Doula Training Class 3: Labor & Childbirth PDF

Doula Training & Mentorship Class 3: Labor & Childbirth The Role of Hormones Let’s discuss! L&D Terminology Cervical Effacement Cervix must be ripened first Cervix begins to thin out and fade away Consistency starts like the tip of your nose and ends like jelly Measured by perc...

Doula Training & Mentorship Class 3: Labor & Childbirth The Role of Hormones Let’s discuss! L&D Terminology Cervical Effacement Cervix must be ripened first Cervix begins to thin out and fade away Consistency starts like the tip of your nose and ends like jelly Measured by percentage Usually effacement happens before or in tandem with dilation Cervical Dilation The measurement of the opening of the cervix Active labor begins at 6cm Must dilate to 10cm to begin pushing Rare cases, may push slightly before that Dilation generally happens slowly, from 6-10cm takes average of 8 hours Very slow early dilation can occur Pelvic Station Offers information on how low baby has descended into the pelvis Is measured with numbers -3 to +3 There is sometimes a correlation between pelvic station and dilation Pelvic station can change or regress Laboring down is a technique where pushing is postponed until baby has descended completely Fetal Positioning Seven cardinal movements of labor Baby rotates with select contractions or external rotational assistance Ideally, baby should be born face down Babies can be born OA (sunny side up), but this causes back labor and intense contractions The Stages of Labor Let’s discuss! Pre-Labor Physiological Psychological Relaxin is at work Final nesting surge More consistent Braxton Hicks Excitement and/or anxiety contractions (practice contractions) Mood changes May feel unwell (flu-like symptoms, nausea, diarrhea, loss of appetite) Period-like cramps More consistent aches and pains Early Labor Physiological Psychological Rupture of water (not common) Excited Onset of contractions Nervous Bloody show/mucus plug Planning release Overthinking Contractions will start, but very spread apart Can continue normal daily Clients should rest during activities and can talk through this stage to conserve their contractions energy! Active Labor Physiological Psychological 6+ cm of dilation Begin to have doubts Should transition to the delivery Continuing regular activities location becomes difficult Contractions intensify gradually Cannot talk through Contractions get closer together contractions to approx. 5 minutes apart More physically uncomfortable Transition Physiological/Hormonal Psychological 8-9cm Initial shakiness Contractions are 2-3 minutes Crying, visible display of apart emotions Last huge surge of oxytocin Let guard/wall down Preparing body for pushing Can be trance-like “I can’t do this” “I want an epidural” Pushing (1 hour) Physiological Psychological Full effaced and fully dilated Mentally tired, but excited Contractions are 1-2 minutes apart Taps into strength they didn’t Ring of fire know they had Push in sync with contractions Motivated May experience fatigue Upright positions are best Pushing should NOT take longer than one hour! Immediate Postpartum (1-2 hours) Physiological Psychological/hormonal Umbilical cord is cut Uncontrollable shaking/chills (standard, delayed, lotus) Feeling cold Placenta is born Feelings of euphoria/elation Stitching happens in cases of Typically a rush of energy, no tears (usually only for 2nd/3rd longer tired/exhausted degree) Cannot sleep immediately but Golden hour/first will crash upon hormonal breastfeeding latch decline Let’s discuss! Let’s discuss! Until Next Class… Things to think about Things to do How would you like to Look up and memorize the construct your arrival time seven cardinal rotations of when attending births? childbirth Research 1st, 2nd, 3rd and 4th degree perineal tears Research the difference between Braxton Hicks contractions and true labor