STAGES OF LABOR

STAGES OF LABOR
STAGE I – onset of LABOR to FULL DILATION
	Dilation	Contraction	Duration
Latent Phase	0 - 4 cm	15 -30 min	15 – 30 sec
Active Phase	4 – 8 cm	3 – 5 min	30 – 60 sec
Transition Phase -Tell the client to pant with pursed lips -Analgesics should not be administered	8 – 10 cm	2 – 3 min	45 – 90 sec
STAGE II – FULL DILATION to BIRTH Tell client to take a deep breath and bear down with contractions
STAGE III – BIRTH to EXPULSION OF PLACENTA
STAGE IV – AFTER BIRTH

EARLY DECELERATION - deceleration of fetal heart rate (compression of fetal head against cervix)

LATE DECELERATION - does not return to baseline (uteroplacental insufficiency)

VARIABLE DECELERATION - abrupt and dramatic (compression of the umbilical cord)