NORMAL LABOUR

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B-Internal fetal heart rate monitor (fetal scalpelectrode)An internal fetal heart rate monitor may be placed tomore accurately assess fetal heart rate patterns whenthe external monitor tracing may be inaccurate ordifficult to trace.A small electrode is passed through the cervix, afterthe membranes have ruptured, and placed on the fetalscalp.C-Intrauterine pressure catheter (IUPC)External monitoring of contractions only measures thetiming of contractions. The strength of contractions canonly be measured with an IUPC.
Second stage management: Fetal heart rate should be monitored or auscultatedat least every 5 minutes and after each contractionsduring the second stage A randomized controlled trial performed by Api etal determined that application of fundal pressureon the uterus does not shorten the second stage oflabor
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 and 50: Between alert and action lines• I
Page 51 and 52: POINTS TOREMEMBER:: USING THE PARTO
Page 53: Monitor HR:::………A-External fe
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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