The Birth Process…(Continue) Electronic Fetal Monitoring Vaginal VS Cesarean Delivery Medicated VS Non-medicated Delivery
Cesarean Surgery (pictures)http://pregnancy.about.com/od/cesareansection/ss/cesarean.htm In this picture the doctor is getting ready to make the initial incision into her abdomen
Cesarean Surgery (pictures) There are multiple layers that the surgeon has to go through. The procedure can last from 5 to 10 minutes
Cesarean Surgery (pictures) The doctor will use a combination of sharp instruments and blunt dissection as s/he goes through each layer. You may also hear whirring noises as a machine is used to burn small blood vessels to prevent bleeding
Cesarean Surgery (pictures) When the doctor reaches the uterus, you will also hear suctioning. After cutting through the uterus, the amniotic fluid will be suctioned away to make a bit more room in the uterus for the doctors hands or instruments such as forceps or a vacuum extractor.
Cesarean Surgery (pictures) The baby is usually engaged in the pelvis, usually head down, but perhaps rear first or breech. Whatever part has entered the pelvis will be lifted out by the doctors. The pt. may feel pressure at this point and some women report feeling nauseated during this intense, but brief moment.
Cesarean Surgery (pictures) The baby’s head is born
Cesarean Surgery (pictures) Once the head is out, your doctor will suction the babys nose and mouth for fluids. In a vaginal birth these are normally squeezed out by labor and birth. In a cesarean birth, the baby needs some extra help getting rid of these fluids.
Cesarean Surgery (pictures) Once the baby has been well suctioned, the doctor will start to help the rest of the body be born. S/he will check of umbilical cord entanglement or other complications.
Cesarean Surgery (pictures) The moment youve been waiting for - the babys birth! Its been about 5-10 minutes since the surgery started. The baby will briefly be held over the drape and then taken away by a nurse to a nearby warmer.
Cesarean Surgery (pictures) The repair of the uterus and the layers that were cut during the surgery need to be repaired. During this portion of the surgery the placenta will also be removed and examined by your doctor. This is the longest part of the cesarean section, which total takes about 45-60 minutes to complete.
The New Baby Born Size and Appearance. Body Systems. Medical and Behavioral Assessments. States of Arousal.
Complications of ChildbirthLow Birth Weight: Smoking during pregnancy Induced delivery Delayed childbearing Fertility drugs Poor nutrition Medical conditions (High blood pressure, depression, anemia, etc.)
Complications of Childbirth…(Continue) Post-maturity Stillbirth
Survival and HealthDeath during Infancy:2. About 8 million infants die before 1 year old (worldwide).3. Causes: Preterm delivery, pneumonia, asphyxiation.4. In the US 6.87 infants died for every 1,000 live births (Year 2005).5. Birth defects is the # 1 cause of infant deaths in US, followed by SIDS, low-birth weight, and other maternal complications of pregnancy.6. African American babies are twice as likely to die in their first year compared to white and Hispanic babies.7. Death from Injuries.
SIDS Sudden infant death syndrome is a condition that occurs when infants stop breathing, usually during the night, & die without apparent cause. It is recommended to place infants on their backs to sleep in order to reduce the risk of SIDS.
Early Physical DevelopmentPrinciples of Development Cephalocaudal Principle: is a sequence in which the greatest growth always occur at the top – the head – with physical growth in size and weight and gradually works its way down from top to bottom. Proximodistal Principle: refers to the sequence in which growth starts at the centre of the body and moves outwards towards the extremities.
Early Physical Development…(Continue)The Brain:3. Building the Brain4. Major Parts of the Brain5. Brain Cells
The Brain’s Development At birth, the newborn’s brain is about 25% of its adult weight. By age 2, the brain is about 75% of its adult weight. Newborns have all of the neurons they will ever have – about 100 billion. The primary motor areas of the brain develop earlier than the primary sensory areas.
The Neuron…what is it? Definition of a NeuronA nerve cell that handles information processing at the cellular level
The Brain’s Hemispheres The cerebral cortex, the highest level of the brain, is divided into 2 halves, or hemispheres. Each hemisphere is involved in various & specialized functions of thinking, feeling, & behavior. Extensive research on the brain’s hemispheres has focused on language. At birth, the hemispheres have already started to specialize. Newborns show greater electrical brain activity in the left hemisphere than the right hemisphere when listening to speech.
Early Physical Development…(Continue)Nutrition:3. Breast or Bottle?5. Encouraging Breast-Feeding
Nutrition Human milk, or alternative formula, is the baby’s source of nutrients & energy for the first 4 to 6 months of life. Growing consensus is that breast-feeding is better for the baby’s health.
Nutritional Needs and Feeding Appropriate weight gain Fewer allergies Prevention or reduction of gastrointestinal & respiratory infections also acute & recurrent otitis media (middle ear infections) Denser bones in childhood & adulthood Reduced risks for childhood cancer & breast cancer in mothers. Lower incidence of SIDS
Malnutrition in Infancy Weaning from breast milk to inadequate nutrients, such as unsuitable & unsanitary cow’s milk formula, can lead to conditions called marasmus & kwashiorkor. Even if it’s not fatal, severe & lengthy malnutrition is detrimental to physical, cognitive, & social development.
Marasmus Marasmus is a wasting away of body tissue in the infant’s first year, caused by severe protein calorie deficiency. Infants become grossly underweight & muscles atrophy.
Kwashiorkor Kwashiorkor is a condition caused by a deficiency in protein in which the child’s face, legs, & abdomen swell with water. Vital organs collect nutrients & deprive other parts of the body of them. Hair becomes thin, brittle, & colorless.
Sensory and PerceptualDevelopment Sensation and Perception Visual Perception Hearing Touch Smell Taste
Sensation and Perception Sensations occur when information interacts with sensory receptors – the eyes, ears, tongue, nostrils, and skin. Perception is the interpretation of what is sensed.
Visual Perception The newborn’s vision is estimated to be 20/400 to 20/800 on the Snellan chart – about 10–30 times lower than normal adult vision (20/20). By 6 months vision improves to 20/100. By 8 months, vision approximates that of an adult. By 4 months all color-sensitive receptors are functioning at adult capacity.
Hearing In the last few months of pregnancy, a fetus can hear sounds (the mother’s voice, music, etc.) Infants are born with the ability to discriminate speech sounds from any language, but without constant exposure, they lose the ability by their 1st birthday.
Touch Newborns respond to touch, particularly with the sucking & rooting reflex. An important ability that develops during the first year is to connect information about vision with information about touch. Newborns can feel pain.
Smell Newborns can differentiate odors. Young infants show a preference for the smell of their mother’s breast by six days old.
Taste Sensitivity to taste may be present at before birth. Two-hour-old newborns made different facial expressions when they tasted sweet, sour, and bitter solutions. At 4 months of age, infants prefer salty tastes, which newborns found adverse.
Motor Development Reflexes Gross Motor Skills Fine Motor Skills
Motor Development…(Continue) Reflexes are genetically carried survival mechanisms, that govern the newborn’s movements. Reflexes may serve as important building blocks for subsequent purposeful motor activity.
The Sucking Reflex The sucking reflex occurs when newborns automatically suck an object placed in their mouth. Enables newborns to get nourishment before they have associated a nipple with food. Disappears after 3–4 months.
The Rooting Reflex The rooting reflex occurs when the infant’s cheek is stroked or the side of the mouth is touched. In response, the infant turns its head towards the side that was touched in an apparent effort to find something to suck. Disappears after 3–4 months.
The Moro Reflex A neonatal startle response that occurs in response to a sudden, intense noise or movement. When startled, a newborn arches its back, throws back its head, & flings out its arms & legs. The newborn then rapidly closes its arms & legs to the centre of the body. Disappears after 3–4 months
The Grasping Reflex The grasping response occurs when something touches the infant’s palms. Infant responds by grasping tightly. Replaced around the end of the third month by voluntary grasps, often produced by visual stimuli.
Gross Motor Skills Gross motor skills involve large muscle activities, such as moving one’s arms & walking. Gross motor changes are the most dramatic & observable changes in the infant’s 1st yr of life. The month at which gross motor milestones occur varies by as much as 2-4 months. In the 2nd yr of life toddlers become more mobile.
Fine Motor Skills Fine motor skills involve more finely tuned movements, such as finger dexterity. Infants have hardly any control over fine motor skills at birth. They do have many components of what later become finely coordinated hand & finger movements. Reaching & grasping become more refined during the first 2 yrs of life.