Goal is to learn how to deal positively with pain and to relax at the onset of a contraction.
Low income and minority groups are less likely to take advantage of these methods.
Family Birthing Center http://www.stlukeshospital.com/pg_progserv/ps_birthing.htm
1/3 of woman receive an epidural anesthesia– produces numbness from waist down.
Newer: Walking epidural or D ual spinal-epidural – smaller needles deliver continuous anesthetic; can move about more freely during labor.
Effects of Pain Medications on Baby
depresses oxygen flow
fetus becomes less responsive
fetus may have slower motor control fetus (may be slower to sit and stand during first year)
initial interaction between mother and fetus may be affected
**Not all studies suggest harmful effects for fetus!**
Longer is Better… Some medical insurance companies are pushing for moms to only be allowed to stay for 24 hours. Do you think this reduction is justified?
Trained health care workers use the
a ppearance (color)
p ulse (heart rate)
g rimace (reflex irritability)
a ctivity (muscle tone)
r espiration (respiratory effort)
The APGAR Scale
Postpartum blues: symptoms appear 2 to 3 days after delivery and subside within 1 to 2 weeks No symptoms Postpartum depression: symptoms linger for weeks or months and interfere with daily functioning Percentage of U.S. Women Who Experience Postpartum Blues and Postpartum Depression Affects ~10 percent of mothers. Can cause emotional problems for infants. One in 500 cases include break with reality, like Andrea Yates. 10% 70% 20%