NORMAL LABOUR

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(B) Delivery of the shoulder and body:The anterior shoulder hinges below the symphysispubis and with continuous descent the posteriorshoulder is delivered first by lateral flexion of thespines followed by anterior shoulder then thebody.
(III) Third stage:- It is the stage of expulsion of the placenta and membranes.- Begins after delivery of the foetus and ends with expulsion ofthe placenta and membranes.- Its duration is about 10-20 minutes in both primi and multipara.A-Expectant management of the third stage of labor involvesspontaneous delivery of the placenta.B-Active management often involves prophylactic administrationof oxytocin or other uterotonics (prostaglandins or ergotalkaloids), cord clamping/cutting, and controlled cord traction ofthe umbilical cord
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 22 and 23: Lever action producing ftexion of t
Page 24: (6) Restitution:After delivery, the
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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