- To determine whether a contraction pattern typical of true labor.
- To identify abnormal contraction that may jeopardize the health of the mother or fetus.
- To prevent health hazards which mother be exposed.
- To detect, diagnose and provide proper management of any hazards as early as possible.
All pregnant women
A method of examination in which a rhythmic tightening in labor of the upper uterine musculature that contracts the size of the uterus and pushes the fetus towards the birth canal.
Gyneac & Obstetric Department and Gyneac & Obstetric OPD.
Consultant, Medical Officer, Staff Nurse, Auxillary Nurse Midwife and Head Nurse.
- Stop Watch
- Wash hands.
- Explain procedure and its purpose.
- Prepare equipment and take to bedside.
- Put the mother in dorsal recumbent position and screen the mother bed.
- Close windows if open.
- Assess at least three contractions in row but preferably more.
- Assess more frequently, if abnormalities.
- Place fingertips of one hand on uterine fundus. Keep fingertips relative them over uterus.
- Note time when each contraction begins and ends.
- Determine frequency by calculating average time that elapses from beginning of one contraction until beginning of next one.
- Determine duration by noting average time in seconds from beginning to end of each contraction.
- Determine interval by noting average time between end of one contraction and beginning of the next one.
- Estimate the average intensity of contractions by noting how easily the uterus can be indented during the peak of the contraction as follows :
- Mild contractions are easily indented with fingertips. They feel similar to the tip of the nose.
- Moderate contractions can be indented with more difficulty. They feel similar to chin.
- Firm contractions are feel woody and cannot be ready indented. The feel similar to the forehead.
- The average frequency (in minutes & fraction), duration (in seconds) and intensity.
- Duration longer than 90 seconds.
- Interval shorter than 60 seconds.
- Incomplete relaxation between contractions.
- Remove equipment and wash hands.
Nurse’s Observation Sheet.