Normal Labour
• Starts between 37 and 42 weeks.
• Latent phase - impending labour.
• 3 'offical' signs of labour
• Active 1st stage
• Transition
• 2nd stage
• 3rd stage
Aromatherapsy
• Several oils available.
• Have different uses.
• Administered in several ways
• Prepared by midwife
Coping
• Stay calm and focused.
• Remember endorphins.
• 'One contraction at a time'.
• Forget about time.
• Follow your instincts.
• Move around.
• Good birth support.
• Remain positive.
Environment
• Soft Light
• Music
• Comfortable Clothing
• Familiar things
• Privacy.
• Labour aids.
Birthing Support
• Give encouragement and keep focused.
• Eat and drink.
• Have a 'good bag'.
• Massage, comfort and support.
• Work with the midwife.
• Take the lead from the women.
Why active birth?
• Gravity assist contractions.
• Pelvic joints free to expand.
• Baby encouraged through pelvis.
• Placental flow improved.
• Can shorten labour.
• Reduces need for pain relief.
• Gives woman control.
How it works!
The three P's need to work together.
• Passenger
• Position
• Pelvis
The Passaenger
• Well-flexed.
• Ideal=Anterior position.
• Posterior position needs time to rotate.
• Bones in the skull over-ride.
Positions
• In labour at home.
• In labour at the hospital.
• Using Birth aids.
• Positions for birth.
• Think about your pelvis.
Know your pelvis!
• Capacity ^ up to 28% by changing positions.
• Pelvic shape directs the baby.
• Hormones allow pelvis to expand.
• Remember to keep your pelvis 'open'.
Pain Relief in Labour
Aromatherapy
Esseantial oils are used on your to reduce stress and relieve pain.
• Inhalation
• Bath
• Massage
Massage
• Reduces tension.
• Comforting.
• Back, hands or feet.
• Tennis ball.
T.E.N.S (Transcutaneous electrical nerve stimulation)
• Builds up endorphins.
• Very effective for early stages.
Birthing Pool
• Chesterfield Birth Centre has four birthing pools.
• Soothing and relaxing in, warm water both supports your weight and can alleviate the pain.
• A warm shower can help ease lower back pain.
Entonox
Most commonly used. Entonox is a mixture of Nitrus Oxide and Oxygen which you breathe through a mouthpiece.
• Helps focused and deep breathing.
• Short lasting effects.
Pethidine
• Injection in your thigh.
• Does not relieve pain entirely.
Epidural
• Local anaesthetic pain killer given into epidural space in your back.
• May lower blood pressure.
• Baby monitored continuously.
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