Connecting Pregnancy
Connecting Pregnancy Notebook
1
Acknowledgments
We would like to acknowledge the South Community
Birth Program, for sharing their
material to develop our manual.
2
Table of Contents
WELCOME ............................................................................................................................ 4
WHAT TO DO FOR LABOUR, BIRTH AND EMERGENCIES ............................................... 5
USEFUL PHONE NUMBERS ................................................................................................ 6
COMMUNITY RESOURCES ................................................................................................. 7
USEFUL WEB SITES ............................................................................................................ 9
CONNECTING GROUP GUIDELINES ................................................................................ 12
CONFIDENTIALITY AGREEMENT ..................................................................................... 13
CONNECTING PREGNANCY: PROGRAM SESSION # 1.................................................. 14
NUTRITION DURING PREGNANCY QUIZ ......................................................................... 16
CONNECTING PREGNANCY: PROGRAM SESSION # 2.................................................. 24
SAS – RELAXATION MEASURES ...................................................................................... 25
SAS - COMMON DISCOMFORTS ...................................................................................... 26
PRENATAL BACK CARE .................................................................................................... 27
CONNECTING PREGNANCY: PROGRAM SESSION # 3.................................................. 35
GROUP ACTIVITY OR SAS – THINKING ABOUT BREASTFEEDING ......................... 36
GROUP ACTIVITY OR SAS – FAMILY & PARENTING ISSUES........................................ 37
CONNECTING PREGNANCY: PROGRAM SESSION # 4.................................................. 41
RECOMMENDED FOOD and DRINK for LABOUR ............................................................ 43
CONNECTING PREGNANCY: PROGRAM SESSION # 5.................................................. 44
GROUP ACTIVITY OR SAS – DECISIONS OF PREGNANCY ...................................... 45
CONNECTING PREGNANCY: PROGRAM SESSION # 6.................................................. 47
SAS - COMFORT MEASURES FOR LABOUR .................................................................. 48
ABOUT THE CBP DOULA PROGRAM. .............................................................................. 49
CONNECTING PREGNANCY: PROGRAM SESSION # 7.................................................. 50
SAS - SELF-INVENTORY ................................................................................................... 51
CONNECTING PREGNANCY: PROGRAM SESSION # 8.................................................. 52
SAS - PERSONAL ASSESSMENT ..................................................................................... 53
COMMON NEWBORN PROCEDURES .............................................................................. 54
BABY SKIN CARE AND RASHES ...................................................................................... 57
INFANT MASSAGE ............................................................................................................. 58
CONNECTING PREGNANCY: PROGRAM SESSION # 9.................................................. 59
SAS - CONTRACEPTIVE USE ........................................................................................... 60
CONNECTING PREGNANCY: PROGRAM SESSION # 10................................................ 61
ALL ABOUT MY BABY ........................................................................................................ 62
3
WELCOME
CONNECTING PREGNANCY: GROUP PRENATAL CARE
“A fun and educational way to get prenatal care”
Please tailor highlighted to suit your program.
The Community Birth Program at the Jim Pattison Outpatient Care and Surgery Center
offers group support, a place for women to air their concerns about their pregnancies, and
an opportunity for women to be active in their own care. The over-all goal is to help women
feel a greater sense of empowerment and confidence in themselves and their ability to care
for their new baby and their family.
Every session includes:
 A “baby and mom check”. Blood pressure, weight and private time with your health
care provider
 Time to socialize with other members of the group
 Snacks
 Time for discussion about pregnancy with other parents-to-be
There are 9-10 sessions meeting throughout your pregnancy. The sessions start and end
on time. The calendar will help you keep track of each group session. Since you know well
ahead of time when your group will meet you will be able to plan your work/school schedule
and child care needs around these times. The Connecting Pregnancy group sessions
provide your prenatal care. Childbirth education content is included within the sessions. If
you have a problem between the group sessions you may call for an appointment at
XXX- XXXX local XXXX
Our best wishes for a special, enriching time throughout your childbearing year.
4
WHAT TO DO FOR LABOUR, BIRTH AND EMERGENCIES
For labour, birth and emergencies related to the pregnancy, a doctor or midwife is always available
24-hours a day at: xxx- xxx-xxxx local xxxxx
Ask for the Community Birth Program. If it is after hours, you will listen for the doctor or midwife on
call and their pager or cell number. You will then call this number. Once you have called, please
stay by the phone and keep the line clear so that the care provider can get in touch with you.
The ON-CALL doctor or midwife is available 24-hours a day, 7 days a week. The doulas assigned to
your care are also on call 7 days a week, 24 hours a day once you go into labour.
For appointments or non-urgent questions/concerns, please call the Birth Program receptionist at:
xxx- xxx-xxxx local xxxxx
Do not hesitate to page your midwife or doctor if you experience any of the following;

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
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
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
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








Any concerns related to your pregnancy
Regular contractions 5 minutes apart or contractions that are very painful
A change in the baby’s movement, especially if the baby is unusually quiet
Fluid gushes from your vagina that you think isn’t either urine or normal discharge
Vomiting and/or diarrhea for more than 24 hours
Fever of more than 100.6° F(>38° C) that doesn’t go away within a few hours of taking
acetaminophen (Tylenol)
Painful, burning urination
Bad headaches, vision problems (seeing spots, double vision)
Sudden swelling in your face, eyes, hands & feet
A desire to bear down or push the baby out
Severe cramps or regular contractions more than 3 weeks before your due date
Unusual environment exposure: chemical, toxic, fumes, smoke from fires
Domestic violence or sexual assault
Minor or severe motor vehicle accident
Following a fall...especially if you hit your abdomen
Breathing problems if you are asthmatic
Shortness of breath with chest pain
Heavy red vaginal bleeding that soaks through a large pad in 10 minutes time
Fainting or extreme dizziness
5
USEFUL PHONE NUMBERS
xx 24 HOUR ON-CALL NUMBER
********ask for the XX provider on call, if you reach the
message, listen for the doctor/midwife on call and their
number for after hours emergency/labour ************
xxx- xxx-xxxx local xxxxx
BC Nurse Line
8-1-1
BCAA/ICBC Car Seat Info Line*
(Traffic Safety foundation)
1-877-247-5551
Breastfeeding Support (La Leche League)*
604-520-4623
Car Seat Safety Check (Safe Start)*
604-875-3273
Community Health Centers:
Next page
XXXXX
Healthiest Babies Possible
604-877-4673
Mother Risk (drugs, chemicals & infection in pregnancy)*
1-416-813-6780
Nausea & Vomiting in Pregnancy Helpline
1-800-436-8477
Newborn Hotline
604-737-3737
Options for Sexual Health*
604-731-7803
Pacific Post-Partum Support Society
604-255-7999
Poison Control
604-682-5050
Program for Victims of Domestic Violence
604-875-4924
* see website list
6
COMMUNITY RESOURCES
Emergency (Ambulance/Fire/Police).............................................911
Poison Control .............................................................. 604-682-5050
LOCAL HEALTH UNITS
HOSPITALS
Public Health Nursing
Delta .............................................................................. 604-946-1121
Langley Memorial ........................................................... 604-534-4121
Peace Arch .................................................................... 604-531-5512
Surrey Memorial ............................................................. 604-581-2211
Cloverdale .................................................................. 604-575-5100
#205 – 17700 56 Ave
Cloverdale Audiology
#103A 17790 56 Ave
Guilford ...................................................................... 604-587-4750
#100 – 10233 153 St
Langley ...................................................................... 604-539-2900
20389 Fraser Hwy
Newton ....................................................................... 604-592-2000
#200 – 7337 137 St
North Delta ................................................................. 604-507-5400
11245-84 Ave
North Surrey .............................................................. 604-587-7900
#220 – 10362 King George Hwy
South Delta ................................................................ 604-952-3550
4470 Clarence Taylor Cr
White Rock/South Surrey.......................................... 604-542-4000
15476 Vine Ave
BABYLINE .................................................................. 604-592-2229
(newborn only – Weekends & Holidays 9:00am – 4:00 pm)
24 HOUR SUPPORT
Crisis Line ...................................................................... 604-951-8855
-Support and resource services for emotional crisis, alcohol and drug
abuse, violence in the home, assault, and depression counselling.
Health Link BC ................................................................................ 811
BREASTFEEDING
Fraser South Health Units .............................................. <- see phone #’s
-General breastfeeding information and support at all offices
-Breastfeeding Clinics
-Short term equipment loan at some Health Units
La Leche League ........................................................... 604-520-4623
-support as well as information on rentals or purchase of equipment
Baby’s Best Chance Website:
http://www.bestchance.gov.bc.ca/
ENQUIRY BC (for info on all BC Gov’t.......... 604-660-2421
programs and Services)
CAR SEAT INFORMATION ........................................ 1-800-247-5551
DROP-INS
(Supervised play and parent support groups)
BCAA/ICBC info line
Handouts and information available at Health Unit Offices
Suggested website: www.childseatinfo.ca
CHILD CARE RESOURCE & REFERRAL PROGRAM
Surrey Options ............................................................ 604-596-4321
Langley ....................................................................... 604-533-4425
Surrey ......................................................................... 604-572-8032
White Rock .................................................................. 604-542-4357
COMMUNITY SERVICES
(Information on day-care, drop-ins, toy libraries, job
searching, counseling, volunteer programs etc.)
Aldergrove Neighbourhood Services ........................... 604-857-4662
North Delta Deltassist .................................................. 604-594-3455
Ladner Deltassist......................................................... 604-946-9526
Langley Family Services.............................................. 604-534-7921
Surrey community Services ......................................... 604-584-5811
Surrey OPTIONS Services .......................................... 604-596-4321
Peace Arch Community Services ................................ 604-531-6226
Aldergrove Neighbourhood Services .............................. 604-857-4662
27032 Fraser highway
Clover valley Family Resource Place ............................. 604-671-9079
Guildford Family Place ................................................... 604-583-3844
10310 154 St
Langley Family Place ..................................................... 604-534-7921
5339 207 St
Newton Family Resource Program ................................. 604-572-8032
#103 – 6844 King George Hwy (Early Years Centre)
North Delta Youth Services ............................................ 604-591-9262
11861 88 Ave
Boys & Girls Club of S. Delta.......................................... 604-946-3933
Whalley Family Place – 3 locations ................................ 604-580-2344
7
FOOD BANK
MINISTRY OF HOUSING & SOCIAL DEVELOPMENT
Cloverdale ................................................................... 604-581-5443
5950 179th St.
Inquiries regarding income assistance and employment
services
Langley ........................................................................ 604-533-0671
5768 203 Ave
South Delta .................................................................. 604-946-4430
All inquiries .................................................................... 604-586-2992
SEXUAL HEALTH
5545 Ladner Trunk Road (Wed’s – Ladner Christian
Fellowship)
OPTIONS (Formerly Planned Parenthood) .................... 604-731-4252
Surrey .......................................................................... 604-581-5443
10732 135 St.
White Rock .................................................................. 604-531-8168
#5-15515 24 Ave
Delta .............................................................................. 604-946-3293
Langley .......................................................................... 604-533-6086
Surrey (Infoline) ............................................................. 604-501-5100
White Rock .................................................................... 604-541-2161
HEALTH INSURANCE BC
SUPPORT GROUP AND OTHERS
Medical Claims and Other Inquiries ..........................1-800-663-7100
Registration and Premium Inquiries ............................. 604-683-7151
Alcohol and Drug Counseling (24hr resource) ................ 604-660-9382
Boys & Girls Clubs of Delta ............................................ 604-591-9262
Options to Community services ...................................... 604-596-4321
Parents of Multiple Births Association ............................ 604-822-7486
Parents Support Society ................................................ 604-669-1616
Pacific Post-Partum Support Society .............................. 604-255-7999
STI Clinic (Sexuality Transmitted Infection) .................... 604-587-7900
Diversecity Community Resource (Immigrant Serv.) ...... 604-597-0205
N. Surrey Community Health Centre .............................. 604-583-5666
Women’s Place .............................................................. 604-536-9611
MINISTRY OF CHILDREN AND FAMILIES DEVELOPMENT
Family Services, Child/youth Mental Health, Child
Protection, Youth and Probation, Fostering
and Adoption ............................................... 604-951-5701
Delta ............................................................................ 604-501-3237
Langley ........................................................................ 604-514-2711
North Surrey ................................................................ 604-951-5844
Newton ........................................................................ 604-501-3122
White Rock .................................................................. 604-542-3900
MCFD Aboriginal ......................................................... 604-586-4200
PARKS AND RECREATION
(counseling and referral organization)
8
USEFUL WEB SITES
Babies Best Chance
http://www.health.gov.bc.ca/cpa/publications/babybestchance.pdf
Breastfeeding Basics
www.gov.ns.ca/hpp/publichealth/content/pubs/05003_breastfeed
ingbasicsbook_aug07_en.pdf
Breastfeeding Video Clips
www.drjacknewman.com
Breastfeeding and Parenting
www.kellymom.com
BC Women’s Hospital & Health Centre
www.bcwomens.ca
Canadian Institute of Child Health
www.cich.ca
Canadian Pediatric Society
www.cps.ca
Car Seat Information
www.tsfbcaa.com
Doulas of North America
www.dona.org
Fit to Deliver
www.fittodeliver.com
HIV / AIDS in Pregnancy
www.cdnaids.ca
La Leche League International
www.lalecheleague.org
Lamaze International
www.lamaze.org
Motherisk (morning sickness, drugs, chemicals
and infections in pregnancy)
www.motherisk.org
Options for Health
www.optionsforsexualhealth.org
Post-Partum Depression Self-Care Guide
Find a Family Physician
www.bcwomens.ca/Services/HealthServices/ReproductiveMenta
lHealth/Resources then look for link to “self care guide”
www.cpsbc.ca
BCWH Power to Push Campaign
www.powertopush.ca
Safe Start (BC Children’s Hospital)
www.bcchildrens.ca/KidsTeensFam/ChildSafety/SafeStart
Sexuality and U (contraception info and more)
www.sexualityandu.ca
South Community Birth Program
www.scbp.ca
Vaginal Birth After Cesarean (VBAC)
www.vbac.com
Vancouver Sun Parenting
http://www.canada.com/vancouversun/features/parenting/index.html
Vancouver Dad
www.vancouverdad.com
9
2013
January
Su
M
6
13
20
27
7
14
21
28
Tu
1
8
15
22
29
Su
M
1
8
15
22
29
Tu
2
9
16
23
30
M
1
8
15
22
29
Tu
2
9
16
23
30
W
2
9
16
23
30
February
Th
3
10
17
24
31
F
4
11
18
25
Sa
5
12
19
26
Su
M
Tu
W
Th
3
10
17
24
4
11
18
25
5
12
19
26
6
13
20
27
7
14
21
28
Th
4
11
18
25
F
5
12
19
26
Sa
6
13
20
27
Su
M
Tu
5
12
19
26
6
13
20
27
7
14
21
28
Th
4
11
18
25
F
5
12
19
26
Sa
6
13
20
27
Su
M
Tu
W
4
11
18
25
5
12
19
26
6
13
20
27
7
14
21
28
April
7
14
21
28
W
3
10
17
24
7
14
21
28
W
3
10
17
24
31
M
6
13
20
27
7
14
21
28
Tu
1
8
15
22
29
W
2
9
16
23
30
Sa
2
9
16
23
Su
M
Tu
W
Th
3
10
17
24
31
4
11
18
25
5
12
19
26
6
13
20
27
W
1
8
15
22
29
Th
3
10
17
24
31
F
3
10
17
24
31
Sa
4
11
18
25
Su
M
Tu
2
9
16
23
30
3
10
17
24
4
11
18
25
Th
1
8
15
22
29
F
2
9
16
23
30
Sa
3
10
17
24
31
Su
1
8
15
22
29
M
2
9
16
23
30
Sa
5
12
19
26
Sa
2
9
16
23
30
W
Th
F
5
12
19
26
6
13
20
27
7
14
21
28
Sa
1
8
15
22
29
F
6
13
20
27
Sa
7
14
21
28
F
6
13
20
27
Sa
7
14
21
28
September
November
F
4
11
18
25
7
14
21
28
F
1
8
15
22
29
June
Th
2
9
16
23
30
August
October
Su
F
1
8
15
22
May
July
Su
March
Su
M
Tu
W
Th
3
10
17
24
4
11
18
25
5
12
19
26
6
13
20
27
7
14
21
28
Tu
3
10
17
24
W
4
11
18
25
Th
5
12
19
26
December
F
1
8
15
22
29
Sa
2
9
16
23
30
Su
1
8
15
22
29
M
2
9
16
23
30
Tu
3
10
17
24
31
W
4
11
18
25
Th
5
12
19
26
10
2014
January
February
March
Su Mo Tu We Th Fr Sa
1 2 3 4
Su Mo Tu We Th Fr Sa
1
Su Mo Tu We Th Fr Sa
1
5
6
7
8
9 10 11
2
3
4
5
6
7
8
2
3
4
5
6
7
8
12 13 14 15 16 17 18
9 10 11 12 13 14 15
9 10 11 12 13 14 15
19 20 21 22 23 24 25
16 17 18 19 20 21 22
16 17 18 19 20 21 22
26 27 28 29 30 31
23 24 25 26 27 28
23 24 25 26 27 28 29
30 31
April
May
June
Su Mo Tu We Th Fr Sa
1 2 3 4 5
Su Mo Tu We Th Fr Sa
1 2 3
Su Mo Tu We Th Fr Sa
1 2 3 4 5 6 7
6
7
8
9 10 11 12
4
5
6
7
8
9 10
8
9 10 11 12 13 14
13 14 15 16 17 18 19
11 12 13 14 15 16 17
15 16 17 18 19 20 21
20 21 22 23 24 25 26
18 19 20 21 22 23 24
22 23 24 25 26 27 28
27 28 29 30
25 26 27 28 29 30 31
29 30
July
August
September
Su Mo Tu We Th Fr Sa
1 2 3 4 5
Su Mo Tu We Th Fr Sa
1 2
Su Mo Tu We Th Fr Sa
1 2 3 4 5 6
6
7
8
9 10 11 12
3
4
5
6
7
8
9
7
8
9 10 11 12 13
13 14 15 16 17 18 19
10 11 12 13 14 15 16
14 15 16 17 18 19 20
20 21 22 23 24 25 26
17 18 19 20 21 22 23
21 22 23 24 25 26 27
27 28 29 30 31
24 25 26 27 28 29 30
28 29 30
31
October
November
December
Su Mo Tu We Th Fr Sa
1 2 3 4
Su Mo Tu We Th Fr Sa
1
Su Mo Tu We Th Fr Sa
1 2 3 4 5 6
5
6
7
8
9 10 11
2
3
4
5
6
7
8
7
8
9 10 11 12 13
12 13 14 15 16 17 18
9 10 11 12 13 14 15
14 15 16 17 18 19 20
19 20 21 22 23 24 25
16 17 18 19 20 21 22
21 22 23 24 25 26 27
26 27 28 29 30 31
23 24 25 26 27 28 29
28 29 30 31
30
11
CONNECTING GROUP GUIDELINES
Group is a place to:






Ask questions
Give answers
Express your worries and fears
Share your joys
Learn more about yourself
Make new friends
Because people will be sharing some very personal issues – and to make group sessions
fun and productive – we’d like you to follow these few guidelines:






Whatever is said in this room – stays in this room.
Only one person talks at a time. Respect others and listen to what they are saying.
Try not to interrupt.
Groups start and end on time.
Bring this Handbook to every session. We will use materials from the book each time.
Children are welcome to attend group with you, however, it is your responsibility to
manage, or remove, them if they are disturbing the group.
In order to help maintain the group dynamic, please try to bring the same support
person each time.
Group flow:




Do your weight, blood pressure and urine.
Give the paper with the above values to the co-facilitator.
Then put your name on the board.
Belly checks are meant to be brief; please bring your general questions to the group.
Having a new baby is a real adventure for you and your family. We wish you well in
the journey and hope that your experience in this Connecting group will give you
increased support and confidence.
12
CONNECTING PREGNANCY GROUP PRENATAL CARE
CONFIDENTIALITY AGREEMENT
Privacy is something everyone is concerned about when they come for group medical
appointments. You have the right to expect that what is said here be private and
confidential. Along with our commitment to maintain your privacy, you will also have a
responsibility to respect and protect each other’s privacy.
Please share useful information outside the group, but what you hear and learn about
individual group members should stay here.
Printed Name:____________________________________________________
Signature: _______________________________________________________
Date: ___________________________________________________________
13
CONNECTING PREGNANCY: PROGRAM SESSION # 1
Getting Acquainted
Eating Well for You and Your Growing Baby
Self-Assessment Sheets
(SAS)
Personal Goals for a Healthy Pregnancy
Pregnancy Review Sheet
Today’s Discussion
Learning about the Connecting Pregnancy group
Self-Care: Weight, Blood Pressure & Gestational Age
Good Nutrition for Pregnancy & for a Lifetime
Lifestyle Choices
Exercise
Gestational Diabetes
Homework
Self-Assessment Sheets
Baby’s Best Chance





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


Fetal Development ..................... pg 26-30
Nutrition ...................................... pg 36-43
Fibre and your Health ................. pg 38
Iron ............................................. pg 39
Calcium and Vitamin D ............... pg 39-40
Pregnancy and Nutrition,
Spina Bifida and Folic Acid ......... pg 39
Pregnancy and Dental Health..... pg 22 &158
Prevention- Listeria .................... pg 41-42
Gestational diabetes:
The exercise link ........................ pg 34 & 158
________________________________________________________________
NOTES:
14
CONNECTING PREGNANCY PROGRAM
SAS – Personal Goals for A Healthy Pregnancy
Most women find that they have something(s) they would like to change in their life. Pregnancy is a
special time when may women/couples find they are more open to making changes. Look at the
items below, decide how happy you are with each of them and identify those you would like to
change. Circle the number that shows whether you feel that you are doing well in that area or
whether the area needs improvement/change.
Doing well
Could be better
Need help
1. I get regular exercise
1
2
3
4
5
2. I eat a healthy, balanced diet
1
2
3
4
5
3. I know how to decrease stress in my life
1
2
3
4
5
4. I don’t smoke and don’t breathe secondhand smoke
1
2
3
4
5
5. I don’t drink or use street drugs
1
2
3
4
5
6. I have people around that I can count on
1
2
3
4
5
7. I have a good relationship the baby’s father
1
2
3
4
5
8. I have something meaningful to do with my
time
1
2
3
4
5
9. Other areas:
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
10. I think I am:
 underweight
 just right
 overweight
My goal for my weight gain in pregnancy is:
11. The aspect(s) of my life that I want to work on the most of the items above it (are):
15
NUTRITION DURING PREGNANCY QUIZ
There may be more than one correct answer for every question.
1. As a rule, all pregnant women should eat 3 square meals per day.
True
False
2. Which of the following nutrients does a woman need more of during pregnancy?
a) Iron
d) calcium and vitamin D
b) folic acid
e) protein
c) essential fatty acids
f) all of the above
3. What key nutrients are provided by the Vegetables and Fruit group of Canada's
Food Guide?
a) folic acid
c) fibre
b) vitamin C
d) calcium
4. Canada's Food Guide recommends that pregnant women eat at least 6-7 servings
of grain products every day. How big is a serving?
a) 1 slice of bread
b) 1/2 cup rice, couscous, bulgur, quinoa or pasta
c) 1 cup rice, couscous, bulgur, quinoa or pasta
d) 2 cups rice, couscous, bulgur, quinoa or pasta
5. What key nutrients are provided by the Meat and Alternatives group of Canada's Food
Guide?
a) Iron
c) vitamin C
b) essential fats
d) vitamin D
6. How many servings from the Milk and Alternatives group of Canada's Food
Guide are recommended during pregnancy?
a) 2
c) 5
b) 3-4
d) 6-10
7. Which of the following provides an excellent source of calcium?
a) green beans
d) liver
b) sardines
e) yogurt
c) milk powder
8. While cheese and yogurt provide calcium, they lack _____which must be
obtained from fluid milk or skim milk powder
a) folate
d) vitamin D
b) iron
e) zinc
c) vitamin A
16
9. For pregnant women who do not tolerate dairy, which of the following provides
good sources of calcium?
a) lactaid products
d) tofu made with calcium
b) liver
e) almonds
c) eggs
10. Which of the following foods provide a rich source of folic acid?
a) red meat
d) oranges
b) lentils and legumes
e) milk
c) broccoli
11. Which of the following foods are good sources of dietary fibre?
a) lettuce
d) black-eyed peas
b) bran cereal
e) raspberries
c) bananas
12. Which of the following are excellent non-animal sources of iron?
a) bran cereal
d) cream of wheat
b) broccoli
e) spinach
c) whole-grain cereal
13. Which of the following helps your body absorb iron from foods?
a) meats
d) tea
b) dairy
e) coffee
c) fruits and vegetables
14. Which foods interfere with your body's ability to absorb iron?
a) meats
c) tea
b) pop
d) coffee
15. Which of the following are good sources of essential fatty acids?
a) tofu
d) butter
b) canola oil
e) soy milk
c) f ish
16. Pregnant women should avoid eating fish because of potential
mercury contamination.
True
False
17. Which of the following foods provide a rich source of Vitamin C?
a) canola oil
d) orange juice
b) baked potato
e) tomatoes
c) green pepper
18. Drinking plenty of juice is a great substitute for fresh fruits and vegetables.
True
False
17
19. Pregnant women need to restrict their salt intake.
True
False
20. For pregnant women, it is unsafe to eat fresh vegetables or fruits that have
been sprayed with pesticides, even after they have been washed.
True
False
21. Foods that cause food-borne illness can always be detected by changes in
appearance, smell or taste.
True
False
22. Keep perishable foods at room temperature for no longer than:
a) 1 hour
c) 3 hours
b) 2 hours
d) 4 hours
23. Pregnant women should avoid raw meat, fish and poultry, raw eggs and
unpasteurized dairy products.
True
False
24. Prenatal supplements are a great substitute for poor food intake.
True
False
25. All herbal teas are safe for consumption during pregnancy.
True
False
26. All artificially sweetened foods and beverages are safe for consumption during
pregnancy.
True
False
27. Pregnant women should avoid peanuts and other high allergy foods during the
last trimester.
True
False
28. To help prevent nausea, you should:
a) skip breakfast
b) eat crackers before getting out of bed
c) drink clear tea or fluids throughout the day
d) eat every 1-3 hours
e) eat cold foods more often
18
29. Constipation (hard bowel movements) in pregnancy may be relieved by:
a) switching from white to whole-grain breads
b) consuming more water, diluted juices, herbal teas
c) taking 1 tbsp mineral oil in the morning
d) increasing daily physical activity
e) eating plenty of fruits and vegetables
30. Fried, fatty foods cause heartburn during pregnancy.
True
False
31. Drugs acquired without a prescription are safe to take during pregnancy.
True
False
32. Drinking an occasional beer during pregnancy is not a problem.
True
False
33. Pregnant women should consume no more than 11/2 cups of coffee or 4 cups of
tea per day.
True
False
34. Any exercise during pregnancy is really okay.
True
False
35. The recommended weight gain for a healthy pregnant adult woman is:
a) <15 pounds
d) 24-40 pounds
b) 15-25 pounds
e) different for every woman
c) 25-35 pounds
36. The 'Eat Well Live Well' section of the Dietitians of Canada website at
www.dietitians.ca has plenty of interactive tools for assessing diet and
activity.
True
False
Courtesy of the Vancouver Coastal Health - South Community
Birth Program 07 (January 2012)
19
Nutrition During Pregnancy Quiz
ANSWER KEY
1. False
One type of meal plan is not suitable for everyone. Pregnant women should eat when
they are hungry, but should have at least 3 balanced meals per day. A balanced meal
contains food from at least 3 of the 4 food groups.
2. f) all of the above
You will eat more during pregnancy because your body requires extra nutrients and
energy for the growth of new tissues for yourself and your baby. See Canada's Food
Guide to find out how many servings of each food group to eat. Canada's Food Guide
provides a range of servings for each food group because every pregnant woman has a
different appetite, body size and activity level. Let your appetite guide how much you eat.
If you feel that you may not be able to achieve the recommended number of servings
required for pregnancy, a supplement for certain nutrients may be considered. This
should be discussed with your health care provider.
3. a, b, c
Nutrient
Why this
Nutrient is
Important
Folic Acid
Vitamin C
Fibre
Supports expanding
blood volume and
growth of maternal and
fetal tissues.
Helps the body absorb the
iron from food.
Helps prevent
constipation.
Food Sources
- asparagus
- broccoli
- oranges
- romaine lettuce
- spinach
- brussels sprouts
- corn
- peas
- dates
- pear
- berries
- prunes
- dried fruit
- potatoes
Tips
Don't overcook
vegetables as folic
acid will be
destroyed.
- broccoli, cauliflower
- cabbage, brussels sprouts
- green pepper, potatoes
- tomatoes and tomato
products
- citrus fruits: eg. grapefruit,
orange
- kiwi
- melons
- strawberries
Enjoy 7-8 servings or more of Vegetables and Fruit per day. See Canada's Food Guide
for examples of a serving size. Choose dark green and orange vegetables and orange
fruit more often.
20
4. a,b
A serving is ½ cup of a cooked grain, 1 slice of bread or ½ bagel, or ¾ cup cereal.
Canada 's Food Guide recommends that women eat 6-7 servings of grain products
throughout the day and that pregnant women include an extra 2-3 food guide servings
from any food group each day.
Example of 7 servings of grain products:
Breakfast: 1 ½ cups cereal + fruit + milk (2 servings);
Snack: fruit and yogurt
Lunch: chicken sandwich for lunch with salad (2 servings);
Snack: cheese and crackers (1 serving)
Dinner: Bbq halibut and steamed veggies and 1 cup of herbed rice (2 servings)
Snack: 1 cup hot milk and blueberries
Courtesy of the Vancouver Coastal Health - South Community Birth Program 07 (January 2012)
21
5. a) and b) and many other nutrients:
Nutrient
Why this
Nutrient is
Important
Iron
Supports expanding blood
volume and growth of
maternal and fetal tissues.
Builds fetal iron stores.
Protein
Helps with maternal
and fetal growth.
Meat and
Alternative
Sources of
this
Nutrient
 Canned or cooked beans eg.
Lima, Kidney, Black,
Soybeans
 Chick and Split Peas
 Lentils
 Clams
 Oysters
 Red Meat
 Pumpkins, Sesame and
Squash Seeds
 Fish
 Seafood
 Dried beans, peas,
lentils
 Eggs
 Peanut butter
Meats
Tips
 Iron from meat sources (heme
iron) is more easily absorbed
than iron from non-meat
sources (non-heme iron)
 Vitamin C rich foods help
absorb non-heme iron
 Do not eat iron-rich foods
with tea or coffee as they
interfere with iron absorption
Eating protein in
combination with
carbohydrates
(eg. fruits,
vegetables,
grains) at meals
and snacks helps
balance energy
levels and blood
sugars.
Folic Acid*
Supports
expanding blood
volume and growth
of maternal and
fetal tissues.
 Cooked dried
peas, beans and
lentils
 Peanuts
 Sunflower seeds
Essential fatty acids
Promotes proper fetal neural
and visual development.
 Fatty fish eg. mackerel,
salmon and sardines
 Soybean oil
 Canola oils
 Non-hydrogenated
 margarines
 Salad dressings made with
non-hydrogenated oils
Calcium*
Maintains integrity of
mother's bones.
Promotes fetal
development of bones
and teeth.
 Sardines
 Tofu with calcium
 Almonds
 Sesame seeds,
whole
 Baked beans
 Salmon with bones
 Soybeans
Fibre*
Helps with
constipation.
 Baked beans
 Black-eyed peas
 Kidney beans
 Lima beans
 Refried beans
 Great northern
beans
Folic acid can be
destroyed by
overcooking.
* The sources of these nutrients are found in the Alternates only.
22
Revised: January 24th, 2012
6. a) 2 servings per day of Milk and Alternatives (for teens: 3-4 servings per day). See
Canada 's Food Guide for examples of a serving size.
7 . b ) , c ) , e ) Liver is not recommended for pregnant women because the Vitamin A level is
too high.
8 . d) Only fluid milk, milk powder, and fortified soy/nut/rice beverages contain vitamin D (not
cheese or yogurt). If you do not drink these products, take a vitamin D supplement. In
Canada, our bodies cannot synthesize vitamin D from the sunlight from October to March.
9.
a ), d), e )
10.
b), c), d)
11.
b), c), d),e)
12.
a), c), e)
13.
c)
14.
c),d)
15.
a), b), c), e)
16.
False
Canada's Food Guide recommends that Canadians eat at least two servings (of 75 grams
each) of fish a week. Pregnant women should choose fish and shellfish that contain higher
levels of beneficial fatty acids and lower levels of mercury such as:
anchovy
Atlantic
salmon
shrimp
capel in
mackerel
smelt
clam
char
mullet
rainbow trout
mussel
hake
pollock (Boston
lake whitefish
oyster
herring
bluefish)
blue crab
Limit intake of predatory fish that tend to contain higher levels of mercury, such as
fresh/frozen tuna, shark, swordfish, marlin, orange roughy and escolar to 150g per month. For
those who consume large amounts of canned "albacore" or "white" tuna, there is some
potential for exposure to higher levels of mercury. Limit to 300g per week (4 Canada Food
Guide servings). "Light" canned tuna (especially of the skipjack variety) is lower in mercury
and can be eaten in higher amounts.
17. b), c), d), e)
23
18. False
Juice is not a good substitute for fresh fruit or vegetables. Juice lacks the fibre that is
beneficial for digestion and for preventing constipation. Juice is also high in sugar.
Choose fresh fruits or vegetables instead of juice when possible. If you drink juice,
choose 100% fruit or vegetable juice.
19. False
Salt does not have to be restricted because salt is needed to accommodate for the increase
in blood volume during pregnancy. However, you do not need to add more salt to your food
as we get more than we need from our regular diet.
20. False
Pregnant women are encouraged to eat as much fresh produce as possible due to the
higher level of nutrients when compared to processed foods. The nutritional benefits of eating
fresh produce more than outweigh the small risk of pesticide residues. However, you can
minimize your exposure to pesticides by buying locally grown ("Buy BC") produce, by
washing your produce well and/or by peeling the skins off.
21. False
22. b) 2 hours
Food-borne illness is a concern for everyone, but pregnant women are at higher risk.
Symptoms of food-borne illness include: nausea, vomiting, diarrhea and fever.
Food that has been contaminated by harmful bacteria like Listeria or Salmonella is not
always detectable by smell, sight or taste.
If you experience symptoms similar to the symptoms of food-borne illness, contact your doctor
immediately. If you do get food poisoning, ensure you keep hydrated throughout the day.
23. True
Raw meats (including uncooked hot dogs), poultry, fish (eg sushi), eggs (eg. eggnog,
Caesar salad) and unpasteurized dairy can be contaminated with Listeria. While rare,
pregnant women are at higher risk of becoming ill with Listeriosis than the general
population. The illness can have serious consequences including miscarriage or stillbirth.
24
24. False
Prenatal supplements only complement your diet. They do not replace missing
nutrients. Follow Canada 's Food Guide and take the supplements that your doctor or
dietitian has recommended for you.
CAUTION: Taking more than 5000 IU of vitamin A supplements per day could cause
birth defects. In addition, liver is also not recommended during pregnancy due to its
very high levels of vitamin A.
25. False
Herbal teas generally considered safe during pregnancy include: bitter orange/orange
peel, echinachea, ginger, peppermint, red raspberry leaf, and rose hip. Limit to 2-3
cups per day.
26. False
Pregnant women should read food labels carefully to ensure they do not exceed
acceptable daily intakes. Artificial sweeteners may be present in beverages, table top
sweeteners, baked products, desserts, spreads, salad dressings or gum. Avoid
cyclamates and saccharin which are not approved for use in pregnancy.
27. False
Research has not shown that avoiding high allergy food during pregnancy prevents
allergies in baby.
28. b), c), d), e)
Nausea or vomiting, known as "morning sickness," are common during the first
months of pregnancy. They can occur during any time of the day. The condition is
linked to hormonal changes, but the causes are not known.
29. a), d), e)
Constipation during pregnancy is common. It may be caused-by hormonal changes,
low fibre or liquid intake, physiological changes, lack of activity and iron supplements.
25
30. False
Heartburn occurs during pregnancy because your baby is pressing on your stomach,
causing stomach acid to back up into your throat. While foods do not cause your
heartburn, certain types of food could make the burning worse.

Avoid foods that irritate your heartburn (eg. fatty or spicy foods; mint or peppermint).

Eat smaller, more frequent meals and snacks.

Drink fluids between meals rather than with meals.

Eat slowly, chew food well and avoid tension during meals.
If your heartburn is serious, consult a doctor before taking antacids or medications.
31. False
Any type of drugs, whether over-the-counter or illegal, can have negative effects on your
unborn baby. Talk to your doctor before taking any item that is not food.
32. False
Avoid smoking and drinking alcohol during your pregnancy. When you drink or smoke or
are exposed to second hand smoke, your baby does too. Alcohol, smoking and drugs
can cause problems in your child that will never go away. If you have trouble quitting
these products during your pregnancy, consult your doctor.
33. True
Taken in large quantities caffeine can have negative effects on your baby. Not only is
caffeine in coffee and tea, it is also in chocolate products, colas and other pops. Caffeine
can also be in some over-the-counter medications. Alternatives include: tap or sparkling
water, milk, smoothies, 100% vegetable and fruit juices, grain-based non-alcoholic
beverages, or water with a slice of lime or lemon.
Coffee and tea affect your body's absorption of iron and calcium from foods.
34. False
Regular mild-to-moderate physical activity does not affect the fetus and can benefit the
mother in a number of ways. However, strenuous exercise may not be safe. Contact your
doctor before starting or increasing an exercise regime.
Courtesy of Vancouver Coastal Health - South Community Birth Program
January 2012
26
35. e)
The amount of weight you gain for a healthy pregnancy depends on your pre-pregnancy
weight and height, known as your Body Mass Index (BMI). Ask your dietitian, nurse or
doctor to determine the appropriate weight gain for you. Remember, your weight gain
should be gradual and you should see your doctor if you gain more than 3 kg (6.5 lb) in
any month.
In general, underweight women need to gain more weight and overweight women need to
gain less weight than women entering pre-pregnancy with healthy body weight. Below are
general guidelines for weight gain*:
Guidelines for Weight Gain Based on Pre-pregnancy Body Mass Index *
Body Mass Index (BMI)
Recommended Total
Rate of Weekly Weight
Before Pregnancy
Weight Gain
Gain (2" & 3r° trimesters)
Underweight: <20
Healthy Weight: 20 - 25
Overweight: 25 - 27
Obese: >27
12.5 — 18 kg (28 — 40 lb.)
11.5 — 16 kg (25 — 35 lb.)
7 — 11.5 kg (15 — 25 lb.)
6 — 8 kg (15 — 20 lb.)
Over 0.5 — 0.6 kg (1 lb.)
0.3 — 0.4 kg (about % lb.)
0.2 — 0.3 kg (about 'Alb.)
See your doctor or dietitian
*Does not apply to women expecting twins or triplets. These women should ask their
doctor regarding how much to gain to reduce the risk of having preterm or low-birthweight babies.
36. True
For more information about eating during pregnancy,
read Baby’s Best Chance, pp. 36-43
23
CONNECTING PREGNANCY: PROGRAM SESSION # 2
Dealing with the Discomforts of Pregnancy
Self-Assessment Sheets
Relaxation Measures
(SAS)
Common Discomforts
Review SAS from Session #1 (Personal Goals)
Today’s Discussion
Common Problems of Pregnancy, Why they
Occur, What Might Help
Body Mechanics and Exercise
Baby’s Best Chance


Common Discomforts .......... pg 20-25
Physiotherapy...................... pg 44-47
________________________________________________________________
NOTES:
24
Connecting Pregnancy Program
SAS – RELAXATION MEASURES
The following are different ways that people help themselves to relax when they are
stressed. Check the ones that you have used and then put a 1 by the one that you find is
most helpful to you.
____ sleep
____ exercise (workout)
____ exercise (light)
____ bath/ shower
____ backrub / massage
____ reading /TV
____ privacy /closed door
____ music
____ shout /make noise
____ talk /phone
____ laugh /funny stories
____ meditate/pray
____ eat
____ have sex
____ go shopping
____ go for a ride
____ journaling /writing
____ drink tea, coffee
other method _______________________________________________
25
Connecting Pregnancy Program
SAS - COMMON DISCOMFORTS
Please check how each of these common pregnancy discomforts affects you.
Discomfort
Often
Sometimes
Never
Low belly pain
Leg cramps
Varicose veins
Sore breasts/nipples
Frequent urination
Bowel changes
Heartburn
Shortness of breath
Bad dreams
Moodiness
Headaches
Fatigue
Low back pain
Vaginal discharge
Dizziness
Swelling of hands/ feet
Uterine cramping
Itchy skin
26
PRENATAL BACK CARE
Posture During Pregnancy
Your posture changes as your baby grows and your weight increases.
Proper positioning during your daily activities helps prevent backache
and other discomforts associated with
pregnancy.
Lying
Standing
 stand tall
 keep feet hip width apart
 keep knees soft, not locked
 tighten core muscles
 rest on your side with knees bent
 use pillows for support; between knees and
under belly
 when moving in bed, tighten core muscles to
turn
 get in and out of bed from side lying
Walking
Incorrect
Correct
Sitting
 sit well back in a firm chair
 avoid crossing legs
 hips and knees at 90°, use a footstool if
needed
 support the small of your back with a pillow
Incorrect
Correct





stand tall
take small steps
keep feet hip width apart
tighten core muscles
wear comfortable, and
supportive shoes
CORE MUSCLES include
transverse abdominus (lower abs)
and the pelvic floor muscles
27
Pelvic Floor Muscles
Pelvic Floor Muscle Exercises
(Kegel's)
Where is your Pelvic Floor?
Your pelvic floor muscles are a group of
muscles which attach to the bottom of the
pelvis. They provide support for your bladder,
uterus and rectum.
bladder
The following are two exercises to strengthen
your pelvic floor:
1.
Hold'ems:
Tighten your pelvic floor muscles. Hold them
tight for a slow count of 5. Let go and rest
completely. To progress this exercise, hold up
to a count of 10
tighten
relax
How is your Pelvic Floor Affected by
Pregnancy?
During pregnancy, your pelvic floor muscles
may become stretched due to the changes in
hormones and the weight of your growing
baby.
2.
Speed'ems:
Tighten your pelvic floor muscles for 1 to 2
seconds and then let go. Work on increasing
repetitions without losing coordination. Build up
to 5-10 in a row. This exercise helps stop
leakage when you cough, sneeze or lift.
Why Train your Pelvic Floor?

improves bladder and bowel control

improves support for your pelvic
organs

helps your core muscle strength
tighten
relax
How to Find Your Pelvic Floor Muscles
Your pelvic floor muscles help stop the flow of
urine. Imagine that you are trying to stop
yourself from urinating and hold for 1-2
seconds. Then relax. The tightening you feel is
the contraction of the pelvic floor muscles.
If you are having difficulty finding these
muscles, try this while sitting on the toilet. Try
to stop the flow of urine for 1-2 seconds. Then
let go and allow the bladder to empty
completely. Use this as a test only, not an
exercise.
Remember:

do Kegel exercises 3 times a day

start with 3-5 repetitions and do more
when the exercises feel easy

breathe normally

Kegel's are easier to do sitting or
lying down

do a Kegel whenever you cough,
sneeze, laugh or lift
28
General Guidelines for
Exercise
Stretching & Strengthening
2. Avoid overstretching.
During pregnancy, muscle imbalances can occur.
Certain groups of muscles tend to shorten and
tighten while others lengthen and weaken.
Stretching and strengthening can restore muscle
balance and prevent discomfort.
3. Avoid holding your breath when you
exercise.
Stretching
1. Avoid jumping and jarring activities and rapid
changes in direction.
4. Begin exercise at a low intensity and
gradually progress/maintain activity levels.
5. Rise up from the floor slowly to avoid
dizziness.
6. Be aware of symptoms if exercising on
your back. If you feel short of breath,
nauseated, dizzy or unwell change
position.
7. Drink plenty of fluids before, during and after
exercise to prevent dehydration.
8. Extra energy is needed during exercise
and pregnancy. Make sure you are getting
enough calories.
9. Listen to your own body. Stop exercising
and seek medical attention if you
experience any of the following or if you are
unsure if you should continue exercising.







gently warm up prior to stretching
(e.g. walk 5-10 minutes prior to stretching)
hold each stretch 20-30 seconds, repeat 2-3
times
you should feel a stretch without pain
ensure proper posture
do not overstretch
breathe!
Ideas for stretches
during your
pregnancy
Triceps



hold elbow with opposite
hand
gently pull behind your
head
stretch should be felt at the
back of your upper arm
increased pain

uterine contractions

vag inal bleeding


leaking fluid
dizziness/faintness

shortness of breath

chest pain
Be sure to contact your
physician/healthcare provider if you have
questions about any of the above.
Source: Joint SOGC/CSEP Clinical Practice
Guideline "Exercise in Pregnancy and the
Postpartum Period"
©2007 BC Women's Hospital &Health Centre
Ribcage/back


extend arm over head
and reach towards
one side
stretch should be felt
along the ribcage of
your extended arm
Mid-back 1
Buttock
 move on to your heels pushing your chest
toward the floor
 stretch should be felt in your mid-back region
 cross ankle over opposite knee with your
back straight
 lean forward through your hips
 stretch should be felt in your buttock
Mid-back 2
 with feet hip width apart, bend knees and shift
weight backwards, push your chest towards the
floor
 stretch should be felt in your mid-back region
 to feel a greater stretch on your side, cross one
arm over the other
Calf (gastroc)
 keep back
leg straight
with heel
down, shift
weight
forward
 stretch
should be felt
in the calf of
your back leg
Buttock
 in side lying, bring your knee towards your
chest and hold
 stretch should be felt in your buttock and
lower back
©2007 BC Women's Hospital &Health Centre
Calf (soleus)

bend
back
knee
with heel
down

stretch
should be
felt in the
calf of
your back
leg
Hip
 with back straight, shift weight forward
 stretch should be felt in the front of the
hip of the back leg
Hamstrings
 with back straight, lean forward through your hips
 stretch should be felt through the back of your leg
and/ or calf
Strengthening
Pelvic Tilt
 Pull in your abdominal muscles, tuck buttock under and flatten your back. Hold for 3-5 seconds and
then relax. Let the curve of your spine return.
 Try this exercise in side lying, sitting, on your hands and knees or standing against a wall.
©2007 BC Women's
Hospital &Health Centre
Transverse Abdominus (TA) Activation
 Try this exercise on your back with your
knees bent (1st trimester), side lying (2nd
& 3rd trimesters) or on your hands and
knees.
 To find the muscle:
 Place fingers on lower abdominal muscles
(find your hip bones and move fingers one
inch in towards your belly button).
 Draw in the muscles below your belly
button while breathing out.
 You should feel a small to moderate
amount of tension develop under your
finger tips as you contract your TA (you
should not feel it push up against your
fingers).
 Keep breathing.
 Think light and gentle.
 Hold for 5-10 seconds, repeat 5 times.
Everyday Tips
(and other things to think about)
1. Include relaxation as part of your daily
routine. Take 10-20 minutes for yourself to
rest and refresh.
2. You can use heat (e.g. hot pack or gel
pack) or ice to help relieve lower back
discomfort. Ensure that the heat or ice
source is not in direct contact with your skin
(e.g. wrap in a towel).
3. When lifting or carrying, tighten your core
muscles, hold load close to you and use
your legs not your back to lift the object.
Avoid twisting movements and get help with
carrying heavy loads.
4. Pace yourself. Start activities slowly.
Progress difficulty or duration of the activity
if you are pain free.
5. Wear a supportive bra to help prevent
upper back pain.
6. Daily activities:

working surfaces should be at hip
height when standing
 if standing for a prolonged period of
time, rest one foot up on a stool (e.g. when
washing dishes)
 stand and walk 'tall'
 getting in and out of a car: sit down on the
car seat by backing in and facing out,
pivot and bring both knees in to the car
together
 change positions frequently
7. What to look for in baby equipment:
 strollers: think about adjustable handles,
how you are using it (walking, running),
weight, does it fold
 change tables: hip height working
surfaces are ideal
 baby carriers; look for supportive and
adjustable straps
Activity Ideas
 brisk walking
• stairs
• stationary bike
Activity Calendar
*Remember to do your Kegel's every day.
Monday
Tuesday
Wednesday
Example
Schedule
Walk
2x20
minutes
Swim or
Aquafit
Class
Thursday
Prenatal,
yoga or
pilates class
Friday
Saturday
Walk
2x20
minutes
Your 1st
Trimester
Your 2nd
Trimester
Your 3rd
Trimester
Adapted from BCW Physiotherapy Prenatal Back Care Pamphlet BCW#813
BCW# 814 ©2007 BC Women's Hospital-&Health Centre January 2012
Sunday
CONNECTING PREGNANCY: PROGRAM SESSION # 3
Relaxation and Stress Reduction
Thinking about Infant Feeding
Self-Assessment Sheets
(SAS)
Today’s Discussion
Thinking About Breast Feeding
Family and Parenting Issues
Stress Reduction and Ways to Relax
The Relationship of Relaxation to Labour
Is there anything you need to do to get ready for breastfeeding?
Sexuality/Intimacy in pregnancy & post-partum
Depression in Pregnancy
Baby’s Best Chance






Relaxation related to labour ........... pg 59-64
Stages of Labour ............................ pg 66-74
Sexuality in Pregnancy ................... pg 49-50
Depression
Perineal Massage
So you’re going to be a parent ....... pg 9-18, 85 & 88
________________________________________________________________
NOTES:
35
CONNECTING PREGNANCY PROGRAM
GROUP ACTIVITY OR SAS – THINKING ABOUT BREASTFEEDING
YES
NO
I have experience breastfeeding a baby
I know women who have experience breastfeeding a
baby
My partner/family wants me to breastfeed
What I Have Heard About Breastfeeding
Circle the reasons you may choose to breastfeed:
Baby is healthier
Fewer allergies
Baby is more content
Less expensive
Makes night feeding easier
More convenient
Closer mother/baby relationship
Baby is smarter
Might help me lose weight
Other ____________________
My family tells me it is what I should do
Circle the reasons you may find it hard to breastfeed:
I plan to go back to work/school
I don’t eat the right foods
My family/partner is against it
I think breast babies are spoiled
I don’t think I can make enough milk
I don’t know how to breastfeed
I want to smoke/drink
My breasts will sag
I take medication
I will be embarrassed
Other
It may hurt me
CONNECTING PREGNANCY PROGRAM
36
GROUP ACTIVITY OR SAS – FAMILY & PARENTING ISSUES
Think about the following questions specifically for you and the family in which you grew up.
Encourage your partner (or family member who will most help take care of your baby) to
complete one too, and then share your thoughts with each other.
The best thing(s) we did together as a family are (were): ________________________________
_____________________________________________________________________________
_____________________________________________________________________________
The relationship between my parents was (is): ________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
The most common form of discipline used by my parents was: ___________________________
_____________________________________________________________________________
_____________________________________________________________________________
The rewards most often used in my family were (are): __________________________________
_____________________________________________________________________________
_____________________________________________________________________________
The person in charge in my family was: _____________________________________________
My experience with caring for young babies and children is: _____________________________
_____________________________________________________________________________
_____________________________________________________________________________
These are the parts about my own family that I want to keep as I raise my children:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
These are the parts about my own family that I want to change as I raise my own children:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
37
GROUP ACTIVITY OR SAS - FAMILY & PARENTING ISSUES
Put a check in the box to show who you think will do each of the following household tasks:
WHO WILL ...
You
Partner or
Family
Member
Both
Unsure
Feed the baby?
Give the baby baths?
Change the baby's diapers?
Comfort the baby when he/she cries in
the middle of the night?
Take care of the baby when he/she is
sick?
Decide how to discipline the children?
Work outside the home?
Decide how to spend money?
Decide how to spend time as a family?
Decide what foods we should eat?
Decide how many children to have?
Decide on birth control methods?
Decide on issues about safety for the
baby; for example, will you allow
smoking, alcohol, and drug use around
the baby?
Do the meal preparation?
40
CONNECTING PREGNANCY: PROGRAM SESSION # 4
Labour
Doula Form
Preterm Labour
Today’s Discussion
Coping in Labour
Stages of Labour (video)
Positions for Pushing
Baby’s Best Chance





Stages of Labour....................... pg 67-74
Preterm Labour ......................... pg 80
Hints to Help with
Labour and Birth ....................... pg 59, 74
Supplies for Hospital
Birth and After ........................... pg 57
The Tough Times of
Labour – how to help
a women through them ............. pg 74
________________________________________________________________
NOTES:
41
Doula: A woman who gives continuous physical, emotional and informational
support during labor and birth
Name:
What are the cross streets closest to your home:
Age:
Other children:
Your first language:
Other languages spoken:
Is it important that your doula speaks your first language:
Yes □
Not Important
□
Do you have specific requests or preferences you would like the doula coordinator to consider
when assigning your doula (the doulas background, age, belief system):
Are there any special considerations (not medically related) you would like the doula coordinator
to know about:
The doula coordinator may contact you when assigning your doula; what is your preferred
telephone number?
Home:
Cellular:
*Due to the nature of the program, doulas are assigned to clients by the Doula Coordinator;
however the Coordinator will do her best to consider your requests.
Please fax completed form to XXX Doula Coordinator at fax number:
XXXXXX
Thank you!
42
RECOMMENDED FOOD and DRINK for LABOUR
PRE-LABOUR – LATENT PHASE
Cereal with milk and sugar
Hot milk with honey to aid sleep
Toast with honey or jam
Yogurt with fruit, honey, or jam
Light, nourishing soup with bread
You may feel nervous, and not be inclined to eat. SLOW DOWN. For most women, labour is a
marathon, not a sprint. EAT SLOW.
EARLY ACTIVE LABOUR
Popsicles
Jello
And pre-labour foods or drinks listed above.
Eat and drink small amounts but regularly.
ACTIVE LABOUR
Drink 6-8 oz. per hour
You may not feel like eating, though you may if you want to. You do need to drink.
IMMEDIATE POSTPARTUM
Warm fluids
Anything you feel like and possibly a rehydration drink’ to help prevent shaking sensation
All of these foods and beverages should be stocked in your refrigerator from 37 weeks gestation
onwards. Also include any foods which you especially enjoy. Remember that during pre-labour
and active labour your body is temporarily unable to digest fats and proteins. Your uterus needs a
large and steady supply of simple carbohydrates in order to function effectively in labour. Your
midwives or doctors may encourage the use of certain foods and drinks to prevent or correct
dehydration or ketosis, and/or to augment uterine contractions. (I.e. coffee with sugar)
Prior to labour be sure you have on hand food for a nourishing postpartum meal for yourself and
possibly your birth attendants.
Since our clients leave the hospital early, if you are having a hospital birth be sure to pack
sandwiches and tea or coffee or cocoa for the first 6 hours post-partum, for you and your partner.
43
CONNECTING PREGNANCY: PROGRAM SESSION # 5
The Experience of Birth
Self-Assessment Sheets
(SAS)
Decisions of Pregnancy
Today’s Discussion
Group B Streptococcus
PIH
Monitoring in Labour
Complications of Labour and Delivery
VBAC
Precipitous Birth
Assignment
Continue to Practice Relaxation Measures
Baby’s Best Chance





Experience of Labour ................ pg 66-74
C-Section .................................. pg 78-79
Group B Strept .......................... pg 33 &158
Hypertension ............................. pg 52
Vaginal Birth after
Cesarean .................................. pg 79
________________________________________________________________
NOTES:
44
CONNECTING PREGNANCY PROGRAM
GROUP ACTIVITY OR SAS – DECISIONS OF PREGNANCY
You have gathered lots of information during your pregnancy. As you get closer to your baby’s
birth day, you will need to use this information to make many decisions: use this list to document
any decisions you have made or to help you think about the decisions that you need to make. If
you need more information or advice about these decisions, let us know.
Labour Decisions
1. How will I take care of myself in early labour at home, before I go to the birth place?
2. When will I call my care provider (ex. Rupture of membranes, when contractions are
how far apart)? When will I go to the birth place?
3. How will I get to the birth unit or how will extra support get to my home if I am having a
homebirth?
4. What is our plan for older siblings when I go into birth?
5. What are my plans for coping in labour?
45
GROUP ACTIVITY OR SAS - DECISIONS OF PREGNANCY
After The Baby Arrives
6. If I have a boy, will he be circumcised?
7. What concerns do I have about feeding my baby?
8. Who will help me when I get home? What kind of help will I need with baby care,
cooking and household help?
9. Who will be our family doctor?
10. Where and when will I go for my postpartum follow-up visits?
11. What will I use for birth control?
46
CONNECTING PREGNANCY: PROGRAM SESSION # 6
More on the Experience of Birth
Self-Assessment Sheets
(SAS)
Comfort Measures for Labour
Today’s Discussion
Doula Information
Video: the 3 R’s
More about the Birth Process
Comfort Measures
Medical Pain Management
Baby’s Best Chance
 TENS ........................................ pg 74
 Medical Pain Management ....... pg 75-77
 Movement and Positions
For Labour
________________________________________________________________
NOTES:
47
Connecting Pregnancy Program
SAS - COMFORT MEASURES FOR LABOUR
Place checks by the measures that you are planning to use to help you with your labour.
1.
Movement
_____ Walking
_____ Rocking
2.
Touch
_____ Massage
_____ Effleurage
_____ Back pressure
3.
Heat
_____ Shower
_____ Bath
_____ Hot towels
4.
Music
_____ Tapes
_____ Head phones
5.
Relaxation
_____ Breathing methods Imagery
_____ Self-hypnosis
6.
Medication
_____ Relaxants
_____ Narcotics
_____ Regional anesthesia (epidural)
48
WHAT IS A DOULA?
Whether it is a hand to hold, someone to lean on, or words of comfort during the pains of labor,
women have been helping women through childbirth for centuries. The Community Birth
Program (CBP) is incorporating this age old tradition into its services by offering pregnant
women the assistance of a doula. Doulas are trained childbirth professionals who provide
women with continuous physical and emotional comfort and support throughout childbirth. Doula
(pronounced “doola”) is a Greek word meaning “women-servant” or “caregiver”.
Continuous support from a doula has been demonstrated to have impressive benefits for
expectant mothers, including shorter labours, less need for pain medication, a reduced
likelihood of having a cesarean delivery and healthier babies. A comprehensive review
published recently by the Cochrane Library, the biggest source of evidence-base healthcare in
the world, concluded that having a doula (or other non-medically trained woman present at the
birth) is the best guarantee you can have these days of a normal, satisfying childbirth
experience.
ABOUT THE CBP DOULA PROGRAM.
Doulas are an integral part of our maternity care time. A CBP doula meets the woman and her
family before the birth, provides continuous support during labor and birth, and visits them after
the baby is born. Every woman in CBP is matched with a doula caregiver (who often speaks her
first language). CBP doulas are a very special group of caring women who are committed
volunteers in our program. Each doula receives an honorarium from CBP for their wonderful
support.
About the CBP Doula Training
CBP doulas have attended a DONA (Doulas of North America) approved birth doula training
and have participated in a mentorship program with experienced DONA certified doulas. DONA
is recognized internationally as the oldest and largest doula association whose founders are
responsible for the first doula studies. Information about doulas and the results of the studies
can be found in DONA Birth Doula Position Paper.
Information about locating a DONA Approved Birth Doula Training or about Douglas College
doula trainings can also be found at the DONA Website at www.DONA.org
49
CONNECTING PREGNANCY: PROGRAM SESSION # 7
Thinking About Birth and the Baby
Self-Assessment Sheets
(SAS)
Self-Inventory
Today’s Discussion
Breastfeeding
Follow Me Mum (video)
Homework
Talk with your Support Person about the
“Decisions of Pregnancy” (SAS)
Baby’s Best Chance
 Breastfeeding ......................... pg 98-102
 Vitamin D ............................... pg 109
 Introduction of Solid
Food to Infants ....................... pg 109
________________________________________________________________
NOTES:
Breastfeeding Resources:

www.drjacknewman.com

www.kellymom.com

www.llli.com

www.breastfeedingmadesimple.com (animated latch)

http://video.about.com (search for “breastfeeding”)
50
Connecting Pregnancy Program
SAS - SELF-INVENTORY
Check the column that most closely corresponds to how you feel now.
Often
Sometimes
Never
I make sure that I get regular exercise
every day.
I am careful to eat foods that are
good for me and my baby.
I have people I can count on to help me
if I need them.
I have a good relationship with the
baby's father.
.
I feel that I have something
meaningful to do with my time.
I have a good understanding of how my
body functions.
I feel good about the health care that is
available to me.
I know if I have a medical problem I
can get someone to help me.
I am happy that I am having (or have
had) a baby.
The area that I need to work on the most is _____________________________________
_______________________________________________________________________________
51
CONNECTING PREGNANCY: PROGRAM SESSION # 8
After the Baby Arrives
Self-Assessment Sheets
(SAS)
Personal Assessment
Delivery
Today’s Discussion
Common Newborn Procedures After Delivery
Baby Care
Sharing a Bed with your Baby
Discussion on Feelings about Ourselves and Our Support
Systems
Siblings
The Postpartum Period and the Need for Help and Support
Soothing the Newborn
Circumcision
Infant Massage
Baby’s Best Chance









Newborn ................................. pg 110-118
Cord Care .............................. pg 115
Crying ..................................... pg 121-123
Eye Care ................................ pg 115
Bathing ................................... pg 115
Safety/Jaundice...................... pg 116-117
Talents of the Newborn .......... pg 134-138
Early postpartum .................... pg 83-84
Adjustment to Life with your
Baby ....................................... pg 82-88
 Coping strategies
 Sibling preparation
 Coming Home
________________________________________________________________
NOTES:
Tummy Time Website: www.pathwaysawareness.org/?q=whatcanido/276
52
Connecting Pregnancy Program
SAS - PERSONAL ASSESSMENT
Under each question, circle all words that describe your feelings about the statement
When I think about being in labor I feel:
excited
worried
scared
anxious
relieved
unprepared
happy
thrilled
When think about caring for my new baby I feel:
warm
loving
anxious
uneasy
confident
uncertain
tired
excited
When I think about my relationship with the baby's father I feel:
comfortable
anxious
uncertain
angry
loving
secure
upset
relaxed
secure
When I think about myself I feel:
content
unhappy
unattractive
satisfied
unsettled
alone
proud
When I think about my family and friends I feel:
loved
abandoned
secure
happy
hurt
uncertain
on my own
supported
53
WHAT HAPPENS TO BABY AFTER BIRTH?
COMMON NEWBORN PROCEDURES
Skin to Skin
The best way to greet your new baby at birth is by putting the baby on your tummy or chest,
skin-to-skin, immediately after birth. When a newborn is put skin-to-skin it has an easier
transition to life outside the womb! Skin-to-skin:
o Helps keep a normal body temperature
o Exposes baby the healthy bacteria on mother’s (or father’s) skin providing immune
protection
o Baby smells the breast and show interest in feeing within an hour of birth!
For more information on the benefits of skin-to-skin and early feeding:
Http://www.babyfriendly.ca/challenge/2007/BFC2007_Mothers_Handout.pdf
http://www.canadianbreastfeedingfoundation.org.basics/skin_to_skin.html
Newborn Exam
All newborns get a careful head-to-toe examination within a couple of hours of birth. Sometimes
this exam is done before you breastfeed for the first time, especially if we have called a
pediatrician to attend your delivery. Often we can delay the exam until after you have had skinto-skin time and your first breastfeed.
While we examine your newborn, we encourage you to watch and also participate. Please feel
free to ask any questions you have about your baby. Your newborn will recognize your voice, so
talking or singing to your baby, as well and gentle touches, will provide comfort.
During this newborn exam we: listen to the heart and lungs, measure length and head
circumference, examine each part of the baby and check the baby’s reflexes.
For more information on the normal newborn:
http://www.bchealthguide.org/kbase/topic/special/hw42229/sec6.htm
http://www.bchealthguide.org/kbase/topic/special/hw42229/sec1.htm
54
Eye Ointment
Within one hour of birth, newborns routinely have a small amount of 0.5% erythromycin
antibiotic ointment placed in each for the purpose of preventing serious eye infections that can
lead to permanent eye damage. Chlamydia and gonorrhea are the two most serious infections
the eye ointment is meant to prevent; both of these infections can pass from mother to baby at
delivery. If you have been screened for Chlamydia and gonorrhea in pregnancy and are in a
monogamous relationship, the chance of serious infection is very low. Other bacteria may cause
eye infections, but they are not as serious. The ointment is not painful, but does cause short
term blurring of vision.
Although there is a law in BC requiring health workers to apply the erythromycin ointment, as
parents, this is always your choice. Some parents do not want to give their newborn baby
antibiotics. You may sign a waiver of treatment at the hospital.
For more information on newborn eye treatment:
http://www.rcp.gov.bc.ca/guidelines/NB1MasterEyeCareFebruary.pdf
http://www.ctfphc.org/Full_Text/Ch16full.htm
Vitamin K
Vitamin K is essential to blood clotting. It is produced in our intestines by the normal, healthy
bacteria that live there. Because newborn babies do not yet have this bacteria living in their
intestines (babies are sterile when they are born), they are susceptible to a disorder called
Vitamin K Deficiency Bleeding (VKDB), sometimes called Hemorrhagic Disease of the Newborn
(HDN). VKDB may cause serious bleeding into the brain or rarely, fatal hemorrhage. The
number of babies who have VKDB is very small, ranging from 1.5% to 0.001%, and is higher in
breastfed babies, as formula is enriched with Vitamin K.
Skin-to-skin immediately after birth and early and frequent breastfeeding help to lower the
incidence of VKDB, however, the most effective means of prevention is a single injection of
Vitamin K into newborn’s thigh. For over 50 years health care providers have been giving babies
intramuscular injections of Vitamin K as an effective means of decreasing VKDB. The risk of a
Vitamin K injection is a minor amount of short-term discomfort in the newborn. No long term
consequences have been recorded in the medical literature. Some parents may choose to give
oral Vitamin K, but this is not as effective in reducing VKDB, It is also an option to decline
Vitamin K treatment for your newborn, as long as you understand the information available. In
certain situations, such as a preterm birth or forceps delivery, Vitamin K would be very strongly
recommended.
For more information on Vitamin K for the newborn:
http://www.midwives.mb.ca/StandardsAndPolicies/Gdln-NewbornAdminOfVitaminK.html
http://www.rcp.gov.bc.ca/guidelines/Master.NB12.VitK.pdf
55
Neonatal Metabolic Screen
Often referred to as the ‘PKU’ test, or ‘heel prick’ test, this simple blood test is offered to all
newborns in BC for the early detection of 4 potentially very serious disorders that affect the
newborn metabolism. If not detected, these 4 disorders may cause irreversible damage in a
newborn, but if picked up early, diet changes and medications can greatly reduce this risk.
The test is done after a baby is at least one day old. A very small prick is made in the baby’s
heel and four drops of blood are collected on a special card, and then sent to the laboratory for
results. We can do this in your home if you go home early from the hospital. The PKU test may
now be screening for many more rare metabolic problems.
The four metabolic disorders are:
Phenylketonuria (PJU): An inability to metabolize one of the components of protein. This
occurs in 1/18,000 babies in BC. Dietary changes can prevent damage.
Galactosemia: Lack of an enzyme necessary to use galactose (milk sugar) for energy. This
occurs in 1/25,000 babies in BC. Lactose-free diet helps prevent serious problems for the baby.
Congenital Hypothyroidism: Low or absent thyroid hormones important for mental and
physical development. This occurs in 1/35,000 babies in BC. Hormones are replaced to prevent
problems.
Medium Chain Acyl-CoA Dehydrogenase Deficiency (MCAD): Babies with MCAD can’t use
fat stores for energy. This occurs in 1/20,000 babies in BC. Eating well on a schedule prevents
serious problems for these babies.
For more information on the newborn screening test:
http://www.bchealthguide.org/healthfiles/pdf/hfile67.pdf
http://www.bvchildrens.ca/Services/SpecializedPediatrics/NewbornCare/NewbornCareScreenin
gProgram/default.htm
Adapted from South Community Birth Program January 2012
56
BABY SKIN CARE AND RASHES
SKIN CARE:
How often do babies need a bath? 2-3 times/week. Daily cleansing of skin folds (neck, armpits,
between fingers, groin) with water. Gentle baby soap. Water only for face.
Dry skin – very common, especially on hands and feet. Can use vegetable oil (olive oil) or nonfragrance, gentle products as below.
Natural skin products: this is only a partial list; the important thing to look for is something that
is non-medicated and unscented. (some babies will do fine with regular scented products, watch
your baby for sensitivity)
 Aveeno Baby – line of bath soap, moisturizers
 Glaxal Base – hypoallergenic moisturizing cream
 Eucerin – moisturizing cream
 Laundry detergent – wash clothes prior to baby wearing them. Avoid fragrances or dyes.
 38-40% Zinc oxide barrier cream for diaper rash
 Wipes- most standard diaper wipes have chemicals, fragrances and can make diaper rash
worse. Clean diaper area with soft wet cloth or wet cotton balls. Save wipes for when you’re out
of the house, or use more expensive natural wipes. You can also rinse the standard wipes with
warm water.
RASHES:
Common in many newborns. Description and treatment:
 Newborn rash – erythema toxicum. Red with raised small white center. Moves around. No
treatment needed.
 Milia – tiny white bumps on nose, chin and plugged oil glands. No treatment needed.
 Newborn acne – small red or white bumps on forehead or cheeks. Often develops within 4
weeks due to maternal hormones during pregnancy. Can clear up or linger for months. Wash
with warm water several times a day and pat dry.
 Heat rash – fine, clear or red spots, often on cheeks, neck, skin folds. Disappears on own,
no lotions or oils. Dress baby in layers-typically they need one extra layer than you have. OK for
hands and feet to be slightly cool as long as core is warm.
 Cradle cap – Usually clears up on own in a few months. Thick, yellow patches of dried skin.
Can use baby oil, gently loosen and comb out flakes, then shampoo off.
 Thrush – bright red, defined, raised rash that doesn’t go away with diaper rash cream.
Caused by candida (yeast). Treatment is antifungal cream (Nystatin, over-the-counter). Baby’s
mouth and mom’s nipples (if breastfeeding) may be affected and need treatment. If nipples are
suddenly painful, or you notice white spots on baby’s gums, cheeks, contact CBP for an
appointment.
To view a slideshow of common newborn rashes, see:
www.mayoclinic.com/health/baby-rashes/F10090
Courtesy of Vancouver Coastal Health- 2012
57
Connecting Pregnancy Program
INFANT MASSAGE
What is Infant Massage?
Gently massaging your baby has many benefits for both you and your baby.
 Relaxation. Loving touch lessens tension, fussiness, and irritability that your baby
may have. It aids digestion and can provide relief from gas and colic. Providing
this massage may also lessen the stress that you have been feeling from your
baby's behavior.
 Enhances bonding. Having this special, intimate time with your baby can
contribute to the closeness that you feel. Touch conveys nurturing and love
which are essential ingredients for emotional and physical growth and well-being.
 Aids growth and development. Studies have shown increased weight gain and
immune function. Even the nerves show strengthening which, in turn, aids the
functioning of muscles and the brain.
 Promotes communication. The better you know your baby the more aware you
will become of the baby's non-verbal cues. This communication instills a
message of love and security.
 Improves the baby's sleep. As your infant learns to relax and release
stress, sounder and longer sleep often is the end result.
How do I get started?
There are a number of basic points and steps to learn when massaging your baby. There is no
one best time to massage a baby but many parents find a good time to massage is after the
baby's bath.
To enjoy the benefits of infant massage, create a pleasant environment for you and your
baby. Make sure the room is warm and the baby is lying on a towel or mat. Have some
relaxing music on in the background and a vegetable based oil ready to massage your baby.
Don't worry if you cannot fully massage your baby the first time. Massage may be something
new and different. It may take some time for your baby to relax and enjoy the new sensation.
Start by massaging the legs and feet of your baby using long soft strokes and keeping
contact with your baby. Progress on to the abdomen and then the upper body doing as
much as your baby seems to like and that you enjoy.
The first learning experiences of a baby come from contact with parents and caregivers.
What a wonderful way this is to strengthen the bond between you and your baby.
Courtesy of Vancouver Coastal Health- 2012
58
CONNECTING PREGNANCY: PROGRAM SESSION # 9
Putting It All Together
Self-Assessment Sheets
(SAS)
Contraception
Today’s Discussion
Sharing of Birth Stories
Exercises after Birth
Contraception
 www.optionsforsexualhealth.org
 www.sexualityandu.ca
Sharing Together: Thoughts and Concerns about the Birth
Process and the Early Post-Partum Weeks
Mood Changes after Childbirth
Soothing a Fussy Baby
Community Resources
Baby’s Best Chance

Immunizations/
Health Passport ...................... pg 119-120
 Contraception Options............ pg 92-95
 Sharing a Bed with your
Baby ....................................... pg 11-112
 Self-Care: The first Week
after Baby is Born .................. pg 86, 103, 105
 Taking Care of Baby .............. pg 110-112
 Thoughts about Siblings ......... pg 82
 Mood Changes after
Childbirth ................................ pg 85 & 86
 Postpartum Depression .......... pg 86
 Postnatal Exercise ................. pg 47
_______________________________________________________________
NOTES:
Reproductive Mental Health Self-Care Guide:
www.bcwomens.ca/NR/rdonlyres/483927DE-698E-42A7-89E56E7080D6ABA9/12518/ReproductiveMentalHealthSelfCareGuide.pdf
Birth Control by Breastfeeding:
www.breastfeeding.com/reading_room/lam.html
59
Connecting Pregnancy Program
SAS - CONTRACEPTIVE USE
Below is a list of various contraceptives. Respond to them in terms of whether you have
ever used them, are planning to use them, and/or want more information
Have Used
Method
Plan to Use
More info
________
condoms, male
________
_______
________
condoms, female
________
_______
________
vaginal preparations
________
_______
________
diaphragm
________
_______
________
intrauterine device (IUD)
________
_______
________
birth control pills
________
_______
________
birth control patch
________
_______
________
depo provera shot
________
_______
________
norplant
________
_______
________
natural family planning
________
_______
________
pulling out (withdrawal)
________
_______
________
abstinence
________
_______
vasectomy
________
_______
tubal ligation (sterilization)
________
_______
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CONNECTING PREGNANCY: PROGRAM SESSION # 10
Now What Happens?
Self-Assessment Sheets
(SAS)
All about my Baby
Today’s Discussion
Continued Sharing of Birth Stories
Reviewing Plans for Taking Care of Myself, My Baby, and My
Family
Amazing Talents of the Newborn (video)
Contraception
________________________________________________________________
NOTES:
Sexuality and U: www.sexualityandu.ca
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Connecting Pregnancy Program
ALL ABOUT MY BABY
My baby's name __________________________________
My baby was due on _____________________ but …
My baby actually delivered on _________________ at ______________ AM/PM
My baby weighed _________ lbs and _____ oz
My baby was ________ inches tall
_____________________________________ helped deliver my baby
I gained __________ lbs carrying my baby
My thoughts during labor were: _____________________________________________
_____________________________________________________________________
_____________________________________________________________________
When I first saw my baby I felt: _____________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
We hope you have felt supported in this journey,
your Care Providers at Community Birth Program.
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Sacred Space
Birth in Progress
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