1. The Baby’s Arrival Child Development Chapter 6

2. Early Signs of Labor “Show” or “bloody show” refers to the few drops of blood or a pinkish vaginal stain that occurs when the mucus plug dissolves. This plug seals the cervix. Cervix – the lower part of the uterus.

3. Early Signs of Labor A trickle or gush of warm fluid may indicate that the amniotic sac has broken. –Delivery will be within 24-48 hours –Check color of fluid

4. Early Signs of Labor Contraction – the tightening and releasing of the muscles of the uterus. Fetal monitoring – watching an unborn baby’s heart rate for indications of stress.

5. Premature Labor Medications can be used to stop premature labor. Signs – –Contractions every 10 minutes or less –Dull backache –Leaking fluid or blood

6. False Labor Contractions that are not regular or rhythmic Contractions that do not get stronger over time Contractions that end with light exercise such as waking or stretching

7. Inducing Labor Induce – to start labor by artificial means –Medication –Puncturing amniotic sac

8. Stages of Labor Stage 1: Contractions open the cervix Stage 2: The baby is born Stage 3: The placenta is expelled Pg. 168 copies

9. Stage 1 Officially begins when contractions are coming at regular intervals. –Increase in strength, length and frequency –30 sec, 30 minutes apart – early –60 sec, 5 minutes apart – active labor –Pain medication –Breathing techniques helpful –Dilate – widen or open –Transition – cervix fully dilated (10 cm or 4 inches)

10. Stage 2 Contractions during this state are more productive, pushing the baby through the pelvis and out the vagina or birth canal. –It is safe for mom to push –During labor, a hormone called relaxin allows tissue to stretch like rubber bands –Episiotomy –Forceps –Vaccum

11. Stage 3 The placenta or organ that supplies oxygen to the fetus, separates from the uterine wall. –Cord blood – blood that is left behind in the umbilical ford and placenta following birth. –Stem Cells – cells capable of producing all types of blood cells.

12. Coping with Labor Childbirth Classes Breathing & relaxation techniques Anesthesia – drugs that cause loss of feeling Epidural block – numb lower half of body

13. Cesarean Birth The delivery of a bay through a surgical incision in the mother’s abdomen. –Due to lack of normal progress during labor –Baby in distress –Baby turned in wrong direction –Multiple births –Major Surgery

14. Premature Birth 5-6 percent of all babies Before reaching 37 weeks (less that 5 lbs, 8 ounces) Systems for controlling body temperature, breathing and feeding are not mature yet. Incubator – a special enclosed crib where the oxygen supply, temperature and humidity can be closely controlled Advances in technology have helped

15. The Newborns Appearance Fontanel – an open space found on the baby’s head where the bones are not joined. These bones fuse or combine. Puffy or swollen face Eyes are nearly adult-size Languno – fine downy hair (preemies) Vernix – white pasty substance

16. Apgar Scale Review

17. Tests Hearing Blood type Screen for Certain Diseases Vaccines – vary from state to state

18. After the Birth Neonatal Period – the first moth after the baby is born. Mom and baby usually released between 12 - 48 hours after birth. Jaundice – causes the baby’s skin and eyes to look slightly yellow. (50%) Bilirubin – a substance produced by the breakdown of red blood cells.

19. Bonding Emotional needs Bonding is forming emotional ties between parent and child. –Voice –Heartbeat –Warmth –Blanket –Focus on parents face –Eating Colostrum – a high calorie, high protein early breast milk

20. Help with Feeding By the fourth day, breast-feeding mothers begin producing more milk. Lactation consultant – a professional breast feeding specialist. –Sleepy

21. Rooming-in Rooming-in means that the baby remains with the mother during the entire hospital stay. –Full or Partial –Father

22. Legal Documents Birth Certificate Social Security Number

23. Caring for Premature Babies NICU – neonatal intensive care unit Level 1 – routine care Level 2 – close monitoring Level 3 – care for serious or life threatening conditions

24. Mother’s Postnatal Care Postnatal Care – the time following the baby’s birth. –Hormone levels –Sleep –Physical Recovery Time –Nursing

25. Mother’s Postnatal Care Rest Exercise Good Nutrition –300 more calories each day Medical Checkups Postpartum Depression – a condition in which new mothers may feel sad, cry, have little energy, anxious feelings and little interest in the baby.