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Is a Prenatal Class about Childbirth or about Babies?

Prenatal Childbirth Preparation for Doctors' Patients

This term we use – Prenatal Class – is confusing, isn’t it?

Some parents-to-be are fascinated by, or worried about labour and birth and are wanting to spend a lot of time talking about it. They come to our 12-hour, six-week Childbirth Preparation classes and are happy to spend most of the time on labour and birth, and practicing comfort measures and coping skills, and find that it’s great that we also spend two entire hours talking about babies and breastfeeding.

Other parents, who are more worried about how they are going to cope with the baby once it is out, feel they would like to spend more time talking about babies and breastfeeding.

It’s for this second group of parents that we have designed the Parenting the Newborn series. It’s a three-week, six-hour series in which a postpartum doula and breastfeeding educator takes you though two hours on baby care and two hours on breastfeeding, and then a First Aid Instructor comes and teaches two hours of Infant First Aid and CPR.

Many of our parents take both sets of classes. And we encourage this by giving parents a $15 discount if they sign up for both classes at the same time. (We also acknowledge that there will be a little overlap between the classes.) Some parents take only one, or only the other.

I would say, that if you take only one, the Childbirth Preparation Class is the one to take. Experiencing childbirth in a healthy and satisfying way takes knowledge and preparation. Labour and Birth happen all at once, in a big storm. There is little time to consider, or problem solve during labour. The learning and considering and deciding needs to happen before labour starts – even though you may change your mind during labour itself – in fact you probably will.

You can learn baby care and breastfeeding over several week and months. Babies are very patient with fumbly parents, and every parent figures out their own way through the challenges of of the first weeks. In fact, the hormones you make (yes, parents of all genders make hormones when they are around babies) will help you be more attentive and respond more sensitively to your baby.

At Mothering Touch, we believe in people’s basic ability to give birth and care for their babies. We want parents to feel well-prepared and well-supported, to feel satisfied with their birth experience and to be able to enjoy the first weeks with their baby. That is the goal of all our classes and groups.

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Twelve to Sixteen Weeks Pregnant

Twelve Weeks to Sixteen Weeks Pregnant

You’ve come to the end of the First Trimester! You are now entering the Second Trimester – this is the time of the legendary glowing, energetic happy pregnant mama. Of course, that does not happen for everyone. For some, nausea and vomiting do not subside, and fatigue persists even after twelve weeks. This is very difficult.

How you might feel between twelve weeks and sixteen weeks of pregnancy:

  • Nausea and vomiting might start to get better.
  • Heartburn might start or get worse
  • Some women find their sex drive gets stronger at this time – estrogen from the placenta contributes to this.
  • Stuffy nose and nosebleeds
  • Sore back
  • Hair growth – all those growth hormones the placenta is making can make hair grow well on your head – and elsewhere.
  • Headaches. Acetaminophen may be ok (ask your care provider to make sure), but ibuprophen and aspirin are not safe for use in pregnancy. Try a cold compress on your forehead, taking a nap, or having a snack.

Things you may do between twelve weeks and sixteen weeks of pregnancy:

  • Because you are now passed the period of highest risk for miscarriage, this may be when you choose to tell friends and family about your pregnancy. This can be an exciting and happy thing. It can also create a lot of attention and make some women feel shy. Take your time, and tell your news at your own pace.
  • Pregnant women tend to spend a lot of time in the Second Trimester thinking about the baby (some call it daydreaming, or processing, or meditating), wondering what s/he will be like and how it will feel to be a parent.  Use that motivation to learn right now about baby care, and infant development. Some good books include, The Baby Book, by William & Martha Sears and Your Amazing Newborn, by Marshall and Phyllis Klaus.
  • This is alo a good time to learn more about breastfeeding. A good book would be Breastfeeding Made Simple: Seven Natural Laws for Nursing Mothers, by Kathleen Kendall-Tackett, Nancy Mohrbacher.
  • Consider having a doula at your birth.  A doula is a woman experienced in childbirth who provides physical, informational and emotional support and helps parents to have an easier and more positive childbirth experience.  You can learn more by clicking here.
  • Register for Prenatal Childbirth Preparation Classes.  It’s best to take these after 28 weeks, but you have to schedule them and register for them now or the class you want may not be available. 

 Between twelve weeks and sixteen weeks of pregnancy, your care-provider will probably:

  • be seeing you every month at this stage
  • weigh you at each visit and discuss healthy weight gain
  • palpate and measure your abdomen
  • at this stage, you and your care provider will be able to hear the baby’s heart beat using a hand held Doppler ultrasound device
  • if your prenatal screening tests have shown positive results, you may be offered amniocentesis. You can read about that here.

You’re getting to know your care-provider now, and developing a relationship with him or her.  Keep a list of questions to ask at your monthly appointments.  It’s so easy to forget.

Things you can do for your health and your baby’s health:

  • As the nausea starts to go away, experiment with new, nutritious foods.  You may feel hungry in a way you have not experienced before.
  • Keep up with regular physical activity.  As you get bigger around the middle, you may feel a little awkward in your regular classes and decide to join a pregnancy yoga, fitness or aquafit class.  Or not!  The best way to get exercise is to do what you love in an environment you feel comfortable with.  Don’t let anyone else tell you where that should be.
  • If you have not yet joined the Pregnancy Happy Hour on Fridays evenings at the Mothering Touch Centre come and try it out!

Resources:

Infant development: https://www.healthyfamiliesbc.ca/home/articles/babies-physical-development-0-6-months
Breastfeeding videos: https://www.healthyfamiliesbc.ca/home/articles/topic/feeding
Doulas: http://www.doulasofvictoria.ca/
Doulas: http://doulamatch.net/
Genetic testing: 
http://www.perinatalservicesbc.ca/ScreeningPrograms/PrenatalGeneticScreening/family-resources/default.htm

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Keeping the Love Alive: When Partners Become Parents

Randy and Eva

My husband Randy and I have been together for almost 35 years now. We were together for seven years before having our first child. In that time we completed a total of 5 post-secondary degrees, got married (and organized a wedding with 120 guests), moved three times (including one move abroad), spent several long periods living apart because of school and work, lived with my parents (for a year) and renovated a 1500 square-foot apartment. We had lots of stress. And lots of arguments. We also had lots of opportunities to grow as a couple and as a team.

But it wasn’t until Daniel was born that we realized how important it was for us to be a team. Because now, we were not the only ones who would be made unhappy if our team did not succeed; our son would be made unhappy too. We were really stuck now!

Not only did we suddenly recognize the permanence of this team, but we also were suddenly aware of all sorts of issues we had each taken for granted. We had never thought to discuss questions like:

Who will get up in the night with the baby?
Whose paid work is more important?
Who decides how often we bathe the baby, or change his sheets, or wipe his nose?
Who makes sure there will be food in the fridge, clean clothes, toilet paper?

Continue reading Keeping the Love Alive: When Partners Become Parents

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Thirty-Six to Forty Weeks Pregnant

 

Thirty-Six to Forty weeks Pregnant

This is the last full month of your pregnancy. You may be winding up at work, finishing up projects at home. The baby is coming soon!

Although the baby is getting bigger and is almost ready to be born, it is not full term until 40 weeks. Although it is safe for a baby to be born at 37 week, most first babies are born after 40 weeks. And 40-week babies are bigger and stronger and often breastfeed better. Don’t start expecting the baby too early – it makes for a long wait!

 

How you might feel between thirty-six and forty weeks of pregnancy:

  • Your growing baby is using up almost all your resources. You may be feeling very tired at the end of the day.
  • Back pain, caused by the increasing weight of the baby and softening joints, may slow you down too.
  • Baby’s movements are not just kicks anymore, but feel more like stretches and rolls. Baby’s hiccups – a little, slow, pulse-like feeling, deep inside you – can feel odd.
  • You may find it difficult to sleep through the night, waking frequently to pee or to roll over. Try to take the sleep interruptions lightly. Stay relaxed. Sleep will come again soon.
  • Heartburn becomes (or is still) a problem.
  • Braxton-Hicks contractions, also called pregnancy contractions, may start to become more intense. Remember your uterus contracts more if you are dehydated or over-active. Take it easy and have a glass of water if the tightenings start to bother you.
  • Feet and ankles may be swollen by the end of the day, or if the weather is warm.

Things you may do between thirty-six and forty weeks weeks of pregnancy:

  • Getting ready for your baby to come home. Washing clothes, tidying, installing car seat.
  • Cooking and freezing meals for after the baby comes.
  • Enjoy time alone with your partner! Go out for some meals, to the movies.
  • Buy nursing bras around 37-38 weeks. An experienced fitter can help you find a bra that will fit as your breasts get bigger when your milk “come in” around day 3 of your baby’s life.
  • Think about daycare? It sounds ridiculous, but if you are planning to go back to work outside the home after your maternity leave is over, you need to think ahead.
  • Think about the Fourth Trimester  (first three months of baby’s life) … Who will be available for physical support right after the baby is born? Partner? Birth-helper? Family? Friends? Post-partum Doula? All of the above?

 Between thirty-six and forty weeks of pregnancy, your care-provider will probably:

  • Be seeing you once a week at this stage.
  • Weigh you at each visit and discuss healthy weight gain.
  • Check your blood pressure.
  • Check your urine for protein and infection.
  • Palpate and measure your abdomen.
  • Listen to the baby’s heart beat using a hand held Doppler ultrasound device.
  • Review test results.
  • Discuss breastfeeding, the importance of feeding early and often.
  • Newborn care in the hospital, including eye ointment, Vitamin K and newborn screening tests.
  • Infant sleep and safety
  • Postpartum moods and support
  • Options if pregnancy is prolonged – monitoring and induction.

Your care provider is one of your best sources of information.  Keep a list of questions to ask at your monthly appointments.

Things you can do for your health and your baby’s health:

  • Might be a good time for a pedicure! Very relaxing, and totally justified when you can’t reach your feet!
  • Aquafit classes really help with swollen feet and legs, and backache. Or just go for a gentle evening swim.
  • Be aware of your baby’s movements. Although babies slow down in the last few weeks, they still move a lot! Keep track of times when you expect your baby to move. Note your baby’s daily patterns.
  • Keep working on perineal massage to increase health of perineal tissues and give you practice relaxing as perineum stretches.
  • Learn about Postpartum Mood Disorders.  What might it feel like?  Where can you find help if you need it?  20-40% of women are diagnosed with some mood disorder (anxiety or depression) after giving birth.  We’re pretty sure other women have the same feelings but never seek help.  Support makes it all easier to deal with.
  • Ask friends to throw you a shower where they all bring casseroles for the freezer or tell a friend about MealTrain (I think this is really cool!) and get them to set up a meal rotation for you after the baby comes.

Resources:

Finding a Doula in Victoria, BC: Greater Victoria Doula Directory

What to pack in your hospital bag: Packing for the Hospital.

Home Birth Supplies – an example: Access Midwifery, Victoria

Instructions for Perineal Massage: Perineal Massage in Pregnancy

Organizing friends and family to help with meals: Mealtrain.com

Learning about postpartum emotions: Pacific Postpartum Support Society

Coping with postpartum depression and anxiety: Healthy Families BC

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Knowing What’s Important

"I really want to thank you for teaching us about having a birth plan and being open and ready for change.  Our plan went from a natural water birth at home to finding out baby had flipped into a frank breach position at 38 weeks then going into labour on Christmas Eve and having to have an emergency C-section.  I guess we got all of our cards flipped except the most important one, Healthy Baby!" Having that plan and knowing what was most important really helped us get though all of the surprise twists and turns."

~ Rachael

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Pregnancy Happy Hour – Happy Feet!

reflexology

Pregnancy Happy Hour – our drop-in group for pregnant women on Friday evenings from 5-6:30 – is one of my favourite times of the week. I love sitting with the moms-to-be and chatting about how they are feeling, how their lives are changing through the pregnancy. I love hearing their questions and helping them to find answers. I love how the moms bond with each other and form friendships which see them not only through the pregnancy, but on into motherhood. We talk about the joys and challenges of pregnancy, their concerns and plans about labour and birth and their dreams for motherhood.

One of the things I think helps the group work really well, it that it’s just for women. Groups of women often achieve intimacy very quickly, and Pregnancy Happy Hour is no exception. But I am often asked by the women and their partners, if the partners couldn’t be invited along to the group sometimes, as a special event. And I though Valentine’s Day was a good time for that to happen.

So on Friday February 15, we are inviting the partners to come to Pregnancy Happy Hour and we are going to have a special guest. Michele Mork of West Coast Reflexology will be coming to teach us all some fabulous foot massage techniques. And lest you think this is just a sneaky way to get our partners to rub our feet, I assure you, the partners will get their feet rubbed too. After all Valentine’s is about spreading the love to ALL.

Pregnancy Happy Hour costs $2, and we will put out a donation jar for contributions to Michele’s fee. A $5 contribution (per couple) is suggested.