OBG & Gyneac
Discovering you are expecting a baby is one of the most exciting times of your life. Preparing for the new addition to your family should be an enjoyable time for expectant parents. However, it can also be daunting, especially if it is your first child.
The Noor Hospital offers individual care to women before, during and after pregnancy to ensure all their needs are met. We have a team of experienced midwives and consultant obstetricians, physiotherapists, dieticians and other health professionals, who are on hand to answer all your questions, no matter how big or small. Educational classes to prepare you for childbirth are available for you and your partner,
as well as exercise classes to help maintain general fitness and get your body ready for having a baby.
Obstetricians have divided labor into 3 stages that delineate milestones in a continuous process.
First stage of labor
Begins with regular uterine contractions and ends with complete cervical dilatation at 10 cm
Divided into a latent phase and an active phase
The latent phase begins with mild, irregular uterine contractions that soften and shorten the cervix
Contractions become progressively more rhythmic and stronger
The active phase usually begins at about 3-4 cm of cervical dilation and is characterized by rapid cervical dilation and descent of the presenting fetal part
Second stage of labor
Begins with complete cervical dilatation and ends with the delivery of the fetus
In nulliparous women, the second stage should be considered prolonged if it exceeds 3 hours if regional anesthesia is administered or 2 hours in the absence of regional anesthesia
In multiparous women, the second stage should be considered prolonged if it exceeds 2 hours with regional anesthesia or 1 hour without it
Third stage of labor
The period between the delivery of the fetus and the delivery of the placenta and fetal membranes
Delivery of the placenta often takes less than 10 minutes, but the third stage may last as long as 30 minutes
Expectant management involves spontaneous delivery of the placenta
The third stage of labor is considered prolonged after 30 minutes, and active intervention is commonly considered
Active management often involves prophylactic administration of oxytocin or other uterotonics (prostaglandins or ergot alkaloids), cord clamping/cutting, and controlled traction of the umbilical cord