First Stage: The progressive dilation of the cervix, Membranes usually rupture, Latent Phase: 0-6 cm dilation, 0-40% effaced. Mild cramping, Active Phase: 7-10 cm dilation, 40-100% effaced. Intense pain, Second Stage: Begins after 10 cm dilation, Moving the fetus through the birth canal, The pushing phase, Can last 3 hours, Third Stage: It begins with the birth of the newborn, It ends with the delivery of the placenta, The newborn should be placed on the mother during this phase, Postpartum hemorrhage is the most common during this phase, Fourth Stage: It begins with the expulsion of the placenta, It ends when the mother is stabilized, The first 1-4 hours following birth, Continue to closely monitor for hemorrhaging, bladder distension, and DVT,

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