Stage	From start to end	⏰
Stage 1	Onset of labor → full dilation of cervix	Primigravid: 6–18h Multipara: 2–10h
Latent phase	Onset of labor → 6 cm dilation	Primigravid: 6–7h Multipara: 4–5h
Active phase	6 cm dilation → full dilation	Primigravid: >1.2 cm/h Multipara: >1.5cm/h
Stage 2	Full dilation of cervix → delivery of neonate	Primigravid: 30 minutes–3 hours Multipara: 5–30 minutes
Stage 3	Delivery of neonate → delivery of placenta	30 minutes

	Normal Labor
features	·       A pt is considered to be in labor when has both of the following: 1) Regular uterine contractions with at least 1 contraction every 10 minutes. 2) Cervical changes (i.e. cervical effacement and/or dilatation) or rupture of the membranes.
S/S	she’s gonna scream ☠️
Dx	Clx
Tx	The normal frequency of uterine contractions will be 3-5 times in every 10 minute period. oxytocin is used to increase the number of contractions until it reaches normal. 200 x 10 min movedo

False Labor	Latent Labor
Irregular Infrequent	Regular Frequent
Weak	Strong
No pain or mild pain	PAINFUL
No cervical change	⊕ Cervical change

	IOL
Oxytocin	⤴️ uterine contractions
Misoprostol	·       Cervical ripening ·       do not give to asthmatics
Amniotomy	تفقع الكيس ·       Inspect for a prolapsed umbilical cord before puncturing the amniotic sac.