ANTEPARTUM INTRAPARTUM

I. PSYCHOLOGICAL TASKS OF I. PERINEAL & ABDOMINAL

EXERCISES
PREGNANCY

First trimester accepting the pregnancy 1. Tailor sitting

Second trimester accepting the fetus 2. Squatting
Third trimester preparing for the baby 3. Pelvic floor Contractions
(Kegel exercise)
4. Abdominal muscle contractions
II. PRESUMPTIVE SIGNS 5. Pelvic rocking
(MACFLUQ)
II. METHODS OF NON-
M- Morning sickness PHARMACOLOGICAL PAIN
A- Amenorrhea MANAGEMENT
C- Changes in breast
F- Fatigue 1. The Bradley (Partner coached)
L- Lassitude method
U- Urinary frequency 2. The Psychosexual method
Q- Quickening (18th-20th weeks) 3. . The Dick-read method
4. The Lamaze method
III. PROBABLE SIGNS a. Conscious Relaxation
(CHUPBOGS) b. Cleansing breath
c. Consciously controlled
C- Chadwicks breathing
H- hegar d. Focusing or imagery
U- uterine enlargement e. effleurage
P- positive pregnancy test
B- ballottment III. Alternative method of birth
O- outlining of fetal body
G- goodells 1. Leboyer Method
S- souffle, contraction, Braxton
2. Hydrotherapy and water birth
hicks

IV. POSITIVE SIGNS IV. Theories of labor

(F:HMS) (POUP2)

Fetal heartbeat P- Prostaglandin Theory

Fetal movement O- Oxytocin theory
Fetal skeleton U- Uterine stretch theory
P- Placental Degeneration Theory
V. DISCOMFORTS OF EARLY P- Progesterone Deprivation Theory
PREGNANCY
(BCF2H2) V. COMPONENTS OF LABOR
(5 P’S)
B- Breast tenderness
C- Constipation
P- Passenger (The Fetus)
F- Fatigue
F- Frequent urination P- Passageway (the pelvis)
H- Hemorrhoids P- Power (uterine contraction and
H- Hypotension bearing down efforts)
P- Placental position and functions
VI. DISCOMFORTS OF MIDDLE & LATE P- Psychological response
PREGNANCY
(ABDH) VI. LABOR

A- Ankle edema
B- Backache
D- Dyspnea
H- headache
VII. FACTORS AFFECTING LABOR POSTPARTUM
(CLAPPS)

C- contraction I. PHASES OF THE PUERPERIUM

L- lie (TiThL)
A- attitude
P- presentation Taking- in
P- position Taking- hold
S- station Letting- go

VIII. FETAL STATION II. POST PARTUM ASSESSMENT

(BUBLESHE)

B- breast
U- uterus
B- bladder
B- bowel
L- lochia
E- episiotomy
S- skin
H- homan’s sign
IX. STAGES OF LABOR E- emotional response

1st Stage: Stage of Dilatation III. LOCHIA

2nd Stage: Stage of Expulsion
3rd Stage: Placental Stage
4th Stage: Recovery Stage

X. PROGRESS OF LABOR
(D FIRE ERE)
CHILD
D- Descent
F- Flexion
IR- Internal Rotation I. 4 HEAT LOSS MECHANISM
E- Extension (REC2)
ER- External Rotation
E- Expulsion R- Radiation
E- Evaporation
C- Convection
C- Conduction
XI. PERINEAL LACERATION

II. TRANSITION PERIOD

1st degree: injury to vaginal mucosa
2nd degree: injury to perineal body
First period of reactivity
3rd degree: injury to anal sphincter
Resting period
4th degree: injury to rectal mucosa
Second period of reactivity
XII. SIGNS PLACENTAL SEPARATION
III. APGAR SCORING
Sudden gush of blood
Lengthening of cord
Calkin’s sign

XIII. METHODS OF PLACENTAL

SEPARATION

Duncun
Schultz
IV. BREAST FEEDING

A. ADVANTAGES: WOMEN

1. Oxytocin: Uterine involution

2. Family planning method
3. Decrease cost and preparation
time
4. Bonding

B. ADVANTAGES: INFANT

1. IgA
2. Lactoferin
3. Lysozyme
4. Leukocytes
5. Macrophages
6. Bifidus Factor
7. High in lactose
8. Linoleic acid

V. STOOL

VI. BASIC DIVISION OF CHILDHOOD

Stage Age period

Neonate first 28 days of
life
Infant 1 month- 1
year
Toddler 1-3 years
Preschooler 3-5 years
School- age 6-12 years
child
Adolescent 13-17 years
Late adolescent 18-21 years

VII. PLAYS APPROPRIATE FOR AGE

Age Group Play

Infants Solitary
Toddlers Parallel
Preschool Associative
School age Cooperative
Adolescents Competitive