Normal Labor

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Ashendu Pandey

Teaching slides for EMTs

Santé & Médecine Technologie

06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat Normal Labor Dr. Rajeev

06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat

06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat Time of Onset of Labour % of cases At term (EDD) 04% One week on either side 50% 2 weeks earlier & 1 week later 80% At 42 weeks 10% At 43 weeks plus 4% ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat

06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat 1 6 5 4 3 2 Crowning of the Head Sub-Occipito frontal diameter distending the Vulval Outlet Assisted Delivery of the Head by Extension, exerting an upward pressure to the chin by the right hand placed over the Anococcygeal plane. Head is born by extension Head drops down with the Face close to the anus Restitution

06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat 7 8 9 10 External Rotation Assisted Delivery of anterior Shoulder Assisted Delivery of Posterior Shoulder Cutting the Cord

cord clamp applied on the umbilical cord. The clamp should be applied approximately 5 cm distal to the baby’s naval. Kocher’s clamp or an Artery forcep applied approximately 2.5 cm distal to the cord clamp (mother’s end). surgical scissor used to cut the cord. A surgical blade can also be used for this purpose as provided in the DDK (disposable delivery kits) 06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat 11 12 13 Expression of the Placenta by Fundal pressure Expression of the Placenta by Controlled cord Traction Inspection of Placenta for membranes

06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat Keep presenting part of baby off the Cord. Monitor & attempt to maintain the pulse in the cord Position of mother in Cord Prolapse LLP~ left lateral Position (NEVER SUCK THE NOSE FIRST)

06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat Uterine massage is performed from the Pubis towards the umbilicus only

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Normal Labor

1. 06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat Normal Labor Dr. Rajeev

2. 06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat

4. 06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat

5. 06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat

6. 06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat

8. 06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat 1 6 5 4 3 2 Crowning of the Head Sub-Occipito frontal diameter distending the Vulval Outlet Assisted Delivery of the Head by Extension, exerting an upward pressure to the chin by the right hand placed over the Anococcygeal plane. Head is born by extension Head drops down with the Face close to the anus Restitution

9. 06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat 7 8 9 10 External Rotation Assisted Delivery of anterior Shoulder Assisted Delivery of Posterior Shoulder Cutting the Cord

10.

11. 06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat 11 12 13 Expression of the Placenta by Fundal pressure Expression of the Placenta by Controlled cord Traction Inspection of Placenta for membranes

12. 06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat Keep presenting part of baby off the Cord. Monitor & attempt to maintain the pulse in the cord Position of mother in Cord Prolapse LLP~ left lateral Position (NEVER SUCK THE NOSE FIRST)

13. 06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat Uterine massage is performed from the Pubis towards the umbilicus only

14. 06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat

Normal Labor

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Normal Labor