Describe the time frame of the 3 trimesters
1-12 weeks +6 days
13-25 weeks +6 days
26weeks+
Describe normal labour
Spontaneous after 37/40
Singleton pregnancy
Cephalic presentation - baby’s head is down
Contractions follow a wave like pattern
No red flags
Normal contractions
Occur 36+6/40
Pain comes and goes
Abdomen is soft between contractions
Abnormal contractions
Occurring before 37/40
Constant pain
Causes for concern
Contractions before 37 weeks gestation
Multiple pregnancies
Deranged obvs
Fresh bleeding
Stages of labour
Stage 1
Cervix dilates from 0-10cm
Contractions are irregular
When labour is established there are stronger contractions, longer and more frequent
Membrane may rupture
Colour of amniotic fluid needs to be clear, straw, pink not brown/green
Stages of labour
Stage 2
Dilation of the cervix to complete birth of the baby
Baby descends through the cervix into birth canal
Contractions become expulsive
Presentation of part of the baby- birth of baby
Stages of labour
Stage 3
Expulsion of placenta
May experience contractions/ pressure
Cord will brighten
May be gush of blood
No placenta with in 20 mins pre alert
What is crowning
When the widest part of baby’s head is born
Head doesn’t reseed between contractions
What is free birth
Choosing to give birth without any HCP present
A legal choice
Water brith
Hydrotherapy for pain relief
Need to ask women to get out of pool
Born en caul
‘Born in a sac’
Pull membrane away using finger and thumb
Tear and use cord cutters
Clear babies mouth and nose
assessment
Thermal control
Airway
Breathing
Circulation
Disability
‘Environment
Family and communication
Using physiology to deliver placenta
Encourage to empty bowl
Stimulate oxytocin
Position change
Bring placenta to hospital
Describe the process of clamping
Wait for white
Clamp 5cm from baby
2 clamp 5cm further
Cut in the middle
