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The Baby’s Arrival. Warm Up. What are the 3 Stages of Labor? 1. Contractions open the cervix 2. The baby is born 3. The placenta is expelled. The beginning of labor. Lightening Baby settles deep in the pelvis Pressure on the upper abdomen is reduced Mother gets anxious

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Presentation Transcript
warm up
Warm Up

What are the 3 Stages of Labor?

1. Contractions open the cervix

2. The baby is born

3. The placenta is expelled

the beginning of labor
The beginning of labor
  • Lightening
    • Baby settles deep in the pelvis
    • Pressure on the upper abdomen is reduced
    • Mother gets anxious
    • Happens during the last few weeks of pregnancy for the first pregnancy.
    • Women who have already had a baby, may happen right before labor begins.
early signs of labor
Early signs of Labor
  • The “Show” or “Bloody Show”
    • Few drops of blood or pinkish vaginal stain that occurs when the mucus that plugs the uterus during pregnancy dissolves.
    • May occur as early as a few days prior to birth.
  • Water Breaks
    • Trickle or gush of warm fluid from the vagina
    • This indicates that the amniotic sac has broken
    • Delivery should be within 24 to 48 hours
    • Call your doctor or midwife immediately
early signs of labor1
Early signs of Labor
  • Contractions
    • Tightening and releasing of the muscles of the uterus
    • Purpose: to push the baby against the cervix
  • Fetal Monitoring
    • Watching the unborn baby’s heart rate for indications of stress
    • Usually done during labor and birth.
    • Most common method is an ultrasound.
premature labor
Premature Labor
  • Baby is born 37 weeks or less
  • Warning Signs:
    • Contractions every 10 minutes or less
    • Constant, dull backache
    • Leaking fluid or blood
  • Sometimes, doctors can give medication to stop premature labor.
false labor
False Labor
  • Contractions are not regular or rhythmic
  • Contractions do not get stronger over time
  • Contractions end with light exercise such as walking or stretching.
stage 1 contractions open cervix
Stage 1: Contractions open Cervix
  • What Takes Place?
    • Contractions come at regular intervals.
  • How Long Does It Last?
    • First Child: 6 to 18 hours
    • Later Children: 2 to 5 hours
stage 2 the baby is born
Stage 2: The Baby is Born
  • What Takes Place?
    • Contractions are stronger, pushing the baby through the birth canal.
  • How Long Does It Last?
    • First Child: 1 to 2 hours
    • Later Children: 15 to 30 minutes
stage 3 the placenta is expelled
Stage 3: The Placenta is Expelled
  • What Takes Place?
    • The placenta comes out.
  • How Long Does It Last?
    • 10 to 30 minutes
breech presentation or position
Breech Presentation or Position
  • Feet or butt first rather than the head
  • Babies may have a difficult time moving through the pelvis area.
  • Doctors will decide whether a normal delivery is possible.
  • Usually a cesarean birth is necessary.
relaxin and dilation
Relaxin and Dilation
  • Dilate- to widen or open
  • Relaxin is a hormone that allows the connective tissue in mothers pelvis stretch to make it possible for the walls of the vagina to stretch so the baby can pass through safely.
  • Relaxin allows for dialation.
episiotomy
Episiotomy
  • A surgical cut of the skin from the vagina to the anus.
  • This cut widens the opening for the baby to come out.
stem cells
Stem cells
  • Are present in the Cord blood which is left behind in the umbilical cord and placenta following birth.
  • Are capable of producing all types of blood cells
  • Can be used to treat many serious blood-related illnesses in the baby or family.
  • The cord blood can be stored or donated
cesarean birth
Cesarean birth
  • Cesarean section or C-Section
  • Delivery of a baby through a surgical incision in the mother’s abdomen.
  • Why:
    • Lack of normal progress during labor
    • Discover the baby is distressed or turned the wrong way
    • Multiple births
  • Epidural or anesthesia is used
  • May need up to 6 weeks for full recovery
premature birth
Premature birth
  • 5-6% of all babies are born prematurely
  • Born before 37 weeks
  • Weighs less than 5 pounds, 8 ounces
  • Earlier the baby is born, the less developed their organs are
  • Why: Not 100% sure.
    • Multiple births, medical conditions, teens
  • Require Special Care  incubator
    • Systems for controlling body temperature, breathing, and feeding are not mature (controlled by the brain)
  • Could have long-term health problems
newborns appearance
Newborns Appearance
  • Fontanel- soft spots or open space on the skull; bones are not yet joined.
    • EX: Just above the forehead; back of the skull
    • Appearance: pointed or lopsided due to the passage through the birth canal.
  • Eye Color changes – permanent at 3-6 months
  • Very Large Head- due to the size of the brain.
  • Milia- tiny, white bumps on baby’s nose and cheeks.
  • Lanugo
physical adjustments
Physical Adjustments
  • Circulatory System- Changing temperature.
    • Baby should be wrapped in a blanket and a knit cap on their head.
  • Lanugo- fine, downy hair growing on newborns’ foreheads, backs, and shoulders.
    • Disappears soon after birth
baby s first bath
Baby’s first Bath
  • Vernix- thick, white, pasty substance made up of the fetus’s old skin cells and the secretions of skin glands.
    • Protects baby from amniotic fluid
first exam
First Exam
  • Apgar Scale- system rating the physical condition of the newborn
    • Five Factors:
      • Heart Rate
      • Breathing
      • Muscle Tone
      • Response to Stimulation (crying)
      • Skin Color
    • Rating for each factor 0 to 2
    • Normal Score 6 to 10
other medical procedures
Other Medical procedures
  • Hearing Test
  • Blood Test
    • Screen for diseases or disorders
  • Hepatitis B Vaccine
other hospital care
Other Hospital Care
  • Weigh, measure, and dry baby
  • Apply antibiotic to baby’s eye
  • Inject Vitamin K to prevent rare bleeding disorder
  • Move to the nursery
newborn s identity
Newborn’s identity
  • Foot prints
  • Matching plastic bands are attached to mother and baby
neonatal period
Neonatal period
  • First month after the baby is born
  • Major adjustments for mother and baby.
  • Bonding- forming emotional ties between parents and child.
  • Ways to Bond:
      • Touching the check
      • Holding the baby close
      • Talking to the baby
      • Singing
      • Breast feeding / Bottle feeding
brain development
Brain Development
  • Bonding helps with brain development.
  • During the first year, a baby’s brain cells are making millions of connections.
    • Parents efforts to bond with the baby helps build connections in the brain.
    • Interactions, such as holding or singing, help strengthen the baby’s brain development.
breast feeding
Breast feeding
  • Colostrum-
    • A high calorie, high protein early breast milk.
    • Provides protection from illnesses; builds immunity.
    • Satisfies the baby’s appetite
review check
Review check

Q: What period of time is considered the neonatal period?

A: First month after the baby is born.

jaundice
Jaundice
  • Condition that causes the baby’s skin and eyes to look slightly yellow.
  • Occurs in more than 50% of newborns
  • Why: the liver cannot remove bilirubin
    • Bilirubin- a substance produced by the breakdown of red blood cells.
    • Baby’s body is producing too much or not able to get rid of it fast enough
  • If Jaundice is left untreated, it can damage the nervous system
  • Treatment- newborn is placed under an ultraviolet light that is absorbed by the baby’s skin.
help with feeding
Help with feeding
  • Lactation Consultants
    • Professional breast feeding specialist
    • Show mother how to breast feed the baby properly
rooming in
Rooming-In
  • Baby rooms or stays with mother in the hospital room the entire stay.
  • Benefits:
    • One main caregiver (nurse)
    • Less crying
    • More rest for the mom, less worrying
    • Begin to learn how to care for baby
legal documents
Legal Documents
  • Birth Certificate
  • Social Security Number (fill out form)
caring for premature babies
Caring for premature babies
  • Physical Problems:
    • Not enough body fat to maintain temperature
    • Digestive system is immature
    • Lungs are immature
    • Organs in general are under-developed
postnatal care
Postnatal Care
  • The time following the baby’s birth
  • Physical Needs:
    • Rest
    • Exercise- stretching and walking
    • Good Nutrition- Myplate.gov
    • Medical Checkups- 4 to 6 weeks after birth
  • Emotions:
    • Confused
    • Mood Swings
    • Baby blues- crying, irritated, lonely, anxious, or sad
    • Postpartum depression- very sad, cry a lot, have little energy, feel overly anxious or little interest in baby.