Prenatal 2 slideshow

Prenatal II Presentation:Positions, Rebozo, Newborn and

Postpartum Procedures, & Baby Care

2

Labor Positions

Hands and Knees Crawl – mom is on hands and

knees as if she is about to crawl. Great for utilizing pelvic rocking.

3

Labor Positions

Full Moon - Elbows & Knees, head resting upon the arms that are folded on the floor.

4

Labor Positions

Sitting Positions

Toilet – mom can sit facing the tank, so that her partner can rub her back. Useful if SROM or AROM has occurred.

Backwards sitting on a chair

5

Labor Positions

Reclining – great to help mom rest/relax.

6

Labor Positions

Rocking Chair – can help mom establish a rhythm and also uses gravity to open the cervix

7

Labor Positions

Birthing Ball – Mom can bounce, rock, sway, or just sit upright.

8

Coping Techniques - Positions

Squatting Positions

Vertical Supported Squat – partner is sitting well above the mother as she rests her arms on the partner's legs and hangs in a supported squat.

9


Squatting bar – a bar that attaches to the bed may be utilized to support mom in a squat.

10


Assisted Squat – using a sturdy object, mom squats next to it safely.

11


Side lying- Beneficial when

mom needs to rest. Use this during early labor when mom can be completely relaxed. Very useful during long labors.

Support mom with pillows, between knees & feet, under head, hugging a pillow

12


Standing & Walking positions Slow Dancing

– mom dances with her partner, creating a rhythm

13


Walking – Accelerates labor. Can help shorten the early stages of labor.

Stairs are even more effective.

14

Pushing Positions

Squatting - This opens

up the pelvis to its biggest possible size. You are also using gravity to help push.

15

Pushing Positions

Hands and Knees – This is

helpful for a large baby, back labor or OP baby

16

Pushing Positions

Side Lying - This is great if for a mom that has to

be lying down, also to rest while pushing. This allows for no pressure on the sacrum to narrow the pelvis.

17

Pushing Positions

Lithotomy Classic position

traditionally used in hospitals for patients that have had epidurals.

How can we use a rebozo? As we go through these techniques, keep in mind

that they can all be used on ANYONE – even if that person is not pregnant. Why not use a technique to relieve low back pain on someone who is suffering from PMS? Or a friend who has chronic back pain?

Pain relief and relaxation during pregnancy

Comfort measures during Labor

PMS and menstrual cramps

Infertility Treatments

Massage

Baby Wearing

Optimal Fetal Positioning

Hands and Knees Belly Sifting

Mom is on hands and knees.

Wrap the rebozo around the mother's belly. Create even tension around the entire belly. Lift and jiggle the belly side to side.

Can help with...OFP prior to labor

Asynclitic baby

OP presentation

Ligament Pain

Lower back pain

Optimal Fetal Positioning

Rebozo in labor

Vibration with Rebozo

Mother is in hands and knees position

Wrap the rebozo around her bottom. Gather it at each hip.

Vibrate the rebozo over her bottom firmly and quickly. Do not let the fabric shift over her.

Try this technique with the mom on a birthing ball for ultimate relaxation.

Can help with...Tension in the hips

Hip Pain

Contraction discomfort

Rebozo in labor

Rebozo in labor

Lying Down Rocking Massage

Mother lies down flat on her back

Wrap the rebozo around her entire abdomen and hips.

Lift the mother gently and rock her from side to side.

Can help with...OP Presentation

Asynclitic Baby

Ligament Pain

Rib Pain

Compound Presentation

Rebozo in labor

Rebozo in labor

Inversion with Rebozo

Mother gets into Child's pose (on knees, laying head down onto arms)

Wrap the rebozo around her hips and lift upwards.

Perform this for 5 minutes at a time.

Can help with...Persistent

asynclitism

Breech presentation

Rebozo in labor

Rebozo in labor

Double Hip Squeeze

Mother is in a standing position

Wrap the rebozo under the mother's belly and around her hips. Cross the rebozo across her back and squeeze.

Best done with two people.

Can help with...Back Labor

Ligament Pain

Lower Back Pain

Hip Pain

Rebozo in labor

Rebozo in labor

Hanging with the Rebozo

Tie a knot in the rebozo and close the door over the knot.

Allow the mother to hang from the rebozo. She can even get into a squatting position if she feels comfortable

Can help with...Rib Pain

Upper/middle back pain

Proper pushing

Rebozo in labor

Rebozo in labor

Pull to Push Mother is in a pushing

position, any pushing position.

Tie a knot on each end of the rebozo

Hold the rebozo taught between the mother and the support person, who is positioned on the other side of the mom's belly.

Can help with...Proper and

efficient pushing, even with mother has been exhausted.

Rebozo in labor

33

Stages and Phases of Labor

Stage I – Labor Phase I – Early Labor

Emotions: Happiness, excitement, anticipation

Contractions are 5-20 minutes apart Contractions are 30-60 seconds long Contractions are mild Mom is dealing with contractions

without much difficulty Cervix is dilating to 4 cm This is usually the longest phase of

labor “Pushing the dirt around”

34


Phase II – Active Labor Emotions: serious, calm Contractions are 3-5 minutes apart Contractions are 45-90 seconds long Contractions are moderate Mom is working harder to get through

each contraction Cervix is dilating to 7 cm This phase is typically shorter than

early labor.

35


Phase III – Transition Hormones: Lowering of Oxytocin and

rising of Adrenaline Emotions: stressful, mom might want

to throw in the towel Contractions are about 30-90 seconds

apart Contractions are 45-90 seconds long Contractions are very strong,

sometimes with multiple peaks Cervix is dilating to 10 cm This is the hardest and the shortest

part of Labor.

36


Stage II – Delivery of Baby 1st time moms may push for multiple

hours Emotion: excited, inspired, second

wind Contractions are only a couple of

minutes apart and are not as strong as transition contractions

Ring of Fire – as baby crowns Mom is working with the contractions

to help push baby out Baby is using reflexes to kick the

top of the uterus Mom cannot fight the urge to push

37


Stage III – Delivery of Placenta

Emotions: happiness, relief, excitement, love

5-30 minutes after delivery of the Baby

Contractions are mild and intermittent

Care providers might massage abdomen to help uterus contract and shed the placenta

38

The Wonderful Placenta

The only human organ that creates itself and does not exist throughout a lifetime.

9” Dinner plate

Sustains baby by transferring nutrients through blood

Traditionally ingested in many cultures around the world

Placenta Encapsulation

Placenta Prints

Plant in your garden

Plant with a tree

Soup, smoothie, baked... find recipes online.

39

Aromatherapy

Test each scent and note how it makes you feel!

40

Aromatherapy

Stimulating scents

Stress Relief: Bergamot, Chamomile, Lavender, Lemon, Orange, Patchouli, Vanilla

Anxiety/Fear: Bergamot, Chamomile (Roman), Cedarwood, Frankincense, Jasmine, Lavender, Neroli, Patchouli, Rose, Sandalwood

Self Esteem: Bergamot, Cypress, Grapefruit, Jasmine, Orange, Rosemary

Sadness/Grief: Bergamot, Chamomile (Roman), Clary Sage, Frankincense, Grapefruit, Jasmine, Lavender, Lemon, Orange, Rose, Sandalwood, Ylang Ylang

Fatigue: Basil, Bergamot, Clary Sage, Frankincense, Ginger, Grapefruit, Jasmine, Lemon, Patchouli, Peppermint, Rosemary, Sandalwood

Agitation: Chamomile (Roman), Lavendar, Mandarin, Sandalwood

Isolation: Chamomile (Roman), Bergamot, Clary Sage, Frankincense, Rose

Memory Boosters: Basil, Cypress, Lemon, Peppermint, Rosemary

41

Postpartum

Commonly procedures performed on mom:

Suturing of tears or episiotomy Hospital stay of 24 hours or longer Abdominal massage Uterus checks

42

The Newborn

The Apgar score is named after Virginia Apgar who designed it as a simple method to quickly asses the health of a newborn.

A - Appearance P - Pulse G - Grimace A - Activity R - Resolve

44

Newborn Appearance

Vernix – the whitish coating on a baby. This coating was built up while your baby was living in your uterus. As a baby nears its birthday, the vernix begins to absorb into the skin. Little to no vernix is seen on babies that are very ready to be born!

45

Newborn Appearance

Purple Baby – During delivery, sometimes babies become deprived of oxygen. This causes them to appear more purple until they take their first breaths and allow the oxygen to circulate.

46

Common Newborn Procedures

Eye Drops – erythromycin Thick gel that is applied to the

eyes of a newborn to prevent infection of the eye. This is necessary for babies born to mothers who have gonorrhea or chlamydia.

You may need to sign a form that states that you are opting out of this treatment if you choose to do so.

47


48


Advantages - Erythromycin can reduce the risk of

chlamydia and gonorrheal infection of the eye

Erythromycin ointment is inexpensive

Disadvantages - Adverse effects include eye irritation

and blurred vision, which may interfere with bonding

Erythromycin is not 100% effective at preventing infection (it has a 20% failure rate)

49


Vitamin K Shot Vitamin K is crucial in the process

of clotting blood. Babies are born with low levels of Vitamin K and are injected with a dose of the vitamin to prevent Vitamin K deficiency bleeding.

This is a routine injection that will require a signature on a refusal form.

50


Advantages - May prevent excessive bleeding in

the newborn

Disadvantages - Potential emotional trauma to the

newborn 20-80% increase in childhood

leukemia in children who have received the Vitamin K shot. 1.5 additional cases to every 100,000 children.

51


Hepatitis B Shot This shot is administered to

vaccinate newborns against the Hep B virus. This is important in women who are currently carrying the virus.

Given as a three shot series that commences at birth. May also be administered later in life, such as in the teenage years.

This is a routine injection that may require the signing of a refusal form.

52


Advantages - Can prevent the transmission of

the Hep B virus from a mother who carries it to her newborn baby.

Disadvantages - Suspected cause of some SIDS

cases Reported but not confirmed

associated diseases include: Multiple Sclerosis, Guillain-Barre Syndrome, Bell's Palsy,

Diabetes, Rheumatoid Arthritis, Lupus, Convulsions and Brain disorders such as Encephalitis, Immune dysfunction, Visual and Hearing impairments, Pancreatitis

53


Hearing Screening Your newborn will be hooked up to

a hearing test to record his hearing ability. This test may take 5-40 minutes.

Does not hurt the baby.

55


PKU Test This test is a heel stick. Blood is

applied to a test paper at the first and 14th day of life.

This test can tell you if your baby may have metabolic disorders that could have devastating effects on his or her life.

Early detection is key in preventing these disorders from affecting your child.

56


Newborn Bath

Your newborn will be given a sponge bath during their hospital stay. This bath will probably be given in the nursery.

57


Circumcision The surgical removal of the foreskin

which is the skin that covers the tip of the penis.

This procedure is most often done before the male newborn leaves the hospital.

Reasons why parents choose to do it vary from religious beliefs, the belief that it makes the penis easier to clean, to cultural pressures, or family tradition.

58


Advantages - Circumcision makes it easier to

clean the penis.

Disadvantages - Foreskin may be cut too long or short Foreskin may not heal properly, or

may reattach itself to the head of the penis, causing additional surgery

May traumatize the newborn

59


Circumcision Statistics The rate of circumcision in the US is

steadily declining – 65% in 2002, 56% in 2006, 54% in 2008 and in 2010 it was 32%

Circ removes 75% of the sensitive tissue on the penis

Anesthesia is only used in 45% of circs

Adults who were circd in their infancy are 5x more likely to develop ED

60

Unexpected Outcomes

An expected outcome can be anything that the parents do not expect or prepare for.

Different gender than expected Traumatic Birth Cesarean Section Abnormalities in baby Stillbirth or Death

61

Unexpected Outcomes

In the event of an unexpected outcome: Take time to rest and recover Ask someone else to prepare your

meals for you for a while Make sleep a priority Be patient with your spouse Talk and share as often as you feel

you should Write about your feelings

62

Unexpected Outcomes

Remember that your feelings will evolve over time

In the event of loss: spend all of the time that you need to with your baby.

Allow other children or family members to express their feelings

Talk with your birth attendants about your feelings

Avoid making big decisions Seek grief counseling

63

The First Few Weeks - Bath Time!

64

How to Diaper a baby

65

How do I hold my baby?

66

How do I burp my baby?

67

How to swaddle a baby...

Remember – DUDU

68

How to calm a fussy baby...

The 5 S's Shush Swaddle Side Lay Sway Suck

69

What is Colic?

“Colic” is a catch-all term for babies that cry for more than 3 hours for more than 3 days a week.

Baby may turn red in the face Cries are usually higher in pitch Belly may be distended and solid Arms and legs are extended and/or

flailing

70

Co Sleeping

71

Benefits of Breastfeeding

Protection against Gastroenteritis Constipation, colic and other stomach

upsets Childhood diabetes Ear infections, pneumonia, bronchitis,

kidney infections Allergies, asthma, eczema Meningitis Childhood Lymphoma Crohn's Disease and ulcerative colitis

72


Reduced rates of SIDS (for every 87 deaths, only 3

are breastfed) Tooth decay Heart disease later in life Iron deficiency Appendicitis Rheumatoid Arthritis Childhood Obesity

73


Promotes Facial structure development Enhanced speech Straight teeth Good vision Increased bone density Antibody response to vaccines IQ development Emotional bonding Healthy GI tract

74


Benefits to mom Reduced rate of breast, ovarian and

endometrial cancer later in life Reduced rate of anemia Protects against osteoporosis Delays the return of fertility Helps moms get back to pre-baby weight

in a healthy way Bonding with baby Uterus contracts after birth Mom misses less work over time due to

reduced rate of child related illnesses

75


Human milk is FREE!

When stored properly, human milk can be kept for many months.

76

Breastfeeding Holds

Cradle Hold Football Hold Side-Laying

77

Laid Back Breastfeeding

78

The Proper Latch

79

The Postpartum Period

The postpartum period can last anywhere from 2-8 weeks, depending on your delivery

experience.

80


Lochia Lochia is the vaginal discharge

that is present anywhere from 2-6 weeks. It comes in three stages:

1st: Red in color, very heavy period. 3-5 days postpartum

2nd: Thinner than previously and also more brown or pink in color. 5-10 days postpartum

3rd: Whitish or yellowish-white discharge. 2nd through 3rd to 6th week.

81


If at any time you pass a blood clot that's bigger

than a golf ball, or a sudden and large gush of fluid is discharged, please

call your care provider immediately.

82


Healing Depends diapers may be a good

investment! Witch hazel pads and solarcaine help

soothe the wound of a vaginal birth Use a peri bottle to cleanse and soothe

with warm water When bearing down for a bowel

movement, hold a pad against your vulva After urinating, cleanse with warm water

and pat the area dry.

83


Sitz Bath Used during the early postpartum

period to help cleanse, soothe and aid in the healing of the perineum.

Small herbal bath that you sit in. Steep your bath for four hours.

Strain the liquid and then use it for a bath.

Peri bottle Toilet basin Tub

84


Postpartum Depression Affects up to 13% of women after

birth Usually occurs in the first three

months postpartum, but can up to a year later

Anxiety, irritation, tearfulness and restlessness are common in the first couple of weeks postpartum. These feelings increase, or do not fade away.

85


Postpartum Depression

Moms are more at risk for PPD when:

Under the age of 20 Currently abuse alcohol, illegal substances or smoke Unplanned pregnancy Previous depression, bipolar or an anxiety disorder

before pregnancy or with a previous pregnancy Stressful event during pregnancy, labor, delivery Close family member with depression Poor relationship with significant other, or is single Money/Housing problems Little support from family, friends, or spouse/partner

86


Call your care provider: Baby blues don't go away after two weeks

Symptoms get more intense

Symptoms of depression begin at any time after delivery, even many months later

It's hard for you to perform tasks at work or home

You cannot care for yourself or your baby

You have thoughts of hurting yourself or your baby

You develop thoughts that are not based in reality or you start hearing or seeing things that people cannot

87


Support for New Parents

What support do you have for your postpartum period?

Mealbaby.com Postpartum Doula Lactation Consultant OB/Midwife http://www.sbpep.org/

Have you taken a Newborn Care class yet?

Prenatal 2 slideshow

Education

Transcript of Prenatal 2 slideshow