NSG 3111 Lecture Notes - Lecture 3: Perineum, Gravidity And Parity, Pituitary Gland

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-> a combination of many factors: hormones produced by the fetal hypothalamus, pituitary and adrenal cortex, progressive uterine distension, decreasing progesterone levels. Signs and symptoms of approaching labour: lightening: effects associated with engagement (ex. Pre-labour: contractions, irregular, can be felt in back of abdomen (above the navel, often stop with walking, position change or comfort measures, cervix: no change in cervical dilation or effacement. True labour: contractions, regular, increasing frequency, intensity, and duration, felt in low back and lower abdomen, intensity increases with walking, continue despite comfort measures, cervix: progressive cervical dilation and effacement. 4 stages of labour: onset of regular contractions to full cervical dilation and effacement (labour stage, latent (early, begins at onset of regular contractions (q 5-30 min, lasting 30- May fear loss of control: pain threshold usually reached during this phase (may request pain relief) xi.

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