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Mechanism of Normal Labour PDF

The document describes the normal mechanism of labour, which involves a series of movements that allow the fetus to descend and be born through the birth canal. There are three main principles: descent throughout labour, rotation of the presenting part under the pubic bone, and pivoting of the emerging part around the pubic bone. Key movements include engagement of the presenting part, descent and flexion of the head, internal rotation of the head, crowning of the head at the vulva, extension and restitution of the head, internal rotation and delivery of the shoulders, and external rotation and lateral flexion to deliver the body. The criteria for normal labour include factors like longitudinal lie, cephalic presentation, and good flexion of the fetus.

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Gabriel Zuñiga
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436 views17 pages

Mechanism of Normal Labour PDF

The document describes the normal mechanism of labour, which involves a series of movements that allow the fetus to descend and be born through the birth canal. There are three main principles: descent throughout labour, rotation of the presenting part under the pubic bone, and pivoting of the emerging part around the pubic bone. Key movements include engagement of the presenting part, descent and flexion of the head, internal rotation of the head, crowning of the head at the vulva, extension and restitution of the head, internal rotation and delivery of the shoulders, and external rotation and lateral flexion to deliver the body. The criteria for normal labour include factors like longitudinal lie, cephalic presentation, and good flexion of the fetus.

Uploaded by

Gabriel Zuñiga
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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MECHANISM OF LABOUR

JASLEEN KAUR
MSc.(N)
DEFINITION

Series of events that takes place on genital organ in


an effort to expel the viable product of conception out
of the womb through vagina into the outer world.
PRINCIPLES
There are three principles of mechanism of
labour.
a) Descent takes place throughout labour.
b) Whichever part leads and first meets the
pelvic floor will rotate forward until it comes
under symphysis pubis.
c) Whatever part emerges from the pelvis will
pivot around pubic bone.
Nemonics DSP (descent, symphysis pubis and
pubic bone) to remember principles of
mechanism of labour.
Click over the link
CRITERIA FOR NORMAL
MECHANISM OF LABOUR
• Lie is longitudinal
• Presentation cephalic
• Position ROA or LOA
• Attitude is good flexion
• Denominator is occiput
• Presenting part is posterior part of anterior
parietal bone
PRINCIPLE MOVEMENTS IN NORMAL
MECHANISM OF LABOUR
• Engagement
• Descent
• Flexion
• Internal rotation of head
• Crowning
• Extension of head
• Restitution
PRINCIPLE MOVEMENTS IN NORMAL
MECHANISM OF LABOUR
• Internal rotation of shoulders
• External rotation of head
• Delivery of body by lateral flexion

Nemonics to remember mechanism of labour


END FLICER ICED (flicer means very bright ) so flicer
company ke end hone se uska manaager iced ho gya.
PRINCIPLE MOVEMENTS IN NORMAL
MECHANISM OF LABOUR
• Engagement
– Engages with sagittal sutures in right oblique and
biparietal diameter in left oblique
– Occiput points to left ileo pectineal eminence
• Descent
– Fetus descent due to contraction and retraction of
uterine muscle
• Flexion
– Engaging diameter is sub occipito frontal (10cm)
– Changes to sub occipito bragmatic (9.5cm)
Engagement
• Internal rotation of head
– Occiput is the leading part
– Rotates one by eighth of the circle
– Sagittal suture comes in APD
– Slight twist in the neck of the fetus
• Crowning
– Biparietal diameter stretches at vulval outlet
• Extension of head
– Releases Sinciput face and chin
– Head is born by flexion
• Restitution
– Twist in the neck of the fetus is corrected by slight untwisting
movement
– Occiput turns one by eighth of the circle towards the maternal
side
Crowning
• Internal rotation of shoulders
– Shoulders rotate one by eighth of a circle to lie
under symphysis pubis
• External rotation of head
– Occiput rotates further one by eighth to the
mothers left side
• Delivery of body by lateral flexion
– Anterior shoulder escapes under symphysis pubis
– Posterior shoulder sweeps the perineum
– Body is born by lateral flexion
Click over the link

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