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Obstetric and Gynecological Nursing - The Carter Center

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3.6.10 Change in Skin 56<br />

3.6.11 Change in Vagina <strong>and</strong> Uterus 56<br />

3.7 Minor Disorders of Pregnancy 57<br />

3.8 Diagnosis of Pregnancy 60<br />

3.9 Antenatal Care 62<br />

3.9.1. History Taking 64<br />

3.9.2 Examination of the Pregnant Woman At 65<br />

First Visit<br />

3.9.3 Laboratory test 74<br />

Review Questions 76<br />

CHAPTER FOUR: NORMAL LABOUR 77<br />

4.1 Mechanism <strong>and</strong> Stages of Labour 79<br />

4.1.1 Management of 1st Stage of Labour 79<br />

4.1.2 <strong>The</strong> Second Stage of Labour 94<br />

4.1.3 <strong>The</strong> Third Stage of Labour 98<br />

4.2 Immediate Care of Mother <strong>and</strong> Baby 111<br />

4.3 Discharge Planning (Instructions) 113<br />

4.4. Episiotomy 115<br />

Review Questions 120<br />

CHAPTER FIVE: THE NORMAL PUERPERIUM 121<br />

5.1 Physiology of Puerperium 122<br />

5.2 Management of the Puerperium 125<br />

5.3 Postnatal care (Daily care) 127<br />

Review Questions 129<br />

vi

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