1. Labor and Delivery
Unit 3
Chapter 11

2. Objectives
Determine a central idea of a text and analyze its development over the course of the text
Write narratives to develop real or imagined experiences

3. Bell Work
One thing that I learned as a child that I will never forget is….
Where do babies come from?

4. Labor and Delivery Flip Book
Read the chapter in the text on Labor and Delivery and create the flip Book.

5. The stages of labor First stage Second stage Third Stage
Contractions cause cervix to dilate
Second stage
The baby is born
Third Stage
The placenta is expelled

6. First Stage of labor Early labor Phase where contractions are mild
Last 30 to 40 seconds and occur every 20 to 30 minutes
Last usually about 8-12 hours
Can engage in light activity such as walking around or taking a shower

7. First Stage Active Labor
Once the cervix has dilated to about 3 centimeters
Usually 3 to 5 hours
Contractions become stronger and more frequent
Women are advised to go to the hospital or birthing center when contractions are five minutes apart or less

8. Checking in to the hospital
Hospital gown
Identification band
Medical history
Sign forms
Urine sample
Pelvic examination
Check dilation and position of the fetus

9. First stage Pulse and blood pressure checked regularly Fetal monitor
Keep track of babies heart rate and stress

10. First Stage Transition Last 30 minutes to two hours
Contractions last about 60 to 90 seconds and occur about every 30 seconds
Dilates from 7 to 10 cm wide

12. Reducing discomforts of labor
Having support of loved ones
Being well rested
Light snacks during early labor
Knowing what to expect
Using techniques taught in prepared childbirth classes

13. Medications available
Systemic drug
Helps relieve pain tension or nausea
Injected into a muscle or vein
Local anesthetic
Causes loss of sensation
Given by injections and numbs a small area

14. Medications Regional anesthetic General anesthetic Epidural
Numbs a large area
Injected in the space that surrounds the spinal cord in the lower back
Numbs the uterus and birth canal without stopping labor
General anesthetic
Produces unconsciousness

15. Second stage Delivery of the baby begins Start to push
Usually 20 minutes to 2 hours
Contractions seconds every 3 to 5 minutes
May move to a separate delivery room
Alternate positions
Kneeling, squatting, or lying on one side

16. Second stage
Head first and facing the mother’s back

17. Second stage
As the head begins to emerge the baby turns face upward

18. Second stage
Baby’s skull is made of flexibly joined plates of bone allowing it to be temporarily molded into an egg shape

19. Second Stage Episiotomy
A surgical cut to ease the passage of the baby’s head through the vaginal opening
Stitched up after birth
When the head emerges the attendant suctions mucus from the baby’s nose and mouth
The head of the baby widens the passage for the rest of the body
Shoulders emerge one at a time

20. Second stage
Doctors can use a suction device or forceps to help with delivery
The umbilical cord is cut
Neither the baby or mother feels this

21. Third stage of labor The placenta is delivered
Mild contractions separate the placenta from the uterine wall
10-30 minutes
a menstrual-like flow begins
Last for several days to 6 weeks

22. Variations in the birth process
Breech presentation
The baby is feet or buttocks first
Sometimes can be delivered normally may need to have a surgical delivery

23. Variations in the birth process
Cesarean delivery
Deliver the baby through a surgical opening in the mother’s abdomen
May be necessary when
Mother’s pelvis is too small
Breech
Multiples
Preexisting medical condition
Placenta covers the opening of the uterus
Long labor
Heart rate drop

24. Activities
Labor video
Sorting Activity
Creative Writing Project