1. Notes Objective 3.03 Healthy Pregnancy & Delivery

2. locations for delivery  Home delivery  Birthing room delivery  Standard hospital delivery

3. locations for delivery  Home delivery  only for uncomplicated births  might run into complications

4. locations for delivery  Birthing room delivery  more home-like atmosphere  have to go home within 24 hours

5. locations for delivery  Standard hospital delivery  insurance companies cover at least 2 days  high cost

6. Delivery Options  Natural Childbirth  The Lamaze method  The Leboyer method

7. Delivery Options  Natural Childbirth  less sedation  can run into unexpected complications

8. Delivery Options  The Lamaze method  can control pain with breathing  have to take time to go to classes

9. Delivery Options  The Leboyer method  makes the birth less shocking and more comfortable for the baby  fit classes into schedule

10. personnel to assist with deliveries  Obstetricians  Family doctors  Licensed midwives

11. personnel to assist with deliveries  Obstetricians  specialize in the care of mothers and babies both before, during and right after birth  expensive

12. personnel to assist with deliveries  Family doctors  provide prenatal care and deliver babies  complications can be above the doctor’s skills

13. personnel to assist with deliveries  Licensed midwives  assist women in childbirth  complications can be above midwife skills

14. Maintain personal hygiene  Maintain normal grooming & body care habits  Have dental checkup  Avoid very cold or very hot baths  Replace tub baths with showers or sponge baths during the last four to six weeks of pregnancy

15. Healthy Labor and Delivery  signs of labor  Lightening - the baby drops lower into the pelvis

16. Healthy Labor and Delivery  signs of labor  Effacement - the cervix becomes thinner

17. Healthy Labor and Delivery  signs of labor  The cervix dilates or widens

18. Healthy Labor and Delivery  signs of labor  A pinkish discharge called “show” comes from the vagina

19. Healthy Labor and Delivery  signs of labor  Amniotic sac ruptures - “water breaks”

20. Healthy Labor and Delivery  signs of labor  Contractions begin by tightening and relaxing of the uterus muscles

21. Stages of Labor  Pre-labor-Signs of labor appearing  Mother may feel a burst of energy  Mucous plug becomes loose  AKA: “bloody-show”  Amniotic sac may break  “water breaks”

22. First Stage of Labor  Cervix dilates ◦ Contractions come every 15 or 20 minutes ◦ Full dilation will measure 10 centimeters in width  3 inches

23. Second Stage of Labor  The baby is born  Cervix fully dilated-10 centimeters  mother is allowed to move around freely  Lasts from 20 minutes to two hours  Pelvic and vaginal area scrubbed

24. Typical birth  baby travels down birth canal  head first facing toward the mother’s back  Doctor may make surgical cut  Episiotomy -widen the opening  Head is delivered then shoulders by rotating them slightly  Cuts umbilical cord when baby is delivered

25. Third Stage of Labor  Placenta is delivered  Mild contractions separate the placenta from the uterine wall and it moves into the vagina  Nurse massages the abdomen of the mother  usually takes 10-30 min.  Mother pushes to expel the placenta

26. Types of Delivery  Vaginal  Cesarean

27. Reasons for Cesarean delivery  When the labor is not progressing fast enough and a problem develops  Baby in distress or turned in the wrong direction  breech birth  Multiple births

28. Procedures for Cesarean delivery  Perform surgical procedure  Moved to recovery  Walk as soon as possible  Recovery up to six weeks

29. Examining the Newborn  Apgar Scale  scale zero to two  checked at one minute  and again at five minutes until normal  total score is 6-10 range.  Ten is a perfect score.  Appearance  Pulse  Grimace (Reflex irritability)  Activity  Respiration

30. Nurse’s check  Weight  Measurement  Dry off  Apply antibacterial drops or ointment  Injection of vitamin K to prevent bleeding disorder