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INTRAPARTUM CARE

PROF. DR. CRIU DORU IOAN

The first
stage

From the onset of regular and


progressive uterine contractions
until full dilatation of the cervix.

The second
stage

From full dilatation of the cervix


until the delivery of the baby.

The third
stage

From the delivery of the baby to


the expulsion of the placenta.

Labour is traditionally divided into three


stages.

NORMAL LABOUR
Stages of labour
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Onset of
labour

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Characteistics of normal uterine
contractions
1. They are regular in rhythm.
2. Their strenght and frequency increase
steadily as labour progresses.
3. They have a plateau- like form, pressure
rising to a maximum, being maintained
there for a period, then returning to the
former basel level. This means that the
uterus relaxes completely to its normal
resting tone between contractions.
The pressures recorded during uterine contractions
may be around 40- 60 mmHg,whereas the resting
tone of the uterus may be about 20 mmHg. A
satisfactory rise of pressure during a contraction
would thus exceed 20 mmHg.

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