NORMAL LABOUR

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(B) Caput succedaneum:It is a soft swelling of the most dependent part of the foetal head occurs inprolonged labour before full cervical dilatation and after rupture of themembranes.It is due to obstruction of the venous return from the lower part of the scalp bythe cervical ring.Large caput may:i) obscure the sutures and fontanelles making identification of theposition difficult. This can be overcomed by palpation of the ear ,ii) give an impression that the head is lower than its true level.Artificial caput succedaneum (chignon): is induced during vacuum extraction.Caput succedaneum disappears spontaneously within hours to days of birth.As it is a vital manifestation, so it is not detected in intrauterine foetal death.
The presence of caput indicates that:i) the foetus was living during labour,ii) labour was prolonged and difficult,iii) the attitude of foetal head during labour can beexpected as caput is present in the mostdependant part of it.
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 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: Fourth stage managementCare of the
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NORMAL LABOUR

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