The Bradley Method of Natural Childbirth

The Bradley Method of Natural Childbirth

For The Best Birth Possible!

Class 10 Answers:

If you did the homework for this class, tell me in class, and I'll give you a prize! The homework code word is "laughter."

p. 85 
Preparation for Birth
1.  Strong uterus and amniotic sac;  Increased well-being and stamina;  fewer back aches, better circulation and less chance of constipation; baby in better position which protects perineum from tearing during 2nd stage, better sex, better lubrication in sex, less like to have any incontinence.;  strong legs, long muscles of achilles tendon and foot arch - all of which makes for more comfort while pushing!
2.  Kegels, relaxations,good communications
3.  squats, and Kegels
4.  moderate exercise, good posture, 

Transition
1. hot and cold sensations, burping, nausea, crabbiness, , fear, panic
2.  New moms: generally 1/2 have easy and 1/2 have hard transitions;  experienced moms:  about 1/3 have easy, 1/3 have moderate, and 1/3 have hard transitions.
3.  relax as deeply as possible, get in the tub or shower, use side-lying position, use your favorite visualations and relaxations.

The Urge to Push
1. grunting, unable to get comfortable, holding breath, feeling like you have to poop.
2.  An overwhelming urge is almost impossible to deny -- it feels unstoppable, like a train.  A mild urge goes away shortly after the peak of the cntx.  A wishful urge feels useless (and is)
3.  Ask her to look up and talk or sing.....if the chin's not on the chest, you can't sneak in any pushes.  
4.  Same as #3.
p. 86
Second Stage
1.  mother bears down and births child.
2.  change positions between cntx, stay hydrated, only push at the peak of cntx and only push as hard as you need to
3.  Any of those listed in Chapter 6, or whatever works for her!
4.Squatting!
5.  lying on the back!
6.  Classic or alternative classic (semi-sitting up)
7. a)minimizes stress on perineum and copies squatting position
  b) to keep a cushhion of air on top of the uterus while pushing -- this prevents baby from quickly slipping back up while mom catch breath for next push
  c) physiologically normal and puts steady pressure on fundus (top of uterus) to consistently bear down to move baby out
8.  Often, take 3 deep breaths, blow out first 2 and hold third as long as comfortable, then come up like  a swimmer doing the breast stroke for a quick breath before going right back down, chin to cheat, again.
9.  comfortable
10.  discomfort
11.  support her in whatever way she needs, protect her from an episiotomy, give her water, wipe her brow, hold her legs, remind her of what to do
12.  Pay attention and only push as much as is needed.  The baby and the uterus, in an unmedicated birth, are also working hard!
13.  stretching, slight burning as perineum stretches, also sensation of needing to poop.
14.  advantages:  might prevent a tear;  can help get a baby out quickly if it's in trouble
       disadvantages:  a cut can easily become a bigger tear,  will need time to heal later,  may never heal quite right,scar tissue can diminish enjoyment of sex
15.  Only push at peak of cntx, stay off your back!!, ask HCP to use oil to help you gently stretch if needed.
16.  An episiotomy done when perineum is naturally numb because baby's head is blocking circulation for a few minutes (like white knuckles when you're  clenching your fists)
17.  Mother should be at peak of cntx and in a good position, with baby's head at top of birth canal.
18.  no.
Third Stage
1. Clamp and cut umbilical cord
2.Physically: for the mother it releases a great flow of oxytocin, which stimulates the uterus to involute and avoid too much blood loss;  Also, holding baby in arms, increases levels of prolactin and other hormones that support breastfeeding, providing colostrum for the baby.  Also, it allows mother and baby to chemically, deeply bond:  smell, taste, feel -- all help each claim the other.
Physically, to the baby: lets baby begin to learn to suckle, gets colostrum (extremely important), bonds with mother, helps even the breathing, temperature and heart beat, lowers cortisol and other stressful hormones.
Emotionally, it's love!  They finally get to meet!  Birth is the only first date when you know you will fall in love forever!
3.  It's the chemical and emotional recognition and connection of 2 people.  Without it, babies don't thrive as well, mothers don't recover from birth as well.  Togetherness is a gift of evolution, and we are foolish indeed to return that gift unopened.
4.  Anywhere from 4 minutes to 45.  The usual length of time is about 14 minutes
5.  Breastfeed (or, if baby must be away from her, stimulate nipples herself), massage abdomen.
6.  Tastes great!  Replenishes fluids, and vitamins.  Brings up her blood sugar levels.  The Vit. C and A protect her from infections.
7.  Mother should not be dizzy upon standing.  Also, at least 1 other person should be there to steady her and support her.
8.  To minimize blood clots, feel normal, get to the shower!, let the organs start to migrate back home.
9.  Several days.
10.  Just before nursing, take a small drink of wine.  (Not every time, just sometimes.)  Can also massage belly often.
11.  Cool pads, witch hazel
12. Promotes good circulation so swelling is minimized sooner.
13.  Usually a couple of days postpartum.........ask your HCP or nurse.

3 stay positive, keep trying new positions until you find one that works for you, readjust the environment (kick extra people out, turn down the lights, freshen the bed, get in a tub or shower)   Push 
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Homework this week
the pregnancy exercises from Class 1
the Study Helps for this week's chapter
the new Kegel exercise
the relaxation technique, or the one on this chapter's topic page
filling in & totaling your pink nutrition sheet
also, contraction and relaxation practice (with ice cubes)

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Please fill out and return the Teacher Evaluation Form!  If you'd like it to be anonymous, that's fine;  if you'd like to mail it to the American Academy of Husband-Coached Childbirth, fine. Constructive criticism gives me a chance to address what needs improving about my classes.  If you like, you can mail it to me at Bellani. Thank you! 

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Don't let yourself be induced without a medical reason  Remember, we have Estimated Due Dates, and only the baby knows when he or she is ready to be born!  PLEASE don't be induced;  it starts you off on a very slippery slope that often ends in surgery.  Women whose labor is induced are at least twice as likely to have a C-section, compared to women who insisted on waiting until the baby started labor!  Here in RI, that means a you'd have at least a 64% chance of having a C-section!  That's a far cry from the World Health Organization's recommended 10%.  
Don't. let. them. induce. without. a. real. reason!!