Signs of Labor
Signs of Labor
Signs of Labor
Duration of Labor:
Primipara 14 hours & not more than 20
hours
Multipara - 8 hours & not > than 14 hours
Effacement softening & thinning of cervix,
use % in unit of measurement
Dilation widening of the cervix, unit used is
cm.
PLACENTA
May impede labor when implantation took
Placenta Previa
Signs of Placental
Separation:
Fundus rises becomes firm & globular
Calkins sign
Lengthening of the cord
Sudden gush of blood
Types of Placental
delivery:
Psyche
Women who are relaxed, knowledgeable &
Phases of Labor
1. Latent phase changes in the body occurs
in preparation for labor, irregular & painful
contractions will start & last for 24 hours
Assessment
>dilations: 0-3 cm
mom: excited, apprehensive, can
communicate
2. Active phase
Assessment:
>dilations 4-8 cm
>mom fears of losing control of self
>frequency every 3-5min lasting for 30-60
seconds
> intensity moderate
Nursing care:
M edications- have meds ready
A ssessment includes vital signs, cervical
dilation & effacement , fetal monitoring
D ry lips, oral care (ointment)
B abdominal breathing
3. Transitional phase
Assessment:
Dilations: 8-10 cm
Frequency: every 2-3 min contractions
Duration: 45-90 seconds
Intensity: strong
Mom: mood changes with hyperesthesia
Nursing care:
T- ires
I - inform of progress
R estless support her breathing technique
D- iscomfort
Effacement use % for measurement
Dilation use cm for measurement
Mechanisms of Labor:
1. Engagement biparietal diameter of the
baby reaches the ischial spines
2. Descent presenting part progresses
through the pelvis; level os station
3. Flexion descending head meets pelvic floor,
chin is brought down
Mechanisms of Labor
Descent
Flexion
Complete Rotation
Extension
External rotation
Expulsion