Labor and Birth

1. Labor and Birth Chapter 6.1

2. The process of Labor • Early signs • The show • A few drops of blood may show when the mucus plug is beginning to dissolve. • Next is a trickle or gush of fluid from the vagina. • May occur a few days before the baby is born. • Delivery should occur 24-48 hours after ones “water breaks” • Avoid infections

3. The process of Labor • Contractions tightening and releasing of the muscle of the uterus. • Become closer together as labor goes on. • 37 weeks or earlier is considered premature. • False Labor • Contractions are not regular • Contractions do not get stronger • Contractions ease with light exercise

4. The Process of Labor • Sometime labor must be artificially induced • Done by medication or breaking the amniotic sac • Typically done at 42 weeks • No side effects

5. 3 stages • Contractions open the cervix • Baby is born • Placenta is expelled

6. Stage 1 • Contractions pull up on the cervix, slowly softening it and opening it. • Contractions last about 30 seconds and are 20 minutes apart. • When contractions start lasting 60 seconds and are 2-5 minutes apart you are in active labor.

7. Stage 2 • Contractions are 2-3 minutes apart and last 90 seconds. • Cervix is fully dilated. • 10 cm or 4 in • Women now begins to push the baby out. • Babies head should be first. • Sometime baby come out feet or butt first, making delivery more complicated.

8. Stage 2 • Babies skull bones overlap to allow the baby to come out. • Episiotomy may need to be done. • Making a cut to allow baby more room to come out. • May use suction or tongs to help remove the baby.

9. Episiotomy • Episiotomy

10. Stage 3 • May have a short break between the baby being born and stage 3. • Stage 3 is the delivery of the placenta. Vaginal Childbirth http://pregnancy.healthguru.com/video/vaginal-delivery • (kworker1988 password-kworker)

11. Cesarean Birth • May be a result of complications during birth. • Baby is born through a surgical incision in the mothers abdomen. • After C-section woman is taken to recovery for 1-2 hours. • Encouraged to walk and stand • Make take up to 6 weeks to recover Cesarean Childbirth http://pregnancy.healthguru.com/video/cesarean-section-delivery

12. Delivery • Delivery

13. The NewBorn Chapter 6.2

14. Vocabulary activity Chapter 6.2 has a lot of new, strange vocabulary words that you probably have never heard, so take some time, look up the words online, and find a picture to go along with the vocabulary word so that you are able to better understand the word.

15. The Baby Arrives • Baby goes through many changes that are necessary for life outside the womb. • During pregnancy the babies lungs are not used. They get oxygen through the mothers blood. • During delivery lungs fills with amniotic fluid that was in the babies trachea. • Trachea delivers air from the mouth to the lungs.

16. The baby arrives • Most of the fluid is squeezed out during the delivery. Remaining fluid is suctioned out right after birth. • Baby may need to be rubbed or patted to get breathing started. • Babies may sneeze to get mucus out of their nose.

17. The baby Arrives • Breathing may become normal a month or two after the baby is born. • After birth the umbilical cord is clamped and cut off.

18. Newborn’s Appearance • Limbs are skinny. • Head may look too large for the body and be wobbly. • Skull may be lopsided and pointed. • Fontanel: Open spot on the baby’s head where the bones have not joined yet.

19. Newborn’s Appearance Face • Swollen or Puffy • Short flat noses • Receding chins • African American, Asian, and Hispanic babies typically have brown eyes when born and stay that color. • Caucasian babies have grayish-blue eyes at birth, but change later.

20. The Newborn’s Appearance • Some babies especially preemies, have lanugo. • Hair on the babies foreheads, backs, and shoulders. Does not stay long. • Vernix thick, white pasty substance. • Washed off during first bath. • Many babies have milia, or baby acne. • Plugged oil ducts, go away in a week or two.

21. The Newborn’s Appearance • Lanugo • Vernix • Milia

22. Examining The Newborn • Apgar 5 factors that they check the baby on at 1 and 5 minutes old. • Normal score is 6-10 • Anything under 6 may indicate the baby needs special care. • Right after birth baby is washed, apply antibiotic to the baby’s eyes and get a shot of vitamin K. (Prevent diseases)

24. Later Test • Hand and Foot are printed with ink. • Blood test • Hearing Test

25. The Postnatal Period Chapter 6.3

26. What am I trying to accomplish? • To be able to describe what happens after birth so that there aren’t any surprises as a parent or for someone who wants to go to into the prenatal/neonatal field

27. Neonatal Period • Medical term used for the baby from birth to one month of age. • Significant adjustment for the parents • Jaundice a liver condition that can make the skin, tissues, and body fluids yellowish. • Cannot remove bilirubin • Baby may receive UV light treatment

28. Bonding • Newborn bonding is very important. • Helps brain development. • Holding, singing, and talking to your baby.

29. Breastfeeding • If mother breastfeeds she will continue to produce milk. • Some mothers have trouble • Many hospitals offer lactation consultants to help your learn breastfeeding techniques.

30. Rooming-In • In most cases mothers may choose if they would like their baby to stay with them all night, or spend the night in the nursery. • If baby stays in nursery they may be brought back to the mother for nighttime feedings.

31. Legal Documents • Birth certificate is the most important legal document a baby has. • Parents fill out document at the hospital or birthing center. Paper is then sent in and a copy of your child’s birth certificate is sent to your house.

32. Caring for Babies • Intensive care nursery (ICN) • Special nursery that can provide immediate intensive care just after birth for babies who need it. • Neonatal Intensive Care Units (NICU) • Heated completely enclosed beds for newborns who need intensive care. • 3 levels

33. Premature babies • Need special care and extra nutrients. • May need special pacifiers to help them learn how to suck properly. • Frequently tested for infections. • When they start to improve them may move out of their incubator.

34. Mother’s Postnatal Care • Mother may be extremely exhausted physically, mentally, and emotionally.

35. Mother’s Postnatal CarePhysical • Rest • Exercise: Help loose weight and feel more energetic. • Good Nutrition: If breastfeeding be sure to intake an extra 300 calories a day and plenty of fluid. • Medical Checkup: 4-6 weeks after birth mother should have a check up to make sure everything is returning to normal.

36. Mother’s Postnatal CareEmotional • “Baby Blues” Mother may cry or feel irritable, lonely, anxious, or sad for no reason. • If the “Baby Blues” do not go away the mother may experience Postpartum depression mother feels very sad, irritable, lonely, anxious, and has no energy. • Treatment is available. Be sure to talk to a doctor right away.

37. Review + Vocab • Ch 6 Review • #2-10, 14, 17, 18, 20

38. Baby Book – First Chapter • You will be creating a baby book for your babies for few years of life. Baby books typically begin with a birth certificate, pictures, and events following the birth. • Your baby book will include: • Birth certificate • A picture of the newborn baby • Include how it would actually look (may have vernix, lanugo, a cone head, jaundice, etc.) • Include a description • A description of where and how the baby was delivered, as well as, who delivered it. • A written account of scores of tests (note if their were any issues) • A journal response describing you and your partners feelings following the birth.