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KRISTINE MAGCALAS

SUBMITTED TO: DR. QUIJENCIO

BSN811

Labor is the series of events by which uterine contractions and abdominal pressure expel a fetus and placenta from a woman's body. Regular contractions cause progressive dilatation of the cervix and sufficient muscular force to allow the baby to be pushed to the outside. It's a time of change, both an ending and a beginning, for a woman, a fetus, and her family.

Kristine Magcalas

Labor and birth require a woman to use all the psychological and physical coping methods she has available. Regardless of the amount of childbirth preparation or the number of times she has been through the experience before, family-focused nursing is needed to support the family as they mark the beginning of a new family structure.

Kristine Magcalas

During pregnancy a woman's uterus nurtures and protects the developing fetus during gestation. A full-term pregnancy is approximately 40 weeks.

Kristine Magcalas

When the fetus has matured and birth is imminent, the baby begins to go through a series of movements that help it navigate through the birth canal.

Kristine Magcalas

During labor, the uterus contracts at regular intervals, causing the opening of the uterus, the cervix, to dilate. These contractions are commonly referred to as labor pains. When the contractions cause the cervix to dilate to 10 cm, the opening is large enough to allow the baby to pass from the uterus into the vagina.

Kristine Magcalas

The vagina is a muscular tube that can expand to accommodate the baby's head and shoulders. Uterine contractions continue until the baby and the placenta are delivered.

Kristine Magcalas


Here are some images of actual labor and delivery:



This is CROWNING, wherein the body part of the baby in contact with the cervix can already be seen.

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Here comes the baby! The baby's head is pushed out completely.

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The midwife is rotating the baby's head to bring the shoulder into an anteroposterior position, which is best for entering the outlet.

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The baby is expelled completely. A child is considered born when the whole body is delivered.

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Gentle suctioning is done to remove excess fluid on the baby's lungs.

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Umbilical cord is cut.

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Stage three of labor and delivery includes expulsion of placenta. Immediately after the delivery of the baby, uterine contractions stop and labor pains go away. As the placenta separates, the woman will again feel painful uterine cramps. As the placenta descends through the birth canal, she will again feel the urge to bear down and will push out the placenta.

Kristine Magcalas


REFERENCES:

-Pillitteri, Adele. Maternal and Child Nursing: Care of the Childbearing and Childrearing Family. fifth ed.
-Moon Dragon Birthing Services (http://www.moondragon.org/)

-Some pictures (http://www.youdzone.com/images/)