NORMAL LABOUR

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STAGES OF <strong>LABOUR</strong>BY: Friedman…….(I) First stage:- It is the stage of cervical dilatation.- Starts with the onset of true labour pain and endswith full dilatation of the cervix i.e. 10 cm indiameter.- It takes about 10-14 hours in primigravida andabout 6-8 hours in multipara.
First Stage:Phases of cervical dilatation:(A) Latent phase:This is the first 3 cm of cervical dilatation which is slow takes about 8 hours innulliparae and 4 hours in multiparae. The latent phase begins with mild,irregular uterine contractions that soften and shorten the cervix(B) Active phase:Begin after 3cm of cervical dilatation………………….It has 3 components:- acceleration phase.- maximum slope.- deceleration phase.The phase of maximum slope is the most detectable and the two other phasesare of shorter duration and can be detected only by frequent vaginalexamination.The normal rate of cervical dilatation in active phase is 1.2 cm/ hour inprimigravidae and 1.5 cm/hour in multiparae. If the rate is < 1cm / hour it isconsidered prolonged.
Page 5 and 6: Cause of Onset of Labour:It is unkn
Page 7 and 8: (4) Oxytocin theory:Although oxytoc
Page 9: Clinical Picture Of Labour(A) Prodr
Page 12: (1) True labour pain.(B) Onset of L
Page 15: (II) On the Foetus:(A) Moulding:The
Page 20 and 21: (1) Descent:Second Stage:(A) Delive
Page 22 and 23: Lever action producing ftexion of t
Page 24: (6) Restitution:After delivery, the
Page 27 and 28: (III) Third stage:- It is the stage
Page 31 and 32: Clinical History• Review of the p
Page 33 and 34: B-Pelvic examination using sterile
Page 35 and 36: WorkupAs soon as the mother arrives
Page 38 and 39: Objectives• Early detection of ab
Page 40 and 41: Part 1 : Fetal condition• this pa
Page 47 and 48: Part111: maternal conditionAssess m
Page 49 and 50: Between alert and action lines• I
Page 51 and 52: POINTS TOREMEMBER:: USING THE PARTO
Page 53 and 54: Monitor HR:::………A-External fe
Page 55 and 56: Second stage management: Fetal hear
Page 57 and 58: Ritgen maneuver / 2 nd stage
Page 59 and 60: Fourth stage managementCare of the
Page 61 and 62: The presence of caput indicates tha

NORMAL LABOUR

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