• Teaching Method: Visual aids (PowerPoint, YouTube
videos, etc.)
• Learning Goals: Know stages of labor and what to expect,
know normal and abnormal variation, and management of
pain
• Evaluate Through: verbal understanding and asking and
answering questions
St
agesofLaborandBi
rth
Labori
sanaturalpr
ocess.Her
e'swhatt
oexpectduri
ngt
het
hreest
agesofl
abor
andbir
th— andwhatyoucandot opromot
ecomf or
t.
St
age1:Ear
lyLaborandAct
iveLabor
Cer
vical
effac
ementanddi
l
ati
on
Thefirstst
ageisthelongestoft
hethr
eest
agesandi
sdi
vi
dedi
ntot
wophases
— ear
ly
l
abor(
lat
entphase)andacti
velabor
.
Thefirststagebegi
nswhenr egul
arcont
ract
i
onst
artt
ooccur
,whichcausethecervi
xto
open(
dil
ate)andsoft
en,shor
tenandthin(
effacement
).Thi
sprocessal
lowsthebabyto
movei
ntothebirt
hcanal.
Ear
lylabor
Dur
ingearl
ylabort
hecer
vixdi
l
atesandeffaces
.Mi
l
d,i
rr
egul
arcont
rac
ti
onsocc
ur.
Asthecervi
xbegi
nstoopen,ac
lear
,pink,orsl
i
ght
lybl
oodydisc
hargefr
om t
hevagi
na
maybes eenwhic
hli
kel
ythemucusplugthatbl
ock
sthecerv
icalopeni
ngdur
ing
pr
egnancy.
, How longi
tlast
s:Earl
ylabori
sunpredi
ctabl
e.Forfi rst
-t
imemoms,t
heav
eragel
engt
h
var
iesfr
om hour
stodays.I
t'
sof
tenshort
erforsubsequentdel
i
ver
ies
.
How t
opr
omotecomfort:Tr
ytos t
ayrel
axed.
Topr
omot
ecomfor
tdur
ingearl
ylabor:
Goforawal
k
Tak
eashowerorbat
h
Li
st
ent
orel
axi
ngmusi
c
Tr
ybreat
hingorr
elax
ati
ont
echni
quest
aughti
nchi
l
dbi
rt
hcl
ass
Changeposi
ti
ons
Ifyourwat
erbreak
sory
ouexper
ienc
esi
gni
ficantv
agi
nalbl
eedi
ng,c
all
yourheal
thcar
e
provi
derri
ghtaway.
Act
ivelabor
Dur
ingacti
velabor,yourcer
vixwil
ldi
latefr
om 6c
mto10cm.Thec
ont
ract
i
onswi
l
l
bec
omes tr
onger,closert
ogetherandregul
ar.
Yourlegsmightcr
amp,andyoumightf
eelnauseat
ed.Youmightf
eel
yourwat
erbr
eak
(i
fithasn'
tal
ready
)andexper
iencei
ncr
easingpres
sureiny
ourback.
Headt
otheLaboranddel
i
ver
ycent
er!
!!
As
kforpai
nmedi
cat
i
onoranes
thes
iai
fyouwanti
t.
How longitlast
s:Acti
vel
aborcanl
astf
ourtoeighthour
s(ormor
e).Onav
erage,y
our
cer
vixwil
ldil
ateatappr
oxi
matel
yonecent
imeterperhour
.
How topr omotecomfort:Looktoy
ourl
aborc oachandheal t
hcareteam f
or
encouragementandsupport.
Unlessyouneedt obei
nas peci
ficpos
it
iontoallowforclosemonit
ori
ngofyouandy
our
baby,considert
hesewaystopromot
ecomfortduri
ngactiv
el abor
:
Changepos
it
ions
Tr
ybreat
hingandrelaxat
i
ontechniquestocombaty
ourgr
owi
ngdi
scomf
ort
Rol
lonalargerubberbal
l(bi
rt
hingball
)
T
akeawar
mshowerorbat
h
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