Fourth stage of labour

  • The hour following delivery of placenta  is termed Fourth stage of labour
  • Monitoring of the patient’s Blood pressure and pulse rate during this stage is important
  • The episiotomy site should be checked for bleeding or development of any hematoma
  • Check whether the bladder is distended, if so encourage patient to pass urine
  • If the patient is stable after one hour and has passed urine, she can be transferred to the post natal ward

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