Final ll Flashcards
What is preterm labor?
labor bet 20-37 wks gestation
prolonged labor herbal support to increase uterine activity:
- blue cohosh
- black cohosh
- raspberry
How quickly should the baby latch?
within 1st hr
Why don’t you need to supplement the baby right after birth?
colostrom
- its high in minerals, protein, fat sol vits, abs, helps establish gut flora, laxative
- and baby’s belly is the size of an almond
When does mom’s milk supply come in?
3 d
- baby will be awake
- nurse 8-12x in 24hrs
(or every 2 hrs)
Positioning of baby for nursing?
- belly to belly
- babys mouth aligned w nipple
- neck slightly extended
- ear, shoulder, hip in alignment
Adv of breast feeding
- baby gets abs
- keeps uterus contraction
- mom loses weight
2 fxs of prolactin for nursing
- stim. mammary glands to produce milk
- causes enlargement of mamm glands
2 fxs of oxytocin for nursing
- mammary gland contractions
- stimulated by infant suckling, helps milk to “let down”
milk supply regulated by?
supply and demand
- enough for 2-3 babies
- if premature, milk will be diff.
Formulas avail
- cows milk
- soy
- partial whey hydrolysate formulas
- extensive casein or whey hydrolysate
- AA based
What are some good positions for 2nd stage?
- squatting
- pull legs up
- hands and knees
Placenta delivery is part of what stage? when does it get delivered?
3rd
- 5-6min
Reasons baby can’t get out
- pelvic size
- contractions aren’t strong enough
- big baby
if amniotic fluid is green, what is that called?
meconium
should be clear
2 types of pushing
- valsalva
2. physiologic - mom’s lead… pushes when she feels it… shorter and without a closed glottis
Galactogogue herbs
- trigonella
- foeniculum
- milk thistle?
- fenugreek?
- hops?
Mastitis can abscess, tx w?
hepar sulph and phytolacca oil topically
What is the risk of having a nuchal fist?
perineal laceration
How much bigger does a nuchal fist add to the diameter?
3 cm
How much weight is normal for a baby to lose in the first few days?
10%
What are reasons the baby might have excessive weight loss (>7%) w lactation?
- inadeq milk production
- poor milk transfer
- dz of newborn
How can you tell the baby is being fed adeq?
- # of wet diapers
- BM every time they nurse
Medical conditions that effect fertility
- PID
- endometriosis
How long should a 30 yo woman try before she seeks tx for fertility? if over 35?
1 yr
- if over 35, then 6 mo
- or if irregular menses/hirsuitism, prostate infx, 2+ moscarriages
semen supplements
vit c
oat
ginseng
testerone supplements
- saw palmetto
- nux vomica
- damiana
female infertility drug
clomid
- not good for F 40 or over
2 herbs for ovulation
- vitex
- aletris farinose (true unicorn root)
… can supplement beta carotene
3 herbs for luteal phase for progesterone
- wild yam
- vitex
- sarsaparilla
What is a bloody show?
Bloody show is the passage of a small amount of blood or blood-tinged mucus through the vagina near the end of pregnancy. It can occur just before labor or in early labor as the cervix changes shape, freeing mucus and blood that occupied the cervical glands or cervical os.
