FMLY 1010 Lecture 21: Lecture 21

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Family Social Sciences
FMLY 1010
Christine A.Schippers

R98729 Regulated health care profession Assess, supervise, and care for women prior to and during pregnancy, labour, and postpartum period Licensed to conduct deliveries and to care for newborn Drugs During Labour and Delivery Analgesics given during labour to reduce pain Sedativestranquilizers administered to reduce anxiety Anesthesia given later in labour to block pain Totally blocks pain (general), blocks in certain body part (local epidural) Drugs given during labour pass through the placenta, enter fetal bloodstream, and may remain there for several days Fetuses whos mothers given drugs are more sluggish, gain less weight, spend more time sleeping in first few week No consistently observed effects of analgesics and tranquilizers after first few days Natural childbirth avoiding any drugs Lamaze method Rely on psychological and behavioural methods of pain management o Select labour coach, take childbirth classes to psychologically prepare Learn relaxation and breathing techniques Location of Birth Women often deliver babies in specialized maternity clinics, 4 alternatives in Canada: Traditional hospital maternity unit o Birth centrebirthing room in a hospital (homelike setting, family members present) o Freestanding birth centre located apart from hospital, midwife involved Mothers home Most babies in Canada are born in hospitals (98.5) Can have no more complications that hospital delivery when doing a home delivery if appropriate prenatal care The Physical Process of Birth 3 stage of birth 1 dilation effacement (cervix opens up and flattens out) *dilated to 10cm o Early phase contractions are far apart, not too uncomfortable o Active phase 34 cm dilated until 8cm, contractions are closer together and more intense o Transition phase 810cm, contractions are closely spaced and strong *most painful Shortest phase 2 delivery women has urge to start pushing Babys head moves past stretched cervix into birth canal, and out of mothers body Less distressing than transition phase Typically lasts less than an hour
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