Lamaze Class Outline

lamaze classes outline

Taught by a certified Lamaze Childbirth Educator, this class will prepare expectant couples for what to expect in labor. The in-depth class will explore a range of topics to enable participants to create a Birth Preference as a communication tool between them and their Obstetrician.

Objectives of the BirthingMoms Lamaze Class:

1. Discuss the signs of labor and Differentiate pre-labor vs. true labor.

2. Describe the 3 stages of labor and the emotional, physical changes associated with each stage of labor.

3. Practice hands and knees position, pelvic rocking and counter pressure massage to alleviate back pain in labor.

4. Discuss the most commonly used interventions in labor and differentiate between variations and complications of labor in an uncomplicated vaginal birth.

5. Practice informed consent using BRAIN and confidence building in understanding the when, why, how, what of commonly used Interventions. (BRAIN: Benefits, Risks, Alternatives, Intuition, Nothing).

Class Outline

1. Introductions/Group Expectations

2. Signs of Labor

Contractions- Describe the length, frequency, duration of contractions in early labor.

Discuss staying at home in early labor.

Loss of mucous plug

Loss of amniotic fluid on the onset of labor COAT (color, odor, amount, time)

Lightening

Nesting Urge

Back ache

Differentiating Pre Labor/Braxton Hicks contractions and Labor contractions Discuss when to come to the hospital (5-1-1).

3. Stages of Labor

Early First Stage Labor

Describe changes in cervix, dilation from 0 cm-3 cm and cervix effacing and thinning of the cervical muscle/tissue from 0% to 100% as labor progresses through the stages Describe common emotional reactions of laboring woman in as she progresses through early labor

Active First Stage Labor

Describe changes in the cervix, dilation from 3cm- 8 cm.

Describe common emotional reactions of laboring woma in as she progresses through active labor.

Transition First Stage Labor

Describe changes in the cervix, dilation from 8 cm- 10cm(full dilation)

Describe common emotional reactions of laboring woman in as she progresses through transition labor

Second Stage Labor

Describe movement of the baby through the pelvis: descent, flexion, internal rotation, extension, external rotation, expulsion

Third Stage Labor

Birth of the placenta

4.Discuss the role of relaxation in labor and causes of pain in labor.

Discuss factors that increase and decrease the perception of pain on labor.

P-Purpose

A-Anticipated

I-Intermittent

N-Normal

Factors that increase perception of pain- fear, stress, anxiety, lack of support, unrealistic expectations, restriction of movement, overuse of medical interventions.

Factors that decrease perception of pain- massages, patterned breathing, a variety of labor positions, movement, use of warm and cold compresses, use of birth ball, use of music/dim lights, attention focusing/visualization.

5. Discuss role of hormones in labor

Explore how Oxytocin, Beta Endorphins, Catecholamines and Prolactin affect the way labor progresses and on the perception of pain.

6. Watch Christina’s Birth from the ‘Understanding Birth’ DVD

7. Discuss Medical Interventions and Pain Medications

  • Induction and Augmenting labor
  • Discuss importance of letting labor start on its own and only medical use of Induction
  • Monitoring baby in labor
  • External monitoring; intermittent vs. Continuous monitoring
  • Internal Monitoring,
  • Epidurals: Administration and management of epidural, other interventions that are used with the epidural,
  • Assisted Birth: Forceps/Vacuum Extraction
  • Episiotomies
  • Teaching Informed Consent using BRAIN (Benefits, Risks, Alternatives, Intuition, Nothing)

8. Practice labor positions and other comfort measures for labor

  • Upright gravity enhancing labor positions
  • Sitting/semi sitting labor positions
  • Hands and Knees, open pelvis labor positions
  • Labor positions using the birth ball

Instruct spouses/partners to use massage/counter pressure/double hip squeeze etc. while the women are practicing labor positions. Make the practice realistic by setting the stage with relaxation music and dim lights. Introduce and demonstrate slow breathing pattern and accelerated breathing pattern and instruct couples to try practicing these patterns during the mock contractions.

Explore the use of comfort tools such as aromatherapy, massages, patterned breathing, a variety of labor positions, movement, use of warm and cold compresses, use of birth ball, use of music/dim lights, attention focusing/visualization during the labor rehearsal.

Teaching Resources/ Classroom Tools:

  • Understanding Birth DVD
  • Understanding Birth Handbook for participants
  • Lamaze 6 Healthy Birth Practices
  • Beliefs about Birth hand-out
  • Teaching posters for Stages of Labor, Cervical Dilation, Cervical Effacement, Second Stage Labor Poster, Birth poster
  • Teaching posters for Medical Interventions: Pitocin, AROM, External and Internal Monitoring, Forceps/Vacuum, Epidural
  • Bony Pelvis model
  • Fetal baby model
  • Knitted Uterus

Positions for Labor Charts:

  • Upright gravity enhancing labor positions
  • Sitting/semi sitting labor positions
  • Hands and Knees, open pelvis labor positions
  • Labor positions using the birth ball
  • Yoga mats, Birth Balls
  • Massage tools such as tennis balls, massagers, warm compresses, ice pack