The Birth Process. Mamie Guidera, CNM, MSN Carol O’Donoghue, CNM, MSN, MPH. Normal Labor and birth: Objectives . Introductions Physiologic labor and birth: the basics Phases of labor Birth video The P’s: Power, passageway, passenger, etc. Briefs:
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
Mamie Guidera, CNM, MSN
Carol O’Donoghue, CNM, MSN, MPH
Here’s the truth: Childbirth is not only a physiologic phenomenon, but a cultural/sociological experience. So before you walk onto the Labor Floor, ask yourself:
Length of first stage labor in healthy nulliparous and multiparous childbearing womenadapted from Albers L. (2007)bold = nullips, italics = multips
Fetal station and part
Importance of cervical statusPhysiological Preparation for Labor
Causes release of potassium, bradykinin, histamin, serotonin
Impulses follow sensory-nerve fibers from paracervical and hypogastric plexus to lumbar sympathetic chain
Enter dorsal horn of spinal cord at T10-12, L1
Kennell J, Klaus M, McGrath S, Robertson S, Hinkley C. Continuous Emotional Support During Labor in a US Hospital: A Randomized Controlled Trial. JAMA, May 1991; 265: 2197 - 2201.
Hodnett, ED et al (2007). Continuous support for women during childbirth (Review). Cochrane Database of Systematic Reviews 2007, Issue 3. Art No.: CD 003766.
Eltzschig H et al. N Engl J Med 2003;348:319-332
Lieberman & O’Donoghue, Am J Obstet Gynecol 2002, 186(5):S31-S68.
Leighton& Halpern Am J Obstet Gynecol 2002, 186(5):S69-77.
Gabbe (2002), 4th Ed.
Gabbe (2002), 4th Edition; Williams (2005), 22nd Edition
Williams Obstetrics (2005), 22nd Edition
Gabbe (2002), 4th Ed.; Williams (2005), 22nd Edition
ACOG Practice Bulletin 70 (2005); Williams (2005), 22nd Ed.
http://www.ahrq.gov/clinic/uspstf/uspsiefm.htm Accessed 6/30/08
Don’t just stand there.