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Birthing Options Laura B. Birthing Options Laura B.

Birthing Options Laura B. - PowerPoint Presentation

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Uploaded On 2022-06-07

Birthing Options Laura B. - PPT Presentation

VanWaardhuizen Providers ObstetricianOb gyn Family Practioner Certified Nurse Midwife DirectEntry Midwife Doula Obstetrician Physicians who are trained in every conceivable medical aspect of pregnancy labor delivery and the postpartum period ID: 913884

birth care pregnancy birthing care birth birthing pregnancy spinal midwife hospital delivery family nurse epidural risk labor pain doula

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Presentation Transcript

Slide1

Birthing Options

Laura B.

VanWaardhuizen

Slide2

Providers

Obstetrician/Ob-

gyn

Family

Practioner

Certified Nurse Midwife

Direct-Entry Midwife

Doula*

Slide3

Obstetrician

Physicians who are trained in every conceivable medical aspect of pregnancy, labor, delivery, and the postpartum period

One who does all of the above plus cares for the reproductive systems of non-pregnant females is called an obstetrician-gynecologist, or Ob-gyn.

Some specialize even further into specific pregnancy issues

A definite must for a high-risk pregnancy or complicated birth

Slide4

Family Practitioner

A “one stop” doctor who is trained in maternal care as well as primary care and pediatrics.

May have already seen for a check up and advice when first trying to conceive (couples without fertility issues)

Benefits are familiarity with mother and her health history, also the ability to provide continued care for the baby through it’s lifespan

In high risk pregnancies, will refer on to a specialist

Some may just provide the prenatal and postnatal care and leave the delivery to an obstetrician

Slide5

Certified Nurse Midwife (CNM)

A registered nurse who has taken graduate level courses in prenatal, birth, and postnatal care who is licensed by the American College of Nurse Midwives

Typically more personally involved than a doctor

Can perform an epidural, though statistically do so less than doctors. Do have a higher VBAC rate

May not be able to deliver in a hospital

May not be covered by many insurance plans

Slide6

Direct-Entry Midwife

Did not start as a registered nurse (though may have other health degrees). Those evaluated and certified by the North American Registry of Midwives may call themselves a “Certified Professional Midwife.”

Most likely to do a home birth (birthing centers are more likely to use

CNMs

)

Are not RNs, so cannot administer pain medications

Some states offer licensing and

CPMs

can be reimbursable through Medicaid or private healthcare plans.

In other states (including Iowa), it is illegal for

CPMs

to practice.

Slide7

Doula

A doula does NOT medically assist with birth

A birthing assistant who supports the mother/family through pregnancy, labor, delivery, and early infant care.

Unlike friends or family members, a doula is a professional and will remain steadfast and stable through the birth

Research links them reduced incidence of C-sections, epidurals, and difficult labors

Are not covered by insurance; costs range from $300-$1000

Slide8

Places

Hospital

Birthing Center

Home

Slide9

Hospital

99% of North American women plan births in hospitals

Ready access to pain medications, specialists, and emergency care

Safest place to be for a high risk pregnancy

1 in 4 incidence of C-section birth

Some now offer birthing rooms/suites which offers more comforts for the family

LDR room: Labor, delivery, and at least 1 hour recovery

LDRP room: + Postpartum; stay in room until go home

Slide10

Birthing Center

Designed to be a more homey/comfortable atmosphere; private rooms, whirlpool tub/shower, kitchen

Not equipped to handle major birth complications

Can administer pain medications but not epidurals

Should be located close to a hospital in case of emergencies

Typically staffed by midwives, but some have on-call OBs

Will only accept low-risk pregnancies

Slide11

Home

Idea: pregnancy isn’t a sickness or disease

You literally have “all the comforts of home” and you can begin to care for your infant immediately as you typically would but still have a support staff early on

Newborn is not exposed to many strangers (and potentially their germs!)

To consider a home birth, the ACNM recommends:

You have a “low-risk” pregnancy

You have a doctor or midwife in attendance

You live within 30 miles of a hospital (10 if heavy traffic)

Slide12

Options

Medicine

Medicine Alternative

Birthing Positions

Waterbirth

Slide13

Medicines- Epidural

A shot or spinal tap delivering a combination of drugs to the fluids surrounding the spinal cord; numbs your lower body. Does not enter the bloodstream (not transmitted to baby). A fetal monitor will be attached to your baby.

Restriction: don’t eat or drink. Restricted to bed

Drawbacks: slows down productive labor because the numbing keeps you from pushing.

Side effects: can decrease your blood pressure and slow the baby’s heartbeat (can be helped with IV fluids and lying on your side). Can have a headache if the covering of the spinal cord is pierced. Rare incidence of seizures.

Slide14

Medicines:

Combined Spinal Epidural (Walking Epidural): Delivers the same amount of pain relief with less medication. Still have control over leg muscles. Can get as soon as 2 cm dilation; caregivers prefer to wait until 4 cm

Spinal Tap: Spinal block for C-section; Saddle block for

vaginal delivery.