1. Health Mrs. Wagner Labor and Delivery

2. It is important for parents to know what to expect during pregnancy, birth and the adjustment period after birth.

3. Stages of Labor Stage 1 4 – 24 Hours Strong contractions: cause cervix to dilate (increase in width) Dilate from 2.5 cm to 10 cm Contractions last 30 – 90 seconds each Water Breaks – amniotic sac breaks – loose amniotic fluid – naturally or is broken by doctor

4. Stage 2 30 minutes to 2 hours Actual birth or delivery Contractions continue – pushes baby out – head first Baby out – umbilical cord is cut Mucus removed from nose and mouth Drops in eyes and Vitamin K injection – prevent excessive bleeding from umbilical cord Baby given Apgar Score – rated 0 – 2 in each category: Heart rate, breathing, muscle tone, response to stimulus & skin color

5. Stage 3 Delivery of placenta (afterbirth) 15 – 30 minutes

7. Ceserean Section (C-Section) Baby too big – Mother to small Breech birth /Transverse birth Exhaustion Fetal Distress Mother’s Dying – car accident, cancer, etc STD’s Multiple Births

8. Identical – one egg & one sperm Fraternal – 2 or more eggs & 2 or more sperm Twins – one in 70 births More twins because of fertility drugs Triplets – 1 in 7,000 births Quadruplets – 1 in 750,000 births Anything above 4 – because of fertility drugs/invitro fertilization