Programme: Certificate Midwifery
Subject/Course Unit: Midwifery Practice I
Topic: Stages of Labour
Learning objectives
- Describe the stages of labour.
- Identify key events in each stage.
- Recognize important maternal and fetal observations during labour.
Study lesson
Labour is commonly described in four stages. The first stage extends from the onset of true labour to full cervical dilatation. The second stage extends from full dilatation to birth of the baby. The third stage extends from birth of the baby to delivery of the placenta and membranes. The fourth stage is the early postpartum observation period after placental delivery.
Clinical learning points
- Monitor maternal condition, fetal wellbeing and progress of labour according to approved guidance.
- Document findings accurately.
- Escalate abnormal findings promptly.
- Provide respectful, woman-centred care.
Watch and learn
WHO Pregnancy, Childbirth, Postpartum and Newborn Care
Interactive MCQs
1. What marks the end of the first stage of labour?
A. Full cervical dilatation
B. Delivery of the placenta
C. Birth of the baby
D. Completion of the fourth stage
Answer: A
2. Which stage ends with birth of the baby?
A. First stage
B. Second stage
C. Third stage
D. Fourth stage
Answer: B
3. Which event defines the third stage?
A. Cervical dilatation
B. Birth of the baby
C. Delivery of the placenta and membranes
D. Antenatal assessment
Answer: C
Revision
First stage: cervical dilatation. Second stage: birth of the baby. Third stage: delivery of the placenta and membranes. Fourth stage: early postpartum observation.
Programme note: This lesson is specifically for Certificate Midwifery. It should only be shared with another programme when the curriculum identifies the same competency or learning outcome.
Disclaimer: This lesson supports learning and does not replace approved curriculum documents, institutional teaching, clinical supervision or professional guidance.