8/16/2019 3P-IDK

1/14

3PPOWER,

PASSAGE,PASSENGER

A M R I A S H S H I D D I E Q1 3 1 0 2 1 1 1 4 5

8/16/2019 3P-IDK

2/14

8/16/2019 3P-IDK

3/14

POWERSUterine 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 thefundus, or external tocodynamometry.

• Contraction force can also be measured bydirect measurement of intrauterine pressureusing internal manometry or pressuretransducers.

8/16/2019 3P-IDK

4/14

8/16/2019 3P-IDK

5/14

• Nutrition and !uids• Rest" #ati$ue• Di%&ra$ma contraction• 'i$amentum rotundum

There is no speci ccriteria for adequateuterine activity

enerally !"#contractions in a $%minute period isconsidered adequatelabor

8/16/2019 3P-IDK

6/14

PASSAGE

(assa$e ) (e!*is• Consists of the +ony %e!*is and so#t tissues of the

birth canal &cervix, pelvic 'oor musculature(• )mall pelvic outlet can result in cephalopelvic

disproportion• *ony pelvis can be measured by %e!*imetry but it

not accurate and thus has been replaced by a clinicaltrial of labor

8/16/2019 3P-IDK

7/14

8/16/2019 3P-IDK

8/14

8/16/2019 3P-IDK

9/14

PASSENGER

- S i e of passenger- N umber of passengers- ( osition of passenger/

+ Presentation+ 0ie

8/16/2019 3P-IDK

10/14

BREECH

8/16/2019 3P-IDK

11/14

CEPHALIC PRESENTATION

8/16/2019 3P-IDK

12/14

8/16/2019 3P-IDK

13/14

LIE

8/16/2019 3P-IDK

14/14

T E R I M A K A S

I H