Stages Flashcards
Early phase physical characteristics
menstrual like cramps low dull back aches expulsion of mucous light bloody show diarrhea ambulation without difficulty
Early - Latent Phase dilation time q duration severity
0-3 cm 8-9 hrs q 20-5 min lasts 30-45 sec mild
Active phase cm time q duration severity
4-7cm 3-4hrs q 5-3min 45-60sec moderate - strong
Active phase physical characteristics
increased bloody show
intermittent urge to push
persistent backache with occipitoposterior position
ambulation with some difficulty
Transition phase cm time q duration severity
8-10cm 10-60min q1-3min 60-90sec intense
Transition phase physical characteristics
Heavy bloody show increasing urge to push increasing rectal pressure nausea and vomiting diaphoresis involuntary shaking leg cramps ambulation difficulty or impossible with uterine contraction
Phase II cm time q frequency intensity
10cm 20min-2hrs 2-5min initially decrease in frequency and intensity strong
Stage II physical characteristics
strong urge to push with descent of presenting part
increasing rectal and perineal pressure
bulging of perineum
emergence of fetal presenting part crowning
sensation of burning, stretching, or tearing as head is born
perineal anesthesia due to extreme stretching of perineum
Stage III importance time contraction severity
birth of infant- birth of placenta
5-20min
contractions start to stop
mild to moderate
Stage III Physical characteristics
gush of blood from vagina
change in size shape and consistency of uterus
lengthening of umbilical cord from vagina
maternal report of contractions
feeling of fullness in vagina as placenta is expelled
Stage IV
time
contractions
severity
1-4hrs post partum
continuous contraction of uterus to prevent bleeding
mild - moderate
Stage IV Physical Characteristics
menstrual like cramps
perineal tenderness
involuntary shivering
