Ch3:birth Flashcards
Birth
- Drugs during Labor and Delivery
- Systemic Analgesics: Tylenol (acetominophen)
- Local Anesthesia (emergencies)
- General Anesthesia
• Regional Analgesia
- Epidural block
* 60% U.S
Lamaze method
- Take a deap 6 count breath
- Relase for 6 counts
- Reapeat
what percentage of birth occur in hospitital
99%
what does the fathers presence do at the birth?
- Less pain
- Less meds
- Faster delivery
- Fewer Complications
Stage 1: Dialation and Effacement
Latent phase: contractions are relatively far apart and are not very uncomfortable
Active phase: dilation of the cervix from 3–4 centimeters
Stage 2: Birth of the baby
Usually head first, face down
Breech Presentation: Feet or buttocks firs
Stage 3
delivery of the umbilica cord and placenta (afterbirth
what are the three stages of birth?
stage 1 : dialation and effacement , stage 2: birth of baby, stage 3: umbilical and placenta
what are the most common Birth Complications
Anoxia(umbilical cord callapes or is pinched= decrease in blood oxygen, TIME is critical
• Loss of oxygen immediately surrounding birth
• Cerebral palsy, mental retardation
Apgar Scale
- Done at birth and then 5 minutes later
- At 5 minutes 85-90% score 9 or 19(10-max)
Less than 4+ meidcal intervention requir
Brazelton Neonatal Behavioral Assessment Scale
- Tracks development over 2 weeks
- Looking for CNS function (responses to stimuli and refleces
- Sometimes the parents need to be trained
what is the optimal birth weight?
3,000 to 5,000 grams (6.6 to 11 pounds)
Low Birth Weight
(Below 2,5000 graws or 5.5 pounds) Close to 1005S survival
VLBW(very low birth weight)
1500 g/3.3 lb
ELBW ( extremely low birth weight)
1000 g/ 2.2
is there gender differences among development of LBW babies
yes lbw girls develoment better than LBW boys
Preterm
born before week 38