CFD 1220 Lecture Notes - Lecture 8: Caesarean Section, Natural Childbirth, Apgar Score

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The apgar scale: score of 7 or better: good condition, score between 4 and 6: baby needs assistance, score of 3 or lower: baby is in serious danger and needs medical attention. Approaches to childbirth: western society, before late 1800s home births, post-industrial revolution hospital births, 1950s 1960s movement toward natural childbirth, today birth centers (and some home births) Elements of natural, or prepared, childbirth: classes, relaxation and breathing techniques, labor coach. Other natural childbirth practices: doula: a trained lay attendant who provides social support, delivery positions, upright: shortens labor and reduces complications, water birth: relaxes mother, shortens labor, and reduces complications, home delivery: less than 1% of u. s. births. Medical interventions in childbirth: fetal monitoring, medication, analgesics, anesthetics. Instrument delivery: low forceps can injure the baby" head and the mother"s tissues, vacuum extractors increase the risk of, bleeding between baby"s skin and skull, bleeding beneath the baby"s skull, infant seizures.

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