Pregnancy

How Your Body Changes Common Changes • Shortness of breath Lung

• Fatigue / insomnia

Heart

• Backache

Milk Ducts

• Swelling

Diaphragm

Placenta

Liver

• Enlarged breasts • Loose joints • Frequent urination

Stomach

• Nasal congestion

Small Intestine

• Change in balance

Uterus

• Heartburn

Cervix

• Skin changes

Bladder

• Round ligament pain

Vagina

• Hemorrhoids / constipation

Rectum

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Amniotic Fluid

• Stretch marks • Leg cramps

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Pregnancy

Positive Positions

Sitting cross-legged

Pelvic tilt – spine arched

Getting up

Sleeping position – left side

Bending and lifting

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Labor & Birth

Labor Begins Contractions Progress: • Longer • Stronger • Closer

Mucus plug and bloody show

Effacement and dilation

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Membranes rupture

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Labor & Birth

Early Labor Mother • Maintain normal activity • Rest and relax • Eat and drink lightly

2cm 4cm

• Massage

6cm 8cm 10cm

Circles shown NOT actual diameter in centimeters.

• Hydrotherapy

Partner • Comfort and support • Time contractions • Contact care provider

Lasts 30 – 45 seconds

5 – 20 minutes apart

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Labor & Birth

Active Labor

Mother • Release tension • Breathing techniques • Use upright positions • Rock and move • Change positions • Visual focusing 2cm

• Tub or shower

4cm

• Maintain fluids

6cm 8cm 10cm

Circles shown NOT actual diameter in centimeters.

• Urinate often

Partner • Stay attentive • Maintain eye contact • Cool cloth and ice chips • Touch massage

Lasts 45 – 60 seconds

• Counterpressure • Breathe together

2 – 5 minutes apart

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Labor & Birth

Positions for Labor Reminders • Change positions

• Lean forward

• Use gravity

• Rock and sway

• Stay off your back

Walking

Standing with support

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Birthing ball

Leaning forward on chair

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Labor & Birth

Transition Mother • Take one contraction at a time • Continue breathing and relaxing

2cm

• Report urge to push

4cm 6cm 8cm 10cm

Partner • Maintain eye contact • Verbal reassurance

Circles shown NOT actual diameter in centimeters.

• Directive support • Continue comfort measures • Breathing reminders

Lasts 45 – 60 seconds

2 – 3 minutes apart

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Labor & Birth

Transition Mother

Partner

• Use gravity

• Verbal encouragement

• Work with your body • Pushing techniques

• Physical support

• Visualize baby’s descent

Hands and knees

“C” position

Side-lying

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Supported squat

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Labor & Birth

Birth and Postpartum

Placenta Involution of the uterus Birth

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Labor & Birth

Cesarean Birth Reason for Cesarean • Lack of progress • Fetal distress • Fetal malpresentation • Problems with the placenta • Mother’s health • Repeat Cesarean ____________________________ VBAC

Uterine incisions

Vertical

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Low transverse

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Breastfeeding Baby • Best nutrients • Easily digested • Lower risk of SIDS • Long-term health benefits

Mother • Speeds recovery

Correct positioning

• Long-term health benefits Cradle hold

Discreet breastfeeding

Clutch (football) hold

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Side-lying hold

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Your Newborn Baby

Characteristics Physical • Cyanotic hands / feet • Head molding / bruising • Fontanel • Swollen eyes • Vernix • Lanugo • Milia • Birthmarks • Umbilical cord • Swollen genitals

Cyanotic hands and feet, clamped umbilical cord and puffy eyes

• Jaundice

Going Home

Interactive

• Car seat safety

• Sleep / wake cycle

• Back to sleep

• Can see 8 – 10” • Hears all sounds • Tastes and smells • Reflexes • Comfort and crying Vernix

Milia

Mongolian spots

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• Can’t be spoiled

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Thank You

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