Labor and Delivery

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Labor and Delivery

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Objective

• For parents to become knowledgeable about each
  phase of labor and delivery so that they can be a
  part of the decision-making process and confident
  as they approach birth

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Terminology

• Lightening- baby drops down into your pelvis.
• Rupture of membranes the amniotic sac gets a
  hole
• Presenting part the part of the baby that is
  pressing on the cervix
• Engagement- babys head has passed through the
  upper pelvis into the lower pelvis

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Terminology

• Contraction- Shortening and tightening of the
  cervix
• Effacement Thinning and shortening of the
  cervix
• Dilatation Opening of the cervix
• Bloody Show Small blood vessels rupture as the
  cervix begins to dilate

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Stages of Labor

• 1st Stage
• Pre-Labor
• Phase 1 - Early Labor
• Phase 2 - Active Labor
• Phase 3 Transition
• 2nd Stage- Pushing
• 3rd Stage- Birth

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Pre-Labor
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First Stage Labor Phase 1 Early Labor
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Stage 1 Phase 1
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For Early Labor (1st Phase Breathing)
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First Stage Labor Phase 2 Active Labor
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Stage 1 Phase 2
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For Active Labor (2nd Phase Breathing)
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First Stage Labor Phase 3 Transition
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Transition Breathing
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Second Stage Labor - Pushing
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Second Stage Labor Pushing cont.
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Stage 2- Pushing
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Coached Breathing
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Third Stage Labor (includes time from babys
birth to expulsion of the afterbirth)
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Stage 3- Birth of the Placenta
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Stages of Labor- Summary
Active Labor
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Acknowledgements/References

• VA/DoD Uncomplicated Pregnancy Clinical Practice
  Guidelines (December 2000)
• Ms. Brandy Stoffel, Community Health Nursing, Ft
  Lewis, Washington
• LTC Teresa Hall, Community Health Nurse,
  Directorate of Health Promotion and Wellness, US
  Army Center for Health Promotion and Preventive
  Medicine

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Normal Vaginal Delivery

• These are real photos!

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