Danielle Audrey G.
Ban BSN II-A
ANALYSIS REPORT
Focus:
NURSING CARE OF PREGNANT FAMILY DURING LABOR AND BIRTH
LABOR
MECHANISMS OF LABOR
Relationship
 Fetal lie-relationship
between the long axis of
the fetus with respect to
the long axis of the
mother.
 Fetal presentation- a
reference to the part of
the fetus that is overlying
the maternal pelvic inlet.
The most common
relationship between
fetus and mother is the
longitudinal lie, cephalic
presentation.
 Fetal attitude-posture of
a fetus during labor.
 Fetal
position-positioning of
the body of a prenatal
fetus as it develops. In
this position, the back is
curved, the head is
bowed, and the limbs are
bent and drawn up to the
torso.
Cardinal Movement
 Engagement
 Descent
 Flexion
 Internal rotation
 Extension
 External Rotation
September 20, 2020
STAGES OF LABOR
Stage 1
This involves the dilation and
effacement of the cervix. This is
also termed to be the longest
stage.
 Early Labor (0-3 cm)
 Active Labor (4-7 cm)
 Transition (8-10cm)
Stage 2
This is called the pushing phase.
 Birth of the baby
 This is where the crowning
occurs
Stage 3
This involves the expulsion of the
placenta and it is the stortest
stage.
 Schultze (shiny; baby’s side).
 Duncan (dirty; mother’s
side).
Stage 4
The recovery phase
 1-4 hrs. After the delivery of
the placenta.
 MANAGEMENT
 Educate client to recognize birthing to be a normal physiological process.
 Educate client that during the active phase of labr it is necessary to rush to the
hospital as delivery is close.
 Educate client with proper breathing techniques.
 Allow the client to understand that the plaventa must be deliered at about 5-25
minutes to prevent hemorrhage or retained placenta.
 Inform a longer stage 3 is an indicator of high rish to infection due to
hemorrhage.

IMPLICATIONS AND INTERVENTION

 Active phase: Comfort client with pharmacological and non-pharmacological
means such as an epidural or encourage a hot bath or shower.
 Active phase: Introduce breathing techniques and encourage the client to keep
the bladder empty.
 Transition phase: Offer support to the client, monitor vital signs and fetal
heart rate, and ensure proper fetal positioning.
 Stage 2: Teach how to push and what positioning, record the time the baby
was born, and monitor vital signs of both mother and baby.
 Stage 3: Monitor blood pressure and administer Pitocin (oxytocin) after
delivery, encourage bonding and breastfeeding.
 Stage 4: Monitor vital signs specifically heart ratem BP, and temperature,
monitor also for lochia, and mother’s health after birth.
 Stage 4: In cases of soft,baggy, and displaced fundus provide funal massage
and assist clien to the bathroom as it may be because of a full bladder.