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Childbirth Options
Chapter 5.3
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Reducing pain and fear during the birth process through
education and the use of breathing and conditioning exercises.
Childbirth classes Hospitals Health care providers Private teachers
Childbirth classes help parents feel more prepared and ready.
Childbirth classes help father feel more involved, especially if they could not be at doctor visits.
Prepared Childbirth
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Health Care Professionals
Obstetricians Family Doctors Licensed Midwives
Places to Give Birth Home Hospital Alternative Birth Center
Delivery Options
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Specializes in the care of mothers and babies
both before and right after birth.
Qualified to handle any emergencies that might occur.
Obstetricians
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Some family doctors provide prenatal care and
deliver babies.
If problems arise, they may call an obstetrician.
Family Doctors
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A health care professional trained to assist
women in childbirth. Certified Nurse Midwives – Registered nurses Certified Midwives – Still certified, but not a
nurse
Must pass certificate exam before they can practice
Advanced training in normal pregnancy and birth
Will call an obstetrician if a complication arises.
Licensed Midwives
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Woman experienced in childbirth who provides
advice and support to a mother during labor and after childbirth
Suggestions – how to cope with labor pains
Keep mother calm and focused during delivery
Hospitals usually allow father and doula in delivery room
Doula
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Home is familiar and comfortable
If problem arises, may not have help on hand that is needed
Usually delivered by midwife for home delivery
Doula may be present along with midwife
Home
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2-3 days, up to a week in hospital
Have full staff of trained professionals if something were to go wrong
Staff will teach mother how to care for baby after birth
Sanitary conditions
High-tech medical equipment
Usually doesn’t allow much food or drink, only ice chips
Hospital
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Classes that prepare for delivery and infant care
Programs for siblings and fathers
Private rooms, soft lighting, music, comfortable furniture
One room for labor, delivery, and recovery
Additional medical equipment out of sight, but ready for use if necessary
Mother and baby to room together, optional
Hospitals Offer
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A facility that provides a more homelike environment for
labor and delivery
Food and drink offered
Emphasized on prepared, natural childbirth
Do not offer pain medication
May offer large beds for both mother and father
Music and friends usually allowed
Alternative Birth Center
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Birthing tubs for water birth
Midwives usually handle births at a birthing center
Hospitals and obstetricians are on call
Cost is less
Time spent at center is shorter
Leave within 24 hours if no complications
Alternative Birth Center Continued
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A document that outlines their preferences for the
management of labor, delivery, and postpartum care.
Prevents mother from having to communicate wishes while in labor if caregivers change at last minute.
Caregiver ChoicesA. ObstetricianB. Family PractitionerC. Certified Nurse Midwife (CNM)
The Birth Plan
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1. Where?
A. HospitalB. Birthing CenterC. Home
The Birth Plan – Step 1
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2. Who Will Be There?
A. Spouse/fatherB. MomC. SisterD. Other kidsE. In-lawsF. Best friendG. DoulaH. Two or more people – consider birthing center
or home
The Birth Plan – Step 2
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3. Child Birth Choices
A. Lamaze • Special breathing techniques• Mental focus on eternal object• Open to pain medication during labor
B. Bradley• Normal breathing• Inward focus on self• Pain meds discouraged• 12 – 2 hour classes
C. Hospital or Birthing Center• Methods taken from a range of birthing approaches
The Birth Plan – Step 3
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4. Pain Relief
A. Natural • Massage• Acupressure• Water: Jacuzzi, Shower, Bath
B. Medicine• Epidural – blocks nerve paths• “Walking” epidural - permits mobility• I.V. Pain killers - Demerol
The Birth Plan – Step 4
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5. The Big Moment
A. Who cuts the cord?• Dad? Mom? Caregiver?• Cut right away? (Allows for cord blood banking) • Wait 5 minutes, when the cord stops pulsing? (Some
people believe that getting all of the placental blood will supply baby with more oxygen while it is learning to breathe on it’s own)
B. Baby’s first stop?• Baby can be placed on your chest immediately, giving
bonding time• A chance for your baby to nurse before routine tests begin
The Birth Plan – Step 5
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Cord Blood Banking
What: Newborn’s blood from umbilical cord and placenta is collected at delivery and frozen.
Why: Abundance of stem cells, which could help baby (or even another family member) in case of future illness.
Cost: $300 - $1,000 for collection; $100 - $150 for yearly storage fee
Can donate to a public collection bank.
The Umbilical Cord Blood
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Your own clothes vs. hospital gowns
Music and dimmed lights
Clear fluids vs. ice chops for hydration
Continuous vs. intermittent monitoring of baby
Medical vs. non-medical pain relief
Birth Plan Issues
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Position for pushing
Episiotomy vs. natural tearing
Emergency contingencies
Shared vs. private hospital room – Insurance may not cover private room
Birth Plan Issues Continued
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C-Sections account for 23% of US Births
Epidurals are used – mom stays awake
General anesthesia, which is fast acting, is used in emergency C-Sections (Mom is asleep)
Medications for incision will not enter the birth breast fluid baby drinks (Colostrum)
But once regular breast milk comes in fully a couple days later, you should not take any pain meds without consulting your doctor.
C-Section Pain Relief
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Birthing Plan Assignment
Assignments
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How can a mother be prepared for childbirth?
What are the options for who can deliver your baby?
Where can you deliver your baby?
What is a doula and what do they do?
Summary Questions