13 - Obs - Labour - Normal Labour

Question 1

when?

Answer 1

37-42 weeks

Question 2

Diagnosis of labour?

Answer 2

contractions with effacement and dilatation of the cervix

Question 3

First stage - uterus contracts every ?-? mins

-latent (

Answer 3

2-3
<3
3-10
diameter
head
flexed
diameter

Question 4

First stage - (variable descent occurs before labour = ?)

• 90 degree ? from occipito-? to occipito-? (or occipito-?) begins
• ? membranes usually ? or are ruptured artificially

Answer 4

engagement
rotation
transverse
anterior
posterior
amniotic
rupture
ruptured

Question 5

Second stage - ? continue

• ? descends and ? further, rotation usually completed
• ? starts with head reach pelvic ? (Active second stage)

Answer 5

contractions
head
flexed
pushing
floor

Question 6

first stage = ?
second stage = ?
third stage = ?

Answer 6

cervix opens to full dilation to allow passage of head

from full dilation to delivery

from delivery fetus to delivery placenta

Question 7

Delivery - head now ? as it is delivered over ?
-head restitutes, ? back to the ? before the ? deliver

-Third stage - ? delivered - average duration = ? minutes

Answer 7

extended
perineum
rotates 
transverse
shoulders

placenta
15mins

Question 8

the 3 mechanical factors of labour?? 3 ps

Answer 8

powers - force expelling fetus
passage - soft tissue resistance + pelvic dimensions
passenger - diameters of fetal head