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CHILDBIRTH. Early Signs of Labor. “Show” or “Bloody Show”: losing the mucus plug Plug seals cervix Prevents bacteria from spreading Liquefies before birth Drops of blood or pinkish stain Membrane breaks: gush of warm fluid Note time, amount, color, odor Call MD
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Early Signs of Labor • “Show” or “Bloody Show”: losing the mucus plug • Plug seals cervix • Prevents bacteria from spreading • Liquefies before birth • Drops of blood or pinkish stain • Membrane breaks: gush of warm fluid • Note time, amount, color, odor • Call MD • Contractions: tightening and releasing of muscles of uterus
False vs Real Labor • False: feel strong contractions but: • Are not regular or rhythmic • Do not become increasingly stronger • Real: contractions follow a regular pattern and grow in intensity
Stages of Labor • 1. contractions open the cervix • 6-18 hrs first, 2-5 hrs later • 2. baby is born • 1-2 hrs first, 15-30 mins later • 3. placenta is expelled • 10-30 mins
Stage 1 • Cervix tightens and opens w/contractions • Get longer and close together • Mom becomes more serious and focused • Needs support from her coach • Ends in transition: cervix is fully dialated
Stage 2 • Pelvic bones stretch because of hormone called relaxin • Also makes the vagina stretch • Baby’s skull is flexible and can become longer and narrower to fit through birth canal • Episiotomy-widens opening • www.aurorahealthcare.org/yourhealth/healthgat...
Stage 3 • Small period of rest • Push and deliver placenta • Any parts of placenta left, can cause bleeding, infection, or serious illness
Cesarean Birth • Surgical incision in abdomen • Stay in hospital about 3 days • 6 weeks recovery
The Newborn at Birth • Lungs are collapsed in uterus • Delivery-fill with amniotic fluid • Squeezed down birth canal, fluid pushed out • Takes first breath when out of birth canal • Can be suctioned out • Umbilical cord • Stops pulsing and shrinks mins after birth • Clamp, tie, cut off
How does the newborn look? • Head wobbly and large, lopsided or pointed • Fontanels: open spaces where skull bones are not joined yet, “soft spots” • Join between 6-18 months • Fat cheeks, short flat nose, receding chin • Eyes: dark grayish blue, permanent color few months later • Vernix: creamy substance in folds of skin • Baby acne: plugged ducts from mom’s hormones
Activity • Make a chart or diagram detailing the Stages of Labor • You may use a book and your notes