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contractions are usually very light and maybe approximately 20 minutes or more apart

from the beginning, gradually becoming closer, possibly up to five minutes apart; the Active

phase, where contractions are generally four or five times apart, and may last up to 60

seconds long. Cervix dilates with 4-7 cm and initiates a more rapid dilatation. It is known that

to get through active labor, mobility and relaxations are done to increase contractions; and

the Transition phase, where it is definitely known as the shortest phase but the hardest,

contractions maybe two or three times apart, lasting up to a minute and a half, about

approximately 8-10 cm of cervical dilatation. Some women will shake and may vomit during

this stage, and this is regarded as normal. Most of the time, women would find a comfortable

position to acquire complete dilatation.

STAGE II: This stage lasts for three or more hours. However, the length of

this stage depends upon the mother’s position (e.g.; upright position yields faster delivery).

Once the cervix has completely dilated, the second stage had begun. This stage ends with

the expulsion of the fetus.

STAGE III: This stage focuses on the expulsion of the placenta from the

mother. Placenta exclusion is much more easier than the delivery of the baby because it

includes no bones, and this is during this stage that the baby is placed on top of the mother’s

womb.
 I. History

II. Activities of Daily Living

III. Physical Assessment

IV. Case Discussion

I. Normal Spontaneous Vaginal Delivery
- Definition
- Purpose
- Complications
- Course of the Procedure
II. Episiotomy

V. Anatomy

VI. Physiology

VII. Management

VIII. Diagnostic Procedure

IX. Drug Study

X. Nursing Care Plan

She grew up with other abandoned children with questions in her mind. But to that,

she never completely disclosed herself. Patient P is a victim of sexual abuse. She was raped

and was unable to resist because of her innocence. She doesn’t talk that much. Often times,

she paces back and forth inside the ward, sits silently on her bed and sometimes quietly

stares outside the window. When tried to ask about what she knows of her family, she could

only turn silent, and somehow implies to ask the next question to her. But when chance

punched, I grasped it and coiled directly to my point. Unfortunately, hesitancy was felt from
the kind of thing that was wanted to be discussed. The issue was not forced until her watcher,

which has no relation to her, revealed the reason behind her pregnancy.