LABOR & DELIVERYOBJECTIVESYou will be able to….. Identify and describe stages of labor and

delivery Identify, describe and demonstrate

helpful labor positions Identify and describe different birthing

methods and techniques Analyze different birthing methods to

determine effectiveness.

JOURNAL

When you think about a person goingthrough the process of labor anddelivery, what comes to mind?

List or write in paragraph form all thethings that come to mind… explainWHY these are the things you thinkabout.

Stages of Labor

1. Early2. Active3. Transition4. Pushing5. Birth 6. Afterbirth

Early Labor Mild contractions-

periodic tightening and relaxing of uterine muscles

Cervix is Effacing (thinningout) & Dilating(opening up) Contractions will

gradually become longer, stronger and closer together

Early labor is officially over when cervix is dilated to 4 centimeters and contractions get stronger and closer together

For first time mothers this stage can last 6-12 hours

Active Labor Cervix begins to dilate more

rapidly Takes about 4-8 hours for cervix

to fully dilate from 4-10 centimeters (first time moms)

During this time contractions last longer and are more painful

If contractions are too painful to handle, this is the time to ask for epidural

QUICK WRITE On the same page as your journal for

today:No peeking at your notes!!!

Write down 2 important facts about Early Labor and Active Labor

(Yes- two each)

No peeking at your notes!!!

Cervical Effacement & Dilation

http://www.babycenter.com/2_video_3658872.bc

In your notes answer the following….

Cervical Effacement means…..

Cervical Dilation means…..

It is important for the cervix to be fully dilated to 10 centimeters (4 inches) because……

Transition Often referred to as the most

challenging stage of labor Powerful contractions dilate the

cervix from 8-10 centimeters Contractions come every 1-3

minutes and can last from 60-90 seconds

The baby has descended into the pelvis – mother may feel the urge to push

EVERYBODY

STAND UP

LABOR POSITIONS

SWAYING

LABOR POSITIONS

LUNGING

LABOR POSITIONS

SQUATTING

Labor Positions

Think, Pair, Share (left-hand side of notebook)After trying out these positions how

does you body feel?How do you think this might help a

woman who is going through labor?

Pushing Once the cervix is fully dilated,

there will be a clear path for the baby’s head to follow

Mother will be encouraged to push with every contraction – will need extra coaching if pain meds are used

For first time mothers pushing can last for 1-2 hours

Mother may want to try different positions for pushing

Pushing After a time the perineum (tissue between

vagina and rectum will bulge Top of baby’s head will become visible-

Mother may request to touch and/or look at head with a mirror

This is usually a very exciting moment and a sign that the end is in sight!

Doctor may coach mother to slow down pushing in order to give tissues time to stretch

Slow, controlled pushing helps prevent tearing

Mother may be encouraged to use breathing techniques to counter the urge to push

REACH A CONSENSUSAn epidural takes away all sensation from

the waist down.

How can this loss of sensation/feeling affect the

transition and pushing stages of labor?

Each group discuss for 2 minutesReach a consensusShare with class

Birth of Baby!!! Baby will continue to descend Baby’s head will “crown” – the time when

the widest part of the head is visible After the baby’s head is completely out-

doctor will suction mouth and nose (to remove mucus)

Doctor will also check to see if the cord is around baby’s neck

Baby’s head turns to the side as shoulder’s rotate to get into position to exit

Mother will be coached to push as shoulders emerge- one at a time-

After shoulders emerge- rest of baby slips out

Afterbirth Umbilical cord is clamped and cut Mother will feel some mild contractions as

the placenta detaches from the uterus Mother may be encouraged to push to

help expel the placenta Can take 5- 10 minutes for placenta to be

delivered Most babies will begin to breastfeed about

an hour after birth Early nursing is good for both mom and

baby because it releases oxytocin which helps the uterus firm up and contract

Natural Childbirth

No medication, vaginal deliveryhttp://www.youtube.com/watch?v=v3gvIKu7ANU&feature=player_embedded

C- Section http://www.babycenter.com/2_video_3656510.bc

Abdominal Incisions

Water Birth http://www.babycenter.com/2_liv

e-birth-water-birth_3658855.bc

Water birth is a method of giving birth, which involves immersion in warm water.

Epidural http://www.babycenter

.com/2_live-birth-epidural_10314055.bc

Epidural is a regional anesthesia that blocks pain in a specific area or region of the body

Induced LaborInduce- to lead or move by

influence http://bcove.me/z5k00tog

Various methods used to speed

up the labor process

Episiotomy Is a surgical cut in the muscular

area between the vagina and the anus (the area called the perineum) made just before delivery to enlarge the vaginal opening

Expectant mothers should be sure to discuss this with their doctors to prevent an unnecessary episiotomy

Is not more beneficial than natural tearing- can actually cause more damage (anal incontinence)

Episiotomy

Postpartum Healing New mothers will feel very sore and bruised after

giving birth It can take about 4 weeks for the uterus to shrink

back to normal size The place where the placenta was attached has

open blood vessles, these will still bleed until the uterus contracts enough to close them off- takes a day or two

All of the extra blood and water the mother produced for the baby will need time to regulate.

New mother’s will have extra water that their body has to get rid of- extra urination and excessive sweating is how the body expels the extra water

Vaginal discharge of a substance called lochia is normal for a few weeks after birth, as the uterus continues to contract, heal and slough off tissues

Postpartum Healing Hormonal changes will prompt the

breasts to produce milk. BREAST MILK IS THE BEST MILK

All new mothers are encouraged to breast feed the first few days so the baby will receive colostrum a thick yellowish substance that contains rich nutrients and antibodies that protect the baby’s immune system

C-section requires extra healing time!!!

LAST 5 MINUTES……

Look over notesThink of one question you still have about labor & delivery

Write down Answer next time