The process of labour (parturition) is divided into three stages and we would be discussing the first stage in this blog post.
This is the stage in which dilatation of the cervical os (i.e. the opening of the cervix which is the most inferior portion of the uterus in women) occurs, from concept zero to full cervical os dilatation of 10cm in a parturient at term.
REPRESENTS THE MOMENT AN INDIVIDUAL BECOMES PREGNANT WITH A THOUGHT.
During this stage, the individual (i) thinks, (ii) catches and (iii) buys the dream.
The first stage of labour is characterized by 2 phases:
(i) Latent Phase- This is the prodromal phase because it presents symptoms that indicate that labour is about to start. It is symptomized by:
• Mild-moderate contractions which are increasingly uncomfortable and sometimes painful. These can be correlated with the process of piecing together the thoughts that comprise a dream as they occur to you. As labour progresses, however, the contractions become regular and closer.
• Cervical effacement start; with the cervix moving from posterior to anterior.
• Cervical os dilates from between 0-3cm (primigravida- 1st pregnancy) and 0-4cm (multigravida- 2nd or more pregnancy).
It is correlated with the stretching capacity of one’s brain in response to the thoughts that comprise a dream.
Now, a 1st time dreamer (primigravida) might not respond as quickly as one who isn’t (multigravida)
• Normal latent phase lasts for a maximum of 8hours, during which the emergence of the features of active phase occurs.
• Prolonged latent phase refers to when the duration of this phase exceeds 8hours but is less than 24hours.
However, if it exceeds 24hours, false labour is diagnosed. False labour could either be contractile (with uterine contractions of at least 1 every 10mins) or non-contractile (with no uterine contractions whatsoever or with frequency of recorded uterine contractions being less than 1 every ten mins) and usually transforms into active phase within a few hours, days or weeks.
(ii) Active Phase: Also referred to as established labour. It can be extrapolated with catching and buying a dream. It involves dilatation of the cervical os of an already effaced cervix from 3 or 4cm to full cervical os dilatation of 10cm
• In the primigravida, there are contractions of a minimum frequency of 1 in 10mins, a 100% effacement of cervix and cervical os which is at least 3cm dilated, irrespective of fetal presentation, descent or station of the presenting part
• In the multigravida, there are uterine contractions of 1 in 10mins, at least 50% cervical effacement and a cervical os that’s at least 4cm dilated irrespective of the fetal presentation, descent or the station of the presenting part.
• The strong uterine contractions that dominate the active phase of labour effect the cervical os dilatation, propelling the fetus from the uterine cavity by gradual descent, finally resulting in expulsion of fetus and placenta per vaginam i.e.
WHAT A NORMAL ACTIVE PHASE BECOMES IS DETERMINED BY APPROPRIATENESS OF UTERINE CONTRACTIONS, LIKEWISE CATCHING AND BUYING A DREAM PROPERLY IS DETERMINED BY HOW MUCH TIME WE PUT INTO THE ADEQUATE DEVELOPMENT OF PASSION AND A PROPELLANT FOR THAT.
You can also check: http://medicology101.blogspot.com/2014/04/parturition-and-birthing-of-dreams.html for related post on parturition.
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