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labour analgesia

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ISnUdNiaAnN JD. AAn, aAeNstAhN. 2D0,0 H6;E 5M0 E(5S)H : 3: 6A3C - U36T9E PAIN – LABOUR ANALGESIA 363
1. M.D., Ph.D., MNAMS, Prof.
2. M.B.B.S., Sr. Registrar
3. M.B.B.S., Sr. Registrar
Dept. of Anaesthesiology and Pain Management,
RNT Medical College, Udaipur, Rajasthan
Correspond to :
Sunanda Gupta
Dilshad Bhawan, 69 Chetak Circle
Udaipur - 313001, Rajasthan-India
E-mail : sunandagupta@hotmail.com
ACUTE PAIN – LABOUR ANALGESIA
Dr. Sunanda Gupta1 Dr. GS Anand Kumar2 Dr. Hemesh Singhal3
Keywords : Labour analgesia.
Labor is characterized by regular, painful uterine
contractions that increase in frequency and intensity and
are associated with progressive cervical effacement and
dilatation. Labour has been divided into three stages. The
first stage occurs from onset of cervical change to
10 cms dilatation. It can be divided into latent and
accelerative phases. The latent phase can last up to 8 hrs,
without the need of intervention, while the active phase is
associated with a faster rate of cervical dilatation and
usually begins at 2-4cms dilatation and the duration varies
from 2 to 6hrs. The second stage occurs from full cervical
dilatation (10 cm) to delivery of the baby. Normally the
second stage lasts for 2 hrs (3 hrs with regional anaesthesia)
in a primipara and 1 hr (2 hrs with regional anaesthesia)
in a multipara. The third stage occurs from delivery of the
baby to separation and expulsion of placenta and the
membranes.
Pain pathways
Mechanis...

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Submitted by: addypaddy
Date Submitted: 12-06-2010
Category: Science
Words: 3666
Pages: 14.66