Make ppt on normal labour from oxorn foote and add pictures also to pp

Make ppt on normal labour from oxorn foote and add pictures also to ppt

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normal labour stages mechanism of labour obstetrics diagram image wikimedia

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Normal Labour OxornFoote v2

Presentation · PPTX

(2.2 MB)

What's inside (16 slides, deep maroon/medical theme):

#	Slide Title	Highlights
1	Title Slide	Normal Labour - Oxorn-Foote branding
2	Definition & Prerequisites	Oxorn-Foote definition, 3 Ps box
3	Stages of Labour	All 4 stages with diagram image (Wikimedia)
4	First Stage in Detail	Latent vs Active phase side-by-side boxes
5	Cardinal Movements	All 8 steps (Engagement → Expulsion) with diagram
6	Powers of Labour	Uterine contractions (Montevideo Units) + bearing down
7	Fetal Head Diameters	Full table: BPD, suboccipitobregmatic, occipitomental, etc.
8	Bony Pelvis (Passage)	Caldwell-Moloy types, pelvic planes table
9	Second Stage	Clinical features + management (CTG, crowning, oxytocin)
10	Third Stage	Signs of separation, Schultze vs Matthew-Duncan
11	Cervical Changes & Show	Effacement, dilatation, mucus plug
12	Rupture of Membranes	SROM, PROM, PPROM, liquor assessment
13	Engagement, Lie, Presentation, Position	4-card layout with LOA, denominator, etc.
14	Monitoring in Labour	Maternal + fetal monitoring checklists
15	Partogram	WHO alert/action lines, all components
16	Key Points Summary	9 bullet summary on dark background

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clinical diagrams mechanism of labour cardinal movements fetal head obstetrics wikimedia commons

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stages of labour cervical dilation effacement partogram clinical image site:wikimedia.org OR site:openi.nlm.nih.gov

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mechanism of labour obstetrics diagram cardinal movements engagement descent flexion extension wikimedia

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fetal head engagement flexion internal rotation extension restitution clinical obstetrics image diagram

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I now have a rich set of clinical images. Here is a comprehensive gallery of all the images found, with context and sources:

Clinical Images: Labour Stages & Mechanisms

1. Cardinal Movements of Labour - Teaching Chart

Cardinal Movements of Labour - Childbirth Graphics

Source: Childbirth Graphics (©1991, 2011). This clinical teaching chart shows the complete sequence of cardinal movements: Engagement → Descent → Flexion → Internal Rotation → Extension → External Rotation/Restitution → Expulsion, displayed in cross-section of the maternal pelvis with the fetal head navigating the birth canal.

2. Stages of Childbirth - Overview Diagram

Stages of Childbirth - Wikimedia Commons

Source: Wikimedia Commons (OpenStax Anatomy & Physiology, CC BY 4.0). Illustrates the three main stages of labour: Stage I (cervical dilation), Stage II (delivery of the fetus), and Stage III (placental delivery).

3. Labour Curves by Parity - from Creasy & Resnik's Maternal-Fetal Medicine

Labour curves by parity - Creasy & Resnik

Source: Creasy & Resnik's Maternal-Fetal Medicine (textbook), Figure 40.2 - Zhang J et al., Obstet Gynecol. 2010;115:705.

This is the contemporary labour curve, showing cervical dilation vs. time by parity:

P0 (blue) - Nulliparas: gradual sigmoid curve, reaching 10 cm around ~10-11 hours
P1 (dashed red) - Parity 1: faster, completing ~7 hours
P2+ (solid red) - Grand multiparas: fastest progression, ~6-7 hours

Note: This modern curve from Zhang et al. (2010) differs from the classical Friedman curve - active labour transition is gradual (not abrupt), and the active phase lasts longer (~5.5 hr vs. Friedman's 2.5 hr).

4. Cervical Dilation Rate by BMI (Nulliparas) - Creasy & Resnik

Cervical dilation by BMI nulliparas - Creasy & Resnik

Source: Creasy & Resnik's Maternal-Fetal Medicine, Figure 40.3 - Kominiarek MA et al., Am J Obstet Gynecol. 2010.

Shows predicted cervical dilation curves stratified by BMI in nulliparas from 4 cm onwards. Clinical significance: Women with higher BMI (≥40, brown curve) dilate more slowly and take longer to reach full dilation compared to women with BMI <25 (blue dashed curve) - relevant for setting realistic labour progress expectations.

5. Cervical Dilation by BMI (Multiparas) - Creasy & Resnik

Source: Creasy & Resnik's Maternal-Fetal Medicine, Figure 40.4 - Barau G et al., BJOG. 2006.

Same BMI-stratified dilation curves for multiparas - overall much faster progression than nulliparas, reaching 10 cm in 3-5 hours depending on BMI.

Summary Table of Images Found

#	Image	Topic	Source
1	Cardinal Movements chart	All 8 cardinal movements in one diagram	Childbirth Graphics
2	Stages of Childbirth	3 stages overview with fetal/cervical anatomy	Wikimedia Commons (OpenStax)
3	Labour curves by parity	Contemporary Friedman curve (Zhang 2010)	Creasy & Resnik textbook
4	Dilation by BMI (nullipara)	How BMI affects labour speed	Creasy & Resnik textbook
5	Dilation by BMI (multipara)	How BMI affects labour speed (multiparas)	Creasy & Resnik textbook

Additional Image Resources (direct links, publicly accessible)

Stages of Childbirth SVG - Wikimedia, OpenStax CC BY 4.0
Cardinal Movements of Labor - Large Chart - Childbirth Graphics
Geeky Medics - Mechanism of Labour OSCE Guide - detailed step-by-step with diagrams
Williams Obstetrics Fig 22-11 - Cardinal movements PDF - LOA cardinal movements sequence

Note on the library: The Oxorn-Foote textbook is not in the digital library, but the library does contain Creasy & Resnik's Maternal-Fetal Medicine and Berek & Novak's Gynecology, both of which have embedded figures available. The labour curve images above are pulled directly from Creasy & Resnik. The Oxorn-Foote-specific diagrams (e.g., engagement in the gynaecoid pelvis, Schultze vs. Matthew-Duncan separation) are best accessed via the printed textbook or a licensed digital copy.

Update the PPT with these clinical images embedded

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All 5 images embedded successfully (2.7 MB). Here's your updated file:

Normal Labour OxornFoote v3 WithImages

Presentation · PPTX

What was added (17 slides total, vs 16 before):

Slide	Image Embedded	Description
3 – Stages of Labour	Wikimedia OpenStax	Full childbirth stages diagram (left side), stage text (right side)
5 – Cardinal Movements	Childbirth Graphics chart	Large anatomical teaching poster occupying the right 55% of the slide
15 – Partogram	Creasy & Resnik Fig 40.2	Contemporary labour curves by parity (P0/P1/P2+), Zhang et al. 2010
16 – NEW: BMI & Labour	Creasy & Resnik Fig 40.3 + 40.4	Side-by-side: cervical dilation curves by BMI for nulliparas and multiparas

All images include labelled captions with source/figure number attribution. The BMI slide is brand-new - it teaches a commonly under-appreciated clinical point that higher BMI is associated with measurably slower dilation, which informs when to intervene.

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fetal station presentation obstetrics diagram cervical dilation effacement site:upload.wikimedia.org OR site:openstax.org

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