As the fetal head passes through the birth canal, it normally demonstrates, in sequence, the " cardinal movements of labor. Engagement fetal head reaches 0 station. Descent fetal head descends past 0 station.
Flexion head is flexed with the chin to its' chest. Internal Rotation head rotates from occiput transverse to occiput anterior. Extension head extends with crowning, passing through the vulva.
External Rotation head returns to its' occiput transverse orientation Expulsion shoulders and torso of the baby are delivered. As the fetal head descends below 0 station, the mother will perceive a sensation of pressure in the rectal area, similar to the sensation of an imminent bowel movement. At this time she will feel the urge to bear down, holding her breath and performing a Valsalva, to try to expel the baby.
This is called "pushing. Because the baby is in danger, instead of waiting for the mother to be able to push the baby out, which can take hours, the doctor performs an episiotomy, making a surgical incision in the vagina, and pulls the baby out with forceps.
The mother in the video goes into labor at home, calls the midwife, and labors in the tub. At one point, her toddler even joins her.
But without medication, she yells and grunts in pain at certain points. She eventually delivers the baby on all fours, and the bathwater turns dark. Afterward, the mother cuts the cord, the tub is drained, the baby is weighed using a sling scale, and the mom recovers in bed. In this video, a mom goes into the hospital to be induced for pregnancy and ends up having a C-section.
She then uses a peanut ball, which is placed between her legs to help open up the pelvis and promote dilation. Once in the operating room, dad looks over the curtain to see the baby being born. About 30 percent of babies born in the U. Some are scheduled, but other times doctors and patients decide a C-section is the best option mid-labor. And sometimes emergency C-sections need to be performed for the immediate health of the baby or pregnant person. In this case, the parents arrive at the hospital early in the morning for a scheduled C-section.
The video shows dad getting dressed in scrubs while mom is taken and prepped for surgery. Later, he meets her in the operating room, where surgery has begun, and he takes a seat by her head.
When the baby is born, doctors show the parents through a clear screen. Then mom is wheeled into a recovery room. This is an example of an unmedicated birth in which labor progressed quickly, and mom got to the hospital too late to get an epidural. This can happen if the pregnant person arrives at the hospital fully dilated and ready to push.
Especially since after the first pregnancy, labors tend to progress more quickly. Use scissors to cut between the clamps. During the transition from intrauterine to extrauterine life, the umbilical cord will continue, for a short time, to provide oxygenated blood to the fetus. Once the baby is breathing, then blood is shunted to its lungs where it receives much better oxygenated blood than it was getting from the placenta.
Holding the baby below the level of the placenta results in pooling of placental blood within the newborn. It is better to keep the baby more or less level with the placenta until the cord is clamped. If the baby is not breathing well after delivery and needs resuscitation, immediately clamp and cut the cord so you can move the baby to the resuscitation area.
Immediately after delivery of the baby, the placenta is still attached inside the uterus. Some time later, the placenta will detach from the uterus and then be expelled. Immediately after the delivery of the baby, uterine contractions stop and labor pains go away. As the placenta separates, the woman will again feel painful uterine cramps. As the placenta descends through the birth canal, she will again feel the urge to bear down and will push out the placenta.
After delivery of the placenta, the uterus normally contracts firmly, closing off the open blood vessels which previously supplied the placenta. Without this contraction, rapid blood loss would likely prove very problematic or worse.
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