Cd 6


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Cd 6

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