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Most primigravidas and many
multigravidas experience the following S & Sx of labor:
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Lightening – the
fetus settles into pelvic outlet (review: engagement); leg cramps, ↑
pelvic pressure, leg edema, ↑ vaginal secretions
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Braxton Hicks
contractions – (irregular, intermittent contractions or “Practice”
throughout pregnancy, like menstrual cramps. Strong → woman in false
labor
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Cervical changes –
rigid, firm cervix softens or “ripens”
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Bloody show – mucus
plug is expelled → exposed cervical capillaries → pink-tinged secretions
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Rupture of membranes
– ROM (not range of motion). 12% before labor begins. Then 80% go into labor
within 24 hrs. Watch carefully: if fetus not engaged, cord can prolapse with
fluid gush. Inc risk for infection
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Sudden burst of energy –
24 – 48 hrs /a delivery
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Other: weight loss
1-3 lbs, N&V, diarrhea
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True Vs False labor:
contractions of TRUE labor → progressive dilatation & effacement of
cervix; regular & inc in frequency, duration, & intensity; pain
starts in back & radiates to abdomen. Walking intensifies pain.
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False labor doesn’t; woman
feels foolish (tell story of VICKY).
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Table 15-4: Comparison of
True & False, p 321
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