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Onset of labour

Weeks before

  • increasing frequency of painless contractions

  • release of pressure in upper abdomen

  • increased urinary frequency / constipation from pressure in pelvis

False Labour

  • painful uterine contractions without cervical dilatation

  • may need analgesia / hypnotics

True Onset of Labour

  • palpable contractions, gradually becoming stronger and more regular

  • cervical effacement

  • cervical dilatation

  • show (plug of mucus + blood)

If long latent phase

  • provisos
    • no cephalopelvic disproportion
    • cervix soft, partly/wholly effaced
    • 2cm dilated
  • amniotomy and Oxytocin drip

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