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PREGNANCY
LMP EDD 1st day of menses of last cycle 40 weeks +\- 2 weeks
Preg --> 3 trimesters : 1st trimester 2nd trimester 3rd trimester 12 weeks 28 weeks 28 weeks - term
loss of weight
uterus not yet palpable breast / skin changes mood postural hypotension
LABOUR
prelabour - contractions
labour
- show
- leaking
- abdominal pain
Confirmed with VE
In labour - proceed
Not in labour - home with monitoring
LABOUR
NORMAL LABOUR
Phases of labour : latent phase - variable active phase - 6 hours Total - 12 hours
LABOUR
1st stage :
rupture of membranes
monitoring
augmentation
pain relief support food & drinks
LABOUR
2nd stage : onset os station position size of baby Pushing & SVD - episiotomy Vacuum Forceps LSCS slow progress/ no progress
LABOUR
3rd stage :
Placental removal - CCT MRP PPH Suturing of episiotomy
LABOUR
ABNORMAL LABOUR
prolonged labour no progress fetal distress meconium stain breech / transverse lie shoulder dystocia ruptured uterus birth asphyxia - A/S injuries
placenta praevia
breech/ transverse lie / unstable lie macrosomia IUGR pre eclampsia bad obstetric history twins - 1st twin not cephalic