1. September 25, 2012

2.  Game Reflection  General Review of Stages of Pregnancy for pregnancy quiz  Start Labor and Delivery Notes

3.  Get out a piece of paper to turn in today!!  What was your job duties in your group-- what did you do?  On a scale of 1-10 (ten being best) how well did your group work together? Was anyone absent? How many days?  How well do you think your group fulfilled the requirements of the assignment?  What would you do differently if you had to do this assignment again?

4.  What game do you most enjoy? Why?  Least enjoy? Why?  Easiest? Why?  Most difficult? Why?

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

6.  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

7.  Transition ◦ The completion of first stage ◦ Cervix fully dialated to four inches (10cm) and effaced ◦ Baby head slips out of uterus into birth canal

8.  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

9.  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

10.  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.

11.  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

12.  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.

13.  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