labor and birth

Labor and Cervical Changes

  1. Dilation – The opening of the cervix during labor, measured in centimeters from 0 (closed) to 10 cm (fully dilated).

  2. Effacement – The thinning and shortening of the cervix in preparation for birth, measured in percentages (0-100%).

  3. Lightening – The process when the baby moves lower into the pelvis before labor, reducing pressure on the diaphragm.

  4. Nesting – A surge of energy and the urge to prepare for the baby’s arrival, common before labor.

  5. Bloody Show – The passage of blood-tinged mucus from the cervix as it begins to dilate and efface.

  6. Mucus Plug – A thick collection of mucus that seals the cervix during pregnancy and is expelled before labor.

  7. Braxton Hicks Contractions – Irregular, non-labor contractions that help prepare the uterus for birth.

Rupture of Membranes (Water Breaking)

  1. Rupture of Membranes (ROM) – The breaking of the amniotic sac, either spontaneously or artificially.

  2. Artificial Rupture of Membranes (AROM) – The intentional breaking of the amniotic sac by a healthcare provider, often using an Amnihook (a tool used to break the sac).

  3. Spontaneous Rupture of Membranes (SROM) – When the amniotic sac breaks naturally before or during labor.

  4. Preterm Premature Rupture of Membranes (PPROM) – The rupture of membranes before 37 weeks of pregnancy, increasing the risk of preterm labor.

Labor Types & Hormones

  1. False Labor – Irregular contractions that do not lead to cervical dilation or birth.

  2. Prodromal Labor – A phase of early labor with contractions that may last for days before active labor begins.

  3. Relaxin – A hormone that loosens the pelvic ligaments to facilitate childbirth.

  4. Estrogen – A hormone that increases near labor, helping to stimulate uterine contractions.

Pelvic Structures & Fetal Positioning

  1. Pelvic Inlet – The upper opening of the pelvis where the baby begins its descent.

  2. Mid-Pelvis – The middle part of the birth canal, where the baby rotates during labor.

  3. Pelvic Outlet – The lower opening of the pelvis where the baby exits.

  4. Gynecoid Pelvis – The most common and ideal pelvic shape for vaginal birth.

  5. Anthropoid Pelvis – A narrow pelvis that may make labor longer but still allows vaginal birth.

  6. Android Pelvis – A heart-shaped pelvis that may make vaginal delivery more difficult.

  7. Platypelloid Pelvis – A flat pelvis that can make vaginal birth more challenging.

Fetal Positioning & Birth Presentation

  1. Molding – The temporary shaping of the baby’s head to fit through the birth canal.

  2. Fetal Attitude – The posture of the fetus, typically with the head tucked and limbs flexed.

  3. Fetal Lie – The orientation of the baby in the uterus (longitudinal, transverse, or oblique).

  4. Fetal Presentation – The part of the fetus that enters the birth canal first (e.g., head-first, breech).

  5. Breech Presentation – When the baby’s buttocks or feet enter the birth canal first.

  • Frank Breech – The baby’s buttocks are down, with legs extended toward the head.

  • Footling Breech – One or both feet enter the birth canal first.

  1. Fetal Position – The direction the baby is facing in relation to the mother’s pelvis (e.g., occiput anterior, occiput posterior).

  2. Fetal Station – The measurement of how far the baby has descended into the pelvis (-5 to +5, with 0 being engaged at the ischial spines).

  3. Floating – When the baby’s head is not yet engaged in the pelvis.

  4. Fetal Engagement – When the baby’s head settles into the pelvis at station 0 or lower.

Newborn Head & Birth Canal

  1. Sutures – The flexible joints in a newborn’s skull that allow for molding.

  2. Fontanelles – The soft spots on a baby’s head where the skull bones have not yet fused.

  • Anterior Fontanelle – The larger soft spot, closes by 12-18 months.

  • Posterior Fontanelle – The smaller soft spot, closes by 2-3 months.

  1. Caput Succedaneum – Swelling of the soft tissue on a newborn’s scalp due to pressure during birth.

  2. Cephalohematoma – A collection of blood under the scalp caused by birth trauma.

  3. Turtle Sign – A sign of shoulder dystocia where the baby’s head retracts into the birth canal after crowning.

Stages & Movements of Labor

  1. Cardinal Movements of Labor – The natural movements the baby makes to navigate the birth canal:

  • Engagement – The baby’s head enters the pelvis.

  • Descent – The baby moves downward through the birth canal.

  • Flexion – The baby’s head tucks to fit through the pelvis.

  • Internal Rotation – The baby rotates to align with the pelvis.

  • Extension – The baby’s head extends as it emerges.

  • External Rotation (Restitution) – The baby’s head rotates to align with the shoulders.

  • Expulsion – The baby’s body is delivered.

Labor & Delivery Terms

  1. Placenta – The organ that provides oxygen and nutrients to the baby during pregnancy.

  2. Uterus – The muscular organ where the baby develops.

  3. Primigravida – A woman who is pregnant for the first time.

  4. Multipara/Multigravida – A woman who has been pregnant multiple times.

  5. Gravida – The number of times a woman has been pregnant.

  6. Para – The number of times a woman has given birth past 20 weeks.

  7. Uterine Contraction – The tightening and releasing of the uterus during labor.

  • Frequency – How often contractions occur.

  • Duration – How long each contraction lasts.

  • Intensity – The strength of the contractions.

  1. Birth Plan – A document outlining a woman’s preferences for labor and delivery.

  2. Doula – A trained professional who provides emotional and physical support during childbirth.

Stages of Labor

  1. First Stage: Dilation

  • Latent Phase – Early labor with mild contractions and slow cervical dilation (0-6 cm).

  • Active Phase – Stronger contractions and rapid cervical dilation (6-10 cm).

  1. Second Stage: Expulsive – The pushing stage where the baby is delivered.

  • Spontaneous Pushing – The mother pushes as she feels the urge.

  • Directed Pushing – The healthcare provider instructs when to push.

  1. Third Stage: Placental – The delivery of the placenta.

  2. Fourth Stage: Restorative – The recovery period after birth.

Postpartum Care

  1. Lochia – The vaginal discharge after childbirth.

  2. Sterile Vaginal Examination (SVE) – A manual exam to check cervical dilation.

  3. Leopold Maneuvers – A method to assess the baby’s position by palpating the abdomen.

  4. Meconium – A newborn’s first stool, which is thick and sticky.

  5. Fundal Massage – A technique to prevent excessive bleeding by stimulating the uterus.

  6. Uterine Atony – The failure of the uterus to contract after delivery, leading to postpartum hemorrhage.

  7. Retained Placenta – When the placenta does not deliver fully, requiring intervention.

  8. APGARs – A newborn assessment at 1 and 5 minutes after birth (Appearance, Pulse, Grimace, Activity, Respiration).

  9. Boggy Uterus – A soft, non-contracting uterus that can cause postpartum bleeding.

  10. Firm Uterus – A well-contracted uterus, indicating reduced bleeding risk.