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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