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Labor and Delivery.

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Presentation on theme: "Labor and Delivery."— Presentation transcript:

1 Labor and Delivery

2 What does labor feel like?

3 1. Doctors and Location Obstetrician Gynecologist (OBGYN): the doctor trained to deliver the baby Midwife: registered nurse with additional training OR person with formal training in childbirth

4 1. Doctors and Location Birthing Room: labor, delivery, and postpartum recovery in same room Delivery Room: labor, delivery in this room, then MOVED to a postpartum room to recover

5 2. Delivery Options 1. Vaginal: delivered through vaginal opening
2. Cesarean: surgery performed so baby can be delivered through an incision made in the abdomen wall and uterus Reasons for performing C-Section: -position of baby -the umbilical cord wrapping around the baby’s neck -problems with the fetal heart rate -the fetus is under stress -the mother is in danger

6 Continued… Anesthesia Natural: childbirth without any medication
Epidural: pain medication injected into spinal cord that numbs from abdomen or pelvis downward

7 3. Indications that Labor has begun:
Lightening: dropping of baby into Pelvis (occurs during 9th month) Show/Mucous Plug: pinkish plug that covers the cervix, released at the beginning of labor Water Breaking: amniotic sac breaks, releasing amniotic fluid Braxton-Hicks: “false labor.” They can occur throughout the pregnancy and typically involve the back, not the uterus. They are not regular and can go away with exercise.

8 Lightening of the baby

9 3. Indications that Labor has begun:
Contractions: regular tightening of uterus working to push baby down birth canal Dilation: extent to which cervix has opened in preparation for childbirth -Measured in centimeters -Full dilation is 10 centimeters Effacement: thinning of cervix in preparation for birth -Expressed in percentages -You will be 100% effaced when you begin pushing *Contractions get LONGER, and CLOSER together as labor gets closer


11 4. During and After Labor Episiotomy: surgical incision made in perineum used to enlarge vaginal opening to help deliver baby Forceps and Vacuum Extractor: tools used by obstetrician to guide fetal head during delivery Fontanels: soft spots between unfused sections of the baby’s skull -Allow baby’s head to compress slightly during passage through birth canal Delivery: when fetus is being expelled from uterus

12 Vacuum assisted/Forceps assisted

13 4. During and After Labor APGAR: measure of physical condition of newborn -The rating goes from 0 to 10 -Score of 7 or higher indicates a healthy newborn Lochia: bloody vaginal discharge, comparable to a heavy period -Occurs in a woman after delivery -Can last up to six weeks Post-Partum: time after delivery where rest is the mother’s primary need


15 5. Delivery Positions (head first, face down is desired)
Station: position of the baby in the birth canal Breech Position: feet or buttocks first Posterior Position: head first and face up Transverse Position: fetus is laying sideways

16 REVIEW Signs of approaching labor:
Mucus plug is dislodged from cervix Contractions consistently 10 minutes apart Possible release of amniotic fluid The first stage is the longest stage (2-10 hrs) The third stage is the shortest stage (placenta)

17 Cesarean Section (C-Section) http://www. youtube. com/watch
C-Section LIVE (Show: Start – 1:53, 2:35 -3:45 min) Vaginal Delivery (Show: 49 – 2:12 min) Natural Delivery LIVE – National Geographics (Show 4:07-5:00 min)

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