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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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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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