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Labor patterns in grand multiparas
Author(s) -
Petrikovsky B.,
Cohen M.,
Moy F.,
Tancer M.L.
Publication year - 1986
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(86)90035-4
Subject(s) - cervical dilatation , medicine , descent (aeronautics) , physics , cervix , cancer , meteorology
Five hundred consecutive normal, term, grand multiparous labors were the subject of retrospective computer analysis. The purpose of the present study is to describe a labor curve applicable to the grand multipara. Computer analysis revealed the following features of the “grand multipara” labor curve. The following deviations from the “classical” curve were observed: (1) The active phase of labor begins at 5–6 cm of cervical dilatation. (2) There is no deceleration phase. (3) Descent of the presenting part begins at 7–8 cm of cervical dilatation. Knowledge of the labor pattern may be helpful in the clinical management of labor in the grand multiparous patient.