Intrapartum Physiotherapy Management

Question 1

What are the stages of Labour?

Answer 1

First Stage
* Interval between onset of labour and full cervical dilatation
Second Stage – Pushing phase
* From full cervical dilatation to delivery of infant
Third Stage – Placenta Birth
* From delivery of infant to expulsion of the placenta

Question 2

Why is relaxation in labour important?

Answer 2

o Reduces stress
Through increasing natural oxytocin. Using rhythmical breathing
o Reduces tense muscles
o Decreased risk of c-section

Important in breaking the Pain, fear and tension cycle

Question 3

What does Pain or Fear look like during labour?

Answer 3

 Breath holding
 Facial expression
 Tense shoulders/ arms/ fingers/ face
 Vocalisation
 Lack of support (birth partner)
 Increased pain/fear – Increased perception of pain and reactions

Question 4

How to break the

Answer 4

 Strong senation isn’t always bad
 Positive/empowerting midwife
 Rapport with O&G
 Know your body and pain levels
 Music / lights / massage/ birth partner / birth plan / TENS / water / positioning.