NORMAL LABOUR

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(II) Mechanical factors:(1) Uterine distension theory:Like any hollow organ in the body, when the uterus indistended to a certain limit, it starts to contract to evacuateits contents. This explains the preterm labour in case ofmultiple pregnancy and polyhydramnios.(2) Stretch of the lower uterine segment:by the presenting part near term.
Clinical Picture Of Labour(A) Prodromal (pre - labour) stage:(1) Shelfing:(2) Lightening:(3) Pelvic pressure symptoms:(4) Increased vaginal discharge.(5) False labour pain:(B) Onset of Labour:(1) True labour pain.(2) The show:(3) Dilatation of the cervix:(4) Formation of the bag of fore - waters:
Page 5 and 6: Cause of Onset of Labour:It is unkn
Page 7: (4) Oxytocin theory:Although oxytoc
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 and 60:
Fourth stage managementCare of the
Page 61 and 62:
The presence of caput indicates tha
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NORMAL LABOUR

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