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Childbirth Education & Non-Pharmacological labor interventions A+

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Childbirth Education & Non-Pharmacological labor interventions A+

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  • February 11, 2024
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  • 2023/2024
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Childbirth Education & Non-Pharmacological labor interventions A+

The goal for childbirth education is to prepare the expectant parent both emotionally and physically for the childbirth while promoting wellness behaviors that
can be used by parents and family for life.
Ultimate goal: Healthy parents, safe labor and healthy baby.


Childbirth education teaches on birthing options, labor processes, resources available and pain management.


Birth Plan: It is a guide that helps the women and her partner express their feelings, wishes, expectations, and desires for the pregnancy as well as during labor
and birth. The birth plan includes:


Labor and Birth considerations (MD, support person, room preferences, pain management, pushing position)
Newborn considerations (formula or breastfeeding, pacifier usage, male circumcision, procedures)
Additional Considerations (Culture, gender identity, key word to speak privately with the HC provider)


Pregnancy exercises: aerobics are contraindicated, women should be encouraged to engage in regular, moderate-intensity physical activity for 30min or more
each day. The exercise practiced during pregnancy should focus on strengthening muscles without vigorous aerobic activity that may cause complications . NEVER
EXERCISE TO POINT OF FATIGUE


Benefits: Increases energy level, improve posture, relief from back pain, enhanced circulation, increase endurance, decrease muscle tension, increase
feelings of well-being, strength muscle to prepare for birth, and lower the risk for gestational diabetes, hypertensive disorders, preterm births and
cesarean births.
Exercises recommended: Arm and Upper back stretch, Pelvic tilt, Sit-ups, Kegels, Squatting, Calf stretch, Yoga, Tailor sitting, Pelvic Rocking and ABD
contractions.


Types of Education Classes: Preconception/Early pregnancy classes, Exercise in Pregnancy, Birthing preparation, Cesarean birth classes, Breastfeeding, Newborn

,care, Sibling, Daddy boot camp, Safety-childproofing, CPR, and First aid.


Types of Childbirth Classes:
Lamaze: Most Popular, focused on breathing techniques during labor and birth, as well as education on movement, position, massage, relaxation, heat
and cold therapy. (stimulus-response conditioning)
Bradley: Focused on woman inward relaxation, the partner facilitates the implementation of these techniques through coaching (guided imagery) .
There is a emphasis on darkness, solitude, and quite to reduce stimulation and enhance the calm and comfort.
Hypnobirthing: Classes focused on relaxation techniques to eliminate the pain associated with fear and tension.
Leboyer: dimly lit room, the baby is placed in a warm water bath to enhance the transition from the intrauterine to extrauterine environment.
Doula: is a professional labor assistant who provides physical and emotional support to you and your partner during pregnancy, childbirth and the
postpartum period.
Birth Settings:
Labor, Delivery Room (LDR): This is the type of room that some hospitals and almost all birth centers use for their care. Once you are placed in a room,
this is the room that you will use for your labor and birth, including the initial hours of recovery.
Labor, delivery, recovery and postpartum room (LDRP): These rooms are equipped with the necessary tools and supplies to care for mother and baby
before, during and after the birth. Most of the time, the baby will get to remain in the room with the mother instead of being taken to the nursery.
Birthing Home: Homelike, nonmedical setting for birth, pt can be easily transferred to a hospital if needed.
Home Birthing: Giving birth at home with family involved.
Non-pharmacological labor interventions: (pain control)
Knowledge dispels fear
Distraction
Relaxation techniques
Effleurage: Massage
Guided Imagery/Focal Point: Bradley method (coaching)
Breathing techniques
Conscious relaxation: Kitzinger method

, Stimulus-response conditioning: (Lamaze-gate control)
++++++++++++++++++++ Method used during stages of labor ++++++++++++++++++++++


Normal Antepartum (11 questions)
Signs of Pregnancy
Presumptive signs: Probable Signs:
Signs that make the person think that Signs that make the examiner suspect a client is pregnant
they may be pregnant.
Amenorrhea Abdominal enlargement
Fatigue Hegar’s sign: softening and compressibility of lower uterus.
Nausea/Vomiting Chadwick’s sign: blue/purplish color change of cervix and vaginal mucosa
Urinary frequency Goodell’s sign: softening of cervical tip
Breast changes/tenderness Ballottement: rebound of unengaged fetus
Montgomery’s glands Braxton hicks: false contraction that are painless, irregular and usually relieved by walking.
Quickening: perception of fetal mov. Piskacek’s sign: uterine asymmetry with a soft prominence on the implantation side.
Uterine enlargement Positive pregnancy test
Skin changes (Melasma or Chloasma) Fetal outline felt by examiner

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