CCT210H5 Lecture Notes - Lecture 10: Placenta Praevia, Apgar Score, Water Birth

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Published on 7 Jul 2017
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Lecture 2/7: Childbirth
Preparing for Childbirth
Corticotropin-releasing hormone (CRH)
Help mother give birth
If to high it can cause premature birth
Lightning head drops low into the uterus approx. 2 weeks before birth
Stress hormones released in baby
Stages of Labor
Mother goes through 3 stages:
Dilation and effacement of cervix
Delivery of baby
Delivery of placenta
Stage 1 Dilation and Effacement
Duration:
First birth: 12-14 hours
Later births: 4-6 hours
Contraction happen a lot
Transition is the most painful part of birth
Stage 2 Delivery of Baby
Duration:
First birth: 50 minutes
Later births: 20 minutes
When baby is at the birth canal and mother is told to push
Stage 3 Delivery of Placenta
5-10 minutes
Childbirth
Approach shaped by culture and society
Importance of social support
Less birth complications
Healthier babies
Women who have family around are most likely to give birth to healthier baby
Medical Assistance During Labor
Induced labor 23% of births*
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Break amnion and release amniotic fluid
Synthetic oxytocin
Contractions tend to be more intense
Have a longer duration
Pain medication 60% of births*
Risk of medication crossing through placenta
Contractions tend to be weaker
No long term harm
Baby are more sleepy when the medication get to them in the stomach
Fetal monitors 85% of births*
Monitor on mother’s abdomen or on baby’s scalp
Delivery instruments 3% of births*
Forceps
Vacuum extractor
Have a high risk of injury
Cause tissue damage
Brain damage
*in United States
Cesarean Delivery (C-Section)
37% of births in US
Surgical incision in abdomen to remove baby
Risk of anesthetic reaching baby
Longer recovery time
They have to nume the mother which could be a risk for the baby
Take longer time to recover
Common in medical emergencies and when baby is in breech position (feet first)
Natural, Prepared Childbirth
Plan to reduce medical assistance and pain
Childbirth classes
Help educate women to reduce their fear
Relaxation and breathing techniques
Position of body during delivery
Upright or water birth
Upright:
Found that it’s easier than to lay down
Water birth
Relax the body to make the birth easier
Social and emotional support
Partner, friend, or family
Doula
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Document Summary

If to high it can cause premature birth. Lightning head drops low into the uterus approx. Transition is the most painful part of birth. When baby is at the birth canal and mother is told to push. Women who have family around are most likely to give birth to healthier baby. Baby are more sleepy when the medication get to them in the stomach. Monitor on mother"s abdomen or on baby"s scalp. Surgical incision in abdomen to remove baby. They have to nume the mother which could be a risk for the baby. Common in medical emergencies and when baby is in breech position (feet first) Plan to reduce medical assistance and pain. Help educate women to reduce their fear. Found that it"s easier than to lay down. Relax the body to make the birth easier. They are their before and after birth. High risk for disability and death if not prepared for unexpected complications or emergencies.

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