Name of Condition Normal labou Mwapcouk正常情况下的劳动mwapcouk名称.docVIP

下载本文档

6
0
约2.1万字
约 9页
2018-06-19 发布于福建
举报
版权申诉

Name of Condition Normal labou Mwapcouk正常情况下的劳动mwapcouk名称.doc

1、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
7、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

Name of Condition Normal labou Mwapcouk正常情况下的劳动mwapcouk名称

2.12: Normal labour Recognise the onset of labour Symptoms and signs of labour are: Painful regular contractions (midwife attention at 5 mins apart) Cervical dilatation and effacement A show (passage of the cervical mucus plug) – may occur up to a few days before labour Spontaneous rupture of membranes (SROM) – may occur up to a few days before labour Labour is diagnosed when there are regular painful contractions + effaced cervix which is 3cm or more dilated +/- a show or ROM. There are three stages of labour: 1st Stage = Onset of established labour to full cervical dilatation. This can be further divided into: The latent phase. This is characterised by irregular uterine contractions and slow cervical dilatation/effacement to approximately 3cm. About 2/3rd of phase 1 – lasts 24hrs nullip and 16 hrs otherwise. The active phase, where dilatation should occur at approximately 1-2cm/hour in the nullip and 2-3cm/hour in the primip. There should be regular, coordinated uterine contractions. 2nd Stage = From full dilatation (10 cm) to birth of the baby. The second stage should be 3 hours in a primip (or 2hours without regional anaesthesia) and 2hours (or 1hour without regional anaesthesia) in multip’s 3rd stage = From birth of the baby until delivery of placenta and membranes. This usually takes 10mins, over 30 is abnormal but may not require intervention. The course of normal labour therefore is: Stage Nulliparous Multiparous First 6-18 hours 2-10 hours Second 30mins-3 hours 5-30 mins Third 5-30 mins 5-30 mins Progress in Labour The progress of labour is monitored using a partogram, which plots foetal HR, cervical dilatation/station of presenting part, maternal HR and BP over time. Drug administration can also be plotted, as can urine dipstick results. The progress of labour depends on the: Passage Passenger Powers Passage This consists of the bony pelvis (inlet, cavity and outlet) PLUS the soft tissue of the uterus, cervix, vagina, pelvic floor and perineum.