Preparation for Parenthood

Childbirth Preparation Preconception care/issues Childbearing decisions Childbirth education Types of childbirth classes Support during labor

Preconception Care Timing Mental and physical health Genetic counseling Dental Health Nutrition – Folic acid, 800mg/day during child bearing age to prevent neural defects/anemia. Supplements When do you stop contraception?

Childbearing Decisions Choosing care provider for mom and baby Choice of birth setting Birth plan – Table 8-1 pg. 169 (168) Labor support decisions Sibling preparation

Childbirth Education Goals of education Childbirth programs Early classes – 1st trimester 2nd & 3rd trimester Breastfeeding classes Sibling Preparation Grandparent classes Cesarean Birth

Types of Childbirth Classes All about relaxation and breathing… Table 8-2 pg. 176 Lamaze – disassociation relaxation, muscular relaxation, breathing patterns Kitzinger – chest breathing, with abdominal relaxation, therapeutic touch Bradley – harmony with your body using breath control and general body relaxation Hypnobirthing – relaxation techniques, deep breathing, comfort and eliminating pain Birthworks – exercise, pelvic body positioning, support, relaxation

Basis of all Programs Instilling maternal confidence Freedom of choice based on knowledge of alternatives Combination of techniques

Support During Labor Body-Conditioning Exercises Relaxation Exercises -fatigue increases muscle tension and pain perception, decreases coping ability (make sure they’re rested) Breathing Techniques – increase pain threshold and ability to cope, sense of control, uterus functions more efficiently Support individuality - self care activities

Supportive Relaxation Techniques Comfort measures Massage Effleurage- A form of massage involving smooth strokes of the skin with one's hands. Rest Distraction Imagery - visualization Vocalization Warm water Music Birthing ball

Breathing Techniques First Pattern – slow paced breathing Inhales slowly through nose, exhales slowly with pursed lips Second Pattern – modified paced breathing Inhales and exhales through mouth 4 times in 5 seconds, can increase speed Third Pattern – pattern paced Inhales and exhales through the mouth; exhalations are “hee” or “hoo” in ratios 2:1, 3:1, 4:1 Hyperventilation – numbness or tingling of the nose, lips, fingers, toes