During the supervision of the dilation stage there are a number of key points that determine how to proceed further.<\/span><\/p>\n During the dilation stage<\/strong><\/span>, it is important to obtain a good impression of how the dilation process is progressing. This is in the first place dependent on the woman\u2019s parity. Generally speaking, the process of dilation in a primigravida with a so-called \u2018inexperienced birth canal\u2019 will take longer than in a multigravida who has delivered one or more children vaginally. It is also important to know how the previous dilation stage proceeded. If this proceeded without problems, the chance of problems in the subsequent dilation stage is slightly smaller. The quality of the contractions should also be noted. Slow dilation with moderate contraction activity gives less reason for concern than slow dilation with very powerful contraction activity. The condition of the foetus during the dilation stage is vitally important. This is mainly assessed by noting the frequency of the foetal heart beat, in particular, immediately after a contraction. If clear bradycardia is present, further examination of the foetal condition is necessary.<\/span> Usually, it is not necessary for the midwife or doctor to be present during the entire dilation stage. However, clear instructions must be left behind as to when the obstetric care provider should be contacted again.<\/span> In addition, an estimate of the rate of dilation is made and, on the basis of this, the care provider should decide when to return. The pregnant woman should be informed of this.<\/span><\/p>\n Tasks to be performed:<\/span><\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" During the supervision of the dilation stage there are a number of key points that determine how to proceed further. During the dilation stage, it is important to obtain a good impression of how the dilation process is progressing. This is in the first place dependent on the woman\u2019s parity. Generally speaking, the process of […]<\/p>\n","protected":false},"author":83,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[58],"tags":[138],"class_list":["post-1742","post","type-post","status-publish","format-standard","hentry","category-management-of-childbirth","tag-obstetrics"],"acf":[],"yoast_head":"\n
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\nFinally, the mental condition of the woman is vitally important. The obstetric care provider plays an important role in this respect.<\/span><\/p>\n
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\nThis is necessary in the case of:<\/span><\/p>\n\n
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