Download - Labor and Delivery
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Labor and Delivery
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What does labor feel like?
• http://www.youtube.com/watch?v=qtR_-MINR1o
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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
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1. Doctors and Location
• Birthing Room: labor, delivery, and postpartum recovery in same room
• Delivery Room: labor, delivery in this room, then MOVED to a postpartum room to recover
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2. Delivery Options
1. Vaginal: delivered through vaginal opening2. 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-problems with the fetal heart rate-the fetus is under stress-the mother is in danger
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Continued…
• Anesthesia– Natural: childbirth without any medication– Epidural: pain medication injected into spinal cord
that numbs from abdomen or pelvis downward
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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: “false labor.” They can occur throughout the pregnancy and typically involve the back, not the uterus. They are not regular and can go away with exercise.
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Lightening of the baby
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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
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4. During and After Labor
• Episiotomy: surgical incision made in perineum used to enlarge vaginal opening to help deliver baby
• Forceps and Vacuum Extractor: tools used by obstetrician to guide fetal head during delivery
• Fontanels: soft spots between unfused sections of the baby’s skull
-Allow baby’s head to compress slightly during passage through birth canal
• Delivery: when fetus is being expelled from uterus
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Vacuum assisted/Forceps assisted
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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 primary need
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APGAR TEST
• http://www.babycenter.com/0_the-apgar-score_3074.bc
• (SCROLL DOWN TO FIND THE VIDEO)
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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
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REVIEW
• Signs of approaching labor:– Mucus plug is dislodged from cervix– Contractions consistently 10 minutes apart– Possible release of amniotic fluid
• The first stage is the longest stage (2-10 hrs)• The third stage is the shortest stage (placenta)
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• 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-sur
gery_3656510.bc
• Vaginal Delivery (Show: 49 – 2:12 min) http://www.youtube.com/watch?v=BgZ5z6RB06c
• Natural Delivery LIVE – National Geographics (Show 4:07-5:00 min) http://www.youtube.com/watch?v=qi-TLTQemNU&feature=related