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Birth Plan- Who?. Obstetrician/Gynecologist 4 years of training in pregnancy, delivery and women health and infertility. Maternal-Fetal Specialist High risk pregnancy specialist with OB/GYN Family Physician General medical care for the whole family.
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Birth Plan- Who? Obstetrician/Gynecologist 4 years of training in pregnancy, delivery and women health and infertility. Maternal-Fetal Specialist High risk pregnancy specialist with OB/GYN Family Physician General medical care for the whole family. Referral to OB/GYN, only for low risk pregnancy Nurse Mid-wife Licensed registered nurse cares for mother and fetus Trained in delivery baby and after care. Works with doctor, unless complications
Hospital Birth • Modern medical equipment • Medication available • Recommended for high risk pregnancy • Delivery by doctor OR Mid Wife *** why? Medical care
Birthing Center • Home like setting-usually on hospital grounds • Medication free • Parents have control of process • Receive individual care • Labor-Delivery and after care in the same room. *** why? Medical care with control and comfort
Home Birth • No birth risks for mother or fetus • Labor-Delivery and After care all in same setting • Maximum control over birth • Share experience with family and friends • NO medicine or medical care immediately available • May not be covered by insurance • *** why? Family environment
Birth Plan Medications • Natural Childbirth • Advantage • No side effects from medication • Experience birth and delivery because alert • No medical machines to be hooked up to • Disadvantage • Pain/Discomfort without medication • There is a point during delivery that a woman can no longer be given medication (if she changes her mind)
Birth Plan Medications • Systemic medication • Narcotics or tranquilizer • IV into Blood stream or injection into muscle • ADVANTAGE • No anesthesia • Takes “edge” or reduces anxiety • Cope with some pain DISADVANTAGE • Doesn’t control all pain • Slows down labor • Could effect fetus or baby
Spinal Tap • Injected in the dura of spinal cord • ADVANTAGE • Rapid pain relief • DISADVANTAGE • Position for injection • Harder to push fetus out • Decrease in blood pressure • Headaches • Epidural • Injected into sac around spinal cord • ADVANTAGE • Awake and alert during labor • Increases energy during delivery • DISADVANTAGE • Spotty pain relief • Position for injection position • Loss of sensation of body • Decrease in blood pressure • Headaches Regional Medication Decreases sensation to specific parts of the body Mother is alert and awake with NO pain waist down