1. Preparation for Parenthood

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

3. 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?

4. 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

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

7. 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

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

9. 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

10. 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

12. 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