CYAF 160 Lecture Notes - Lecture 5: Threshold Of Pain, Episiotomy, Fetus

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Birth and its cultural context: the birth process, contractions. Braxton-hicks contractions: early painless, and sporadic; no obvious cervical changes. Labor contractions: within a couple of weeks before due date may help cervix thin out and may dilate a bit: labor initiation oxytocin causes labor to begin. Approximately 266 days after conception: 1st stage: labor. Longest and most taxing stage (6-12 hours: contractions in the uterus causes cervix to dilate (open) Birth process initiated but taking longer than normal to delivers: contractions but cervix not dilating, common in: Baby does not move down birth canal: women age 35+, epidural, diabetes, history, fertility treatments, large baby, problems with amniotic fluid, walking around, synthetic oxytocin, breech presentation: Placenta, tearing of the uterus, hysterectomy: c-section: potential risks to child, 1% to 3% chance of fetal injury. Skin laceration: increased rates of immune problems. Asthma and allergies: easing the birth, several improvements in birth process. Fathers more likely involved: collaboration during birth, medications are safer.

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