Notes

Objective 3.03

Healthy Pregnancy & Delivery

locations for delivery

Home deliveryBirthing room delivery

Standard hospital delivery

locations for delivery

Home deliveryonly for uncomplicated births

might run into complications

locations for delivery

Birthing room deliverymore home-like atmosphere

have to go home within 24 hours

locations for delivery

Standard hospital deliveryinsurance companies cover at least 2 days

high cost

Delivery Options

Natural ChildbirthThe Lamaze method

The Leboyer method

Delivery Options

Natural Childbirthless sedationcan run into unexpected complications

Delivery OptionsThe Lamaze methodcan control pain with breathing

have to take time to go to classes

Delivery Options

The Leboyer methodmakes the birth less shocking and more comfortable for the baby

fit classes into schedule

personnel to assist with deliveries

ObstetriciansFamily doctors

Licensed midwives

personnel to assist with deliveries

Obstetriciansspecialize in the care of mothers and babies both before, during and right after birth

expensive

personnel to assist with deliveries

Family doctorsprovide prenatal care and deliver babies

complications can be above the doctor’s skills

personnel to assist with deliveries

Licensed midwivesassist women in childbirth

complications can be above midwife skills

Maintain personal hygieneMaintain normal grooming & body

care habitsHave dental checkupAvoid very cold or very hot bathsReplace tub baths with showers or

sponge baths during the last four to six weeks of pregnancy

Healthy Labor and Deliverysigns of laborLightening - the baby drops lower into the pelvis

Healthy Labor and Delivery

signs of laborEffacement - the cervix becomes thinner

Healthy Labor and Delivery

signs of laborThe cervix dilates or widens

Healthy Labor and Delivery

signs of laborA pinkish discharge called “show” comes from the vagina

Healthy Labor and Delivery

signs of laborAmniotic sac ruptures -“water breaks”

Healthy Labor and Deliverysigns of laborContractions begin by tightening and relaxing of the uterus muscles

Stages of LaborPre-labor-Signs of labor

appearingMother may feel a burst of

energyMucous plug becomes loose

AKA: “bloody-show”Amniotic sac may break

“water breaks”

First Stage of LaborCervix dilates◦Contractions come every 15 or 20 minutes

◦Full dilation will measure 10 centimeters in width3 inches

Second Stage of LaborThe baby is born

Cervix fully dilated-10 centimetersmother is allowed to move around

freelyLasts from 20 minutes to two hoursPelvic and vaginal area scrubbed

Typical birth baby travels down birth canal

head first facing toward the mother’s back

Doctor may make surgical cutEpisiotomy -widen the opening Head is delivered then shoulders

by rotating them slightly Cuts umbilical cord when baby is

delivered

Third Stage of Labor

Placenta is deliveredMild contractions separate the

placenta from the uterine wall and it moves into the vagina

Nurse massages the abdomen of the motherusually takes 10-30 min.

Mother pushes to expel the placenta

Types of Delivery

VaginalCesarean

Reasons for Cesarean delivery

When the labor is not progressing fast enough and a problem develops

Baby in distress or turned in the wrong direction breech birth

Multiple births

Procedures for Cesarean delivery

Perform surgical procedure

Moved to recoveryWalk as soon as possibleRecovery up to six weeks

Examining the NewbornApgar Scale

scale zero to two checked at one minute

and again at five minutes until normal

total score is 6-10 range. Ten is a perfect score.

Appearance Pulse Grimace (Reflex irritability) Activity Respiration

Nurse’s checkWeightMeasurementDry offApply antibacterial drops or

ointment Injection of vitamin K to prevent

bleeding disorder