Workbook Answers Class 1

All answers are false

Pg 14
1. Tailor Slfiing

2. Squatting

3. Kegels

4. Butterfly

5. Regular Physical Exercise

6. Pelvic Rocking

7. Side Relaxation or Running Position

8. Event, coaches

9. Back, Belly, Bottom

Workbook Answers Class 2

Pg 17-18
Fill this out yourself, we'll cover the answers in a later class

Pg 19
1. Good nutrition is a constant, weight gain is not. People are different body types and sizes, so weight is not an accurate metric of health

2. 35 pounds

3. Normal growth and development, prevents problems 6: complications

4. Decreases incidences of infection, decreases discomfort, increases strength and stamina, makes mom be in better condition for the birth, Aids in better recovery.

5. 8 months gestation - you still have time in late pregnancy to positively effect brain development

6. Toxemia - one Harvard study found that no moms consuming more than 75 grams of protein daily had toxemia, while of moms consuming less 44% did PROM - “Premature Rupture of the Membranes" A strong sac will decrease chances of premature spontaneous rupture — once ruptured, mom is on a closely monitored clock to delivery
Hypovolemia ~ decreased blood volume
Hemorrhage - excessive bleeding
Good nutrition provides the salts, nutrients, fluids, and iron for pregnancy’s normal increase in blood volume

7. See pg 124

8. Decreased efficiency and non-optimal functioning of the body

9. Good nutrition means strong healthy bodies for both mom and baby, a strong and efficient uterus, lower chances of infection, better recovery, etc

10. Avoid drugs, smoking, artificial sweeteners, mercury, aluminum, household and industrial chemicals, pesticides, caffeine, litter boxes, food additives, and junk food

11. Breastmilk

Workbook Answers Class 3

For answers refer to the diagram on Pg 20 - pretty sneaky huh?

Pg 26
1. Options are listed here, pros & cans are discussed in class
Birth Place - Hospital, Home, Birth Center (Cambridge & Beverly both have them)
Cesarean - Choice (if you request a C/sec your provider will probably not deny you), Medical Reason
Circumcision - Yes (personal, religious, psychological reasons) No (considered by many to be unnecessary and painful)
Ultrasound — Pulse (Sonogram or none, many or few, early or late in pregnancy), Continuous (Doptone or stethoscope, External Fetal Monitor or stethoscope)
Electronic Fetal Monitor in Labor — can use a stethoscope, external or internal
Exams - Frequent or not at all, upon admission only, etc
Bed Rest - Often used as a way to get a mom to rest when she otherwise wouldn’t, but is not good for the body
Admitting Procedures - Can include paperwork, change of clothes, blood tests, urine test, pelvic exam, EFM strip for 15-30 minutes, blood pressure and temperature, pulse
Options - See handout for class 7, arrange to settle your priorities BEFORE labor, choose your provider carefully
IV - Needle and tube in vein, Hep Lock as an alternative, no IV

2. Walking, Pelvic Rocking

3. Efforts of mom and dad! Each anatomical layer surrounding the baby protects it in different ways (see illustration pg 22)

4. You Answer

5. ASK them!! May include blood tests, urine tests, Beta strep, glucose tolerance, biophysical profile, nonstress test, stress test, HIV, etc

6. Give them sincere compliments, calmly make them aware of your concerns, tell them what you learned about the concern and where, ask specific questions, ask V for written information they have, ask about alternative treatments including doing nothing, thank them and compliment them on their openness, ask for time alone before making a big decision

Workbook Answers Class 4

Pg. 28
1. Participate yourself! Remind mom to do the exercises and change your own nutrition

2. You are a team and co—participation will encourage the mom to trust you and endear you to her - these are also healthy habits for life beyond just the very effective preparation for labor

3. Show initiative, communicate how you feel about the baby, participate and be consistant

1. Possible reasons may include: No separation during labor and birth, Being part of the birth team, Safety of mom (3: baby, Bonding, Witnessing the birth

4. Allergic reactions, Intervention Cascade, Longer recovery, Interference with breastfeeding, Hypersensitivity 6: severe reactions to medication, Decreased breathing in the baby, unknown risks

5. Reflects your own psychology of health and wellness

 Pg 29 - You answer!!

Pg 30 - You answer, be creative!!

Workbook Answers Class 5

Pg 41
1. More energy for birth, stronger and more efficient contractions

2. Strong pelvic floor helps baby flex his head so that the smallest, most efficiently-shaped-for—dilation portion of the head comes first, body will respond readily to relaxation

3. Avoids pain, allows the uterus to work efficiently, conserves energy

4. Can slow or stop labor, makes relaxation difficult, draws blood away from baby & the uterus

5. Fear, tension, nervousness, pain Position can determine if the contractions work with or against gravity, and the associated pain and effort can effect the ability to relax, walking may move the baby down

7. Evenly and gently dilates the cervix, protects the baby during strong contractions

8. Epidural - can decrease blood pressure and therefore decrease blood supply to uterus and baby
Ripeners - may soften cervix, may cause contractions
Uterine Stimulants - create intense, long, very strong and close-together contractions that are not as efficient at moving the baby down as natural ones and which may very well lead to needing an epidural

9. Decreases energy output by 30%

10. ASK the caregivers or attend a tour to find out

9. Decreases energy output by 30%

10. ASK the caregivers or attend a tour to find out

Workbook Answers Class 6

Pg. 44
Physical Signs: cold feet, vomiting, hot flashes, nausea, cold sweat, shaking, burping, contractions change 7
Emotional Signs: Confusion, crabbiness, bitchy—ness, giving up, asking for drugs

 Pg. 48
1. Grunting, Feeling of Bowel Movement, Tenses hands as if to push and holds breath, Says “I need to push!”

2. Assymetric positions or butt-in—the—air position, keep chin off chest and breathe out during contractions (try not to hold breath), sing to release air

3. “Tune into your body, Knees back, elbows up, chin on chest, push to the point of comfort”

4. Be positive and talk about mom as she works (she'll hear every word!) “Isn’t she doing great!" “Thanks for your help!"

5. Perineum is relaxed and flat, perineum is bulging in pushing stage

6. You answer

7. Remind mother to "ease the baby out" and remind Dr. about your decision

8. Make sure she's pushing (a pressure episiotomy will not need medication)

9. You Answer

10. You Answer

11. Colostrum/antibodies, Contracts the uterus and minimizes blood loss, speeds delivery of placenta, bonding

12. Skin-to—skin touch, smell, listen, look

13. OJ increases blood sugar, replaces fluids and potassium

14. Walk to the nursery, gets rid of blood clots, increases circulation, feels good (also means mom can shower - one of the best showers of your life!)

15. Most moms are ready to eat right away!

Pg 49
1. Yes

2. Confusion, Crabbiness, being upset or overwhelmed, uncertainty

3. 8 cm or more dilation

4. Equalization of pressure, helps baby slip through birth canal

5. Descending so ThaT pressure againsT The rectum causes Ferguson reflex (or reflex To push)

6. If she has a desire To bear down aT peaks of contractions

7. Improper alignment of uterus, decreased oxygen to the baby, body must work harder against gravity so will tire more quickly and experience more pain

8. Squatting

9. 2 hours

10. hyperventilation

11. Clears mucous from The baby's nose, mouth, and throat

12. Surgical cm‘ in tissue between the vagina and rectum

13. In the case where there is a medical need to get the baby out quickly, or to
prevent a tear upward toward the clitoris

14. Yes - pressure episiotomy

15. Contracts uterus leading To detachment and delivery of the placenta and minimal blood loss, provide immunities and laxative To baby (To clear out meconium and decrease likelihood of jaundice), enhances bonding

Workbook Answers Class 7

Pg. 57
1. What is the problem? What are the symptoms or test results that are causing concern, and
could this be normal? What is the most likely cause? Are There other possible causes? Why
does my baby or why do I need This drug or procedure? Will my baby and I be healthier for taking it, or having it done? Is this part of a study, a routine, for convenience of the medical staff, part of insurance guidelines, or a true need or emergency? What are its side effects or liabilities? Will its benefits outweigh the side effects? What test or monitoring will be done? What do these show and what levels are we looking for? Will your treatment be different after the results are known? Are there other options? What is the risk to me and my baby if I don't take it or have it done? Weight the risks and benefits (all drugs and procedures have both!l)

2. Observing movement, Auscultation (listening with a stethoscope), doptone, scan/sonogram, EFM (External Fetal Monitor), Internal FeTal Monitor

3. Dr Roberto Caldeyro-Barcia was an Obstetrician who opposed The supine position for labor and birth and gave a presentation about it to a worldwide conference, making several assertions about managing labor that were (and largely still are) against common practice: Do not rupture the membranes to speed or start labor, Do not routinely accelerate/augment/ induce labor with drugs, if induction is truly necessary then use the minimum dose, monitor inductions non-invasively, Use of drugs should be necessary for only 10% of births, DO NOT use The supine (on The back) posiTion for labor or delivery

4; See pg. 55 “CreaTe Positive Feelings at the Hospital"

5. Necessary for labor to progress normally

6. 41 weeks and one day, + or - 2 weeks

7. Braxton-Hicks conTracTions strengthen the uterus & massage the baby, start sometime in the last 6 months of pregnancy, and can be stimulated by thirst, hunger, sex, and physical activity

8. You answer!

Workbook Answers - Breastfeeding Questionnaire

Pg. 17-18
1. No ~ Advantages of breastfeeding include: decreased risk of breast cancer, possibly higher IQ, better smelling baby, no constipation (unlike formula), easily digested, breastmilk is the perfect baby food, composition of breastmilk changes with baby's needs, less diaper rash, convenience, prolactin, easier to feed at night, etc

2. Immediately - baby may take her time latching, but if at the breast at all the uterus will be stimulated to contract

3. Colostrum - contains immunities to protect the baby «Si high quantities of vitamin K to prevent hemorraging

4. 10% of birth weight

5. 2/3 days — 1 week

6. No - Colostrum is very nourishing

7. Breasts swollen with milk - nurse baby on demand and not on a schedule, empty breasts often (ie with baby or in a warm shower)

8. Supply and demand ~ respond to the baby and he'll get the right amount.

9.Every 20 to 2/3 hours

10. No

11. Nipple confusion, decreased milk supply, upset digestion, can trigger allergies

12. More complete nutrition, higher IQ, fewer allergies, smell, less infections

13. You answer

14. Yes - contact LLL to prepare for nursing

15. Yes

16. Yes

17 Yes

18: No

19. Ideally exclusively breastfeed for 6 months and continue for at least a year. (Many pediatricians will instruct you to start solids at 4 months. We now know this is very unhealthy for baby.)

20. Support/Protect wife's decision...Advantages include: healthier baby and mom, less crying, better smell, more sleep, intense bonding, much cheaper, convenience

21. Love, breastfeeding, sleep, diaper changes, holding, attention.

22. Support, food, water (lots!!), sleep (lots!!), encouragement (lots!!), help with

 housework (lots!!), help with other children

23. About 500

24. Similar to a pregnancy diet plus LOTS of fluids

25. Whatever she or the baby doesn't like (identifying these things requires trial and error)

26. Necessity of pumps depend on mom's situation, but it's usually not necessary for the sole purpose of establishing a milk supply — the baby will do this. Using them for this can cause fear, pain, less bonding, storage/heating/sterilization problems

27. Pads can prevent excess fluid evaporation and encourage yeast growth (possibly leading to thrush), Plastic~lined pads really hold in moisture and encourage bacterial growth

28. Redness, pain, fever, fatigue...Try a lot of REST, nursing diet, heat, antibiotics if necessary (this is good to avoid as antibiotics can kill the good bacteria in your body as well and thus increase mom's susceptibility to yeast infections)

29. No - nursing helps...you can contact La Leche League

30. La Leche League (LLL)

31. Wean slowly and with love, eliminating nighttime feedings last

Workbook Answers Class 8

Pg. 59-60
Overdue: Waiting, Stress & Nonstress tests can monitor the baby (if baby and mom are fine, why induce?)
PROM: Good nutrition helps avoid spontaneous rupture, minimize vaginal exams to avoid iatrogenic (Dr-caused) rupture
Herpes
OP: Hands and knees position encourages baby to turn and decreases pressure, avoid pitocin as will make it hard for baby to turn!
Breech: OB's and Midwives in USA aren't trained to deliver - try to find a provider who can just in case...This is usually and automatic C/sec, but you can: wait as long as possible to deliver as baby may turn itself, Webster Technique (chiropractic), Pedalic Version (best done at term, usually done before term) is a medical procedure to externally turn the baby, Moxibustion
Transverse lie: a true indication for a C/sec...if you thought your baby was head-down but go into labor early and see a hand come out of the vagina, or if you know your baby is a transverse lie and you go into labor early, GET TO A HOSPITAL
SAP — A baby cannot be born in this position. Luckily it is rare, usually caused by unique uterine shapes, uterine cysts, or with twins where one is transverse and the other is in a vertical position
Fast/Precipitous Labor: Know your family history to see if this is a know possibility for you, Advise caretakers and stay close to birthplace the last month of pregnancy, be sure coach knows the emotional and physical roadmap of labor so he can gauge if mom is progressing quickly, See "Emergency Childbirth” Pg 99 and be sure mom and coach are familiar with this information
Slow Labor: Wait! All labors are different, kissing, laughing, resolving emotional issues, horse lips, sing, change position, thumb sucking (and acupressure technique), nipple stimulation, relaxation, eating, drinking, sleeping, pitocin
Reverse Dilation: Often is a measurement error or occurs with a change of caregiver or if first measure is done during a contraction when baby is pushing against cervix and second measure between contractions when baby is merely resting against cervix. Best to just wait awhile, relax, change positions, and don’t take it too seriously

Pg. 60
Arrested Labor: (Also known as a latent phase) Many OB's will want to administer pitocin to start labor again, but if mom and baby are monitored and doing fine, there is no need. Labor will usually reestablish itself after 20 minutes to an hour.
Try to relax and wait it out (the best way to do this is by sleeping!)
Failure to Progress: Contractions continue but dilation stops. See options for “slow labor” above, Can wait, use Fetal Monitoring, possibly pitocin
Very Painful Labor: Labor involves pain, but it shouldn't be excruciating, if it is something may be wrong...try to pinpoint what is causing unnecessary pain and eradicate the problem, try changing positions, all techniques practiced in class,
Fetal monitoring (this is where a trusted birth team is very valuable!)
Meconium Staining: Stop pitocin, Fetal monitoring, trusted birth team is valuable for judgment calls in this situation
CPD: Try hands and knees position to push, Fetal monitoring while pushing as long as possible, C/section.
Fetal Distress: Stop pitocin, change position, Use internal monitor to ensure accurate readings, possible instrumental delivery or C/sec for quick extraction of baby
Multiple Birth: Find a midwife with good backup for low-birthweight babies, Wait spontaneous labor, Twins are smaller than single newborns, so the actual birth journey is less of a problem than unique presentations (ie one is vertex and one is breech, one is breech and one is transverse, etc) so for this reason many caretakers like to schedule twin deliveries (with C/sec or pitocin) so that lots of personnel are readily available. Choice of care provider will largely determine the course of multiple births!

Workbook Answers Class 9

Pg. 74
1. Good nutrition, Exercise, Avoiding possibly harmful things, Education, Relaxation, Trained Coach

2. Good nutrition, Exercising regularly, Supportive birth-team & birthplace, Avoiding excess stress, good communications with coach and caretakers, practice relaxation techniques

3. Practicing relaxation

4. Can be determined by: Last menstrual period, quickening, ultrasound..."Accuracy" of an estimate is misleading, as a due date can be accurate within a range of 2 weeks on either side (one Harvard study suggests a better due date would be 2 weeks on either side of 41 weeks and 1 day instead of 40 weeks), dates can also be biologically influenced by family history Tightening, menstrual cramps in abdomen or back, balloon blowing up inside belly, pulling on sides of belly or on lower section where uterus attaches to pelvis

PRELABOR
2. Practice, Enthusiasm, Gives mom and coach confidence

3. It can be hard to tell prelabor from true labor (they can feel the same, and prelabor can be productive and dilute the cervix before it stops, so in some sense, it can even be true labor).
Strengthens the uterus, prepares the mother for giving birth, Prepares baby for birth.

Pg. 75
1. Standing, sitting, reclined (no less than 45 degrees), pelvic rocking, on the side

2. Flat on back

3. Standing/Walking opens inlet of pelvis

4. Walking

5. Lying on the back

6. Take warm bath or shower before leaving home, prepare car before moving mom, have someone other than the coach drive so coach can help mom during the ride, Drive slowly and obey all traffic laws

7. You Answer

8. Bring own pillows, music, wear your own clothes, candles, decorations

9. Go home if you are less than 5 cm and not showing emotional/physical signs of active labor

10. Introduce selves to staff, bring up to date on the labor progress, use staff’s first names, say things like “isn't she doing great!”, ask for what you need, when voicing an opinion say “we feel that...", offer sincere appreciation

12. Sleep imitation, eyes closed, do not move during contractions, relax, slow abdominal breathing, duh look, relate pain with progress, stay positive, think about the baby, nourishment, sip water between contractions, change activity (shower, walk, lie down, change positions, etc), welcome the power of the contractions

13. Check position, check relaxation, rub the back, guide breathing, time contractions, talk, do not simulate contractions in labor

Pg. 76
14.Tense/relax technique, Progressive relaxation technique, Massage, Stroking, Muscle Observation

15. Positive visualization, visualizing progress, sensory recall, talk about positive

16. Reassure, praise, encourage, be an advocate for her, do not fight with staff

17. Pressure, stretching, cold feet, shaking, vomiting, confusion, nausea, need to poop, giving up, etc

18. I wish they'd turn the lights down, Shhh, I wish my coach would keep talking even when someone else is in the room, keep rubbing my back, forgive my abruptness, I think I'll be in labor forever, what baby?, don't give up on me, I’m so thirsty, I'm.so hot, Don't joke at a time like this, This is hard work, I’m scared, I know everything is fine, I give up, thank you

NAP
1. Dilation, Effacement, Station, Position

2. Physical alignment of baby with pelvis, softening of cartilage and stretching of ligaments from hormones, pelvis enlarging, production of oxytocin, breasts preparing nutrients and immunities, production of endorphins, rest & food 6: water, psychological right of passage (these involve physical hardship, pain, fear, acceptance, exhaustion, victory)

3. Head molding, gets lungs ready to function, stimulation of nervous system by massage of contractions, adjusting position, flexing chin to chest to present most efficient part first, producing oxytocin to stimulate contractions, Right of passage (fear, change, acceptance)

4. Keep mother from becoming discouraged, reduce distractions (such as personnel in room, noise, light, etc), ask attendant not to tell you dilation, stay enthusiastic, avoid anything that may cause tension

5. See page 30...Prepare your own list this week that meets The needs of your personalities

6. Positive pain is easier tTo deal with and motivates mom to endure more

7. Things that help with pain, besides medication: hugs, compliments, vocal encouragement massage, attention, bath or shower, cool cloth on forehead, hot cloth on belly, water, food, a calm and enthusiastic coach, show mom baby clothes

8. You answer depending on your circumstances

Pg. 79
1. See and review page 55

2. You answer!

3. Clean and casual appearance gets the best response

4. You answer!

Workbook Answers Class 10

Pg 85
Preparation for Birth

1. Good nutrition: Strength, energy, stamina, healthy muscles & bones
Regular physical exercise: strength, stamina
Frequent pelvic rocking: tones and conditions abs, mobility in pelvis, room for baby to adjust
Regular kegels: strong muscle keeps baby's chin on chest (smallest and most efficient head diameter presents first), less pain, consciousness "opens the door squatting: flexible perineum & pelvis.

2. Positions and techniques

3. Squatting, kegels, lotion and massage, be patient during birth, nutrition, light & air to perineum, preferences known to care providers, remind care provider of preferences at birth.

4. Learn how body works, work with your body, exercise, nutrition, drink lots of water, relax kegel, find best position, relax muscles you're not using, relax between contractions, don't feel pressured by time or providers.

Transition
1. Physical: cold feet, burping, contractions on top of each other, contractions slow or stop, shaking, nausea, vomiting, hot/cold flashes.
Emotional: crabby, demanding, confused, gives up, complains, asks for meds.

2. One—third have hard transition, 1/3 have moderate/mild transition, one-third have none

3. Calm and confident coach, Remember: it's normal!!, change position, take 1 contraction at a time, coaching with voice and touch, guide breathing (slow it down between contractions), eye contact, encouragement

Urge to Push
1. Bowel movement feeling, says “I have to push!”, grunts during contractions, pushing feels better than not

2. Overwhelming: can't help it, it hurts if you don't
Mild: can push or can relax
Wishful: tired, bored, wants to push, acts very emotional _

3. Relax, change position, wait for overwhelming urge
Let uterus push, have mother release air during contractions so she doesn’t push hard or flex abs

Pg 86
Second Stage
1. Urge to push, contractions space out, different sensations, mother is clearer/focused

2. Hold breath as long as is comfortable during pushes, find best position, push to the point of comfort, rest between contractions, encouragement V

3. Classic, alternate classic, squat, assisted squat, hands & knees, side, asymmetric, standing

4. Squatting

5. Supine/lithotomy (on the back)

6. Classic or supine

7. Knees back: opens legs without too much stress on perineum
Chin on chest: traps a cushion of air which increases intra-abdominal pressure making each push more effective
Curved spine: shortens birth canal, assures proper alignment.

8. In/out, in/out, in...hold/push, breath as needed/push, release & catch breath

9.; Comfortable

10. Comfort
Ensure ELBOWS ARE OUT, help change positions, encouragement, help relax between pushes, give water/ ice, take photos

12. Tune in and do what feels right, effective position, push to point of comfort, hold breath, push down and out and open up, relax between contractions

13. Fullness, pressure, burning (for a short time during pushes), baby moving down, release/ birth climax (an orgasmic sensation, literally)

14. Advantages: faster pushing stage, can prevent tearing toward the clitoris, may be easier to repair or heal better (controversial and probably depends on a case-by—case basis)
Disadvantages: generally not necessary, can cut through muscle, more blood loss, may make the baby born too soon before he is ready (babies benefit from labor, such as being stimulated to prepare for breathing), cut may extend to deeper tearing (cutting greatly increases risk of deeper tears), more pain on recovery, swelling, medication needed for repair

Pg 87
15. Knees back/elbows up and out, push only as strongly as you feel you should, be patient, massage perineum, pressure and counter pressure, compresses, olive oil to lubricate passage of baby

16. Episiotomy done without drugs, during a contraction when pressure of baby’s head decreases perineal sensation

17. Baby is crowning, mom is pushing, skin on perineum blanches white

18. Mother either feels nothing or a sudden release of pressure

Third Stage
1. Cut or clamp cord

2. Cord continues to supply blood and nutrients for a short time and helps regulate blood volume

3. Causes uterine contractions, minimizes blood loss, enhances bonding, comforts mother and baby, expels placenta

4. Special time of coming together for a new family - helps parents feel committed and “in love" with the baby thus enhancing future parenting (documented studies definitely show a parenting difference between parents separated from the their babies after birth and those who have the baby with them the whole time).

5. 5-45 minutes after birth (usually 10-30)

6. Put baby to the breast, push a little especially if you feel a contraction

7. Replaces fluid lost in birth, potassium, lack of some nourishment may cause
dizziness, raises blood sugar, reenergizes mom, tastes GREAT

8. No drugs, feels good sitting/standing, no nausea, breastfed the baby, drank OJ

9. Restores pelvic circulation, realigns organs, expels blood clots

10. Continue all through breastfeedings (should be less noticeable after 2-4 days)

11. Relaxation, Focus on the baby

12. Ice/cold

13. Pull together tissues, increases circulation which increases healing

14. Second day after birth

Workbook Answers - Class 11

89-90 You Answer

Pg 91
Answers to all questions are “the Coach"

Pg 97-8
BEST: Bradley Energy Saving Techniques

A1. 10 minutes apart or less?, getting stronger?, getting closer?, regular?, stop if change activity?

2. 10 minutes apart or less, 60 seconds or longer

3. Contractions: hard, stong, regular, continue with a change of activity
Behavior: acceptance, seriousness
Physical: sweating, not "hungry, not talkative

B1. Eat, drink, shower, sleep, shower or bath

2. Increase pain, stop or slow contractions, make contractions ineffective

C1. Coach, birth team, Bradley Teacher
If physical & behavioral signs are those of early labor, go home if contractions are more than 5 minutes apart

D1. Energy, unnecessary

2. Relaxation

3. Relax, voice, touch

E1. Uses tremendous energy, hyperventilation, tension (also, decreases oxygen supply to baby)

2. True

F1. Speeds

G1. Prevents dehydration, hormones not effective if dehydrated

2. elevated blood pressure, elevated temperature, elevated pulse, decreased energy output

H1. Energy, strength

2. Am I hungry? What am I hungry for? When did I last eat?

3. Clear fluids, juice, popsicles, jello, honey sticks, hard candy

I1. Sleep!

2. Wake her just before the contraction peaks

3. Yes

4. Yes

Pg. 98
1. If she can't sleep, stay active - it relieves boredom and may actually aid the labor

2. When you feel tired

3. Walking, watching movies or TV (not stressful shows), showering, games, talking, music, looking at photographs, etc

K1. Just before leaving for or just after arrival at the birthplace, during hard labor and transition

2. If the bag of waters has broken

3. Body temperature

4. Decreases pain, encourages deep relaxation, may speed labor

L1. No drugs have been proven safe

2. 80-86% drug-free births

3. Benefits, risks

4. Comfort, relaxation, medication

M1. Handle it - because you know the baby needs it

2. Relax and let go

3. Conserve, energy

N1. Walking, nipple stimulation, relaxation, thumb sucking

2. Strong contractions, pressure on the pelvis & lower back

O1. Too soon — wastes energy and may push baby into a bad position, increases pain

2. Urge to push, grunting, Bowel movement feeling

P1. Comfort, comfortable

2. Relaxation, cool washcloth, ice or water, close eyes, breathe the baby down

Q1. squatting

2. Classic or modified squat

Workbook Answers Class 12

Pg. 106

— Things that may increase the incidence of jaundice: drugs in labor and birth, induction, male child, Asian ancestry, "milking" the cord, clamping or cutting too soon, breastfeeding

— What can help reduce jaundice: well-nourished during pregnancy, avoiding drugs, breastfeed immediately & frequently, indirect sunlight

— Pediatric visit: don't schedule a visit on 3"’ or 4"‘ day (when biliruben count is highest and jaundice most likely), dress the baby in blue, don't have the examination in a yellow room as it can exaggerate the "yellow" effect

Pg 108

— Reasons babies cry: hunger/thirst, wet/messy, hot/cold, need to burp (hard tummy) gas, pain, sickness, fear, loneliness, mom is upset, overstimulation (too much noise, colors, or movement), rough/harsh surfaces or clothing, wants to change positions

— To soothe a crying baby: hold, nurse, attend to the problem not the crying, movement (walking, bouncing, baby dancing), white noise (vacuum cleaner, running "water, washing machine, car engine), bathe the baby, massage, hold ski-n—to-skin, bundling...DO NOT always solve crying with Cl pacifier - address the problems and not just the symptoms. Crying a language and shouldn't be stifled, but soothed