normal labour Flashcards
1
Q
what key physiological changes must occur to allow for labour to start ?
A
cervix softens
myometrial tone changes to allow for contractions
progesterone decreases, oxytocin and prostaglandin increase to allow for labour to initiate
2
Q
what is stage 1 of labour ?
A
complete when cervix is fully dilated
progress usually 0.5-1cm / hour
3
Q
what is stage 2 of labour ?
A
from full cervical dilation to birth
can be active or passive
primigravida birth expected within 2 hours
multigravida expected within 1 hour
4
Q
what is stage 3 of labour ?
A
time from birth expulsion of placenta
ative management
delayed is >30 mins of active management
5
Q
how is labour monitored ?
A
maternal observation abdominal palpation vaginal examination auscultation of fetal heart CTG
6
Q
what are the steps in mechanism of labour ?
A
descent flexion internal rotation of the head crowning and extension of the head restitution internal rotation of the shoulders external rotation of the head lateral flexion
7
Q
what are analgesia options in labour ?
A
breathing, massage, DHC entonox - NO opioids - morphine remifentanil - patient controlled epidural
