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  • Labour
    • What Is Labour?
      • It is the process of giving birth which is started by hormones
      • The mother has to work so hard that the contractions of the uterus can open the cervix and the baby can be pushed out.
      • It last approximately 1 to 24 hours
      • There are 3 stages of labour
    • Stage 1
      • Muscles dilate the cervix
      • Signs that labour has started
        • A show
          • The plug of mucus sealing the cervix comes away. It could be blood stained and go unnoticed by the mother.
        • Contractions
          • They are weak and irregular to start with
          • Gradually become closer together, more intense and stronger.
          • Can cause pain as they get closer.
          • Uterus becomes tight for a minute before relaxing.
        • Waters breaking
          • Clear or pinky amniotic fluid, leaking from the vagina.
          • Comes in trickles or a sudden gush.
          • Presence of meconium in fluid indicates a distressed baby.
          • May not break till 2nd stage
        • Backache, nausea, vomiting and diarrhoea.
          • Common in the first stage of labour
      • Braxton Hicks
        • Can be felt after 32 weeks.
        • They are practice contractions, eratic and uncomfortable rather than  painful.
    • Stage 2
      • Mother has urge to push
      • Strong contractions push baby along birth canal
      • Midwife gives guidance  so the head is born gradually, The widest part is known as the crowning
        • Can cause a small tear which may or may not be stiched
      • Epsiotomy may be needed to let head pass through.
      • As head  emerges, body slides out.
      • Baby may cry as head appears or after body and shoulders are pushed out.
      • Umbilical cord is cut with 2 clamps
    • Stage 3
      • Oxytocin injection given to stop excess bleeding and help the placenta  be delivered.
        • Untitled
      • Placenta is examined
      • Women may have a physiological 3 stage.
        • Placenta left to baby till delievered.


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