Final ll Flashcards Preview

Nat Birth > Final ll > Flashcards

Flashcards in Final ll Deck (31)
Loading flashcards...
1

What is preterm labor?

labor bet 20-37 wks gestation

2

prolonged labor herbal support to increase uterine activity:

- blue cohosh
- black cohosh
- raspberry

3

How quickly should the baby latch?

within 1st hr

4

Why don't you need to supplement the baby right after birth?

colostrom
- its high in minerals, protein, fat sol vits, abs, helps establish gut flora, laxative
- and baby's belly is the size of an almond

5

When does mom's milk supply come in?

3 d
- baby will be awake
- nurse 8-12x in 24hrs
(or every 2 hrs)

6

Positioning of baby for nursing?

- belly to belly
- babys mouth aligned w nipple
- neck slightly extended
- ear, shoulder, hip in alignment

7

Adv of breast feeding

- baby gets abs
- keeps uterus contraction
- mom loses weight

8

2 fxs of prolactin for nursing

- stim. mammary glands to produce milk
- causes enlargement of mamm glands

9

2 fxs of oxytocin for nursing

- mammary gland contractions
- stimulated by infant suckling, helps milk to "let down"

10

milk supply regulated by?

supply and demand
- enough for 2-3 babies
- if premature, milk will be diff.

11

Formulas avail

- cows milk
- soy
- partial whey hydrolysate formulas
- extensive casein or whey hydrolysate
- AA based

12

What are some good positions for 2nd stage?

- squatting
- pull legs up
- hands and knees

13

Placenta delivery is part of what stage? when does it get delivered?

3rd
- 5-6min

14

Reasons baby can't get out

- pelvic size
- contractions aren't strong enough
- big baby

15

if amniotic fluid is green, what is that called?

meconium

(should be clear)

16

2 types of pushing

1. valsalva
2. physiologic - mom's lead... pushes when she feels it... shorter and without a closed glottis

17

Galactogogue herbs

- trigonella
- foeniculum
- milk thistle?
- fenugreek?
- hops?

18

Mastitis can abscess, tx w?

hepar sulph and phytolacca oil topically

19

What is the risk of having a nuchal fist?

perineal laceration

20

How much bigger does a nuchal fist add to the diameter?

3 cm

21

How much weight is normal for a baby to lose in the first few days?

10%

22

What are reasons the baby might have excessive weight loss (>7%) w lactation?

- inadeq milk production
- poor milk transfer
- dz of newborn

23

How can you tell the baby is being fed adeq?

- # of wet diapers
- BM every time they nurse

24

Medical conditions that effect fertility

- PID
- endometriosis

25

How long should a 30 yo woman try before she seeks tx for fertility? if over 35?

1 yr
- if over 35, then 6 mo
- or if irregular menses/hirsuitism, prostate infx, 2+ moscarriages

26

semen supplements

vit c
oat
ginseng

27

testerone supplements

- saw palmetto
- nux vomica
- damiana

28

female infertility drug

clomid
- not good for F 40 or over

29

2 herbs for ovulation

- vitex
- aletris farinose (true unicorn root)
... can supplement beta carotene

30

3 herbs for luteal phase for progesterone

- wild yam
- vitex
- sarsaparilla

31

What is a bloody show?

Bloody show is the passage of a small amount of blood or blood-tinged mucus through the vagina near the end of pregnancy. It can occur just before labor or in early labor as the cervix changes shape, freeing mucus and blood that occupied the cervical glands or cervical os.