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Mechanisms Of Labor (EDFIERRE)

The mechanisms of labor (memorize EDFIERRE) comprises of the following: 


Engagement - presenting part of the fetus is fixed in true pelvis  

 Descent - presenting part progresses through pelvis; level os station

 



 Flexion - descending head meets pelvic floor; chin is brought down to chest

   



Internal Rotation - fetal head rotates from transverse diameter to anteroposterior diameter to facilitate movement through pelvis

   



Extension - once fetal head reaches perineum, it extends to be born

 



Restitution - after delivery of the head, it rotates back to position prior to engagement 

External Rotation - shoulder engage and move similarly to head

  



Expulsion - entire infant emerges from mother


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