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SIGNS AND STAGES OF LABOR
SIGNS OF LABOR 1.  Regular contractions 2.  Release of bloody show 3.  Passage of liquid or bag of waters
1st Stage: Dilation
Begins when:  1st contraction begins Ends when: ..cervix is fully dilated to 10 cm or 5 fingers
Average length of time:  8 to 20 hours for first baby; shorter for subsequent births
Events that occur:  uterine contractions begin  cervix dilates  amnio-chorionic membrane may rupture
2nd Stage: Expulsion
Begins when:  cervix is fully dilated and head is crowning Ends when:  baby is born
Average length of time:  5 to 45 minutes
Events that occur:  crowning of the head  episiotomy may be performed
More events  head is turned so shoulders can be born easily
More events  baby is helped to breathe and given an Apgar score
 the umbilical cord is clamped  and cut THE BABY IS FINALLY HERE!
3rd Stage: Afterbirth
Begins when:  contractions continues after the birth of the baby Ends when:  placenta is delivered
Average length of time:  10 to 20 minutes
Events that occur:  contractions continue and cause the placenta to separate  from the uterine wall  placenta is examined to be  sure it has not torn, leaving some excess in the uterus
油
HARD WORK BUT GREAT RESULTS!

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