Childbirth Ch. 19 – Lesson 3 Get a book – Read pages 498-499.

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Presentation transcript:

Childbirth Ch. 19 – Lesson 3 Get a book – Read pages 498-499

What types of anesthetic are used in delivery? Labor and Delivery First Stage (2-24 hours): Labor begins with contractions muscular squeezing of the uterus Begins every 15-20 minutes Amniotic sac ruptures – water breaks (appx. 1 pint of fluid released) Cervix dilates 10-13 cm What types of anesthetic are used in delivery?

Labor and Delivery Second Stage (up to 2 hours): crowning – the baby’s head can be seen Episiotomy – incision from the vagina to the anus Birth of the baby Remove blood, fluid, mucous from nose/mouth Baby’s first breath Clamp umbilical cord once it stops pulsating crowning Episiotomy

Labor and Delivery Third Stage: afterbirth – expulsion of the placenta takes between 5 and 10 minutes *On average, birth takes about 14 hours for the 1st child and 8 for the 2nd afterbirth

Complications at Birth Breech birth – feet or buttocks of the baby enter the birth canal first Caesarean Birth (C-section) – A surgical method of birth where an incision is made through the abdominal wall and uterus. Breech birth Caesarean Birth (C-section)

Complications at Birth Stillbirth Premature Birth – delivery of a live baby before the 37th week of pregnancy. What are some increased health risks associated with premature birth? What happens to the umbilical cord after the baby is born? Premature Birth

Post Delivery Baby is kept warm Injection vitamin K Antibiotic (silver nitrate) Weighed Measured Infant checked for reflexes: Rooting reflex (turns head at touch) Sucking reflex Startle reflex Palmar grasp reflex

Post Delivery Why is breastfeeding recommended? What are the benefits? Apgar score – determines the baby’s need for emergency care; 2 points each for heart rate, breathing, muscle tone, reaction to a stimulus, and skin color. +7 = good; 5-7 needs help; 0-5 immediate care Family sensitive birth practices: - Newborn placed on mother’s stomach - Father assists in cutting cord - Held by mother/father Mother nurses baby Why is breastfeeding recommended? What are the benefits?