Preparation for BirthKey terms:

1. Maternity leave

2. paternity leave

3. fixed expenses

4. flexible expenses

Goal: Students will be able to list and recognize the basics of preparing for birth.

Helping siblings adjust• Allow child to help prepare

• Move child out of crib or room before birth

• Purchase a new doll for sibling

• Open communication is important

When mom goes to hospital:

• Call child(ren) at home soon after birth

Allow child to visit hospital as soon as possible

Sibling may want to take new toy to newborn

Breastfeed or Bottle feed?

OR

Breastfeeding…. *

protects your baby from gastrointestinal trouble, respiratory problems, and ear infections

*protects your baby from developing allergies

*may boost your child's intelligence

*may protect against obesity later in life

*may protect your baby from childhood leukemia

* may protect your baby from developing type 1 diabetes

*may protect preemies from infections and high blood pressure later in life

*may lower your baby's risk of SIDS *helps you lose weight

*can lower your stress levels and reduce postpartum bleeding

*may reduce your risk of some types of cancer

*may protect against osteoporosis later in life

Advantages of bottle feeding…

• Babies need to be fed less frequently since it is more difficult to digest.

• If you are bottle feeding your baby, you know exactly how much milk your baby has had.

• Baby can be fed by anyone

• Your social life does not need to be curtailed.  You can resume your normal life.

Decisions before birth:

Car seat NC Law-All children must be in a: car seat in the rear seat if child is

less than 5 years old, weighs less than 40 pounds, and if the vehicle has passenger side air bag

(should face the rear of the vehicle as long as possible, but at a minimum should not be turned around until AT LEAST 20 pounds AND at least 1 year of age)

Big boys and girls

• Car seat or booster seat if under age 8 and under 80 pounds

Safety At Home

Making Cribs and Beds Safe1) the top of the adjustable rail at its highest positionmust be at least 26 inches above the of the mattress support at its lowest position, and2) all wood surfaces must be smooth and free fromsplinters;3)To prevent head entrapment and suffocation betweenthe mattress and crib sides, a mattress used in full-sizecribs must be at least 27¼ inches by 51⅝ inches with athickness not exceeding 6 inches.

• Family leave:

determine finances

new parents’ roles

work schedules

child care

Potty break….

(Go over Rubric for project)

**flour baby projects will be given back on Monday

March 12

• Reminder of Pregnancy booklet is due March 19

• Give out progress reports, flour baby books, and bean projects

• Finish up lesson from Friday (preparing the home for baby)

Partners…**NO YOU MAY NOT CHANGE

• Lisa, Cameron• Ashley, Mylinh• Haylee, Maranda• Jared, Olivia• Ana-Len, Seirah

• Andrew, Hannah• Jennifer, Tierra• Sakiquioa, Allison• Alayni, Taylor• Kaitlin, Nick

Child SafetyAt home…

Parents should look for ways to keep their children safe at home and away from

home.

Childproofing The Home

Kitchens, Bathrooms, heat sources, any room the baby will be in

When Children are free from danger they are safe.

Safety At Home

Home Fires

Fire alarms should be checked regularly. Batteries should be fresh.

Carbon Monoxide Detectors. Carbon Monoxide is the silent killer. These are good if you have fireplace or work in the garage a lot.

Safety At Home

Home Fires

Keep a fire extinguisher handy in your kitchen or other areas

Safety At Home

Firearm Safety

Keep all firearms up away from the reach of children AND keep a lock on your firearm!!!

Safety At Home

Bathing Children Safely

Cover faucets with rubber safety kits!

Use baby tubs for infants!

Never leave a child a lone around water!!

Safety At Home

Preventing Falls

Use Gates near stairs!

Use foam/rubber edge guards!

Use Door/draw locks so kids cant climb up furniture!

Safety At Home

Preventing Suffocation

Keep clothes fitted not loseKeep blankets, stuff animals, and extra things out of the crib!

Safety At Home

Meal time Safety

Prevent ChokingKeep Toddlers away from foods that are hard to chew! (string cheese)Learn CPR and the Heimlich maneuver!

2,800 people die each year from choking

Safety At Home

Preventing Poisoning

Keep all cleaning chemicals locked away

Keep all doors and draws locked

Safety Away From Home

Playground Safety• all playground surfaces should be covered with either a

rubber or rubber-like mat or at least 12 inches of pea gravel, sand, mulch, or wood chips.

• The landing surface should stick out at least six feet in every direction from the play structures.

• to prevent falls in the first place, all platforms or ramps should have guardrails or other barriers

• Toddlers and babies should use only full-bucket swings, not half-bucket swings.

• No sharp edges sticking out.• • Make sure there are no strings, belts, or straps

hanging from your child's clothing. • Keep a close eye on your children. The safest

playgrounds are the ones where parents are looking out for kids. Stay close!

Safety Away From Home

Water Safety

• all playground surfaces should be covered with either a rubber or rubber-like mat or at least 12 inches of pea gravel, sand, mulch, or wood chips.

• The landing surface should stick out at least six feet in every direction from the play structures.

• to prevent falls in the first place, all platforms or ramps should have guardrails or other barriers

• Toddlers and babies should use only full-bucket swings, not half-bucket swings.

• No sharp edges sticking out.

• Make sure there are no strings, belts, or straps hanging from your child's clothing.

• Keep a close eye on your children. The safest playgrounds are the ones where parents are looking out for kids. Stay close!

Childbirth classesLamaze

aimed at removing all kinds of fear and tension during labor

Classes involve stretching and strengthening exercises, learning the art of relaxation and breathing techniques, labor

Moms-to-be start taking

Lamaze classes

anytime the first trimester

(fathers, too)

Normal labor, birth, and the early postpartum period (using videos of real births)

• How to be active and informed participants during childbirth

• Focused breathing techniques for labor

• Other relaxation techniques and natural strategies to help you work with labor pain, such as massage, walking, position changes, and hydrotherapy

• Tips to help your partner be encouraging and supportive during labor

• The value of one-on-one professional support during labor

• How to communicate with your healthcare team so your needs are met

• Complications that could arise during labor and birth, and interventions that might be medically necessary

• Epidurals and other options for managing pain with medication

• Early interaction with your baby • Breastfeeding

Bradley Method

1. 12 weeks of classes

2. teaches natural childbirth and views birth as a natural process

3. system of natural labor techniques in which a woman and her coach play an active part

Bradley method teaches:*natural childbirth - nearly 90% of Bradley moms having

vaginal births do so without pain medication*active participation by the husband as coach*nutrition*avoidance of drugs during pregnancy, birth, and

breastfeeding, unless absolutely necessary*relaxation and NATURAL breathing management*“tuning-in" to your own body and trusting the natural

process*immediate and continuous contact with your new baby*breastfeeding, beginning at birth provides immunities and

nutrition*consumerism and positive communications

LeBoyer method

Dr. Fredric Leboyer 1970’s1975 Birth without Violence

Goal: minimize the trauma and stress experienced by a baby at birth

Leboyer Method includes:

• quiet room that has low or dim lighting

• minimize noise levels • not pulling on the baby's head • baby placed on mom’s

stomach after she or he is born• baby is gently massaged to

ease crying• umbilical cord will not be cut

until it has stopped pulsating • baby may be placed in warm

tub of water

You should definitely call your practitioner if:

• You are less than 37 weeks pregnant and are showing any signs of pre-term labor

• Your water breaks or you think you're leaking amniotic fluid

• You have vaginal bleeding, fever, or severe or constant pain

• Your baby stops moving or begins to move less

Signs of Labor

• Lightening

• Mucous plug

(Bloody show)

• Amniotic fluid ruptures

• Contractions

3 stages of birth

1. Dilation of cervix

2. Contractions

3. Placenta is delivered

Stages of Labor

• First stage (several hours-24 hours)

dilation of cervix

*checked during a pelvic exam

*measured in centimeters, from 0 cm (no dilation) to 10 cm (fully dilated)

*4 cm dilated=active stage of labor

*fully dilated=ready to start pushing

Effacement

*cervix softens as it's preparing for labor

*usually begins during the last month of pregnancy

*by delivery day, cervix will have stretched from around 1 inch in width to paper thinness

*doctor or midwife may start checking for gradual effacement during last two months of pregnancy with internal exams during prenatal visits *effacement is measured in percentages:

0%= no effacement

100%= fully effaced.

• Contractions

*uterus contracts

*contractions get longer, stronger

*true contractions=closer together, last

30-70 seconds

Baby moves into position

Anesthesia may be used

Other options:

Demerol and Nubain -can make you drowsy, dizzy and cause nausea and vomiting

paracervical block - local anesthetic injected around the cervix to numb the nerves that go to the perineum

Spinal anesthesia- local anesthesia placed into the back into the spinal fluid; only lasts about an hour

Epidural-A needle is placed between the vertebrae into a space called an epidural space. Medication is then placed into this space through a small catheter which is left in placed and taped.

• Transition

*Lasts from few minutes-several hours

*Contractions last 60 to 90 seconds and come two or three minutes apart

*Dilate to 10 cm

• Second stage (few minutes-3 hours)

*Contractions move baby through pelvis, out of vagina

*pelvic ligaments stretch, bones open

*episiotomy

*baby moves through birth canal

*head emerges, shoulders rotate, body is delivered, feet emerge

• Third stage (2 minutes-30 minutes)

*placenta is delivered

Newborn Procedures

• Vitamin K-helps blood clot

• Tests for hearing

• Blood test for PKU

• Silver nitrate drops

• Weighed and measured

What happens at birth?Apgar Scale (Virginia Apgar, 1952)One minute, 5 minutes after birth Activity (muscle tone) 0 — Limp; no movement

1 — Some flexion of arms and legs2 — Active motion

Pulse (heart rate) 0 — No heart rate1 — Fewer than 100 beats per minute2 — At least 100 beats per minute

Grimace (reflex response) 0 — No response to airways being suctioned1 — Grimace during suctioning2 — Grimace and pull away, cough, or sneeze during suctioning

Appearance (color) 0 — The baby's whole body is completely bluish-gray or pale1 — Good color in body with bluish hands or feet2 — Good color all over

Respiration (breathing) 0 — Not breathing1 — Weak cry; may sound like whimpering, slow or irregular breathing2 — Good, strong cry; normal rate and effort of breathing

Work on Pregnancy book