Prenatal
Early First Stage
First Stage
Late First Stage
Transition
100
What should the mother and coach be doing for at least 20 minutes daily so they will best handle any pain in labor?
Relaxation
100
Name 3 reasons pre-labor or Braxton-Hicks contractions are important
Strengthen uterus, ?Prepares mother for labor, Prepares baby for labor
100
What 4 things are measured during a vaginal exam?
Dilation ?Effacement ?Station ?Baby’s position
100
If you are going to change locations (home to hospital, etc.) what things can you do to make the move less stressful?
Prepare car before moving mom, take warm shower or bath before leaving, have someone other than coach drive if possible, always keep tank halfway full, ?follow laws – Safety 1st!
100
What stage comes after Transition
What is Second Stage/Pushing/Expulsive Contractions
200
Name 3 things to do before labor so mother can avoid unnecessary pain during labor.
Good Nutrition, exercise, avoid harmful things, education, relaxation, have a trained coach, chose a supportive birth team, and a supportive birth place
200
What 3 things can you do/should you do during Early First Stage
Eat or drink if you are hungry or thirsty Sleep as much as possible Stay busy and do not become too excited
200
What is the typical ?emotional sign-post during ?first stage labor?
What is Acceptance!! (This is it!)
200
What can you do to make the hospital more home-like?
Bring own clothes, music, pillows, candles, decorations
200
What are the typical emotional signs for Transition and what behavior might you expect?
Self-Doubt, Surrender. Cry, scared, confused, bitchy, move around a lot, hot and cold flashes, or may handle things better than before
300
How are due dates determined, and what is the typical gestation in a first time mother?
Can be determined from first day of last menstrual cycle, quickening, ultrasound, and family history.??Typical is 41 1/7 weeks
300
What are labor contractions typically like during pre-labor/early first stage???(Frequency, duration, etc.)
Typically irregular, last less than 60 seconds and generally around 10 minutes part. Uterus may contract in only part of the uterus (top, side, bottom) or all over, may subside from changing positions or eating
300
What are labor contractions typically like during first stage???(Frequency, duration, etc.)
They settle into a pattern by becoming stronger and more frequent; generally 5 minutes apart, lasting around 60 seconds.
300
What are labor contractions typically like during first stage???(Frequency, duration, etc.)
Generally 2-5 minutes apart lasting 60 seconds or more. They follow a regular pattern, are intense and close together.
300
What are labor contractions typically like during transition???(Frequency, duration, etc.)
May become irregular, may double peak, may come one on top of the other, may stop completely for a while.
400
The ultrasound received at about 36 weeks will give you the weight of your baby. How far off can this measurement be?
This estimate can be off a pound or more in either direction
400
To determine if contractions are Braxton-Hicks (pre-labor) or ?“the real thing” ?what are 5 things Dr. Bradley suggest trying?
What is Eat, ?Drink, ?Walk, ?Shower, ?Nap
400
Name 3 ways a coach can ?create a positive environment ?for birthing.
Phrase things positively (isn’t my wife doing great?), use first names of staff, calmly bring them up-to-date on labor progress, say “please help us, we need…”, offer sincere appreciation, if saying no say it nicely, protect her from disturbance, stay calm.
400
What is the typical emotional signpost for late first stage?
Seriousness "Do not disturb" "Get to work"
400
What will she need during this stage?
Reassurance, positive attitude, extra encouragement, understanding, reminder of where she is in labor
500
Name the 8 food groups that pregnant women need to have daily.
Milk/Dairy Eggs Protein Greens Whole Grains Citrus Fats & Oils Yellow&Orange Fruits & Veggies
500
Name 3 typical emotional signs during pre-labor/early first stage.
What is Excited, active, hungry, thirsty, still modest, a little nervous or unsure if this is “the real thing’, putsy-putsy
500
What kind of behavior might mom have during First Stage?
Tries various positions to get comfortable. Works hard with contractions but prefers to stay busy in between contractions.
500
What might mother be ?thinking during this stage ?but not be able to say?
Lights on/off, keep rubbing my back even between contractions, “shhh!”, keep talking, I’m sorry for being abrupt, I don’t think I’m doing very well, I’m going to be in labor forever, don’t joke around, this hurts, I wish this would stop, etc.
500
What is happening with her body in a transition?
Chemical, physical and hormonal changes
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