Class 6 Summary Sheet

Review the vocabulary and homework

Review the relaxation exercise and continue practicing nightly relaxation.

Communications - PRAISE - List five positive things your partner has done to prepare for the labor or birth. One positive suggestion of something they could still do or something they can improve on.

How Your Body Works

  1. Transition - Changing gears, chemical, hormonal and physical changes. I liken this to a dug addict on withdrawal - shaky, hot/cold flashes, irritable, sweaty, burping, nausea, confused.
  2. The Ferguson reflex is a positive feedback loop. Upon application of pressure to the internal end of the cervix, oxytocin is released, which stimulates uterine contractions, which in turn increases pressure on the cervix (thereby increasing oxytocin release, etc.), until the baby is delivered.
  3. contractions usually slow down a bit to give mom a longer rest period and conserve energy. The baby will move forward, and then move back just a bit until full delivery.
  4. Remember that optimal cord cutting is extremely important. Baby needs to be skin to skin to chemically imprint on mom (or dad if mom is not available). This will also help mom’s uterus contract and shrink and expel the placenta. Mom’s uterus needs to contract and shrink to help prevent hemorrhaging.  Walking is usually safe once mom has breastfed, she can sit on her own, and she can stand on her own. The first walk will usually be to the bathroom to empy her bladder, which is also important. Walking will help expel clots. 

Read through Transition on page 44 and 45

Second Stage Practice

Three principles for the Bradley Method - push to the point of comfort, hold your breath only as long as comfortable, and choose the most comfortable pushing position. 

For most women - breathing for pushing - Take two breaths in and release. Take a third breath in, and hold only as long as comfortable, while you begin pushing. This will trap a cushion of air while helps the uterus move forward. You will exhale as you continue to push (just as you would do during a strenuous exercise). Mothers should always tune into their bodies, and breathe when necessary.

COACH’s checklist - Assist mom into pushing position, support mom during pushing position, help mom get out of pushing position- hot washcloth on perineum, cold washcloth on forehead or neck, oil on perineum; help mom relax or sleep in between contractions.

Practice the various positions listed in the book and read through the advantages. There are other pushing positions other than those listed here.

SECOND STAGE

  1. Mom may say she needs to push. Mom may tense her hands and hold her breath during a contraction. The pattern of contractions may have broken. If mom was able to relax earlier, she may now be uncomfortable. She may say she needs to push. She may say she needs to poop.
  2. If mom is not fully dilated, she can lift her chin off of her chest and sing or talk through the contractions to aid in not bearing down.
  3. tune into your body; knees back, chin to chest, curl around your baby, push to the point of comfort
  4. positive attitude, thank them for their help
  5. The perineum will be bulging while pushing
  6.  
  7. Make sure the birth team knows you want to avoid one. Don’t push too quickly
  8. Make sure the mother is pushing
  9.  
  10.  
  11. shrink uterus, expel placenta, prevent hemorrhage, bond with baby
  12. enjoy family time (possibly alone), delay newborn procedures
  13. Increase blood sugar, replaces potassium and fluids
  14. Mom should have nursed baby, she should be able to sit up comfortably, and she should be able to stand on her own without getting dizzy. The first walk is usually to the bathroom to empty the bladder, which is also important. Walking helps expel clots and restores circulation. It also helps all of your organs find their way back to their original home.
  15. right away for most

Study Helps

  1. Yes! A mother could be 4cm and could be going into transition. 
  2. Confusion, crabbiness, unsure, upset, doubtful
  3. around 8cm or beyond
  4. helps protect mother and baby from infection, it equalizes pressure, can help baby slip through the birth canal
  5. When the baby descends and pushes against the rectum it causes the urge to push. There is a positive feedback loop known as the Ferguson reflex.
  6. skip this question
  7. Difficult for the uterus to get into proper alignment and creates wrong angle for baby tol come through the pelvis
  8. squatting
  9. 2 hours ( 5 minutes to 5 hours is normal, though)
  10. hyperventilation
  11. It helps clear the mucous and fluid from the baby’s nose, mouth and throat
  12. It is a cut inbetween the anus and the vagina
  13. When a baby needs to be born quickly or when preventing a tear towards the clitoris.
  14. Yes - pressure episiotomies
  15. Contraction of the uterus, detachment of the placenta, reduction of bleeding, immunities and laxative for the baby
  16. answers vary