Assessment and management of intra-natal period.

· Physiology of labour ,
· Management of labour.
• First stage
• Signs and symptoms of onset of labour, normal and abnormal –
• Duration
• Preparation of Labour room and Women
• Assessment and observation of women in labour, partogram- maternal and foetal monitoring
• Active management of labour,
• Induction of labour
• Pain relief and comfort in labour
· Second stage
• Signs and symptoms; normal and abnormal
• Duration
• Conduct of delivery; Principles and techniques
• Episiotomy
• Receiving the new born
• Neonatal resuscitation; initial steps and subsequent resuscitation
• Care of umbilical cord
• Immediate assessment including screening for congenital anomalies
• Identification
• Bonding
• Initiate feeding
• Screening and transportation of the neonate
· Third stage
• Signs and symptoms; normal and abnormal
• Duration
• Method of placental expulsion
• Management; Principles and techniques
• Examination of the placenta
• Examination of perineum
• Maintaining records and reports
· Fourth Stage