1. Mrs. Jamila M Rangrej
PHN Tutor,
Sameer.12rangrej@yahoo.com
Mrs. J M Rangrej 1
10. -
*. / 0..
$ (Eutocia) '% : “45 16. -
$
0.”
Mrs. J M Rangrej 3
18. 42 DE
Preterm labor- 37 DE 8
Post term –42 DE 80-
PPoosstt ddaatteess –– 4400 DE 80-
Mrs. J M Rangrej 4
21. /.
J
88: fetus (#$$))
vertex presentation 27. OOnn sseett ooff LLaabboorr
On set of Labor : %I
), [
' # # 0,,,, 8, ]^
8. _; D
%% 0........
28. M ] 0..
Matternal Hormone :
Oestrogen (2) Progesterone
(3)Prostaglandin (4) Oxytocin.
Foetal Hormone : (1) Cortisol (2)
Androgen
Mrs. J M Rangrej 6
31. 6' 0,,,, b [-' Adrenal
88
0 a [-' c%%%%
Cortisol K
0....
Progesterone K d 32. 0 e
)' 8, 0,,,, Oestrogen D
Progesterone K (,
[ 34. D T'
f
`8 0,,,, Tg
Prostaglandin hi
0
Prostaglandin jkjkjkjk
- Jl
40. 0.... D T'
;;;;'K
XgMd 8, Oxytocin hi 8 X'-lT'''' 0 D
T'
;g
%
/ 0, ;n
0.
Oxytocin 8 42. `a8o 0 D
(
;' Tg 8 X'-lT''''d J:%
0....
Tp
induce labor 0..
Mrs. J M Rangrej 7
52. ' j j j j 0,,,,
Prostaglandin Tg 53. hi
8 0.... *
'' *[
aK a , 0....
Mrs. J M Rangrej 8
56. j j j j
Oxytocin ;'; - c''
0.
(;'d 8'$ K (%% 60. /. Tg r
(distend)))) 0 61. %I 0.
Mrs. J M Rangrej 9
64. Tg
`8
# D# 0,,
(2) Lightening: tpp 80- Tg
fundal level
descent 0.
(3) Pelvic pressure symptoms: 8%%%%
q
8.. M
65. [ 8.
(4) Increased vaginal discharge.
(5) False labour pain:
(B) Onset of Labour:
(1) True labour pain.
(2) The show:
(3) Dilatation of the cervix:
(4) Formation of the bag of fore - waters: u: /.
/ 66. r 0 D
vg%
5l
wMwM
'x 0..
Mrs. J M Rangrej 10
69. z8, / 0 a
{
%-
+ 8 0.... /
/N `8
71. D . 0.
-Temperature: 37.5C. 76. = 0.
Mrs. J M Rangrej 11
86. (y / S
Mrs. J M Rangrej 12
. 0.
- Blood pressure: 8 87. , LMPP D
,
(pain anxiety D
stress )
, systolic
blood pressure
5M ~ ..
- conjuctiva 8 Oedema D
congestion
..
91. -
M
5l
M
5l
8 . 0....
S (,
%- 93. *h Z = 0.... ((((Z%%
))))
'J 96. (y
8€' -
(-
/8 ZJ.
- ), 104. 8'' DX X
DK#
0.
Mrs. J M Rangrej 14
107. M
# H (, Z=*
0....
X
T*
MwMw, 111. 8%%
' Z = 0.
(C) Third stage: placental site 113. 100 ml / - normal
labor total average blood loss 222255550000 114. ' '| %
0.
Mrs. J M Rangrej 15
117. = parietal bone 8
*88 0 D
o oocccciippiittaall D
frontal bones 8, *88 0 120. .
skull diameters )' J
- value 0
8 …;
severe and / or rapid moulding
0
intracranial haemorrhage K
,
122. Hormons:
HCG K s, %I 0.
FSH LH
Progesterone estrogen K s, 0.
ACTH K s, 0.
Mrs. J M Rangrej 17
123. Physiological changes during second ssttaaggee ooff llaabboorr
CChhaannggeess iinn UUtteerriinnee MMuusscclleess aanndd CCeerrvviixx:
EVENTS IN THE FIRST STAGE OF LABOUR::::
( †
- )'
*
1)))) dilatation and effacement of the cervix
2) Full formation of the lower uterine segment.
1)))) dilatation and effacement of the cervix
cceerrvviixx SSoofftt
0,,,,,,,,
ggooddddeellll
D $
0.
Fibromusculoglandular
Vascularity ‡X X8
(X'-
q)))) ....
124. = 0....
collagen fibers mM (- #ˆˆˆˆ .
‰
‰ : 8Š, 125. = 0..
‰
‰ lT
Nwwww '- D
6
#$X 5l
lT
W
0,,,, #$% ,,,, [-' ,,,, [-' ll‹
M88 127. UTERINE CONTRACTION AND RETRACTION:
upper Uterine segment
longitudinal
muscle fibres lower segment D
cervix
`8
# circular muscle fibres 129. - 0..
5
contraction $canal `8
130. M wMwM
0, (retract)))) i
U-
131. = 0 D
open 0
b D8 ;;' contracts, retracts 0 D
fetus push
0 a upper segment
[ $
, 132. (6
contraction lower segment D
cervix dilate 0 /
fundal contraction D
cervical dilatation mM
/
POLARITY OF THE UTERUS”
0.
Mrs. J M Rangrej 19
140. 0....
#$%
0.
8'' [ 143. DK#
0.
#$X$X %K ;' 0,,,, 145. = 0.
Duration: 8
vg
%
‘ 151. 55
D 0,,,,
%I/ *0- 0 8, 158. (( girdle )))) (pelvic
brim
8 8
$ / [-'
)) .
0,,,,
lower uterine segment
159. 5
- - 0. / - amniotic
cavity # Mx 0. fetus
#
161. `8 0 liquor
#
hind waters
0 D
‹ 163. M liquor K small amount
0
fore waters
0.
Mrs. J M Rangrej 21
165. (6 0
cervix
muscular fibres `8 wMwM D
lower
—uterine segment
[ #.- =
0, Multiparae ,
J
. 0,
b primigravida effacement u:
(#$%
]))))
dilatation
8
0.
Mrs. J M Rangrej 22
170. = 0.... onset of labor 8
complete
anatomical
functional division uterus
173. = 0. Lower
uterine segment
0 uterus
isthmus
(#$
#$%
) anatomical os
176. M /|| 0....
labor 5l
S M 0....
178. - || 0.... H ,U$8$8, M = a
/
184. `8 0,,,,
'
,7 (, Bandal’s ring D
Retrection ring
O
187. '
b J 8'' 8 5 0 a Bandal’s ring
0 Tg
WM
190. Physiological changes during second ssttaaggee ooff llaabboorr
EEVVEENNTTSS IINN SSEECCOONNDD SSTTAAGGEE OOFF LLAABBOOUURR
Second stage has two phases:
Propulsive (/.
I
I
)—full dilatation 191. head b pelvic
floor
touch
a y 197. (y
= ....
Factors leading to expulsion of fetus
from uterine cavity are :
Mrs. J M Rangrej 24
201. %
]
D
0,,,, #$%
].U
# X
T* =
205. M
. 0.... #$%
/
;
# mM
M
215. =
8
$
/ #$% K 5, [-'
v J: 219. = 0.
Transverse D anterioposterior diameter )'
0.Abdominal muscle
contractions uterine
contractions fetus
221. ˜ 8 -
[
L# 8
0.... Retraction
224. / 0.Pelvic floor ! uterus
Retraction
K
=. 0.Fetus
expulsion 80-,
uterine cavity
225. size
' )'- = 0.
Mrs. J M Rangrej 26
232. D
VjVjm0
X
T* 55
0..
Displacement of pelvic floor:
Vulva:( 55
f r 0....
$ lT
p 0 0..
Auns/Rectum: Dd 5,
0,,,, i D
[ $ 237. Xi 8 = 0,,
Bladder: -wwww š 8ffff 239. - D š
T›
WM
M; 0.
Perineum: (a
8
8-
242. ' 0.6`
d *[
0 D
80- [-'
244. - 0.
Mrs. J M Rangrej 27
246. .
%% 0
SEPERATION OF PLACENTA:
1111 MARGINAL SEPARATION (MATTHEWS-DUNCAN):
22222222 CCEENNTTRRAALL SSEEPPAARRAATTIIOONN ((SSCCHHUULLTTZZEE
METHOD):
SEPARATION OF MEMBRANES:::: D
;;' *[ ' M 0 D
b
ll‹
WM 0 a # f 8-
0 W'
249. '
/
-
%
.... ((((;;TD 250. -]
- %
))))....
Mrs. J M Rangrej 28
251. HAEMOSTASIS
#$%
D; X
T* 6 -6 0 D
;
- J
O?? /E /4• /
0,
256. 8 0.... ; 80-
,
#$%
45 258. * /8 / X
T*
M
0.W' /`' 80- J
5 : )Ÿ 0
D
[-‹ 259. '-
6 * #$% :
8Š, { *0
$
0.... #$%
261. J - K E q #5
0.
Mrs. J M Rangrej 29
262. Changes in Uterine MMuusscclleess aanndd CCeerrvviixx::
Changes in Uterus:
:#$% K
::’’’
/
:I 0
80-
D))))
80-
)))) ¡
80- .
)))) ¢
£
Mrs. J M Rangrej 30
265. * 8
$
$
K perimetrium 0.... ‚* 266. #$%
y5 - D
0.
k :::: k k X, (
X
T* #
0
myometrium
/ 0.... #$X 5
/ X
T
%
*
275. ? [ Z (, M
0.... ** 5
contract D
shorten
0, cervix
`8 wMwM 277. M .
birth canal 5,
0.
Mrs. J M Rangrej 31
278. #$%
D; X
T* 6 -6 0 D
; - J
O?? /E /4• /
0, 283. 8
0.... ; 80-, #$%
45 285. *
/8 / X
T*
M 0.
The inner layer:::: O5 K
endometrium 0. uterus
289. #$%
X 8
$
$::::
#$X
298. = 0.
‰
‰ lT
Nww '- D
6
#$X 5l
lT
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0,,,, #$% ,,,, [-' ,,,, [-' ll‹
M88 305. z D
.
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`8 ¤ ¤ 0........ 309. `a8 ;
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- %
0.... (Z 327. # -
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DE- D`
80- ; - (y
331. [ . 0.... 66660000% X} 335. D 8, /
. 8 8 0.... 88880000% X} 340. / =
0.... #$%
M
S
S 341. z =
0....
8, #$X$X %K — 8ff 346. , … = 0.... (yJ '- (6 0.
Mrs. J M Rangrej 36
347. (y (y 8 D
8. ................................................................
O X } ::-
(X '%
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# 8 5, / 0....
355. %–/ 0.
Mrs. J M Rangrej 37
359. #$X$X %
0.... #$X
5l
D
M
0....
#$X 5l
X} 369. 5
M
0.... (y
%–/
/
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10 373. )'
= 0.... (
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Mrs. J M Rangrej 39
375. 8'' `8
%
# q DK#%....
#$% /
395. .?H
$
$ `8
ZJ
M
5l
D
#X$X$ %K
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$
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Mrs. J M Rangrej 40
398. %
]
D
0,,,, #$%
].U
#
X
T* = 402. M
. 0....
#$%
/ ;
# mM
M
418. '- * [
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5
/ 0....
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- 5 / 0.... ; - KK 8,
419. M
] 0.
(y
(
-- 44440000 425. #$%
X
TK wMwM,::::
#$%
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5l
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T*
[Z $i
0....
M
0
a [-
; X 427. = 0....
X
T*K / MwMw, #$%
`8
#
S 0
430. =
*
/ 55 . 0.... 80. 433. (W
8, 55 . 0.
Mrs. J M Rangrej 43
434. M
#$%
M
5l
:PP
#$%
M
5
% '
0 M
8, =, 439. qq
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M
5
gg- MwMw
440. gg-
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#$%
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#
M
S 443. (,
%
(, (y
¤5 ¤5 0.
450. %
*0 %.
Mrs. J M Rangrej 44
457.
%š5 , (# X8 %$
ZJ.
Mrs. J M Rangrej 45
460. q....
b breathing regulating
a
– J
®š:' 8 KKKK
¯;°
.
% D
• D
(a
/8....
Mrs. J M Rangrej 46
465. %–/ #$%
M
. 0.... ((((²²
-
M
))))
467. KK #$% Z || 0.
Lightening
Passing of the mucus plug
Contractions
Water breaking
Effacement and dilation of the cervix
Mrs. J M Rangrej 47
482. - - %
0
.% DK# 0 a J
- %
.
484. T 0. Z'
8
DE 8
8 %
0....
#$% lightening 80- ]}U% 8 S /
0
,
s 486. – %
0.
Mrs. J M Rangrej 49
488. .- = 0........::::::::
pregnancy 5l
mucus plug
cervix accumulates /J
E- 0
b cervix 7 8
- open
0 a =
490. = 0.... mucus plug
clear, pink, or slightly bloody 0.
Mucus plug discharged 80- J
DE 80- f5- %–
%
0.
Mrs. J M Rangrej 50
492. = 0.... Contractions mM ,uterus
relaxes 0 D
abdomen soft
493. =
0.
contraction 5
s 500. E D
lower abdomen
discomfort D
¯€6 0.
Mrs. J M Rangrej 51
506. * contractions
strong
menstrual cramps -
,$$ 0....
False labor contractions or Braxton Hicks
contractions (False labor contractions K
513. (y D
' (y
M D
' mM
[ ::::::::
Timing of
contractions :
D
( #
0 8 …
D
predictable/DK# 517. .
D
( #
0 D
D
0.
( 8' DK#
0 D
8' D
M
X} 518. 0....
#$%
0.
8 522. $5
0
Mrs. J M Rangrej 53
523. (y (y
M D
' mM
[ :
Change with
movement :
s 529. z
0.
‘show’ (blood-stained
mucus discharge)
..
530. %
Mrs. J M Rangrej 54
531. (y D
' (y
M D
' mM
[ :
#X$ %K
; ' 0,
$
effacement D
$
dilatation
0. 5 0 533. 8, #$%
M
. 0.
$
effacement
D
$
dilatation …
537. = 0, /
M
.
)' = 0.
M
538. z S .
0.
/ 0. False labor
contractions or
Braxton Hicks
contractions (False
labor contractions
K 539. ¤
0.)
Mrs. J M Rangrej 55
547. J
-
.- j j j j
0.... /
.-
M
5l
548. O5
] `8 5, 0....
5
M
/
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0.... '9
X
M
#$X$X %
5,
,
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552. .- a
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8, 553. ; - 8.- Z %
0.
Mrs. J M Rangrej 56
556. …'- = 0
D
(y 6 i
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0.... 8 … /
.- 560. H , $8. 8
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0.... (y
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#X$X$
%
0.... #$X 5
[
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T* 8. 0 D
0.... / (y
µ 571. S
M # 0.
Mrs. J M Rangrej 58
574. mM KK X
TK , ((ZX )))) 0
]}U% 8-'
578. .
(y
MwMw, / 0 D
mM
# 580. MwMw,
, N
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# 0 a d . 0
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585. , … = 0.... ; (y
D
-
587. M
#
X
T - 8- = 0....
X8 % $
588. 8M D
. 0.... W ; ' ( 592. %
0.
Mrs. J M Rangrej 59
594. .
] ((*)))) 0.... O5K ] ZX D
595. mM 0 K ]
0! X –8
… 0.... (y 5l
600. / ;
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0....
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0.... /
#$%
603. (y
X
0.... ; 80- /
8 605. D
, KK lT
=~ D
Md
¶
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W
0.... ZXg
(X'
K S (, 608. D
0 (y
8. # # 0....
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610. S - 8, . 0.
Mrs. J M Rangrej 60
621. Z %
0
8 … ; - (y
. 0.
(Z 642. = 0 D
#$%
M
5l
`8 wMwMwMwM 646. Z = 0
Mrs. J M Rangrej 62
651. [ 8.- 0, i
-
0....
$
$
665. 8.-
0.... #$%
M
#$X$X % 8 5,
0 D
% 666. 8 5, 0.
Mrs. J M Rangrej 63
667. (y K
5
....P
(y
:::: PP
#$X
DE- 80-
8''
M
/
.
/
M
$$ 670. X}
/ ..
Mrs. J M Rangrej 64
671. Features ooff TTrruuee llaabboorr ppaaiinnss:: M
llaabboorr ppaaiinnss
«,
Painful uterine contractions
/, Contraction
672. z
D
. .
‘‘SShhooww’’ ...
(% 673. effacement
D
cervical dilatation
Formation of The
“bag of waters”
Mrs. J M Rangrej 65
674. Normal LLaabboorr aanndd DDeelliivveerryy
patient’s
chance vaginal delivery '
' labor and delivery
Lp: Da
0:
SSttaaggeess ooff llaabboorr
Physiology of labor
Mechanism of labor
Delivery
Mrs. J M Rangrej 66
681. ·
0.
Mrs. J M Rangrej 67
683. D
point
b cervical dilatation
rate
slope change / 0.
mM
..
Active – cervical dilatation 3cm 684. 80-
..
Mrs. J M Rangrej 68
687. 0.
M
. 0
( 5
' 2222
*0
M
/.Mild
contractions
Active /phase/6 †
:‰:‰4444 691. 0....
( 11110000
'
M
3333 D
44445555 55550000
; .
/..
5
‰:‰:‰:‰: K Dilatation 1cm /
694. S 8 *0
..
[-' K Descent 0....
Mrs. J M Rangrej 69
696. 2nd ssttaaggee
Nulliparous – 3 hrs with / epidural; 2 hrs with out epidural
Multiparous – 2 hrs with / epidural; 1 hr with out epidural
L-
703.
0.
r $
dilatation
Perineum 8œ D
r||
ˆ5 D
$
perineum 8 5
Mrs. J M Rangrej 71
711. Ž’
'
D
f'- 8 8, # ''
0....
Mrs. J M Rangrej 72
717. %–/
0.... / (y 80- D
.
725. vaginal delivery
chance
' labor D
delivery
basics =, Da
0:
Stages of labor
Physiology of labor
Mechanism of labor
Delivery
Mrs. J M Rangrej 75
729. FFeettaall LLiiee ::
FFeettaall LLiiee : J' UUtteerruuss
lloonngg aaxxiiss ffooeettuuss K lloonngg aaxxiiss
-
/ 0
........ 5........ lloonnggiittuuddiinnaall,, oobblliiqquuee eettcc,,
8
(, 735. ))))))))
.
Longitudinal : common lie 0.
lie-commonest-99.5%
sometimes - Oblique lie
Transverse lie
UUnnssttaabbllee lliiee
Mrs. J M Rangrej 79
736. PPrreesseennttaattiioonn
uterus
lower
pole foetus
part .
Cephalic-96.5%
PPooddaalliicc--33%%
Shoulder and other-
0.5%
one part-compound
presentation
Mrs. J M Rangrej 80
737. PPrreesseennttiinngg ppaarrtt
internal os 8 presentation
part . (CX
*8
P ! DK# 0.)
Cephalic presentation-
5M vertex, brow D
face (head flexion
738. 8 / 0.)
Breech-
5M complete breech, frank breech or
Z %
0
footling Mrs. J M Rangrej 81
740. = .
EXAMPLES: Attitude of flexion,
attitude of semi-flexion/ partial
flexion, attitude of deflexion,
attitude of extension
Mrs. J M Rangrej 82
742. ppeellvviiss
qquuaaddrraannttss 5 # $LPP -
0 pprreesseennttiinngg ppaarrtt 8 /
aarrbbiittrraarryy bboonnyy ffiixxeedd ppooiinntt (/85
½ LPPPPPPPP))))))))
5 #$ LPP -
0
Lie Presenting part Denominator
Longitudinal Vertex Occiput
Longitudinal Face Mentum
Longitudinal Brow Frontal eminence
Longitudinal Breech Sacrum
Transverse Shoulder Acromion
Mrs. J M Rangrej 83
745. 5%$ 0.
Anterior, posterior, right, left is referred in
relation to the maternal pelvis, with the
mmootthheerr iinn eerreecctt ppoossiittiioonn..
LOA-commonest, f/b ROA, ROP, LOP.
Mrs. J M Rangrej 84
748. M
#
Level
ischial spine
.
Mrs. J M Rangrej 85
749. PPaassssaaggee:
(a) Hard Pelvic: Bony pelvis (B) Soft Pelvis :
Cervix, vagina, and pelvic floor,uterine
sseeggmmeennttss ((BBoonnyy ppeellvviiss aanndd ssoofftt ttiissssuuee))
Clinical pelvimetry
X-ray pelvimetry – e
.
0
5 trial of labor /8
/ 0.
Inlet, midcavity, outlet.
Mrs. J M Rangrej 86
752. FFaaccttoorrss rreessppoonnssiibbllee /5 8.
Uterine contraction
retraction-
upper segment -
longitudinal fibers
lloowweerr sseeggmmeenntt-- --
circular fibers
Fundal contraction-
Cervical dilatation.
Bag of membranes
Foetal axis pressure
Mrs. J M Rangrej 89
753. PPoowweerr::
• ;'- f D
;'- f .
(D) ;'- f : Diaphragm, thoracic
abdominal cavity muscles, ()
;'-
f : Uterine muscles.
Uterine muscles K contraction relaxation
0
( - 8
0,, b aabbddoommiinnaall
muscles D
Diaphragm
M 0 a
;- 8
0.
Regular uterine contractions progressive
retraction
(regular pattern, fandal dominence, good relaxation)
•
‘bearing down’ 8; '
efforts
Mrs. J M Rangrej 90
755. PPoowweerr :::::::: UUtteerriinnee mmuusscclleess K ccoonnttrraaccttiioonn rreellaaxxaattiioonn 0
( - 8
0,,,,,,,, b aabbddoommiinnaall mmuusscclleess D
DDiiaapphhrraaggmm
M 0 a
;- 8
0.
The Powers
How to measure: Observation, manual palpation,
tocodynamometry, intrauterine pressure catheter
(IUPC)
Measured in Montevideo units
Average strength of ctx’s (mmHG) x no. of ctx’s in 10 minutes
Adequate 200-250 MVUs
Mrs. J M Rangrej 92
756. PPrroobbaabbllee ccaauusseess ooff ppaaiinn
Contraction 5l
Myometrial hypoxia
during
fundus `8 peritonium Stretching .
ddiillaattaattiioonn 5l
CCxx SSttrreettcchhiinngg ..
nerve ganglion K Compression .
Mrs. J M Rangrej 93
758. vaginal delivery
chance
' labor D
delivery
basics =, Da
0:
SSttaaggeess ooff llaabboorr
Physiology of labor
Mechanism of labor
Delivery
Mrs. J M Rangrej 94
761. %
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Mrs. J M Rangrej 95
763. MMeecchhaanniissmm ooff VVeerrtteexx
pprreesseennttaattiioonn ::-
Lie : - lie J' Uterus
long axis
foetus K long axis
- / 0
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oobblliiqquuee eettcc,,
Attitude :- foetus
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Mrs. J M Rangrej 98
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Mrs. J M Rangrej 99
788. 8 0,,,, a Engagement
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Movement of fetus during mechanism of
labor:
Mechanism of labor uterine
abdominal muscles diaphragm, cervix,
pelvic pelvic floor help
0. fetus out
0
799. 6 0.
Mrs. J M Rangrej 100
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Mrs. J M Rangrej 104
813. •
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•Internal Rotation
Extension
Mrs. J M Rangrej 105
••Restitution
•External Rotation
Expulsion
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Mrs. J M Rangrej 106
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Mrs. J M Rangrej 107
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Mrs. J M Rangrej 108
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Mrs. J M Rangrej 109
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Mrs. J M Rangrej 110
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Mrs. J M Rangrej 112
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Mrs. J M Rangrej 117
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Mrs. J M Rangrej 120
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Mrs. J M Rangrej 121
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Mrs. J M Rangrej 122
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Mrs. J M Rangrej 123
932. .- %
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937. How to effectively ddeelliivveerr aa bbaabbyy
delivery ' Prepare
q
y ( account
parity), labor
progress, fetus K presentation,
labor
complications
k
938. .
b head K crowning D
delivery
939. j - a , perineum
8'$
+ head
flexed '
941. delivery
Ritgen’s maneuver 55I8 %
.
fetal chin
palpate
' Sterile towel
`8
-
rectum ‚.-
946. Suction
.
After clearing fetal airway
downward traction /8 o parietal eminence
8 ]
D
anterior shoulder deliver
.
80- upward traction /8 947. posterior shoulder
deliver
.
After complete delivery of infant
cord Clamping
.
Active Management of Third Stage of Labor
Mrs. J M Rangrej 126
948. Delivery of the placenta
3 classic signs of placental separation:
Lengthening of the umbilical cord
Gush of blood from vagina
Change in shape of the uutteerriinnee ffuunndduuss ttoo aa mmoorree
globular appearance
Active management of 3rd stage has been
shown to reduce total blood loss
Mrs. J M Rangrej 127
950. Identification of High risk cases,
Uterine rupture #$% ['- = .
Fetal distress
Failure to progress in labor
Cephalopelvic Disproportion (CPD) 8ff 951. - .
Active genital herpes
Breech position
Prolong labor
952. 8 llll‹
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Bandal’s ring K
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Mrs. J M Rangrej 129
953. fetal distress mmaatteerrnnaall
ddiissttrreessss dduurriinngg llaabboorr::
J «, .
#$%
.
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954. demands J:y} (coping well
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=. 955. %
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fetal distress
0..
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959. DX
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960. ‡X =, '
pregnancy non stress test
/ 0.
Mrs. J M Rangrej 130
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Placenta previa
Bandal’s ring K
$, ..
Mrs. J M Rangrej 131
965. = D )'- = .... [-' '$
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Meconium .
Fetal acidosis
fetal blood lactate level 966. =
Fetal lactic acidosis
Mrs. J M Rangrej 132
980. / DX Å,•
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.
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D
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fetal distress
998. %
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$ 8 5, /
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=
[d
1012. FRU -[
/ 0.
•
$J 55Ç
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J.
•Tocolytic agents (also called anti-contraction
medications or labor repressants)
`8
#$%
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Betamethasone, a glucocorticoid drug fetal lung
maturity '
/8 / 0., 8 …
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5 0.
Mrs. J M Rangrej 136
1017. /8 /…
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a –- .-
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1031. :
•A) Cord prolapsed B) uterine rupture
C)bandal’s ring
•Ã- 5l
55Ç
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:'
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Mrs. J M Rangrej 139
1058. y #€
#$X$X %
fetal distress
1065. D0
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1069. D0 = 0,,,, 8f ' ’’
1070. =
0.lv —
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=
hot/ D
dry/
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Mrs. J M Rangrej 140
1071. / WWHHOO PPaarrttooggrraapphhyy ........ 8 1075. '
Contractions /
M
:
Frequency //q•¬:
'
M
10
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Mrs. J M Rangrej 142
/ 0 ?
Duration / .: 5
M
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1078. '
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Z = .
Mrs. J M Rangrej 143
1085. Monitoring of first stage of labour:
Latent phase
In Latent Phase
8
80-
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dilatation
effacement ll‹
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Mrs. J M Rangrej 145
1099. K š (%
Mrs. J M Rangrej 146
1104. 6 (6 (%% 80-
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Mrs. J M Rangrej 147
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Mrs. J M Rangrej 148
1115. %
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Mrs. J M Rangrej 150
1116. #$ ‡X/foetalPosition
[-'
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,
J
M
5 J
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/
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:
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Mrs. J M Rangrej 151
