NORMAL LABOUR

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At or beyond action line• Conduct full medical assessement• Consider intravenous infusion / bladder catheterization / analgesia• Options- Deliver by cesarean section if there is fetal distress or obstructedlabour- Augment with oxytocin by intravenous infusion if there are nocontraindications
POINTS TOREMEMBER:: USING THE PARTOGRAPH• It is important to realize that the partograph is atool for managing labor progress only• The partograph does not help to identify other riskfactors that may have been present before laborstarted• Only start a partograph when you have checkedthat there are no complications of pregnancy• A partograph chart must only be started when awoman is in labor
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 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: Between alert and action lines• I
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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