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!
Pregnancy can be a beautiful event. You can also have complications. You are diagnosed with preeclampsia which means your blood pressures may be elevated above baseline normal along with other signs, some people have protein in their urine with normal blood pressure or severe headache, right upper abdominal pain, etc.
Your provider tells you once you have delivered your baby your blood pressure usually will return to normal. Pre-eclampsia can occur after delivery as well. Which of the following are normal?
Blood pressure will return to normal immediately after you deliver.
Preeclampsia can occur up to 6 weeks after you deliver.
Preeclampsia can occur up to 2 weeks after you deliver.
Every person’s body is different and there is actually no answer to how many weeks after delivery preeclampsia can occur
Elevated blood pressure might not return to normal and you may then be diagnosed with chronic hypertensive.
Why not be prepared? Take my class, sign up today ! 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?
You are nervous and are watching educational videos and you are reading a lot . They mention “Gold Liquid “ what are they referring to? Do you know the answer?
The clear fluid that comes from the vagina when you break your water.
Yellow fluid from your breast called colostrum prior to production of your milk.
Your first vomit from morning sickness
Your baby’s first urination
Experience hands on learning with your partners, remember pregnancy, laboring and delivery is a team effort! Take classes at The Birthing Center OF NY – 5 hour classes offered 7 days a week by appointment, private sessions available, some holidays.
You are 36 weeks pregnant and everything is just fine. Covid 19 is still very active. Do you know what your responsibilities are? Which answer below is incorrect?
Check with your place of delivery for who is allowed to be with you in the delivery room including your postpartum stay.
Which Covid tests are acceptable Rapid vs. PCR, etc. for your birth attendees prior to your admission if needed. Most hospitals are requiring proof of vaccination and PCR testing for birth attendants. The patient is required to undergo PCR test on admission as well. Again – hospitals may require more than this as well. Presently in NYS only 1 person to attend birth PLUS a certified doula.
Does the facility test your significant other on admission as well or is there another acceptable test and within what time frame?
Your provider is responsible for making sure you are informed about your facility regulations, however rules change rapidly sometimes, therefore ideally you should call for yourself to be doubly sure and be specific – that you are inquiring about labor and delivery.
You are finally home! You see your significant other lying with your newborn on his chest. Newborn has a hat and a light blanket on covering him. Your significant other is doing skin to skin and baby and significant other are sleeping peacefully.
This is definitely a photo worthy moment!
You should immediately capture a picture of this.
Wake your significant other up because of the risk of the baby falling .
Gently immediately remove the baby and place in the proper sleeping unit-crib/ bassinet
Take advantage of this moment and you take a nap, while baby and significant other sleep.