NORMAL LABOUR

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