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  • False Contractions

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    Maria Donabella Ongue
    11 views2 pages
    The document compares false versus true labor contractions, noting key differences such as true contractions increasing in intensity, frequency and duration with ambulation, while discomfort radiates to the lower back rather than remaining in the abdomen. It also summarizes the stages of labor, fetal lie positions including cephalic and breech, danger signs of labor, and mechanisms of labor including descent, flexion, and rotation.

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    FALSE CONTRACTIONS

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    The document compares false versus true labor contractions, noting key differences such as true contractions increasing in intensity, frequency and duration with ambulation, while discomfort radiates to the lower back rather than remaining in the abdomen. It also summarizes the stages of labor, fetal lie positions including cephalic and breech, danger signs of labor, and mechanisms of labor including descent, flexion, and rotation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    11 views2 pages

    False Contractions

    Uploaded by

    Maria Donabella Ongue
    The document compares false versus true labor contractions, noting key differences such as true contractions increasing in intensity, frequency and duration with ambulation, while discomfort radiates to the lower back rather than remaining in the abdomen. It also summarizes the stages of labor, fetal lie positions including cephalic and breech, danger signs of labor, and mechanisms of labor including descent, flexion, and rotation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    FALSE CONTRACTIONS TRUE CONTRACTIONS

    No increase in intensity, duration, and frequency of Uterine contractions increase in intensity, frequency
    uterine contractions and duration

    Contraction disappear with ambulation Ambulation increases contractions

    Discomfort remains in the abdomen Discomfort radiates to the lowerback or lumbosacral


    area

    Contraction stops when women is sedated Contraction persists even if woman is sedated

    Absence of show Presence of show

    Absence of cervical dilation Progressive cervical dilation (suress sign of true labor)

    Fetal Lie – refers to long axis of the fetus to the Stages of Labor
    long axis of mother.
    First stage – Cervical stage
    1. Longitudinal line (parallel) - onset of true labor contractions until full
     Cephalic presentation – head comes cervical dilation and effacement
    out first
    Second stage – Expulsive stage
    a. Vertex Position (good flexion)
    b. Sinciput position (partially flexed) - full cervical dilation until birth
    c. Brow presentation (moderate) Third Stage – Placental stage
    d. Face presentation (poor flexion)
    - from the delivery of the baby to placental
    e. Chin Presentation (very poor)
    expulsion
     Breech presentation – feet or buttocks Fourth Stage – Immediate postpartum period
    comes out first - from the delivery of placenta until the
    a. Complete breech – feet and legs are condition of the woman has stabilized
    flex
    b. Frank – hips flexed, legs extended DANGER SIGNS OF LABOR
    c. Footling – one or both feet are
    presenting part 1. Signs of fetal distress
    2. Res-stained amniotic fluid
     Shoulder presentation (CS)
    3. Cord prolapsed
     Compound presentation (when there is 4. Maternal tachycardia, hyperternsion, and
    prolapsed of the fetal head)
    hypotension
    2. Transverse Lie (fetus lying crosswise) 5. Pallor, cold clammy skin
    3. Oblique Lie 6. Fever, foul smelling vaginal discharge
    7. Vaginal bleeding
    Station
    Internal Examination (IE)
    Floating – head is movable above the pelvic inlet
    Purpose: to assess:
    Station 0 – fetus is engaged
     Status of amniotic fluid
    Station +2 – fetus is midpelvis
     Consistency of cervix
    Station +4 – perineum is bulging  Cervical effacement
     Cervical dilation
    MECHANISMS OF LABOR/CARDINAL SIGNS
     Presentation
    Descent  Station
    Flexion  Obtain pelvic measurement
    Internal
    Rotation
    Extension
    External
    Rotation
    Expulsion

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