Obstetrics by ear.pdf


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&m!Jng
sounds or e~plratoy va&
.Lzationsignal &swn and !he finnal
phase of bearing down belare
bii.‘3
Nepson and May include the
verbal responses
of groetning.
or cursing and scr~mlng
under assessment for ~ntemeniimfar
pain during Labor.‘* However, the
grwbng 1s inappropriately group&
with groaning,
cursing,
and
screaming. The latisr are dillerant
maternal states rcflectmg drsrress
(see Tab!e I) as opposed to the
workMxt
rqlresan1ed by grunting,
which often rzquires no intervention

grunting,

gnmting.
p&IaVan&xaiistic
n&es,
and “uhhhhhhhh.”
Obstetdc texibcoks may m&&n
these rounds as indicating progress,
fm example: “Deep gruwng sounds
during cont~ction~
signify
that the second stage had begun.
The gunhng
sound may appear

often

Primal ncan rewmble those
of lwemaking and may cat~5eacute
dimmfort in institutional settings
(where such sounds clearly do not