1. Birth!

2. Signs of Labor
Methods of Childbirth
Childbirth Medications
Stages of Labor
Neonatal Care
The Effects of Birth
Postpartum Period

3. Final Preparations
Mother will have weekly checkups as she nears her due date.
Ultra sounds will be done to check that the baby is in position
Pack a bag!

4. Signs of Labor
Approaching Labor
Labor Begins

5. Signs of Labor Approaching Labor Pre-labor contractions – False labor
Braxton-Hicks Contractions may begin as early as week 20
Lightening
Baby moves position and relieves pressure
Passage of Mucus Plug
Gel substance that seals the cervix

6. Signs of Labor Labor Begins Water Breaks – Passage of Fluid
True Contractions
Contractions are pains felt during labor when the muscles of the uterus tense.

7. Methods of Childbirth Traditional Childbirth
Family-Centered Childbirth
Lamaze Method – mother in control
Leboyer Method – minimize trauma for infant
Cesarean Delivery

8. Childbirth Medications
General Anesthetics
Regional Anesthetics
Epidural
Local Anesthetics
Episiotomy

9. Stages of Labor
Dilation Stage
Delivery Stage
Afterbirth Stage

10. Stages of Labor Dilation Stage Expand the cervix
Normally less than a centimeter wide
During labor cervix will dilate to 10
Each contraction cause the cervix to dilate more
Once mother reaches 7-8 cm, transition phase
Most painful part of pregnancy
Water should be broken at this point
Longest stage of labor, 8-20 hours
Shortens with additional children

11. Stages of Labor Delivery Stage Cervix has reached full dilation
Lasts typically 30 minutes – 2 hours
Time to Push!
Crowning, first view of baby’s head
Episiotomy?
After head appears, doctor will rotate baby
Routine care or skin-skin contact

12. Stages of Labor Afterbirth Stage Final Stage of Labor
Lasts minutes
Expels the afterbirth, placenta
Doctor checks to ensure its whole
Apgar Test
Newborn evaluation

13. Neonatal Care Neonate = newborn, birth to one month Umbilical cord cut
Vernix is washed off
Id band

14. Neonatal Care Newborn Screening Tests The Brazelton Score Blood tests
Movement, reflexes, responses, and general state
Blood tests
Anemia, PKU (phenylketonuria)
Eye drops
Prevent any STI-related eye infections

15. Neonatal Care Emergency Care Premature Birth, before week 35
Low Birth weight
Drug Addiction
Low Apgar Test
Serious Health Condition

16. Neonatal Care Circumcision Removal of male’s foreskin
Religious reasons
Health reasons
Uncircumcised males: smegma
Reduces likelihood of cancer

17. The Effects of Birth Bonding – A Critical Experience
What promotes bonding
Delays in Bonding
Handling Negative Feelings
Unplanned/unwanted pregnancy
Medical problems
Depressions
stress

18. Postpartum Period Lasts about six weeks after birth Going Home
Moving around helps speed recovery
Shrinking of uterus
Heavy bleeding, similar to menstrual period will last for a week or more
Going Home
Normal birth, a day
C-Section, 3 days