The Standard Advancement of Labor

 

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Stages of Labor. Labor is typically divided into three stages: Stage 1. The first stage of labor is divided into three phases: latent, active, and transition. The transition phase is the short but hard part of labor.

In transition, the contractions come very close together, but they never actually feel any stronger than the contractions of the active phase. At the end of the transition, you will be completely dilated. When It’s Time to Go to the Hospital.

During active labor, your cervix will dilate from 6 centimeters (cm) to 10 cm. Your contractions will become stronger, closer together and regular. Your legs might cramp, and you might feel nauseated. You might feel your water break — if it hasn’t already — and experience increasing pressure in your back. During normal labor, regular and painful uterine contractions cause progressive dilation and effacement of the cervix, accompanied by descent and eventual expulsion of the fetus.

Early Labor Phase – The time of the onset of labor until the cervix is dilated to 3 cm. Active Labor Phase – Continues from 3 cm. until the cervix is dilated to 7 cm. Transition Phase – Continues from 7 cm. until the cervix is fully dilated to 10 cm.

Each phase is characterized by different emotions and physical. Every pregnancy is different, and there’s wide variation in the length of labor. For first-time moms, labor often takes between ten and 20 hours. For some women, though, it lasts much longer, while for others it’s over much sooner. Labor generally progresses more quickly for women who’ve already given birth.

After the hard work of moving through the stages of labor is finished, a woman’s body will need time to return to its nonpregnant state. On average, it takes about 6 weeks for the uterus to return. The World Health Organization (WHO) defines normal birth as follows: The birth is spontaneous in onset and low risk at the start of labor and remains so throughout labor and delivery.

The infant is born spontaneously in the vertex position between 37 and 42 weeks of pregnancy. After birth, mother and infant are in good. Recent studies have emphasized that normal labor progression may be slower for women during induction, slower for women who receive an epidural, and simply slower for the average woman birthing in this century. Labor characteristics can change with age, BMI, a range of other parameters.

Every woman is different in. During normal labor, regular and painful uterine contractions cause progressive dilation and effacement of the cervix, accompanied by descent and eventual expulsion of the fetus. Parity affects this process: normal labor progress is slower in nulliparous women.

List of related literature:

Normal Labor This begins with the onset of labor which is divided into three stages.

“IAPSM's Textbook of Community Medicine” by AM Kadri
from IAPSM’s Textbook of Community Medicine
by AM Kadri
Jaypee Brothers,Medical Publishers Pvt. Limited, 2019

The first stage of labor is the longest for both nulliparous and parous women.

“Foundations of Maternal-Newborn and Women's Health Nursing E-Book” by Sharon Smith Murray, Emily Slone McKinney
from Foundations of Maternal-Newborn and Women’s Health Nursing E-Book
by Sharon Smith Murray, Emily Slone McKinney
Elsevier Health Sciences, 2017

• Normal labor proceeds through three stages: ° Stage I labor: onset and increase in the frequency and strength of uterine contractions.

“Clinical Veterinary Advisor E-Book: Dogs and Cats” by Etienne Cote
from Clinical Veterinary Advisor E-Book: Dogs and Cats
by Etienne Cote
Elsevier Health Sciences, 2010

Normal labor occurs in four stages.

“Management of Common Problems in Obstetrics and Gynecology” by T. Murphy Goodwin, Martin N. Montoro, Laila Muderspach, Richard Paulson, Subir Roy
from Management of Common Problems in Obstetrics and Gynecology
by T. Murphy Goodwin, Martin N. Montoro, et. al.
Wiley, 2010

This stage of labor is subdivided into

“AWHONN's Perinatal Nursing” by Kathleen R. Simpson
from AWHONN’s Perinatal Nursing
by Kathleen R. Simpson
Wolters Kluwer Health, 2013

normal labor

“Swanson's Family Medicine Review E-Book” by Alfred F. Tallia, Joseph E. Scherger, Nancy Dickey
from Swanson’s Family Medicine Review E-Book
by Alfred F. Tallia, Joseph E. Scherger, Nancy Dickey
Elsevier Health Sciences, 2012

Normal labor consists of four stages.

“Saunders Strategies for Test Success 2016-2017: Passing Nursing School and the NCLEX Exam” by Angela Silvestri, Ph.D. R.N., Linda Anne Silvestri, PhD RN, Angela Silvestri, Msn RN
from Saunders Strategies for Test Success 2016-2017: Passing Nursing School and the NCLEX Exam
by Angela Silvestri, Ph.D. R.N., Linda Anne Silvestri, PhD RN, Angela Silvestri, Msn RN
Elsevier Health Sciences, 2015

Because quite a few things happen during the first stage of labor, it’s further broken down into three types of labor: early, active, and transition.

“Dad's Guide To Pregnancy For Dummies” by Mathew Miller, Sharon Perkins
from Dad’s Guide To Pregnancy For Dummies
by Mathew Miller, Sharon Perkins
Wiley, 2014

The second phase of the first stage of labor.

“Pregnancy, Childbirth, and the Newborn: The Complete Guide” by Janet Walley, Penny Simkin, Ann Keppler, Janelle Durham, April Bolding
from Pregnancy, Childbirth, and the Newborn: The Complete Guide
by Janet Walley, Penny Simkin, et. al.
Meadowbrook, 2016

Other assessment findings associated with the second stage of labor include uterine contractions that occur every 2 to 3 minutes, last 60 to 75 seconds, and are of strong intensity; and the mother feels an urge to bear down.

“Saunders Q & A Review Cards for the NCLEX-RN® Exam E-Book” by Linda Anne Silvestri, Angela Elizabeth Silvestri
from Saunders Q & A Review Cards for the NCLEX-RN® Exam E-Book
by Linda Anne Silvestri, Angela Elizabeth Silvestri
Elsevier Health Sciences, 2013

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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17 comments

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  • Mam I saw this video when I was in 4th year. Now it’s almost 1 year. And I must say.. this video is the best and only video which really helps for young nurses.. thank you so much…

  • My due date is on March 15
    This is my first pregnancy and I don’t know if im having contraction or not but im having this feeling of my stomach tightening and a menstrual cramp what it does mean?

  • Thank you Monica you’ve been so helpful to me during my 40 weeks of pregnancy, I’m due this week I wish you could be there to help me through it all:-)

  • Oh it’s very useful mam..your explanation is very good..now i easily understood what happens actually in mechanism of labor.thank you very much mam.����

  • I have learned it from book prior too, so after watching your video I Understood it 100%..Thank u dear mam.Its very Much Helpful..

  • great video. we need moreeeeeeeeeeeeeeeeeeeeeeeeeeeee maternity before classes begin:((((((((((((((((((((((((((((((((((((((((((. you are so good to explain that i can understand and not forget the information:p. the cards are absolutely greattttttttttttttttttttt:). thank you

  • My due date is June 4th,2015 but im 37 weeks and 6 days my doctor told me yesterday i dilated one centímeter n talking about induce me is dat a good things or bad thing…Im just ready to have her already

  • Hey pregnancy chat how does a woman contracts staphylococcus bacteria during pregnancy. I’ve search for this ans but I’m not finding it I’ve never had this before and it’s my first pregnancy. I was told by my doctor that antibiotics has to be given to me during labor. I’m glad that I found this out because in many countries that test is not given to pregnant women. Due to the lack of the staphylococcus test many babies die.

  • Mam कुछ लोग बोलते हैं की जिन बच्चों की नॉर्मल डिलीवरी होती है उनका दिमाग़ सिजेरियन वाले की अपेक्षा थोड़ा तेज होता है. इसमें कहाँ तक सच्चाई है? कृपया बताएं की कुछ साइंटिफिक रीजन है क्या इसके पीछे?

  • Thank you for your wonderful videos. However, I tried to buy OB flashcards on your website and I couldn’t find them. I was only able to purchase Nursing Flashcards Value Pack (4). Kindly advise me on how to get the flashcards for OB. Thank you.

  • such a you are a great teacher and good doctor. I pray wish u good luck.
    God bless u! Amgen.
    carry on, good job.
    my sister.
    feeAmanAllah

  • Dr. Bolin, You have the best summarised video of all we have to perfectly know for Labour in OB thus far. I mean, this is better than how my textbook puts it. The pictures are great. I wrote my notes based on your video. Thank you so much! Please continue your great work. May God bless you.. ps: I will quote you in my practical exam.

  • Thanks Doc
    Your lecture was wonderful but
    The latter part of d video and write up was not clear (it was blunt )I couldn’t see clearly.
    Is there anything u can do about it?

  • Also various important disease condition in OBGY such as PIH,PPH,placenta previa, eclampsia,LSCS,cord prolapse,malpresentation, detail management of labour

  • It’s is still very scary during the time of the second transition just thinking about it makes my heart race I zone out at that stage because of the pain im uncontrollably pleading for help. once I’m at 9-10 cm

  • Hi…..ur videos are good and informative…i want to know about my weeks or labour…
    In eltrasound i m in 36th week but if i see my periods date i m in 33th week….is eltrasound reports are true about weeks or i will see my periods date??i have some pain in abdomen and lower back in one hour after 10 mint distance with sudden…i have alot of urination and yellow thick discharge…and i feel pain with baby movement also is that are labour signs?????waiting for reply plz reply

  • Mam aap ke saare lecture mind blowing hote h. bus aap se ek hi request h ki aap first, second or third stage ko brief explain kare