Chapter 5 time to be born
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Chapter 5: Time to be born!. What are the possible signs that labor has begun?. Contractions: tightening and releasing of uterine muscles Braxton Hicks: false labor Lightening: baby dropping into the pelvis mother can breath easier leg cramps common urinate more often.

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Chapter 5 time to be born

Chapter 5: Time to be born!


What are the possible signs that labor has begun
What are the possible signs that labor has begun?

  • Contractions: tightening and releasing of uterine muscles

    • Braxton Hicks: false labor

  • Lightening: baby dropping into the pelvis

    • mother can breath easier

    • leg cramps common

    • urinate more often


Define show
Define SHOW

  • Vaginal discharge prior to the beginning of birth

  • Mucus plug is released from the cervix

    • brownish or blood tinged

    • 1 Tbsp. in size

  • Labor will usually begin in 3 days



Natural childbirth
Natural Childbirth

  • a method of delivery that does NOT use drugs

  • developed 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


Birthing room
Birthing Room

  • Used for labor, delivery, and recovery

  • Furnished like a bedroom

  • Now offered by most hospitals


Lamaze method
Lamaze Method

  • invented by Dr. Fernand Lamaze

  • mother is taught to focus on something other than the pain

  • she uses breathing patterns to keep her mind off pain

  • father plays the role of coach and goes to classes with her


Epidural
Epidural

  • drug given through a tiny tube placed in the small of the back

  • mothers feel touch and pressure but not pain

  • considered safe these days

  • Usually in a “drip-like” form so it can be adjusted for pushing


Fontanels
FONTANELS

  • “Soft Spots”

  • Open spaces where the skull has not been joined

  • Allows for skull to be molded during delivery & accommodate growing brain

  • On top and towards the back of the head


1 st stage of labor
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




2 nd stage of labor
2nd Stage of labor

  • Cervix completely dilated

  • Contractions push baby down from the pelvis into the vagina and give birth!

    • Contractions feel like a severe menstrual cramp

  • Mother asked to “bear down”

    • crunch and push

    • Baby is BORN!!!

  • Much shorter stage (30-90 min)


Episiotmy
EPISIOTMY

  • Surgical cut to the perineum

  • Local anesthetic (numbing agent)

  • Prevents possible tearing of the tissue

  • Increases the size of the vaginal outlet (more room for baby)



Forceps
Forceps

  • Pressure on baby’s head can be relieved

  • Birth not progressing on its own

  • Baby must be in middle or lower part of pelvis

  • Episiotomy is first performed



Vacuum extractor
Vacuum Extractor

  • Soft silicone cup attached to baby’s head

    • Doctor then guides baby out as mother pushes



Breech birth
Breech Birth

  • Bottom/feet down in uterus

  • May try and change baby’s position

  • Require a c-section delivery


3 rd stage
3rd Stage

  • Baby has already arrived and umbilical cord is already cut

  • Expulsion of the placenta

    • Contractions (less painful)

    • 15-20 minutes after the birth of baby

    • “Afterbirth”


Caesarean birth
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)


Bonding
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?


Postpartum care
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 normal

      • Baby must pass all doctor given tests

        • Apgar, Respiratory, feeding properly and all Reflexes

      • Baby will not be released until the mother is ready to leave – Almost always released together


After the hospital
After the Hospital:

  • Mother will need to take it easy and rest as much as possible

    • C-section will require a lot more time

      to heal and very little activity

  • Mother needs to make an appointment with doctor for a 6-week check up


Mom s mental health
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


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