labor & delivery objectives you will be able to….. identify and describe stages of labor and...
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LABOR & DELIVERYOBJECTIVESYou will be able to….. Identify and describe stages of labor and
delivery Identify, describe and demonstrate
helpful labor positions Identify and describe different birthing
methods and techniques Analyze different birthing methods to
determine effectiveness.
JOURNAL
When you think about a person goingthrough the process of labor anddelivery, what comes to mind?
List or write in paragraph form all thethings that come to mind… explainWHY these are the things you thinkabout.
Stages of Labor
1. Early2. Active3. Transition4. Pushing5. Birth 6. Afterbirth
Early Labor Mild contractions-
periodic tightening and relaxing of uterine muscles
Cervix is Effacing (thinningout) & Dilating(opening up) Contractions will
gradually become longer, stronger and closer together
Early labor is officially over when cervix is dilated to 4 centimeters and contractions get stronger and closer together
For first time mothers this stage can last 6-12 hours
Active Labor Cervix begins to dilate more
rapidly Takes about 4-8 hours for cervix
to fully dilate from 4-10 centimeters (first time moms)
During this time contractions last longer and are more painful
If contractions are too painful to handle, this is the time to ask for epidural
QUICK WRITE On the same page as your journal for
today:No peeking at your notes!!!
Write down 2 important facts about Early Labor and Active Labor
(Yes- two each)
No peeking at your notes!!!
Cervical Effacement & Dilation
http://www.babycenter.com/2_video_3658872.bc
In your notes answer the following….
Cervical Effacement means…..
Cervical Dilation means…..
It is important for the cervix to be fully dilated to 10 centimeters (4 inches) because……
Transition Often referred to as the most
challenging stage of labor Powerful contractions dilate the
cervix from 8-10 centimeters Contractions come every 1-3
minutes and can last from 60-90 seconds
The baby has descended into the pelvis – mother may feel the urge to push
EVERYBODY
STAND UP
LABOR POSITIONS
SWAYING
LABOR POSITIONS
LUNGING
LABOR POSITIONS
SQUATTING
Labor Positions
Think, Pair, Share (left-hand side of notebook)After trying out these positions how
does you body feel?How do you think this might help a
woman who is going through labor?
Pushing Once the cervix is fully dilated,
there will be a clear path for the baby’s head to follow
Mother will be encouraged to push with every contraction – will need extra coaching if pain meds are used
For first time mothers pushing can last for 1-2 hours
Mother may want to try different positions for pushing
Pushing After a time the perineum (tissue between
vagina and rectum will bulge Top of baby’s head will become visible-
Mother may request to touch and/or look at head with a mirror
This is usually a very exciting moment and a sign that the end is in sight!
Doctor may coach mother to slow down pushing in order to give tissues time to stretch
Slow, controlled pushing helps prevent tearing
Mother may be encouraged to use breathing techniques to counter the urge to push
REACH A CONSENSUSAn epidural takes away all sensation from
the waist down.
How can this loss of sensation/feeling affect the
transition and pushing stages of labor?
Each group discuss for 2 minutesReach a consensusShare with class
Birth of Baby!!! Baby will continue to descend Baby’s head will “crown” – the time when
the widest part of the head is visible After the baby’s head is completely out-
doctor will suction mouth and nose (to remove mucus)
Doctor will also check to see if the cord is around baby’s neck
Baby’s head turns to the side as shoulder’s rotate to get into position to exit
Mother will be coached to push as shoulders emerge- one at a time-
After shoulders emerge- rest of baby slips out
Afterbirth Umbilical cord is clamped and cut Mother will feel some mild contractions as
the placenta detaches from the uterus Mother may be encouraged to push to
help expel the placenta Can take 5- 10 minutes for placenta to be
delivered Most babies will begin to breastfeed about
an hour after birth Early nursing is good for both mom and
baby because it releases oxytocin which helps the uterus firm up and contract
Natural Childbirth
No medication, vaginal deliveryhttp://www.youtube.com/watch?v=v3gvIKu7ANU&feature=player_embedded
C- Section http://www.babycenter.com/2_video_3656510.bc
Abdominal Incisions
Water Birth http://www.babycenter.com/2_liv
e-birth-water-birth_3658855.bc
Water birth is a method of giving birth, which involves immersion in warm water.
Epidural http://www.babycenter
.com/2_live-birth-epidural_10314055.bc
Epidural is a regional anesthesia that blocks pain in a specific area or region of the body
Induced LaborInduce- to lead or move by
influence http://bcove.me/z5k00tog
Various methods used to speed
up the labor process
Episiotomy Is a surgical cut in the muscular
area between the vagina and the anus (the area called the perineum) made just before delivery to enlarge the vaginal opening
Expectant mothers should be sure to discuss this with their doctors to prevent an unnecessary episiotomy
Is not more beneficial than natural tearing- can actually cause more damage (anal incontinence)
Episiotomy
Postpartum Healing New mothers will feel very sore and bruised after
giving birth It can take about 4 weeks for the uterus to shrink
back to normal size The place where the placenta was attached has
open blood vessles, these will still bleed until the uterus contracts enough to close them off- takes a day or two
All of the extra blood and water the mother produced for the baby will need time to regulate.
New mother’s will have extra water that their body has to get rid of- extra urination and excessive sweating is how the body expels the extra water
Vaginal discharge of a substance called lochia is normal for a few weeks after birth, as the uterus continues to contract, heal and slough off tissues
Postpartum Healing Hormonal changes will prompt the
breasts to produce milk. BREAST MILK IS THE BEST MILK
All new mothers are encouraged to breast feed the first few days so the baby will receive colostrum a thick yellowish substance that contains rich nutrients and antibodies that protect the baby’s immune system
C-section requires extra healing time!!!
LAST 5 MINUTES……
Look over notesThink of one question you still have about labor & delivery
Write down Answer next time
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