ANATOMY AND PHYSIOLOGY

First stage of labour

The first stage of labour

Introduction

The first stage of labour can be defined as from the onset of regular contractions to the full dilation of the cervix'. The role of midwives during the first stage of labour is ongoing evaluation of women in labor provides the necessary information for determining maternal and fetal well-being during labour. The range of progress during labour that is within the range of normal varies widely. The midwife plays a crucial role in providing maternal support and reassurance, while at the same time remaining vigilant for subtle variations in maternal or fetal condition that may indicate developing, or the potential problems (Downe, 2008, 5).

Early identification of actual or potential problems allows problem solving measures and treatments, to be initiated proactively, with a goal of the best outcome possible for mother and baby in the given circumstances. Midwifes used the MNC when starting a labour preparation course, the midwife sees the woman in a group of newly diagnosed pregnant women also midwives see the couple individually. The midwife strives to give the highest standard of care at all times. She also makes sure that all the information she imparts is accurate. She ensures confidentiality. She also listens to the concerns and problems of women and their partners and gives appropriate care and advice (Dorlea, 2003, 45).

The midwife, where possible, make contact with the doctor or specialist concerned in order to keep lines of communication open, so as to ensure continuity of care. She also has a good relationship with all the hospitals or clinics in her area and, where possible, gives support before and during the delivery. The midwives are flexible and use initiative to evaluate and implement a programme that works for those particular women with whom she is working (Coad, 2005, 54).

Discussion

The muscular contractions of the uterus are so invariably accompanied with pain that it is not surprising that the effect confounded with its causes, and has received credit for all the efficiency exerted in labour. Hence the terms pains, labor pains, uterine contractions, used metonymically by obstetrical writers and practitioners a usage which hall respect, because it is often convenient, and cannot mislead, if it be remembered that, when used in this sense, the term pains has no reference to the sufferings of the patient, which may be excruciating, in nervous or susceptible individuals, although the pains are trifling, that is, inefficient (Donnison, 1988, 54).

The uterine contractions not accompanied with pain in the first stage of labor only, but also in the subsequent stages; it is, nevertheless to be observed that the character of the pain is different in the different stages. In the first stage, (with which alone we concerned at present) it described as cutting or grinding, and as not infrequently continuing during the intervals of the contractions, in a sufficient degree to worry the patient. From this cause, together with the absence of consciousness that these pains are accomplishing anything, she is fretful, impatient, agitated, and ...