💡Definition of normal labor :
🔹Labor is the series of events by which the fetus and the placenta are expelled from the woman's uterus. Delivery refers to the actual delivery of the infant.
بالمعنى ان الولادة والمخاض هي عملية طرد للرضيع والمشيمة من الرحم
🔹Labor is the series of events by which the fetus and the placenta are expelled from the woman's uterus. Delivery refers to the actual delivery of the infant.
بالمعنى ان الولادة والمخاض هي عملية طرد للرضيع والمشيمة من الرحم
وصلنا لـِ
Terminology that must be known in maternity🤰🏻:
🔸 ROM: Rupture of membranes.
🔸 AROM: Artificial rupture of membranes also known as Amniotomy.
🔸 AMTL: A: active, M: management, T:third stage, L: of labor.
🔸 Pitocin: oxytocin injection.
Terminology that must be known in maternity🤰🏻:
🔸 ROM: Rupture of membranes.
🔸 AROM: Artificial rupture of membranes also known as Amniotomy.
🔸 AMTL: A: active, M: management, T:third stage, L: of labor.
🔸 Pitocin: oxytocin injection.
🔸 Indication: For being contractions.
🔸 P.V: Per Vaginal.
🔸 V.E: Vaginal examination.
🔸 EBL: estimated blood loss.
🔸 QBL: quantitative blood loss.
🔸 P.V: Per Vaginal.
🔸 V.E: Vaginal examination.
🔸 EBL: estimated blood loss.
🔸 QBL: quantitative blood loss.
Characteristics of normal labor:
🔹The fetus is born at full term&fetus is living.
🔹The fetal presentation is vertex.
🔹The process of labor is completed spontaneously.
🔹The process of labor is completed through the natural passages.
🔹The time of labor does not exceed 24hrs.
🔹The fetus is born at full term&fetus is living.
🔹The fetal presentation is vertex.
🔹The process of labor is completed spontaneously.
🔹The process of labor is completed through the natural passages.
🔹The time of labor does not exceed 24hrs.
Factors affecting the progress of 💡labor :
🔸Passengers: الرضيع والمشيمة والغشاء والحبل السري والدم وموية الجنين
🔸 Passage: *Birth Canal*
🔸 Power
🔸Passengers: الرضيع والمشيمة والغشاء والحبل السري والدم وموية الجنين
🔸 Passage: *Birth Canal*
🔸 Power
Characteristics of uterine contractions:
🔻Frequency or interval:the Period between the start of one and the start of the next contraction. بتقل
🔺Duration:the period between the start of one contarction and its end. بتزيد
▫️Intensity or amplitude:The power of contraction.
🔻Frequency or interval:the Period between the start of one and the start of the next contraction. بتقل
🔺Duration:the period between the start of one contarction and its end. بتزيد
▫️Intensity or amplitude:The power of contraction.
Phases of contraction: {On CTG}
🔸Increment: A period during which the contraction begins slowly.
🔸Acme: A period during which the contraction reaches a paek.
🔸Decrement: A period during which the contraction diminishes.
🔸Increment: A period during which the contraction begins slowly.
🔸Acme: A period during which the contraction reaches a paek.
🔸Decrement: A period during which the contraction diminishes.
طبعًا وصلنا لنقطة مررررة سهله كيف ممكن تعرفون اذا الانسانة هذه في حالة ولادة ولا لا؟ 🤷🏻♀️
نسميها True labor :
🔸Show (blood streaked mucous).
🔸Painful discomfort begins in back& radiates around abdomen.
🔸Regular & interval gradually shorten.
نسميها True labor :
🔸Show (blood streaked mucous).
🔸Painful discomfort begins in back& radiates around abdomen.
🔸Regular & interval gradually shorten.
🔸Contractions don’t decrease with rest or warm tube bath.
🔸intensity gradually increases with walking.
🔸Cervix dilatation & effacement are progressive.
🔸Not affected by sedation
🔸intensity gradually increases with walking.
🔸Cervix dilatation & effacement are progressive.
🔸Not affected by sedation
💡 كل اللي راح كان مقدمة تساعدكم على فهم المعلومات المهمة عن الموضوع حاليًا وصلنا لِـ stages
طبعًا عندنا اربع مراحل
1- Dilating stage
2- Expulsive stage
3- Placental stage
4- Forth stage
طبعًا عندنا اربع مراحل
1- Dilating stage
2- Expulsive stage
3- Placental stage
4- Forth stage
1-Dilating :
Begins with the first true uterine contraction & ends with complete dilation of the cervix.
طبعًا مدة هذا الستيج تختلف عند
prime&Multi:
Prime: primigravida;a woman in her first pregnancy
🔸Multi:A pregnancy with more than one fetus is called multiple pregnancy
Begins with the first true uterine contraction & ends with complete dilation of the cervix.
طبعًا مدة هذا الستيج تختلف عند
prime&Multi:
Prime: primigravida;a woman in her first pregnancy
🔸Multi:A pregnancy with more than one fetus is called multiple pregnancy
Duration:.
▫️Prime: 12-16 hours
▫️Multi: 6-8 hours
الستيج هذا له Three Phase:
Latent phase يبدأ مع انتظام انقباضات الرحم ويكون عند الام القدرة على التعامل مع الازعاج ممكن تكون قلقة ولكن تقدر تتكلم وتبتسم.
▫️Prime: 12-16 hours
▫️Multi: 6-8 hours
الستيج هذا له Three Phase:
Latent phase يبدأ مع انتظام انقباضات الرحم ويكون عند الام القدرة على التعامل مع الازعاج ممكن تكون قلقة ولكن تقدر تتكلم وتبتسم.
Active phase هنا يزيد القلق ويبدأ الخوف من الخسارة وفي الوقت هذا بتكون الام تحتاج دعم
Transition phase
هذا اخر وجه من هذا الستيج هنا الام تكون قلقة وتبدأ تستوعب قوة الانقباضات وتتحرك كثير وتنفسها يزيد وتبدأ الام الظهر وانقباضات الرجل وفي هذه المرحلة هي بحاجة الى الدعم .
Transition phase
هذا اخر وجه من هذا الستيج هنا الام تكون قلقة وتبدأ تستوعب قوة الانقباضات وتتحرك كثير وتنفسها يزيد وتبدأ الام الظهر وانقباضات الرجل وفي هذه المرحلة هي بحاجة الى الدعم .
2-Expulsive stage:
Begins with complete dilation of the cervix and ends the delivery of the infant🤱🏻.
Duration in
▫️Prime: 1-2 hours
▫️Multi: 10-30 minutes
Begins with complete dilation of the cervix and ends the delivery of the infant🤱🏻.
Duration in
▫️Prime: 1-2 hours
▫️Multi: 10-30 minutes
❇️Signs of the second stage of labor:
Uterine contarctions: become stronger, last longer, and more frequent, together with full cervical dilatation and effacement.
Bearing down orPushing: The woman starts to push.
Uterine contarctions: become stronger, last longer, and more frequent, together with full cervical dilatation and effacement.
Bearing down orPushing: The woman starts to push.
Rupture of bag waters:The membranes should have ruptured by the end of the first stage
crowing:The fetal head is encircled by the external opening of the vagina
Spontaneous Birth:the head distends the vulva with each contraction,the perineum becomes thin&the anus stretches&bulges
crowing:The fetal head is encircled by the external opening of the vagina
Spontaneous Birth:the head distends the vulva with each contraction,the perineum becomes thin&the anus stretches&bulges
لازم نعرف ان كمية الدم اللي تخسرها الام تختلف
اذا كانت ولادة طبيعية او قيصيرية
•SVD>500ml/cc. •
🔸spontaneous vaginal delivery: SVD.
•SC< 1000ml/cc.•
🔸Cesarean section: CS.
اذا كانت ولادة طبيعية او قيصيرية
•SVD>500ml/cc. •
🔸spontaneous vaginal delivery: SVD.
•SC< 1000ml/cc.•
🔸Cesarean section: CS.
3- placental stage وصلنا للستيج المهم جدًا 🤯.
The third stage of labor involves the separations and expulsion of the placenta It begins with the delivery of the infant and ends with the delivery of the placenta.
The third stage of labor involves the separations and expulsion of the placenta It begins with the delivery of the infant and ends with the delivery of the placenta.
🔺Signs of the placental separstion:
Globular shaped uterus,
Rise of the fundus in abdomen,
Sudden gush of blood,
Protrusion of the umbilical cord out of vagina,
Loss of pulsation of the cord when pressure is exercised on the fundus.
🔻 Duration:
10-30 minutes
Globular shaped uterus,
Rise of the fundus in abdomen,
Sudden gush of blood,
Protrusion of the umbilical cord out of vagina,
Loss of pulsation of the cord when pressure is exercised on the fundus.
🔻 Duration:
10-30 minutes
Phases of placenta separation:
Divided into three phases:-
🔹 Phase of separation: هنا تبدأ مرحلة فصل المشيمة عن جدار الرحم وما تكون ثابتة
🔹 Phase of descent: هنا يبدأ يتقلص الرحم والمشيمة تنزل للمستوى السفلي وتسبب تضخم.
🔹 Phase of expulsion: وهنا تخرج المشيمة من الرحم.
Divided into three phases:-
🔹 Phase of separation: هنا تبدأ مرحلة فصل المشيمة عن جدار الرحم وما تكون ثابتة
🔹 Phase of descent: هنا يبدأ يتقلص الرحم والمشيمة تنزل للمستوى السفلي وتسبب تضخم.
🔹 Phase of expulsion: وهنا تخرج المشيمة من الرحم.
🔴طيب حاليًا كلكم تتسألون ليش قلت عنه مهم جدًا لان مدته بس ثلاثين دقيقة وما تزيد عنها
ولو زادت على طول لازم نبلغ الدكتور لانه يهدد حياة الام بالخطر
ولو زادت على طول لازم نبلغ الدكتور لانه يهدد حياة الام بالخطر
4-Recovery stage:
The first 2 hours after delivery
طبعًا هنا احنا ك نيرسيز وش ممكن نسوي؟ لازم نتأكد من ارتفاع الرحم ومكانه
وكمان لازم نسوي DVT assessment يوميًا لحد ما يكتبون لها خروج.
The first 2 hours after delivery
طبعًا هنا احنا ك نيرسيز وش ممكن نسوي؟ لازم نتأكد من ارتفاع الرحم ومكانه
وكمان لازم نسوي DVT assessment يوميًا لحد ما يكتبون لها خروج.
ملخص للمراحل:
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