Regular, uncomfortable uterine contractions that gradually enlarge and efface the cervix are referred to as labor.This article will outline a paradigm for managing the initial stage of labor (from the time of commencement to complete cervical dilatation) intrapartum in women who are expecting a healthy singleton vaginal delivery. Many of the treatment choices for these patients have not undergone thorough clinical trials, and the information currently available is insufficient for recommending a particular course of action with confidence. As a result, a large portion of our strategy is based on our clinical expertise, information from observational research, and professional judgment. Normal vaginal birth is the process of giving birth that doesn't include any sort of medical assistance. Today, drugs may be used to reduce pain and hasten birth (but you may decide against any medical intervention).

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