preparation for parenthood. childbirth preparation preconception care/issues childbearing decisions...
TRANSCRIPT
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 ClassesAll 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