Test 5 Andy's Wife's Remarks Flashcards
Epidural rate cache valley
98%
Pain in labor comes from:
The cervix opening up
How large must the cervix open to?
10 cm
When does the pain stop?
Once the cervix is fully dilated, and the babies head is out, the pushing is much easier
What is the key to fascilitating labor?
Being aware of the babies position relative to the cervix
What is the key to facilitating labor?
Being aware of the babies position relative to the cervix
Pelvis, adjustments for birth:
can open an additional 25%
Sacrum can shift out of the way
Joints of pelvis are softened
What is the largest part of the babies body?
The babies head.
How much does baby head size vary?
Not that much
What makes labor difficult?
Improper positioning of the baby
What helps the baby position itself?
Gravity pushes the babies head to center (only if the mother is perpendicular to the ground)
What helps the baby position itself?
Gravity pushes the babies head to center (only if the mother is perpendicular to the ground)
It also pushes the babies chin down
What difficulties arise from lying on the back?
The babies head does not center over the cervix (because gravity cannot pull it straight down)
The babies head only applies pressure to one side of the cervix
The cervix is twisted, which causes pain
The best position for child birth?
mother is perpendicular to the ground
When do you check progress?
Between contractions
- Bladder effect on the positioning of the baby?
- How often should the bladder be emptied?
- Full bladder will push the baby away from the cervix (making contractions ineffectual)
- 30 - 45 minutes
What are the advantages of going to restroom?
Upright positioning
Walking allows the baby to position itself
The toilet provides an upright position
When the bag of water is intact, what does it do for you?
- It helps to push on the cervix, as the water can position itself to push on the cervix more
- It does increase pain by 50%
- Vitamin C helps to make strong bags of water
When should the bag of water be broken?
When the baby is being positioned
Things that help with birth:
- Just let the birth happen when it does, even if it takes longer than the due date
- Upright
- Emptying bladder
- Not breaking bag
Endorphins:
- Effect:
- Increase during pregnancy:
- Increase before labor:
- Effect: act as a pain killer - Increase during pregnancy: 10x as high during pregnancy - Increase before labor: As much as 100x as high right before labor
Adrenaline production right before birth?
Increased adrenal production, increased energy a few days before birth
- Cries when the energy level drops
Signs that birth is about happen?
Increased pooping Increased energy (from increased adrenal production)
Effect of putting a woman in a tub of water?
- When should a woman be placed there?
Note: birth doesn’t have to occur in the tub
Decreases pain by 50%
later stages of labor which hurt more
Why would you not want an epidural?
Numb from waste down
- Cannot get up and walk
Epidural slows the birth
- What happens when the baby get’s low enough in the vagina?
- How does epidural interfere with this?
- What happens when the baby get’s low enough in the vagina?
It pushes on the nerve which tells you that you want to poop, causing the mother to bare down - How does epidural interfere with this?
It stops being able to feel the nerve
Attachment process for humans in babies:
up to three hours after the birth, 1 hour is the most intense.
Endorphins and adrenaline help with this bonding
It is necessary in the same way as animal bonding is necessary
Epidural issues effect on endorphins and bonding:
Decreases the amount of bonding because it lowers endorphin levels
Nutrients important for labor
Magnesium
Iron (body needs high myoglobin to sustain contractions)
Vitamin E (antioxidant, helps with cellular uptake of oxygen)
Why do you not eat dark greens and leaves raw (not cooked)?
- What can stop this?
A molecule, oxalic acid, which binds to ions (iron and magnesium) which binds them up in the blood, cleared by urine, only a problem if taken daily
- What can stop this?
Steam the leaf
Toxemia late in pregnancy and PMS results from what?
Low magnesium
Baby having hiccups in utero is a sign of what?
Low magnesium
Robust iron levels effect birth how?
The uterus has high endurance, due to high myoglobin and better delivery from hemoglobin
- Ways to boost iron?
- Ways to boost vitamin E?
- Ways to boost iron?
- Ways to boost vitamin E?
Many midwives will rub vitamin E extract on babies, which causes what effect?
- What is an alternative explanation:
Blue skin reds, could be increased oxygenation, could be inflammation
Eating in labor:
It is usually a good idea to eat before labor, because you need energy and nutrition if it goes on for a long time
- Energy is needed for the contractions to be effectual
Do people actually need to squat?
Debatable, approximate the squat because most women do not have the musculature to squat because we do not do it in the first world
Is birth feasible?
Yes, it can just happen
