Pregnancy Flashcards - All

1
Q

Until when is a newborn’s head unstable?

A

4 months

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2
Q

What should you keep in mind when putting a baby down?

A

Body down first, then head and neck

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3
Q

Do you need to support baby’s head when they are over your shoulder?

A

No. Gravity keeps it from falling back

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4
Q

How long before you can use product on the baby’s skin (soap, shampoo)?

A

1 month
Water wipes until then

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5
Q

You should use a sponge and not do submerging bath with the baby until when?

A

until umbilical site fully healed

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6
Q

How often to clean?

A

once a day or every other day tidy up
once a week or more if needed a full bath, until end of newborn period

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7
Q

What should you focus on for tidy up?

A

Chin folds, armpits, genitals (for anything missed during diaper change)

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8
Q

What should you use for tidy up?

A

Baby wash cloth

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9
Q

What temperature should the wash cloth be?

A

98-99 degrees

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10
Q

Where should baby face for tidy up?

A

Can be facing you or sideways so if they poop doesn’t get on you

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11
Q

What extra thing should you do for tidy up with poop diaper?

A

Look inside and open labia to make sure no bowel movement.

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12
Q

What’s good to do for weekly wash?

A

Put baby on wash cloth, more comfy, but baby might not want to do that

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13
Q

What should you avoid scrubbing?

A

Any acne or anything that doesn’t come off easily, let it be, it’s normal

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14
Q

What will happen if you swipe on their hands?

A

Their hands will close

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15
Q

How do you clean the baby’s back in the weekly wash?

A

Hand on head and neck, roll them, get back, or can tilt them a little and go under them carefully

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16
Q

How do you clean baby’s butt?

A

Can lift legs, one hand, finger between ankle

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17
Q

Where is easiest for submerge bath once umbilical stump heals?

A

Kitchen counter

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18
Q

What’s a way to help baby when washing in submerge weekly?

A

Put wash cloth on their body

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19
Q

What do you have to be careful about when getting baby out of bath?

A

They’re really slippery

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20
Q

What should you keep in mind when drying baby?

A

Dont rub too hard, can hurt skin

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21
Q

What is the newborn diaper size?

A

Size N

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22
Q

What is the size diaper that baby transitions into?

A

1

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23
Q

What are ways to know if a diaper is wet?

A

Line turns blue
Or, feels wet

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24
Q

What do you keep in mind regarding diapers while umbilical cord stump is healing?

A

Dont put diaper on the stump, have it below, fold it under

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25
Q

What should you keep in mind regarding tight/loose diapers?

A

Go tight, there will still be room, otherwise might fall off

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26
Q

Should you wipe if diaper is a pee diaper?

A

No, unless see pee. Diaper should absorb. Studies show otherwise you can get diaper rash if wipe unnecessarily.

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27
Q

Should you wipe if poo diaper?

A

Yes, similar to the tidy process

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28
Q

What’s the first step for diaper change?

A

Lift baby up, put diaper below

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29
Q

What shouldn’t you do with putting on a onesie?

A

Putting over face, they will freak out, instead create a hole and put it over head smoothly

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30
Q

What are the reasons for swaddling?

A

Simulates womb and keeps from startle reflex

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31
Q

Until when to swaddle?

A

First month a lot
Until about 3 months

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32
Q

When to swaddle?

A

Tired, falling asleep, putting them away
No need when holding them, you’re serving the purpose

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33
Q

When not to swaddle?

A

When awake and active

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34
Q

When is the newborn period until?

A

through 3 months, (at 4 months)

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35
Q

What to do if baby has a lot of hair?

A

If in first month gets funky, maybe wash once in first month, maybe twice with shampoo, but no soap on rest of body or more often

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36
Q

How can you tell when umbilical stump is healed?

A

Gooey, then shrivels and dries, then lifts, off somewhat but not all the way, no nerve endings so not hurting, then falls off, not always healed after falling off, after falling off look at belly button, sometimes can tell, if gooey then still healing, some babies have deep belly button so have to open and use flashlight, anytime gooey then still healing, might be another week, if more like scab then healed, if see nothing then healed, can take photo and send to pediatrician

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37
Q

What kind of wipe for first month?

A

Water wipes for everything

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38
Q

What is the exception to product in first month?

A

Diaper rash cream
Doesnt prevent, just heals, if have red/white/yellow bumps or red raised area

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39
Q

How much diaper rash cream to use?

A

Be generous, even if rash only in one spot, cover bottom, not genitals, layer so skin won’t touch poop or pee

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40
Q

How long does diaper rash take to heal with diaper rash cream?

A

3 days

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41
Q

When to use diaper balm?

A

After 1 month to prevent rashes, up to you, if prone to diaper rash then yes after every diaper change, if not and poop during day but not night, then can not put on at night

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42
Q

When to use pacifier?

A

Not routine, but if baby is fed and doesnt want more and yet giving signs still hungry, like smacking lips and trying to find something to suck on

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43
Q

When do they usually stop using pacifier?

A

2 months. talk to pediatrian. might need to ween off.

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44
Q

Should you swaddle for naps?

A

Yes naps as well as at night

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45
Q

Where is blue or grey a bad sign?

A

Mouth or nose, call 911. Other places fine

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46
Q

Is there a way to prevent blowout from getting out of diaper?

A

No. Other than making sure right size of diaper and putting it on tight.

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47
Q

How do you know when to get larger diaper?

A

When starting to touch genitals or not enough room with the tab. Should be baggy. Pinching only half an inch of room isn’t enough. And if see skin on side because not wrapping all the way then size up, want more covered.
Should look like diaper is too big. Avoids blowouts and diaper rash.

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48
Q

When to burp a baby?

A

Often during feeding
If fussy and moving around

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49
Q

How to burp a baby?

A

Sit then on your knee, slump them forward, then tap back and rub, can use burp cloth
Can also lean them back and hold their neck with both hands and roll them around
Can also do over the shoulder, really far over, rub and pat, dont prefer because spit up goes where cant control, also cant see how much

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50
Q

What happens if baby doesn’t burp?

A

Keep trying until 4 mins

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51
Q

How to know when baby is too cold/hot?

A

Baby cold to the touch, hot to the touch or sweaty
Baby needs what you’d want but maybe one fewer layer, very dangerous for baby to get overheated

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52
Q

What does baby have on when sleeping?

A

Footed pj and swaddle on top of that
Can also get sleep sack (both in 1)
Can vary based on temperature (might need extra layer if cooler or less if warmer)

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53
Q

What to keep in mind when going between temperatures?

A

Change how bundled baby is if going between temperatures.

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54
Q

Do we clean inside mouth?

A

No

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55
Q

Do we clean nose?

A

No, unless difficulty breathing, struggling to eat, they cant blow nose, so use bulb syringe, tapered and can clean it, also maybe nasal aspirator

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56
Q

How to clean nose?

A

Bulb syringe, can put breast milk to loosen
Nasal aspirator works too, has filter so nothing gets in your mouth

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57
Q

How many wash clothes per bath?

A

usually:
2 for tidy up
4 for full bath

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58
Q

Do you need to wash your hands before diaper change?

A

No typically. Dont overwash your hands or will be dried and cracked. Want the baby’s immune system to get some exposure.

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59
Q

Do you trim newborn nails?

A

Ya. Baby nail scissors. 1.5-2 weeks.
If use file will do it every 3-4 days.
Toenails won’t need until 1-2 months.

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60
Q

Should you ever cover baby’s hands?

A

No typically, no mittens etc, so can explore their bodies and hands

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61
Q

How to make trimming baby nails a bit easier?

A

Ideally when sleeping or at least drowsy or otherwise use changing table and little by little, usually takes two swipes

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62
Q

What is the top of the uterus called?

A

Fundus

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63
Q

What is the bottom part of the uterus called?

A

Cervix

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64
Q

What needs to happen to cervix in order for baby to get out?

A
  1. Effacement: Soften, thin out and shorten (prostaglandin)
  2. Dilate (open up), to approx 10 cm (4 in) to get out
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65
Q

When does effacement happen?

A

Some happens before labor, majority happens in early part of labor

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66
Q

When does dilation start?

A

Can happen before labor, but majority will happen during labor.

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67
Q

What hormone does mom’s body release to fuel contractions?

A

Oxytocin

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68
Q

What is the goal of a contraction?

A

To dilate the cervix

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69
Q

What is oxytocin also called?

A

Love hormone, cuddle hormone

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70
Q

What is the primary job of the partner during labor?

A

Relaxation, safety, love. To fuel oxytocin and thus contractions.

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71
Q

What is labor?

A

Contractions that get stronger, longer, closer together in order to dilate cervix

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72
Q

What are the three phases of the first stage?

A

Early, active and transition

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73
Q

What happens in early labor?

A

Mild contractions, far apart

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74
Q

What should partners do when labor starts?

A

Use app to track contractions

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75
Q

How are contractions timed?

A

Beginning of one contraction to beginning of next

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76
Q

When is it usually advisable to go to the hospital for labor?

A

when contractions are 4 or 5 minutes apart, and 1 min start to finish, and this scenario has been happening for 1 hour

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77
Q

What determines how far dilated mom is?

A

Cervical check

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78
Q

Where are contractions often felt initially?

A

Initially down below, also in back

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79
Q

How is mom emotionally in early labor?

A

Chatty, feeling well

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80
Q

How long are breaks between contractions to duration of contractions?

A

Breaks are always longer than contraction duration

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81
Q

When does active labor start (what dilation)?

A

6 cm

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82
Q

What is early labor known for?

A

Long and easy

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83
Q

What is active contractions known for?

A

3-4 mins apart, 1 min long, all contractions

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84
Q

When does transition begin (what dilation)?

A

8 cm

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85
Q

What is transition known for?

A

short, intense. 1 min break between contractions.

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86
Q

Does transition get harder?

A

No. 8cm is hardest. 9-10cm aren’t harder.

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87
Q

When does self doubt become apparent?

A

Transition

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88
Q

Where do you feel contractions during transition?

A

Uterus, pelvis, glutes, thighs

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89
Q

What is the end of the first stage of labor?

A

When dilation is complete (10 cm)

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90
Q

What is the second stage of labor?

A

Pushing/birthing

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91
Q

What is the first thing that happens in the second stage of labor?

A

Uterus takes a bit of a break

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92
Q

What is the second thing that happens in the second stage of labor?

A

Muscles at top push down, 45-60 seconds per contraction

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93
Q

How long is the second stage of labor?

A

1-3 hours, can be longer for first-time mom

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94
Q

What’s important in the early part of labor?

A

Conserve energy so that have energy when get to 10 cm

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95
Q

When does the second stage of labor end?

A

When baby is out

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96
Q

How long is delayed cord clamping?

A

A few mins

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97
Q

Do contractions end after baby comes out?

A

No, they continue to loosen placenta

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98
Q

How long does it take to loosen placenta?

A

up to half an hour

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99
Q

Does OB pull the placenta out?

A

No. They let it come out on its own

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100
Q

Why does birthing the placenta matter?

A

Important for health of the mom

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101
Q

What will OB ask mom to do during third phase?

A

Push once more to get placenta out

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102
Q

When does third stage of labor end?

A

When placenta comes out

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103
Q

When do babies go to head-down position?

A

32-34 weeks

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104
Q

What position is important for first or second stage of labor?

A

Upright (weight of baby’s head pushes on cervix, which helps contractions open it) and resting

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105
Q

What are obvious upright positions? What are the downsides?

A

Stand and walk. But can’t do it for hours and hours. So find restful upright positions

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106
Q

What are examples of upright and restful positions?

A

Sitting on chair or yoga ball, kneeling

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107
Q

What adds comfort after being upright and restful?

A

Tilting forward a bit

108
Q

What are ways to tilt forward?

A

Standing and leaning forward, sitting and leaning forward, kneeling and leaning forward (e.g. over yoga ball)

109
Q

What position is good in the hospital?

A

Putting yoga ball on bed and kneeling over it, hands and knees position, change position of bed to lower one end, lift the other

110
Q

What can you influence with regard to contractions?

A

Intensity (can’t influence that you have contractions, want them). By being upright, relaxed and tilted forward)

111
Q

What can mom do to change pelvis position?

A

Walk, rock, circles, lifting leg and lunging

112
Q

What hormone is released starting 8 wks to soften joints, ligaments?

A

Relaxin

113
Q

What move does the baby do to help get through pelvis?

A

Tuck chin

114
Q

What part of the baby exits first?

A

Crown of head

115
Q

What are soft spots between plates of baby’s head called?

A

Fontanelles. Let plates overlap so baby can get out more easily.

116
Q

How many movements does the baby go through to get out the pelvis?

A

7 cardinal movements of labor

117
Q

What is the opening of the pelvis called? Bottom part?

A

Inlet, outlet

118
Q

What is the shape of the inlet?

A

Narrower front to back, wider side to side

119
Q

What helps the baby try out different spots and drop into pelvis?

A

Moving your body

120
Q

What bones in the pelvis protrude inward?

A

ischial spines

121
Q

What is zero station?

A

When baby reaches ischial spines

122
Q

What does the baby do at zero station?

A

make a turn to face backwards, because at that part of pelvis it’s wider front to back

123
Q

What last thing has to happen to get shoulders out?

A

Turns one more time to face right leg to let shoulders come out through ischial spines

124
Q

What is the baby’s job in child birth?

A

To rotate through your pelvis

125
Q

What is mom’s job during labor?

A

Help baby be born, make wiggle room in pelvis to make space to help baby make necessary rotations

126
Q

When does the baby move?

A

When having contractions

127
Q

When does mom need to move?

A

When have contractions

128
Q

How can mom move during contractions?

A

Rock side to side, front to back, which makes wiggle room

129
Q

What benefits are there for movement during contractions?

A

Shorter labor

130
Q

What is the mantra to keep in mind?

A

Motion is lotion

131
Q

What is the birth dance?

A

Change positions frequently during labor

132
Q

When to start thinking of changing positions?

A

When contractions 10 mins or less apart

133
Q

What positions are good to cycle between?

A

Standing, kneeling, sitting

134
Q

What is a way to think of mom’s role during labor?

A

Active participant. Not happening to you, happening with you.

135
Q

How much movement each day?

A

30 mins each day

136
Q

What type of exercise should mom do 30 mins a day?

A

walking

137
Q

Why is exercise important during pregnancy?

A

More comfortable, and labor will be shorter, stamina to delay medicine, recovery will be better

138
Q

What is really important in third trimester?

A

Good posture, avoid slouching, good alignment

139
Q

What should everyone get?

A

Yoga ball, birth ball

140
Q

How to sit on ball?

A

Knees far apart, separate legs, good prep, opens pelvis, sway/rock/bounce

141
Q

What’s another thing to do with yoga ball?

A

Lean back against ball against wall, then squat

142
Q

How much does squatting open the pelvis?

A

28-30%

143
Q

How much water to drink?

A

Half of body’s weight in ounces (so if 150 lbs then 75 ounces each day)

144
Q

How long does braxton hicks contraciton last?

A

Seconds, sometimes even minutes

145
Q

What are braxton hicks contractions?

A

Practice for labor for uterus

146
Q

What else can cause braxton hicks contractions?

A

Dehydration

147
Q

What do muscles including uterus need?

A
  1. Hydration, definitely during labor, but also now
  2. Oxygen (in labor during contraction, don’t stop breathing)
  3. Blood flow
148
Q

What should you drink (anecdotally, not evidence-based)?

A

Red raspberry leaf tea

149
Q

How much red raspberry leaf tea and when?

A

32-34 weeks, 1 cup a day
37 weeks, 2 cups a day

150
Q

How many and when to eat dates?

A

Last month of pregnancy, 36-40 weeks
4 mejul dates or 6 deglat moor dates (70 grams)

151
Q

What does the cervix feel as it starts to soften?

A

Nose, earlobe, lip

152
Q

What is good about a softer cervix?

A

Dilation is easier, and labor is shorter

153
Q

What helps may help overstretching of vagina when baby’s head and shoulders come through for first-time mom?

A

Perineal massage, more elastic and stretchy for when baby’s head comes through

154
Q

What is really important in child birth prep?

A

Prepare the mind, fill mind with positivity surrounding childbirth

155
Q

What does stress cause during labor?

A

Constrict uterus, so it has to work harder, experience more pain, more fearful, viscious circle

156
Q

What can you do to relax mind and fill with positivity?

A

Birth stories, podcasts

157
Q

What is the most valuable tool in childbirth?

A

Breathe slowly. Intentionally, mindfully, slowly. In 3-4 seconds (abdomen expands), exhale for a bit longer than inhale (6-8 seconds).

158
Q

Why is breathing important?

A

Slow and mindfully makes heart even keeled, rest and digest, parathetic nervous system, when nice and relaxed, oxytocin flows.

159
Q

What happens when breath is fast?

A

Heart pounds and brain thinks there’s a problem, fight or flight, blood goes to hands and feet (taking away from digestive system and uterus), adrenaline, body on high alert

160
Q

What happens when stress starts?

A

Oxytocin goes away, contractions go away, labor stalls

161
Q

What other issue happens if blood flow isn’t going to uterus?

A

Not going to placenta or baby either. So practice breathing

162
Q

What are signs of labor beginning?

A

Baby drops a bit (“lightening”), might breathe easier, profile might look differently

163
Q

When does first signs of labor happen in first-time mom?

A

around 38 weeks

164
Q

What is blob of mucus that comes off around start of labor?

A

Mucus plug

165
Q

How long away is labor when mucus plug comes off?

A

Could be as long as a few weeks

166
Q

What are the signs of labor coming?

A
  1. Baby drops (lightening)
  2. Mucus plug falls off
  3. Back pain
  4. Loose bowel movements
  5. Fragile emotionally, short-tempered, wheapy
  6. More braxton hicks
  7. Bloody show (capilaries bursting from dilating a bit), means labor very close, likely last sign
167
Q

What are the 2 true signs of labor?

A
  1. Bag of water breaks
  2. Labor contractions
168
Q

What does water breaking look like?

A

Gush or trickle

169
Q

What are the implications of water breaking?

A

Risk of infection goes up after a few days

170
Q

How often does water breaking happen?

A

1 out of 10 women

171
Q

Do you have to go to hospital right away if bag of water breaks?

A

No

172
Q

What questions will OB ask if water breaks?

A
  1. Time
  2. A lot or little
  3. Smell
  4. Color (most interested). Clear=awesome, brown/green=bowel movement inside of you
173
Q

How many hours after water breaks do contractions start?

A

12-18 hours

174
Q

What to do when water breaks (other than what to note)?

A

Can get on yoga ball, get labor going, etc

175
Q

Why does color matter when water breaks?

A

If brown/green then will go to hospital, not medical emergency, but baby is swimming in poo-filled water and want to monitor and get labor started

176
Q

What is name of the first poo?

A

Meconium

177
Q

How long are contractions when they start?

A

20-40 seconds

178
Q

What is most important thing to do when contractions start and it’s night time?

A

Try to get sleep, stamina is important, sleep between contractions

179
Q

In early labor what should partner do?

A

Distract her, bake book, get car ready

180
Q

When should you start changing positions every 5 contractions?

A

When can’t distract her

181
Q

What else is important during early labor?

A
  • Eating and drinking (light, easily digested, nothing spicy or heavy or greasy or acidic). Scrambled eggs, oatmeal, yogurt, toast. Grazing small bites frequently, to not overtax digestive system.
  • Go to bathroom frequently, hang out longer, 10-15 mins, when sit on toilet conditioned to relax pelvic floor
182
Q

How should mom sit on the toilet when relaxing?

A

Sit backwards, put pillow on tank, upright restful position, legs wide apart

183
Q

What is sitting on the toilet called during early labor?

A

“dilation station”

184
Q

What happens when get to hospital?

A
  1. Admitted
  2. Undressed and get hospital gown on
  3. Monitors on
  4. Blood draw
  5. IV fluids
  6. Cervical check
185
Q

What three things happen to contractions over course of labor?

A

Longer, stronger, closer together

186
Q

What is important for mind to say to yourself when contractions are longer, stornger, closer together?

A

Great something is right here (otherwise will cause problems with stress)

187
Q

How long will you be on monitors when get to hospital?

A

1-hour. After that intermittent monitoring, every 45 mins or so off monitors then 15 mins on monitors

188
Q

What do you need in order to request epidural?

A

1 IV, because raises blood volume in prep for epidural side-effect of lower blood pressure

189
Q

What is the most intense dilation of labor?

A

8 cm

190
Q

What can help with ambiance?

A

Battery-operated lights, anything to help relax, sounds, playlist, white noise

191
Q

When can you have epidural?

A

Anytime in first stage of labor, 1cm to 10 cm

192
Q

Until what dilation should you try to wait until to get a epidural?

A

7 cm, because otherwise will get petosin also because epidural could slow down labor. if wait, uterus won’t slow down

193
Q

What does epidural mean?

A

Stuck in bed

194
Q

What should you still do despite epidural?

A

Birth dance, change position every 30 mins, need to ring for nurse because can’t do it alone

195
Q

What is another thing to have in hospital during birth?

A

Peanut ball, shortens by minimally 1.5 hours

196
Q

What sensation can you still feel despite epidural?

A

Rectal pressure

197
Q

What is best place to be during transition phase?

A

In water, tub or shower

198
Q

What happens to the birth dance at second stage of labor?

A

Continues, until baby is in your arms, change pushing positions frequently

199
Q

What are good pushing positions?

A
  1. Start on back, but not great because baby needs to push uphill, and sacrum in back of pelvis can’t move and create space if pushing on back
  2. Sidelying, push five times on this position, sacrum out of the way
  3. Hands and knees, great position
  4. Other side
  5. Squat bar, upright forward leaning
200
Q

What are the best pushing positions to protect perineum?

A
  1. Side, 2. hands and knees
201
Q

How many hours more in L&D room after baby comes out?

A

2 hours

202
Q

At what dilation will hospital admit you?

A

4 cm (at Lenox)

203
Q

What tubes are there when have an epidural?

A
  1. Blood pressure monitor
  2. IV
  3. monitors on uterus
  4. epidural catheter
  5. catheter to bladder
204
Q

When is full-term?

A

37 weeks

205
Q

When are first-time moms more likely to give birth?

A

41 weeks

206
Q

When is induction usually recommeded?

A

41 weeks and 6 days

207
Q

What are good bars to eat to get dates?

A

Lara bars

208
Q

What is important to relax?

A

Jaw, which has connection to pelvic floor

209
Q

What can partners do to relax mom?

A

Look for places of tension

210
Q

How can you tell if baby is headdown?

A

Feel for baby’s hiccups, which will tell you where the head is, if under rib then baby is not headdown

211
Q

How can you tell where baby’s legs are?

A

Where the strongest kicks are

212
Q

Is it common for something to come out of rectum during pushing?

A

Yep, needs to come out because baby coming out behind that, don’t fret, it’s the least of your worries

213
Q

By when should you eat?

A

By active part of labor, because by then won’t have appetite

214
Q

Is full anesthesia common in labor?

A

No very rare for pregnancy

215
Q

How long does mom bleed after birth?

A

6 weeks or longer, but heavy is just at beginning

216
Q

What can you squeeze to distract from the pain of the contractions?

A

Squeezing combs

217
Q

When does the colostrum give way to milk?

A

Day 3

218
Q

What will the first two days after birth feel like?

A

Not any different. But promise colostrum is in there.

219
Q

What will day 3 feel like?

A

Breasts change, “coming in”

220
Q

How often does baby go to breast?

A

8 times every 24 hours

221
Q

Whn does the baby start taking solid food?

A

6 months, but keeps breastfeeding until 1 year

222
Q

Until when does the baby breastfeed?

A

At least 1 year, and longer if you want

223
Q

What does breastmilk have that formula doesn’t?

A

Germfighters, etc

224
Q

What do you need to do for breastfeeding while pregnant?

A

Learn. Otherwise, nothing.

225
Q

What creates breastmilk supply?

A

Demand. The more baby/pump takes the more you make.

226
Q

What is critical to breastfeeding success?

A

Starting to breastfeed in the first few days. Otherwise body gets signal not to make, and might not recover from that.

227
Q

What happens in first hour after birth?

A

Baby on breast will have sequences of reflexes to breastfeed

228
Q

What is a common pattern for quitting breastfeeding?

A

Shallow latch -> baby doesn’t get enough and mom has pain -> not enough milk -> baby is hungry -> mom gets less milk

229
Q

While figuring out how to latch baby what should you do?

A

Pump, to keep the milk supply

230
Q

How often does the baby feed?

A

8 times in 24 hours, minimum

231
Q

How often do pump/feed to program milk supply?

A

8 times in 24 hours, minimum

232
Q

What triggers the baby’s mouth to open?

A

Chin at the breast

233
Q

What shape should breast be in during feeding?

A

Burger shape

234
Q

How should you aim the baby’s positioning when breastfeeding?

A

Via shoulders not the head, dont mess with the head too much

235
Q

How to take the baby off your breast to avoid nipple trauma?

A

Use your finger to break suction, dont just pull the baby off

236
Q

How do you knwo if baby is getting enough?

A

1) Diaper count, 2) baby behavior, 3) weight gain

237
Q

What is best way to make sure baby is getting enough to eat?

A

Diaper count. Critical. Need to count.

238
Q

What is not good way to know if baby is hungry?

A

Giving them a bottle to see if they drink. They’ll drink even if not hungry.

239
Q

How many poos and pees on days 1-3?

A

1: 1 poo 1 pee. 2: 2 poo 2 pee. 3: 3 poo 3 pee. If less than that get help.

240
Q

How many poos and pees after day 3?

A

Poo stays at expecting 3+ thereafter. Pee goes up to 5 by day 3 and stays at 5+ thereafter.

241
Q

What is common on night 2?

A

Cluster feeding for a night

242
Q

What is normal and starts to get better at week 4-6?

A

Engorgement of breasts

243
Q

What should the partner do to help in hospital when learning with lactation consultant?

A

Take pictures

244
Q

How can partners help breastfeeding partner?

A

changing diaper, burping, pillows, feed mom

245
Q

When should you use pump?

A

Leave it alone in first few weeks if going well, baby will program your supply well.

246
Q

When to introduce bottle?

A

Around week 3-4. If do it later then baby might not be cool with it.

247
Q

Should you pump after every feeding?

A

No. This can create an oversupply. Body will think you have twins.

248
Q

Should you pump the other breast?

A

No. This can create an oversupply.

249
Q

How to feed the baby with bottle?

A

“Paced bottle feeding” baby should be upright, not bottle vertical and baby horizontal, can’t stop when they want to stop, will chug because of reflexes not because want to. Give the baby breaks, “help them put their dinner fork down”

250
Q

What to do when leaking on other breast?

A

Usually let it leak, catch it, but dont pump because then it’ll continue leaking. Sometimes want that but often no.

251
Q

When exclusively pumping how often should you pump?

A

8 times in 24 hours. Can create schedule if want. Dont have to.

252
Q

What can you eat while breastfeeding?

A

All good. Baby starts to get to know flavors of table food that eating. When start eating solid foods like it and more adventurous. Need 500 extra calories a day. Spicy, acidic foods – all ok.

253
Q

How much caffeine when breastfeeding?

A

Limit to ~300 mg a day

254
Q

Should we meet with lactation consultant before birth?

A

Yes

255
Q

Should you pop “pimples” that show up on breast?

A

No. They’re not pimples. Dont mess with them.

256
Q

Is cluster feeding an indication of anything being wrong?

A

No. 4-6 weeks is what can expect. Once a day.

257
Q

What size counts as a poop?

A

Quarter-sized

258
Q

Is there wiggle room for poo and pee count?

A

No range. Hitting or not. If not, get help right away. Varies, but get help.

259
Q

Can you feed before 3 hours?

A

Yes. Respond to what the baby needs. Should be latching anytime they’re hunger.y If too much then get help dont use pacifier.

260
Q

Can use pacifier?

A

Yes, it’s a tool, not good or bad, but don’t use it to delay feeding. Use it when you know baby is fed and wants to soothe. Can also use breast to soothe (natural pacifier).

261
Q

How much should the baby drink in first few days?

A

Very little. Teaspoon first day, 2 teaspoons second day, day 3 is tablespoon or two, about an ounce on day 3-4, end of first week is ?, about 2.5-3 ounces by end of second week, 3 ounches per feeding at end of month. Talk to pediatrician though.

262
Q

What are the limits to storing breastmilk?

A

4 hours at room temperature, 4 days in fridge, 6-12 months in freezer

263
Q

What’s a good way to make sure breastmilk doesn’t go bad?

A

Mark it

264
Q

What’s a good way to make sure breastmilk doesn’t go bad?

A

Mark it

265
Q

What questions should be asked for any medical intervention?

A

BRAIN: Benefits, Risks, Alternatives, Intuition, Nothing

Also, Barbara adds: Why?