1. February 2nd Lesson 9 (English) GS: Tara Kline – Canvas Health
Location: Lecture Hall
Topic: Sexual Assault, Sexual Harassment, Date Rape, Human Trafficking,
February 3rd Lesson 10 (Science) GS: FBI Agent
Topic: Tips on being safe minded, avoiding compromising and hazardous situations
February Lesson 11 (Science) Exam #2
– schedule TBP
CPR/AED make up: Canceled Jan 18 session – looking to Reschedule from Mar/Apr
Health Credit Validation: #1-April 12th , #2-May 10th and Final credit check-TBD

2. Pregnancy and Early Development
E.Q. How does human life begin? What significant events are happening during each Trimesters of pregnancy?

3. Setting the stage
Video 2:51

4. Overview of the Day
Small Group work from Reading “Pregnancy and Childbirth assignment”
Show video on Trimesters 1-3
Review Trimesters (if time)
Problems during pregnancy
Use of Ultrasounds
Summary
Quiz

5. Small Groups: Trimesters
Directions: Move to make a group of no more than 3 students per group. Read hand out titled “Pregnancy and Early Development”. Answer all questions on worksheet – sharing your answers is highly recommended. You will have 15 minutes to complete, done review additional articles.

6. Work Time
15 Minutes

7. Conception to Birth Video
Weeks 1 to 9
Weeks 10-14
Weeks 15-20
Weeks 21 to 27
Weeks 28 to 37
Inside Pregnancy
(Labor to Birth)

8. Keeping healthy during pregnancy

9. Prenatal care during pregnancy
Regular examinations with your Doctor.
-blood tests, childbirth options, weight, urine tests, fetal heartbeat, ultrasound, amniocentesis
Eating Healthy, Rest, and Exercise
Managing Stress
Making sure mother and baby are healthy
Provide education

10. Ultrasound 1 of 2 Why? 1st Trimester Confirm pregnancy
Check the fetal heartbeat
Determine the gestational age of the baby and
estimate a due date
Check for multiple pregnancies
Examine the placenta, uterus, ovaries, and cervix
Diagnose an ectopic pregnancy
Look for any abnormal growth in the fetus

11. Ultrasound 2 of 2 2nd and 3rd Trimester
Monitor the fetus’ growth and position (breech, transverse, cephalic, or optimal)
Placenta to check for problems, such as Placenta Previa (when the placenta covers the cervix) & Placental abruption
(when the placenta separates from the uterus prior to delivery)
Check for congenital abnormalities or birth defects (Down syndrome wks)
Fetus for structural abnormalities or blood flow problems
Monitor the levels of amniotic fluid
Determine if the fetus is getting enough oxygen
Diagnose problems with the ovaries or uterus, such as
pregnancy tumors
Measure the length of the cervix confirm an intrauterine death

12. Stages of Childbirth

13. Labor of Love Stage 1 or (Dilation stage): (see notes above)
Stage 1- longest stage (8-10, or up to 20+ hours)
Cervix Dilated to 3-4 centimeters
Cervix Dilated to 4-7 centimeters
Cervix Dilates to 8-10 centimeters
Contractions 5-20 minutes apart
Contractions 3-4 minutes apart
Contractions seconds apart
Mild and irregular
Longer and severe
Strong and urge to push
Stage 1 or (Dilation stage): (see notes above)
Stage 2 or (Pushing stage): “Crowning of the Head” - 30min-2hrs
Stage 3 or (Placental stage): Placenta, remaining section of umbilical cord and amniotic sac is delivered – a few minutes

14. Stage 1: Dilation of Cervix
Early labor: Your cervix gradually effaces (thins out) and dilates (opens). Active labor: Your cervix begins to dilate more rapidly, and contractions are longer, stronger, and closer together. Often referred to the last part of active labor as transition Cervix dilating 0-10 cm

15. Stage 2: “Pushing” phase
Cervix fully dilated Begins when Cervix is fully 10 cm and ends with the birth of your baby. This is sometimes referred to as the "pushing" stage.

16. Stage 3: Afterbirth Passage
A few minutes after the umbilical cord is cut, the mother delivers the placenta and the rest of the umbilical cord

17. Help with labor

18. Help with labor Episiotomy Forceps Vacuum extraction
Emergency cesarean “C” section

19. Episiotomy
An incision made in the skin below the vagina to facilitate the passage of the baby through the vagina
Routine episiotomies are no longer recommended. Still, the procedure is warranted in some cases. Your health care provider might recommend an episiotomy if: Extensive vaginal tearing appears likely. Less than 20% receive, rather than the 60-80% a few decades ago.

20. Forceps
Large instrument with broad pincers, used to encircle a baby's head and assist in birth.
Rotate baby
Fetal Distress

21. Vacuum extraction
A soft or rigid cup with a handle and a vacuum pump — to the baby's head to help guide the baby out of the birth canal.

22. Caesarian Section (C section) 1 of 5
Doctor removes the fetus surgically - 1 in 4 women are likely to experience a cesarean delivery.

23. Caesarian Section (C section) 2 of 5
Reasons for a Caesarian
Breach, not positioned correctly, fail to descend
Mother’s pelvic structure
Baby too big
Active herpes
Multiple births
Mother or baby under stress
High blood pressure
Monitor heart beat
Toxemia
Kidney damage

24. Caesarian Section (C section) 3 of 5
Risks and Complications for the Mom
Infection: incision site, or uterus and in other pelvic organs such as the bladder.
Hemorrhage or increased blood loss: There is more blood loss in a cesarean delivery than with a vaginal delivery.
Injury to organs: Possible injury to organs such as the bowel or bladder
Adhesions: Scar tissue may form inside the pelvic region causing blockage and pain. Adhesions can also lead to future pregnancy complications
Extended hospital stay: After a cesarean, the normal stay in the hospital is 3-5 days after the birth, if there are no complications.
Extended recovery time: range from weeks to months. 
Maternal mortality: cesarean is higher than with a vaginal birth.
Emotional reactions: Some women who have had a cesarean report feeling negatively about their birth experience and may have trouble with initial bonding with their baby.

25. Caesarian Section (C section) 4 of 5
Risks and Complications for the Baby
Premature birth: If gestational age was not calculated correctly, a baby delivered by cesarean could be delivered too early and have low birth weight6.
Breathing problems: When delivered by cesarean, a baby is more likely to have breathing and respiratory problems. 
Low APGAR scores: LowAPGAR scores can be the result of anesthesia, fetal distress before the delivery or lack of stimulation during delivery (Vaginal birth provides natural stimulation to the baby while in the birth canal). Babies born by cesarean are 50% more likely to have lower APGAR scores than those born vaginally8.
Fetal injury: Very rarely, the baby may be nicked or cut during the incision (on average, 1 or 2 babies per 100 will be cut during the surgery9).

26. Caesarian Section (C section) 5 of 5

27. Summary
Take care of yourself – eat healthy, exercise and don’t use Alcohol or do Drugs during your pregnancy
Regular Doctor visits
Comfort and Pain Management during Labor* Talk with Dr
Medication (Short acting – narcotics)
Epidurals
Choice to Breast Feeding
Baby latching on to suck
Breast Pump
After Delivery care
Rest and take time to recovery

28. The End

29. Take out your phone, iPad or laptop
Log into Moodle - Go to Page 1
Find WHS Embedded health – 12th grade
Lesson 8: Pregnancy Quiz
Complete quiz Jan 20th 11:59pm
Hit submit all and Finish

30. Back up Slide

31. Epidural Anesthesia 1 of 2
More than 50% of women giving birth at hospitals use epidural anesthesia
Anesthesia given to a woman in her back for pain relief of labor and delivery.
How it works?
Epidurals block the nerve impulses from the lower spinal segments. This results in decreased sensation in the lower half of the body.
Woman does not feel pain, but she and the baby are not drugged.
Doctor will go over all your options prior to delivery and help you decide what is best for you and your baby

32. Epidural Anesthesia 1 of 2