Student Nurse Laura

Orem – "creative effort of one human being to help another human being."

Stages of Labor

Posted by Laura on March 11, 2010

Preceding Labor:

  • Lightening
  • bloody show
  • return of urinary frequency
  • backache
  • stronger Braxton Hicks contractions
  • weight loss 0.5 – 1.5 kg
  • ↑vaginal discharge
  • ↑ energy
  • cervical ripening
  • possible ROM

Stage 1 – onset of regular contractions to full dilation of cervix

  1. latent – ↑ effacement ↓ decent [0-3cm 0-40%. UC reg. Behav: anticipation, excitement, apprehension]
  2. active – ↑ effacement ↑ decent [4-7 cm, 40-80%, -2 to 0 station. UC q 2-5 x 45-60 sec. Palpate mod – firm]
  3. transition – ↑ effacement ↑ decent [8-10cm, 80-100%, -1 to +1 station.UC q 2-3 x 60-90 palpation strong]

Stage 2 – after dilated cervix to birth of fetus [10 cm to birth,up to 2 hrs, 20 min mul-tip, 50 minutes for null-ip] 

  1. Latent- descent as result of UCs
  2. Descent -Ferguson reflex is activated +1
  3. Transition-Presenting part on perineum

Stage 3 – after birth of fetus to placenta delivered. 3-4 strong contractions. 3 min to 1 hr. ↑ risk of hemorrhage

Stage 4 – postpartum lasts about 2 hrs after delivery of placenta

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