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Chapter 5: Time to be born!

Chapter 5: Time to be born!. What are the possible signs that labor has begun?. Contractions: tightening and releasing of uterine muscles Braxton Hicks: false labor Lightening: baby dropping into the pelvis mother can breath easier leg cramps common urinate more often.

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Chapter 5: Time to be born!

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  1. Chapter 5: Time to be born!

  2. What are the possible signs that labor has begun? • Contractions: tightening and releasing of uterine muscles • Braxton Hicks: false labor • Lightening: baby dropping into the pelvis • mother can breath easier • leg cramps common • urinate more often

  3. Define SHOW • Vaginal discharge prior to the beginning of birth • Mucus plug is released from the cervix • brownish or blood tinged • 1 Tbsp. in size • Labor will usually begin in 3 days

  4. Mucus Plug

  5. Natural Childbirth • a method of delivery that does NOT use drugs • developed in the 1930’s by Dr. Richard Read. . . he thought the pain was due to fear! • woman is trained to breathe and relax during childbirth • father plays an active role

  6. Birthing Room • Used for labor, delivery, and recovery • Furnished like a bedroom • Now offered by most hospitals

  7. Lamaze Method • invented by Dr. Fernand Lamaze • mother is taught to focus on something other than the pain • she uses breathing patterns to keep her mind off pain • father plays the role of coach and goes to classes with her

  8. Epidural • drug given through a tiny tube placed in the small of the back • mothers feel touch and pressure but not pain • considered safe these days • Usually in a “drip-like” form so it can be adjusted for pushing

  9. FONTANELS • “Soft Spots” • Open spaces where the skull has not been joined • Allows for skull to be molded during delivery & accommodate growing brain • On top and towards the back of the head

  10. 1st Stage of Labor • Water breaks • could lose 1 quart of amniotic fluid (4 cups) • Effacement • cervix prepares for delivery (softens and thins) • Cervix dilates (opens) • 9-10 centimeters ( 3 1/3 to 4 inches) • Contractions get longer and stronger and closer together • 3-5 minutes long . . . About 5-10 minutes apart • Longest stage • Hours or days

  11. Dilation

  12. Stage #1 Diagrams

  13. 2nd Stage of labor • Cervix completely dilated • Contractions push baby down from the pelvis into the vagina and give birth! • Contractions feel like a severe menstrual cramp • Mother asked to “bear down” • crunch and push • Baby is BORN!!! • Much shorter stage (30-90 min)

  14. EPISIOTMY • Surgical cut to the perineum • Local anesthetic (numbing agent) • Prevents possible tearing of the tissue • Increases the size of the vaginal outlet (more room for baby)

  15. Head has arrived

  16. Forceps • Pressure on baby’s head can be relieved • Birth not progressing on its own • Baby must be in middle or lower part of pelvis • Episiotomy is first performed

  17. Forceps being used

  18. Vacuum Extractor • Soft silicone cup attached to baby’s head • Doctor then guides baby out as mother pushes

  19. Vacuum Suction

  20. Breech Birth • Bottom/feet down in uterus • May try and change baby’s position • Require a c-section delivery

  21. 3rd Stage • Baby has already arrived and umbilical cord is already cut • Expulsion of the placenta • Contractions (less painful) • 15-20 minutes after the birth of baby • “Afterbirth”

  22. Caesarean Birth • Over 30% of births are Caesarean • Delivery of baby through a surgical incision in the abdominal wall • Incision is now made horizontally and is approximately 2-3” wide • Reasons for C-Section • baby too big • Baby is breech • fetal distress • medical illness (mom)

  23. BONDING • Developing a feeling of affection • Important to both baby and parents • What can parents do in the time after birth to help them bond with their babies?

  24. Postpartum Care • Care the mother receives during the hours following the birth of her baby. • Medical staff will monitor; • blood pressure, vital signs, pulse until all body functions have stabilized • Being released from the hospital: • Mother must be up and moving and all vital signs must be normal • Baby must pass all doctor given tests • Apgar, Respiratory, feeding properly and all Reflexes • Baby will not be released until the mother is ready to leave – Almost always released together

  25. After the Hospital: • Mother will need to take it easy and rest as much as possible • C-section will require a lot more time to heal and very little activity • Mother needs to make an appointment with doctor for a 6-week check up

  26. Mom’s Mental Health 10% of all women experience… Baby Blues - lasts a few days or weeks Postpartum depression – more severe Postpartum psychosis – most severe, not common

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