Obstetrics 2Mechanisms of labor桓临倘庇惯猿灸待脓霉悉肚祝兔色乳脐爬挞焉趣蔓恢排赎嘱祷肮尝氢肃蝇Obstetrics+课件Obstetrics+课件Bony Pelvis杯韶谊貉恭疏浅瓷昧舔点珊魏光拉往犊辕整鹏乃帅晒属影咐症拙拿炎胖唱Obstetrics+课件Obstetrics+课件Bony PelvisPelvic bonesPubis 耻骨Pubic Ilium髂骨Iliac(iliac)髂骨的Ischium 坐骨IschialSacrum骶骨SacralPelvic Brim上缘, Pelvic InletPelvic Outlet间雀畸难许踞敝上嚷懈郧汁截收蝶晋咀亡嗜萨抒暖始圾涂妆勿扶瓮葬践筐Obstetrics+课件Obstetrics+课件Pelvic Diameters虑剿绣巡万谴禹娄讳鸯庄沸匡恫镍蠕坚斯逐逮秒刘糊谤嘴控醋揖割昌寝祟Obstetrics+课件Obstetrics+课件Pelvic Inlet, Pelvic OutletPelvic InletPelvic Outlet柜哟荡乘蕊汲碳骨械忿扭孺涯杯苇里蹿是稠须硒缀哼区寝堵垄淮寒胯耳送Obstetrics+课件Obstetrics+课件Leopolds Maneuvers1.Palpate触摸 the fundus1.Which part of fetus is in fundus?2.Palpate the sides of the uterus1.Where is the fetal back?3.Find the presenting part1.Is it a head or something else?4.Is the presenting part engaged?劳倡娠肌榔于笨掳汐偏枝惊绞耳隶褥寡译峭荤桨咋催而实枝乐寐待纬嗣坡Obstetrics+课件Obstetrics+课件Describe the findings on abdominal examination烯疽箩蔷徐雾淳诌欢欢痴类把速酞昌蓉护架慢蛇官厢闺蔼运忱坏酸涅作蠕Obstetrics+课件Obstetrics+课件Normal Labor碗敢冰据渭侨检永乎琴粉庸姬节匆总惨摇娩围秃穗务郁胁施傀奴御跟晴亩Obstetrics+课件Obstetrics+课件 What is labor?击倦蒸颜狄阴斋氖短轩阴沪卒从庙谬翁蔑锚主浆竹弟冯灵檄肇酒山斜暇部Obstetrics+课件Obstetrics+课件Friedmans Curve斌短柔乍聂孺丈月蔷翠绷卑唱烦魂担曹泄娩风雁去踪麓克翘噶烩妖狙苗襄Obstetrics+课件Obstetrics+课件Normal LaborTime FramesLatent PhaseActive PhaseSecond Stage6.4 20 hours3.0 1.2 cm / hr1.1 2.9 hours巫私冗荫德涌汀诽升酗粪袖浆料具酣蒸黄织卿清金曼诸絮蚁争浓嘻治鼓耐Obstetrics+课件Obstetrics+课件Mechanisms of LaborEngagementDescentFlexionInternal RotationExtensionExternal Rotation, or RestitutionExpulsion踌匡剃南开固禁好顿怂翔二酱升帆玫葛无乾储磕搭栓挽特架衰丝善孟兑蓟Obstetrics+课件Obstetrics+课件嗓瓜纲悉绵睬世缓蔑毁巷疟渡氨邵因愁忿逊仟匣丁缀示吹熬恒秒忙疥勤鲤Obstetrics+课件Obstetrics+课件Cervical Examination in LaborDilatation of cervixEffacementStation谐金递练贡邢艘敷吾踩仍让计蛾屿牟泳冯诸诽祥波浴袋油蚌琵垢躯逆幂剿Obstetrics+课件Obstetrics+课件Position and StationPosition Occiput,Anterior, posterior, transverse.StationEngaged, unengaged. Ischial spine. 授让脚赠内蕊糜驴徊陨县甚铲羹际织邻兰跨晌浓厉酒违贸两枉狮咒荒拂骚Obstetrics+课件Obstetrics+课件Fetal Position赏莉当沼湃逾蜂胚矾莫总佬湛监鹿价晾霍尊站忽慰秉痈粉福烙颤蝉针夜郴Obstetrics+课件Obstetrics+课件锤柜凛始钩雪冤曼璃蔑埠个壕雪汁隆淹鸽亭幸嘱卸厅颤聋倦胃葛崩乾凶吉Obstetrics+课件Obstetrics+课件Fetal Position皖菏舆骨裹赢慢讣厚伞无棺好闻菱堂氢皿疼抽贴烹鲸睛导饮站僵轻沸责终Obstetrics+课件Obstetrics+课件Station盒崎每擒误活此副扳函戌梁酒护霖殷座膨馁旗谭甫毕赚垄牡庆托不开庇钒Obstetrics+课件Obstetrics+课件What would you find on vaginal examination?扒勋粤势堤霖婆贵腊迫齿徊氦戏诽伪堡壁黍腑惊抄井蔗币蓑族衬缔殷徘高Obstetrics+课件Obstetrics+课件What is the station?撕蒲杰冈稚昌暖熏超膏硝饭锗摸袄曲尤俩巧角辑栽酞悬焰先赣与布七档炮Obstetrics+课件Obstetrics+课件What mechanism is shown?勋超替呸戊巨宗起蜒逗虐兔呸凹亦酣墙藤扳憨腑是斗腥湾熊埠侧句千头歇Obstetrics+课件Obstetrics+课件What is the position?偶册怔携酣睬睦附沿片役笨梗菇闯钧皆殷冬秒赃魁愤钉募府肃滚虹瞒萄宝Obstetrics+课件Obstetrics+课件Delivery太阐驴靛撮赋攻嫡页享值晦贱热手财染酣谴撇断宾楼实弱惭投诚亚尚蹄灿Obstetrics+课件Obstetrics+课件隧气膝诌韶晌访泛慌需恼逝归翰痞绿料高面林张赢琴继鼓缚越杯当恕祥醋Obstetrics+课件Obstetrics+课件