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Normal Labour
DR UROOSA JUNO
DR SONIA NAZAR
Maternal Anatomy
 PELVIC INLET
MIDPELVIS
PELVIC OUTLET
Pelvic axis
Pelvic shape
Pelvic floor
FETAL SKULL
 Skull bone
 Sutures
 Fontanalles
 Diameters
Skull bones
Sutures & fontanelles
Diameters of fetal skull
Defination
 The process by which regular painful uterine
contraction bring about cervical effacement,
dilatation and descent of presenting part &
ultimately expulsion of fetus ,placenta and
membrane from mother
Lie
Presentation
Denominator
Position
Attitude
Station
Stages of labor
First stage
 Cervical effacement &
dilation
Third stage
Mechanism of labor
Delivery tray
 Gloves , urinary catheter
 Bowl for antiseptic solution
 Cotton swabs & gauze piece
 Cord clamp . Plane Scissor , Episotomy scissor
 Sponge holder & artery forcep
 Needle holder
 Plane & tooth forcep
 Injection xylocaine absobable suture
 Speculum , kidney tray & sanitary pad
THANK
YOU

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normal labor pptx

Editor's Notes

  1. Plane of greatest din: is the largest part of pelvic cavity bound Ant: by midpoint of pubis laterally upper part of obturator foramen post: junction of 2&3 Least dim(OBS outlet )ant: inferior margin of pubic symphysis Laterally ischial spine Post: apex of sacrum
  2. Android deep transverse arrest d/to failure to rotation anthropoid – OP platypelloid – obstructed labor d/to failure of head engagement
  3. It is a bony landmarks on the presenting part use to denote the position
  4. Relationship of denominator of the fetus to maternal pelvis
  5. Relationship of different part of fetus with one another
  6. Measure of descent of presenting part of fetus through birth canal
  7. Latent 3-8 hr active 1st stage 2-6hr Dilation at least 1cm/hr or 1cm/2hr below this abnormal 2nd stage 3hr with epidural 2hr without epidural in nulli