LABOR AND BIRTH

Chapter 6.1

THE PROCESS OF LABOR Early signs

The show A few drops of blood may show when

the mucus plug is beginning to dissolve.

Next is a trickle or gush of fluid from the vagina.

May occur a few days before the baby is born.

Delivery should occur 24-48 hours after ones “water breaks” Avoid infections

THE PROCESS OF LABOR Contractions tightening and releasing of

the muscle of the uterus. Become closer together as labor goes on.

37 weeks or earlier is considered premature.

False LaborContractions are not regularContractions do not get stronger Contractions ease with light exercise

THE PROCESS OF LABOR Sometime labor must be artificially

inducedDone by medication or breaking the

amniotic sacTypically done at 42 weeksNo side effects

3 STAGES 1. Contractions open the cervix 2. Baby is born 3. Placenta is expelled

STAGE 1 Contractions pull up on the cervix,

slowly softening it and opening it.

Contractions last about 30 seconds and are 20 minutes apart.

When contractions start lasting 60 seconds and are 2-5 minutes apart you are in active labor.

STAGE 2 Contractions are 2-3 minutes apart and

last 90 seconds.

Cervix is fully dilated. 10 cm or 4 in

Women now begins to push the baby out. Babies head should be first. Sometime baby come out feet or butt first,

making delivery more complicated.

STAGE 2 Babies skull bones overlap to allow the

baby to come out.

Episiotomy may need to be done. Making a cut to allow baby more room to

come out.

May use suction or tongs to help remove the baby.

EPISIOTOMY Episiotomy

STAGE 3 May have a short break between the

baby being born and stage 3.

Stage 3 is the delivery of the placenta.

Vaginal Childbirthhttp://pregnancy.healthguru.com/video/vaginal-delivery

(kworker1988 password-kworker)

CESAREAN BIRTH May be a result of complications during birth.

Baby is born through a surgical incision in the mothers abdomen.

After C-section woman is taken to recovery for 1-2 hours. Encouraged to walk and stand Make take up to 6 weeks to recover

Cesarean Childbirthhttp://pregnancy.healthguru.com/video/cesarean-section-delivery

DELIVERY Delivery

THE NEWBORNChapter 6.2

VOCABULARY ACTIVITY

Chapter 6.2 has a lot of new, strange vocabulary words that

you probably have never heard, so take some time, look up the

words online, and find a picture to go along with the vocabulary

word so that you are able to better understand the word.

THE BABY ARRIVES Baby goes through many changes that

are necessary for life outside the womb.

During pregnancy the babies lungs are not used. They get oxygen through the mothers blood.

During delivery lungs fills with amniotic fluid that was in the babies trachea. Trachea delivers air from the mouth to the

lungs.

THE BABY ARRIVES Most of the fluid is squeezed out during

the delivery. Remaining fluid is suctioned out right after birth.

Baby may need to be rubbed or patted to get breathing started.

Babies may sneeze to get mucus out of their nose.

THE BABY ARRIVES Breathing may become normal a month

or two after the baby is born.

After birth the umbilical cord is clamped and cut off.

NEWBORN’S APPEARANCE Limbs are skinny.

Head may look too large for the body and be wobbly.

Skull may be lopsided and pointed.

Fontanel: Open spot on the baby’s head where the bones have not joined yet.

NEWBORN’S APPEARANCE FACE Swollen or Puffy

Short flat noses

Receding chins

African American, Asian, and Hispanic babies typically have brown eyes when born and stay that color.

Caucasian babies have grayish-blue eyes at birth, but change later.

THE NEWBORN’S APPEARANCE Some babies especially preemies, have

lanugo.Hair on the babies foreheads, backs, and

shoulders. Does not stay long.

Vernix thick, white pasty substance. Washed off during first bath.

Many babies have milia, or baby acne. Plugged oil ducts, go away in a week or two.

THE NEWBORN’S APPEARANCE

Lanugo

Vernix

Milia

EXAMINING THE NEWBORN Apgar 5 factors that they check the

baby on at 1 and 5 minutes old.

Normal score is 6-10Anything under 6 may indicate the baby

needs special care.

Right after birth baby is washed, apply antibiotic to the baby’s eyes and get a shot of vitamin K. (Prevent diseases)

LATER TEST Hand and Foot are printed with ink.

Blood test

Hearing Test

THE POSTNATAL PERIOD

Chapter 6.3

WHAT AM I TRYING TO ACCOMPLISH? To be able to describe what happens

after birth so that there aren’t any surprises as a parent or for someone who wants to go to into the prenatal/neonatal field

NEONATAL PERIOD Medical term used for the baby from

birth to one month of age.

Significant adjustment for the parents

Jaundice a liver condition that can make the skin, tissues, and body fluids yellowish. Cannot remove bilirubinBaby may receive UV light treatment

BONDING Newborn bonding is very important.

Helps brain development. Holding, singing, and talking to your baby.

BREASTFEEDING If mother breastfeeds she will continue

to produce milk. Some mothers have trouble

Many hospitals offer lactation consultants to help your learn breastfeeding techniques.

ROOMING-IN In most cases mothers may choose if

they would like their baby to stay with them all night, or spend the night in the nursery. If baby stays in nursery they may be

brought back to the mother for nighttime feedings.

LEGAL DOCUMENTS Birth certificate is the most important

legal document a baby has.

Parents fill out document at the hospital or birthing center. Paper is then sent in and a copy of your child’s birth certificate is sent to your house.

CARING FOR BABIES Intensive care nursery (ICN)

Special nursery that can provide immediate intensive care just after birth for babies who need it.

Neonatal Intensive Care Units (NICU)Heated completely enclosed beds for

newborns who need intensive care. 3 levels

PREMATURE BABIES Need special care and extra nutrients.

May need special pacifiers to help them learn how to suck properly.

Frequently tested for infections.

When they start to improve them may move out of their incubator.

MOTHER’S POSTNATAL CARE Mother may be extremely exhausted

physically, mentally, and emotionally.

MOTHER’S POSTNATAL CAREPHYSICAL Rest

Exercise: Help loose weight and feel more energetic.

Good Nutrition: If breastfeeding be sure to

intake an extra 300 calories a day and plenty of fluid.

Medical Checkup: 4-6 weeks after birth mother should have a check up to make sure everything is returning to normal.

MOTHER’S POSTNATAL CAREEMOTIONAL “Baby Blues” Mother may cry or feel

irritable, lonely, anxious, or sad for no reason.

If the “Baby Blues” do not go away the mother may experience Postpartum depression mother feels very sad, irritable, lonely, anxious, and has no energy.Treatment is available. Be sure to talk to a

doctor right away.

REVIEW + VOCAB

Ch 6 Review #2-10, 14, 17, 18, 20

BABY BOOK – FIRST CHAPTER You will be creating a baby book for your

babies for few years of life. Baby books typically begin with a birth certificate, pictures, and events following the birth.

Your baby book will include: Birth certificate A picture of the newborn baby

Include how it would actually look (may have vernix, lanugo, a cone head, jaundice, etc.)

Include a description A description of where and how the baby was

delivered, as well as, who delivered it. A written account of scores of tests (note if their

were any issues) A journal response describing you and your

partners feelings following the birth.