Possible signs of Labour and it's management

  

Date Posted: 2/19/2017 4:59:37 AM

Posted By: lettysha  Membership Level: Bronze  Total Points: -43

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Labor is a process whereby the fetus ,placenta and membranes are being expelled. A normal Labor should not last more than 14 hrs.If it does urgent medical intervention is needed.There is false and true Labor.In true Labor there is regular uterine contractions ,pain radiating to the back that is not relieved with analgesics as compared to false Labor where the pain localizes in the abdomen and is not relieved by analgesics,irregular uterine contractions.

Presumptive signs of labor;
1.rupture of the forewaters
2.appearance of Rhombus of Michaelis
3.gaping of the anus

Confirmatory signs;
1.mothers urge to bear down
2.uterine contractions
3.descent of the presenting part. (Head ,legs, buttocks ,hands)

Labor occurs in 4 stages.
1. First stage:is the period of cervical dilatation.it occurs in phases namely latent phase (0-3)cm,active phase (4-10)cm. Full dilatation is achieved at 10 cm.
Management :monitor fetal heart rate half hourly,monitor maternal pulse and Blood pressure 2 hourly,perform vaginal examination 4 hourly to monitor the progress of Labor.

2. Second stage;is a period between full dilatation upto the time the baby is born.
Management:encourage mother to push in contractions and advice them not to when there is no contractions,advice the mother to cooperate to ease the delivery,if the perineum is tight perform an episiotomy.,
Show the mother the sex of the child and congratulate her

3. Third stage;involves the delivery of the placenta and all the membranes and control of bleeding.
Management:administer oxytocic drugs such as syntocinon to facilitate the separation of the placenta,apply controlled cord traction while delivering the placenta,suture the mother if there are any tears.

4. Fourth stage;it is one hour after the delivery. (Post-delivery)
Management;monitor the vital signs of the mother hourly and the baby's temperature,observe for any hemorrhage,observe for lochia loss,transfer the mother to postnatal unit for further management.

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