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PRESENTED BY:
MRS. POOJA SINGH
M.SC (N) Ist YEAR
ROLL NO.-4
INTRODUCTION
Childbirth is one of the
most marvellous and
memorable segment in
a woman's life. It does
not really matter if the
child is the first, second
or the third one.
DEFINITION
 Series of events take
place in the genital
organs in an effort to
expel the viable products
of conception out of the
womb through the
vagina into the outer
world is called Labour.
DELIVERY
It is expulsion of a viable
fetus out of the womb. It
is synonymous with
labour; delivery can take
place without labour as
in elective caesarean
section.
NORMAL LABOUR
Labour is called normal if it fulfills the following criteria:
Spontaneous in onset and at term
With vertex presentation
Without undue prolongation
Natural termination with minimal aids
Without having any complications affecting the health
of mother and baby
Date of onset of labour
CAUSES OF LABOUR
cont.
Fetoplacental contribution
Estrogen
Progesterone
prostaglandin
STAGES OF LABOUR
STAGES OF LABOUR
SECOND STAGE
THIRD STAGE
FOURTH STAGE
MANAGEMENT OF NORMAL
LABOUR
 Antiseptic technique  Vaginal examination
CONT
PRELIMINARIES:
 Toileting
 Sterile pair of gloves is donned.
 Vulval toileting is performed.
 Gloved middle and (index fingers of the right
hand)
MANAGEMENT OF 1st STAGES OF
LABOUR
ACTUAL MANAGEMENT:
 General
 Bowel
 Rest and ambulation
 Diet
Cont
 Bladder care
 Relief of pain
 Assessment of progress of labor and
Partograph recording
 Abdominal palpation
 To watch the maternal condition
MANAGEMENT OF 2nd
STAGE
-Preparation
-Observation
-Conduct of delivery
1. PREPARATION
 Maternal position
Cont.
 PERINEAL CLEANSING
2. OBSERVATION
 Maternal conditions
 Fetal conditions
 Uterine contractions
 The progress of descent
3. CONDUCTING THE DELIVERY
 DELIVERY OF THE HEAD
4.Delivery of the anterior shoulder
5.DELIVERY OF POSTERIOR SHOULDER
6. DELIVERY OF THE TRUNK
 After the delivery of the shoulders the baby is grasped
around the chest to aid the birth of the trunk.
FIRST BODY CONTACT OF MOTHER
AND BABY AND CORD CLAMPING
CLAMING AND CUTTING THE
UMBILICAL CORD
IMMEDIATE CARE OF THE NEW
BORN
MANAGEMENT OF 3rd STAGE
 Two methods of management are currently in practice:
1. EXPECTENT MANAGEMENT
2. ACTIVE MANAGEMENT
CONTROL CORD TRACTION
MANAGEMENT 4th stage of labour
 Observation
 Check the condition
SUMMARIZATION
RECAPTULIZATION
Normal labour and management

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