reproductive health services for adolescents - Pathfinder International

Module 16/Unit 12
CONTENT
Knowledge/Attitudes/Skills
Training/Learning Methods
(Time Required)
Transition Labor
• When signs of this phase of labor
begin, provide support by
encouraging relaxation breathing and
lower back counter-pressure, if
indicated.
• Honor the adolescent’s request for
comfort measures within the limits of
safety.
• Provide IV fluids, if indicated.
• Assist the adolescent to gain
comfortable positions, e.g. side,
standing, or squatting.
• Continue to guide the breathing
techniques; instruct the adolescent in
panting breathing when she feels like
pushing but should not yet push.
• Help the client and her support
person get in position for pushing
(raised back, side, squatting,
standing knee-chest, hand-knees).
Avoid having the adolescent flat on
her back during pushing.
• Talk to the adolescent during the
actual birth to minimize tension and
fear from the intense sensations and
to gain her cooperation for a
controlled birth.
Remember the Support Person
• The support person should be made
to feel welcome for their important
function—working with the
adolescent during labor.
• Help the support person feel the
importance of her/his support to the
adolescent.
Pathfinder International
168
Adolescent Curriculum