Normal Labour and Peurperium Flashcards
labour definition?
physiological process of expelling fetus, membranes, umbilical cord and placenta
3 options on where to give birth?
- consultant led unit
- midwife led unit
- homebirth
birth plan?
record of what women would like to happen during labour
initiation of labour
Change in the estrogen/progesterone ratio
Fetal adrenals and pituitary hormones may control the timing of the onset of labour
Myometrial stretch increases excitability of myometrial fibres
Mechanical stretch of cervix and stripping of fetal membranes
Fergusons Reflex
stages of labour
-First Stage
.Latent phase up to 3-4cms dilatation
.Active stage 4cms -10cms (full dilatation)
-Second Stage
.Full dilatation -delivery of baby
-Third Stage Delivery of baby –expulsion of placenta and membranes