normal labour (stages ) part 2

Question 1

first stage of normal labour

Answer 1

latent phase: irregular contractions leads to dilatation of (4-6
cm )
active phase : regular contractions leads to fully dilatation (
10 cm)

Question 2

First stage duration

Answer 2

**NULLIPAROUS WOMAN:

LATENT PHASE: <20 hours
ACTIVE PHASE: Cervical dilation rate of 1.2 cm/hr

** MULTIPAROUS WOMAN
LATENT PHASE : <14 hours
ACTIVE PHASE:Cervical dilation rate of 1.5 cm/hr

Question 3

False labor / Braxton Hicks contractions

Answer 3

Occur at irregular intervals
Intensity remains the same
Discomfort in lower abdomen
No cervical changes
Relieved by changing the position

Question 4

True labor

Answer 4

Occur at regular intervals that shorten
Increases in intensity and pain
Discomfort in the back and in the lower abdomen
The cervix Dilates
Not relieved by changing the position

Question 5

Second stage duration

Answer 5

**Nulliparus :
-Without Epidural :<2hr
- With Epidural:<3hr

**Multiparus:
-Without Epidural:<1hr
With Epidural:<2hr

**if more time=problem in second stage and we should help

Question 6

Third stage
of labor

Answer 6

placental delivery
< 30 minutes
**gentle traction of placenta from umbilical cord
to help placental delivery

Question 7

Characteristics of the third stage of labor

Answer 7

*The placenta separates from the endometrium
Usually < 10 minutes
*prolonged if >30 minutes
*Gush of blood(first sign of placental
delivery and detachment)
*UC lengthens(umbilical cord thinner and longer )
* The uterus becomes firm