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Making a Birth Plan…

Making a Birth Plan…. Delivery Options. Making A Birth Plan… Delivery Options.

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Making a Birth Plan…

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  1. Making a Birth Plan… Delivery Options

  2. Making A Birth Plan… Delivery Options • The nine months of pregnancy are all about choices. Pregnancy and the birth of a child are ranked as one of the most memorable experiences for women, so being well informed of all your options can help ensure a gratifying experience for you and your family. • Three things you will make decisions about early in pregnancy are your health care provider, your birth location and your birth method. These decisions often go hand in hand because most health care providers have chosen birth locations. Most women base their choices on health histories, preferences, finances, and well informed opinions.

  3. HOME BIRTH • For centuries giving birth at home was the normal thing to do, but by the 1900's women slowly began changing their birth setting by going to hospitals.

  4. Home Birth • Today more and more women are again exploring the idea of a home birth with trained midwives or nurse-midwives for low-risk, healthy pregnancies.

  5. Delivering at Home….PRO • Home birth might be an option for you if: • You are having a healthy, low-risk pregnancy • You want to avoid episiotomy, cesarean section, epidural and other interventions • You want to be surrounded by family and friends • You want to be free to move around, change positions, take a shower, and eat or drink freely during labor • You want to enjoy the comforts of home and familiar surroundings

  6. Delivering at Home…..CON • Home birth is not for you if: • You are diabetic OR other medical conditions • You have chronic high blood pressure, or toxemia (also known as preeclampsia) • You have experienced preterm labor in the past, or may be at risk for preterm labor now • Your partner does not fully support your decision to give birth at home

  7. Moving from Home to Hospital… • How often and in what situations would transfer to the hospital occur: • According to a study, about 40% of first time moms and 10% of women who have previously given birth are transferred to the hospital for delivery—reasons include: • Mom decides to go because she feels exhausted • Premature rupture of membranes • High blood pressure • No progress • Fetal distress • Hemorrhage

  8. Alternative Birth Center • What can you expect from a birth center? • Relaxed setting • You can return home shortly after the birth if you wish • Health care providers include nurse-midwives, or nurses working with an obstetrician • May be free-standing, on hospital grounds or inside a hospital building • Birthing centers can vary significantly…tour and ask lots of questions.

  9. Alternative Birth Center • Birth centers usually offer….. • No drugs for pain relief • Very few episiotomies • No c-section deliveries • In many birth centers, the only equipment is oxygen and catheters to clear a baby's airways, if necessary.

  10. Standard Hospital Delivery • Most women in the USA deliver their children in a hospital. In the past, women would be moved from room to room during the labor, delivery and recovery stages, and then to another room (either semiprivate or private) after the baby is born.

  11. Standard Hospital Delivery Today, many hospitals have birthing rooms available in which all stages of the process take place in one room. Often the birthing rooms are more comfortable for a woman and her partner and other people who may be attending the birth; they feel more like bedrooms than hospital rooms.

  12. Standard Hospital Delivery….Pro • Access to latest medical technology and trained staff. • Pain medication is available. • In the event of emergencies, support resources are immediately available. • Baby is monitored during labor and delivery.

  13. Standard Hospital Delivery…Con • Some women may find the environment stressful or “sterile”. • Physicians may “manage” the birthing process. • The number of friends/ family members may be limited. • Food may be restricted. • Birth position and activity may be restricted. • Depending on insurance coverage, may be more expensive than other options.

  14. Which location is better for YOU? ?

  15. Methods of Birth • Natural Childbirth • Lamaze Method • Leboyer Method • C-Section

  16. Natural Delivery • Natural childbirth is a vaginal birth of a baby. • It is the experience of labor and delivery without the help of medications. • Very little sedation so mother and baby are alert before, during and after delivery. • Takes less time to recover.

  17. Lamaze Method… introduced in the 1950’s • Husband/partner/ coach helps comfort mother. • Aims to provide women with ways to relax and deal with pain during a natural childbirth. One way is through patterned breathing. Control contractions by using breathing and muscle control techniques. • Parents prepare themselves for birth with weekly training classes.

  18. Leboyer Method • Focuses on the baby’s birth experience. • Makes birth less shocking and more comfortable for the baby…room is quiet and dimly lit. After the baby is delivered, he or she spends a longer amount of time lying on the mother's stomach before having the cord cut. The baby is then placed into a bath of warm water to simulate the comforting feelings of the womb. • Must begin classes early in pregnancy. • More popular in other countries outside of the USA.

  19. Cesarean Section • Surgical procedure/ operation to remove baby through abdominal wall from the uterus. • Procedure is very fast. Less traumatic for the baby; longer recovery for the mother. • Procedure is preformed when baby is in distress or mother has complications and baby must be quickly delivered.

  20. Which Method of Birth do YOU Prefer? ?

  21. Health Professionals • Obstetrician • Family doctor • Midwife • Doula

  22. Comparison of OB to Family Doctor Obstetrician Family Doctor A physician trained in family medicine. Treats all family members in their medical practice. If pregnancy complications arise, may need to refer to an OB practice. May be easier to schedule appointments. • Specialized in prenatal care and delivery…only treats pregnant women and women who are interested in becoming pregnant. • Qualified to handle emergencies and complications. • May be more expensive or difficult to schedule- since in high demand.

  23. Comparison of Midwife to Doula Midwife Doula Gives information to expectant mother and answers any questions they might have before/during or after birth. Acts as a Guide or Coach to a woman by leading relaxation exercises during labor. Primary job is to comfort and support the mother. Does not perform any medical procedures. • Trained to assist women in childbirth. Some are registered nurses. • Have advanced training in pregnancy and childbirth. Must pass examinations to be certified. • Less expensive than OB, or Family Doctor. • Would refer patient, in event of emergency.

  24. Which Professional Would YOU Choose? ?

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