Test 2 Flashcards
Leboyer
Underwater birth; invented to make birth easier for mother; tub of warm water relaxes the body; less likely to have episiotomy; have obstetrician, midwife, and doulas; plan in place ICE to get to hospital
Birthing center
Your own cozy room for your family, midwife, obstetrician, doulas
Doula
Physical, emotional support
Nurse midwife
They only do pregnancy and birth
Cesarean delivery
C section; still risks, very common now
Induced labor
Pitocin (synthetic oxytocin: love hormone); falling in love with newborn; in mother and father
Placenta abruptio
Placenta detaches before birth, cutting off babies source of oxygen; leads to emergency c section; contractions push baby and placenta out which can detach the placenta before birth
Placenta previa
Blocks cervix; the placenta is supposed to be at the top of the uterus, in this case it is near the birth canal blocking the exit –> emergency c section
Fetal monitoring strap
Electrode
Breech position
Any position except for headfirst; midwives and obstetricians will try to reposition the baby from the outside
Episiotomy
Perineum; cut by doctor
Anoxia
Insufficient oxygen (any reason)
Signs of impending birth
Water breaking, bleeding, regular contractions
Stage one of birth
Labor (12 hours for 1st birth); oxytocin released by pituitary; CRH (corticotropin releasing hormone) released by placenta; later births are half time
Stage 2
Delivery; 30-60 minutes; come facing down, then turn
Stage 3
Delivery of placenta; 5-30 minutes; placenta is about the same size as a baby (avg. baby is 7.5-8lbs)
Postpartum depression
Loss of placenta and hormones; only to women who are predisposed to depression experience this
Uses for placenta after birth
Skin softening agent; some bury it; other species will consume it
Vernix
Cheesy liquid human newborn covered in; easier to move; parents umbilical cord getting snagged
Sucking stimulates milk production
Breastfeeding a newborn triggers more contractions, expelling placenta and getting uterus back to its normal size; colostrum in first amount of breast milk; stimulates newborns immune system
Gestational age
38 weeks is full term; premature is more than 3 weeks early
Intervention: Tiffany Field
Massage/touch therapy; touch they (premises) would’ve gotten in the womb
Kangaroo care
Placing babies in sack carried around the chest; gives them the sensation of being held/touched while the parent can do things; similar to touch/massage therapy; feel breathing
Breathing bear
Placed in crib with baby while they sleep and mimics breathing; what they would hear if co-sleeping; physical connection with others
The apgar scale
(1952) the immediate measure of overall health of newborn; scores 7-10 are good; tests on appearance, pulse, grimace, activity, respiration; done 1st minute after birth, 5th minute, and 10th minute; 3 or below is critically low, 4-6 fairly low, 7-10 generally normal
The Brazelton: Neonatal Behavioral Assessment Scale (NBAS)
T. Berry Brazelton; measures ability to self-regulate and manage reactions to stimuli; 47 different progressive skills;
tests: 1 regulate breaking, temp, autonomic system, tremors, startles, skin color changes set off by sights and sounds; 2 control motor system; sleep/wake “state” regulation, inhibiting random movements; 4 interact socially- mimicking, crying, alternative was to sounds, sights, etc. and how the baby integrates all areas
Used more often than apgar, especially if baby is in NICU
The Ballard
Assess baby’s physical maturity/gestational age at birth (38 weeks); find out when the baby was conceived; evaluates appearance, skin texture, motor function and reflexes; low scores mean immature development of premature birth (scale -1 - +5)
Stepping reflex
The baby over a surface they will stomp
Reflexes
We are born with the ability to perform certain actions before we have the intention to perform them; protection, survival, and caregiving
Babinski
Tickling feet and toes stretch out instead of curl up
Grasping reflex
On first day of life a baby has the ability to grasp firmly enough to be held up
Sucking reflex
Survival
Moro reflex
When you startle, the body scrunches
Neonate senses
Touch, pain response, taste, smell, hearing