QUESTIONS AND ANSWERS.
Birth Trends
3 year decline
Mean age at first birth is 26.8 (record high)
15-29 birth rate decreasing
35-49 birth rate increasing
How much does it cost to give birth?
Uncomplicated vaginal birth - $10,212
Uncomplicated C/S - $16,848
How much does it cost to raise a child?
A sh*t ton
$234,900
CAM examples in pregnancy
Acupressure
Moxibustion
Massage
Hydrotherapy
Hypnosis
Herbal therapy
Aromatherapy
Visualization/guided imagery
GPTPAL
Gravida = # of pregnancies
Para = # of births
T = # of term babies
P = # of preterm babies
A = # of abortions
L = # of living children
Anatomy: Uterus
Fundus
Body
Cervix (dilation, effacement, station)
, SVE
Charted with 3 numbers
Dilation, effacement, and station
Dilation
How open the cervix is (0-10)
Effacement
Thickness/thinness of the cervix (0%-100%)
Station
Where the baby's head is in relation to mom's pelvis
Higher into the abdomen = -1,-2,-3, etc
Lower into the pelvis = +1,+2,+3, etc
TACO
Describes the BOW
T = time
A = amount
C = color
O = odor
Fetal doppler or US
Measures fetal HR/tones
Normal is 110-160
Will have variability
Accelerations are a good thing (15 beats x 15 seconds)
Decelerations are not
Stage One of Labor
Dilation
Stage Two of Labor
Pushing/Delivery
10cm-birth
~1hr to primips
~1/2hr for multips
Contractions q 2-3min, lasts 60-90sec
Stage Three of Labor