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The latent phase is defined by cervical dilation of 0 to 6 cm. The active phase is defined by cervical dilation of 6 cm to 10 cm. Second stage of labor starts when the cervix is dilated to 10 cm and finishes with the birth of the baby. This stage is characterized by strong contractions and active pushing by the mother.
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The death rate of black women has also continued to climb with a 2020 CDC report showing the maternal death rate at 55.3 deaths per 100,000 live births – 2.9 times the rate for white women. [120] In 2023, a study reported that deaths among Native American women were even higher, at 3.5 times the rate for White women.
The normal adult testis is an ovoid structure measuring 3 cm in anterior-posterior dimension, 2–4 cm in width, and 3–5 cm in length. The weight of each testis normally ranges from 12.5 to 19 g. Both the sizes and weights of the testes normally decrease with age.
Less than 39 weeks of gestation, without medical indication [14] Prior caesarean delivery; Major uterine surgery; The contraindications for cervical ripening also include those of vaginal birth. [15] Absolute contraindications can result in life-threatening events, and relative contraindications should be considered with caution.
Ultrasound either abdominal or transvaginal to assess cervix, placenta, fluid and baby [18] Amniocentesis is the national standard for women over 35 or who reach 35 by mid pregnancy or who are at increased risk by family history or prior birth history. [16]
Some of these efforts are: emphasizing a long latent phase of labor is not abnormal and not a justification for C-section; a new definition of the start of active labor from a cervical dilatation of 4 cm to a dilatation of 6 cm; and allowing women who have previously given birth to push for at least 2 hours, with 3 hours of pushing for women ...
Dilation and evacuation can be offered for the management of second trimester miscarriage if skilled providers are available. [6] Some women choose D&E over labor induction for a second trimester loss because it can be a scheduled surgical procedure, offering predictability over labor induction, or because they find it emotionally easier than undergoing labor and delivery.