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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
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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