Labour

Question 1

what is labour?

Answer 1

the onset of regular and painful contractions associated with cervical dilatation and descent of the presenting part

Question 2

what are the signs of labour?

Answer 2

1. regular and painful uterine contractions
2. a show (shedding of mucous plug)
3. rupture of the membranes (not always)
4. shortening and dilation of the cervix

Question 3

what are the 3 stages of labour?

Answer 3

Stage 1: from the onset of true labour to when cervix is fully dilated

Stage 2: from full dilation to delivery of fetus

Stage 3: from delivery of fetus to when placenta and membranes have been completely delivered

Question 4

what is monitored in labour?

Answer 4

1. FHR every 15 mins / continuously via CTG
2. contractions assessed every 30 mins
3. maternal pulse rate assessed every 60 mins
4. maternal BP and temp should be checked every 4 hours
5. VE (vaginal examination) should be offered every 4 hours to check progression of labour
6. maternal urine should be checked for ketones and proteins every 4 hours