1. Natural Labor
VS.
Cesarean

2.  Prelabor
 First stage
 Second stage
 Third stage
 Fourth stage

3.  Nonprogressing
contractions
 Cervix ripens
 Contractions are
longer, stronger, and
closer together

4.  Nonprogressing
contractions
 Passage of bloody
mucus from vagina
 Leakage of amniotic
fluid
 Progressing
contractions
 Gushing of amniotic
fluid
 Dilation of cervix

5.  Begins when the
cervix is fully dilated
 Ends when the baby is
born
 Urges to push
 Pain lessens which
helps the mother calm
down
 Non-rushing stage
 May require many
different positions

6.  Shortest and least
painful
 10-30 minutes
 Uterus contracts
causing placenta to
detach from uterine
wall
 Clamping and cutting
of the umbilical cord

7.  Lasts from after
delivery of the
placenta until your
condition is stable
 Indicated by BP,
pulse, vaginal
discharge and uterine
tone
 1-2 hours

8.  May be planned,
unplanned
(emergency)
 Many reasons
-prolonged labor
-fetal distress
-fetal problems
-prolapsed cord
-placental abruption

9.  Typically signing consent
form for surgery
 Abdomen/upper pubic
hair shaved
 May be given antacid
medication to avoid
emesis
 IV drip starts and remains
in place for 24 hours after
delivery
 Catheter inserted to keep
bladder empty when
anesthetic has taken effect

10.  Lie on back
 Abdomen washed
with antiseptic
 Sterile sheet draped
over body and
surgical drape
between you and
abdomen

11. SKIN INCISION UTERINE INCISION

12.  Doctor inspects uterus
 Incisions in your uterus
and abdomen sutured
with absorbable thread
 Skin closed with either
absorbable thread,
nonabsorbable thread,
staples or clips removed
before you go home
 Pitocin in IV is
continued to keep
uterus from contracting

13. NATURAL LABOR CESAREAN
 More alert after birth  Low trauma
 Easier latching of the
breast
 No narcotics in system
 Lower risk of fetal
distress
 Discharge scores may
be higher and able to go
home more quickly

14. NATURAL LABOR CESAREAN
 Mother never loses  No labor pain
sensations of her body
 Dignity and privacy (no
 Able to walk around and
monitor pain to know checking of the cervix)
what stage of labor she is  Most likely scheduled
in
 No post epidural
headache
 Less chance of nausea
 Less groggy after birth
 Accomplishment felt

15. NATURAL LABOR CESAREAN
 Prolonged delivery  Premature birth
 Complications can arise  Breathing problems
 Lower APGAR scores
requiring longer stay at
hospital
 Fetal injury

16. NATURAL LABOR CESAREAN
 Episiotomy  Serious abdominal
surgery
 Bursting of blood  Incisions through
vessels abdomen, muscle,
uterus…
 Anyerisum  Infection
 Other natural  Blood loss
complications can arise  Injury to organs
 Longer hospital stay
 Extended recovery time
 Higher maternal mortality