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Leading Up to Delivery

Leading Up to Delivery. Things to remember. Regular exercise eases your labor experience and helps you to return to pre-pregnancy weight Alcohol shouldn’t be used during pregnancy Pregnancy is meant to last 40 weeks, not a technical 9 months (36 weeks). Things to remember….

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Leading Up to Delivery

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  1. Leading Up to Delivery

  2. Things to remember. • Regular exercise eases your labor experience and helps you to return to pre-pregnancy weight • Alcohol shouldn’t be used during pregnancy • Pregnancy is meant to last 40 weeks, not a technical 9 months (36 weeks)

  3. Things to remember… • Good to prepare the nursery, clothes • Organize the house/life if possible before delivery • Set up support network for after delivery • Attend your prenatal visits • complete ordered testing • complete with preadmit tour • Meet with the lactation consultant

  4. Possible Pregnancy Developments • Pre-eclampsia (increased blood pressure) • Group B strep • Preterm Labor (>3 weeks before due date) • Babies born < 37wks have much higher risk of infection, breathing problems, difficulty eating, temperature problems, and learning difficulties • Causes: Infection, dehydration, unknown • Signs: • Regular contractions, don’t go away with rest/fluids • Treatment: go to the hospital, rest, medications, bedrest

  5. Possible Pregnancy Developments • Preterm Delivery (at times we have no choice but to deliver early) • Birth before 37wks • Brain grows an additional 1/3 from wks 35-40 • Lungs complete their development after 37wks • May need to be delivered in Denver, greatly increased risk of being transferred to Denver (you are the best incubator, not something man made, if there is risk, may be best to deliver in Denver)

  6. Other Warning Signs to Watch for • Vaginal Bleeding • Abdominal Pain • Decreased fetal movement • Fever • Headache, visual changes • Urinary discomfort

  7. Treatment of Warning Signs • If you have any of these symptoms, call your provider/hospital • These are not normal expectations for later pregancy and could indicate a problem • Upon arrival to the clinic or hospital, the cause of the symptom will be found and treated

  8. Additional Testing • Non-Stress Testing • Evaluates the baby’s heartbeat at rest and with contractions (if present) • Helps determine fetal wellbeing • Bio-Physical Profile • Evaluates if baby is getting enough oxygen in utero • Ultrasound evaluates breathing, movement, muscle tone, and amniotic fluid levels • Determines fetal wellbeing • Test failure usually means baby should be delivered (healthier outside than inside)

  9. Additional Testing • Kick Counts • Studies have shown that a decrease in fetal movement could indicate a problem • Can use the kick count chart after 28wks • 10 kicks in 2hrs • Report significant decreases to the provider

  10. Conclusion • Telling you all of this, not to worry you, but to help you identify problems and to know what is normal vs. abnormal • If you know the warning signs, it helps us work as a team to have a healthy mom and baby!

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