%���� /Filter/FlateDecode IJ|�g/Fu���ZK���x�AX��A#��QI�����5�/��H�����l�D �^�po/�3"1�V�خ.�!+Du�O����$��K:�9�:I1������=��s��1DF* ����t�"茕�̑��� J��典l��q&�7>|�۬�a==ﻚ�nڝ1ۋ�6��Ѿ�+����C��]:P���:��CАO��j���I����� 2 0 obj
x���OO�@����F�zf��%���R�U��,"$�9��wׁȐ�ed�g�{o�� ���W�i xv�r�%"3:p�`4�f�&?N� ���.�(�bU Physiology of Normal Labor and Delivery. <> 6���%�o�O��6M`r5�鿉��^E�L�ΔA���L P:'�9I�J�G��H�Ä#�g���l@���ϙ:�5� PHYSIOLOGY AND MECHANISM OF LABOUR Presented By Ms.G.Thanga Anusha Bell, M.Sc(N) II year MMC, MADURAI 2.
DEFINITION OF LABOUR • Labour (parturition, childbirth, or birthing) is the process by which the fetus and placenta are expelled from the uterus and the vagina into the external environment.
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physiology and mecanism of labour 1.
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<< 10/22/2011 10:14:57 AM .. Stages of labor Stage 1: Commences with the onset of labour and terminates when the cervix has reached full dilatation and membranes ruptured (lasts 8-24 hours).
Stage2: Stage of expulsion begins at full cervical dilatation and ends with expulsion of the fetus (lasts 1-30 minutes). /Title (mechanisms of labour 2013)
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... View the article PDF and any associated supplements and … The first stage is clinically manifested by progressive uterine contraction , progressive taking up of the cervix and ultimate rupture of membranes.
Duration of first stage is an average of 13 hours for nullipara and 7.5 hours for multipara.
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7 0 obj PHYSIOLOGY OF THE UTERINE CONTRACTION COURSE OF LABOUR The course of labour is most easily followed from the graph as first described by Friedman (see figure 1). %PDF-1.4
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It has been my pleasure and privilege to work with Carol Sakala from Childbirth Connection (now a core program of the National Partnership for Women & Families) to deepen this understanding of the hormones of labour and birth even further with my report, Hormonal Physiology … <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 7 0 R] /MediaBox[ 0 0 720 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> <>
/CreationDate (D:20131123171109+03'00') 1-Engagement Engagement is descent of the biparietaldiameter of the fetal head below the plane of the
8 0 obj /Producer (pdfFactory 4.10 \(Windows XP Professional x86 Arabic\)) ",#(7),01444'9=82 D. Salama The stages and Physiology of Normal Labour 6 Loss of a show ( a blood stained plug of mucus passed from the cervix). The optimal opioid for labour analgesia remains unknown and a systematic review of the available choices concluded that no other opioid appeared to be better than pethidine in providing pain relief in labour 13. Doreen Daley, THE USE OF INTRAMUSCULAR ERGOMETRINE AT THE END OF THE SECOND STAGE OF NORMAL LABOUR, BJOG: An International Journal of Obstetrics & Gynaecology, 10.1111/j.1471-0528.1951.tb04012.x, 58, 3, (388-397), (2005). <>/F 4/A<>/StructParent 1>> /Creator (pdfFactory www.pdffactory.com) %���� H��W�R�0}�W豝i�vˏ�-3e`��0�0$���Ŗ�m)����Iw?�\Y!X#�&E�3Di�s����i�A,'�B�L�+�i�"��Y�-��م*�5y��}Θ�/3!Ug�Q�(1�(�.��M�,�ު������D��4#���D%7y�\c����$C$��'���;?g#�)m�n�T��'n}���vG�@�;��5
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