we're back hi everybody my name is Amanda from beautiful nursing.com I'm so excited and today's series of 5 minutes or less we are going to be talking about the PS of Labor so what are the five PS of Labor they are passageway passenger position psych and Powers so let's dive into these the first one is passageway and when you think of passageway I want you to think of a car on the highway on a passageway this car is the birth canal that is going to have its passengers which is the fetus and the placenta this birth canal is composed of the Bony pelvis cervix pelvic floor vagina and vaginal opening so women have different sizes and shapes of their bony pelvis so let's go over the different types all right so the first type of maternal pelvis is a gy covid this is the most favorable type of pelvis it has a pumpkin type of shape so I drew it with a pumpkin and here you can just remember that you know a lot of people when they're giving birth to their little babies they're like oh my little pumpkin you know they're call their babies their little pumpkin and the pumpkin shape is the most favorable aka the gynecoid the second most favorable is the anthropoid this type of pelvis has a human looking shape so I drew it with the face of a human and just remember that we like giving birth to to humans so we do not like seeing an Android shaped pelvis Android sounds like a robot or an alien kind of like an alien shaped uh pelvis this has a poor prognosis and usually leads to a C-section and then the last type of maternal pelvis is a platy pooid so this one actually is flat so it looks like the flat beak of a platypus and the platypelloid also has a Poe prognosis and usually leads to a C-section so if you remember one thing it's that we like to give birth to tiny cute little pumpkins and humans we do not like to give birth to aliens or platypuses when we look at the passenger we have to look at the presentation so the part of the fetus that is entering the pelvic Inlet first so the fetal lie which is the relationship of the mother's long access so her spine to the fetal long axis which is the fetal spine fetus can be transverse where it's kind of at a horizontal sideways angle so it can be parallel or straight and then when you're looking at fetal attitude I always remember that with a baby's attitude when they're angry they're all flexed up fist up okay so they are having um fetal flexions so they're all angry and fists up whereas if they're chill um and the fetus has um it's chin extended away from the chest it's extremities extended um this is going to be fetal extension then fetal position so that's that Roa aloa lot I have a different video on this that really dissects this information down it makes it really simple and easy to understand so you can always check that video out so finally the fetal station is just looking at the fetal presenting parts so it could be the head or the buttock where it is in relation to the maternal isial spines so these two like spiky Parts here how close is it to these isial spines Powers magical powers these are the contractions the power to make the baby appear so uterine contractions work to thin and dilate the cervix while pushing the baby's presenting part to the lower uterine segment so this is pushing the baby to be expelled out of the uterus each time the mom goes far as contractions there are some key terms that you might hear one is duration this is how long a contraction lasts it's usually measured from start of a contraction to the end of the same contraction the next one is frequency frequency is how often contractions occur so these are measured by the start of one contraction to the start of the next one and then finally intensity which is just the strength of the contraction itself and contractions are very powerful all right so then position this is referring to the maternal position so this is not the Roa Alo this is talking about how mom has to change positions maybe sitting on a birthing ball maybe sitting um in the bed upright Down Standing they walking whatever the position is just frequently changing positions to help relieve some of that pain and help with the breathing process all right then finally psych this is talking about maternal stress um self-esteem anxiety that could come with the labor process so as the nurse you just want to make sure that you're doing all you can to um be a comfort to the client during the labor process by either um having calming music maybe massage aroma therapy um you could have different positions giving clear information on procedures that you might have to do ice chips if the client is feeling nauseous different breathing techniques to again help relieve that pain and increase Comfort um so we can have a positive pregnancy experience thanks for watching be sure to subscribe [Music]