STAGES OF LABOR
FIRST STAGE: Between the onset of True Labor & the point of Cervical dilatation and Effacement
A. Latent Phase
Dilatation: 0-3 cm Duration: 20-40 seconds Contractions: mild and short
C.
Transition Phase
Dilatation: 8-10 cm Duration: 60-90 seconds, every 2-3 minutes Causes intense discomfort w/ nausea & vomiting, anxiety & irritability & loss of control
B.
Active Phase
Dilatation: 4-7 cm Duration: 40-60 seconds, every 3-5 minutes Contractions: stronger Causes true discomfort
SECOND STAGE: Period from full Cervical dilatation & Effacement to the Birth of the infant.
Contractions are overwhelming (strongest) Crowning = widest part of the fetal head appears at the vaginal opening With effective push of the mother, accompanied by strong uterine contractions, the baby is delivered.
THIRD STAGE: Begins with the Birth of the infant to the Expulsion of the Placenta
Also called the Placental Stage 2 Phases: Placental Separation Placental Expulsion The placenta is expected to be delivered within 15 30 minutes after the delivery of the baby.
FOURTH STAGE OF LABOR: The first 4 hours after the delivery of the Placenta.
Source: Pillitteri, Adele, PhD, RN, PNP. Maternal & Child Nursing: Care of the Childbearing & Childrearing Family. 6 th Edition. Vol 1. Philadelphia. Lippincott Williams and Wilkins. 2010
XAVIER UNIVERSITY : BSN-2 , Block C & G , S.Y. 2010-2011