Los Olivos Classes Part 1 Flashcards
What is the role of Oxytocin (OT) in labor?
Causes labor progression
What hinders OT during labor?
Fear and stress
How can you re-frame pain in childbirth?
Childbirth pain is from physical effort; different from pain being indication of something wrong (a warning).
Pain signifies labor is progressing
9 Factors that Decrease Pain
Well-fed
Well-rested
Well-hydrated
Relaxed, not stressed
Have knowledge - no fear of unknown
Feeling empowered and supported (good team!)
In the present moment: not dwelling on thoughts of pain to come, anticipating
Staying active and trying different positions
Stimulate pleasurable senses instead: acupressure, massage, music, aromatherapy, heat, cool, environment temperature
How do you re-think pain? PAIN Acronym
P - purposeful, helping labor progress
A - anticipated
I - intermittent. contractions aren’t constant. relax the body during this time
N - normal. not indicating injury
How do you evaluate an intervention? BRAIN acronym
Benefits Risks Alternatives, if any Intuition Need time: what happens if we wait?
What are the “stations” of the baby?
The position of the head relative to the ischial spines.
0 station is at the spines
Up above is negative. -4, -3, -2, -1
You don’t push when it’s up high
Past spines is +1, +2, +3, +4 (crowning, right at perineum)
How to relieve feeling of heaviness? (position)
Lie on left side, knee up, feet elevated
What are the cervical dilations and stages of labor?
0cm to fully dilated at 10cm
1-3 cm early labor
3-7cm active labor
You need to be 10cm before you start pushing
What things might happen before labor late in pregnancy?
Bloody show, loss of mucus plug, dilation, and cervical effacement
What 911 emergency is associated with the placenta? What symptoms?
Placenta abruption. Around 1% of pregnancies where the placenta partially or completely separates from the uterine wall.
Symptoms: Continuous severe abdominal pain: intense tightness Lower back pain more than normal Tender abdomen Constant tightening of uterus Bleeding
In what percent of pregnancies does the water break before labor starts?
10-15%
How soon after water breaking need you deliver?
24 hours (to avoid infection)
What do you tell the Dr. when your water breaks? Acronym COAT
Color (clear or milky is normal)
Odor (amonia-y or odorless is normal. foul indicates infection)
Amount - trickle or gush tells low or high break
Time - when did this happen?
What 911 emergency is associated with the water breaking? What do you do?
Gushing low break can sometimes take the umbilical cord out with it - this is a prolapse cord. Get on all fours with your butt higher in the air than the rest of you. Takes the pressure of the cord so blood keeps flowing.