notes objective 3.03 healthy pregnancy & delivery
TRANSCRIPT
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Notes
Objective 3.03
Healthy Pregnancy & Delivery
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locations for delivery
Home deliveryBirthing room delivery
Standard hospital delivery
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locations for delivery
Home deliveryonly for uncomplicated births
might run into complications
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locations for delivery
Birthing room deliverymore home-like atmosphere
have to go home within 24 hours
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locations for delivery
Standard hospital deliveryinsurance companies cover at least 2 days
high cost
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Delivery Options
Natural ChildbirthThe Lamaze method
The Leboyer method
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Delivery Options
Natural Childbirthless sedationcan run into unexpected complications
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Delivery OptionsThe Lamaze methodcan control pain with breathing
have to take time to go to classes
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Delivery Options
The Leboyer methodmakes the birth less shocking and more comfortable for the baby
fit classes into schedule
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personnel to assist with deliveries
ObstetriciansFamily doctors
Licensed midwives
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personnel to assist with deliveries
Obstetriciansspecialize in the care of mothers and babies both before, during and right after birth
expensive
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personnel to assist with deliveries
Family doctorsprovide prenatal care and deliver babies
complications can be above the doctor’s skills
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personnel to assist with deliveries
Licensed midwivesassist women in childbirth
complications can be above midwife skills
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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
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Healthy Labor and Deliverysigns of laborLightening - the baby drops lower into the pelvis
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Healthy Labor and Delivery
signs of laborEffacement - the cervix becomes thinner
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Healthy Labor and Delivery
signs of laborThe cervix dilates or widens
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Healthy Labor and Delivery
signs of laborA pinkish discharge called “show” comes from the vagina
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Healthy Labor and Delivery
signs of laborAmniotic sac ruptures -“water breaks”
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Healthy Labor and Deliverysigns of laborContractions begin by tightening and relaxing of the uterus muscles
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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”
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First Stage of LaborCervix dilates◦Contractions come every 15 or 20 minutes
◦Full dilation will measure 10 centimeters in width3 inches
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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
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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
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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
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Types of Delivery
VaginalCesarean
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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
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Procedures for Cesarean delivery
Perform surgical procedure
Moved to recoveryWalk as soon as possibleRecovery up to six weeks
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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
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Nurse’s checkWeightMeasurementDry offApply antibacterial drops or
ointment Injection of vitamin K to prevent
bleeding disorder