Page 66 - 33Elctronic Book (3) Normal Labor

▪ Posture of woman in labor:

The woman lies on the delivery table in one of the following positions:
▪ Dorsal or lithotomy position:

Woman lies on her back and puts her legs up into the stirrups or leg hold. he
T
advantages of this position are:
rd
✓ Change of position is not needed to check FHS and to conduct the 3 stage of
labor.
✓ Draping woman and preserving aseptic techniques are easy.

▪ Left lateral position:
Woman lies on left side, her thighs are partly flexed and another person holds
:
her knees apart. The advantages of this position are

✓ Decrease liability for perineal laceration.
.
✓ Easy removal of feces
✓ Easy manipulation of shoulders.

▪ Preparations:
o Preparation of the delivery room:
▪ Delivery room should always be ready for the conduct of labor. Delivery
trolley and emergency drug tray should be ready.

▪ The delivery room should be warm enough for the infant.
▪ All equipment needed for infant's care is present and the resuscitation trolley

should be ready for use at all times.
▪ Safety of woman should be ensured. She should be transferred between
contractions and supported adequately.
▪ Enough privacy should be provided.

▪ Strict aseptic technique should be maintained.
o :Preparation of the woman
▪ Place the woman on the delivery table and put her legs in the leg holders.

▪ The legs and 'thighs should be dressed with sterile leggings. Sterile towels should
be laid over the abdomen and under buttocks leaving only the vulva and perineum
exposed.

▪ Empty the bladder. Swab external genitalia and. apply a sterile pad.

o Preparation of the attendant:

▪ The attendant should put on cap and mask, wash and scrub hands and put on a

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