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Management of Normal Labour (Factors which interefere placental separation…
Management of Normal Labour
1.Define Labour
Process in which fetus, placenta and membrane are expelled from the birth canal after the minimum period of 24 weeks.
2.Describe the signs of normal labour
1.contraction-progressive pain and contraction becomes regular
2.Mucus show/operculum with slight blood show
3.Cervix thinning and dilates to 2-3cm in coordination with progressively strong contractions
3.DEFINE THE THREE STAGES OF LABOUR
Second stage-the time from full dilation of cervix to birth of the baby
Third stage-the time after delivery of baby until the delivery of placenta and membrane
First stage of labour-the begining of labour
Latent phase-cervical canal dilates from above downwards until the external os become a thin rim, effacement ends the latent phase/ cervix becomes soft and thin as it gets ready to open up
Active phase-start at 3 cm(rate dilation 1cm/hr),duration 8-12 hours
Factors which interefere placental separation
1.incoordinate uterine contractions
2.overdistention of the uterus
3.Over fiddling of the uterus
4.full bladder
5.placenta accreta-the placenta grow too deeply into uterine wall-some part will remain and cause PPH
induction of labour
-refer to iatrogenic stimulation of uterine contractrion to accomplish delivery
indications-greater risk of maternal or fetal risk , due EDD approached
process of
stimulating the uterus to increase the frequency, duration and intensity of contractions
to delivery baby
Augmentation
-woman in labour but progress labour is not satisfied, treat delayed labor .
Process of stimulating the uterus to increase the frequency, duration and intensity of contractions after the onset of spontaneous labour