IIND STAGE MANAGEMENT

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 Clinical Indication:-

Increased  blood show

Patient want to down with each contraction

Feel pressures on rectum with a desire to pass urine

General:- Pt should lie on bed

        Shouldn’t be left alone

        Constant observation/ supervision is done

        Provide Psychological support

        Only sips of water should be given

        Check fetal heart rate every 5-10 mints

Position for delivery:- Lithotomy position

Dorsal position with thigh flexed & widely separated buttocks close to lower end of table.  

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Either way the teacher or student will get the solution to the problem within 24 hours.

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