Prolonged Latent Phase

The latent phase of the first stage of labor is variable in length, but usually less than 20 hours for a nullipara and 14 hours for a multipara. It is defined by the onset of regular contractions and is terminated by the onset of the active phase. The rate of dilation is usually 0.6 cm/hr or less. This phase is considered prolonged if it falls outside these parameters. The possible etiologies include an unripe cervix, false labor, sedation, and uterine inertia. The management of this condition is primarily conservative unless there is an expeditious need to deliver the fetus. This includes rest, observation, and possibly oxytocin augmentation. Maternal rest can be induced by a therapeutic dose of morphine, to provide a respite from the stresses of early labor and to promote sleep. The vast majority of these patients will declare themselves and either progress into labor or cease contractions, and then the diagnosis of false labor can be made. Amniotomy should be avoided in this phase because it increases the risk for cho-rioamnionitis. A prolonged latent phase in itself is not an indication for cesarean section.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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