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Brief introduction -  normal labour
1) Definition of normal labour
2) Assesment criteria for the same
3) Causes of labour initiation
4) Stages of labour
5) Key words in labour mechanism
 Definition –
A series of events that takes place in the
genital organs in order to expel the viable
products of conception out of the womb through
the vagina into the outer world .
 Spontaneous in onset and at term
 Vertex presentation
 Without undue prolongation
 Natural termination with minimal aids
 Without any complications
 Uterine distention
 Feto placental cascade
 Oestrogen
 Progesteron
 PG’s
 Oxytocin
1st : onset of true labour pain to full
cervical dilatation .
2nd : full cervical dilatation to fetal
expulsion
3rd : placental expulsion
4th : observation
1st STAGE 2nd STAGE 3rd STAGE
PRIMI 12 HRS 2 HRS 15 MIN
MULTI 6 HRS 30 MIN 15 MIN
Engagement
Increasing flexion
Int. rotation of occiput
Crowning
Delivery of head by extention
Restitution
External rotation
Delivery of shoulders and trunk by lateral flexion
 Power
 Passage
 Passenger
1) Pains
2) Dilatation and effacement of cervix
3) Status of membranes
4) Descent of fetus
5) Vaginal signs
6) Maternal signs and foetal effect
THANK YOU

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Brief introduction - normal labour

  • 2. 1) Definition of normal labour 2) Assesment criteria for the same 3) Causes of labour initiation 4) Stages of labour 5) Key words in labour mechanism
  • 3.  Definition – A series of events that takes place in the genital organs in order to expel the viable products of conception out of the womb through the vagina into the outer world .
  • 4.  Spontaneous in onset and at term  Vertex presentation  Without undue prolongation  Natural termination with minimal aids  Without any complications
  • 5.  Uterine distention  Feto placental cascade  Oestrogen  Progesteron  PG’s  Oxytocin
  • 6. 1st : onset of true labour pain to full cervical dilatation . 2nd : full cervical dilatation to fetal expulsion 3rd : placental expulsion 4th : observation
  • 7. 1st STAGE 2nd STAGE 3rd STAGE PRIMI 12 HRS 2 HRS 15 MIN MULTI 6 HRS 30 MIN 15 MIN
  • 8. Engagement Increasing flexion Int. rotation of occiput Crowning Delivery of head by extention Restitution External rotation Delivery of shoulders and trunk by lateral flexion
  • 10. 1) Pains 2) Dilatation and effacement of cervix 3) Status of membranes 4) Descent of fetus 5) Vaginal signs 6) Maternal signs and foetal effect

Editor's Notes

  • #6: Cascade – A sequence of successive activation reactions involving enzymes or hormones characterized by a series of amplifications of an initial stimulus.