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Parturition
2 weeks before delivery
What happens during parturition?
Uterine and cervical changes to bring on labor process
Braxton Hicks
False Contractions
1st stage of labor (time)
Longest (12-14 hours)
what happens during the 1st stage of labor?
Contractions. Cervix widens and dialates
2nd stage of labor (time)
1-2 hours
Labor
Giving Birth Process
What happens during the 2nd stage of labor?
Strong contractions. babys head moves through the cervix into vaginal canal
When is the 2nd stage of labor over?
When the baby is completely out.
3rd stage of labor (time)
10-60 minutes
What happens during the 3rd stage of labor?
Placenta and remainder of umbilical cord expells
Electronic Fetal Monitoring
Track fetus Heartbeat
Vaginal Birth pros
Help expel amniotic fluid from lungs. Surge of hormones, send blood to the heart and brain. Mobilize stored fuel to nourish cells
Vaginal Birth cons
Sexual dysfunction, risk of tearing, increased birth trauma.
C-Section
Surgical removal
natural childbirth
No Drugs, breathing and relaxation
Prepared childbirth
social support, voice coach, reduce fear through breathing and massage.
Birth process pre 20th century
Female only ritual. midwives. Increased Death Rates.
Pre 20th century how many babies died before first year?
1/4
Local Anethesia
Blocks pain receptors
analgesic
pain killer (reduces perception of pain)
Neonate
Baby
Neonatal Period (Time)
1st 4 weeks of life
Avg baby stats
20 inches and 7.5 lbs
Neonatal Period Definition
Time of transition from uterus to independent existence
fotanels
soft spots
Lanugo
Pink fuzzy skin
Vernix Caseosa
"Cheese" protection
Meconium
Poop. Stringy Green/black
neonatal jaundice
Yellow skin an eyes. Immature Liver.
Anoxia
LACK of oxygen
Hypoxia
Reduced oxygen
Apgar Scae
measure newborns condition, assess appearance, pulse, grimace, activity, and respiration (10pt scale)
Brazelton Neonatal Behav. ass.
Response to environment. Help predict future development (Motor, organization, reflexes, state changes, attention etc..) (30 minutes)
State of arousal
Physiological and behavioral status at a given moment in the periodic daily cycle of wakefulness, sleep and activity (degree of alertness)
Baby sleep
75% of the time (18 hours a day)
Complications
low-Birth-weight, premature infants, small for date
Low-Birth-weight is contributed to
delayed childbearing, multiple births, fertility drugs and increased induced and C-section births
Other low birth weight factors
Environment, education level, nutrition, age, stress, infections
preterm
born before 37th week
small for date
weigh less than 905 of avg baby
Kangaroo care
skin to skin contact face down on mothers breasts for 1-2 hours at a time.
How is kangaroo care beneficial?
Allows self regulation, contact and comfort.
isolette
antiseptic, temp controlled 'crib'. Holes allow for touch and massage
Protective factors
reduce impact of early stress
individual attributes of protective factors
energy, sociability, and intellegence
Post mature
2 weeks past due date
Survival and health
sever infections, preterm delivery, asphyxia, many deaths are preventable.
IMR
babies death within 1 year
#1 death in u.s.a
Low birth weight, sids, birth defects, maaternal and placenta complications
sids
crib death
Causes of sids
Unknown BUT laying on stomach inhibits swallowing reflux. Re-breathing, low seratonin keeps baby asleep
When does sids peak?
2-3 months
what percentage of kids are vaccinated?
90%
When does rapid growth occur?
2-3 years.
Teething occurs at what months
3-4 months
other baby concerns
Solids introduced 2nd half of 1st year. Malnutrition, obesity.
What form of feeding is most nutritious?
Breastfeeding
Benefits of breastfeeding
More digestible. Reduces allergic reactions, minimizes infections, reduces sids risk, better cognitive performance.
How long should one breastfeed for?
6months to 1 year
Reflex behavior
Automatic, involuntary, innate responses to stimulation.
Types of reflex behavior
Primitive, postural, locomotor
Primitive reflex
Sucking and Rooting
Postural Reflex
Changes in position and balance
Locomotor
Walking and swimming
Rule of experience
Postnatal brain molded by development
Plasticity
Ability to change and learn new things
Threats to Plasticity
Sensory impoverishment
1st sense to develope
touch and pain
touch and pain sense
rooting. Able to experience pain at birth
Smell and taste
Begins in womb. babies prefer sweet.
hearing
Functional before birth
Sight
last sense to develop
20/20 vision is achieved at what month?
6 months
Binocular vision
depth
What months does binocular vision develop fully?
4-5 months