1. Labour and Delivery Psy 30 Spiritwood High School

2. Stages Described as occurring in three stages 1. Early Labour = very variable, 12-24 hours Uterine contractions 15- 20 minutes apart, getting progressively closer together as labour progresses Last about a minute, also increase in intensity Cervix dilates from starting point to 10 cm and thins out

4. Fundal Heights

5. Second Stage – Delivery Presenting part starts to move through the cervix. Again very variable in time – minutes to an hour. Mother bears down and pushes with each contraction

7. Third Stage - Afterbirth Shortest stage The placenta, umbilical cord and other membranes are expelled. Mother will be aware and feel this Birth attendants will try to ensure placenta intact

8. Placenta

9. Umbilical Cord

10. Cutting the Cord

11. In the Delivery Room Birthing room for most Normal Term deliveries Babies do not get held upside down or slapped. Fathers (or significant others) are most often offered to cut the umbilical cord if they chose Healthy infants are most often placed on the mothers skin to allow warmth and immediate bonding. Only those infants that need specialized care are moved from the room.

12. External Fetal Monitoring

13. Electronic Fetal Monitoring

14. Birthing Techniques Lamaze –A popular for of “natural childbirth” where expectant mothers try to cope actively with the pain of childbirth by relaxation and breathing. –Meant to eliminate or reduce the need for medication

15. Birthing Techniques 2 Caesarian Section –The surgical removal of a baby from the uterus –Preformed when CPD – discordance between baby’s head and Mom’s pelvis. Fetal distress – monitoring suggests baby is in trouble Presenting part is not the head Maternal complications – bleeding

16. Caesarian Section

17. Pain Control Lamaze IV Epidural Nitrous Oxide – “laughing gas” Used to be more widely available. In Saskatchewan, fewer deliveries in rural hospitals (availability of staff and risks/liability) so seldom used.

18. Complications for Baby Precipitous delivery – baby arrives too fast. Less time for circulation and lungs to respond to conditions outside the uterus Anoxia – insufficient supply of oxygen to the baby which can result in brain damage Premature delivery Breech position Meconium aspiration

19. Posterior Presentation

20. Breech Presentations

21. External Version for Breech

22. Face Presentation

23. Brow Presentation

24. Transverse Lie

25. Meconium Aspiration

26. Prevention

27. NICU

29. Complications for Mom Retained placenta Post-partum hemorrhage Amniotic fluid embolus

30. Anti shock Garment