Labour Stages of labour According to ayurved

1. LABOR (प्रसव)

2. प्रसव
प्रसव निरुक्ति –
गर्भ का मोचि या नवमोचि ही प्रसव कहलाता है।
प्रसव काल –
आचायभ चरक िे आठवे क
े बाद एक नदि बीत जािे पर ही अर्ाभत िवे मास से लेकर द
सवे मास तक नवघ्न रनहत प्रसवकाल मािा है । उनचत प्रसवकाल यनह है । दस मास व्य
तीत हो जािे पर र्ी यनद गर्भ गर्ाभशय में क्तथर्त रहे तो उसे नवक
ृ नत कहते हैं।

3. महर्षि सुश्रुत ने र्िखा है र्ि मंगि एवं स्वस्तिवाचन िी हुई, ि
ु मार ं से
र्िरी हुई, हाथ में पुत्राम फि (पुस्तलंग नाम वािे फि) ि ग्रहण िी
हुई, (तैि से) अभ्यंग तथा उष्ण दि से स्नान िी हुई प्रजनर्िष्यमाण
(प्रसूत ह ने वािी) स्त्री ि बििारि िवागू आिण्ठ (िण्ठ ति िा
पूरा पेट भर िर) पान िराए। तत्पश्चात् उपधान (तर्ििा) रखे हुए,
र्बछे हुए, मृदु र्विरे पर सस्तिि ं ि म ड़ िर उत्तान िेटी हुई
(प्रसर्वनी) स्त्री िी शंिा न िरने ि ग्य, पूणि विस्क, प्रसव-िािि में
ि
ु शि एवं िर्तित नख वािी चार स्तस्त्रिााँ पररचिाि िरें।
प्रसव क
े समय पररचयाभ (Management of
labour)

4. • प्रसव िी अवस्थाए एवं उनि
े िक्षण -
1.प्रजानयिी
2.उपक्तथर्त प्रसवा
3.अवाक
् नशर

5. प्रजानर्िीि
े िक्षण -
क
ु नि में नशनर्लता
हृदय बन्धि मुक्ति
जघि प्रदेश में पीडा
जाते र्ह र्शर्थिे ि
ु क्षौ मुक्ते हृदिबन्धने ।
सशूिे जिने नारी ज्ञेिा सा तु प्रजार्िनी ॥
(सु० सं० शा० १०/६)

6. उपस्तस्थत प्रसवा
कनि, पृष्ठ तर्ा उसक
े चारो ओर बार बार वेदिा
मल की प्रवृनत
मूत्र का स्त्राव
योनि मुख से श्लेष्मा का स्त्राव

7. गभि ि
े पररवर्तित िा अवाि
् ह ने ि
े िक्षण -
गर्भ हृदय को छोडकर उदर में प्रवेश कर रहा हो
बक्ति नशर को पकडता हो
आवी शीघ्र हो जाती है

8. अनागतप्रसव िा गभि ि
े अवाि
् न ह ने पर ित्तिव्य
(Management in case of failure in descend of foetus)
 तत्र प्रर्ति ममनुि मिेत्, प्राञ्जिमािषेत् ॥
(सु० सं० शा० १०/१०)
महर्षि सुश्रुत ने संक्षेप में र्िखा है र्ि प्रर्ति म ि अनुि म िरना चार्हए
एवं प्राञ्जि िा सीधे ि (नीचे िी ओर) आि
ृ ष्ट िरना चार्हए। टीिािार
डल्हण ने इसे अनेि प्रिार िी मूढ़गभि िी गर्ति ं एवं उनिी र्चर्ित्सा िा
र्नदेश- मात्र माना है एवं र्िखा है र्ि अप्रर्ति म िा अनुि म ि प्रांजि
(सीधा) ही खींचना चार्हए'।

9. Labor-
◦ Series of events that take place in the genital organs in an effort
to expel the viable products of conception (fetus,placenta and
the membranes) out of the womb through the vagina into the
outer world is called labour.
◦ Delivery is the expulsion or extraction of a viable fetus out of the
womb.It is not synonymous with labour.

10. Normal labor(Eutocia)-
◦ Labor is called normal if it follows following criteria-
◦ Spontaneous at onset and at term.
◦ With vertex presentation.
◦ Without undue prolongation.
◦ Natural termination with minimal aids.
◦ Without having any complications affecting the health of the
mother and/or the baby.

11. Abnormal labor(Dystocia)-
◦ Any deviation from the definition of normal labor is called
abnormal labor.

12. Causes of onset of labour-
◦ Uterine distension-
Stretching effect on the myometrium by the growing fetus and
liquor amnii can explain the onset of labour at least in twins or in
polyhydramnios.

13. False labor pain-
◦ Itusually occur prior to onset of true labor pain.
◦ Features
◦ Dull in nature and usually confined to the lower abdomen and
groin.
◦ Continuous and unrelated with hardening of the uterus.
◦ Without any effect on dilatation of the cervix.
◦ Usually relieved by analgesic.

14. T
rue labor pain-
◦ Features of true labor pain:
◦ Painfull uterine contractions (labour pain) at regular intervals.
◦ Contractions with increasing intensity and duration.
◦ Show
◦ Progressive effacement and dilatation of the cervix.
◦ Formation of “bag of waters”.

15. Stages of labour
First stage of labour
|
Second stage of labour
|
Third stage of labour
|
Fourth stage of labour

16. First stage of labor-
◦ T
his starts from the onset of true labour pain and ends with the full
full dilatation of Cervix. Itis in other words the cervical stage of
labour.
◦ It’s average duration is 12 hours in primigravida ,6 hours in
multigravida.
◦ T
here are two phases of first stage of labour:
1. Latent phase
2. Active phase

17. Phases of first stage of labour-
◦ The latent phase-is the time between the onset of labour
and 3-4 cm dilatation and cervix becomes fully effaced
it usually last between 3 to 8 hours being short in
multiparous women.
◦ The active phase-describe the time between the end of
latent phase and full dilatation (10 cm) full.I
t is also
variable in length usually lasting between two and six
hours again it is shorter in multiparous women.

18. Second stage of labour-
◦ Itstarts from the full dilatation of cervix and ends with the
expulsion of fetus from the birth canal.
◦ Ithas got two phase:
1. Propulsive phase-starts from the full dilatation up to the descent
of the presenting part to the pelvic floor.
2. Expulsive phase-is distinguished by maternal bearing down
efforts and ends with the delivery of the baby.
◦ Average duration is 2 hours in primi gravida and 1 hour in
multipara.

19. Third stage of labour-
◦ The third stage begins after the expulsion of foetus and ends with
the expulsion of placenta and membrane.
◦ It’s average duration is about 15 min in both primigravidae and
multiparae.
◦ The duration is however reduced to 5 min in active management.

20. Fourth stage of labour-
◦ Itis the stage of observation for at least 1 hour after expulsion of
the afterbirths.
◦ Maternal vitals,uterine retraction and any vaginal bleeding are
monitored.
◦ These are done to ensure that both the mother and baby are
well.

21. T
hank you