Current Aspects of Delivery in Healthy Women in Accordance With the Data of Retrospective Analysis

Abstract

The aim: to study the current aspects of the course of labor in healthy women using retrospective indicators. Materials and methods: To study this topic, an analysis of 1,078 births on the basis of the maternity ward for pregnant women with obstetric pathology of the State Institution «IPAG. acad. O.M. Lukyanova National Academy of Medical Sciences of Ukraine». It was found that among all births, the share of first-borns was 602 (55.8 %) women, of whom 451 (41.8 %) were pregnant for the first time, and only 86 (8 %) were healthy pregnant women. Results: It was found that among 86 births the frequency of physiological births was 64%, of which in 47.7% of cases the birth was complicated, and pathological – 36%. The most common complications during childbirth were: premature rupture of membranes (PRPO), episio- and perineotomy, trauma to the birth canal. The main causes of pathological childbirth: abnormalities of labor, fetal distress, defect of the placenta and membranes, clinically narrow pelvis, malposition of the fetus and early postpartum hemorrhage. All children were born alive. It should be noted that all births where the Apgar score was ≤ 6 had no partner support, and the women themselves did not receive any preparation for childbirth. Conclusions: According to our data, in almost healthy women who gave birth for the first time and had no perinatal loss in the anamnesis, did not undergo prenatal training and did not have partner support during childbirth, the number of complications during childbirth is increasing. Therefore, this group of healthy pregnant women needs more detailed study and analysis, development of prenatal training algorithms to improve perinatal indicators.

The significance of positional care combined with doula delivery during childbirth in the correction of abnormal fetal position

“…A Cochrane review mentioned that, puerpera with doula assisted delivery was more likely to experience fewer negative childbirth experiences, such as a low Apgar score [36]. Doula delivery provides companion support care to reduce pain levels, promote faster cervical dilation, accelerate fetal head descent and prevent complications during delivery [37]. At the same time, positional care focuses on adjusting the position according to the actual situation of puerpera, which can reduce the restriction of the birth canal to the fetus and further promote vaginal delivery, thus avoiding asphyxia and choking of the newborn [38].…”