Page 69 - 33Elctronic Book (3) Normal Labor
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➢ N.B :
- Contraction means temporary shortening of the muscle fibre.
- Retraction means permanent shortening of the muscle fibre.
A-Schultze Mechanism B-Duncan Mechanism
• Signs of placental separation
o Uterus becomes smaller, globular, harder, higher and more mobile.
o Suprapubic bulge is noticed due to the presence of placenta in the lower uterine
segment.
o Gush of blood from the vagina.
o Lengthening of the umbilical cord outside the vulva.
o Loss of pulsation of the cord when pressure is exerted on the fundus.
Nursing Management of the Third Stage of Labor
Assessment
• Assess uterine contractions.
• Observe maternal vital signs.
Nursing Diagnosis
• Fatigue related to inability to rest and pushing efforts during labor.
• Alteration of comfort, pain related to episiotomy, perineal distension, and muscle
strain during labor.
• Alteration of fluid to less than body requirements.
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