Birth Flashcards
1
Q
three stages of birth
A
- labour
- delivery of baby
- expelling of placenta
2
Q
labour
A
- longest most taxing stage
- doesn’t typically start with water breaking
- contractions in uterus cause cervix to dilate
3
Q
delivery of baby
A
- can take around an 1hr
- first baby often takes longer
- crowning
- episiotomy
4
Q
crowning
A
baby’s head appears near opening of vagina
- often a tingling or burning sensation
5
Q
episiotomy
A
incision to make vagina longer to allow baby out easier
- not always given, used to shorten crowning by 15-30mins
6
Q
expelling of placenta
A
- tying and cutting umbilical cord
- as quickly as possible
- breastfeeding immediately after helps create contractions that expel placenta
7
Q
birth complications (7)
A
- failure to progress
- breech presentation
- c-section
- anoxia
- post-mature babies
- stillborn and infant mortality
- cerebral palsy (CP)
8
Q
failure to progress
A
- contractions start but don’t dilate cervix enough
- can be sped up with walking, enema, oxytocin etc.
- may end up in a c-section
9
Q
breech presentation
A
- 4% of births
- baby upside down, feet first
- can constrict umbilical cord
10
Q
breech baby in te ao Māori
A
- thought to be smart and talented
- a sign of good luck
11
Q
3 types of breech presentation
A
- frank breech (legs stretched up, feet near head)
- complete breech (bottom-first, knees bent)
- footling breech (one leg lowered over mother’s cervix)
12
Q
factors of being more likely to have a c-section (5)
A
- higher maternal age
- private health insurance
- overweight/obese
- diabetes
- having had prior c-sections
12
Q
c-section
A
- incision made into abdomen, baby retrieved straight from uterus
- WHO recommends no more than 15% for any country (NZ is 26%)
13
Q
post-mature babies
A
- too late and too large
- 2+ weeks past due date
- blood supply can be insufficient leading to brain damage
13
Q
anoxia
A
- death of brain cells due to lack of oxygen
- swift and massive even for just a few minutes
