CLASE 3 Labor de Parto y Parto Normal - SEMINARIO 209 II - DR OLIVENCIA

 

MNO@_ CL YN_S@ T YN_S@ G@_JNM.

 

S_NONH@ CL YN_S@ A`gsdstl lg ugn slrdl cl a`gtrnaad`gls a`gtdguns y pr`krlsdvns clm øtlr` qul nyucng n qul lm aulmm` utlrdg` sl norn (cdmntl) y nclmknal (sl o`rrl), pnrn plrjdtdr qul lm blt` pnsl p`r lm angnm cl pnrt`.

 

S_NONH@ CL YN_S@ Yrlslgadn cl a`gtrnaad`gls utlrdgns c`m`r`sns na`jpnþncns p`r ugn cl mns sdkudlgtls adraugstngadns8 (*) >)_`turn cl jljorngns ?)Lxpumsdñg clm tnpñg jua`s` 1)O`rrnjdlgt` a`jpmlt` clm aulmm` utlrdg` ✓

(*) Gntd`gnm Jntlrgdty E`spdtnm `b Olrmdg

YN_S@ G@_JNM

 

 Nqulm cl a`jdlgz` lsp`gtîgl`, cl onh` rdlsk` clscl lm a`jdlgz` clm trnonh` cl pnrt`, enstn mn bdgnmdznadñg clm gnadjdlgt`.

✓

Clbdgdadñg cl Ynrt`. @JQ ✓ Ql clbdgl a`j` lm pr`als` p`r lm aunm lm blt` ls lxpumsnc` clm øtlr`. _lqudlrl cl a`gtrnaad`gls lblatdvns y rlkumnrls qul mmlvng n mn cdmntnadñg y nm o`rrnjdlgt` clm aärvdx.

 

Y_@C_@J@Q CLM YN_S@ >. Clsalgs` clm B`gc` \tlrdg` (prlslgtnadñg) ?. 1. 3. 5 E`rns Jumtdklstns 29 jdg. Yrdjdklstns 19 jdg. Jumtdklstns 3 ‑ 5 jdg. Yr`jlcd` >9 jdg. Yr`m`gknc` 19 jdg.

`

_ltlgadñg

Srnonh` cl pnrt`.

 

trnonh` cl pnrt` nav`

nalmlrnadñg cl mn cdmntnadñg

bnsl mntlgtl

bnsl navn >n

> n ? n 1n 3n

cdmntnadñg lxpumsdñg lxpumsdñg cl øtlr` a`jpmltn clm pr`cuat` mn pmnalgtn a`gtrnêc`

?n 1n3n

b cdmntnadñg cdmntnadñg b lxpumsdvn lxpumsdvn b cl nmujornjdlgt` b pulrplrd` dgjlcdnt` dgjlcdnt` ( ? >rns ers) ers) .

 

Y_DJL_ YL_D@C@

Dgdadn lm prdjlr c`m`r mnvlrcnclr` pnrt`a`g y tlrjdgn aungc` cdmntnad`g clm ls jîxdjn (>9 aj).

 

Y_DJL_ YL_D@C@ ⦰ Ql cdvdcl lg c`s bnsls 8

Mn bnsl mntlgtl ⚦ Mn bnsl natdvn. ⚦

⦰ N su

vlz mn bnsl natdvn sl sl suocdvdcl lg 8

bnsl cl nalmlrnadñg ⚦ bnsl jîxdjn plgcdlgtl ⚦ bnsl cl clsnalmlrnadñg. ⚦

 

Bnsls clm plrd`c` cl cdmntnadñg8 ⦰Mntlgtl ⚦Mn jîs mnrkn ⚦

Cdmntnadñg mlgtnmns a`gtrnaad`gls A`jdlgzn a`g ⚦Slrjdgn a`g cdmntnadñg cl ?.5 ‑ 1 aj ⚦

 

⦰Natdvn

A`jdlgzn clspuäs cl bnsl mntlgtl

⚦

Slrjdgn aungc` mn cdmntna cdmntnadñg dñg ls cl >9aj

⚦

◆ NALML_NADÑG JÎUDJ@ ◆ ◆ CLAMDJL CLQNALML_NADÑG

 

Aurvn cl Brdlcjng

Cdmntnadñg8 enstn 1 aj Dgtlgsdcnc8 19 jjEk Brlaulgadn8 1 ‑ 3 a`g/>9 jdg S`g`8 5 n >? jjEk

Cdmntnadñg8 3 n >9 aj Dgtlgsdcnc8 39 n 29 jjEk Brlaulgadn8 3 ‑ < a`g/>9 jdg S`g`8 5 n >? jjEk

 

Aurvn cl Brdlcjng

 

YL_D@C@ LUY\MQDR@

 

YL_D@C@ LUY\MQDR@ >. Curnadñg Gumêpnrns8 = ? e (pr`jlcd` e (pr`jlcd` 19 jdg)

?. Bdsd`m`kên Brlaulgadn8 < - >9 x jdg Curnadñg8 29-49 jdg Dgtlgsdcnc8 =. AN_NASL_ÊQSDANQ A@GS_NAAD@GLQ \SL_DGNQ ⦰

S`g` onsnm8 5 ->? jjEk

⦰

Dgt gtlg lgssdc dcnnc8 ?5 - 34 34 jjE jjEkk

⦰ ⦰

Brl rlau aulg lgad adn8 n8 11-< < lg lg >9 >9 jdgu jdgut` t`ss Curn Cu rnad adñg ñg ?9 ‑ 49 slk slkug ugc` c`ss

 

?. Lsbulrz`s cl Yuh` A`gtrnaad`gls bulrtls cl m`s jøsaum`s cl mn pnrlc noc`jdgnm. Lm clsl` cl puhnr npnrlal aungc` mn cdmntnadñg alrvdanm ls a`jpmltn ( cdstlgsdñg cdstlgsdñg clm angnm clm pnrt` ). ). Q`g8 ⦰ Yuh`s lsp`gtîgl`s ⦰ Yuh`s cdrdkdc`s 

 

Blgñjlg`s pnsdv`s

⦰O@__NJDLGS@8

_lcuaadñg cl mn m`gkdtuc

clm angnm alrvdanm p`r mns a`gtrnaad`gls - Gumêpnrn8 o`rrnjdlgt` ngtlalcl n mn cdmntnadñg - Jumtêpnrn8 o`rrnjdlgt` y cdmntnadñg sdjumtnglnjlgtl

CDMNSNADÑG AL_RDANM8 p`r trnaadñg qul lhlralg mns bdorns clm aulrp` utlrdg`, p`r mn  prlsdñg edcr`stîtdan cl mn o`msn cl nkun.

⬬

 

YL_D@C@ CL NM\JO_NJDLGS@

 

C\_NADÑG

⦰Dgdad`8 gnadjdlgt` clm gdþ` ⦰Aumjdgn8 lxpumsdñg cl mn pmnalgtn y

J.

`vumnrls ⦰A`gtrnaad`gls

8 lxpumsdñg cl mn pmnalgtn y jljorngns () CLQY_LGCDJDLGS@ CL MN YMNALGSN ⚦

⚦

Ql pr`cual a`gtrnaad`gls qul sdkulg n mns p`r clm mns Y. Lxpumsdv`. Jlangdsj`s8 ◆ Qaeumtzl ◆ Cugang

 

?) Clsprlgcdjdlgt` cl mns jljorngns `vumnrls

1) Clsalgs` cl mn pmnalgtn  ‑ Clm aulrp` ↟ slkjlgt` ↟ vnkdgn

3)Lxpumsdñg cl mn pmnalgtn

 

C@Q JLANGDQJ@Q CL CLQY_LGCDJDLGS@ SDY@

ON\CLM@A^\L

ON\CLM@A^\L - C\GANG

A@JDLGX@

-QAE\MSXL Algtrnm

Ylrdbärda`

ELJNS@JN

+

-

ELJ@__N -KDN RDQDOML

-

+

DGQL_ADÑG

B`gc`

Qlkjlgt`

 NYN_DADÑG  NYN_DADÑG LUSL_D@_

Anrn bltnm

O`rcl pmnalgtnrd`, anrn jntlrgn

B_LA\LG -

59%

?9%

ADN

 

•  Ql rladol mn pmnalgtn lvdtngc` qul andkn p`r ⦰

pr`pd` pls` ⦰ Lvdtn su clsknrr` y clsprlgcdjdlgt` dga`jpmlt` cl mns jljorngns ⦰Slrjdgncn mn lxpumsdñg8

su

 

LUNJLG YMNALGSN_D@ Y@QS YN_S@ ⦰AN_N

BLSNM8 

A`rcñg ujodmdanm. ⚦O`rcl cl mn pmnalgtn. ⚦Ymnans cl bdor`sds. ⚦Cdsp`sdadñg clm ngdmm` bdor`s` ⚦

(Ymnalgtn Dgtlkrdcncadraugvnmncn) cl jljorngns `vumnrls (njgd`s, pmnan a`rdnm, a`rd`g)

⚦

 

JNSL_GN8   AN_N JNSL_GN8 ⦰ A`tdmlc`gls ⦰ Yugt`s sngkrngtls ⦰ Anmadbdanad`gls ⦰ Ymnans cl bdor`sds ⦰ Dgbnrt`s (Omnga`s y _`h`s)

 

NQDQSLGADN ⦰A@GS_@MLQ

JNSL_G@Q8 JN SL_G@Q8

YN, pums`

⚦ ⚦

Qngkrnc` vnkdgnm Anrnatlrêstdans cl mns jua`sns ⚦Qdkg`s cl clsprlgcdjdlgt` pmnalgtnrd` ⚦Rnadnr m vlhdkn sd ls glalsnrd` ⚦Rdkdmnr lm plrdgl` ⚦Lstnc` cl edcrntnad`g ⚦

 

LYDQD@S@JÊN

Clbdgdadñg

 

⦰Lpdsd`t`jên

(plrdgl`t`jên) ls ugn täagdan qudrørkdan sdjpml cl rlmnhnadñg (slaadñg clm ngdmm` vumv`plrdglnm) qul sl rlnmdzn a`g anrîatlr pr`bdmîatda`, pnrn lgsngaenr lm dgtr`dt` vnkdgnm y nsê lvdtnr qul mn prlslgtnadñg bltnm pr`v`qul ugn edplrcdstlgsdñg clsknrr` clm plrdgä, vnkdgn y yp`stlrd`r lspladnmjlgtl cl jøsaum`s y np`glur`sds clm sulm` pämvda`.

 

Rlgtnhns l Dgcdanad`gls DGCDANAD@GLQ

RLGSNHNQ ⦰

Lvdtn edplrcdstlgsdñg y prlvdlgl clsknrr`s plrdglnmls, vnkdgnmls y clm sulm` pämvda`.

⦰

Cdsjdguyl mn a`jprlsdñg qul lhlral lm ngdmm` vumv`plrdglnm s`orl mn anolzn bltnm. curnadñg clm plrd`c` lxpumsdv` nm cdsjdgudr rlsdstlgadn cl mn jusaumnturn clm sulm` pämvda`.

⦰

Ql clol lsplrnr enstn qul mn anolzn bltnm a`r`gl nm jîxdj`, y sñm` sl rlnmdzn aungc` ls dgjdglgtl mn pr`cuaadñg cl ug clsknrr`.

⦰

Lg

ans`s

cl

lxpumsdv`

pr`m`gknc` (29 jdgut`s)

⦰  Na`rtn

⦰

Qubrdjdlgt` bltnm

⦰

Lg mn jny`rên cl pnrt`s dgstrujlgtnc`s.

⦰

Yulcl rlpnrnrsl jîs bîadmjlgtl qul ug clsknrr`.

Sdp`s

 

JLCDNGN

JLCDNG@ - MNSL_NM

 

LYDQD@S@JÊN JLCDNGN

QL LUSDLGCL CLQCL MN A@JDQ\_N R\MRN_ Y@QSL_D@_ (E@_^\DMMN) ENQSN \G Y\GS@ QDS\NC@ N >,< ‑ ?AJ CLM NG@, QDK\DLGC@ MN MÊGLN CLM _NBL YL_DGLNM.

 

LYDQD@S@JÊN JLCDNG@ MNSL_NM

YN_SL CL MN A@JDQ\_N R\MRN_ Y@QSL_D@_ (E@_^\DMMN) T QDK\L \G S_NTLAS@ CDNK@GNM LG LM YL_DGÄ, A@G CD_LAADÑG N MN S\OL_@QDCNC DQ^\DÎSDAN.

 

Lg mn lpdsd`t`jên jlcdngn ` jlcdng` ‑ mntlrnm sl dgadclg8 ⦰>. Ydlm y SAQA ⦰?.

Jua`sn vnkdgnm

⦰1. Snodqul ur`klgdtnm ⦰3. Np`glur`sds dgtlra`mujgnr

` suplrbdadnm clm cdnbrnkjn pämvda`

⦰/1 YN_SL CL M@Q ANQ@Q Y@_ NMK\G@Q CÊNQ CDQ CDQY YN\_ N\_LGD LGDN NL LG G @A @ANQD@ NQD@GLQ GLQ

@ANQD@GNMJLGSL QL LUSDLGCL LG B@_JN NAADCLGS NAADCLGSNM NM

QL Y_@R@ANG MNAL_NAD@GLQ A@G JNT@_ B_LA\LGADN

 

⦰

Lpdsd`t`jên mntlrnm 8 Gnal lg lm mnod` jny`r, lg mn ugdñg cl m`s ?/1 ngtlrd`rls a`g lm >/1 p`stlrd`r, y sl cdrdkl

enadn mn tuolr`sdcnc dsqudîtdan, nonrangc` lg mn slaadñg t`c`s m`s tlhdc`s clm mnod` jny`r. ⦰

Dgadsdñg jlcdng`-mntlrnm cl lxtlgsdñg jîxdjn, qul sl pr`bugcdzn enstn lm sura` vnkdgnm, aurvîgc`sl enadn nonh` y mntlrnmjlgtl nmrlclc`r clm rlat`. Lg prlsltnadñg p`cîmdan, blt`s jnar`aäbnm`s ` pnrn a`rrlkdr nmkugns cdsat`adns cl e`jor`. Dgadsdñg

cl

Qaeucnrt 8

 

Säagdan ⦰>.

Clsdgblaadñg ⦰?. Nglstlsdn m`anm 8 ;->9jm cl xdm`anêgn ` g`v`anêgn nm ?% ⦰1. Dgadsdñg8 Ynrt` lsp`gtîgl`8 sl lsplrn enstn

⚦

qul mn anolzn a`r`glaungc` nm jîxdj` y sñm` bltnm sl rlnmdzn ls dgjdglgtl mn pr`cuaadñg cl ug clsknrr`

 

Ynrt` prltärjdg`8 Ngtls cl qul npnrlzan

⚦

anolzn bltnm. Ynrt`s dgstrujlgtnc`s8

⚦

◆ Bñralps8 clspuäs cl a`m`anr lm npnrnt` ◆ Lxtrnaadñg nm vnaê`8 ngtls cl a`m`anr lm npnrnt`

 

Lpds`rrnbdn ⦰_lpnrnadñg

cl mn lpdsd`t`jên qul sl rlnmdzn clspuäs qul sl en lxpumsnc` mn

pmnalgtn (lxalpt` aungc` lm nmujornjdlgt` sl pr`m`gkn, c`gcl clol rlnmdznrsl pnrn prlvlgdr mn pärcdcn cl sngkrl) ⦰Y`sdadñg mdt`t`jên y lstrdatn nslpsdn.

 

Säagdan ⦰>.

Yrlpnrnadñg8 nslpsdn ⦰?. A`m`anadñg clm ”rntñg‚ ⦰1. ⦰3.

Elj`stnsdn Quturn ⦰. Quo`aadpdt` orlkjntda`8 4.1.< aj. Cdnjltr`s Srngsvlrs`s8 ?aj. 5. Odnar`jdnm8 Odtr`angtlrl`8 4aj.

 

Rnrdlcnc cl p`sdadñg ⦰_lmnadñg lgtrl lm

blt` y mn plmvds jntlrgn.

G`jlgamnturn8 @ D D N

@ : `aadpdt`

D : dzqudlrcn

 D : dmdnan

N : ngtlrd`r 

 

Y`st Clr 

Srngs Clr 

 Ngt Clr 

Qnar`

C D

Y`st.Dzq.

Srngs. Srng s. dzq dz q

 Ngt. Dzq

Yuods

 

RN_DNGSLQ CL Y@QDAD@G T Y_LQLGSNAD@G ⦰@aadpuad` (`) ‑ värtdal. ⦰Jlgtñg (j) ⦰Qnar` (s)

‑ anrn.

‑ pämvdan.

⦰Lg rlmnadñg nm

angnm clm pnrt` pulclg slr

clrlae` (C) ` dzqudlrc` (D). ⦰Lg rlmnadñg n mn plmvds

jntlrgn pulclg slr

ngtlrd`r (N), p`stlrd`r (p) ` trngsvlrsn (S).

 

39%

?9%

 

?9%

 

?9%

 

Jlangdsj` clm Ynrt` A`ghugt` cl j`vdjdlgt`s pnsdv`s n m`s qul ls s`jltdc` lm blt` p`r naadñg cl mns a`gtrnaad`gls utlrdgns y m`s puh`s. Lg mn prlslgtnadñg albîmdan cl värtdal m`s j`vdjdlgt`s anrcdgnmls s`g8 >) clsalgs`. ?) Lg Lgan anhn hnjd jdlg lgt` t`.. 1) Bmlxdñg. 3) _` _`tn tnad adñg ñg dgt dgtlr lrgn gn.. ¸ Sdljp`8 NA@J@CNADÑG T @_DLGSNADÑG  * Yr`als` lg lm qul mn anolzn clm blt` sl ncnptn n mn b`rjn clm lstrlae` suplrd`r cl mn plmvds pnrn dgkrlsnr n mn anvdcnc pämvdan.

J@CDBDAN Q\ Y@QDADÑG

Y`r lgadjn clm lstrlae` suplrd`r mn anolzn bltnm sl lgaulgtrn lg p`sdadñg trngsvlrsn, plr` nm

J@CDBDAN Q\ NASDS\C

Q`orl lm lstrlae` suplrd`r cl mn plmvds mn anolzn bltnm sl enmmn lg ugn p`sdadñg dgtlrjlcdn,

dgkrlsnr nm angnm clm pnrt`, anjodn cl p`sdadñg

cl j`c``aaêpdt` qul `brlal su cdîjltr` br`gtnm nm `omdau` plmvdng` qul p`sll mn jdsjn m`gkdtuc

 

Jlangdsj` clm Ynrt` >¸ Sdljp`8 NA@J@CNADÑG T @_DLGSNADÑG 

Bmlxdñg cl mn  

Jlangdsj` clm Ynrt` ?¸ Sdljp`8 CLQALGQ@ T LGANHNJDLGS@  * Jlangdsj` p`r lm aunm a unm mn prlslgtnadñg ntrnvdlsn mn lxanvnadñg pämvdan.

QDGAMDSDQJ@

NQDGAMDSDQJ@

Aungc` mn suturn snkdtnm clsadlgcl `aupngc` lm lhl pämvda`

Aungc` mn suturn snkdtnm g` a`dgadcl a`g lm lhl pämvda` -Nsdgamdtdsj` ngtlrd`r ngtlrd`r.. -Nsdgamdtdsj` p`stlrd`r p`stlrd`r..

 

Jlangdsj` clm Ynrt` ?¸ Sdljp`8 CLQALGQ@ T LGANHNJDLGS@ 

Lganhnjdlgt`  

NQDGAMDSDQJ@

 

Jlangdsj` clm Ynrt` 1¸ Sdljp`8 _@SNADÑG DGSL_GN * Yr`als` jlcdngtl lm aunm mn anolz anolzn n qul clsadlgcl anjodn cl p`sdadñg pnrn enalr a`dgadcdr su cdîjltr` jny`r jny`r a`g lm lhl jny`r clm lstrlae` dgblrd`r. * A`g tnm `ohlt` mn anolzn r`tn 3