History of Delivery

EarlyEarly

1647 Forceps developed many babies died in the early years of their use

Before 19th century was uneventful - life went on as normal no pain relief

Mid 19th century women feared childbirth - painful or even fatal higher social status less children you had

1800 Chloroform was used to relieve women of any pain – it was harmful and even fatal to mother and baby

MidMid

1882 First successful Cesarean delivery death rate remained high until 20th century

1900 Middle class women would be confined until well after the baby was born Introduction of Maternity clothes (Lane

Bryant)

1920 “Twilight labor”

morphine and scopolamine (general anesthetic) (These drugs proved to be harmful to

baby and mother) Use of stirrups to prevent any

tearing or ripping

1950 and Beyond1950 and Beyond

1950 Use of drugs in “assisted” childbirth becomes popular

1970 “Natural” childbirth is newly popular Midwife becomes popular

1980 Back toward hospital births 1990 and beyond Mother and Father

take a more active role in child birth.

Choices for DeliveryChoices for Delivery The choice should depend on the The choice should depend on the

condition of the mother and the condition of the mother and the baby.baby.

10-15% of births need medical 10-15% of births need medical helphelp

Infant death rate is higher in in Infant death rate is higher in in home birthshome births

Home DeliveryHome DeliveryAdvantagesAdvantages

Parents have more control Parents have more control over the birthover the birth

Feels more like a natural Feels more like a natural processprocess

Could have a Certified Nurse-Could have a Certified Nurse-Midwife with youMidwife with you

Home Delivery Home Delivery DisadvantagesDisadvantages

Medical help is not always Medical help is not always availableavailable

Not as clean as a hospitalNot as clean as a hospital 10- 15% of babies need 10- 15% of babies need

medical attentionmedical attention Death rate is higher in home Death rate is higher in home

deliveriesdeliveries

Birthing Room DeliveryBirthing Room DeliveryAdvantagesAdvantages

At a hospital with the comforts of At a hospital with the comforts of homehome

Family members and friends can Family members and friends can stay with the mother throughout stay with the mother throughout labor and deliverylabor and delivery

A nurse will check on the mother A nurse will check on the mother during laborduring labor

The doctor will be present for the The doctor will be present for the birth incase of complicationsbirth incase of complications

Birthing Room DeliveryBirthing Room DeliveryDisadvantagesDisadvantages

Doctor is not there for Doctor is not there for labor/deliverylabor/delivery

Standard Hospital DeliveryStandard Hospital DeliveryAdvantagesAdvantages

In a safe and clean hospital In a safe and clean hospital environmentenvironment

The doctor is present during labor The doctor is present during labor and deliveryand delivery

The baby and mother are hooked up The baby and mother are hooked up to monitors to make sure there are to monitors to make sure there are no problemsno problems

Standard Hospital Standard Hospital DeliveryDelivery

DisadvantagesDisadvantages Limited amount of people Limited amount of people

allowed in the delivery allowed in the delivery roomroom

Not as comfortableNot as comfortable Not very personalNot very personal

Natural Child BirthNatural Child Birth

AdvantagesAdvantages

No drugsNo drugs

Learn about the birth processLearn about the birth process

Learn proper breathing Learn proper breathing techniquestechniques

Learn to relaxLearn to relax

Father plays an active role in Father plays an active role in prenatal study and deliveryprenatal study and delivery

Natural Child BirthNatural Child BirthDisadvantagesDisadvantages

No drugs to help reduce painNo drugs to help reduce pain

Lamaze MethodLamaze MethodAdvantagesAdvantages

Women are taught to focus on Women are taught to focus on something other than painsomething other than pain

Women learn breathing patterns to Women learn breathing patterns to keep mind off the painkeep mind off the pain The father is usually the coach he helps The father is usually the coach he helps

during laborduring labor If the mother needs medication she If the mother needs medication she

gets itgets it

Lamaze MethodLamaze MethodDisadvantagesDisadvantages

Time ConsumingTime ConsumingMust attend weekly Must attend weekly

classes 8 to 12 weeks classes 8 to 12 weeks before the delivery datebefore the delivery date

Leboyer MethodLeboyer MethodAdvantagesAdvantages

Make baby feel comfortable during Make baby feel comfortable during deliverydelivery

Keep baby safe during deliveryKeep baby safe during delivery Uses low lightsUses low lights Noise is kept low in the delivery roomNoise is kept low in the delivery room Umbilical cord is not cut until it stops Umbilical cord is not cut until it stops

functioningfunctioning Baby is lowered into room temp water Baby is lowered into room temp water Baby is wrapped and dressed Baby is wrapped and dressed

Water BirthWater Birth

Baby born under waterBaby born under water Weight of the water decreases some Weight of the water decreases some

intense pain of laborintense pain of labor

C- SectionC- SectionAdvantagesAdvantages

Abdomen and uterus are Abdomen and uterus are surgically opened and baby is surgically opened and baby is removedremoved

Mother does not feel any Mother does not feel any painpain

Less stressful on the babyLess stressful on the baby

C-Section C-Section DisadvantagesDisadvantages

SurgerySurgery Chance of deathChance of death Mother does not get to watch Mother does not get to watch

her baby being bornher baby being born Mother can not pick up her baby Mother can not pick up her baby

for a few days because her for a few days because her muscles are healingmuscles are healing