| Anatomy | Physiology | Stage 1 of Labor and Birth | Stages 2 + 3 of Labor and Birth | Interventions and Transfer |
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front to back
The space in the pelvic inlet is the widest from side to side, but widest from ___ to ____ in the pelvic outlet.
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Oxytocin
Name the hormone that causes rhythmic uterine contractions during labor.
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-Non-progressing contractions (mild, 8-20 minutes apart)
-Bloody Show (A mixture of mucous with a tinge of blood.) -Leaking of amniotic fluid (leaking as opposed to a gush)
What are 2 preliminary signs of labor?
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rectum
Feeling pressure in your _________ is a great sign of your baby’s head moving down the birth canal.
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Benefits
Risks Alternatives do Nothing Decide/Discussion
What does BRAND stand for?
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Squats
What is the best exercise to lengthen and stretch pelvic floor muscles?
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any 2 of the following:
Oxytocin Endorphins Ephinephrine Prolactin
Name 2 of the 4 major hormones present in labor and birth!
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Active labor contractions are longer, stronger, and closer together.
Active labor contractions are ___________, ____________, and _____________ together.
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-low-pitched noises and tones
-Groans and moans with lose mouth
What does productive vocalization sound like?
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IV Antibiotics for GBS Infection
Amniotomy Episiotomy
Name 2/3 Intervention Options available at Home
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Labor is less about your cervix OPENING & more about the thickness & contracting POWER of the uterus moving baby down & out.
Labor is less about your cervix _________ & more about the thickness & contracting _________ of the uterus moving baby down & out.
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Hormones should facilitate labor and function best when they're not interrupted during the process.
Hormones should facilitate labor and function best when they're not ___________ during the process.
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1. Rest
2. Take a shower or bath 3. Watch TV/ listen to music 4. Change positions 5. Take a walk around the house, room or outside 6. Relaxation techniques 7. Go to the bathroom often 8. Vocalization
Name 3 ways to cope during the 1st Stage of Labor.
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Change positions as needed.
Push when you feel the urge. Rest in between contractions. Don’t rush! Take your time and listen to your body.
Name 2 ways to pace yourself during pushing.
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1.Does not guarantee a quicker labor /may not prevent slow progress
2. Can cause fetal distress 3. Increases risk of maternal infection 4. Increases possibility of a cord prolapse 5. Contractions more intense afterwards 6. Caregivers usually want a woman to give birth within 24 hours
Name 2 risks of an Amniotomy.
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When major ligaments are imbalanced during labor, & muscle tissue isn't lengthened, it can prolong the baby’s rotation for descent.
How does a mother's round ligament alignment and muscle tissue tone affect labor?
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Face Everything And Rise
What's the positive acronym for F-E-A-R?
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1. Double Hip Squeeze 2. Counter Pressure 3. Verbal affirmation 4. Cold wash cloth on neck/forehead 5. Keeping you hydrated. 6. Protect the Birth environment 7. Massage
Name 4 ways your doula or support person can help you cope through contractions and encourage labor progress.
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1. Head back, short panting-breathing
2. When crowning, don't push with a contraction. Let your contraction stretch you. 3. Hot compress. 4. Oil on the perineum. 5. Have mother reach down and touch baby's head during crowning
Name 3 ways to help prevent tearing of your perineum.
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1. Get some privacy!
2. Get in the water! 3. Move to a new environment 4. Refresh your relaxation routine 5. physical touch 6. New positions 7. Watch something funny, or nipple stimulation- get laughing, crying or get the hormones flowing!
Name 3 things you can do if you're facing a Cesarean delivery due to "failure to progress".
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1.Cervical Dilation
2.Cervical Effacement 3. Fetal Station 4. Fetal Position
What are the 4 things measured during a vaginal exam to help gauge the progression of labor?
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any 3 of the following:
Darkness Intimacy/Privacy Limited Speech Instinctual Behavior 5 Senses
Name 3 things that will support the primitive brain function.
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1. Intense Nausea/Vomitting
2. Expressing self-doubt 3. Shaking or shivering 4. Weeping 5. Fear 6. Contractions right on top of one another 7. Loss of modesty 8. Change in body temperature- hot!
Name 4 symptoms of Transition.
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1. Check Temperature of mom and baby
2. Pay attention to blood loss 3. Drink lots of water 4. Peribottle! 5. Rest when baby rests! 6. Iron-rich foods! 7. Ease into a new routine. 8. 1-2 ppl for support !
Name 4 essential "Healing after Birth" tips.
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High blood pressure – 150/90-100
ROM over 36 hours when mom is not in active labor Signs of infection such as fever Thick/dark meconium in the amniotic fluid Un-reassuring fetal heart tones Maternal exhaustion or prolonged labor Breech presentation (if 1st vag. birth)
Name at least 3 reasons for Transfer to Hospital.
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