2. Labor and Delivery By: Bethany and Francesca

3. Stages of Labor and Delivery Stage One- labor contractions and dilating Stage One- labor contractions and dilating Stage Two- delivery Stage Two- delivery Stage Three- placenta expulsion. Stage Three- placenta expulsion.

4. Stage One- Labor What is Labor? Labor is the process of expulsion of the fetus and the placenta from the uterus.

5. Signs of Labor The baby “dropping” The baby “dropping” More Braxton Hicks contractions More Braxton Hicks contractions Your cervix starts to ripen Your cervix starts to ripen You pass your mucus plug or notice "bloody show" You pass your mucus plug or notice "bloody show" Your water breaks Your water breaks

6. The Very Beginning of Labor You will begin to feel the contractions You will begin to feel the contractions *Dilation starts *Dilation starts *Dilation is gradual widening of the cervical opening

7. Stages of Labor Labor can be broken down into the following stages… Early labor or Latent labor Early labor or Latent labor Active labor Active labor Transition Stage Transition Stage

8. Early Labor or Latent Labor Longest stage Longest stage  Contractions may be spaced 5 to 20 minutes apart and last anywhere from 30 to 45 seconds each. Continues until dilation reaches 3 centimeters. Continues until dilation reaches 3 centimeters. Backache, mild diarrhea, anxiety and/or excitement are common Backache, mild diarrhea, anxiety and/or excitement are common

9. Active Labor Stage Dilation occurs at a steadier pace Dilation occurs at a steadier pace Cervix becomes four to seven centimeters dilated. Cervix becomes four to seven centimeters dilated. Baby starts to position itself Baby starts to position itself

10. Transition Stage Contractions most intense Contractions most intense Cervix fully dilated Cervix fully dilated Your ready to push Your ready to push

12. Stage 2- Delivery of the baby Women feel the urge to push Women feel the urge to push Baby is born Baby is born

13. Stage 3- The Placenta Placenta is delivered Placenta is delivered Less painful than childbirth Less painful than childbirth Happens about 20 minutes after child birth Happens about 20 minutes after child birth

14. Common Labor Complications Breech Baby Breech Baby Abnormal heart rate Abnormal heart rate Fetal meconium Fetal meconium Slow labor Slow labor Placenta previa Placenta previa

15. Uncommon Labor Complications Fetal Distress- which occurs when the fetus has not been receiving enough oxygen Fetal Distress- which occurs when the fetus has not been receiving enough oxygen Can last when pregnancy lasts too long or complications occur Can last when pregnancy lasts too long or complications occur

16. C-Section Delivery of a baby through a surgical incision in the mothers abdomen. Delivery of a baby through a surgical incision in the mothers abdomen. More likely to have an infection, excessive bleeding, blood clots, more postpartum pain. More likely to have an infection, excessive bleeding, blood clots, more postpartum pain. Longer recovery, longer hospital stay Longer recovery, longer hospital stay

18. Epidural Pain relief in the form of a needle Pain relief in the form of a needle Creates a numbing feeling in the lower body Creates a numbing feeling in the lower body

19. Epidural Advantages Effective pain relief Effective pain relief Can adjust the strength of the medicine as the contractions worsen Can adjust the strength of the medicine as the contractions worsen The mother is still awake The mother is still awake

20. Epidural Disadvantages Takes 15 minutes to receive the medicine, doesn’t work for 20 minutes Takes 15 minutes to receive the medicine, doesn’t work for 20 minutes Can slow labor Can slow labor Sensation in legs may be lost Sensation in legs may be lost May reduce blood flow to the baby May reduce blood flow to the baby

22. 100 Vocab EpiduralC- Section Complications 200 300 400 200 300 400 Stages of Labor

23. Vocab 100 ______is the process of the cervix getting bigger as the child gets ready to be born.

24. Vocab 200 ______ is the expulsion of the fetus and the placenta from the uterus

25. Vocab 300 ______ is an injection of anesthetic into the spine, especially associated with pain relief during childbirth

26. Vocab 400 _______ is the delivery of a baby through a surgical incision in the mothers abdomen and uterus.

27. Stages of Labor 100 _______,_________,________ are the three stages of labor

28. Stages of Labor 200 Which phase is the longest of the three stages and the least painful

29. Stages of Labor 300 Which phase is where the contractions are the most intense, your cervix fully dilates and the baby is born

30. Stages of Labor 400 Which phase is where most of the contractions begin and the baby moves into position.

31. Epidural 100 Name one advantage of an Epidural

32. Epidural 200 Name one disadvantage of receiving an Epidural

33. Epidural 300 15 minutes is the amount of time it takes to ________

34. Epidural 400 20 minutes is the amount of time for _________.

35. C-Section 100 One reason for C-section to occur is ________.

36. C-Section 200 _______ and _________ are the two ways you would have a C-section

37. C-Section 300 _______ is the percent of women who receive this.

38. C-Section 400 ______ is a downside of receiving c-section

39. Complications 100 _____ is when the baby is not positions correctly.

40. Complications 200 ______ is when the baby has passed the first bowel movement in the womb

41. Complications 300 ____ is used when the labor is slow and needs to be induced.

42. Complications 400 _____ occurs when the fetus has not been receiving enough oxygen.