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Cd 6 Cd 6 Presentation Transcript

  • Preparing for Birth CD Chapter 6
  • Early signs of pregnancy
    • Missed period
    • Mild ache or feeling of fullness in the lower abdomen
    • Sense of fatigue, drowsy, faint
    • Urinate more frequently
    • Discomfort or tenderness in breasts
    • Periods of nausea
    • Pregnancy test
      • 2-6 weeks after conception
      • These are getting more reliable and can be used sooner in pregnancy as tech progresses
      • Senses levels of HCG
  • Medical care during pregnancy
    • As soon a woman suspects she is pregnant she should consult a doctor
    • Many prefer obstetrician
      • Dr. who specializes in pregnancy and birth
    • She will make regular visits – develop relationship and trust
  • cont
    • Exam once pregnant
      • BP, pulse, respiration, initial weight
      • Pelvic measurements to see if it is wide enough to have a normal sized baby to be born without difficulty
      • Urine test to see the health of the kidneys b/c they will be under more stress
      • Blood test
        • Anemia – lack of iron which results in poor appetite, tired, weak
        • Also used to determine woman’s blood type in case a transfusion is necessary
        • Health history to reveal any conditions
        • Also good to test for any genetic defects that could be passed on to baby
  • cont
    • Monitor development of baby
    • Make sure mother remains healthy
    • Once a month until the last 3 months – twice a month until last month – once a week
    • Due date?? – based on the woman’s last menstrual period began, the Dr adds 9 months and one week to find the approx. date
  • Discomforts during pregnancy
    • Some women go through pregnancy feeling healthy
    • Some experience discomfort, which is normal, but should be mentioned to Dr.
      • Nausea
        • Most common
        • morning sickness – although many feel it in evening and throughout the day
        • Soda crackers, eating small meals
        • Usually doesn’t last beyond 4 months
        • Many times will give sleeping pills to help with symptoms
  • cont
    • Sleepiness
      • Due to hormonal changes
      • Pregnancy affects every system and organ in body – many big changes
      • Some wear off during middle months and then recur later in pregnancy
    • Heartburn
      • Acid reflux with certain foods
  • cont
    • Short of breath
      • Late months
      • Uterus puts pressure on lungs so they can’t expand as much
    • Varicose veins
      • Pressure on vessels in leg veins
      • Rest with legs and feel elevated
      • Stockings and exercises also help
  • cont
    • Muscle cramps in legs
      • Stretch and diet rich in Calcium
    • Lower back pain
      • Bend knees when lifting
      • Low heeled shoes
      • Exercises
      • Rest legs often
  • Possible Complications
    • Vaginal bleeding
    • Unusual weight gain
    • Excessive thirst
    • Reduced or painful urination
    • Severe abdominal pain
    • Persistent headaches
    • Severe vomiting
    • Fever
    • Swelling of face, hands, or ankles
    • Blurred vision or dizziness
    • Prolonged backache
    • Increases vaginal mucus
  • Nutrition during pregnancy
    • Single most important factor in prenatal care
    • Good diet helps baby and mother develop and maintain good health
    • Mom needs to provide all the nutrients the baby needs and those for herself
    • Try to establish healthy eating habits before pregnancy
  • The role of nutrients
    • Protein
      • Meat, fish, poultry, eggs, milk, cheese, beans
      • Vital for growth of baby
      • Helps keep mother’s body in good repair
    • Vitamins
      • Protect against infections and disease, regulate body processes
      • Lack vitamins – increases risk of birth defects
      • Proper development of baby’s eyes
      • Vit B – release energy in foods, build nervous system, keep digestive system working well, promote healthy skin
      • Vit C – build teeth and gums, builds material that holds body’s cells together
      • Vit D – strong bones and teeth
      • Fresh fruits, breads, veggies
  • cont
    • Minerals
      • Sturdy bones, teeth, healthy blood
      • Iron – prevent anemia in mother
        • Helps fetus build own blood supply
        • Extra stored in baby’s liver can be used for months after birth when baby lacks iron
        • Meat, beans, peas, spinach, raisins
        • Ca, Ph help build bones and teeth
  • cont
    • Carbs and fats
      • Heat and energy
  • Food Guide Pyramid
  • Food Pyramid – pg 164
    • Dairy – 4-5 servings
    • Meat/poultry – 3 servings
    • Vegetable – 3-5 servings
    • Fruit – 2-4 servings
    • Breads/Grain – 6-11 servings
  • Teenage Diets
    • In order to have a healthy baby, the woman herself must be healthy
    • Diet throughout life plays an important role
    • Crash diets before or during pregnancy cannot make up for poor diet before and may even harm pregnancy
    • Eat healthy as a teen
  • Weight gain during pregnancy
    • Typical – 24-30 pounds
      • Baby – 7lbs
      • Placenta – 1-2 lbs
      • Amniotic fluid- 1.5-2 lbs
      • Increase size of uterus and muscles – 2 lbs
      • Breast increase – 1 lb
      • Increase blood volume – 1.5-3 lbs
      • Increase fat stores – 5 lbs
      • Increase body fluids – 5-7 lbs
  • cont
    • Gaining at least 20 lbs is essential to having a healthy baby
    • Less than 20 – increased risk of fetal death or premature birth
  • Personal care and activities
    • Avoid alcohol, tobacco, all drugs and meds
    • Rest
      • Get plenty of sleep and naps as needed
    • Exercise
      • Moderate, walking, swimming, biking
      • Not a time to begin strenuous exercise
    • Hygiene
      • Daily showers and bath
      • Skin helps maintain correct body temp and eliminate wastes
    • Life style should not change radically
  • Maternity clothes
    • Comfortable
    • NOT TIGHT – need good circulation
    • Stretchy
    • Low-heeled shoes
  • Emotional health
    • Emotional for both mom and dad
    • Talk about emotions/concerns
    • Hormonal changes = mood swings
  • Section 2 – Getting ready for the New Arrival
    • Roles responsibilities and decisions
      • Consider partner’s goals, skills, schedule, personal characteristics, and financial needs
      • Many home have both parents working outside of home
        • Need to agree on care for baby
      • Maternity leave
        • Time off from a job allowing a woman to give birth, recuperate, and care for her new baby
          • May be a few weeks or months
      • Paternity leave
        • Time off for father to care for baby
        • Allows parents to spend time together with the new baby
      • If finances allow, one parent may stay home with child
  • Preparing for parenting
    • Talk about concerns
    • Talk about how you will raise/discipline them
    • What ?’s would you discuss with your spouse?
    • Other children in the family
      • Child will have to adjust
      • Prepare the child for the new baby
      • Talk about them often
      • Have them help with the baby’s new room
      • Be prepared to deal with jealousy, confusion
      • Openly communicate with them and be empathetic toward them
    • Decision about breast feeding
      • Formula – mixture of milk or milk substitute, water and nutrients
      • Depends on mothers anatomy, schedule, and lifestyle
      • Can do a combo of both
  • Breastfeeding
    • Pros
    • Creates a bond with mother
    • Natural immunity
    • Speeds return of uterus to normal size
    • Few digestive upsets
    • Available at all times
    • Reduces risk of allergies
    • FREE!!
    • Cons
    • Prevents father from participating
    • Limits meds the mother can take
    • Painful
    • Difficult with work schedule
    • Anxiety or illness may interfere with production
  • Bottle feeding
    • Pros
    • Allows father to participate
    • Mother can have more flexible schedule
    • Baby can be fed by anyone, anywhere
    • Cons
    • Expensive
    • Greater chance of allergies
  • Clothing and equipment needs
    • Diapering
      • Disposable diapers – 5/day
      • Wipes
      • Diaper rash ointment
      • Diaper disposal
    • Clothing
      • 6-8 undershirts
      • 4-6 sleepers
      • 4 blankets
      • 1 warm blanket
      • 1 sweater/cap set
    • Feeding equipment
      • 6-8 bottles
      • Breast pump and pads
      • Bottles for storing milk
      • Nipples
      • Bottle caps
      • Bibs
      • High chair
    • Bedding/bedroom
      • 4 crib sheets
      • Waterproof mattress cover
      • 2-4 absorbent pads
      • 2 blankets/spreads
      • Bumper pad
      • Dresser
      • Diaper changing station
      • wastebasket
    • Bathing and other supplies
      • Baby bathtub
      • Mild soap
      • Baby shampoo
      • Soft washclothes
      • Soft towels
      • Cotton balls
      • Baby oil and lotion
      • Nail clippers
      • Baby comb
      • thermometer
    • Travel equipment
      • Car seat
      • Diaper bag
      • Stroller/infant carrier
    • Secondhand equipment is a great way to go
  • Estimating expenses
    • Plan early for expenses
    • They don’t end until the child is independent
    • Most Drs charge a lump sum that includes prenatal care, delivery, and postnatal period – time after baby’s birth
    • Hospitalization fee – extra charges for lab tests, medicines, epidurals, c-sections, any extra care needed for mother or baby
    • Maternity clothes
    • Clothing, equipment, supplies
    • Formula and baby foods
    • Medical care for baby
    • Furnishings for the baby’s room
    • Safety equipment
    • Child care services
  • Reducing expenses
    • Health insurance coverage
      • Covers most hospital/delivery costs
    • Careful shopping
      • Sales, cloth diapers, breast feed
    • Make a budget – spending plan
      • Fixed expenses – items that can’t be changed
        • Rent, mortgage, taxes, insurance, loans
      • Flexible expenses – control over and can cut back
        • Recreation, clothing, food,
    • Savings plan – Christian Ed, Car
  • Section 3 – Childbirth Choices What is Prepared Childbirth
    • Prepared Birth – a method of giving birth in which pain is reduced through the elimination of fear and the use of special conditioning exercises
      • Child birth classes
      • Bradley/Lamaze
      • Learn what happens during labor – process by which the baby gradually moves out of the uterus into the vagina to be born
      • Learn about delivery – the birth itself
      • Take a tour of the hospital
      • Relaxation techniques and breathing
      • Father learns to coach
  • Who will deliver the baby?
    • Obstetricians
      • Drs who specialize in prenatal and postnatal care
      • Qualified to handle any emergencies or special situations
      • High-risk pregnancy
    • Family doctors
      • Deliver and provide prenatal and postnatal care
      • Made need to call OB if emergency arises
    • Licensed midwives
      • Nurse-midwife
        • Registered nurse with advanced training in the care of normal, uncomplicated pregnancy and birth
        • Pass special licensing exam
      • Lay-midwife
        • Person who has special training in the care of pregnant women and uncomplicated deliveries but does not have a nursing degree
        • Pass special licensing exam
  • Where will baby be born?
    • Several programs the hospital offers
      • Childbirth/parenting classes
      • Big brother/sister programs
      • Classes for fathers
      • Birthing rooms
        • Homelike atmosphere for labor and birth
        • Medical equipment is out of sight, but ready for use
        • No need to change rooms
      • Mothers choose position of labor
        • Lye flat, walk, rock in a chair, birthing ball, bath tub
      • Lights in delivery room
      • Mother and baby stay together
      • 2-3 day stay
    • Alternative birth center
      • Homelike facitility, sererate from any hospital, for giving birth
      • Licensed midwives
      • Mother or baby can be transferred if needed
      • Stay 24 hrs
    • Home delivery
      • Very low-risk pregnancy
      • Always be ready for a transfer