Excessive labor activity

Excessively strong, violent labor activity is characterized by very strong and / or frequent contractions and attempts (after 1-2 minutes), which can lead to rapid (1-3 hours) or rapid (up to 5 hours) childbirth. The expulsion of the fetus sometimes occurs in 1-2 attempts. Violent labor activity poses a danger to the mother and fetus. Women in labor often have deep ruptures of the cervix, vagina, clitoris, perineum; possible premature detachment of a normally located placenta or the development of bleeding. Frequent, very strong contractions and rapid expulsion of the fetus do not often lead to hypoxia and birth trauma to the fetus.

It is observed in excitable and nervous women in labor. Perhaps it is associated with impaired cortico-visceral regulation and increased formation of contractile substances (oxytocin, acetylcholine, prostaglandin, etc.).

Treatment of excessive labor

With excessively strong labor activity, labor management is focused on reducing labor activity. The woman in labor is laid on her side, opposite the position of the fetus, and anesthesia is given. Childbirth takes place in the position of a woman on her side.

If a pregnant woman has a history of rapid labor, hospitalization in a maternity hospital before the onset of labor is indicated. If previous pregnancies ended in rapid delivery with an unfavorable outcome for the fetus, then it will be necessary to promptly raise the question of a planned caesarean section in the interests of the fetus.

Prevention of excessive labor activity

In order to prevent anomalies of labor activity, careful observance of the medical and protective regimen, careful and painless delivery will be necessary. Drug prophylaxis is carried out in the presence of risk factors for the development of anomalies in the contractile activity of the uterus: young and old age of primiparas; burdened obstetric and gynecological history; indication of chronic infection; the presence of somatic, neuroendocrine and neuropsychiatric diseases, vegetative-vascular disorders, structural inferiority of the uterus; fetoplacental insufficiency; overstretching of the uterus due to polyhydramnios, multiple pregnancy or large fetus.

Women who are at risk of developing abnormal labor activity will need to undergo physio-psychoprophylactic preparation for childbirth, teach methods of muscle relaxation, control of muscle tone, and skills to reduce increased excitability. Night sleep should be 8-10 hours, daytime rest should be at least 2-3 hours. Prolonged stay in the fresh air, rational nutrition are provided.

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