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Normal Labour and Birth - Coggle Diagram
Normal Labour and Birth
Normal Birth
Spontaneous in onset, low risk at the start of labour and remaining so throughout labour and birth
The infant in born spontaneously in the vertex position between 37 and 42 weeks of pregnancy
After birth the mother and baby are in good condition
Process
Involves the widest diameter of the baby successfully negotiating the widest diameter of the mother's pelvis
Undergoes passive movement to negotiate the pelvis of the mother
Known as the Mechaism of Labour
- Strong uterine contractions
- Tension placed on supporting ligaments
- Pressure of the baby on the cervix, vagina, urethra, bladder and rectum
- Stretching of the cervic , pelvic floor muscle and vagina
Hormones
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- Catecholamines - adrenalin and noradrenaline
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Compents of Labour
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Needs to be positioned propertly
Optimu position in Occiput anterior position
Malposition will not fit thorugh passage
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Onset of Labour
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Mangament
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Phone hx taken
- onset of symptoms
FM present
Coping
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Assessment and Diagnosis
- Admit to assessment unit and tiage by midwife
- Full asssessment carried out
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- Discuss birth plan and answer questions
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Care of Mother in Labour
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• Monitor progress – vaginal examination 2-4 hourly cervix, head position / station
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• Record fluid balance, encourage fluids if appropriate
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• Monitor fetal well being – FHR, liquor colour
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Care During Delivery
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• Prepare for delivery – sterile delivery pack, wash hands, protective eyewear, cloves
• Active pushing, working with the woman’s contractions
• Guard the perineum, stop pushing when heading crowning
• Sometimes an episiotomy is indicated if fetal distress, large tear likely or obstructing perineum
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Third Stage of Labour
Delivery of placenta, cord and membranes and control bleeding
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