IN CONTINUATION TO LABOUR GUIDE FOR COMMUNITY HEALTH AND MIDWIFE CAREGIVERS
REQUIREMENTS FOR MANAGING LABOUR To properly manage labour, caregivers should prepare the following: 1. Essential Labour Equipment Delivery bed Gloves (sterile and non-sterile) Cord clamps or ties Mucus extractor or suction machine Clean towels Maternity pads Sterile scissors or blade Baby warm clothing BP machine, fetal stethoscope or Doppler Delivery pack (kidney dish, forceps, syringes, etc.) 2. Drugs and Supplies Oxytocin (for managing third stage) Magnesium sulphate (for pre-eclampsia) Vitamin K injection for baby Tetanus toxoid IV fluids and cannulas Misoprostol (in emergency) 3. Infection Prevention Hand washing area or sanitizer Sterilizer Clean environment Sharps box STAGES AND PROCEDURE OF LABOUR Labour occurs in three main stages, and here’s how each is managed: STAGE 1: DILATATION STAGE Begins with regular contractions and ends when the cervix opens to 10 cm. Monitor contractions, fetal heart rate, and cervical dilatation using a partograph. Encourage the mother to walk, ur...