Childbirth Education Class Part 2 | Pregnancy Vlog 23
foreign [Music] what is up you guys today
it is July 15th and your girl is 29 weeks me and Stephanie go to our second child birth
class so come along with us [Music] [Music] thank you [Music] so you guys we just got here a few
minutes late we made it that's figures a couple times a week something remember as
we learn some of these different possibilities together of how to relax how to um upper measures
speeding up and so being in labor and birthing remember it's not like that light switch like
okay I'll do that whatever we want to kind of be incorporating some of these practices
little by little in ways that work for us as individuals so that when we are in labor
it's that muscle memory [Music] first stage labor so we're going to pick up
there okay here we have it's called Penny Simkins roadmap to labor Penny Simkins is
a well-known Doula educator she got some books out there and things like that so we're gonna
take a look at her roadmap for labor check we're starting pregnant right we're wondering
when we will go into labor labor are we starting later so they're just walking along they're
pretty happy it's hard to see their faces run away but they're they're happy walking
along now we realize maybe we're in labor right do we remember some of the signs of
early labor how much you tell you're in labor 511 that's good that's kind of how we tell
we might be moving into Act ing so early labor how much you tell you're in labor what are
things that might feel your mucus plug you might notice that it's come away I'm starting to start happening starting to
get going um anything else maybe we've been having practice labor contractions in our
pregnancy right the final weeks and days of pregnancy so how do I know that this isn't
just practice labor contractions how do I know that this might be labor taking off the
way that we can have consistency more of a pattern right yeah we're on hands and use
on all fours I imagine there's some movement here she's not just stationary Frozen on all
fours but probably rocking and Swinging or something like that here also leaning over
the ball is another way to use the ball not just sitting on it okay and we start to see
as we enter into what may be considered Act of Labor six centimeters dilated um starting
to maybe use the water and be immersed in water so here we have this Mama's upright
she's at rest okay maybe she's been quite active walking around and it's time to rest
there's a time to be active there's a time to be at rest okay um and here Pennington
tells his rhythm is everything so we're starting to establish our you know ritual with working
for us finding our Rhythm as we really enter into active labor that's where we're seeing
the fruit of you know establishing that of finding that for ourselves the Rhythm Is Everything
once we have a rhythm it can help us from panicking right okay another contractions
coming back construction's done I never have to do that contraction ever again right the
next contraction is coming I know it's been working for me that's you physically can feel
like the hardest part physically mentally it can feel like the hardest part emotionally
um it's also typically the shortest part of first stage which is helpful I think to know
um so we're on this whole journey here from maybe not being evaluated at all to three
to four centimeters side to six on your side now we're in active labor we went through
active labor now we're eight centimeters dilated we find ourselves entering transition and
you know we could enter that fearfully knowing that I heard that it's the most difficult
part the most painful part we could also enter it knowing that this is the shortest part
of Labor I'm very close to meeting my baby I'm well supported um here we see a lot of
examples of support people stepping up she calls it the take charge routine we um have
our mom sitting on a birth ball she's got an angry face and a little picture here and
the support person is saying keep your rhythm right so like our words of encouragement like
you are doing well you can do this right and all these different words of encouragement
or words of affirmation that you may have been utilizing while along now is really where
a support person might find we're going to take charge we're going to step that up more
because Mom I'm seeing mom needs it right some of the most common things you hear from
moms in transition not just reflecting on the experience afterwards but in transition
it's like I can't do this anymore okay I that is a very common phrase if a Mom feels she's
experiencing a difficult transition that's not a given that she'll experience a difficult
transition some moms are like I know I was transitioning but it felt like it kind of
just slowed him and I was ready to birth baby come through transition shifting from laboring
to transitioning to birthing and our body has given us kind of like oh I feel like I
can do this I don't feel like that I can't anymore nothing's working anymore this is
hopeless anymore often we can naturally find that that second wind just comes over us and
we feel energized to move forward and ready to meet our baby okay we're seeing demonstrated
here's some different possible grossing positions pushing positions okay this is the second
stage of Labor is what it's considered so first stage is all of it it's am I in labor
recognizing I'm in labor going through all of it all the way through transition that
is all for State labor okay and then the second stage is as we're actually pushing and birthing
so there's a lot of variety and possible positions and we'll touch on that a little bit more
throughout our time together today so we see mom come and burst the baby right here we
have what she calls the epidural Highway she says pay the toll um she shows it as a paved
Road right so she chose all her visuals very specifically in The Simpsons we have that
you know yellow Brook Road and then we have the potential rocky road coming slow down
right here she shows for an epidural Highway this paved Road and the reason that that's
demonstrated in that manner is because if we elect to have an epidural in any of our
birth experiences it may or may not be the wrong choice okay but overall we do know the
impacts that epidurals can have on birth experiences once we select that we kind of have their
set protocols involved if we're selecting that there's things that are kind of going
to happen along with selecting the epidural which we will delve into a little deeper today
about epidurals pros and cons and things like that now everybody here is planning for a
home birth but in any birth um you know we don't know how things will unfold So today
we're going to talk a little bit more on medical procedures things that may come up in a hospital
first we're going to talk about a more on cesarean birth today because if that should
become part of your story I hope that you feel you have a little at least the basics
of understanding to move forward through that to not be completely like well I was planning
for a home birth so I didn't learn anything else about any other type of birthing and
now that a you know a different approach to Birth has become part of my story all these
terminology all these things are completely what is happening it can feel overwhelmed
active labor progresses into the third and final part of the first stage called transition during this part your cervix Thins and opens
completely from 8 to 10 centimeters the contractions during transition list 60
to 90 seconds each and are only one to three minutes apart [Music] and birth Laura has
a short resting period after she's fully dilated Ben feels a strong urge to push [Music] contractions
are still powerful during the pushing stage but less frequent they will last 60 to 90
seconds and are three to five minutes apart as each contraction builds you'll usually
feel the urge to push the time it takes to push and give birth to your baby can last
anywhere from 20 minutes to 3 hours or longer [Music] at this point in labor the top of
the uterus is very thick and pushes on the baby with each contraction helping the baby
to move through the pelvis pushing in an upright position helps this process along and uses
gravity to its advantage [Music] baby's head will move down and back slightly between contractions
to help your baby's head descend more easily her skull is made up of separate bony plates
these plates slide together to help her head fit through the birth canal giving many newborns
a cone-shaped head after birth don't worry this will only last a few days [Music] two
minutes after your baby is born you move to the third stage of Labor delivery of the placenta as the uterus starts shrinking the placenta
detaches you'll feel another contraction as your body prepares to deliver it [Music] consists of the first few hours of your baby's
life outside of the womb during the third and fourth stages of labor you'll probably
feel a mix of exhaustion and joy during the fourth stage your uterus becomes
more firm as it continues to contract and shrinks to about the size of a cantaloupe
in the hours after birth but you won't be back to your pre-pregnancy size for a while
don't worry as your uterus shrinks so will your belly holding your baby's skin to skin
and feeding your baby within the first hour of life is shown to have a positive effect
on long-term breastfeeding milk production and helps shrink your uterus to its usual
size [Music] sideline hands and knees and sitting on the toilet early in the pushing
stage or sitting on a birthing stool if available you might use several of these positions over
the course of the pushing stage and you might push in one position and then give birth in
another keep in mind that certain positions aren't possible if you have an epidural [Music] I [Music] always think of it this way the
baby is like what just happened right like they've been in their warm safe watery environment
hearing your breathing hearing your heart beat internally for months and months and
now it is they can see light like if you put a flashlight to your belly your baby can see
that like if you put a flashlight to your hand how to water it comes out of water the
the lightest filter they can see that it's different though being on the outside with
these bright bright lights and it's not so temperature controlled anymore right it they
just went on this whole journey of Labor with you however long you were in labor they were
on that Journey with you the whole time experiencing it from their perspective right the contractions
were happening around them around them um so I always think of it that way like if we
can just ease them and encourage um to promote this time of bonding and skin to skin you
can talk to them they can hear your voice that they're familiar with they can smell
you right but the Montgomery glance the little bumps around the areola they emit um it smells
like amniotic fluid to babies um there's nine instinctive stages whether
you notice them very prevalently or not the birth crowd we all look for that right you
hear those lungs take in the air they've never those lungs have been getting ready in these
final weeks of pregnancy the body um the baby's body makes a liquid to coat the lungs and
make them ready to breathe outside of Mom right um but we look for that birth cry to
hear that and to know like oh okay baby's okay right so the birth crime relaxation baby
kind of is typically sleepy like this was a whole thing right um The Awakening kind
of like wait what is happening where am I why is it cold right the activity will see
them kind of like maneuvering a little little twinges and things their nervous systems aren't
super developed yet so there's a lot of like reflexes and things like that I love the new
the newborn baby hands because we've seen those where like as they move they do that
startle reflex there's just you know a lot going on with them now there's usually a period
of rest they're tired it's a lot it's all new everything is new to them if you can remember
this you know not just for our brand brand new babies but throughout their childhood
like if all everything is new to them like they don't know what that is it's all new
and exciting right so that um they're resting then the birth curl has anyone seen a video
of this the birth Carl it's really cool if you haven't seen a video encourage you to
look one up if we let babies be and we just support it they will cross to the breast within
an hour or two of being born they wiggle like a little worm it's super cute their little
head like they look for them if they're smelling it and they're looking for it so often I'm
pregnant see the Ariel with dark ends and enlargons and just another baby for the baby
to find and then the smell the reason that the smell from what's emitted from the Montgomery
glands is smells like amniotic fluid it's familiar to them it gives them something to
to reach towards right and they will kind of wiggle and find their way and start to
attempt to latch on early first stage active first stage transition and second stage and
I'll show you cards and tell me where it belongs all right let's start so contractions being uh one to three minutes
apart lasting for 45 to 60 seconds long or longer at the first stage how about contractions you can read it five
minutes apart 60 to 90 seconds long this transition transitions transition how about contractions
three to five minutes apart 45 to 60 seconds long early how about contractions five to
thirty minutes apart 30 to 45 seconds long it's the last one so I'll put it there but
that's not that's not it so how are we gonna do it what do we do this is 60 seconds is
circumstances which one 45 to 60 Seconds we have a 60 to 90 seconds long contractions
three to five minutes apart that's that transition and that is yeah right now what we have with second stage
of the second card the second card we have here is contractions are one to three minutes
apart 45 seconds 45 to 60 seconds long or longer it's the six stage that second stage
one minute abort the shortest so where do I put this contractions are five to thirty
minutes apart 30 to 45 seconds long I mean it's early stage distance five to thirty minutes
apart we're putting this in early oh yeah oh yeah yeah yeah yeah yeah yeah yeah yeah I think it should be in the order by the time
apart okay so do you need me to read them okay so right now what we have we have early
active transition second stage for early we have contractions are five to thirty minutes
apart 35 30 to 45 seconds in line okay that is correct all right now second what we have
is contractions three to five minutes apart right so early first stage we had them all
the way down to five minutes apart now we have active first stage do we think the contractions
are three to five minutes apart 45 to 60 seconds long yep does that sound right and then for
transition right now we have contractions are three to five minutes apart 60 to 90 seconds
long I've been like a 60 90 is the exit and honest these two yeah and then for currently
we have second stages contractions are one to three minutes apart 45 to 60 seconds longer
or longer transitions yeah so where do these go do we like where these
are so do we think contractions and active first stage are three to five minutes apart
60 to 90 seconds long and then contractions in seconds or three to five minutes apart
as well 45 to 60 seconds long did I win your business now we are in business
now [Music] foreign [Music] [Music] the switch yeah so in the early first stage were contractions
are anywhere from 30 minutes apart all the way down to five minutes apart that's all
early first stage that whole possibility of time 30 minutes apart 25 minutes 20 minutes
apart contractions 15 10 minutes apart contractions this is all early first stage where might
you place this Mom um how about our mom here a little feudal position maybe curled up a
little transition how about our mom here 's our mom here and um yeah she's on all fours yeah yeah okay for
sure so we see our mom oh is that a contraction right A little smile it's hard to see from
far away but she's smiling a little like oh I think I think I'm a labor I think how excited
anxious right while this is happening our mom here I'm actually gonna switch this is
my transition Mom this is my I'm done mom for serious and focused here we have eyes
closed we're holding a hand for support right we see where you know our mom here was smiling
kind of acknowledging a contraction she didn't need to feel her belt anymore no she's having
a contraction right she's focused and trying to you know promote her relaxation here this
mom again I know it's a little hard to see her mouth is open she's kind of ripping the
side of the tab leaning back I see she's tired right like she might be feeling like a little
frustrated at this point um and that's come over her and then our mom here is on all fours
she's kind of she's kind of shouting be open to the fact that you might change your mind
during labor or there could be an unexpected medical issue so it's a good idea to keep
your birth preferences flexible it's important to discuss this with your health care provider
and labor support team during pregnancy [Music] [Applause] [Music] foreign [Music] this is
why your caregiver might suggest inducing labor if your pregnancy continues too far
past your due date if your water breaks and contractions don't start on their own or if
your pregnancy puts you or your baby at risk [Music] inducing labor has risks including an increased
chance of cesarean birth fetal distress and increased labor discomfort for Mom which may
lead to the use of pain medication because of these risks it's best to induce labor for
medical reasons only in general it's not recommended that women have their labor induced for reasons
of convenience such as wanting the baby to be born on a certain day or to fit the schedule
of a visiting relative it's also not usually advised to induce labor before your due date
because babies benefit from growing inside of the uterus for 40 complete weeks [Music] in this segment you'll learn about the two
main types of pain medication used in labor analgesics and epidural anesthesia thank you [Music] she requests an analgesic which is
a medication that affects the whole body it dulls pain Sensations but does not get rid
of the pain completely the MLG zinc is either injected as a shot in the thio buttocks or
given through an IV line [Music] if you decide to use pain medication
there are benefits to choosing an analgesic you can receive it shortly after you request
it since it doesn't require an anesthesiologist it offers pain relief immediately and does
not numb your muscles so you can move around after it wears off and push more effectively [Music] however analgesics also has some risks
they may make you feel drowsy or disoriented which limits how much you can move around
while they are in your system they can also cause nausea and itching requiring additional
medication an analgesic may slow down your breathing and lower your blood pressure this
is then treated with IV fluids and oxygen another thing to consider is that there are
some risks to the baby analgesics enter the baby's bloodstream through the umbilical cord this may cause slow or shallow breathing in
the baby after birth in this case doctors might give him additional treatment and observe
him more closely your baby might also be sleepy unless it hurt at Birth making breastfeeding
more difficult applying to having an epidural is being stuck
in bed and not being able to use more productive upright labor positions but with the epidural
in place you can still move from side to side once in a while changing positions helps your
baby rotate into position for birth partners and support people Dural has taken
effect mom still needs your emotional support so stay close and provide words of encouragement
if she falls asleep you should also take the opportunity to rest there are several benefits to having an epidural
it offers very effective and safe pain relief and it also gives you a chance to rest which
is welcome if you're having a long or difficult labor also the medicine in the epidural does
not affect your mental state so you can stay awake and alert unlike an analgesic the epidural
has little known effects on the baby the most common risks of epidural anesthesia
can include shivering fever itching and nausea you could also experience low blood pressure
which may cause the baby's heart rate to drop as well but is usually corrected by giving
the mother extra oxygen fluids or changing her position for some women the epidural does
not block all the pain very rare but serious medical risks are possible with epidurals
and are listed on the consent form take note since having an epidural can sometimes
affect labor progress it's generally recommended to wait until you're having regular contractions
that are opening your cervix once you are fully dilated it's best to hold off on pushing
until your healthcare provider can feel your baby's head in the birth canal [Music] an episiotomy is a surgical cut made
to increase the size of conventional opening before performing an episiotomy a numbing
medicine is injected into the area to reduce pain [Music] since they don't offer substantial
benefits in most cases episiotomies are rarely done anymore talk to your healthcare provider
about the risks if one is suggested common include a labor that's not progressing despite
using procedures to try and speed it up when the baby's head doesn't seem to fit into the
pelvis and Fetal distress which is when the baby repeatedly has an abnormal heart rate an immediate emergency cesarean may be needed
if the placenta becomes detached from the uterine wall if the baby's head pinches the
cord blocking his flow of oxygen or if there is a uterine rupture meaning it's hair in
the uterus an immediate emergency Caesarean only happens
in about one percent of all birds in the case of an emergency general anesthesia is usually
used this means you are asleep for the birth while cesareans are generally very safe some
risks to the mother include infection at the incision site or an internal infection increased
blood loss or hemorrhage blood clots in the legs injuries to organs and increased risk
of future cesareans risks to the baby include breathing problems that could require treatment
and might mean that he is having a hard time transitioning to life outside of the womb
and in rare cases injury during the surgical procedure [Music] makes a four to six inch horizontal
cut to the abdomen just above the pubic hairline the abdomen is made up of an outer layer of
skin and an inner layer of fatty tissue the abdominal muscles and the uterus are beneath
during surgery the layers of skin and fatty tissue are cut these top layers are spread
apart to reveal the abdominal muscles the doctor separates these muscles by hand you
won't feel any pain when this happens but you may feel tugging or pulling Sensations next these outer layers are retracted to expose
the uterus the surgeon makes another incision in the uterus and breaks the bag of waters
if it hasn't already broken the surgeon guides the baby's head away from the pelvis and toward
the surgical opening while an assistant defies pressure to the abdomen once the baby's head
is out the surgeon gently pulls the baby through the opening and she is born I hope you found
it useful and feel more confident and your choice of home birth or and understanding
options that are out there in the world what you're choosing what you're not choosing and
what that all can look like so that is all for today thank you for your patience and
my overtime the class is over we leave hope you guys enjoyed
this video be sure to like comment and subscribe and stay tuned for the next video [Music] foreign [Music]
