Labour Flashcards
what changes must occur for expulsion of the foetus?
cervix softens
myometrium tone changes to allow contractions
progesterone decreases whilst oxytocin and prostaglandins increase
what is effacement?
cervical thinning
when does stage 1 of labour end?
when the cervix is fully dilated
dilation anticipated progress?
0.5-1cm per hour
when is stage 2 of labour?
from full cervical dilatation to the birth of the baby
what is the passive second stage?
no urge to push which can be a further 2 hours
may be position of baby
what is active second age?
expulsive contraction or maternal effort has started
when would birth be expected in primagravida?
within 2 hours of active second stage
when would birth be expected in multigravida?
within 1 hour of active second stage
active management of stage 3?
oxytocin can be given to speed things along
when is it prolonged third stage?
30 minutes with active management
60 minutes with physiological management
what are the external signs?
Rhomboid or Michaelis and anal cleft line
