September 24 2015 Most babies in the world are born at home In the US there are families that have babies at home financial afraid of hospitals different cultural background feel that home environment is relaxing and emotionally supportive Unsafe something ca go wrong and doctors need to be around to save mom baby s life Prolapse few minutes to work things out Hospitals can provide emergency care for mom and baby More than 50 of babies born with the help of a midwife no medical training For people that cant afford trust doctors or family tradition Obstetrician certifies to birth baby take care of mom Certified Nurse Midwife training in undergraduate nursing program 2 years of post graduate training full time No risks in this birth process If anything goes wrong immediate referral to obstetrician Alternative Birthing Center ABC 3 or 4 CN Midwife rent buy a home in a community and convert it to rooms They keep it in home like atmosphere For uncomplicated pregnancies They can have their own room They don t insist on prepping Will cost you about half of birthing in a hospital ABCs need to be within a 10 minute drive to an ER 7 of mothers in ABC get transported to ERs Prepared Childbirth learning experience as a couple Lamaze go to classes to learn how to do the Lamaze intervention you choose a coach he ll go with you to the classes He ll stay with you through labor and he ll learn how to do massage techniques to relax muscles Breathing techniques takes the pressure from the diaphragm The Bradley Technique The coach is the boss Trying to psychologically release pain Medication 95 of women who give birth in US Given in 3 different levels o Local Anesthetic short term effect is quick and limited can be injected directly into vagina o Systemic Medication affects the whole body opioids that you take will reduce pain but will have effect that these narcotics do body could reject it o Regional Anesthetic a major part of your body waist down is going to pain free Pain 2 Lying on your back and insert needle in the spinal cord eliminating pain from point of injection down Epidural given in specific location on spinal cord 20 30 minutes to work 3 4 cm dilated Spinal injected slightly higher of where epidural goes instantly works doesn t last as long as epidural for emergency situations Regional anesthetic downside Does not always work like it s supposed to Can slow down contractions All of these medications get to your baby The Newborn Baby Average 7 5 pounds at 20 inches long if carried to full term Waxy coating Hair on bodies lanugo The earlier a baby is more the more immature the organs are more Even thought they don t have immune system they can receive susceptible to disease antibiotics Premature Baby Brain problems at the capillaries tiny and if they rupture they will have bleeding in the brain and it can kill them Lungs 32nd week surfactant is produced if not enough surfactant when baby is born lungs will collapse respiratory distress Respiratory distress syndrome lifelong disability Artificial surfactant infused right into the lungs of premature babies 3 CPAP machine that pumps air into baby s lungs puff that relieved pressure and no tissue damage in lungs Pre Term before the 38th week The earlier you are born the lower the birth weight Low Birth Weight under 5 pounds Very low birth weight under 3 5 pounds About preterm low birth weights could be prevented if mothers received optimal prenatal care 4
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