Week 1 Flashcards
Where are the 4 settings u can give birth in.
-Home
-Freestanding midwifery unit
-Alongside midwifery unit
-Obstetric unit
What prior arrangements should be made before labour to reduce stress and anxiety
-Travel arrangements
-Child minding arrangements
-Packing bags
-Contact details
-View of birthplace prior
What is optimal fetal positioning
Occiput anterior
Head down facing your back
What are the risks if the baby is malpositioned and malpresentating during labour
-Increased risk of intervention
-Operative birth
-Increased maternal and neonatal morbidity
How to reduce malposition and malpresentattion before labour
-Encourage fetus into optimal fetal positiion
-Reg use of uproght/forward leaning postures (esp during BH)
How to safely sleep on your side while preggrs
Why should u sleep on ur side when pregnant (esp after 28wks)
Sleeping on ur back doubles the risk of stillbirth, possibly due to flow of blood and oxygen to the baby.
What % of women experience some degree of trauma to the perineal region while giving birth
85%
What factors play a role in the type + severity of trauma experienced
-Parity
-Birthing Mode
-Local Practices
What benefits does excersise have in pregnancy
-Reduction of MH problems
-Reduced diabetes
-Reduced hypertension
-Faster recovery after birth
-Reduced urinary incontinence
How many women experience urinary incontinence in 2nd and third trimester of pregnancy
One third of women
How many women leak urine in the first 3 months after giving birth
One third
How many women have anal incontinence in late pregnancy (Flatus or faeces)
One quarter
How many women leak flatus or faeces one year after birth
One fifth
What is PFMT
Pelvic Floor Muscle Training
Why is PFMT reccommended
Reccommended during pregnancy and after birth for prevention and treatment of incontinence
-Antenatally to strengthen muscle in preparation for childbirth
What is a perineal massage
Inserting finger(s) about 2 inches into the vagina and rubbing the vaginal canal in a side to side motion, while adding light pressure to slowly stretch the walls of the vagina, for 10-154 minutes
What are the benefits of perineal massage?
-Increase stretchiness of the tissues in the perineal area
-Increase elasticity
-Soften tissues around scar from previous EPIS
-Prep a woman for sensations of crowning during the birth
