False Contractions
False Contractions
False Contractions
No increase in intensity, duration, and frequency of Uterine contractions increase in intensity, frequency
uterine contractions and duration
Contraction stops when women is sedated Contraction persists even if woman is sedated
Absence of cervical dilation Progressive cervical dilation (suress sign of true labor)
Fetal Lie – refers to long axis of the fetus to the Stages of Labor
long axis of mother.
First stage – Cervical stage
1. Longitudinal line (parallel) - onset of true labor contractions until full
Cephalic presentation – head comes cervical dilation and effacement
out first
Second stage – Expulsive stage
a. Vertex Position (good flexion)
b. Sinciput position (partially flexed) - full cervical dilation until birth
c. Brow presentation (moderate) Third Stage – Placental stage
d. Face presentation (poor flexion)
- from the delivery of the baby to placental
e. Chin Presentation (very poor)
expulsion
Breech presentation – feet or buttocks Fourth Stage – Immediate postpartum period
comes out first - from the delivery of placenta until the
a. Complete breech – feet and legs are condition of the woman has stabilized
flex
b. Frank – hips flexed, legs extended DANGER SIGNS OF LABOR
c. Footling – one or both feet are
presenting part 1. Signs of fetal distress
2. Res-stained amniotic fluid
Shoulder presentation (CS)
3. Cord prolapsed
Compound presentation (when there is 4. Maternal tachycardia, hyperternsion, and
prolapsed of the fetal head)
hypotension
2. Transverse Lie (fetus lying crosswise) 5. Pallor, cold clammy skin
3. Oblique Lie 6. Fever, foul smelling vaginal discharge
7. Vaginal bleeding
Station
Internal Examination (IE)
Floating – head is movable above the pelvic inlet
Purpose: to assess:
Station 0 – fetus is engaged
Status of amniotic fluid
Station +2 – fetus is midpelvis
Consistency of cervix
Station +4 – perineum is bulging Cervical effacement
Cervical dilation
MECHANISMS OF LABOR/CARDINAL SIGNS
Presentation
Descent Station
Flexion Obtain pelvic measurement
Internal
Rotation
Extension
External
Rotation
Expulsion