Pregnant Pumpkin What is Labor? Energy and effort used to move the baby out of the mothers body The...
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Transcript of Pregnant Pumpkin What is Labor? Energy and effort used to move the baby out of the mothers body The...
Pregnant Pumpkin
What is Labor?Energy and effort used to move the baby out
of the mothers body
The average length of labor for a first baby is about 12-14 hours.
The Beginning of LaborLightening- baby drops lower into
pelvis making it easier to breathe.Lightening may occur days or weeks
before labor depending on the pregnancy.
Lightening typically occurs closer to delivery with every pregnancy each mother has.
Early Signs of LaborContractions: Starts as cramps and
aches, get more intense and regular. When the uterus contracts, it gets
shorter and harder- like any other muscle.
With each contraction the uterine muscle , shortens and harden- holds the hardness for a short time, and then relaxes and rest for a few minutes.
This is the clearest sign that labor has begun.
Braxton HicksBraxton Hicks contractions are false
labor pains. They begin to feel strong contractions
and believe that labor has begun. Doctors look for these 3 signs to
determine if labor is false:1.Contractions are not regular or rhythmic.2.They do not become increasingly
stronger. 3.They end if the woman walks around.
Early Signs of LaborLosing the mucous plug is known as
“Show” or “Bloody Show”Throughout the pregnancy the mucous
plug seals the cervix. This “show” may come as early as a few
days before labor begins.
Early Signs of LaborIn some women, the onset of labor is
signaled by a trickle- or a gush- of warm fluid from the vagina. We commonly refer to this as the “water
breaking.” Occurs when the membrane holding the
amniotic fluid surrounding the baby has broken.
For most, this membrane does not rupture until she is at the hospital in active labor.
External Monitoring:Records mom and baby’s vital signs, and
contractions
Internal Monitoring:Needle attached to the baby’s head inside.
Only used when external isn’t working.
Pitocin:Female hormone starts the labor process
and decreases bleeding after delivery
Epidural & Spinal Anesthesia:Deadens the base of the spine and lower
area. ExpensiveContinuous
ForcepsSpecial tongs that are designed to fit the
shape of the baby’s head. Guides the infant’s head out of birth
canal.Can bruise or misshape the head.
Vacuum Extractor:Suction top of baby’s head to pull outCan cause bruisingLooks like a toilet plunger
EffacementThinning out and shortening of the cervix
DilationCervix opening 0-10 cm in diameter
Before labor begins- the cervix is normal size and shape.
The 1st Stage: Dilation StageEarly Labor: 0-4 cm.
5-10 min. apartShow: plug of cervix
is releasedActive Labor: 3-7 cm.
2-3 min. apartTransition: 8-10 cm.
1-3 min. apartHardest part.
Baby’s head moves into birth canal.Want to push.
The 2nd StageExpulsion of baby’s head until
completely born.Crowning: See the head from the
outside
•Baby’s head emerges first•Next the shoulders follows.•Then the rest of the baby slips out easily.
The 3rd StageAfterbirth: expulsion of placenta, cord
and sacEpisiotomy: Cut from vagina toward
rectum so won’t tearEasier to sew a straight line than a
jagged tear
After Birth the Doctor:Cleans out baby’s airwayCuts the cordPlaces baby on mom’s stomach
Baby Center WebsiteLabor and Delivery: Inside Pregnancy: Labor &
Birth (animated – good)http://www.babycenter.com/2_inside-pregnancy
-labor-and-birth_3658872.bcLive Birth: Assisted – Epidural (first)
http://www.babycenter.com/2_live-birth-epidural_10314055.bc
Induced Labor (first – start on 4:23)http://www.babycenter.com/2_live-birth-inducti
on_10300051.bc
Baby Center Website/YouTube
Assisted Baby Delivery – Forceps/Vacuum - modelhttp://www.youtube.com/watch?v=YGYfia8ol34
&feature=relmfuC-section (c-section – epidural – placenta)
http://www.babycenter.com/2_live-birth-epidural_10314055.bc
Apgar ScaleThe Apgar Scale is used to rate to health of a
newborn.
Heart Rate
00 11 22
AbsentAbsent Under 100Under 100 Over 100Over 100
Breathing
00 11 22
AbsentAbsent Slow, Slow, IrregularIrregular
Good, cryingGood, crying
Muscle Tone
00 11 22
LimpLimp Some Some movement movement
Active Active motionmotion
Responsiveness: baby’s reaction when nose is irritated
00 11 22
No No ResponseResponse GrimaceGrimace
Cough or Cough or SneezeSneeze
Color
00 11 22Light skinned child:
blue or pale
---------------------------
Dark skinned child: grayish or pale
Light skinned child: body pink, limbs blue
---------------------------
Dark skinned child: strong body color,
grayish limbs
Light skinned child: completely pink.
------------------------------
Dark skinned child: strong color with pink lips,
palms, and soles
Umbilical Cord ComplicationsCan be constricted – wrapped around neck.Stops flow of blood and oxygen to baby.
Mother’s Pelvis ComplicationsWidened through pubertyNeeds to be large enough to pass a baby
throughIf not, plan a Cesarean Section.
Cesarean BirthIf complications arise during
pregnancy or during labor it may be necessary to perform a Cesarean Birth- the delivery of a baby by making a surgical incision in the mother’s abdomen.
With the use of certain medications, mother is able to stay awake to see the delivery of her baby.
Cesarean Birth vs. Vaginal BirthC-Section requires 6 week recovery
Can be planned or emergencyNo labor pains if planned
VaginalGo through laborNo surgical recovery
Posterior Position of Baby:Baby is face up rather than face downHead has to get up and around the pelvic
boneCan make the 2nd stage of labor more difficult
Breech Position:Anything but head first
Usually feet or bum first
Fontanels:Open spaces where the bones have not joined
yet.One above the foreheadOne toward back of skull
LanugoSome babies have fine downy hair
called “lanugo” over their forehead, back, and shoulders. This will disappear.
VernixTo protect baby’s skin it is covered with a
rich creamy substance called “vernix caseosa.” After birth some vernix may be found in the creases of the skin- it can be removed with warm water and a washcloth.
MiliaSome babies also
have tiny white bumps scattered over their nose and cheeks.
These bumps are called “milia.” They are simply plugged oil ducts.
The milia will disappear in a week or two.
BREATHING1. Throughout fetal
development lungs are collapsed.
2. At delivery they expand and fill with amniotic fluid that may have been in the trachea.
BREATHING3. The pressure of
being squeezed through the birth canal expels most of the fluid.
4. After birth the baby takes its first breath of air.
CIRCULATION
1. Once lungs begin to take in oxygen, circulatory system changes.
2. A valve in the heart closes.
CIRCULATION3. Blood now circulates
through the lungs rather than bypassing them as it did during fetal development.
4. Umbilical cord clamped, blood must reroute through the baby’s body.
DIGESTION1. Baby’s system
must learn to digest food.
2. Meconium Baby’s first
bowel movement
Black & tarry substance
TEMPERATURE1. Because
circulation is not perfect, wrapping the baby helps keep it warm.
2. Fingers and toes tend to be cooler than the rest of the body.
SLEEPING1. Newborns need to establish a sleep
pattern.
Identification1. A footprint is taken.
2. Baby is banded, mother and father have matching bands
Testing1. PKU – Blood drawn
and tested
2. Silver Nitrate is put in the eyes to prevent infection.
Bonding & Attachment1. Should begin as soon
as possible in the delivery room.
2. Infants are put right into their mother’s arms.
Bonding & Attachment3. Breast fed babies
may nurse in the delivery room.
4. Newborn instinctively focuses on mothers face.
5. Fathers should participate in bathing, cutting the cord.
Paperwork1. Parents are
responsible to order the birth certificate.
2. Parents are responsible to apply for a social security number.
Hospital Stay1. Mom needs time to rest and recover.
2. In some cases healthy moms and babies may go home in 12 hours.
3. Average stay is 2 days after birth.
Emotional Needs1. Birth is joyous but stressful.
2. Many new mothers go through a few days of “baby blues”
3. Talking about feelings helps.
4. Adequate rest, taking care of self helps.
5. Some women experience Post Partum a depression that occurs after the baby is born.
• After pregnancy, hormonal changes in a woman's body may trigger symptoms of depression. These can be very subtle but also can be extreme. Each woman is different.