Delivery varieties
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Transcript of Delivery varieties
Natural LaborVS.
Cesarean
Prelabor
First stage
Second stage
Third stage
Fourth stage
Nonprogressingcontractions
Cervix ripens
Contractions are longer, stronger, and closer together
Nonprogressingcontractions
Passage of bloody mucus from vagina
Leakage of amniotic fluid
Progressing contractions
Gushing of amniotic fluid
Dilation of cervix
Begins when the cervix is fully dilated
Ends when the baby is born
Urges to push
Pain lessens which helps the mother calm down
Non-rushing stage
May require many different positions
Shortest and least painful
10-30 minutes
Uterus contracts causing placenta to detach from uterine wall
Clamping and cutting of the umbilical cord
Lasts from after delivery of the placenta until your condition is stable
Indicated by BP, pulse, vaginal discharge and uterine tone
1-2 hours
May be planned, unplanned (emergency)
Many reasons-prolonged labor-fetal distress-fetal problems-prolapsed cord-placental abruption
Typically signing consent form for surgery
Abdomen/upper pubic hair shaved
May be given antacid medication to avoid emesis
IV drip starts and remains in place for 24 hours after delivery
Catheter inserted to keep bladder empty when anesthetic has taken effect
Lie on back
Abdomen washed with antiseptic
Sterile sheet draped over body and surgical drape between you and abdomen
SKIN INCISION UTERINE INCISION
Doctor inspects uterus
Incisions in your uterus and abdomen sutured with absorbable thread
Skin closed with either absorbable thread, nonabsorbable thread, staples or clips removed before you go home
Pitocin in IV is continued to keep uterus from contracting
NATURAL LABOR CESAREAN
More alert after birth
Easier latching of the breast
No narcotics in system
Lower risk of fetal distress
Discharge scores may be higher and able to go home more quickly
Low trauma
NATURAL LABOR CESAREAN
Mother never loses sensations of her body
Able to walk around and monitor pain to know what stage of labor she is in
No post epidural headache
Less chance of nausea
Less groggy after birth
Accomplishment felt
No labor pain
Dignity and privacy (no checking of the cervix)
Most likely scheduled
NATURAL LABOR CESAREAN
Prolonged delivery
Complications can arise
Premature birth
Breathing problems
Lower APGAR scores requiring longer stay at hospital
Fetal injury
NATURAL LABOR CESAREAN
Episiotomy
Bursting of blood vessels
Anyerisum
Other natural complications can arise
Serious abdominal surgery
Incisions through abdomen, muscle, uterus…
Infection Blood loss Injury to organs Longer hospital stay Extended recovery time Higher maternal mortality