MANAGEMENT OF LABOR IN REFERENCE TO PREVENTION OF PERINATAL MORTALITY

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Abstract
The scope of this presentation does not call for a discussion of prenatal care; however, it should be emphasized in the beginning that the problems presented during labor will be greatly influenced by the adequacy of the prenatal management. The management of labor presents many aspects that may influence fetal salvage and help prevent perinatal mortality. During labor the skill and judgment of the obstetrician may play a decisive role in the final outcome. Fetal loss from birth trauma is often attributed to the management of labor, and deaths from abnormal pulmonary ventilation and infections after delivery may be indirectly charged to the way labor was managed; these three causes produce 80% of neonatal deaths. In recent years the question of fetal salvage has become a problem of greater interest and concern, for the infant mortality rate has not improved to the same degree as the maternal mortality rate. Many

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