first stage of labor

Question 1

definition

Answer 1

• The first stage of labor is timed from the diagnosis of onset of labor to full dilatation of the cervix
• During the first stage , the membranes may be intact, have been ruptured artificially or ruptured artificially.

Question 2

duration

Answer 2

• Dilation of the cervix occurs in two phases:-
  i) The latent phase begins with the onset of labor and ends when the cervix is 3 cm dilated. ii) The active phase occurs from 3 cm to full dilatation and the rate of cervical dilatation occurs normally at approximately 1 cm per hour in a primigravida and 2cm per hour in a multigravida

Question 3

conduction

Answer 3

• The women should be encouraged to mobilize and may eat a light diet.
• The midwife would normally perform vaginal examinations every 4 hours, and the progress of the labor is plotted on a partogram

Question 4

management

Answer 4

• provisional of continuity of care and emotional support to the mother
• observation of the progress of labour with timely intervention if it becomes abN
• Monitoring of fetal well being
• adequate and appropriate pain relief consistent with the women’s wish
• adequate hydration to prevent ketosis

Question 5

complication

Answer 5

• prolonged first stage
• fetal distress syndrome

Question 6

phases and its characteristic

Answer 6

• Dilation of the cervix occurs in two phases:-
  i) The latent phase begins with the onset of labor and ends when the cervix is 3 cm dilated. ii) The active phase occurs from 3 cm to full dilatation and the rate of cervical dilatation occurs normally at approximately 1 cm per hour in a primigravida and 2cm per hour in a multigravida.