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Describe the cardinal movements of labor.
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The note describes the Cardinal Movements of Labor, which are the series of movements a baby makes to pass through the birth canal during a vaginal delivery.
These movements include:
- Engagement: The baby's head enters the pelvic inlet.
- Descent: The baby moves downwards through the pelvis due to uterine contractions and maternal pushing.
- Flexion: The fetal head bends, bringing the chin to the chest, allowing the smallest part of the head to present.
- Internal Rotation: The head rotates to fit the shape of the pelvis, usually from a transverse to an anterior position.
- Extension: The head extends as it reaches the vulva, delivering the occiput, then forehead, then chin.
- Restitution: After the head is delivered, it realigns with the shoulders, turning slightly to one side.
- External Rotation: The head rotates further as the shoulders rotate internally within the pelvis, positioning them for delivery.
- Expulsion: The shoulders are delivered (anterior first, then posterior), followed by the rest of the body, often with a movement of lateral flexion.
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