Understanding Of Labor And Birth Assignment Sample

Learn birth giving choices, pain management and role of midwives in conducting the process!

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Introduction Of Understanding Of Labor And Birth Assignment

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1.1 Different Birth-Giving Environments and Labor Choices

While talking about the case of Kehinde from Nigeria it is important to understand the different methods of child delivery that are used in the present day. Different methods that are used in the present days consist of; Natural Unassisted Childbirth, Assisted Childbirth along Cesarean surgery (C-section) (Ashokka et al.2020). The process of childbirth can take place among location that includes home, hospitals, and birth centers as well. The choice of the process also depends on the comfort of the mother in terms of pain and smoothness.

The natural process of childbirth is considered to be the normal process of delivery that has been practised for the last few 75years(National Academies of Sciences, Engineering, and Medicine 2020). This basically includes prioritizing the comfort of the mother along with the lowering and smoothening of the techniques that are required to be done. Moreover, this also includes the minimization of the interference and the process of monitoring. Women who want to adopt this process of delivery are suggested to visit the coaching classes that provide adequate knowledge about things that are required to be done during this process.

  • Vaginal Delivery with No Medication: This process of childbirth includes not any medicines for the mother and the child. In other words, this process of childbirth is considered to be a normal process that includes different techniques for the delivery of the child through the mother's vagina (Kifle et al.2018). These processes are adopted by the mothers in order to speed up the labour without any medication for the pain.
  • Home Birth: This process of childbirth is considered to be safe and offers more relaxation due to the familiar environment of the home. This method of childbirth is mainly practised for normal as well as low-risk pregnancies (Papapanou et al.2021). This technique also doesn't support the use of medicines however this method is performed under the supervision of trained personnel through suggestive mind-body techniques that lower the labour pain along with preparing the mother for the vaginal delivery.
  • Cesarean delivery (C-section): This method of childbirth is performed for the complex kind of delivery. In this process of delivery, a surgical method is performed in order to maintain the safety of the mother and the child. This method consists of surgical incisions of the abdominal parts and the uterus of the mother to reduce the effects of the complications.

Therefore, with respect to the case study of Kehinde and her requirements, it can be suggested that Home Birth will be the ideal technique that can be performed with the assistance of experienced midwives.

2.1 Labor Pain Management

Start of Labor

The first stage of labour can be described as the latent phase. This stage includes several natural changes in the mother's body including the softening and thinning of the cervix which leads to the opening for the baby to be born. The duration of these changes varies from person to person and can last up to several days as well. These include contraction which can be described through the tightening and relaxation of the womb (Çalik et al.2018). These contractions often feel like extreme pain to some people that happens during the time of periods. With the passage of time and the progression of labour, these contractions will increase with longevity and frequent manner. During these contractions, the pain increases due to the tightening of the muscles along with keeping these muscles hard during the relaxation as well. These contractions often tend to push the baby down along with opening the entrance of the womb (cervix).

Acceleration of the Labor

During the period of pregnancy doctors or experienced personnel often look for the accelerations. These are considered to be short rises in the heart rate that increase with a rate of at least 15 beats per minute and also last for a minimum of 15 seconds. In terms of the medical workers, these accelerations during the period of pregnancy are considered to be normal and are not harmful to the mother and the child. This represents the proper supply of oxygen which is highly critical. It has been observed that maximum fetuses have unplanned kind of accelerations throughout the duration of labour and the process of delivery. These accelerations are often induced by doctors and experienced personnel in order to maintain the well-being of the mother and the baby (Vintzileos et al.2020). Inducing the acceleration is done through several techniques that include gentle rocking of the abdominal part of the mother. Pressing the head of the baby through the cervix of the mother with a finger along with administering for a short bursting kind of sound is also practised during this period.

Monitoring of the Labor

The heart rate of the baby is monitored on a regular basis in order to assess the well-being of the baby. The maximum number of babies is observed to come through the labour however there are many in numbers that cannot cope well with the process of labor. This occurs because of the contractions when the blood gets restricted to pass through the placenta smoothly. This is considered to be normal as the maximum number of babies adapt to this process and easily pass through. The doctors focus on the monitoring observations because if the baby is not coordinating then it will reflect through the rate of the heartbeats. These are measured in a process of regular intervals. The pulse rate is also measured by the doctors or the experienced personnel before the start of monitoring the labour.

Intermittent monitoring of the labor is conducted when the mother is healthy and wants to have a trouble-free pregnancy period. This is conducted with a regular interval of 15 minutes in the first stage of the labor. While at the second stage the regularization of the interval comes down to 5 minutes along after each contraction takes at least one minute to last. This process is done basically by the midwives through the use of a Pinard Stethoscope or a Doppler that is handheld. This is kept close to the abdominal part of the mother and through this; the midwife along with the mother will be able to listen to the heartbeat of the baby.

2.2 Role of Midwife

Midwives are experienced personnel with proper training in curative measures that are essential for the mother and the child during the stages of pregnancy. They are responsible for operating in homes, hospitals as well as birth centres. These experienced personnel are responsible for providing antenatal care according to the planning of the parents about the place of giving birth. Midwives are often seen with private obstetricians during appointments with the doctors also (Vedam and Cassidy 2019). They are trained to check the health of the baby along with monitoring the growth and the position of the baby. Moreover, they use their experiences to provide advice for the mothers' wellbeing and also support through routine check-ups and tests and booking hospital appointments as well. They also help motivate the mother in order to prepare her for the labour and the birth process.

3.1 Role of Midwife in the Postnatal Period

  • Midwives have trained personnel who can take adequate care of both the mother and the baby through different techniques in different stages of the birth.
  • Midwives are the personnel who monitor the amount of blood loss or the number of stitches required just after the process of the delivery.
  • Midwives are personnel who help the mother at the time of breastfeeding the child along with settling them with all the required comforts.
  • Midwives are responsible for training the mother about the proper ways of bathing the child along with the proper way of changing the nappies.
  • Midwives administer the process of pain relief along with arranging a doctor's visit if required
  • Routine health tests are carried out on a regular basis through these Midwives in order to understand the internal condition of the mother and the child.

3.2 Role of Midwife after Childbirth

Midwives play an important role that is trained with the efficient and effective skills that are required after the birth of the child. Taking proper care of the new member of the family is quite difficult for the mother because of the stitches and pain. Therefore Midwives help with all the required ways in order to ensure the well-being of the newborn along with the mother. Moreover, they are always supportive through providing advice about the best way of parenting the newborn child for the first few weeks after the delivery (Frascoli et al. 2018). Therefore it is important to have a person as a midwife who knows you and your family along with getting help about all the pediatric requirements of the baby.

References

Ashokka, B., Loh, M.H., Tan, C.H., Su, L.L., Young, B.E., Lye, D.C., Biswas, A., Illanes, S.E. and Choolani, M., 2020. Care of the pregnant woman with coronavirus disease 2019 in labor and delivery: anesthesia, emergency cesarean delivery, differential diagnosis in the acutely ill parturient, care of the newborn, and protection of the healthcare personnel. American journal of obstetrics and gynecology, 223(1), pp.66-74.

Borjas, G.J. and Cassidy, H., 2019. The wage penalty to undocumented immigration. Labour Economics, 61, p.101757.

Çalik, K.Y., Karabulutlu, Ö. and Yavuz, C., 2018. First do no harm-interventions during labor and maternal satisfaction: a descriptive cross-sectional study. BMC pregnancy and childbirth, 18(1), pp.1-10.

Frascoli, M., Coniglio, L., Witt, R., Jeanty, C., Fleck-Derderian, S., Myers, D.E., Lee, T.H., Keating, S., Busch, M.P., Norris, P.J. and Tang, Q., 2018. Alloreactive fetal T cells promote uterine contractility in preterm labor via IFN-γ and TNF-α. Science translational medicine, 10(438), p.eaan2263.

Kifle, M.M., Kesete, H.F., Gaim, H.T., Angosom, G.S. and Araya, M.B., 2018. Health facility or home delivery? Factors influencing the choice of delivery place among mothers living in rural communities of Eritrea. Journal of Health, Population and Nutrition, 37(1), pp.1-15.

National Academies of Sciences, Engineering, and Medicine, 2020. Birth settings in America: Outcomes, quality, access, and choice.

Papapanou, M., Papaioannou, M., Petta, A., Routsi, E., Farmaki, M., Vlahos, N. and Siristatidis, C., 2021. Maternal and neonatal characteristics and outcomes of COVID-19 in pregnancy: an overview of systematic reviews. International journal of environmental research and public health, 18(2), p.596.

Vedam, S., Stoll, K., Taiwo, T.K., Rubashkin, N., Cheyney, M., Strauss, N., McLemore, M., Cadena, M., Nethery, E., Rushton, E. and Schummers, L., 2019. The Giving Voice to Mothers study: inequity and mistreatment during pregnancy and childbirth in the United States. Reproductive Health, 16(1), pp.1-18.

Vintzileos, W.S., Muscat, J., Hoffmann, E., John, N.S., Vertichio, R., Vintzileos, A.M. and Vo, D., 2020. Screening all pregnant women admitted to labor and delivery for the virus responsible for coronavirus disease 2019. American Journal of Obstetrics & Gynecology, 223(2), pp.284-286.

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