StagesofLabor2 PowerPointUserGuide

Stages the
Labor2
of
A POWERPOINT GUIDE
nd
Edition
Stages the
Labor2 of
A POWERPOINT GUIDE
nd
Edition
Note: This guide accompanies the PowerPoint version of The Stages of Labor 2nd Edition.
Go to www.injoyvideos.com/guides to download the guide that accompanies the video version.
FACILITATOR’S GUIDE
TABLE OF CONTENTS
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 2
System Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 2
Opening the Presentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 3
Suggested Facilitator Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 3
PowerPoint Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 3
Thumbnail Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 6
Discussion Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 12
Follow-Up Activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 14
Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 15
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© 2008 InJoy Productions, Inc. All rights reserved. 800-326-2082 injoyvideos.com
INTRODUCTION
InJoy has adapted its bestselling video, The Stages of Labor 2nd Edition, into this impressive
PowerPoint presentation to provide you with complete teaching flexibility. By using this popular
multimedia format, your discussion of the stages of labor can be even more powerful. Whether
your students are nurses, expectant parents, or simply studying childbirth in class, this presentation
contains everything they need to know about the amazing process of birth.
Built-in video clips make your presentation stand out:
• A quick prenatal anatomy lesson familiarizes parents with the important body parts associated
with childbirth
• Clear animation helps parents visualize difficult concepts like uterine contractions,
cervical dilation, fetal rotation and descent, and involution
• Compelling footage of emotional changes, comfort techniques, and support for each stage of labor
gives viewers a realistic look at the labor process
• Parent interviews engage viewers on a personal level as they get to know the four diverse families
• Beautiful birth and breastfeeding sequences get parents excited about their own upcoming births
Customize Your Presentation to Fit Your Teaching Needs
Purchasing a password to customize allows you to tailor the content to your audience’s specific needs.
With this value-added feature, you have the ability to edit text, reorder or delete slides, and add
personal information. Call 1-800-326-2082 x2 for more information.
SYSTEM REQUIREMENTS
Hardware:
• Computer with 4x or faster CD drive is recommended if you’re playing presentation from the CD
• If you will be copying the presentation to your desktop after purchasing, you will need approximately
4 GB of free space
• Video and audio cards
• Speakers
• Color projector, projection screen, or color TV (a converter will be needed to see the computer
image on the TV)
Software:
• To play the presentation in Windows, you need:
o Microsoft Windows 2000 with Service Pack 3 (SP3) or Windows XP (or later)
o Windows Media Player 10 (or later) for PC
• To play the presentation in Apple Macintosh, you need:
o Apple Mac OS X v 10.2 or later
o Windows Media Player for Mac OS X
o Internet Explorer 5.2.2 (or later) for Mac
• For Customization: You must have the PowerPoint 2003 (or later) application, which comes
standard with many versions of Microsoft Office. If you do not have the PowerPoint 2003 (or later)
application, visit www.msoffice.com for purchasing information. A printer connection is needed for
printing handouts.
NOTE: Advanced playback features are not available when you view a presentation in Netscape Navigator running on the
Windows operating system or in Internet Explorer for Macintosh.
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OPENING THE PRESENTATION
• Option 1- Using the PowerPoint Viewer: The PowerPoint Viewer is included on the Stages 2 CD and
allows you to play the presentation, even if you don’t have the PowerPoint application on your computer.
Insert the Stages 2 CD into your CD drive. The PowerPoint Viewer should open automatically when you
insert the CD.
If the presentation does not open automatically, you can open it from My Computer by double clicking
on the CD drive. Or, right click on the CD drive and select AutoPlay. Please note that the PowerPoint
Viewer does not enable you to customize the presentation or to print handouts.
• Option 2- Using the PowerPoint Application: Insert the Stages 2 CD into your CD drive. Open the
PowerPoint application from your desktop (PowerPoint comes with many versions of Microsoft Office or
can be ordered from www.msoffice.com). Next, open the presentation by going to the File menu and
selecting Open. Select the file from your CD drive by double clicking. You will need to select the
‘read-only’ option, unless you have purchased a password to customize, in which case you can enter the
password when prompted.
SUGGESTED FACILITATOR PREPARATION

• Prior to using the presentation in class, practice presenting the slides and determine how long it takes for
you to show the presentation. (Tip: If you’re working from the PowerPoint application, you can choose the
Slide Show menu and then Rehearse Timings to have a running clock show you time per slide and a total
presentation time.)
• To view included Speaker Notes using PowerPoint 2003, you can click on the slide icon in the lower left
corner as you practice your presentation (roll your mouse over the area and the icon is third from the
left). Or, right click anywhere on the slide and the same menu should appear. Choose Screen and then
Speaker Notes to see the presentation suggestions. If you have PowerPoint 2007, you can use Presenter
View in the Slide Show menu to see notes while you present, but you’ll need two monitors or a laptop with
dual-display capabilities to do this. Speaker Notes are also visible below each slide in the PowerPoint
application’s Normal View and can be printed out.
• Before your class arrives, make sure the screen and audio are set up appropriately. Test by playing a video
clip, and adjust your projector if it’s too dark or light. Adjust your speakers accordingly if the audio is too
loud or soft.
• Review the Discussion Questions and Follow-Up Activities included in this guide and integrate them into
your presentation as you see fit.
POWERPOINT TIPS
A basic knowledge of PowerPoint is recommended, especially if you are opting for Customization. Visit
www.msoffice.com for free online PowerPoint training courses that can help you learn your way around
the program.
Playing & Navigating the Presentation
• Once you purchase the presentation, you can transfer it onto your computer’s desktop. This usually
helps performance, especially when playing the video clips.
• When using the PowerPoint Viewer, the presentation automatically opens in slide show mode and is
ready to view or present.
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• When using the PowerPoint application, press ‘F5’ to play the presentation from the beginning.
Click on the slide show icon (it looks like a projection screen) to play from the current slide.
This icon is located in the lower left corner of the screen in PowerPoint 2003 and in the lower right
corner in PowerPoint 2007.
• Slides can be advanced several ways: by simply clicking the mouse; by clicking on the forward arrow in
the lower left-hand corner of the screen (appears if show is being played from the PowerPoint
application); and, by pressing the space bar, ‘page down’, ‘forward arrow’, or ‘enter/return.’
• You can move backwards through the presentation by pressing ‘page up’ or clicking on the reverse
arrow in the lower left-hand corner of the screen.
• To skip around in the slide show, right click (or, if the show is being played from the PowerPoint
application, click the slide icon in the lower left corner ). From there, you can choose ‘Go to Slide,’
and then select the slide you’d like to skip to from the pop-up menu. (This may be helpful during
review periods if someone asks about a previous topic.)
• If you’re playing the presentation from the PowerPoint application and you need to point out
something specific on the slide, you can click on the pen icon in the lower left-hand corner.
Press ‘escape’ to exit marker mode.
• To end the presentation, press ‘escape’ or go the slide icon menu and choose ‘end show.’
Video Clips
• The ‘play video’ button on a slide lets you know that there is a video clip associated with that slide.
The clip name and length are also listed on the slide for your reference.
• To play the video, simply click on the ‘play video’ button once. Video clips are hidden while the rest of
the slide is being presented, but a full-screen video window will appear during playback.
• After the video clip is finished, the video window will disappear and you will be returned to the current
slide.
• If necessary, you can pause the video, usually by clicking on the InJoy watermark in the lower right
corner. (Tip: If you need to pause the video, do not move the mouse after you’ve hit play. The icon
should look like a pointer hand, not an arrow, to pause the video. The pointer hand appears when the
mouse is kept over the area of the screen where the ‘play video’ button is located on that particular
slide.) Click again to resume play.
• To stop the video clip and return to the current slide, press ‘escape’ while the video is playing.
Printing
• You have many options for printing from the PowerPoint application. To access your options, go to File,
and select Print Preview.
• On the top bar, you will see the Print What menu. From there, you can choose to print note pages, or
handouts with options for number of slides per page. In fact, it might be helpful to have a printout
handy for quick reference as you teach. One printed copy has been included in this guide for your
convenience (see pg. 6).
• You may choose to print slide handouts for parents. The Handouts (3 slides per page) option from the
Print What menu provides lines for taking notes.
• Tip: If you’re printing on a black and white printer and want all the background elements to show up,
choose Options, then Color/Grayscale, and then Color (on Black and White Printer).
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Customization
• Once you’ve purchased a password to customize, you will be given a unique password. You must open
the Stages 2 presentation from the PowerPoint application to customize the presentation. When you
see the read-only prompt, enter the password provided to you. You now have the ability to make changes.
• Changing text on slides is just like word processing. You can do this in Normal View. Click on the
normal view icon in the lower left corner to do this.
• It’s easiest to reorder and shuffle slides in the Slide Sorter view. Click on the slide sorter icon to do this.
(Video and audio clips will move with their associated slide.)
• It is not recommended that you cut and paste video clips, since doing so may remove the associated
trigger of the ‘play video’ button. If you wish to narrate over the video clip yourself, you can mute the
video. To do this using PowerPoint 2003, right click on the video (located off the slide in the lower
right) in the Normal View. Select Edit Movie Object, click on the speaker icon, and then click mute.
If you’re using PowerPoint 2007, go to Options, then click Slide Show Volume, and check Mute.
This will mute the sound on that particular slide, not for the entire presentation.
• Once you’ve customized the presentation, you’ll want to save it. In PowerPoint 2003, go to the File
menu and choose Package for CD. In PowerPoint 2007, click on the office button in the upper left
corner, go to Publish and choose Package for CD. The Package for CD option allows you to neatly copy
your customized presentation to your desktop or CD. Type in a name for it and then click Options. Be
sure that the “copy linked files” box is checked so you don’t lose the video clips. With the same Options
box open, you can then delete or change the password.
• If you are having trouble making your customized version, visit www.msoffice.com for free PowerPoint
online training courses. InJoy’s Customer Care Team is not equipped to answer your customization
questions. Please do not call InJoy for customization support.
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Thumbnail Guide of Presentation
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PRE-PRESENTATION DISCUSSION QUESTIONS
Ask your class this series of questions prior to viewing the presentation to get them thinking about
the subjects to follow.
1. What perceptions do you have of labor and childbirth? Where do these perceptions come from?
(This question is included in the presentation.)
It’s interesting to see what kind of images students get from the media because labor and childbirth are seldom
represented in a realistic way on TV or in the movies.
2. Have you ever attended or seen an actual birth? (This question is included in the presentation.)
This will help you gauge how much your class may know, and what they expect to see during the program.
3. How long do you think labor lasts?

Students may be surprised to learn that labor lasts an average of 6 to 24 hours, and can be much longer.
4. What are some signs that a woman might be in labor?

Students may know from the media, other parents, or personal experience that the breaking of the waters or
regular contractions signal to a woman that her labor is beginning.
5. What is a contraction and what does it do?

Students have probably heard the word “contraction” associated with labor many times, but may not know that
it is referring to the muscular uterus contracting to open the cervix and to push the baby down and out the birth canal.
6. How do you think labor and childbirth affect a woman emotionally?

Childbirth is not only a physical journey, but an emotional one as well. It may be interesting to see how the
males and females in the class respond differently to this question.
7. How do labor and childbirth affect a woman physically?

A woman’s body goes through many changes during labor. Her cervix effaces and dilates, her uterus contracts
and shrinks after birth, the birth canal stretches so the baby fits through, etc.
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POST-PRESENTATION DISCUSSION QUESTIONS
Ask your class this series of questions after viewing the presentation to evaluate their reaction
to the material.
1. How did your initial perceptions of childbirth compare with what you saw in the video?
Discuss whether your students’ images of childbirth before watching the video were accurate.
2. How did the video clips impact your plans for your own birth?
Discuss whether any of the coping strategies and labor support tips shown in the presentation might impact how
they plan their own upcoming labor, or at least make them think about it more.
3. How do the different pre-labor signs help a mother to get ready for actual labor?
Does this mean that she is in labor?
Warm-up contractions strengthen the uterus for labor, lightening prepares the baby’s position, flu-like symptoms
clean out a pregnant woman’s system, the nesting instinct helps her to prepare for the baby, and the passing of
the mucous plug opens the cervix. These signs do not mean that labor is beginning, but signal to the mother that
labor is approaching.
4. What is the most common way that labor begins?

Labor usually begins with regular contractions, and only sometimes with the breaking of the waters.
5. What are the stages of labor and how are they different?
First stage labor is divided up according to cervical dilation and length and duration of contractions.
Second stage involves pushing and birth, and third stage is the delivery of the placenta.
6. What were some of the emotional milestones associated with the different stages of labor that were
shown in the presentation? What made the women feel the way they did?
Joy, concentration, relief, irritability, exhaustion, etc. A woman may experience emotional changes during
labor that reflect the physical challenges and changes her body is going through.
7. How does the baby move during labor to aid the birth process?
During pre-labor, the baby drops into the pelvis. During active labor, most babies turn to the anterior position,
facing their mothers’ backs. This position and the baby’s molding skull plates help to ease descent and delivery.
8. Why must a mother deliver the placenta after birth? Why does the doctor/midwife check it?
The placenta is an organ that is created during pregnancy and supports the unborn baby.
After delivery, the placenta is no longer needed. The doctor checks to be sure the entire organ has been expelled.
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FOLLOW-UP ACTIVITIES
You might give your students one or more of these activities after you’ve finished the presentation.
Different activities are suitable for completion at home between classes, in future class sessions, or just
for follow-up at a later date.
1. Ask students to identify the uterus, cervix, vagina, mucous plug, placenta, and
umbilical cord on an anatomical chart or model.
2. Have students interview their own parents (or another family member) about their personal birth
experience. Interviewing people from different generations can show students how childbirth practices
have changed over time.
3. Present a video clip from a popular TV program or movie that shows labor and birth.
Have students compare and contrast the fictional labor and birth with those presented in
The Stages of Labor 2nd Edition: A PowerPoint Guide.
4. Have students use the dolls and uterus model that are common in childbirth preparation classes to
show how the baby moves during labor and birth.
5. Invite new parents into the classroom to discuss their personal experiences during labor.
If your class has a predominantly teen population, they’ll probably appreciate hearing from a teen mom.
You could also invite a childbirth expert like a midwife, labor assistant, or obstetrician to discuss
current issues or trends in childbirth today.
6. Create a chart that shows each stage of labor. Under each heading, have students fill in the cervical
dilation, length of time between contractions, duration of each contraction, emotional milestone, and
average time length.
7. Ask students to research a related topic on the Internet or in the library. Topics include pregnancy,
induction of labor, preterm labor, pain relief during labor, natural childbirth coping techniques,
breastfeeding, cesarean section, and postpartum issues.
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ACKNOWLEDGEMENTS
PowerPoint Presentation
Writer/Producer Julie Perry
Associate Producer Peter Orlando
Video Compression Robin Truesdale
Beth Weatherly
Graphics Support Robin Truesdale
Video Clips
Writer/Producer Julie Perry
Editor Julie Perry
Graphics Peter Orlando
Videographers Peter Orlando
Troy Nelson
Eric Tarkanian
Artistic Design Bob Schram
Peter Orlando
Animation Hyperspective Studios
Audio Postproduction Carlos Descalzo
Production Assistant Jane Simmons
Featured Families Becky and Jay Wozny with baby Willow
Cynthia Crownhart and Martin Toliver with baby Kennedy
Katie Spratford and Aaron Wittenbaugh with baby Mason
Anita Hartono with baby Matthew
Narrator Jennifer Thomas
Custom Music Steve Glotzer
Special Thanks to Boulder Community Foothills Hospital
Swedish Medical Center
Exempla Lutheran Medical Center
People’s Clinic
Nancy Middlemiss, CNM
Merrilynn Artman, CNM
Colleen Ryan, MD
Anne Walters, CNM
Westside Women’s Care
MaryPage Smith, CNM
Reviewers Laurie Boyer, ICCE, CD
Janet Crawford, RN, BSN, LCCE, CLC
Carla Downing, RN, ICCE, CLC
Cyndi Goldfarb, MS, LCCE
Janet Grabe, RN, BSN, ICCE, CD (DONA)
Jane Hentzen, RNC, BSN, FACCE
Mako Shimoda, MD
Executive Producer Charlie Stein
Facilitator’s Guide
Writer Julie Perry
Editor Benjamin Perry
Designers & Layout Bob Schram and Bob Truemper
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Stages the

SUGGESTED FACILITATOR PREPARATION

3. How long do you think labor lasts?

4. What are some signs that a woman might be in labor?

5. What is a contraction and what does it do?

6. How do you think labor and childbirth affect a woman emotionally?

7. How do labor and childbirth affect a woman physically?

4. What is the most common way that labor begins?

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