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the role of oxytocin is simple - you need to achieve development of the normal activity of physiologically public generic citrate 100mg australia online buying uk india 4 sildenafil cheap buyers tablets viagra.

intravenous oxytocin start with the lowest dose, and the number of declines in a number of battles chords china india sildenafil citrate generic buyers buy to where viagra uk online buying cheap 100mg. Minimum dose of 1 ml (10 points) in 1 minute buying australia order viagra citrate ordering canada tablets online without professional prescription usa uk sildenafil. After 15 minutes, add 10 drops online buy professional sildenafil viagra canada citrate order uk where orders to ordering cheap. Thus, the dose is increased, and the maximum - 40 drops per minute purchase prescription sildenafil purchases uk cheapest citrate order 100mg viagra buy tablets to online professional where. But with the high sensitivity of the uterus to oxytocin to achieve adequate results and the medium dose buy uk sildenafil professional 100mg 50mg cheapest order india us citrate tablets online viagra.

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is another way of induction of labor is intravenous drug administration group prostaglandin E2 (prostenon) much citrate viagra pill tablets cost how canada per uk effectiveness india does sildenafil. If oxytocin was used mainly in the active phase of labor, prostaglandins are used to identify cervical ripening or determined by the main weakness of the tribal forces india sildenafil sales sale citrate best in cost online australia price prices for uk 100mg. Technical management of drugs in this group is similar to the procedure for the application of oxytocin

If there is no effect rodostimulyatsii these and other drugs, and then turn the forceps, at least - best in viagra sildenafil tablets mg uk professional philippines 20 price india citrate china usa. sildenafil order price citrate cheapest online professional 100mg australia generic prices buy viagra canada. Vacuum to extract the fetus

activities overly strong tribal

in this activity with the rapid expulsion of the fetus occurs in the clinic is very rare ordering pharmacy over professional citrate uk buy sildenafil cost online canada generic the viagra counter. Characterized by the appearance of a very strong cramps and frequent sale online uk viagra cheap generic price 50mg sildenafil 100mg cheapest buying citrate professional. Characterized by a rapid expansion of the cervix to some extent and progress quickly enough the fetus through the birth canal in uk alternative cheap to cost reviews canada sildenafil where citrate viagra buy generic generico. May occur Activities strong tribal excessively in women with obstetric complications such as diseases or disorders in other body systems (such as high blood pressure, pregnancy with severe diseases of the cardiovascular, respiratory, liver and kidney failure) generation, as well as the introduction of women who give birth at a time early india mexico reviews generico viagra canada generic 50mg citrate review tablets online 100mg sildenafil. Battles often occur suddenly and progress rapidly, and has no time for women to enter the Department of Obstetrics, and work in this situation is fraught with complications reviews 100mg canada online sildenafil tablets buy generic citrate viagra canadian professional review pharmacy. Maternal condition characterized by the fact that they were very enthusiastic and pulse and breathing rate increases, and increases the pressure sildenafil tablets canada uk australia article viagra reviews 100mg professional generic citrate 50mg price.

If due to the rapid evolution in action is a violation of traffic between mother and child, we can expect the development of fetal hypoxia 100mg sildenafil generic magnus professional citrate 20 reviews mg price viagra tablets india troches 150. Because of the rapid movement of the fetus through the birth canal can develop mechanical injuries such as fractures of the clavicle, joint deformity, shop lead the cerebellum, and bleeding in the spinal cord, under the capsule of the liver and adrenal tissue, bleeding inside the skull cheapest 50mg tablets mg 100mg 20 cheap citrate 150 25 sildenafil reviews 100 buy.

and rapid flow of labor can cause serious injuries to mothers - there are large gaps in the cervix, vagina and perineum take get how does 100mg no much online citrate to sildenafil where cheap without buy prescription cost. It may be premature to complications of the placenta after birth get sildenafil. As a result of the rapid release of the uterus is the development of hypotension uterus and expel the fetus quickly and do not have a uterus time to adapt to new circumstances and drops a sharp tone. As a result, in the early postpartum bleeding occurs

The main objective of the medical -. To facilitate the activity of the uterus. Tested in this regard and the presence of drug activity Adrenomimeticalkie (partusisten, Alupent, ritodrine), Vol. E. Special Law on adrenergic receptors in the wall of the uterus. These drugs are called tokoliticheskogo, and its main function - removal of uterine activity in preterm labor. The appointment of an active and effective only at the beginning of the act of antimicrobial birth. And thus weaken the contractile activity of the drug (under the skin omnopol promedol) in combination with magnesium sulfate.

work Diskoordinirovannaya

This kind of disease is also not very common. Depending on the level of some sectors of uterine contractions have consistency, severity of clinical symptoms of the disease can vary. Sometimes, but rarely, tetany uterus - completely spazmiruyutsya muscles of the uterus, not shrink too long from the uterus, which is equivalent to the strength and frequency covers all departments

there is a violation of the activity contractile of vertically and horizontally .. In the first case , and the reduction of the wave does not arise in the upper part of the uterus, and a decline in the sector, and wave propagation is not from top to bottom and bottom to top. In this case, doctors indicate a slice of the uterus less dominant.

incoordination horizontally means that there is no inconsistency in the contractile movements of the right and the left half of the uterus.

distinction between this kind of rape, such as dystocia cervix. Have been observed these lesions in women who have had previous surgery or severe inflammation of the uterus were scars as well as women in the absence of a clearly defined "maturity" in the cervix.

If there is such a clause, then, as a general rule, are extremely painful cramps, and sends a pain in the sacral region, but not in the lower abdomen. Weakness may cause uterine activity change in blood flow in the placenta inside the uterus, and as a result may develop fetal hypoxia.

signs diskoordinirovannoy work. Little or no increase in the degree of cervical dilatation, although not as vibrant labor pains. And this feature is seen clearly when the uterine tetany, incoordination in my head as well as in cervical dystocia. When an internal investigation in the case of a doctor determines that extraordinary edges of the mouth of the uterus: either thick or thin, or taut string. If there is no timely adoption of appropriate remedial measures, they may develop swelling of the edges of the throat, and a rise in the degree of disclosure arises only after deep cervical tears.

due to the fact that this condition does not climb the degree of cervical dilatation in the presence of the active labor force, and some doctors call this type of abnormal spastic weakness of the work. After the expression is the real "diskoordinirovannaya work," he justified more precisely the essence of the disease process.

The aim of the treatment of this type of disease in the normalization of uterine activity. The medical error in this case be assigned treatment rodostimuliruyuschih, aggravate the condition of the uterus.

If you are diagnosed with "tetany of the uterus," the new mother is given a short duration inhalation anesthesia (halothane) or injection of GHB. If cervical dystocia, and Baralgin (intravenous or intramuscular) and has anti-spasmodic action is strong. If you put dystocia due to scarring in the uterus, it is assigned to the muscle enzyme lidazy diluted in 5 mL of 0.5% solution of [Nofoken].

There are contraindications obstetric epidural anesthesia specific for a long time is the risk of uterine rupture scar.

epidural blockade league. When you are taking the medication news from Yahoo as needed based on the feelings of individual mothers - upon request. At the same time, often more than full anesthesia sensations to severe pain

epidural anesthesia light - a technique where the catheter is inserted in the epidural drug mixture consisting of various anesthetic agents and antispasmodic. . Most recently diligent administration of small doses of drugs and anesthetic in the epidural space. A small dose of motherhood keep sensitivity and mobility, no pain while allowing you to control the path of the delivery.

At the lower dose of anesthetic woman heavily involved in the birth process. She feels the battle. Dose of painkillers is large enough to accommodate the pain, but it does not relieve unbearable pain, a signal that attracts the attention of the mother and the doctor in case of any problem. Epidural anesthesia reduces mild pain to the point that a new mother can relax tired.

in the Western practice has recently begun using epidural anesthesia under the supervision of women. This method allows you to self-management of their illness. The new mother gets on the control button private, when clicked, takes input accurately calculate the dose of painkillers. With this technique, and different women during labor using different doses of pain medication.

must be epidural anesthesia only anesthesiologist. Anesthesia may begin after the opening of the cervix by 3-4 cm, and when there is severe pain.

When epidural anesthesia may develop complications including headaches, back pain, low blood pressure, shortness of breath, and the violation of bladder function, and damage to the dura, but tend to be rare and not appear in the qualified staff highly.

anesthesia Faraji. This type of anesthesia during the second phase, with a variety of small obstetric operations, such as tweezers, perineum anatomy and restore its territorial integrity, does not require the closure of awareness.

To this solution 10 ml of anesthesia administered 1% lidocaine in ischiorectal space on both sides, through the perineum or through the side wall of the vagina.

natural childbirth in various pathological conditions

Births in Moh pregnant

proceeds normally without problems, however, should be carefully monitored for mothers blood pressure

Births nephropathy

Of course it may not be a common thing, but there are often complications:. Fetal hypoxia and placental abruption, and move nephropathy in pre-eclampsia and eclampsia. Management work is to closely monitor the new mother, and the treatment of kidney disease, and pain relief drugs in the background work, and implementation of prevention and treatment of fetal hypoxia, and if necessary - of attempts. Must be the first phase of work with nephropathy in a private room, and dark noise isolated.

Enter antihypertensives (1 mL of 2.5% intravenous slow chlorpromazine glucose solution 40 ml of 40% intramuscularly 1 ml 0.2 times a day, reserpine from 0.1 to 0.25 mg orally 2-3 times per day, and 10 ml of 2.4% of aminophylline with 40 ml of 40% solution of glucose intravenously 4-6 ml of dibasol muscular 0.5% and 2 ml of 2% papaverine muscle rausedila 1-2 ml intramuscular ). Chlorpromazine can be given in combination with reserpine. Chlorpromazine may cause a significant decrease in blood pressure, so that the need for careful monitoring of the patient.

In the first phase of work shows before breaking the amniotic sac (with cervical dilation 5-6 cm) in order to reduce the pressure inside the uterus. High blood pressure and the threat of nephropathy in transitional pre-eclampsia and eclampsia may be notes on the low blood pressure ganglioliticheskimi media controlled by (anesthesiologist required). Arfonad used for this purpose, pentamin, benzogeksony and others. Arrangements intravenous drip method (solution arfonad 0.1%, pentamin in the 0.5% to a rate of 50-70 drops per minute) and a decrease in blood pressure 140/100 to 120/80 mm Hg. Art. Then, adjustments are made Introduction of the solution slowly to maintain the blood pressure at the level of the target. Low blood pressure control appears to work primarily in stages II and III. If you can not use this method in desperate attempts nephropathy (to extract the fetal pelvis and the rear end with the help of forceps - in the head). In the third phase being worked out activities to prevent bleeding low tension. Blood loss in women who suffer from kidney disease, decompensated become much faster than healthy, and often accompanied by the collapse of the motor. Must compensate for the loss of blood completely satisfactory.

Births in pre-eclampsia and eclampsia

at birth may be associated with complications such as nephropathy itself, but is most common. Pre-eclampsia and eclampsia during labor represents a serious danger to the health of mothers (the possibility of a cerebral hemorrhage, retinal detachment, etc. ..). The work is done in the management of a special, isolated from the noise and light in the room and there are separate function. In the birthing process takes blood pressure treatment using drugs chain phenothiazines (chlorpromazine), Rauwolfia alkaloids group (serpazila, reserpine). Administered intravenously chlorpromazine in 1-2 ml of 2.5% with 50 ml of 40% glucose. And chlorpromazine treatment is under the strict control of blood pressure, and only in the fourth stage of the workforce. Used widely antispasmodic (Nospanum, papaverine, Dibazol, restores aminophylline). At the stage of working under high pressure can be used leeches. Intravenous glucose is the major task. Glucose reduces the pressure inside the skull, and increase the production of urine, and improve the nutrition of the heart muscle, and reduces acidosis improve microcirculation. It is recognized in 30-50 ml of 40% with ascorbic acid 0.2 g 2-3 times a day.

All manipulations (measuring blood pressure, vaginal exam, injection) are in the background -kislorodnoy nitrous sedation. For this purpose, and allows the use of oxygen and ether anesthesia ftorotanovogo and trichlorethylene (Treo) with oxygen. The effect is achieved soothing myself with 2-3 ml droperidol intravenously in combination with one of antihistamines (Suprastinum -1 ml of 2% or diprazinom pipolfenom - dimedrolom -1 ml solution of 1% solution 1 ml of 2%) or obschesedativnyh (diazepam - 5.10 mg). When cervical dilatation of 4-5 cm races under predionovym (viadril) anesthesia by intermittent administration of the drug (0.5-0.6 g). In general, the dose may be increased to 2 years predionovy surface anesthesia maintained even after childbirth, and the postpartum period early.

treatment fluids during labor should be very limited. It is in the context of a sedative and treatment for lowering blood pressure. Indicators for infusion therapy are the symptoms of cerebral edema and anuria. Are reducing the size of the injected liquid to a minimum (150-250 ml). It is in strict accordance with the size of diuresis and hemodynamics.

When eclampsia should try to speed up the delivery methods Berezhnev. It is advisable to premature rupture of membranes (when cervical dilatation 3-4 cm). According to the conditions of use of forceps, and combined rotation and remove the end of the fetal pelvis internal, external.

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In order to ensure the calcium in the body is required in the daily diet of foods rich in these minerals (cabbage, walnuts, lettuce, green onions, spinach, garlic, and others.) To ensure must eat protein the body certainly beans. Iron to make sure the body you need to eat fruits and berries. The richest zinc tofu, miso, wheat germ, nuts, beans, Brussels sprouts. It can get vitamin B12 from yeast, milk, soy and vitamin D - of enriched soy milk. Recommended to replace sugar with honey and sweet fruits. Nuts and fruits is better if they have learned before dinner, not after. Prepared raw foods they need to eat immediately after cooking