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Why is ripening and softening of the cervix essential?
For effacement and dilation
Lightening definition
Fetal presenting part begins to descend into true pelvis
Lightning symptoms experienced by mother
Breathing is much easier and less gastric reflex
What is nesting and when does it begin
Increased energy labor and begins 24-48 hours before.
Raises epinephrin and lowers progesterone
What is a bloody show
Pink tinged secretions which means ruptured cervical capillaries with mucous
Braxton hicks contractions
Feels like menstrual cramps in abdomen and groin then spreads down
How long do Braxton hicks last
30seconds to 2 minutes
True labor
Each lasts about 60 or 90 seconds.
Name 5 Ps affecting labor process
Passageway or birth canal
Passanger or fetus and placenta
Powers or contractions
Position or maternal
Psychological response
False pelvis is
Upper outside and lilac bones
True pelvis
Inlet, mid- pelvis (cavity, and outlet) or inside the hole
What does pelvic inlet do
Allows entrance to the true pelvis and upper pelvis narrow allows entrance toward birth canal
Mid pelvis is made of
Pubic symphesie and ischial bones
What is the pelvic outlet bound by and what must it be large enough for
Bound by social tuberosites and large enough for fetus
The three assessed measurements for pelvis
Diagonal conjugate of inlet. Transverse or ischial tuberosity. True or obstetric conjugate
All pelvic shapes
Gynecoid, anthropoid pelvis, android, platypelloid
Caput succedaneum
Fluid collected in the scalp
Cephalohematoma
Blood collected beneath the scalp?
How can fetal head postion be determined during vaginal exam?
Palpitation of sutures
Anterior fontanelle size and closure time
1-4cm and remains for 12-18 hours
presentations that result in cesarean birth
Complete, incomplete, footling
Turtle sign
When winning is pushing andbthebheadntretractsbbackninto the vagina
LOP AND LOT and ROA MEANS
• Left (L): The baby’s back is toward the left side of the mother’s body.
• Occiput (O): Refers to the back of the baby’s head (occiput).
• Anterior (A): The baby’s face is pointing toward the mother’s spine or back.
up in the pelvis.
• Think of the baby being “up” and “far away” from delivery.
• -5 means the baby is still floating and hasn’t engaged in the pelvis.
• 0 station means the baby’s head is aligned with the ischial spines (mid-pelvis), which is fully engaged.
• Positive numbers (+1 to +5): Baby is lower down and close to being born.
• Think of the baby being close to crowning and delivery.
• +5 means the baby’s head is visible at the vaginal opening.
First stage latent phase
Cervical dilation 0-6cm
Cervical effacement 0-40%
Nullipara last 20 Hours. Multipara last 14 hours
Contractions every 5-10 minutes and last 30-45 seconds.
Active phase of the first stage
6-10 cm dilating. Effacement 40-100%
Nullipara last until 6 hours. Multipara lasts until 4 hours. Contractions every 2-5 minutes. Lasts 45-60 seconds
Second stage pelvic phase and I Erika’s phase
Complete dilation to birth
Contractions every 2-3 minutes and lasts 60-90 seconds
Bloody show occurs here
Third stage of labor
Usually takes 5-10 minutes and may take up to 30 Minutes. Placental separation and expulsion
