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Labor and Delivery

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What does labor feel like? http://www.youtube.com/watch?v=qtR_- MINR1o http://www.youtube.com/watch?v=qtR_- MINR1o

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1. Doctors and Location Obstetrician Gynecologist (OBGYN): the doctor trained to deliver the baby Midwife: registered nurse with additional training OR person with formal training in childbirth

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1. Doctors and Location Birthing Room: labor, delivery, and postpartum recovery in same room Delivery Room: labor, delivery in this room, then MOVED to a postpartum room to recover

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2. Delivery Options 1. Vaginal: delivered through vaginal opening 2. Cesarean: surgery performed so baby can be delivered through an incision made in the abdomen wall and uterus Reasons for performing C-Section: -position of baby -the umbilical cord wrapping around the babys neck -problems with the fetal heart rate -the fetus is under stress -the mother is in danger

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Continued Anesthesia Natural: childbirth without any medication Epidural: pain medication injected into spinal cord that numbs from abdomen or pelvis downward

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3. Indications that Labor has begun: Lightening: dropping of baby into Pelvis (occurs during 9 th month) Show/Mucous Plug: pinkish plug that covers the cervix, released at the beginning of labor Water Breaking: amniotic sac breaks, releasing amniotic fluid Braxton-Hicks: false labor. They can occur throughout the pregnancy and typically involve the back, not the uterus. They are not regular and can go away with exercise.

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Lightening of the baby

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3. Indications that Labor has begun: Contractions: regular tightening of uterus working to push baby down birth canal Dilation: extent to which cervix has opened in preparation for childbirth -Measured in centimeters -Full dilation is 10 centimeters Effacement: thinning of cervix in preparation for birth -Expressed in percentages -You will be 100% effaced when you begin pushing *Contractions get LONGER, and CLOSER together as labor gets closer

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4. During and After Labor Episiotomy: surgical incision made in perineum used to enlarge vaginal opening to help deliver baby Forceps and Vacuum Extractor: tools used by obstetrician to guide fetal head during delivery Fontanels: soft spots between unfused sections of the babys skull -Allow babys head to compress slightly during passage through birth canal Delivery: when fetus is being expelled from uterus

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Vacuum assisted/Forceps assisted

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4. During and After Labor APGAR: measure of physical condition of newborn -The rating goes from 0 to 10 -Score of 7 or higher indicates a healthy newborn Lochia: bloody vaginal discharge, comparable to a heavy period -Occurs in a woman after delivery -Can last up to six weeks Post-Partum: time after delivery where rest is the mothers primary need

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APGAR TEST http://www.babycenter.com/0_the-apgar- score_3074.bc http://www.babycenter.com/0_the-apgar- score_3074.bc (SCROLL DOWN TO FIND THE VIDEO)

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5. Delivery Positions (head first, face down is desired) Station: position of the baby in the birth canal Breech Position: feet or buttocks first Posterior Position: head first and face up Transverse Position: fetus is laying sideways

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REVIEW Signs of approaching labor: Mucus plug is dislodged from cervix Contractions consistently 10 minutes apart Possible release of amniotic fluid The first stage is the longest stage (2-10 hrs) The third stage is the shortest stage (placenta)

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Cesarean Section (C-Section) http://www.youtube.com/watch?v=xyN48VnRYUY http://www.youtube.com/watch?v=xyN48VnRYUY C-Section LIVE (Show: Start 1:53, 2:35 -3:45 min) http://www.babycenter.com/2_live-birth-c-section- surgery_3656510.bc http://www.babycenter.com/2_live-birth-c-section- surgery_3656510.bc Vaginal Delivery (Show: 49 2:12 min) http://www.youtube.com/watch?v=BgZ5z6RB06c http://www.youtube.com/watch?v=BgZ5z6RB06c Natural Delivery LIVE National Geographics (Show 4:07-5:00 min) http://www.youtube.com/watch?v=qi- TLTQemNU&feature=related http://www.youtube.com/watch?v=qi- TLTQemNU&feature=related