Essential features of normal labour
1. Passenger
Fetal skull and size.
Position of fetus;
Fetal lie;
Longitudinal (vertical)
Transverse (horizontal)
Oblique
Fetal presentation
Fetal attitude
Fetal position
Fetal station
2. Passage
Cervix dilates (10cm dilatation), cervix effacement (100%) effaced.
3. Power
Uterine contraction/pain
Involuntary uterine contractions and voluntary pushing of fetus, frequency, intensity, bearing effort, true labour pain, false labour pain.
Birth canal obstruction may be caused due to;
Tumor/ cyst/ CPD
To make false labour pain to true labor pain 60 drops/ minutes oxytocin.
4. Position
Maternal postures and physical position.
Position of labour
Positions of pushing
5. Psychology
The response to mother (anxiety, nervousness, stressed).
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