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Stages of Labour
Stages of Labour
Term
Labour
PTL prolonged
24 W 28 W 37 W 40W 42W
1 LNMP
Stages of labor
Stage 1st 2nd 3rd 4th
Diagnosis
How to deal
Preparations
Monitoring
Procedures
Management of the First
Stage of Labour
Diagnosis {made within one hour of admission}
A. symptoms:
1. True labour pains colicky pain in the abdomen and back
are characterized by:
character True labour pain False labour pain
B. Signs:
o palpable or recorded uterine contraction
o effacement and dilation of the cervix
o formation of forewater
What is a partogram
(partograph) ?
PARTOGRAM
Def: diagrammatic record of the events of
labour.
Advantages:
Monitoring
the progress of labour,
maternal and fetal wellbeing
Early detection and management of
labour abnormalities.
Fetal
cervical
Descent
Uterine
Maternal
Timing observations of different parameters of
partogram in the the1st stage of labor
Disadvantages:
Amniotomy
Oxytocin
administration
of <1 cm/hour
Management of second stage
of labour
Onset of second stage
Full cervical dilatation (sure)
Episiotomy
labour
Management of third stage of labour
aimed at:
uterus.
placental weight.
3-Estimate blood loss, count swabs, and take cord blood for
negative mother.
IV-Post Delivery:
necessary.
Engagement
descent of BPD to a level below the plane of the
pelvic inlet
Descent
Flexion
Internal rotation
Extension
Restitution
External rotation
Expulsion
Induction