What does labor feel like? • http://www.youtube.com/watch?v=qtR_-MINR1o
1. Doctors and Location • Obstetrician Gynecologist (OBGYN): the doctor trained to deliver the baby • Midwife: registered nurse with additional training OR person with formal training in childbirth
2. Delivery Options 1. Vaginal: delivered through vaginal opening 2. Cesarean: surgery performed so baby can be delivered through an incision made in the abdomen wall and uterus • Reasons for performing C-Section: -position of baby -the umbilical cord wrapping around the baby’s neck -fetal heart rate problems -fetus under stress -mother in danger
Continued… • Anesthesia • Natural: childbirth without any medication • Epidural: painmedication injected into spinal cord that numbs from abdomen or pelvis downward
3. Indications that Labor has begun: • Lightening: dropping of baby into Pelvis (occurs during 9th month) • Show/Mucous Plug: pinkish plug that covers the cervix, released at the beginning of labor • Water Breaking: amniotic sac breaks, releasing amniotic fluid • Braxton-Hicks: “falselabor.” They can occur throughout the pregnancy and typically involve the back, not the uterus. They are not regular and can go away with exercise.
3. Indications that Labor has begun: • Contractions: regular tightening of uterus working to push baby down birth canal • Dilation: extent to which cervix has opened in preparation for childbirth -Measured in centimeters -Full dilation is 10 centimeters • Effacement: thinning of cervix in preparation for birth -Expressed in percentages -You will be 100% effaced when you begin pushing *Contractions get LONGER, and CLOSER together as labor gets closer
4. During and After Labor • Episiotomy: surgical incision to widen vaginal opening • Forceps and Vacuum Extractor: tools used by obstetrician to guidefetalhead during delivery • Fontanels: softspots between unfused sections of the baby’s skull -Allow baby’s head to compress slightly during passage through birth canal
4. During and After Labor • APGAR: measure of physical condition of newborn -The rating goes from 0 to 10 -Score of 7 or higher indicates a healthy newborn • Lochia: bloody vaginal discharge, comparable to a heavy period -Occurs in a woman after delivery -Can last up to six weeks • Post-Partum: time after delivery where rest is the mother’s primaryneed
APGAR TEST • http://www.babycenter.com/0_the-apgar-score_3074.bc • (SCROLL DOWN TO FIND THE VIDEO)
5. Delivery Positions (head first, face down is desired) • Station: position of the baby in the birth canal • Breech Position: feet or buttocks first • Posterior Position: head first and face up • Transverse Position: fetus is laying sideways
BOOK • Turn to the book and fill in the rest of the worksheet.
Cesarean Section (C-Section) http://www.youtube.com/watch?v=xyN48VnRYUY • C-Section LIVE (Show: Start – 1:53, 2:35 -3:45 min) • http://www.babycenter.com/2_live-birth-c-section-surgery_3656510.bc • Vaginal Delivery (Show: 49 – 2:12 min) http://www.youtube.com/watch?v=BgZ5z6RB06c