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FATHER SATURNINO URIOS UNIVERSITY
Butuan City
Nursing Program
A CASE STUDY
ON
NORMAL SPONTANEOUS VAGINAL
DELIVERY
BUTUAN MEDICAL CENTER
(Ob-Nursery Ward)
June 13, 2008 July 12, 2008
In partial fulfillment
Of the requirements for the
Subject NCM 101
Submitted by:
Florence Phil H. Amoroso
BSN III
Submitted to:
Mr. Paul Ritchie Pelos, RN
Clinical Instructor

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INTRODUCTION
Pregnancy, the state of carrying a developing embryo or fetus within
the female body. This condition can be indicated by positive results on an over-the-
counter urine test, and confirmed through a blood test, ultrasound, detection of fetal
heartbeat, or an X-ray. Pregnancy lasts for about nine months, measured from the
date of the woman's last menstrual period (LMP). It is conventionally divided into
three trimesters, each roughly three months long.
When gestation has completed, it goes through a process called
delivery, where the developed fetus is expelled from the mother’s womb. There are
two options of delivery: Cesarean section and NSVD or normal spontaneous vaginal
delivery. A cesarean section is a surgical incision through the mother’s abdomen and
uterus to deliver one or more fetuses. NSVD or normal spontaneous vaginal delivery
is the delivery of the baby through vaginal route. It can also be called NSD or
normal spontaneous delivery, or SVD or spontaneous vaginal delivery, where the
mother delivers the baby with effort and force exertion.
Normal labor is defined as the gradual subjugation and dilatation of
the uterine cervix as a result of rhythmic uterine contractions leading to the
expulsion of the products of conception: the delivery of the fetus, membranes,
umbilical cord, and placenta. Laboring cannot that be easy; thereby implicating that
there are processes and stages to be undertaken to achieve spontaneous delivery.
Through which, Obstetrics have divided labor into four (4) stages thereby explaining
this continuous process.
STAGE 1: It is usually the longest part of labor. It begins with regular
uterine contractions and ends with complete cervical dilatation at 10 centimeters.
This stage is broken down into three (3) phases: the
Early phase,
where the
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.
STAGE IV: No more expulsions of conception products for this stage
as this is generally accepted as POST PARTUM juncture. This phase is from the
placental delivery to full recovery of the mother.

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FATHER SATURNINO URIOS UNIVERSITY Butuan City Nursing Program A CASE STUDY ON NORMAL SPONTANEOUS VAGINAL DELIVERY BUTUAN MEDICAL CENTER (Ob-Nursery Ward) June 13, 2008 – July 12, 2008 In partial fulfillment Of the requirements for the Subject NCM 101 Submitted by: Florence Phil H. Amoroso BSN – III Submitted to: Mr. Paul Ritchie Pelos, RN Clinical Instructor INTRODUCTION Pregnancy, the state of carrying a developing embryo or fetus within the female body. This condition can be indicated by positive results on an over-the-counter urine test, and confirmed through a blood test, ultrasound, detection of fetal heartbeat, or an X-ray. Pregnancy lasts for about nine months, measured from the date of the woman's last menstrual period (LMP). It is conventionally divided into three trimesters, each roughly three months long. When gestation has completed, it goes through a process called delivery, where the developed fetus is expelled from the mother’s womb. There are two options of delivery: Cesarean section and NSVD or normal spontaneous vaginal delivery. A cesarean section is a surgical incision through the mother’s abdomen and uterus to deliver one or more fetuses. NSVD or normal spontaneous vaginal delivery is the delivery of the baby through vaginal route. It can also be called NSD or normal spontaneous delivery, or SVD or spontaneous vaginal delivery, where the mother delivers the baby with effort and force exertion. Normal labor is defined as t ...
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