Definition and causes
It is difficult to define when a birth is lengthy. Often the extension period (the first part of the birth) a variable, and if the woman is otherwise well-being and not exhausted, it may well drag out longer than normal without intervention. A rule of thumb indicates that the first phase of birth should not be longer than 20 hours for the first time, women, and 14 hours for a multidose. In addition, many food sections on politics, that the birth canal will open with ½ -1
The most common reason for a birth is long, is that véerne is inadequate. In addition, it may be because the baby is too big (or woman is too narrow), or that it is a wrong position Forster (abnormal fetal presentation). In rare cases it may be due to defects in the child such as hydrocephalus, where the child's head is disproportionately large (this would normally be detected before birth).
Treatment of protracted birth
Treatment varies according to the operative cause. In the case of insufficient Veer, the solution may be a drop with a synthetic hormone that stimulates véerne.
At irregular fetal presentations, it may be necessary to use the tools at birth.
Select and complications
During birth, the fetus is monitored with kardiotokografi, there is a monitoring of the child's heartbeat and mother's labor pains, and possibly also take blood samples from the child's head. If this monitoring finds that the fetus is threatened, mostly due to lack of oxygen, it may be necessary to make an emergency Caesarean.