some women who were non diabetic before becoming pregnant may not be able to

Some women who were non diabetic before becoming

This preview shows page 4 - 6 out of 7 pages.

-some women who were non-diabetic before becoming pregnant may not be able to produce enough insulin to maintain a normal glucose concentration during pregnancy due to insulin resistance caused by high hormone levels in pregnancy -maternal blood glucose level usually returns to normal after delivery -however, women with gestational diabetes are at a higher risk for developing type 2 in later years -gestational diabetes occurs in 2% of pregnancies, higher in older women, obese women, and women of ethnic groups with high frequencies of diabetes -birth trauma -hypoglycemia – baby can't regulate blood sugar -jaundice Normal Labor and Delivery -normal anatomy is at full term (40 weeks) Midwives -healthcare profession where providers give prenatal care to expecting mothers, attend the birth of the infant, and provide postpartum care to the mother and her infant -helps family adjust to having baby (feeding issues, post-birth issues – postpartum depression) -midwives can be men and women -midwifery was reintroduced as a regulated profession in Canada in the 1990s -all provinces, territories have legislation for midwives – provide specific training, follow specific guidelines and rules, provide protection, give more standing) except PEI and Newfoundland -recognition that women want alternatives or a collaborative approach to birthing care, more holistic approach Doula -assistant who provides various forms of non-medical support (physical, emotional, informed choice) in the childbirth process (prenatal, during childbirth, or postpartum period) -provides assistance emotionally during childbirth process Delivery Complications -transverse position, placental abruption, placenta previa, breech presentation -liability issue surrounding traumas, malpractice during pregnancy and childbirth – scale entire life value of child C-Section -incision so baby is delivered surgically through an incision in abdomen
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-many reasons -most common reason – labor isn't progressing (oxytocin is needed; artificial form is pitocin, which increases strength and frequency of contractions to speed up labour) -baby's heartbeat suggests reduced oxygen supply -abnormal baby presentation -baby's head is in the wrong position -multiple births -placenta problems -umbilical cord problems -large baby (macrosomia) -mom has health problem (diabetes, heart disease, active Herpes) -baby has health problem -previous C-section -C-section rates were really high in a phase, problematic; invasive surgery, cutting through muscle (mother can only pick up baby for next 6 weeks), risk of infection, if there are other ways to deliver, needless surgery) -parents could choose their baby's birth date, but outcomes are not as good -Ottawa hospital has started tracking to bring C-sections in targeted amount, to reduce amount that are too high (should be only 10-11%) -cutting through abdominal muscles, cutting into the uterus; theory that you have a weak point in uterine muscle layer, that even after healing, weakness in uterine lining may not do well during
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  • Fall '15
  • Obstetrics, maternal blood, early pregnancy

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