Chapter 5: Time to be born!
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Transcript of Chapter 5: Time to be born!
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Chapter 5: Time to be born!
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What are the possible signs that labor has begun?
Contractions: tightening and releasing of uterine musclesBraxton Hicks: false labor
Lightening: baby dropping into the pelvismother can breath easier leg cramps commonurinate more often
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Define SHOWVaginal discharge prior to the beginning
of birthMucus plug is released from the cervix
brownish or blood tinged 1 Tbsp. in size
Labor will usually begin in 3 days
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Mucus Plug
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Natural Childbirtha method of delivery that does NOT
use drugsdeveloped in the 1930’s by Dr.
Richard Read. . . he thought the pain was due to fear!
woman is trained to breathe and relax during childbirth
father plays an active role
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Birthing RoomUsed for labor, delivery, and recovery
Furnished like a bedroom
Now offered by most hospitals
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Lamaze Method
invented by Dr. Fernand Lamazemother is taught to focus on
something other than the painshe uses breathing patterns to keep
her mind off painfather plays the role of coach and
goes to classes with her
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Epiduraldrug given through a tiny
tube placed in the small of the back
mothers feel touch and pressure but not pain
considered safe these daysUsually in a “drip-like” form
so it can be adjusted for pushing
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FONTANELS“Soft Spots”Open spaces where the
skull has not been joinedAllows for skull to be
molded during delivery & accommodate growing brain
On top and towards the back of the head
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1st Stage of Labor
Water breaks could lose 1 quart of amniotic fluid (4 cups)
Effacement cervix prepares for delivery (softens and thins)
Cervix dilates (opens) 9-10 centimeters ( 3 1/3 to 4 inches)
Contractions get longer and stronger and closer together 3-5 minutes long . . . About 5-10 minutes apart
Longest stage Hours or days
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Dilation
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Stage #1 Diagrams
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2nd Stage of laborCervix completely dilatedContractions push baby down from the
pelvis into the vagina and give birth!Contractions feel like a severe menstrual
crampMother asked to “bear down”
crunch and pushBaby is BORN!!!
Much shorter stage (30-90 min)
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EPISIOTMY
Surgical cut to the perineumLocal anesthetic (numbing agent)Prevents possible tearing of the tissueIncreases the size of the vaginal outlet
(more room for baby)
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Head has arrived
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Forceps
Pressure on baby’s head can be relieved
Birth not progressing on its ownBaby must be in middle or lower
part of pelvisEpisiotomy is first performed
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Forceps being used
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Vacuum Extractor
Soft silicone cup attached to baby’s headDoctor then guides baby out as
mother pushes
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Vacuum Suction
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Breech Birth
Bottom/feet down in uterus
May try and change baby’s position
Require a c-section delivery
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3rd StageBaby has already arrived
and umbilical cord is already cut
Expulsion of the placentaContractions (less
painful)15-20 minutes after the
birth of baby“Afterbirth”
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Caesarean Birth Over 30% of births are Caesarean Delivery of baby through a surgical incision in
the abdominal wall Incision is now made horizontally and is
approximately 2-3” wide Reasons for C-Section
baby too big Baby is breech fetal distress medical illness (mom)
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BONDING Developing a feeling
of affection Important to both
baby and parents What can parents do
in the time after birth to help them bond with their babies?
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Postpartum Care Care the mother receives during the hours following the birth of
her baby. Medical staff will monitor;
blood pressure, vital signs, pulse until all body functions have stabilized
Being released from the hospital:Mother must be up and moving and all vital signs must
be normalBaby must pass all doctor given tests
Apgar, Respiratory, feeding properly and all ReflexesBaby will not be released until the mother is ready to
leave – Almost always released together
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After the Hospital:Mother will need to take it easy and rest as
much as possibleC-section will require a lot more time
to heal and very little activityMother needs to make an appointment with
doctor for a 6-week check up
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Mom’s Mental Health
10% of all women experience…
Baby Blues - lasts a few days or weeks
Postpartum depression – more severe
Postpartum psychosis – most severe, not common