1. What are goals and education for childbirth?
o Stages of labor, helping pt prepare (prenatal care, birth classes)
o Point of classesisto inform and
... [Show More] help make decisions, natural childbirth, c-section, relaxation
o Childbirth education goal: to reduce anxiety while providing physiologic- and psychosocial-based education
along with labor-coping techniques, including relaxation tools, such as muscle relaxation and breathing exercises.
o Types of classes: programsfor preparation, body-conditioning exercises, relaxation exercises, breathing techniques
2. Why is it important to teach relaxation techniques, what isthe purpose of relaxation techniques?
o Important for pain management, the body doesn’t oxygenate itself when pt holdstheir breath (increases pain)
o Keep pt well oxygenated, itll keep labor progressing
o Relaxation during labor allows women to conserve energy and the uterine muscles to work more efficiently
3. Identify the 4 types of pelvis: know the 2 favorable for vaginal delivery and 2 not favorable
o Doctors usually feel and ultrasound
o For vaginal delivery, pp. 322 and 323
o Pelvis should be round shape for baby’s head
o Favorable= gynecoid and anthropoid
o Not favorable= android and platypelloid
4. What are the critical factors for labor?
o 5 P’s, birth passage, passenger (fetus), passageway relationship between pelvis and baby, psychological factors
“how often is she contracting?”, psychosocial factor “how is she coping?” ”what are her values and beliefs”
o Passenger (fetus and placenta)
o Passageway (birth canal)
o Powers(contractions)
o Position (of the woman)
o Psychological response
5. Identify the cephalic fetal presentations, what isthe most common? Is this normal?
o P. 324, head first always, cephalic, suture lines
***KNOWDECELSANDINTERVENTIONS,IWOULDREADFORTHATSE
o However there’s 4 different ways a newborn can be delivered, brow and face presentation are hard to deliver
o Sometimesforceps are needed, be careful with face presentation
o Do not know engagement station, you don’t need to determine the position the client is in ROA, LOA
o Vertex presentation *most common*, sinciput (median vertex) presentation/military, brow presentation, and
face presentation [Show Less]