Labour and Delivery

Question 1

Onset of labour (true contractions) until 10cm cervical dilatation

Answer 1

first stage

Question 2

10cm cervical dilatation to delivery of baby

Answer 2

second stage

Question 3

delivery of baby to delivery of placenta

Answer 3

third stage

Question 4

latent phase of first stage labour

Answer 4

0 to 3cm dilation of cervix
irregular contractions
0.5cm/hour progression

Question 5

active phase of first stage labour

Answer 5

3 to 7cm cervical dilation of cervix
regular contractions
1cm/hour progression

Question 6

transition phase of first stage labour

Answer 6

7 to 10cm dilation of cervix
regular strong contractions
1cm/hour progression

Question 7

what is involved in first stage labour?

Answer 7

effacement and dilation

Question 8

occasional irregular contractions of uterus
usually during 2nd and 3rd trimester
temporary/irregular tightening/mild cramping

Answer 8

Braxton Hicks

Question 9

how to help reduce Braxton-Hicks

Answer 9

stay hydrated and relaxed

Question 10

4 things to diagnose onset of labour

Answer 10

show
rupture of membranes
regular, painful contractions
dilating cervix on examination

Question 11

what is the show

Answer 11

mucus plug in cervix which prevents bacteria from entering uterus during pregnancy

Question 12

what are the 2 stages referred to in first stage of labour by NICE

Answer 12

latent first stage - painful contractions and changes to cervix with effacement
dilation up to 4cm

established first stage - regular painful contractions
dilation of cervix from 4cm on