Five P's of Labor: In a Nutshell (Nursing)

00:00 So, in a nutshell, the pregnant client's psychological state contributes greatly to the birthing process. So we should, as nurses, ensure a trusting and safe environment for that patient and their family. So, in a nutshell for this entire 5 Ps lecture, we want to talk about the 5 Ps, we know what they are now. The bony pelvis, which is the passageway; the fetus; the passenger; contractions; powers; orientation of the pregnant client, so what position are they in; the emotional status standing for psyche. And remember my 6th P, pronoun, don't forget it. Each of the 5 Ps can affect the progression of labor and the nurse should monitor each of those 5 Ps over the course of labor to make sure that things are progressing and progressing in a safe way. The gynecoid pelvis is the most favorable pelvis for labor and then to describe the presentation we have to compare it to the 4 corners of the maternal pelvis.

01:04 We want to position the patient upright and encourage frequent position changes in labor to help facilitate the baby coming out. We want to achieve contractions that are regular, they're strong and they're spaced at least a minute to 90 seconds apart and consistent in order to effectively push the baby towards the outside world. And you've done it. We've gotten through the 5 Ps of labor.