Childbirth Education: Let‟S Prepare to Learn
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CHILDBIRTH EDUCATION: LET‟S PREPARE TO LEARN I am the: mom-to-be her support person. Have you had a baby before? Yes No Have you been in the hospital before? Yes No If yes, what was the situation? ________________________________________ Tell us three things you are concerned about in relation to pregnancy, labor, birth, and the new baby? 1. _______________________________________________________________ 2. _______________________________________________________________ 3. _______________________________________________________________ What are you hoping to learn more about during this class? What will happen when we come to the hospital What will happen during labor What will happen during and after the baby’s birth How to care for the new baby Breastfeeding Bottle feeding Medications that may be used during labor and after giving birth Other subjects: _______________________________________________ Share three things that you think can make mom -to-be more comfortable during labor (massage, talking, music, etc.) 1. _______________________________________________________________ 2. ___________________________________________________________ ____ 3. _______________________________________________________________ What can the support person do that will help the most during labor and birth? _________________________________________________________________________ _________________________________________________________________________ Please list any other questions you would like to have answered during this class: _________________________________________________________________________ ___________________________________________________________ ______________ _________________________________________________________________________ Ketchikan General Hospital New Beginnings Birthing Center: Childbirth Education 1 CHILDBIRTH EDUCATION Instructors: Dianna Porter RN Christy Showalter RN Susan Walsh RN WEEK ONE Room Orientation Instructor and group introductions and stories Goals of the Course Course Outline and Questions Rights and Responsibilities of Expectant Parents Explanation of Common Pregnancy and Labor Terms 3 R‟s video Role of Significant Other Suggestions for the class Setting Realistic Goals and Expectations Game Questions WEEK TWO Stages of Labor (DVD) When to Go to the Hospital, What to Bring and Why Anatomy and Physiology of Pregnancy Ketchikan General Hospital New Beginnings Birthing Center: Childbirth Education 2 Indications of Labor, Timing Contractions, and Preterm Labor Variations of Stage One . Induction and Augmentation . Amniotomy . Monitoring (Ultrasound, Doppler, Toco, and IUPC) . Fetal Variations during Labor . Back Labor . Prodromal Labor Anesthesia versus Analgesia Introduction to breathing technique WEEK THREE Relaxation and breathing techniques for Early and Active labor Role of significant other Relaxation Techniques –progressive, touch, selective and focal points Activity diet and physical and emotional changes in Active and Transitional labor Relaxation –visualization, music and Aromatherapy Peggy Simkins DVD Questions WEEK FOUR Stage 2 – Delivery and Pushing Techniques Variations of Stage 2 . Forceps . Vacuum . Episiotomy . Cesarean Birth – Indications, Procedures, Role of Significant Other Stage 3-Expulsion of Placenta Variations of Stage 3 . Retained Placenta . Hemorrhage . Immediate Postpartum Childbirth DVD Review progressive relaxation if time allows Ketchikan General Hospital New Beginnings Birthing Center: Childbirth Education 3 Birthing Center Tour WEEK FIVE Feeding Your Newborn- Presentation and DVD . Breast . Bottle Newborn Characteristics Parenting skills Happiest Baby on the block “ DVD Relaxation, breathing techniques review WEEK SIX Early Reading Car Seat Safety Going Home Newborn Characteristics Community Resources Parenting Skills- “Happiest Baby on the Block” DVD Infant CPR Community Visitors Labor Rehearsal Ketchikan General Hospital New Beginnings Birthing Center: Childbirth Education 4 Rights and Responsibilities of Expectant Parents 1. You have the right to a full explanation of any treatment, procedure, or test anyone may offer you or your child. You have the responsibility to ask questions if you do not understand, and to refuse to consent until you do understand and feel comfortable with your choice. 2. You have the right to refuse any treatment, procedure, or test anyone may offer you or your child. You must then take responsibility for the results of your choices. 3. You have the right to touch, hold, feed, kiss, nuzzle, and otherwise parent your newborn as soon as he/she is born, and to communicate the desire to do so to those attending your labor and birth (nurses, midwife, doctor, etc.). You have the responsibility to pay attention to what is happening immediately after birth, and to understand that if the nurses and/or doctors need to take your child to the warmer, it is for a medical reason. 4. You have the right to determine what your baby eats- whether that is breast milk or formula. You have the responsibility to understand that a baby does not know 3am from 3pm, nor does he/she have any sympathy for exhausted parents. A hungry baby must eat, and so you must wake up and feed him/her- whether by nursing or with a bottle. 5. You have the right to seek the birthing experience you desire. You have the responsibility to be well educated regarding your choices and preferences, and to understand all of the possible repercussions. 6. You have the right to enjoy your birthing experience, wherever it takes you: cherish it, and take away memories that will last you forever. Please do not take this responsibility lightly. Ketchikan General Hospital New Beginnings Birthing Center: Childbirth Education 5 QUESTIONS TO HELP MAKE INFORMED DECISIONS REGARDING SCREENING/DIAGNOSTIC TESTS 1. What is the purpose of the test? 2. Is it a screening test, or a diagnostic test? 3. How is the test done? 4. How reliable or accurate are the test results? 5. Are there risks or drawbacks for either the mother or the baby? 6. How will the information gained influence the management of my pregnancy? 7. What steps follow a negative or a positive result? 8. How much does the test cost? Is it covered by my insurance? 9. What are the consequences of not having the test done? 10. Are there other ways to get similar information? Ketchikan General Hospital New Beginnings Birthing Center: Childbirth Education 6 Common Pregnancy & Labor Terms Abruption 1. Partial or complete separation of the placenta from the (placental abruption) wall of the uterus before the baby is born. It can cause the mother to hemorrhage (bleed) and necessitates and Cesarean delivery. Afterbirth 2. The placenta and membranes expelled from the uterus during the third stage of labor (after the baby is born). Amniocentesis 3. Removal of a small amount of amniotic fluid from the amniotic sac in order to evaluate the baby’s health. Amniotic fluid 4. Fluid surrounding the baby in the womb to protect it from injury and temperature changes Analgesia 5. Relief of pain without loss of sensation or consciousness. Anesthesia 6. Loss of sensation. General anesthesia is loss of consciousness caused by anesthetics. Local anesthesia limits loss of sensation to one area of the body. Apgar score 7. Numerical evaluation of a newborn at one and five minutes after birth. A score can range from one to ten; seven and up are normal scores. Areola 8. Dark are of the breast surrounding the nipple. Birth canal 9. The passageway from the uterus to the vagina through which the baby is born. Braxton Hicks 10. Irregular contractions that may become somewhat contractions uncomfortable near the end of pregnancy. They are often mistaken for true labor. Breech birth 11. Delivery of the baby other than head first. Most breech deliveries are buttocks first. Cervix 12. Narrow, lower portion, or neck, of the uterus. Cesarean delivery 13. Delivery of the baby through an incision in the abdomen (“c-section”) and uterus. The incision may be vertical or horizontal; horizontal is more common and does not dictate a c- Ketchikan General Hospital New Beginnings Birthing Center: Childbirth Education 7 section in subsequent pregnancies. KGH does not schedule VBACs at this time, per policy. (See VBAC.) Colostrum 14. The first fluid produced by the milk glands in the breast. It is high in protein and antibodies. Contraction 15. Tightening of the uterus; usually occurs in a wavelike rhythm during labor. Crowning 16. Moment during labor when the crown (top) of the baby’s head becomes visible at the opening of the vagina. Dilation 17. Opening of the cervix during labor from zero to ten cm (full dilation), at which point a mother-to-be can begin to push her baby out. Doula 18. A woman who cares for a woman during pregnancy, labor, and after giving birth (even cooking, light housekeeping, assisting with newborn care and more). Electronic fetal 19. Recording during labor of the baby’s heartbeat and of monitoring (EFM) uterine contractions Epidural anesthesia 20. Most common type of obstetrical anesthesia; injections of medication into the space surrounding the spinal cord to numb the body below the small of the back for as long as desired within safe reason. Episiotomy 21. An incision into the perineum at the rear of the vagina to enlarge the vaginal opening. Fetal distress/intolerance 22. Alteration in the well being of the fetus during labor, indicated by a change in the fetal heart rate or by meconium staining. Fontanelle (soft spot) 23. Area of the baby’s skull not covered