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Triggers for Labor

Triggers for Labor. Oxytocin/pitocin Breaking of Amniotic Sac Hypothalamus and Pituitary Gland of Fetus. Stage 1: Labor. 12-24 hours First uterine contractions until cervix is 10 cm wide Latent Active Transition. Contractions. Braxton Hicks Uterine contractions Dilation Effacement.

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Triggers for Labor

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  1. Triggers for Labor • Oxytocin/pitocin • Breaking of Amniotic Sac • Hypothalamus and Pituitary Gland of Fetus

  2. Stage 1: Labor • 12-24 hours • First uterine contractions until cervix is 10 cm wide • Latent • Active • Transition

  3. Contractions • Braxton Hicks • Uterine contractions • Dilation • Effacement

  4. Stage 2: Transitional Stage • Crowning • 15 minutes - 1 1/2 hours • Birth of baby • Vertex position

  5. Breech Births

  6. Newborn Infant

  7. Stage 3: Expulsion of afterbirth • 5-10 minutes • Expulsion of Placenta and umbilical cord

  8. Apgar Scale • Newborn screening - 1 and 5 minutes after birth • Score from 0 to 10 (2 points per subscale) • 5 Subscales • Heart rate • Respiration • Muscle tone • Body color • Reflexes

  9. Reflexes • Reflexes: an inborn, automatic response to a particular form of stimulation • Moro • Swimming • Babinski

  10. Stepping Reflex

  11. Palmar Grasp

  12. Rooting Reflex

  13. Pain Control • Analgesics • Narcotics • Sedatives • Anesthesia • Partial • General • Epidural/Spinal

  14. Epidural

  15. Other Medical Interventions • Induction • AROM • Pitocin • Cesearean Section

  16. C-sections

  17. C-sections

  18. Childbirth Methods • Lamaze • To promote normal, natural, healthy and fulfilling childbirth • Education, advocacy, reform • Bradley • Partner as coach • Natural childbirth • Nutrition • Natural breathing • Breastfeeding

  19. Childbirth Methods • LeBoyer • Waterbirth • Less energy usage & pain • Gentle transition

  20. Childbirth • Doulas • Midwives

  21. Transition to Postnatal Life • Respiration • Temperature Regulation • Eating/digestion • Elimination • Meconium

  22. Behavioral State • Organized pattern of physical and physiological responding that is related to level of activation/arousal. • Quiet Sleep • Active Sleep • Drowsiness • Quiet Alert • Active Alert • Crying

  23. Response to Stimulation • Orienting response: heightened alertness of individual that includes behavioral localization toward source of stimulation. • Defensive response: behavioral action that involves withdrawal from the source of stimulation.

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