1. Engagement
2. Internal rotation
3. Flexion
4. Restitution
5. Crowning
6. External rotation
What is the correct sequence of movements in labor in occipito-lateral position?
Cardinal Movements of Labor Sequence
This solution details the correct sequence of cardinal movements during normal labor, specifically for the occipito-lateral position, as presented in the question.
Correct Sequence Breakdown
The accepted sequence for the cardinal movements of labor in an occipito-lateral position is:
- Engagement: The fetal head (presenting part) passes through the pelvic inlet.
- Flexion: The fetal chin tucks towards the chest, presenting the smallest head diameter (suboccipitobregmatic) to the pelvis.
- Internal Rotation: The fetal head rotates, typically from a transverse or oblique position to an anteroposterior diameter of the pelvis.
- Crowning: The fetal head becomes fully visible at the vaginal opening (vulva) during extension.
- Restitution: The fetal head spontaneously turns to realign with the infant's shoulders after delivery.
- External Rotation: The shoulders rotate to fit the pelvic outlet, causing the head to rotate further externally.
This sequence (1, 3, 2, 5, 4, 6) represents the typical progression of the fetal head and body through the maternal pelvis during childbirth.
Important Questions from Normal Labour
- Which one of the following is NOT a sign of separation of placenta?
- Labour is called normal if it fulfills following criteria EXCEPT:
- In the mechanism of normal labour the engaging transverse diameter is
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.
- According to the WHO Intrapartum Care Guidelines, 2018, the active phase of labour starts from what dilation of cervix?
