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 A Primigravida patient is admitted to the labor delivery area. Assessment reveals that she is in early part of the first stage of labor. Her pain is likely to be most intense:

 A Primigravida patient is admitted to the labor delivery area. Assessment reveals that she is in early part of the first stage of labor. Her pain is likely to be most intense: Correct Answer <p><span style="color: rgb(34, 34, 34); ">Around the pelvic girdle</span></p>

  • Pain around the Pelvic Girdle is usually caused by the Joints Moving Unevenly because of the Braxton Hicks Contractions which can lead the Pelvic Girdle to become less stable and more painful. The pain gradually subsides once the baby is born.

      Braxton Hicks Contractions  

  • These are the false labor pain and also the prodromal pains that pregnant women might have before the true labor pain.
  • These are the contraction of the uterus that typically are not felt until the second or third trimester of pregnancy. These contractions are the body's way of preparing for the true labor, but they do not indicate that the labor has begun.  
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Additional Information

  • Primigravida: A woman pregnant for the first time.
  • Stages of labor

   1. ​The first stage of labor: This starts from the onset of true labor pain and ends with full cervix dilatation. Also known as the Cervix stage of labor and usually lasts for 12 hours in primigravida and 6 hours in multigravida. It has two phase

  • The latent phase includes the time between the onset of labor and 3-4cm dilatation of the cervix.Usually, it lasts for 3 to 4 hours.
  • Active Phase describes the time between and stage of latent phase till full dilatation of the cervix that is around 10cm. It lasts for 2 to 6 hours.

 

   2.​ Second stage of labor: it starts from full dilation of the cervix and ends with the expulsion of a fetus from the birth canal. It has two phases:

  • ​Propulsive Phase: starts from full cervix dilation up to descent of the presenting part to the pelvic floor.
  • Expulsive Phase: this is distinguished by the maternal bearing down efforts and ends with the delivery of the baby.

 

  3. Third stage of labor: 

  • it begins after the expulsion of the fetus and ends with the expulsion of the placenta and other membranes. If the third stage lasts for more than 30 minutes it is considered an abnormal response.

  4. Forth stage of labor:

  • It begins with placenta expulsion and ends two hour later.
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