Initial Phase Of Labor
How is the initial phase of childbirth conducted?
If the pregnant mother is experiencing mild pain, enema is given initially. The vulva and pubis is shaved.
The pregnant woman undergoes general examination of the various systems of the body. Blood pressure and pulse rate are recorded.
The abdomen is palpated to determine the height of the uterus and henceforth the gestational age of the fetus, position of the fetus and the presentation of the fetus. The fetal heart sounds are also monitored.
Vaginal examination is done to determine the dilation of the cervix, presence or absence of membranes, position of fetal head, capacity of the pelvis and any cephalo pelvic disproportion. She is encouraged to empty her bladder and given a lot of reassurance.
The pregnant mother can walk about in the labor room if she is not experiencing very strong pains. If necessary she can take small quantities of liquid food at regular intervals.
How is the mother monitored during the initial phase?
The pulse rate and temperature of the mother is noted frequently, while the fetal heart rate is monitored every hour. Abdominal examination is done at regular intervals to ascertain the progress of labor. Doppler and continuous electro fetal monitoring is also done to know the well being of the fetus.
What happens in the initial phase of labor?
The intensity of uterine contractions becomes greater and if the amniotic membranes are present, they start bulging and might rupture releasing the amniotic fluid
- Mudaliar and Menon's Obstetrics - www.babycentre.co.uk