NORMAL LABOUR

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Lever action producing ftexion of the head; conversionfrom occipitofrontal to suboccipitobregmatic diametertypically reduces the anteroposterior diameter fromnearly 12- to 9.5 cm.
(4) Internal rotation:The rule is that the part of foetus meets the pelvic floor first willrotate anteriorly.As the head descends, the presenting part, usually in thetransverse position, is rotated about 45° to anteroposterior (AP)position under the symphysis.(5) Extension:The suboccipital region lies under the symphysis then by headextension the vertex, forehead and face come out successively.The head is acted upon by 2 forces:- the uterine contractions acting downwards and forwards.- the pelvic floor resistance acting upwards and forwards so thenet result is forward direction i.e. extension of the head.
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 and 16: (II) On the Foetus:(A) Moulding:The
Page 17: First Stage:Phases of cervical dila
Page 20 and 21: (1) Descent:Second Stage:(A) Delive
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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