CHILDBIRTH PREPARATION

HOUSEKEEPING

• Sign In
• Restrooms
• Snacks/Beverages
• Breaks

SIGNS OF LABOR

• Rupture of Membranes
• Contractions

RUPTURE OF MEMBRANES

• C
• O
• A
• T
• Call your care provider!

CONTRACTIONS

• Tightening of entire uterus
• Longer, stronger, closer together
• No change with activity/position
• Result in cervical dilation
• Labor vs. practice

Timing Contractions:
Frequency-the beginning of one contraction to the beginning of the next
Length-from the beginning to end of one contraction

WHEN TO COME TO THE HOSPITAL

• Call your provider-come if they ask you to
• 4-1-1
• Mom says it's time
• Water is broken with no labor onset
• GBS positive and water broken or in labor

WE'RE HERE-NOW WHAT?

• Fetal monitoring
• History
• Exam
• IV and lab work
• Clear liquids only

AT THE HOSPITAL

• Nurse/Provider roles
• Labor check routine
• What to bring?

USE YOUR BRAIN

• Benefits
• Risks
• Alternatives
• Intuition
• Now/Nothing

BASIC ANATOMY

• Uterus
• Amniotic sac
• Umbilical cord
• Placenta
• Cervix

FETAL MONITORING

• External
• Internal

INTRODUCTIONS

• Tell us about your pregnancy. Boy or girl? Due date?
• What is your favorite things about being pregnant?
• How do you envision your birth?

4 P'S OF LABOR

• Passenger (presentation, position)
• Passageway
• Powers
• Position

PASSENGER

• Position and lie
• Presentation
• Fetal head
• Attitude

PASSAGEWAY

• Pelvis
• Cervix
• Vagina
• Pelvic floor muscles

POWERS

• Contractions
• Effacement and dilation
• Cardinal movements

POSITION

• Gravity
• Rotation
• Descent

OPTIMAL FETAL POSITIONING

INDUCTION OF LABOR

• Maternal health concerns
• Fetal health concerns
• ROM with no labor onset
• 41+ weeks
• Medical indication only

METHODS OF INDUCTION

• Foley Bulb
• Nipple Stimulation
• Stripping Membranes
• Natural methods
• Require provider monitoring!

METHODS OF INDUCTION

• Cytotec/Misoprostil
• Pitocin
• AROM

Pain in labor is different from other pain.
P - purposeful
A - anticipated
I - intermittent
N - normal, natural

CLASS MISSION

• Increase awareness
• Facilitate informed decision making
• Encourage partner involvement
• Contribute to a healthy, satisfying experience
• Promote relaxation

FEAR TENSION PAIN CYCLE

RELAXATION

• Maintains a feeling of control
• Speeds the labor process
• Promotes blood flow and oxygenation
• Partners can help!

BREATHING

• Slow paced
• Patterned paced

COMFORT MEASURES

• Productive Positioning
• Birth Ball/Squatting
• Acupressure/Massage
• Aromatherapy/Environs
• Hydrotherapy/Heat/Cold

IV PAIN MEDICATION

• Fast acting
• Don't take away pain
• IV narcotic analgesics

EPIDURAL

• Continuous via catheter in back
• Relieves pain, can still feel pressure
• Numb from breasts down
• Restricted to bed
• Foley and continuous monitoring

LOCAL ANASTHESIA

• Used for local repair
• "Caine" medication
• Numbing at site

PUSH!

• Energy focused toward vaginal opening
• Face and jaw relaxed
• Open glottis or valsalva
• Relax between contractions
• Watch care providers for direction

ASSISTED DELIVERY

• Vacuum
• Forceps
• Episiotomy

DELIVERY OF PLACENTA

• 5-30 minutes after birth
• Examined by care provider
• Provider checks perineum
• Repairs done as needed

Series Overview:
stages and signs of labor, hospital procedures, comfort measures, interventions, cesarean birth, informed choice, birth preferences

IMMEDIATE POSTPARTUM

• Baby skin to skin for Golden Hour
• Cord clamped and cut
• Breastfeeding initiated first hour
• Weight
• Vital signs, bath, medications

CESAREAN BIRTH

• Reasons for Cesarean
• Cesarean procedures
• Family centered Cesarean

NEWBORN

MOLDING

CAPUT

VERNIX

Milia

ACNE

MONGOLIAN SPOT

UMBILICAL CORD

WHEN TO CALL YOUR CARE PROVIDER

• Vaginal bleeding
• Fever over 100.4
• Pain or burning with urination
• Sudden or dramatic increase in swelling
• Severe headache or vision problems

BREASTFEEDING

THANK YOU

• Evaluations
• Contact your instructor with questions
• Call 303-425-2229 to register for classes
• Materaj@exempla.org

WHEN TO CALL YOUR CARE PROVIDER

• Can't keep food down 24 hours
• Severe abdominal/low back pain
• More than 4-6 contractions per hour
• 4-1-1 contractions >38 weeks

WHEN TO CALL YOUR CARE PROVIDER

• Changes in baby's movement
• Suspected break of bag of waters
• Immediately following trauma
• Anytime you feel something is not right

STAGES OF LABOR

• First Stage - early, active, transition
• Second Stage - complete, pushing
• Third Stage - placenta, postpartum

POSSIBLE SIGNS OF LABOR

• Lightening
• Nesting
• Mucous Plug
• Digestive Changes