You are full term, 40 weeks gestation and in active labor (more than 4 cm cervical dilation, cervix is soft and thinning (effacement) and the baby’s head is low in the pelvis. Less than 5 cm usually means you are still in the “latent” or early stage of labor and this can take 1-2 days sometimes. However if you are contracting consistently every 2-3 minutes, 60 seconds is the length of time the contraction lasts and this is going on for hours – it is possible there is something not average going on even at this stage (like the head is not dropping or positioned correctly or sometimes the head just isn’t fitting).
Remember every person’s body is different and every labor is different. The GENERAL progression of labor is you move approximately 1cm per hour (if this is not your first labor), but possibly every 2 hours (if this is your first time in active labor) can be within average range as well. A rate slower than 1cm per hour could be effected by which of the following?
An epidural was placed
Advanced maternal age
History of previous births
Position of the baby, example Occiput Posterior (OP) (some refer to this as “sunnyside up” or baby’s looking up at the ceiling so the baby’s back is facing the maternal back
Lack of pain control (not relaxing which causes the baby’s head to fail to descend “drop”)
This week’s Nurse Jackie Hint is a learning experience. Your delivery is very precious. You would like nothing more than having a video of your birth. Majority of hospitals only allow pics and no video. Video can be misleading without an explanation or you can eliminate scenes that are crucial and in need or explanation .Watch this video of me bowling, how confident I am, how I bowl so well. I hit a strike. I’m so good. What you fail to see is I only hit 2 strikes the whole game and a whole lot gutters . This is not shown in the video. The video is actually misleading. Hence this is why videos are not allowed in a delivery room. This is and example hoping to enlighten your understanding. Wishing you all the best!
Breastfeeding is the ideal method of providing nourishment to your newborn. There are however sometimes obstacles medically or other situations that may prevent one from breastfeeding. Which ways are acceptable alternatives to breastfeeding your newborn. Which answer is incorrect?
Congratulations! Did you know this pregnancy, laboring and delivery is as much your responsibility as it is the partner’s. Partner involvement and bonding is so very important. Can you choose which ways a partner can bond with the newborn?
-initiate skin to skin after birth and mommy has done her “Hour Of Power” by skin to skin and breastfeeding with the newborn.
-Place you pointer finger in the palm of your newborn baby hand and experience the grip, the hold of this newborn.
-Take paternity leave if you are able.
-Give the newborn the bath-sing ,talk and playing with the baby.
-Just watching your partner give love, care and comfort to your newborn is enough!!
You are breastfeeding your newborn and experiencing pain because the baby has an improper latch. You should remove the baby from the breast and replace the baby back on the breast with use of proper latching.
How do you remove the baby from the breast?
With your pointer finger (index) and your thumb, squeeze the breast and pull the baby off the breast.
Pinch baby nose until he/she opens the mouth .
With a clean pinky finger slide your finger in the baby mouth , on the side of the jaw pass the lips and press down on your breast. When the baby open up the mouth remove from the breast.
While moving your breast back and forth remove baby from the breast.
Breast feeding takes a lot of patience and time . Take my classes and learn the art of breastfeeding!
This week’s Nurse Jackie Hints will address many of the questions you have concerning taking my class.
Classes are held at The Birthing Center Of NY and you do not have to be client/ patient of ours to take the class, we do allow for Virtual classes at added cost and you must purchase your own supplies for the class (in-person we provide)
Ideally you should be around 27 weeks pregnant but you can take my class even at 41 weeks if you desire as long as you have no signs of labor
You do not need a partner for the class, but we do suggest signing them up if they will be with you during labor
Sorry no pets allowed, children are not allowed (we need you to focus 100% on the class)
There are no VIPs in my class – however if you have special needs, I will attempt to accommodate you, within reason – we are a healthcare facility therefore what happens here must comply with Department of Health guidelines
Hands on and practice is used as a teaching tool and pictures are taken throughout the class and sent back to your cell phone- consent is obtained first
Open communication, discussions, questions and participation is a must!
Covid screening within 72 hours of the class is required and masking during the class as well
Class completion certificate is awarded.
Bathroom and mini kitchenette with microwave and fridge are available should you wish to bring your own snacks and liquids for the class.
Fun and laughter and good attitude are a must to bring with you!
Must be able to have the ability to relax, enjoy yourself and be prepared for whatever this bundle of joy will have in store for you!
We encourage you to stay hydrated doing the class so please bring your own hydration
Classes can be scheduled any day of the week and non-major holidays
We do take pictures with your consent throughout the class and we send them to you via text message. What a joyful memory.
Special Free Bonus for a limited time only- don’t miss it! Makes a great gift as well!
Free American Heart Association Infant Cardiopulmonary Resuscitation (CPR) and Choking Infant Resuscitation – offered at the end of a 5 hr class only. Classes must be paid for prior to date of class and no refunds for no-show client. Cancellations and rescheduling greater than 24 hours before required for full refund or suspension of penalty.
Call and schedule an appointment – looking forward to having you in my class!
Your obstetrician or midwife sends you for fetal monitoring. When you view your baby on the monitor, you see him sucking his thumb. Do you have concern your child may be a thumb sucker? Which answer below is incorrect?
Sucking reflexes is actually a normal reflex for a fetus and newborn
It is a sign of hunger for your little one
Allowing the baby to suck on the fingers or thumb can have a calming and soothing effect on your newborn
This can be a problem if the child continues doing this beyond the age of four. At this age the permanent teeth are presenting and can cause damage to the teeth or child’s bite.
You should remove the fingers or thumb from the mouth immediately and offer a pacifier. This is a negative habit, it should not be allowed to start.