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The Birthing Process

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Dominique Tran

on 14 September 2012

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Transcript of The Birthing Process

Presented by: Low Birth Weight Very Low Birth
Weight Extremely Low Birth
Weight <5.5 lb or 2500 g <3lb5oz 1500 g <2lb3oz 1000 g David, Meghan, Karina, Linda, Stacey, Chad, Eryc, and Dominique are BABIES Let's talk born all over the world? about it. How The Chemical Process Time to Delivery At about 38 weeks, the fetal brain signals the release of the hormone oxytocin which prepares the fetal brain for delivery and initiates labor. Contractions are weak and irregular initially but eventually become strong and regular. The average baby is born after 12 hours of active labor for first births and 7 hours for subsequent births, although labor can take twice as long or half as long. Hospital Births Apgar Scale Home Births Risk Analysis Harmful Substances Low Birth-weight Complications during
birth Also known as teratogens, these increase the risk of prenatal abnormalities Defined as being under 2,500 grams 1.Anoxia
2.Preterm Birth
3.SGA Teratogens Diseases Introduction 1
Normal Uncomplicated 2
C-Section 3
Apgar Scale 5
Home vs Hospital 6
Risk Analysis 7 Less than 1% of births occur in home; and in some jurisdiction home birthing is illegal.
The option of home birthing is strictly recommended solely under the supervision of a certified midwife and Ob/Gyn
Home births are more common in European countries: 2% in England & 30% in Netherlands. Home Births The
Process Advantages Safer for mother and child
Only place available to do cesarean section if necessary
Has people to look over mother and baby at all times to make sure they are in good health
Pain medications available to making birthing easier
Allowed to have family around for comfort
More sanitary than birthing at home Disadvantages Parents may feel more comfortable at home
Lack of privacy
Baby and mother are usually separated for awhile after birth
More expensive than a natural home birth
Intimidating environment may cause stress or panic
Not allowed to have many people visit you at one time Quick assessment of a newborn's health on a scale from 0-10
Most newborns score an 8 or 9. A score of 10 is rare.
•Below 7 = newborn needs help
•Below 4 = Neonatal Pediatrician is alerted for emergency care
• World Wide use The baby’s position as the birth process begins
Stage I: The cervix dilates to allow passage of the baby’s head
Transition: The baby’s moves into, and through the “birth canal”, AKA, the vagina
Stage II: The baby’s head moves through the opening of the vagina – this is referred to as “crowning”
The head of the baby is turned slightly to allow the shoulders to come out more easily
The baby emerges Normal
Uncomplicated Birth Cesarean Delivery Advantages Disadvantages - Can birth in the privacy of her own home
- Some feel more comfortable having special loved ones around them while giving birth
- Bond between mother and child is stronger since the baby is not taken away In some third world countries, for example Ghana, the assistance of professionals is not available.
Mothers who choose this method must accept a greater responsibility of their own health.
The possibility of a delay time to transfer the newborn or mother is prominent if a complication arises. In some third world countries, for example Ghana, the assistance of professionals is not available.
Mothers who choose this method must accept a greater responsibility of their own health.
The possibility of a delay time to transfer the newborn or mother is prominent if a complication arises. also known as a C-section — is a surgical procedure used to deliver a baby through an incision in the mother's abdomen and a second incision in the mother's uterus. C-sections account for as many as 33% of births in the U.S. annually.
A woman’s labor isn't progressing
The baby is not getting enough oxygen
The umbilical cord is wrapped around the neck
The baby is in an abnormal position
The woman is carrying multiples
Cephalopelvic Disproportion, when the child's head is too large or the mother's pelvis too small RISKS and DISADVANTAGES Increased bleeding
Blood Clots
Inflammation and infection of the membrane lining the uterus, known as Endometriosis
Mom is not able to bond with baby immediately after birth since she is just recovering from major surgery
Recovery time is much longer than a vaginal birth Cesarean delivery possible if: Rubella
Measles, Chicken Pox, Influenza
Sexually transmitted diseases
Infections Pollutants Lead, Mercury, PCBs, Pesticides, herbicides, and cleaning compunds Radiation Massive or repeated exposure to radiation, as in medical x-rays Social/Behavioral Factors High stress levels
Excessive, exhausting exercise Medicinal Drugs Lithium
Retinoic Acid
Phenobarbital Psychoactive drugs Caffine
Cocaine Newborns First Minutes Breath and cry on their own
•02 to Lungs Color change from bluish to pinkish
•Color Change due to blood flow beneath the skin, regardless of skin hue.
•Mucus removed from throat. It can cause shallow/strained breathing.
•Umbilical Cord cut from Placenta becomes “Belly Button”.
•Examined, weighed, and given to Mother to preserve body heat.
•Eyes open, fingers grab, toes stretch and retract-Ready for life! Dr. Apgar's simple rating scale of 5 vital signs: ACRONYM
1. 1. Color 1. Appearance
2. 2. Heart rate 2. Pulse
3. 3. Cry 3. Grimace
4. 4. Muscle Tone 4. Activity
5. 5. Breathing 5. Respiration Doula Doula
is a woman who helps with the birth process
Traditionally in Latin America, a doula was like a midwife
In North America, doulas are now likely to work alongside a hospital's medical staff to help mothers through labor, delivery, breast-feeding, and new-born car
Full transcript