The Bradley Method of Natural Childbirth

The Bradley Method of Natural Childbirth

For The Best Birth Possible!

Class 5 Answers:

1.  Increased stamina and confidence
2. relax, stamina, muscles are prepared, 
3.  Helps you avoid tension and fear and pain.  Uterus works effectively with less catecholamines. 
4 slows down natural progression of labor 
5.  Excitement, fear, denial, lack of preparedness.
6. in first stage, stay off your back, good upright position gets baby in good alignment and prevents pain.
7.  Protects baby from cntx pressure, infection, and "the clock"
8. depends on which meds. Pitocin, Stadol, Demerol, Cytotec, Cervidil, and various narcotic cocktails making up epidurals.
9.  30% less energy;  less diffusion of helpful hormones or of medications.  Signs of dehydration:  raises in pulse rate, blood pressure, and temperature.  These 3 together are often symptoms of infection, so -- if you have an infection OR are dehydrated - you'll be given an IV of antibiotics.  What if you were only thirsty, though?  Drink water throughout your labor!  Antibiotics given in labor may lead to thrush (a painful yeast infection) in both mother and baby that then needs to be treated (usually) with antibiotics.....and so begins an unhealthy cycle.  Drink!  (Also, you getting headaches, weakened, and dizzy when dehydrated.)
10.  Find out from your HCP.  Generally, typical prep procedures include:  giving a blood sample, also a urine sample, having a vaginal exam, having EFM (electronic fetal monitors) strapped on, no food or drink, being admitted to the hospital, being separated from your partner while he answers the insurance and medical history forms, putting on a johnnie (hospital gown), etc..
 11. Coach. Dad. List the items on the coach's checklist on p. 37.

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There was a LOT of information this class.  Please ask any questions you may have...other students probably have the same concerns.

Squat, pelvic rock, Kegels, butterfly, and tailor sitting.

Homework this week:
the pregnancy exercises from Class 1
the Study Helps for this week's chapter
the new Kegel exercise
the relaxation technique from class, or the one on this chapter's topic page
filling in & totaling your pink nutrition sheet


Class 6 Answers:

page 44 answers:
Possible signs of transition:  cold or sweaty, nausea, shakiness, burphing, confusion, crankiness, unreasonable, bitchiness, changes in the cervix.

What techniques can you use, even if she does not want you to talk to her?  Stroking and humming are 2.
What techniques can you use, even if she does not want to be touched?  Music, quiet talk, visualizations, darken room.
What important things are you responsible for, even if she will not let you talk to or touch her at all?  Help keep her safe, deal with staff, her her through cntx.

p. 48 answers:
1. Tenses hands, holds breath, needs to push, grunts, thinks she'll have a bowel movement, uncomfortable no matter what position she gets in.
2. Have her lift her chin off her chest and talk or sing while waiting as patiently as possible for the cervix to finish dilating.  Don’t forget to try the alternative squat position for a cervical lip! 
3. Tune into your body.  Knees back (as though hung over your ears, not out like your elbows!), elbows out, chin on chest, push to point of comfort 
4.  Keep a positive attitude.
5.  If the perineum is relaxed and flat (or it’s bulging during 2 stage cntx.) 
6.  Have you talked to your HCP about this?
7.  Remind the mom and the HCP that she’s trying to avoid an episiotomy – to ease the baby out, not shoot it out. 
8.  Make sure mom is pushing when it's cut:  ask doctor to wait until then.
9.  Well?  Assisting the mother:  nurse, doula (if you've hired one), midwife or OB
10. Can be either of you, or someone else.  Should not be cut until it's finished pulsating:  when it's flat and white. 
 11.   SOOO many!! Colostrum for the baby is truly the baby’s first immunization against the world’s germs, breastfeeding right away teaches the baby to suckle right, decreases maternal bleeding by helping the uterus contract and helps the placenta detach soon, helps mother and baby bond, calms baby.  Simply, it’s natural and right;  anything less is a negative interruption. 
12.  Limit who is there:  just the 3 of you is best!
 13.   Bring some with you.  The vit C helps with tissue repair, the fructose brings up blood sugar level, the juice replenishes fluids, and it tastes so good! 
14.  About 20 minutes after 3rd stage, if she feels ready.  This helps continue to shrink (involute) the uterus, decrease hemorrhage, minmizes chance of blood clots that could move throughout the body, causing trouble elsewhere, and let organs begin to move back to where they belong.
 15.   As soon as she wants.  Bring some – the cafeteria may be closed.  Or ask the nurses for a list of restaurants that will deliver to the hospital (you could find this out from your favorite restaurants long before going into labor, of course!)  

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Study helps. p. 49
 1     Yes
2.  Confusion, crabbiness, upset, self-doubt, anxiety, irritability.
 3. 8 cm or beyond 
4.  Protects baby, equalization of pressure, keeps both Mom and baby more comfortable, helps baby slip down the birth canal -- like a water slide!
 5. The Ferguson reflex.  When the baby descends and presses against mom’s rectum. 
6.  If you have a desire to push only at the peak of a cntx (so save your energy and comfort for next cntx.)
 7.  The uterus can’t get in proper alignment (wrong angle for baby), also  weight of uterus may cut off blood flow to baby.  Fighting gravity! 
 8.  Squatting.
9. 2 hours ( a few minutes to 8 hours is still normal) 
10.  Hyperventilation.
11.  It helps clear mucus and fluid (and sometimes meconium) from baby’s nose, mouth and throat.   
12. A surgical cut between the vagina and the anus, in the perineum to make the opening bigger for the baby to birth to - hopefully - to prevent a tear toward the clitoris or into the rectum.
 13. To prevent a tear toward the clitoris or into the rectum. 
14.  Yes.  A pressure episiotomy.
15. Bonding, immunities from colostrums, maintains baby’s respiration and temperature, and feels so right. 
16. You're almost done'  you're amazing, I can see the baby's head.....saw a little more, can see the baby turning!
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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)

Aren't you glad you're taking the time to check these answer pages?  Some students don't bother, but I really think it helps.  Would you do your fellow students a favor and mention in class that you find this homework helpful?  They may need a nudge to do their homework, and I hate nagging.  Thanks!