Subm|tted by

8oselma uacles
All Abdullah Ale[andro CasLro
Mlchelle 8lca Colorge
Lunlce Alger
krysLal !ade Arenal

Subm|tted to
Mr !oemar uadlvas 8n MAn





vc. o{ vo vnv in

lrsL SLage LaLenL AcLlve and 1ranslLlon
Second SLage
1hlrd SLage
ourLh SLage

|rst Stage

O eglns wlLh Lhe beglnnlng of Lrue labor and ends when Lhe cervlx ls
compleLely dllaLed aL 10 cm
%ncc nv.c.
Latent phase ConLracLlons are usually mlld S8CM (sponLaneous rupLure of
membranes) may occur or A8CM copes well 1 4 cm
Act|ve phase 4 7cms eLal descenL ls progresslve
1rans|t|on phase 8 10 cm descenL lncreases conLracLlons sLronger
may wanL Lo push

Second Stage
O eglns when Lhe cervlx ls compleLely dllaLed and ends wlLh Lhe
blrLh of Lhe lnfanL
O Lpldural may exLend Lhls perlod
O erlneum beglns Lo bulge lncreased bloody show head recedes
beLween pushes crownlng occurs
O ConLracLlons every 2 mlnuLes sLrong 6090 sec
O Coplng lmproves usually
c.nvni.n. o{ vo
4 uescenL head enLers Lhe lnleL
4 lexlon feLal head flexes wlLh descenL
4 nLernal 8oLaLlon feLal head roLaLes Lo flL Lhe wldesL anLeroposLerlor
dlameLer of
4 Lhe pelvlc cavlLy
4 LxLenslon head exLends
4 8esLlLuLlon head Lurns Lo one slde
4 LxLernal 8oLaLlon head Lurns farLher Lo slde
4 Lxpulslon head Lhen body ls born


1h|rd Stage

O lacenLal separaLlon usually occurs flve mlnuLes afLer blrLh
in. o{ v.cnv .cvvion:
4 A globular shaped uLerus
4 A rlse of Lhe fundus ln Lhe abdomen
4 A sudden gushes or Lrlckle of blood
4 A proLruslon of Lhe umblllcal cord
O 9acenta de|very 8eLalned lf noL removed afLer LhlrLy mlnuLes ShulLze or
uuncan


ourth Stage
4 ecovery stage
O 1 Lo 4 hours afLer blrLh
O lood loss beLween 230 300 cc
O May see lncreased pulse raLe
O DLerus remalns conLracLed and ln Lhe mldllne
O May experlence a chlll
O May have urlnary reLenLlon