WHO Guidelines: Active Phase of Labour Start
The World Health Organization (WHO) provides specific definitions within its Intrapartum Care Guidelines (2018) regarding the stages of labour.
According to these guidelines, the active phase of labour is formally considered to begin when the cervix reaches a dilation of 5 cm.
This definition helps standardize the assessment and management of labour progression.
Important Questions from Normal Labour
Which of the following features are correct regarding onset of true labour?
1. Regular uterine contractions
2. Progressive cervical dilation and effacement
3. Presence of show
4. Labour and delivery are synonymous
Select the answer using the code given below.
Onset of labour is initiated by which of the following?
1. Uterine distension
2. Increased CRH and ACTH from foetal hypothalamic-pituitary- adrenal axis
3. Increased level of progesterone immediately before labour
4. Increased synthesis of myometrial receptors for oxytocin due to effect of oestrogen
Select the correct answer using the code given below.
- The normal rate of dilatation of the cervix in a primigravida in the active phase of labor is
- Regarding the phenomenon of 'lightening' in primigravida at term pregnancy, which one of the following statements is correct?
- In the mechanism of normal labour the engaging transverse diameter is
