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https://www.ncbi.nlm.nih.gov/pubmed/18711948
Aug 01, 2008 · Vaginal delivery is a natural process that usually does not require significant medical intervention. Management guided by current knowledge of the relevant screening tests and normal labor process can greatly increase the probability of an uncomplicated delivery and postpartum course.Author: Dale A. Patterson, Marguerite Winslow, Coral D. Matus
https://emedicine.medscape.com/article/2047173-overview
Jun 23, 2016 · Episiotomy is a surgical incision of the perineum performed by the accoucheur to widen the vaginal opening to facilitate the delivery of an infant (see the following images). It is one of the most commonly performed procedures on women worldwide. Initially described in 1742, episiotomy was introduced into the United States in the mid-19th century.
https://mospace.umsystem.edu/xmlui/bitstream/handle/10355/13744/NormalSpontaneousVaginalDelivery.pdf?sequence=1
Normal Spontaneous Vaginal Delivery Page 2 of 7 10.23.08 o Upright (squatting or kneeling) Reduced duration of 2nd stage, decr episiotomies, decr pain, incr 2nd degree tears, incr blood loss (SOR:A)2 o Water delivery Data too limited to assess outcomes but water immersion in 1st stage reduces analgesia use, decr pain w/out change in labor duration,
https://www.aafp.org/afp/2015/0801/p202.pdf
Most of the nearly 4 million births in the United States annually are normal spontaneous vaginal deliveries. ... of epidurals late in labor and routine episiotomy. ... for normal delivery in low ...
https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/episiotomy
What happens during an episiotomy? Your healthcare provider may do an episiotomy as part of your vaginal birth. The procedure and the type of episiotomy may vary based on your condition and your healthcare provider's practices. Generally, an episiotomy follows this process: You will lie on a labor bed, with your feet and legs supported for the ...
https://library.med.utah.edu/kw/human_reprod/lectures/physiology_labor/
Physiology of Normal Labor and Delivery. Normal labor Emanuel Friedman in his elegant treatise on labor (1978) stated correctly that "the clinical features of uterine contractions namely frequency, intensity, and duration cannot be relied upon as measures of progression in labor nor as indices of normality.
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