Pregnancy,Labor and Birth Bethany Dzivasen Women’s Health Issues Worcester State University February 12, 2013
“We bring to childbirth ourhistories, our relationships, ourrituals, our needs and values thatrelate to intimacy, our sexuality,the quality and style of family lifeand community, and our deepestbeliefs about life, birth and death.” INSPIRING QUOTE
Nine Months of Change and GrowthPhysical Changes Emotional Changes• Breasts enlarge • Hormone levels usually• Congestion leave mothers to be• Frequent Urination feeling depressed and under the weather during• Aches and pains their pregnancy.• Shortness of breath• Constipation• Heartburn and gas• Leg Cramps
Choosing A Practitioner and Birthplace• Type of Providers to choose from: Midwives- Midwifery is a health care profession in which providers offer care to childbearing women during pregnancy, labor and birth, and during the postpartum period. They also help care for the newborn and assist the mother with breastfeeding. Physicians- A family physician is a medical doctor who is trained to provide basic, comprehensive care to people of all ages. Some family physicians provide maternity care and have hospital delivery room privileges Obstetrician- a physician who specializes in the branch of medicine concerned with pregnancy and childbirth Maternal-Fetal Medicine Physician- specialists in the obstetrics field who have additional training in complicated obstetrics.
Birthplaces• Home- Home birth is a good option for healthy women who have healthy pregnancies, a safe and supportive home environment, and easy access to backup medical care• Freestanding Birth Center- A healthcare facility with midwives and obstetricians and a homelike feel.• Birth Centers in Hospitals- This is a midwife type of home atmosphere located inside a hospital.• Hospital- The standard setting for many women who prefer to be close to medical care while giving birth or who intend to use an epidural for pain relief.
Maternity Care• Too few women get adequate prenatal care.• Too many women are exposed to the risks of high-tech procedures, even when they are healthy and unlikely to benefit from them.• Too many women are subjected to these potentially harmful procedures without giving informed consent.• Too few women have the benefit of low-tech supportive care practices that help them safely cope with the demands of pregnancy, labor and birth.• Too many women end up with physical and emotional health problems after giving birth.
Prenatal Care Your First Visit – As soon as you suspect youre pregnant, call to schedule an appointment with your obstetrician, family physician, or midwife. – Even if youve confirmed your pregnancy with a home test, its wise to follow up with a physical examination so you can start getting prenatal care. – They will ask about yourFetus at 8 weeks old gynecological health, other health history questions, family medical history and your habits that could impact the fetus.
Tests During Pregnancy• Tests that give information about your health: Anemia, HIV-positive or conditions that can be treated.• Tests for fetal impairments: – Genetic Carrier Tests: test for diseases that can be inherited by the fetus – Screening Tests: measures the likelihood that your fetus has a condition but cannot test that the fetus actually has the condition – Diagnostic Tests: identifies whether the fetus has a particular condition
Special Consideration• High-Risk Pregnancy – Teens – Late 30’s and 40’s – Weight – Abuse or Violence – Sexual Abuse – Disability – Chronic Illness – Addiction – Previous Cesarean Section – Depression or Other Mental Illness
Preparing for Labor and Birth• Planning for Pain Management: The pain relief methods you choose to use can affect your experience and memories of labor.• Planning with Confidence, Knowledge, and Flexibility: Learning about our options for coping with labor and working with a knowledgeable support team can help us feel less anxious.• Preparing for Breastfeeding: Talk with your doctors and midwives about breastfeeding in advance.
Stages of Labor Prelabor How long will it last? On and off for days or weeks How dilated will my Cervix be? 0 to 3 cm How strong will the Contractions be? Vary greatly in length and intensity. What else might be happening?Mucus discharge, backache. It’s hard to tell when you more from this into latent- phase labor.
Stages of Labor Stage 1:Latent Phase How long will it last? A few hours to a day or more How dilated will my Cervix be? 0 to 4-5 cm How strong will the Contractions be? Vary widely. Usually short and spaced apart. What else might be happening?Mucus discharge, backache and upset stomach
Stages of Labor Active Phase How long will it last? Between 2 and 10 hours How dilated will my Cervix be? 4-5 to 7-8 cm How strong will the Contractions be? Last about a minute or more, spaced regularly. What else might be happening?You may feel tired or discouraged, wondering if you can do it. Pressure in your lower back, need to change position often
Stages of Labor Transition Phase How long will it last? A few contractions to 1-2 hours How dilated will my Cervix be? 7-8 cm to full dilation How strong will the Contractions be?Occur about every 2 minutes and last at least 60 seconds with short rest time in between What else might be happening?Intense emotions and physical sensations. You may feel restless, irritable, and exhausted. Trembling, nausea, and vomiting are common just before the cervix becomes completely dilated.
Stages of Labor Stage 2: Pushing, giving birth How long will it last? A few contractions to over 3 hours How dilated will my Cervix be? Fully dilated, 10 cm How strong will the Contractions be? Powerful contractions about every 3 minutes What else might be happening?Pain lessens and you may be able to rest for a brief timebefore the urge to push becomes uncontrollable. A burningsensation when the baby finally makes it through the birth canal
Stages of Labor Stage 3: Delivery of placenta How long will it last? May last up to 30 minutes or longer How strong will the Contractions be? No contractions, then one to several strong cramps What else might be happening?Provider may massage uterus to cause it to contract and reduce bleeding; this can be painful
Stages of Labor Stage 4: Recovery How long will it last?May last 1-2 hours if birth was un-medicated and not prolonged or difficult How strong will the Contractions be? Mild or moderate cramps as uterus contracts What else might be happening?Thick, bloody vaginal discharge that may last 2-4 weeks. Uterus will tighten to prevent bleeding. Swelling and discomfort if your perineum. Trembling legs.
Discussion QuestionWhat would your birthing plan look like? Where would you want to have your baby? Would you want a doctor or midwife? Would you look for a form of pain relief or would you want to have your baby the natural way?