2. Prelabor
First stage
Second stage
Third stage
Fourth stage
3. Nonprogressing
contractions
Cervix ripens
Contractions are
longer, stronger, and
closer together
4. Nonprogressing
contractions
Passage of bloody
mucus from vagina
Leakage of amniotic
fluid
Progressing
contractions
Gushing of amniotic
fluid
Dilation of cervix
5. Begins when the
cervix is fully dilated
Ends when the baby is
born
Urges to push
Pain lessens which
helps the mother calm
down
Non-rushing stage
May require many
different positions
6. Shortest and least
painful
10-30 minutes
Uterus contracts
causing placenta to
detach from uterine
wall
Clamping and cutting
of the umbilical cord
7. Lasts from after
delivery of the
placenta until your
condition is stable
Indicated by BP,
pulse, vaginal
discharge and uterine
tone
1-2 hours
8. May be planned,
unplanned
(emergency)
Many reasons
-prolonged labor
-fetal distress
-fetal problems
-prolapsed cord
-placental abruption
9. Typically signing consent
form for surgery
Abdomen/upper pubic
hair shaved
May be given antacid
medication to avoid
emesis
IV drip starts and remains
in place for 24 hours after
delivery
Catheter inserted to keep
bladder empty when
anesthetic has taken effect
10. Lie on back
Abdomen washed
with antiseptic
Sterile sheet draped
over body and
surgical drape
between you and
abdomen
12. Doctor inspects uterus
Incisions in your uterus
and abdomen sutured
with absorbable thread
Skin closed with either
absorbable thread,
nonabsorbable thread,
staples or clips removed
before you go home
Pitocin in IV is
continued to keep
uterus from contracting
13. NATURAL LABOR CESAREAN
More alert after birth Low trauma
Easier latching of the
breast
No narcotics in system
Lower risk of fetal
distress
Discharge scores may
be higher and able to go
home more quickly
14. NATURAL LABOR CESAREAN
Mother never loses No labor pain
sensations of her body
Dignity and privacy (no
Able to walk around and
monitor pain to know checking of the cervix)
what stage of labor she is Most likely scheduled
in
No post epidural
headache
Less chance of nausea
Less groggy after birth
Accomplishment felt