GOVERNMENT COLLEGE OF NURSING

JODHPUR

PRESENTATION
ON
PRECIPITATE LABOUR

SUBMITTED TO: SUBMITTED BY:

JYOTI BALA JANGID PRIYANKA GEHLOT
LECTURER M.Sc. NURSING
GCON, JODHPUR FINAL YEAR
INTRODUCTION:

Labour and childbirth are the most challenging and painful phases of pregnancy. Most
mothers-to-be dread facing it and hope it gets over quickly. When labour starts, there is
usually a gap between each stage of labour, but when it comes to women going through
precipitate labour, everything happens very quickly. Though in some cases it comes as a
blessed relief, in others it can be a bit more complicated than that.
Abnormal uterine activity has no clear definition, partly because the range of normal uterine
activity itself has no clear definition. It is tempting to refer to uterine ‘over activity’ as that
which results in labour progressing too quickly, and ‘inadequate’ uterine activity as that
which is insufficient to provide adequate progress, but the rate of progress has no precise
definition either and is dependent on parity. In practice, overactivity presents as rapid painful
contractions often associated with fetal distress and inadequate uterine activity as absent or
slow cervical dilatation.
Precipitate labour has been defined as expulsion of the fetus within less than 2 hour of the
onset of contractions and results from uterine overactivity.

DEFINITION:

A labour is precipitate when the combined duration of first and second stage is less than 2
hours associated with hyperactive uterine contractions.
Precipitate labour is short as the rate of cervical dilatation is 5 cm/hour or more.
Precipitate labour, also called rapid labour, it is defined as giving birth after less than 2 hours
of regular contractions.
Precipitate Birth - is a sudden and often unattended birth.

PREVALANCE RATE:

The prevalence rate of precipitate labour is 2%.

CAUSES OF PRECIPITATE LABOUR:

• Multiparity
• Previous precipitous labor
• Roomy pelvis
• Small fetus in a favorable position
• Strong uterine contractions

SIGNS AND SYMPTOMS-

 Increased pain more than normal

 Increased maternal heart rate, pulse and body temperature
 Increased blood pressure
  Nasal Flaring
 Anxiety
 Restlessness
 Hypertonic Contractions

RISK FACTORS

 MATERNAL RISK:

 Lacerations of the cervix, vagina, and or perineum

 Uterine rupture and infection
 Amniotic fluid embolism
 Postpartam hemorrhage
 Inversion of uterus
 Abruptive placenta

Inversion of uterus
  FETAL/NEONATAL RISK:

 Intracranial stress or hemorrhage

 Fetal hypoxia
 Cerebral trauma
 Meconium stained fluid
 Low apgar score

MANAGEMENT OF PRECIPITATE LABOUR:

 Before delivery-

• Assess previous labor history if the woman is a multipara.

• If the woman is experiencing precipitate labour for the first time, either call your
doctor, midwife, or the emergency number to get a professional’s help as soon as
possible. If you have a doula, she will need to be contacted as well.
• Lie down either on your back or side in a clean space till help arrives.
• Take deep breaths and think about calming things.
• Assess contraction status. Be alert for contractions that are more frequent than every 2
minutes and dilatation that progresses faster than normal (more than 1.5cm/hr)
• Assess fetal status
• Assess mothers comfort level
• Assess mother’s coping abilities
• The nurse should closely monitor the woman’s contractions and cervical dilatation,
and an emergency birth pack is kept near the bedside.
• The nurse should stay in constant attendance, assist the woman to a comfortable
position and provides a quiet environment.

 During delivery

• Administer ether or magnesium sulpate to suppress contraction.

• Oxygen agumentation should be avoided.
• In such cases, a tocolytic agent such as terbutaline, ritrodrine may be administered to
reduce the force and frequency of contractions.
• Inhalation anaesthesia- as nitrous oxide and oxygen is given to slow the course of
labour.
• Episiotomy should be done liberally
• Carefully conduct the delivery. Delivery of head should be controlled.
• Apply gentle pressure anteriorly against the fetal head to maintain flexion and prevent
it from delivering too quickly.

 After delivery

 Examine the mother and fetus for injuries.

SUMMARY:

Today we discussed about precipitate labour-

Definition of precipitate labour
Causes of precipitate labour
Sign and symptoms of precipitate labour
Risk factors of precipitate labour
Management of precipitate labour

CONCLUSION

 Understanding the experience of precipitate labor is essential before caregivers can offer

appropriate support to clients. Perinatal caregivers gain valuable insight into a woman's
experience by comprehending the speed, intensity, and emotional impact specific to
precipitate labor.
BIBLIOGRAPHY
1. DC Dutta. Textbook of Obstetrics. 8th edition. Jaypee brothers Medical Publishers.
Page no. 420.
2. Annamma Jacob. A comprehensive textbook of Midwifery & Gynecological Nursing.
3rd edition. Jaypee Brothers Medical Publishers. Page no.469.
3. Nima Bhasker. Midwifery & Obstertrical Nursing. 2nd edition. Hardiya Publication.
Page no.
4. Sarla Gopalan. Textbook of Mudaliar and Menon’s Clinical Obstetrics. 10th edition.
Orient longman Pvt Ltd. Page no. 263.
5. http://www.ncbi.nlm.gov
6. http://www.scribd.com
 GOVERNMENT COLLEGE OF NURSING
JODHPUR

PRESENTATION
ON
SYNOPSIS

SUBMITTED TO: SUBMITTED BY:

MRS.SUMI MATHEW PRIYANKA GEHLOT

HOD OBG M.Sc. NURSING

GCON, JODHPUR FINAL YEAR