Preparing for Birth Child Development Chapter 5-1 A Healthy Pregnancy • For a healthy pregnancy, a woman needs to: • • • • • Eat a well-balanced diet Exercise moderately Get plenty of sleep Manage stress Get proper prenatal care A Healthy Pregnancy • Select the correct answer: • If a woman thinks she might be pregnant, she should get tested A. B. C. D. Tomorrow Today In a week or two Never! Ignorance is bliss. • Correct answer is… – B. TODAY! A Healthy Pregnancy • Think about the signs of early pregnancy. • Think about how a woman’s body typically changes during the month. • What do you notice???? A Healthy Pregnancy • How can you tell for sure if you are pregnant? • Home pregnancy tests – Very accurate, especially with POSITIVE readings • Blood test – 100% accurate • How soon can you tell? • Using early morning sample, you can sometimes tell by first day of expected (or missed) period A Healthy Pregnancy • Proper medical care… • for the duration of pregnancy is CRITICAL to the health of the baby • Make an appointment with an OB/GYN – OB = Obstetrician • Specializes in pregnancy and childbirth – GYN = Gynecologist • Specializes in non-pregnant women patients A Healthy Pregnancy • • • • What happens at the first exam? Weight / blood pressure / pulse / respirations Discuss your medical history and family history Take another urine test – Confirms pregnancy – Tests for infection and diabetes • Possibly… – Blood test – Pelvic measurements – Ultrasound • Also… • Confirm due date!!! A Healthy Pregnancy • When is the due date? – 9 months and 1 week from the first day of the last menstrual period • How often are babies born on their “due date?” – 5% of the time! 1 in 20 babies • What time frame is still considered full term and normal? • 2 weeks before or after due date A Healthy Pregnancy • How often do you go to the doctor? – 8 weeks – 6 Months - Monthly – 7th & 8th Month - Twice a month – 9th Month on – Weekly • What happens? – Test urine – Measure your belly – Check weight/vitals – Listen for heartbeat A Healthy Pregnancy • Gestational Diabetes – Can cause baby to be heavier than normal – Blood test between 24 – 28 weeks • Preeclampsia – High blood pressure during pregnancy – Can cause low birth weight & liver, lung and kidney failure – Doctor may prescribe bed rest, medication or induce labor Nutrition During Pregnancy • Good nutrition… • is the single MOST important requirement during pregnancy • All pregnant women should… • Take a prenatal vitamin • How many additional calories does a woman need each day? • 300 additional high quality calories A Healthy Pregnancy • How much weight do pregnant women gain? • According to “experts:” 25 – 35 pounds • Mrs. Wilhite’s experience: 25-60 pounds Personal Care and Activities • What else should you do to be healthy during pregnancy? • Get plenty of rest • Exercise • Practice good hygiene – Floss! Discomforts of Pregnancy • Nausea and/or vomiting – “morning sickness” – Usually clears by 4th month • Sleepiness – More common during 1st and 3rd trimesters – 2nd trimester, get a burst of energy More Discomforts… • Heartburn • Shortness of Breath – pressure on the lungs, esp. in last trimester • Varicose Veins – Twisted, enlarged veins • Muscle Cramps in the Legs • Low Back Pain Linea Nigra Preparing for Parenthood Chapter 5.2 Child Development Preparing for Parenthood • When you become a parent, your role in life changes. Discuss with a partner how each role in your life may change when you are a parent. – Spouse (husband or wife) – Student – Volunteer – Employee – Sister or brother – Daughter or son Preparing for Parenthoood • Choose a pediatrician – Doctor who specializes in treating children • Feeding your baby – Breastfeeding (Nursing) – Formula (Bottle) • Both options – have advantages and disadvantages – provide vital nutrients to an infant • https://www.youtube.com/watch?v=Zhk-NqAm1Pg Breast-feeding • Advantages – Best source of nutrition for the baby – Gives the baby some immunity against diseases – Creates a bond through physical closeness with the mother – May boost brain development – Reduces baby’s risk of allergies – Causes fewer digestive upsets Breastfeeding • Advantages, Continued… – Speeds the return of the mother’s uterus to normal size – Reduces the mother’s risk of later having breast or ovarian cancer – Reduces the risk that the mother will feel depressed – Is conveniently available at all times – Is free, though a nursing mother needs additional food Breast-feeding • Disadvantages – Prevents father from participating in the feeding – Baby has to be fed more often – In rare cases, may be medical reasons that suggest breast-feeding is not desirable – May be painful for some mothers – May be difficult because of work schedule Bottle-feeding • Advantages – Allows father to participate in feeding – Allows mother to have a more flexible schedule – Eliminates concern about mother’s diet or medications she takes – Babies need feeding less often Bottle-feeding • Disadvantages – Can be expensive – Does not give the baby any natural immunity to disease – Involves a greater chance of baby developing allergies – Creates risk that baby may not be given close physical contact during feeding Preparing for Parenthoood • You will need to… • make decisions about who will care for the baby. • What options are there? – Stay at home parent – Relative – Child Care Center or Provider Preparing for Parenthoood • You will need to make a budget. • Fixed expenses – Rent – Car payments – Taxes • Flexible expenses – Food and household – Clothes – Entertainment Preparing for Parenthood • Stuff you NEED – Crib and mattress, sheets – Diapers and wipes – Baby soap and washcloths – Sleepers – Receiving blankets – Bottles/ formula (if not nursing) – Car seat Preparing for Parenthood • Stuff that is nice, but you don’t need: – Changing table and pad – Dress up clothes – High chair and bibs – Baby bathtub – Stroller – Designer jeans, shoes Useful stuff? Car Seat Safety • Car Seat Safety – Infants must be rear-facing until 12 months and 20 pounds • Where is the safest place for an infant? – rear middle seat • At what age is it safe for a child to ride in the front seat? • 12 Car Seat Safety – Videos – Why Car Seats are Important – http://www.youtube.com/watch?v=wxlnD-575u8 – Story – http://www.youtube.com/watch?v=Q8gU9zzCGA8 Childbirth Options Chapter 5.3 Child Development Childbirth Options • What is prepared childbirth? – Involves reducing pain and fear during the birth process through education, breathing and conditioning exercises • Labor – process of the baby moving out of the uterus and into the vaginal canal to be born • Delivery – The actual birth Childbirth Options • Childbirth Education Classes – Offered at hospitals, doctor offices, private teachers • What do you learn at these classes? – Breathing techniques and conditioning exercises – Prenatal development – What to expect during labor and delivery – How to make a birth plan – What to expect after the baby is born Childbirth Options • Who will deliver the baby? – Obstetrician – Qualified to handle any emergencies or complications – Family Doctor – Some GP’s deliver babies but if complications arise, they contact an OB – Certified Midwives – Trained to assist a woman in childbirth – CNM (Certified Nurse Midwife) – also Registered Nurses Childbirth Options • Where will baby be born? – Hospitals • Most babies in America are born in the hospital • Prepared to handle almost any emergency – At Home • Only recommended for women with uncomplicated pregnancies with low risk of complications Childbirth Options • Where will the baby be born? • Alternative birth centers – Home like environment – Emphasize prepared, natural childbirth – Do not offer pain medication – Midwives usually handle births in these centers – Most accept only mothers with low risk of complication Childbirth Options • What are the benefits of an alternative birth center? – Nearby hospital is on call if there are any emergencies – Cost less than a hospital – Parents leave with babies sooner (24 hours)