Honey, this is it!

Ferguson Reflex
 Intensity Period of contractions Duration of Interval
each
contraction

1st stage Mild Up to 20 hrs

● Early contractions ● 60-90s ● 15-20 mins
● Active ● 45s ● 3 mins

2nd stage Stronger Nulliparous 60-90s 2-5 mins

contractions ● 3 hrs w/ epidural
● 2 hrs w/o epidural
Multiparous
● 2 hrs w/ epidural
● 1 hr w/o epidural

3rd stage Less painful 30 minutes

Functional Division of labor
Partogram
LEOPOLD’S MANEUVER

Measuring Fundal Height

Laboratory Tests