labour and delivery psy 30 spiritwood high school
TRANSCRIPT
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Labour and Delivery
Psy 30
Spiritwood High School
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Stages• Described as occurring in three stages
1. Early Labour = very variable, 12-24 hours• Uterine contractions 15- 20 minutes apart,
getting progressively closer together as labour progresses
• Last about a minute, also increase in intensity
• Cervix dilates from starting point to 10 cm and thins out
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Fundal Heights
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Second Stage – Delivery
• Presenting part starts to move through the cervix.
• Again very variable in time – minutes to an hour.
• Mother bears down and pushes with each contraction
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Third Stage - Afterbirth
• Shortest stage
• The placenta, umbilical cord and other membranes are expelled.
• Mother will be aware and feel this
• Birth attendants will try to ensure placenta intact
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Placenta
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Umbilical Cord
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Cutting the Cord
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In the Delivery Room• Birthing room for most Normal Term
deliveries• Babies do not get held upside down or slapped.• Fathers (or significant others) are most often
offered to cut the umbilical cord if they chose• Healthy infants are most often placed on the
mothers skin to allow warmth and immediate bonding. Only those infants that need specialized care are moved from the room.
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External Fetal Monitoring
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Electronic Fetal Monitoring
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Birthing Techniques
• Lamaze
– A popular for of “natural childbirth” where expectant mothers try to cope actively with the pain of childbirth by relaxation and breathing.
– Meant to eliminate or reduce the need for medication
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Birthing Techniques 2
• Caesarian Section– The surgical removal of a baby from the
uterus– Preformed when
• CPD – discordance between baby’s head and Mom’s pelvis.
• Fetal distress – monitoring suggests baby is in trouble
• Presenting part is not the head
• Maternal complications – bleeding
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Caesarian Section
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Pain Control
• Lamaze• IV • Epidural• Nitrous Oxide – “laughing gas” Used to
be more widely available. In Saskatchewan, fewer deliveries in rural hospitals (availability of staff and risks/liability) so seldom used.
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Complications for Baby
• Precipitous delivery – baby arrives too fast. Less time for circulation and lungs to respond to conditions outside the uterus
• Anoxia – insufficient supply of oxygen to the baby which can result in brain damage
• Premature delivery• Breech position• Meconium aspiration
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Posterior Presentation
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Breech Presentations
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External Version for Breech
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Face Presentation
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Brow Presentation
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Transverse Lie
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Meconium Aspiration
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Prevention
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NICU
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Complications for Mom
• Retained placenta
• Post-partum hemorrhage
• Amniotic fluid embolus
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Anti shock Garment
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