Thread: warning - Bunch of ????

hi please feel free just to read :-)

• what dose the student do when im in labour?
• why would any body want to cut the cord and whats best leave it or cut it stright away?
• whats a syntocinon drip?
• can i breastfeed after he's been cleaned and maybe myself?
• whats this all about Vitamin K and BCG Vaccination and are they really needed?
• whats a neonatal unit?
• i have a thing with pain were i pass out and have a fit, then wake up and frow up. is there any chances i do this in labour?

sorry list is a bit long, i just read my maternity notes and rellised i have 10weeks leaved and have freeked a little. inadvance thank you if u can answer any of the long list.
peace :-)

You can breastfeed immediately before or after cleaning, up to you. I wanted clean babies both times! Vitamin K - I thought 'why not?' and just had it done, not sure about the BCG but I would have thought the same I think.

I imagine the student midwife would help a little I think, she will be there for hands on training. I'd hope you would have a fully trained one there as well though - check that with your midwife.

Some people like to cut the cord, some people cringe at the thought (my DH was the latter). We got the nurse/doctor/midwife/whoever it was I really don't know nor did I care! to do it immediately.

Can't answer anything else, sorry!

Hey, good Q's, I remember thinking blimey when I tried to do a birthing plan, all from memory this so you may want to wait for other more knowledgeable posts!!!

1. Sorry no students in during the birth of my 2 but I did have a few during antenatal visits they tended to follow what the midwife was doing.

2. No idea!!!!

3. Makes contractions stronger, helps speed up delivery

4. Yes if he's up to it they should encourage you to feed asap.

5. No idea about BCG for babies I'm afraid, that must be new! Think it's just breastfed babies for vit K. If baby get's deficient they could bleed into brain, but I'm sure its v v v rare. It's up to you whether they give the injection or not. Both of mine had it in caes you're wondering.

5. Neonatal unit is baby intensive care - its got lots of names like special baby care unit. Obv if there are complications the little un could go in, or they can go in there just to "grow a bit", if they come out early like my ds1, his lungs weren't mature when he popped out early. There's different levels of care in there, its not all full on intensive care in incubators.

6. Gosh sounds awful, sorry again I'm no health professional so I can't help you there.

I had a student lead my delivery of dd2 (homebirth) completely with another midwife there who would take over if necessary. She was near to qualifying though and leading my delivery was part of that. With dd1 (hospital birth) there was a student who was doing minor things under the direct instruction of the midwife.

In most births they cut the cord fairly quickly, but it is something that you can request not be done straightaway. If they need to give air to the baby, they will cut it though so they can concentrate on the baby.

A syntocinon drip is a synthetic hormone that they give if you are not making enough progress in labour. I had it with dd1 because she was badly positioned and labour was overly slow. It does work, contractions will be harder though because they sort of jump up the dose and your body doesn't have the change to gradually get used to each increase. Having said that, I coped fine even on just gas and air so don't fret. They won't use it unless they feel it necessary. If you are on a drip, you will also be monitored so much less mobile.

You can breastfeed when you and your baby are ready. Often they don't want to latch on straightaway, so a cuddle ideally with you both naked can help. If you want them to clean baby first they will, if you don't then ask them not to. I kind of found I wasn't really cleaned up at all, but it was 2am and I think they wanted to go home, I was exhausted so I went to sleep and the midwifes watched dd1 for a couple of hours. I had a bath in the morning then when dh came in.

Vitamin K I seem to remember being a good idea and not much reason not to, so both dds had this. They didn't have vaccinations at birth, I think the BCG starts at 2 months and again both of mine had it - I support vaccinations. Again, this is a personal choice.

A neonatal unit would be where babies are looked after if they are born preterm or with difficulties.

Being sick in labour is not uncommon I have heard, so possibly. I would suggest warning your midwife when you are admitted to the delivery suite as they might want to watch out for you having a fit. I have no idea how likely or not this is I'm sorry. Maybe you would be better with a more complete pain relief in that case - an epidural or pethidine.

[quote=silverrose;369427]hi please feel free just to read :-)

• what dose the student do when im in labour? Watch , fetch and carry , do observations - Have you agreed to one being there , you don't have to ?
• why would any body want to cut the cord and whats best leave it or cut it stright away? Some believe it is better to leave it until it has stopped pulsing. tbh you probably won't care once it is over espeically if you don't feel stongly about it already.
• whats a syntocinon drip? Hormone delivered intravenously to stimulate contractions in induction or if labour slows down
• can i breastfeed after he's been cleaned and maybe myself? The sooner the better but it is up to you, you can feed while you are being tidied.
• whats this all about Vitamin K and BCG Vaccination and are they really needed? Vitamin K is to do with risk of a rare blood conditon , can be a single injection or drops given at intervals but highly recommended. BCG is to protect against tb, don't think it is routine nationwide but more prevalent in some areas and if relatives are visiting from certain countries abroad.
• whats a neonatal unit? Special care baby unit
• i have a thing with pain were i pass out and have a fit, then wake up and frow up. is there any chances i do this in labour? You won't know until you are there, the pain isn't like any other and mws are used to all sorts of reactions. If you have a history perhaps you should speak to your mw.

quote] hth

Originally Posted by silverrose

hi please feel free just to read :-)

• what dose the student do when im in labour?
• why would any body want to cut the cord and whats best leave it or cut it stright away?
• whats a syntocinon drip?
• can i breastfeed after he's been cleaned and maybe myself?
• whats this all about Vitamin K and BCG Vaccination and are they really needed?
• whats a neonatal unit?
• i have a thing with pain were i pass out and have a fit, then wake up and frow up. is there any chances i do this in labour?

sorry list is a bit long, i just read my maternity notes and rellised i have 10weeks leaved and have freeked a little. inadvance thank you if u can answer any of the long list.
peace :-)

1) depends entirely on what stage in their training they are at tbh. A junior student will be observing only, progressing to assisting with the birth with ALOT of M/W input. As their training progresses so does their level of input and a student close to qualifying will (or should) be doing most of the cares alone (m'w present but just observing student iyswim). If you don't feel comfy with student input you can refuse to have them at your birth.

2) lots of differing opinions re cutting the cord. Generally it is cut soon after birth and advantages of active third stage are, it's over quicker, reduced risk of higher blood loss following birth
If you leave cord uncut until it's stopped pulsating then the baby recieves the blood from the cord/placenta which boosts their Hb level, helps avoid hypoglycemia etc but can increase their chances of becoming slightly jaundiced (normally not a problem) due to a raised HB from the cord blood.

3) a Syntocinon drip is an intravenous infusion of an oxytocic drug which in a nutshell is a drug to make your uterus contract. It is used to induce labour and also used if your labour slows down and you are not dilating effectivly. It is always used cautiously and you will be hooked up to a baby heartrate monitor (CTG) while it is running and it is increased slowly throughout labour till either you deliver or baby objects (then everything moves to plan B!LOL)

4) It is encouraged to BF as soon after birth as possible and as most hospitals now avoid bathing newborns for the fiirst 24hrs due to them not being able to regulate their temp etc , you will probabbly be encouraged to feed first. Baby can always be wiped down and wrapped in clean sheets/ dressed first if you wish, but skin to skin is the best way to initiate feeding and regulate baby's temp so if you are happy to wash after feeding then that is usually a better way to do it.

5) In the UK BCG's are only given to babies that are deemed 'at risk' and meet a certain criteria (ie parents ethnic origin etc). It isn't given routinly and your M/W / paed will know if it is relevant to your baby.
Vit K is offered to all babies at birth either as an injection (one off dose) or orally (3 doses given, at birth, 7 days & 28 days to exclusivly bfreastfed babies). It is a drug designed to aid baby's clotting mechanisms and is recommended by most HP's especially if baby has had a traumatic birth. The choice to give it is however totally yours.

6) A Neonatal unit is where poorly/prem babies go (a babies intensive care unit), also known as NNU's SCBU's, NICU etc

7) Everyone deals with labour pain very differently as it is unlike most other types of pain you'll ever experiance. If you labour naturally then the intensity of the pain tends to increase gradually allowing your body time to adjust. There are lots of different painrelief methods out there, ask your M/W about them and stay open minded about them. Different ones work well for different people. I'm sure you will be fine!. Womens bodies are designed to give birth, it is V V rare for a woman to faint & fit in labour, but let your M/W know your concerns then she can support you/your needs better.

HTH a bit

Wow. Thank You All Of Uses Supper Ladys, That Was Really Quick And All Bases Covered Thank You :-)
Peace

hiya silverrose,
just a quick reply about the BCG vaccine, Dylan was asked to be given the BCG at one week old, because his grandad[ DP's dad] grew up in s. africa- where TB is fairly known. I refused because, ds1 and ds2 never were offered it/ probably not done and DP's dad doesn't go to s.africa anymore.....besides i didn't want my week old baby jabbed with a needle[ personal choice] he had vit k orally

hope this helps xxxxx

I just wanted to add that I was sick during both labours and they were very used to it. It might be a good idea to not eat once you know you're in labour, it'll limit the carnage. I stopped eating 12 hours before I was induced but dh thought that shoving bloody Lucozade tablets down me was helpful - it wasn't, I ended up vomming foamy bile everywhere. Still, better than a BigMac

Originally Posted by Ginnygin

, I ended up vomming foamy bile everywhere. Still, better than a BigMac

You're a classy chick