NORMAL LABOUR

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C-Digital examinationto determine the following:(1) the degree of cervical dilatation, which ranges from 0 cm to 10 cm(2) the effacement normal 3- to 4-cm-long cervix(3) the position, ie, anterior or posterior.(4) the consistency, ie, soft or firm.(5) Palpation of the presenting part of the fetus and quantifying thedistance of the body (-5 to +5 cm) that is presenting relative to thematernal ischial spines, where 0 station is in line with the plane of thematernal ischial spines).
WorkupAs soon as the mother arrives at the Labor and Deliverysuite. External tocometric monitoring for the onset andduration of uterine contractions Use of a Doppler device to detect fetal heart tones andrate should be started. If the intensity/duration of the contractions cannot beadequately assessed, an intrauterine pressure cathetercan be insertedOften, fetal monitoring is achieved using cardiotographyIf nonreassuring fetal heart rate tracings bycardiotography (eg, late decelerations) are noted, a fetalscalp electrode may be applied to generate sensitivereadings of beat-to-beat variability
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 27 and 28: (III) Third stage:- It is the stage
Page 31 and 32: Clinical History• Review of the p
Page 33: B-Pelvic examination using sterile
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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