SIGN
0
1
2
1 min
5 min
30 min
Less
Over
Absent
Than 100
Heart Rate
100
Good
Slow
Respiratory
Absent
Cry
Irregular
Effort
Some
Active
Muscle
Limp
Flexion
Motion
Tone
No
Reflex
Grimace
Cry
Response
Irritability
Body
All
Pale
Pink
Color
Pink
Extr. Blue
TOTAL SCORE
Table 2-2. Sample APGAR scoring chart.
Section IV. THIRD STAGE OF LABOR (PLACENTAL STAGE)
2-11. THIRD STAGE OF LABOR
As previously mentioned, the third stage of labor is the period from birth of the
baby through delivery of the placenta. This is considered a dangerous time because of
the possibility of hemorrhaging. Signs of the placental separation (see figure 2-9) are
as follows:
a. The uterus becomes globular in shape and firmer.
b. The uterus rises in the abdomen.
c. The umbilical cord descends three (3) inches or more further out of the
vagina.
d. Sudden gush of blood.
MD0922
2-21