3P Power, Passage, Passenger: Amri Ashshiddieq 1 3 1 0 2 1 1 1 4 5

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3P

P OWER,
PASSAG E,
PASSENGER
AMRI ASHSHIDDIEQ
1310211145

POWERS
Uterine contractions
Power refers to the force generated by the
contraction of the uterine myometrium
Activity can be assessed by the simple
observation by the mother, palpation of the
fundus, or external tocodynamometry.
Contraction force can also be measured by
direct measurement of intrauterine pressure
using internal manometry or pressure
transducers.

Nutrition and Fluids


Rest/ fatigue
Diphragma contraction
Ligamentum rotundum

There is no specific
criteria for adequate
uterine activity
Generally 3-5
contractions in a 10
minute period is
considered adequate
labor

PASSAGE
Passage = Pelvis
Consists of the bony pelvis and soft tissues of the
birth canal (cervix, pelvic floor musculature)
Small pelvic outlet can result in cephalopelvic
disproportion
Bony pelvis can be measured by pelvimetry but it
not accurate and thus has been replaced by a clinical
trial of labor

-lower uterine
segment
Cervix
Vagina
Perineum

PASSENGER
Size of passenger
Number of passengers
Position of passenger:
Presentation
Lie

BREECH

CEPHALIC PRESENTATION

LIE

TE

K
A
RIM

H
I
S
A

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