1. Child Development List 5 words that come to mind when you hear “Labor”

2. Labor and Delivery Get out a piece of paper for Labor/Delivery notes

3. Stages of Labor Before Labor begins –Cervix normal shape, size, closed First Stage of Labor –Contractions: tightening and releasing of uterus muscles –Contractions lead to Dialation (the widening and thinning of cervix) –The thinning of cervix is Effacement. Cervix must thin from 3/4 inch to as thin as piece of paper

4. Stages of Labor Transition –The completion of first stage –Cervix fully dialated to four inches (10cm) and effaced –Baby head slips out of uterus into birth canal

5. Stages of Labor Second Stage –Crowning: top of head appears at the top of the birth canal –Head emerges: Head changes shape to fit through canal, after head, comes shoulders, then rest of body comes easily Third Stage –Placenta: woman delivers placenta, no longer needed by baby

6. Bellringer What are the stages of Labor? What is the most interesting thing you learned about labor yesterday?

7. Complications Breech: baby not head down position, feet/buttocks first Assisted birth: may need forceps, episiotomy, vaccuum Cesarean birth (c-section): surgical incision in abdomen to remove baby

8. Birthing Center Not usually attached to Hospital--can be a problem if to far away from home. Nurses/Midwifes--usually not dr.’s LDRP’s: Labor, Delivery, Recovery and Postpartum rooms High class hotel suites instead of hospital rooms Refrigerators, whirlpools, private rooms/baths, regular bed, sleeping space for dad.

9. Hospitals Can still have get LDRP’s and even whirlpools to ease pain Doctors, and all emergency equipment for mom and baby A lot of medical interventions

10. Home Birth In own home Midwife or Doula--labor assistants Comfortable in own home, lots of alternative techniques : acupuncture, aroma therapy, yoga, etc. Support though the whole process Away from emergency equipment and dr.

11. Water Birth Home, hospital or birthing center Easier transition for baby and mom Relaxing environment Must sanitize equipment and water Medical problems unlikely Need trained professionals Rent pools and equipment