Chapter 4 Birth and the Newborn Baby

Chapter 4 Birth and the Newborn Baby - Andrew Lynn Notes...

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Andrew Lynn 2/5/08 Notes: Chapter Four I. Childbirth A. False labor B. Lightening—baby drops, head drops low into the uterus C. Bloody show—mucus plug, cervix begins to open D. Nesting—burst of energy, organize for baby and house E. Stage 1 1. 12-14 hours with first births and less for more births (longest stage of labor) 2. Dilation and effacement of the cervix—widening and thinning of the cervix during the first stage of labor 3. Contractions—start 10 to 20 minutes for 15 to 20 seconds, then to 2 to 3 minutes apart for up to 60 seconds, closer and stronger 4. Transition—climax of the first stage of labor, in which the frequency and strength of contractions are at their peak and the cervix is completely open F. Stage 2 1. About 50 minutes for first births, about 20 minutes in later births 2. Pushing—uterine contractions give urge to push 3. Birth of the baby G. Stage 3 1. 5 to 10 minutes 2. Delivery of Placenta H. Baby’s adaptation 1. Avg. 20 inches long 7 ½ pounds longer and heavier for boys 2. Apgar Scale—rating ueed to assess the new born baby’s physical condition immediately after birth, 1 minute and 5 minutes i. Scored 1-2 in five areas ii. Table 4.1 pg 133 II. Approaches to Childbirth A. Non-industrialized cultures 1. No hospital 2. No doctor 3. Non medical professional B. Industrialized cultures 1. Now medical professionals in hospitals typical 2. 50s and 60s began new birth experiences 3. Freestanding birth centers
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Chapter 4 Birth and the Newborn Baby - Andrew Lynn Notes...

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