1. Labor and Delivery

2. What does labor feel like? • http://www.youtube.com/watch?v=qtR_-MINR1o

3. 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

4. 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

5. Continued… • Anesthesia • Natural: childbirth without any medication • Epidural: painmedication injected into spinal cord that numbs from abdomen or pelvis downward

6. 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.

7. Lightening of the baby

8. 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

10. 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

11. Vacuum assisted/Forceps assisted

12. 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

13. APGAR TEST • http://www.babycenter.com/0_the-apgar-score_3074.bc • (SCROLL DOWN TO FIND THE VIDEO)

14. 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

15. BOOK • Turn to the book and fill in the rest of the worksheet.

16. 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