HYPNOBIRTHING OUR MANUAL & WORKBOOK
supporting you to feel confident and make informed choices that are right for your body, birth and baby
MYSTRIMUMMA
Eachsessionwewillfocusondifferentsubjectmatters,watch/readtopositivebirth videos,practicebreathingtechniquesandrelaxations,andyouwillbegiveninformation aboutdifferentbirthingjourney'ssoyouareequippedtomakeinformedchoicesforyour body,birthandbaby Pleasefeelfreetoaskquestions,makenotesduringtheclassand eventocontactmeviatelephone,WhatsApp,textoremailifyourrequireanyfurther informationorsupport Myroleistosupportyoubothandyourbirthingjourneyasmuch asIcan IfIdonotknowtheanswer,Iwillseekguidanceandcomebacktoyou Remember:thereisneverasillyquestion.
PleaserememberthatIwillbegivingyouthetools,techniques,informationand resourcesaspartofthecourse Inorderforthisalltowork,youmustalsofollowthrough withpracticingandfollowingupwiththehomeworkset It'sajointeffort
Icannotwaittogetyoustartedonyourbirthingjourney!
TheinformationprovidedbyMystriMummaisforgeneralinformationalpurposesonly Allinformationisprovidedingoodfaithtosupport
fromarelevantmedicalprofessional
DISCLAIMER Thisworkbookisdesignedtoprovidehelpfulinformationtoprepareyouandyourbirthpartnerinyour pregnancy,labourandbirthingjourney.
yourjourney MystriMummaalwaysrecommendsyoucompletethoroughresearchandgainmoreinformationaboutyourindividual circumstancebeforemakingandchoicesforyourlabour/birth MystriMummawillnotofferanyclinicaladvice,anyadvicegivenisanecdotal AnymedicaladvicemustbesoughtbyTheClient(you)
MystriMummaholdsnoresponsibilityfortheoutcomeofyourlabour/birth MystriMummaholdsfullrightstothisManual NOcopiestobemadeordistributedwithouttheknowledgeorconsentofMystriMummaunderanycircumstances ThankyouforchoosingMystriMummatosupportyouinyourbirthingjourney
TO OUR FAMILY pooja
WELCOME
MEET OUR FAMILIES
BABY JOSHUA A POSITIVE INDUCTION
"Although birth plans A Z mixed up, it was still so calm The midwives were all aware of the language I wanted to use and we hadthelightsoffandjustalampandmusicon
I managed well with your relaxation tracks and the breathing and Tomusedthemassagetechniqueswhichreallyhelped!"
BABY DELILAH A DECLINED INDUCTION
"We were so glad we were able to decline an induction something wefeltlikewehadtherighttoolsandmadetherightdecisiontodo afteryourguidanceandusingour“BRAINS”likeyoutaughtus.
The Midwives kept telling me that my breathing techniques were brilliant I could never have done that without the positive affirmations,thetoolsyougaveusandwithoutAdam!"
BABY HERO A POSITIVE HOME BIRTH
"The home birth team respected our choices and were on board with your materials Being 42 and being able to enjoy this experienceathomewasbeyondamazing!
Duncan was absolutely amazing, holding my hand, massaging me throughout, asking the midwives all the right questions for me and hedidn'tannoymeonce!"
BABY VARUN A POSITIVE CAESAREAN
"Knowing how we could have a calm and gentle experience of birth with a caesarean made a huge difference We felt confident to ask forwhatwewantedandourchoicesandwishesrespected.
Welcoming Varun into the world with Paresh was more magical thanIhadeverimagined"
CONTENTS TABLE OF
WEEK 1 SETTING FOUNDATIONS
OurFeelings
Consciousvs Subconscious MindsetEffect CascadeofIntervention BrainWaves UterineMuscles ChemicalCocktail
WEEK 2
PowerofLanguage PowerofEnvironment PowerofAffirmations PowerofBreathing WaterBirth Debrief Homework
ROLES, RESPONSIBILITIES & CHOICES
Baby'sPositions BirthingMumma BirthingPartner TheProfessionals Who'sintheRoom ReliefandManagement Homevs Hospital LabourInduction(natural)
LabourInduction(hospital) AssistedBirth PreventTearing CaesareanBirth AGentleCaesarean MakingChoices Debrief Homework
WEEK 3 LABOUR AND BIRTH
EarlyLabour CervixDilation ManagingLabour TransitionPhase StagesofLabour HelloBaby
Vaginal&Caesarean HomeBirth Debrief BabyRelaxation OurFeelings Homework
WEEK 4 THE FOURTH TRIMESTER
BirthofMumma BirthofDadda NewbornCare Breastfeeding BottleFeeding
TongueTie Colic Reflux Letter Playingwithbaby
SETTING FOUNDATIONS
"whenyouchangetheway youviewbirth, thewayyoubirthwillchange" MarieMongan
FEELINGS
BIRTHING PERSON BIRTHING PARTNER
Whatcomestomindwhen youhearlabour&birth? Whatdoesyouridealbirth looklike?
OUR
4 | SETTING FOUNDATIONS
CONSCIOUS VS. SUBCONSCIOUS
Let’sthinkofourbrainlikeaniceburg Animportantfacttoknowisthatthesubconsciouscannotdifferentiatebetweena
Theconsciousmindisthetip oftheiceburg,upthereisthe informationthatweneedto keeptohand,sothat’sjust withineasyreachinorderfor ustomakedailydecisions
Thebottomoftheiceburgis thesubconsciousmind,where wekeepeverythingwemight needoneday,andthebrain storesawayeverysingle memorywehave (everysight,sound,smell)so thatonedayitmightpullthat informationtoinformyoufor yoursurvival It’sbasicinstinct
Howdoesthisrelatetopregnancyandbirth?
Whenwebecomepregnant,thebrainwantstohelpyouwiththisunfamiliar (orinfrequent)eventandsodelveddownintostoragetodigouteverythingyouhave learntinyourlifetimeaboutbirth Anditbringsupallthatnegativestuffwehavelearnt overalifetimefromthemedia,horrorstories,pastbirthexperiencesandpresentsitallto theconsciousmindbutthisleavesusfeelingscared Notwhatwewantatall!
perceivedandrealthreat
Weareinchargeofwhatweputandwhere
SETTING FOUNDATIONS | 5
BRAIN
WAVES
Beta awake,normalalertconsciousness Alpha relaxed,calm&meditative Theta deeprelaxation
Delta deep,dreamlesssleep
Inorderforhypnosistoworkweneedtobeinarelaxedstateofbodyandmind When wephysicallyrelaxourbody,itreleasestensionandalmostautomaticallyrelaxesour mind ThisstateiscalledTheta
WeentertheThetaphasejustbeforeyoufallasleeporifyouwakeupgentlyinthe morning Sowearefullypresentandawareofoursurroundings,butjustreallyrelaxed
Ourmindisrelaxedandthereforeourbodyistoo.Weknowthatwhensomeoneisinthe Thetastate,theyaremostreceptivetopositivesuggestionsandideasandthisiswhere hypnotherapytakesyou So,whatyouarelearningtodobylisteningtotheaffirmations &relaxationsistogettotheThetastate
Thereasonyou’redoingthisissothatwecanthengiveyoushortcutsonhowtoget there,sothatatanytimeyoulikeduringlabourorbirth,youandyourbirthpartnerwill havetheabilityasateam(you’llhavetechniquestouseinternally,andyourbirth partnerswillhavetechniquestouseexternally)totakeyoutotheThetastate.
6 | SETTING FOUNDATIONS
MINDSET EFFECT
DISCUSSION:
Whathappenswhenwefeelfrightened,stressedoranxious?
Whenweenterthefreeze/flight/fightmode,oxygenatedbloodisimmediatelysentto ourvitalorgans,andtoourarmsandlegstohelpusrunaway.Sadly,ourbabyisneither ofthese,sogetslessoxygenstraightawaywhichisdemonstratedbytheirheartrateand seenasfoetaldistress
Theotherjobofadrenalineistoconstrictthemusclestoenableyoutofight Sothatlovely flowofmusclemovementcreatingthesurgesbecomesconstrictedandineffective, meaningthatthecervixcan’topen,andthattensioninthemuscleshurtsMum
FEAR
NIAP
T E N NOIS
SETTING FOUNDATIONS | 7
CASCADE OF INTERVENTIONS
Thesurgesareineffective
Potentialinterventionwithassisted vaginalbirth Babymayreleasemeconium TransferredinforanEmergencyCaesarean Howcanthisbeprevented? 8 | SETTING FOUNDATIONS
(becauseofthemuscle constriction) Thecervixthereforecannot dilateefficiently Mumbecomesdistressed Potentialrestraintinmovement Thisbecomespainfulasthemuscles aretryingtoworkbutarebeing constricted,whichinturnis frightening,whichtriggersfurther adrenalinrelease PinardStethescope Doppler CTGMonitoring ElectronicFetalMonitoring Babypotentiallybecomesdistressed Mumgetsexhausted
UTERINE MUSCLES
Theoutermusclesdrawdownandoverlaptheinnermuscles andthendrawsthemup andawaythec topofthe uterusasthey’r dlabour Inthat time,thecervix ate)asthe babyisnudged of approximately mediameterof yourbaby’shea
OuterLayer MiddleLayer
InnerLayer
Cervix
PINGPONGBALLOONEXERCISE:
Thisreplicatestheuterus,thebabyinsideandtheclosed,longcervix Theclosedcervixis thingandlong,andyouwillseehowmuchworkitneedstodobeforeitevenbeginsto open
Nowifyouremember,whilstthoseoutermusclesareliftingtheinnermusclestheyare puttingpressureonthetopoftheuterus
Sowecanreplicatethatwithourballoontoseewhathappenstothecervix Asyou squeezeandreleasethetopoftheballoon,itshortens,thinsandthenbeginstoopen Nowyoucanseeyoubaby’shead!
Thisiswhyit’smorecommontorefertocontractionsassurgesnow,asit’sasurgeof hormonesencouragingthebodytoopen.‘Contraction’conjuresupimagesoftightening andclosing,whichisnotwhatwewant
SETTING FOUNDATIONS | 9
CHEMICAL COCKTAIL
OXYTOCIN:YourLOVEhormonestimulatesuterinesurgesand helpsbirthofbabyandplacenta
HOW: ENDORPHINS:YourHAPPYhormonesisalsoyourbody’snatural painrelievinghormone
HOW: MELATONIN:YourSLEEPhormonewhichisreleasedwhenyouare feelingsafeandprotected
HOW: PROSTAGLANDINS:YourINDUCTIONhormonewhichhelps encourageuterinesurges
HOW: RELAXIN:Softenallligamentsandcartilageofthepelvis Ithelps thecervixsoftenandloosenandforyourperineumtobecome moreflexibleandstretchy
HOW: ADRENALINE:YourFREEZE/FIGHT/FLIGHThormone.Needjust abitattheend!
HOW: PROLACTIN:YourMILKhormone
HOW:
10 | SETTING FOUNDATIONS
POWER OF LANGUAGE
CHOICESEXERCISE:
Whichdoyouprefer?
Statement1:“Youareonly3cm” Statement2:“Youhavereached3cm”
Statement1:“Youdon’tsoundlikeyou’reinpain.” Statement2:“Youaremanagingsowell Letmeknowifyouneedme”
Statement1:“Youhaveonlydilatedby1cm,it’stakingtoolong Letmedothisforyou” Statement2:“Welldoneanother1cm Howareyoudoing? Wouldyoulikeanyfurtherhelp?”
BIRTHPARTNER
Donotfeelafraidto advocatethebirthing mother'swishes Itis OKtochallenge/ requestthe professionals dimlights decorative/fairy
t i p
Languageisimportantanditmatters Changingthewayinwhichyouarespokentoby usingwordsthataresofterandkindercanreallyhelp,forexample:Surgeorwave insteadofcontractionorbreathingdowninplaceofpushing Thinkaboutwhat languageyouwouldlikeforyourbirth itmattersanditshouldberespected.
hanginglights affirmationsinsight reminders SIGHT
ENVIRONMENT wearpartners clothes essentialoils
eatduringlabour TASTE listentorelaxations birthpartnerto reciteaffirmations HEAR yourpartner'shand anchorsyoumay havepracticed TOUCH dimlights decorative/fairy hanginglights
reminders
SETTING FOUNDATIONS | 11
POWER OF
SMELL
affirmationsinsight
SIGHT
t i p Recordthe affirmationsin yourvoicefor thebirthing mother! Iamonesurge closertomeeting mybaby Icandoanything for60seconds IamaBirthing Goddess dimlights decorative/fairy hanginglights affirmationsinsight reminders SIGHT dropyourshoulders loosenyourjaws smile breatheinandout throughyournose breathewithyour belly POWER OF AFFIRMATIONS POWER OF BREATHING Ifamessageisrepeatedoftenenoughtotheconsciousmind,thesubconsciouswill eventuallyacceptitasthetruth Youarelisteningtoyouraffirmationseachdayto replaceanynegativesuggestionswithpositiveones 12 | SETTING FOUNDATIONS
BIRTHPARTNER
WATER BIRTH
DISCUSSION:
Whatdoyounoticethebirthmotherdoing?
DISCUSSION: Whatdoyounoticethebirthpartnerdoing?
DISCUSSION: Whatdoyounoticethebirthprofessionalsdoing?
SETTING FOUNDATIONS | 13
BIRTH
Noticetheenvironmentiskeptasdarkaspossibletohelpthe chemicalcocktailofhormones Therearedimlights,the relaxationcanbeheardintheback,freedomtomovepositions inthewater Mum’sneedforotherpainreliefisknowntobeless inwater Mum’sbloodpressureandheartratearelowerinthe waterhelpingthebodytoaidbabydownthebirthcanal.
TheBirthPartnercanbeseentohaveanactiveroleinthe birthingjourney YoucanseeherethattheBirthPartnerisusing lighttouchmassageastheBirthingMothermovespositionsto helpthebuildupofoxytocin
TheBirthPartnerisusingpositiveaffirmationstoreassurethe BirthingMothersheisdoingbeautifully LeaningonherBirthing Partner,theBirthingMothercanalsohearhisheartbeat,feelhis presenceandsmellhimwhichagainhelptherighthormones comeintoplayfortheirbirthingjourney
Waterbirthissafeinalowriskpregnancy Thewateriskeptat 36degreessothatwhenbabyisborn,thereisnoshocktotheir system.Thebabywillnotattempttobreatheuntilairhitsitsface andtriggersittotakeagasp Untilthatpointitisperfectlysafe underwater Inthefilmweseethemidwifeuntanglethecord fromaroundOliver’sneck,thisisprettyroutineandheisnotin dangerasheisnotusinghisrespiratorysystemyet
Babyisgreyandfloppyimmediatelybutthenveryquicklyhas tone,colourandeyesopen thisishowmostbabylook not pinkandfluffyasyouseeonTV!MumandBabycontinueto haveskintoskininthewater
WATER
14 | SETTING FOUNDATIONS
REFLECTIONS
SomethingNEWwelearnttoday
SomethingthatSURPRISEDustoday
Somethingwearetakingawaywithustoday...
SESSION 1
SETTING FOUNDATIONS | 15
PRACTICE
HOMEWORK
ListentotheGoddessRelaxationatleast3timesthisweektogether
(ifyoucandoiteverydaythat'sabonus!)
DISCUSSION: WhatwasthecolourofyourglowinglightfromtheGoddessRelaxation? Tellyourpartnerwhatcolouritisandaskthemtopackatopinthatcolourforlabour
ListentothePositiveAffirmationseverydayandpleaseletyourbirthpartnerknow whichonesyourelatetomoresotheycanmakeanoteofitforlabour/birth.
TIP: Changeyourmorningalarmtonetothepositiveaffirmations it’sagreatstarttoyourday
Startyourbirthpreferencesbylookingatwhatlanguageyouwouldlikeand environmentyouwouldliketocreate
REMEMBER:
ThisisNOTthefinalcopy it'sjusttohelpyoutogainanunderstandingofwhatyoulike, whatyouwouldbehappytocompromiseandwhatyoudefinatelydonotwant These canandmaychangesobeflexibleandkeeptalkingtooneanother!
Anyquestions,justletmeknow
CannotwaittoteachyouSession2!
16 | SETTING FOUNDATIONS
ROLES, RESPONSIBILITIES & CHOICES
"thetemptationtoquitwillbe greatestbeforeyouareabout tosucceed” BobPars
BABY'S POSITIONS
Anteriorposition
Thebestpositionforthefoetustobeinbefore childbirthistheanteriorposition Themajorityof foetusesgetintothispositionbeforelabourbegins
Thefoetus’sheadisdowninthepelvis,facingthe woman ’sback,andthebackwillbefacingthe woman ’sbelly
Posteriorposition
Theposteriorpositionisalsoknownasthe back to backposition.Thisiswherethefoetus’shead ispointingdown,andtheirbackisrestingagainstthe woman ’sback
Breechposition
Thefoetusremainswiththeheadupinthewoman’s pelvis
Completebreech:Thefoetuslegscrossedinfrontof thebody,sothefeetareneartheirbuttocks
Footlingbreech:Thefoetushaseitheroneorbothfeet hangingbelowtheirbottom
Transverselieposition
Atransverseliepositioniswhenthefoetus islyinghorizontallyintheuterus
18 | ROLES, RESPONSIBILITIES & CHOICES
BABY'S POSITIONS
Reasonswhybabymaystayinposteriororbreechpositions
HowcanItellwhatpositionbabyisin?
Whattodoifbabydoesnotmovepositions?
Reasonswhybabymaystayinposteriororbreechpositions
ROLES, RESPONSIBILITIES & CHOICES | 19
BIRTHING MUMMA
Posture
Yourpostureduringpregnancydirectlyaffectsthe positionofyourbabyforbirth,andthereforethe easewithwhichtheywillentertheworld
Mumma'sHeight Ballsize
<4ft8"
45cm 55cm 65cm 75cm 85cm
PelvicFloor
Thepelvicfloormusclebasicallyactslikea hammocksupportingyourbladder,vaginaand rectum It’swhatkeepsyoufrombeingincontinent andfromhavingavaginalprolapse.
PerinealMassage
Thismassageisbestdoneafter34weeksandhelps toloosenthemusclesnearyourperineum,reducing thechangesoftearing
PackingBags
I'vedroppedalltheessentialsinalistforyou
FuelUp!
Youcan'tbirthyourbabyonlittletonoenergy!
Communication
Talk to your birth partner about your feelings and preferencesandwriteyourbirthplantogether
4ft8" 5ft3" 5ft4" 5ft10" 5ft11" 6ft4" >6ft4" 20 | ROLES, RESPONSIBILITIES & CHOICES
TOPt i
BIRTH BAG CHECKLIST
M U M M A D A D D A B U B B A MaternitynotesandBirthPlan Comfyclothes Phone&charger Bikinitop/vestifusingpool Slippers/flipflops Socks Snacks(JellyBabies) Waterbottle Facecloths(ifneeded) Lipbalm PositiveAffirmations&UFOCards Disposableunderwear/nappies Hypnobirthingcoursenotes RelaxationMP3sandmusic Wirelessspeakerandcharger Phoneandcharger LEDtealights Fairylights Roomspray/pillowspray Nappies(approx10perday) Wipes/CottonWoolBalls Vestsx6 Sleepsuits/Rompersx6 Hatsx6 Muslinsquares Blanket Babycarseat
Aimtohaveyourbagspackedaround35weeksandleavethislistontopsoyoucanaddanylast minuteextraswheneveryouneedto It'shelpfultopackabagevenifyouareplanningahomebirth
Shortsifjoiningmuminthepool Snacksanddrinksforyourself Toiletries&towel Changeforparking Shirt(skintoskin) Changeofclothes Openmind
Birthball(ifneeded) Nipplecream(ifplantobreastfeed) Maternitypads Bigblackcottonpants(lots) Nursingbras(ifplantobreastfeed) Frontopeningnightwear(ifplanto breastfeed) Toiletries,towel&hairbrush/bobbles Outfitforgoinghome Blindfold Earphones Openmind
p
Both withanappy avest babygroandhat Onein sizenewbornandonein size0 3months When Midwifeasksyouwhatyou wouldliketogetbaby readyin justpassherthe bag! ROLES, RESPONSIBILITIES & CHOICES | 21
Pack2ziplockbags
BIRTHING PARTNER
Youareimportantineachstageofpregnancy,labourandbirth.Inorderforthebirthing mothertofeelsafeandherhormonestoworkeffectively,youneedtobetherebuilding herup Pleaseremembertokeeppracticingandremindinghertopractice
It'sateameffort
Upright,Forward&Open Remindhertokeepusetheseoptimal positionswherepossible
Movement&Massage
Encouragehertokeepmobilewherepos andtogiveherthelighttouchmassages betweensurges
BreathingTechniques
Remindherofthebreathingtechniques younoticeshebeginstopanic.
RelaxationsandEnvironment
Knowwhatshelikesandmakeher environmentcalmandprotected
EnergyandHydration
Replenishherwithnutrientstohelpherd labourandencouragehertokeephavin fluids!
Love
Keepremindinghersheislovedbyusing fivesenses
Loo
Remindhertotakeregularbreakstoem herbladder.
Advocate&Challenge
Beherbodyguard,knowyourstuffandp togethersoyoucansupportherchoices differentsituations
22 | ROLES, RESPONSIBILITIES & CHOICES
BIRTHING PARTNER
LIGHT TOUCH
Mum’stositbackfacingbirthpartner. Birthpartnertostartatthespine;makea ‘V’shapebygoingupthebackandout tothesides Continuetodothisupthe backtotheneck Slowlymakean"S"as youcomebackdown
ETERNITY
Repeatedlydrawthefigureof8orthe eternitysymbolacrosstheentireback Ensurethereisnopressureandyouare usingyourfingertipsonly.Thisshouldbe doneataslowpace
BUTTERFLY
Placeboththumbsatthebottomofthe spineandfanoutyourfingersacrossthe sides.Slowlymoveupandrepeatthe patternuntilyoureachthenapethe startagainfromthebottomofthespine
COCCYX
Placeonhandontheotherandadd lightpressurefromthebottomofyour palmtothecoccyx/tailbone Easier donewhenonallfours
ROLES, RESPONSIBILITIES & CHOICES | 23
WHO AND WHERE
24 | ROLES, RESPONSIBILITIES & CHOICES
Midwife SupportedVaginalBirthatHome SVBinBirthingCentre/LabourWard Paediatrician... MaternityCareAssistant/SupportWorker ScrubNurse Obstetrician InstrumentalBirthinLabourWardRoom... InstrumentalBirthinTheatre CaesareanBirthinTheatre
BIRTHPROFESSIONALSROLES WHO'SINTHEROOM?
RELIEF AND MANAGEMENT BreathingTechniques TensMachine GasandAir... Aromatherapy/EssentialOils Anchoring/Relaxations... Water Massage/Reflexology... Pethidine Epidural Paracetamol ROLES, RESPONSIBILITIES & CHOICES | 25
THECHOICEISALWAYSYOURS
HOME OR HOSPITAL Whatisavailable? Home Hospital Gas&Air TensMachine Pethidine Epidural Ventouse/Forceps CaesareanBirth Midwife BirthPool BirthPartner/s Children Pets Syntocinon PerineumStitching VitaminK Music DimmedLighting Aromatherapy 26 | ROLES, RESPONSIBILITIES & CHOICES
ENCOURAGING LABOUR
Only4%ofbabiesarebornontheirduedate!TheaveragefirstbabyintheUKcomesat 41+5.Expectittobe42weeks,thisbabydoesn’thaveawatch!Makelovelyplansfor your40thand41stweeksofpregnancy,soyouhavealittlesomethinginthediaryeach daytolookforwardto
Naturalwaystoinducelabour
Ifyouprefernottobeinducedbefore42weeks,yourlocaltrustwillusuallysuggesta planwherebytheywillperformaCTGeveryoreveryotherday,andscanthebabytwice aweektomeasurefluidlevels.
ROLES,
| 27
RESPONSIBILITIES & CHOICES
LABOUR INDUCTION
Eachunitisdifferent,butthebroadpolicyis:
Youhaveascheduledtimetoarriveonyourantenatalward You willbeassignedabedtowaitatuntilthelabourwardareready foryou(thiscaninvolvemanyhoursofwaitingaround,sobest tobepreparedforthis)
ACTGwillbeperformedtocheckbaby,andyourobservations willbechecked
AMidwifewillrequesttoexamineyouandifyouchooseherto, performamembranesweep.
Youwillbecalledtothelabourward,wheretheywillinserteither agel,pessaryorballoon theseallcontainthehormonesto softenthecervix Thesearealltobeleftinsideforapproximately 12 24hoursinthehopethatthatisenoughtotriggerlabour
Ifafterthattimeyouhavenotgoneintolabour,afurther examinationwillbecarriedoutwherebytheMidwifewillrequest tobreakyourwaters Ifyouconsent,youwillthenhaveafurther 12hourwaittoseeifthatsendsyouintolabour (Ifshecan’t,they maytryafurtherpessary/gel/balloonordiscussacaesarean)
Oncewatersarebroken,ifnolabourprogressesafter12hours,a hormonedripwillbeputintogiveyousurges.Astheseare 'manmade'anddon'thavethenaturalendorphinsthatyouwould produce,anepiduralisrecommended
Howtodecline/cancelaninduction...
28 | ROLES, RESPONSIBILITIES & CHOICES
ASSISTED BIRTH
Forceps
Thebabyisencouragedtomovepositionsor supportedtobirthedusedforceps Forcepsbirthing instrumentsareshapedsimilartotongsandcould causebaby'sheadtoappear"squished"andmay causesomebruising
Ventouse
Thebabyisencouragedtomovepositionsor supportedtobirthedusedventouse.Ventouse birthinginstrumentsisusedasavaccum,whereitis attachedtobabyandthesuctioncupencourages babytomove/birth.Thiscouldresultinbabyhaving aconeshapedheadattimeofbirth
Tosupporttheuseofinstruments,youwillhaveanepisiotomy (surgical"J"cutinyourperineum)
Ifthebaby'sheadisinanawkwardposition,it'llneedturningtoallowthebirth. Achildren'sdoctor(paediatrician)maybepresenttocheckyourbaby'sconditionafter thebirth
WhymightIconsider/consenttoanassistedbirth?
ROLES, RESPONSIBILITIES & CHOICES | 29
PERINEUM TEARING
1stDegreeTear Involvesskin
2ndDegreeTear Involvesperinealmuscles
3rdDegreeTear Withpartialanalsphincter involvement 4thDegreeTear Withcompletetearofanal sphincterinvolvingbowellining
WhatcanIdotoreducechancesoftearing?
Vagina Perineum Anal sphincter muscle Anus
30 | ROLES, RESPONSIBILITIES & CHOICES
CAESEAREAN BIRTH
Acaesareanbirthisoftentalkedaboutasthe‘easyoption’butit’simportanttoknow thatitisamajorabdominalsurgery.ITISNOTANEASYOPTION.ITISNOTFALIURE.
Whattoexpect
Yourbloodswillbetaken(ifnotalreadytaken)sotheyknowwhatbloodgroupyou areandotherimportantthingsdependingonyoursituation
Youwilltalkwiththeanaesthetistwhowillexplainexactlywhattheywilldowithyou Theywillbewithyouthewholetimeintheatre,closetoyourheadtooffer reassuranceandtolookafteryou
Youwillbegivenapairof(sexy)surgicalstockings,toavoidtheriskofbloodclotting
Youwillbegivena(sexy)gowntowear
Youwillhavebeenaskednottoeatpriortothesurgery,andwillbegivenatablet whichisanantacid(thismeansthatiftherewerestillfoodinyoursystem,it'sok)
Youwillbecannulated,usuallyinthebackofyourhand
Theincisionof7layerstakesapproximately20minutes
Thesuturesurgerycantakeapproximately30 40minutes
Howtohaveagentlecaesareanbirth
ROLES, RESPONSIBILITIES & CHOICES | 31
MAKING CHOICES
Rememberthatrecommendations,adviseandhospitalpoliciesarenotlawbinding. Understandingthereasoningsbyaskingquestionshelpyoumakeinformedchoicesthat arerightforyou RemembertodothisbyusingyourBRAINS
WHAT ARE THE BENEFITS?
WHAT ARE THE RISKS?
WHAT ARE OUR ALTERNATIVE OPTIONS?
WHAT ARE MY INSTINCTS TELLING ME?
WHAT IF I DO NOTHING?
KEEP SMILING
I HEAR what you are saying and why you recommend this I understand you EMPATHISE with me and want the best for me and my baby I can ASSERT I would rather / need more time/ information I can REASSURE you I will let you know of any changes or seek support if required. THANK you for taking care of us
Whatisyourjustification? Whatarethestatistics/percentagesrelevanttoMYbirthingbodyandbaby? HowlongdoIhavebeforeINEEDtomakeadecision? Otherquestionstoconsiderare: WhenapproachingthesequestionspleaseremembertouseyourHEARTS 32 | ROLES, RESPONSIBILITIES & CHOICES
KEEPSMILING
BIRTH
DISCUSSION:
Whatdoyounoticethebirthmotherdoing?
DISCUSSION: Whatdoyounoticethebirthpartnerdoing?
DISCUSSION: Whatdoyounoticethebirthprofessionalsdoing?
CAESEAREAN
ROLES, RESPONSIBILITIES & CHOICES | 33
CAESEAREAN BIRTH
TheBirthingPartnerstaysneartheBirthingMothershead, providingreassuranceandrecitingaffirmationstohelp thehormonesneededforbirth Therelaxationisonand theObstetricianiscommentatingasthebabyisborn The BirthingMotherisseentobepracticingherdeep breathingandisdressedinherownclothes.
ThescreenisloweredasrequestedbytheBirthingMother soshecanwitnessthebirthofherbaby
Thereisstillopportunityforskin to skin.
Paediatriciancanonoccasionscompletecheckwhist havingskin to skin,dependentoncircumstanceand risk Motherissupportedwithchosenmethodoffeeding
34 | ROLES, RESPONSIBILITIES & CHOICES
REFLECTIONS
SomethingNEWwelearnttoday
SomethingthatSURPRISEDustoday
Somethingwearetakingawaywithustoday...
SESSION
2
ROLES, RESPONSIBILITIES & CHOICES | 35
PRACTICE HOMEWORK
ContinuewiththeGoddessRelaxation
IntroducetheCloudRelaxation
DISCUSSION: Didyounoticeanyanxieties/worriescomeup?Tellyourpartnerwhattheyareand discusshowyoucanworkaroundthem?
Continuelisteningtopositiveaffirmations
PracticeCalmBreathing
PracticeMassageTechniques
PracticeUMBRELLA
PracticePelvicFloorexercises
PracticeBirthBallexercises
Continuecompletingyourbirthpreferencesbylookingatbirthingjourney'sand relief/management
DISCUSSION: Startimplementingaplanforeachbirthingjourneysoyoucanmixandmatch dependentonthesituations Startlookingatdifferentresources,journalsandbooksthat havebeensuggestedtohelpyoumakedecisions
RememberthisisNOTthefinalcopy it'sjusttohelpyoutogainanunderstandingof whatyoulike,whatyouwouldbehappytocompromiseandwhatyoudefinitelydonot want Thesecanandmaychangesobeflexibleandkeeptalkingtooneanother!
Anyquestions,justletmeknow.
CannotwaittoteachyouSession3!
36 | ROLES, RESPONSIBILITIES & CHOICES
Jane Weideman
LABOUR AND BIRTH
"givingbirthshouldbeyour greatestachievement, notyourgreatestfear"
1.
SIGNS & STEPS
SignsofEarlyLabour... Whattodonext
NOW: savetheMidwife/ LabourUnit'snumberin yourphone
BIRTHPARTNER t i p
EARLYLABOUR: informtheMidwife/ LabourUnit
NOW: discusschildcare/ petcareifappropriate
BIRTHPARTNER t i p
EARLYLABOUR: callchildcare/petcare TIMESURGES
SignsofCervixDilation...
LABOUR
38 | LABOUR AND BIRTH
LABOUR MANAGEMENT HowcanImanageathome? BetweenSurges DuringSurges CalmBreathing LightTouchMassage KeepHydrated/Snack EmptyBladder BuildupOxytocin MountainBreathing StayMobile(UFOifpossible) Smile!(Thinkofbaby) Visualiserelaxedplace Focusonanchor BIRTHPARTNER t i p feedher keepherhydrated affirm massage listentoher Youwillbeusingthemountainbreathing(Appendix9)fora whilebeforeyoufeelyouneedreassuranceoftheMidwivesor feelingthatthingsaremovingquickly. Nowisthetimetocall TheMidwifewillwanttoknowthesurge timings,anyadditionalsigns(watersrelease/bleeding) BIRTHPARTNER t i p TELLEVERYMIDWIFE YOUARE HYPNOBIRTHING! CALLING THE MIDWIFE LABOUR AND BIRTH | 39
SignsofTransition
TRANSITION TO BIRTH
REMINDHERSHE CANDOIT!
BIRTHPARTNER
t i p
FullyDilated Averyimportantfactforyoutoknowisthatitcantakeanhourfrombeingfullydilated tothebabybeinglowenoughtotriggerthefoetalejectionreflex Remaininguprightand mobileisthebestthingtodoatthistimetoencouragethebabytodescend
Howwillitfeel? OncethebabyhitsthatnervetotriggertheFER,Mumwillfeelmuchpressureinher bottom,shewillfeelthebodybegintopushwithoutheractivelydoingit. Thebodytakesoveratthispoint justgowithit.
BREATHING TECHNIQUES
CALM BREATHING
Asyouinhale: “1234”
Asyouexhale: “12345678” OR
Asyouinhale: “Ibreatheincalm”
Asyouexhale: “Mymindandbody relaxdown”
MOUNTAIN BREATHING
Asyouinhale: “12345678”
Asyouexhale: “87654321” OR
Asyouinhale: “abcdefg" Asyouexhale: "gfedcba"
BIRTH BREATHING
Breatheinthoughyour noseandexhaledown yourthroat Imagineas thoughyouareblowing outacandlebutwith yourmouthclosed OR Imagineyouarea lionessandallow yourselftoroar
40 | LABOUR AND BIRTH
STAGES OF LABOUR
It’simportanttounderstandnotwobirthsarethesame Thedescriptionsbelowaretobeusedasaguideonly
EARLY LABOUR
Dilation:0 3cm Surges:30 40seconds Rest:5 30minutes Duration:8 12hours
ACTIVE LABOUR
Dilation:4 7cm Surges:45 60seconds Rest:3 5minutes Duration:3 5hours
TRANSITION
Dilation:8 10cm Surges:60 90seconds Rest:30secs 2minutes Duration:30mins 2hours
LABOUR AND BIRTH | 41
BABY
GoldenHour
Undisturbedtimetogethercanmeanmum’sbirthbubble isprotectedforjustalittlewhilelongerandcangivemum andbabythosepreciousfirstmomentstogetherwhere mumcanjustfocusonhernewbaby
Inoccasionswheremumcannothaveskintoskin immediately,thefather/birthpartnerwillbeofferedthis
Vernix
WHOrecommendsleavingthevernixonyourbabyforatleastsixhours,and preferably24.Asforanupperlimit?There’snoofficialrecommendation.According totheInternationalChildbirthEducationAssociation,there’snosettimebywhenyou havetobatheyourbaby Sodowhatmakesyoufeelcomfortable
Placenta
Followingthebirthofyourbaby,youwillbirthyourplacenta Yourplacentaholdslotsofvitaminsandnutrients explore optionsofencapsulation.
Delayedcordclamping
Delayedcordclampingallowsthebloodfromtheplacentato continuebeingtransferredtothebabyevenaftertheyare born (2mins)
OptimalCordClamping
Similartoabove,howeverwaitinguntilcordturnswhitetoallow allthebloodtoflowthroughtobaby.
LotusBirth
Allowingtheumbelicalcordtodetachnaturallyfrombaby
VitaminK
Givenintheformofaninjectionororaldrops.
Somebabiesarebornwithabloodclotthatcouldbelifethreatening Forthose babies,theVitaminKinjectioncouldsavetheirlives,forthosewhodonothaveit, therearenoknownsideeffects
Itisyourchoicetooptinoroutforanyofthese. Pleasedosomefurtherresearchandmakeyourdecision.
HELLO
42 | LABOUR AND BIRTH
POST BIRTH DIFFERENCES VaginalBirth CaesareanBirth Skintoskinwithmum/birthpartner Ifwishtobreastfeed supported Syntrometrine/Syntocinongivenif clinicallyindicated Placenta/membranerelease Perineumassessed Skintoskinwithmum/birthpartner Sucturemum Mum&babytakentorecovery Ifwishtobreastfeed supported Mumtakentolabourward Tea&Toast/Firstmeal Babychecked Mumshower Mumtakentopostnatalward Mumofferedwaterandtoastiftolerated Ifclinicallywell,mumtakentopostnatal wardafterafewhours Here,haveagoontheGas&Air,it'llhelp Ok,you’refullydilatednowsoit’stimetogetpushing You’re40weeksnow solet’sgiveyouastretch&sweepandgetyourinductionbookedin justincase SoI’lljustgiveyoutheSyntometrinetospeeduptheplacentaandmembranesthen,I’lljustpopthatin CHOICESEXERCISE: LABOUR AND BIRTH | 43
EARLYLABOUR ACTIVELABOUR BIRTHINGSTAGE TRANSITION PLACENTABIRTH SURGES AUDIO COMFORTFOOD WATER AROMATHERAPY &MASSAGE SHOWER/BATH REST/CALM OXYTOCIN MOVEMENT UFO EMPTYBLADDER STOPADRENALINE TEAMWORK WAIT INJECTION HELLOBABY JOURNEY TO BIRTH breathe breathe breathe breathe
HOME BIRTH
DISCUSSION:
Whatdoyounoticethebirthmotherdoing?
DISCUSSION: Whatdoyounoticethebirthpartnerdoing?
DISCUSSION: Whatdoyounoticethebirthprofessionalsdoing?
LABOUR AND BIRTH | 45
BIRTH
DONOTUSECASTOROIL!
TheBirthingMotherismovingpositionsregularlyandpracticing thedeepbreathingwitheachsurgesheexperiences.Sheis practicingbirthballexercisestohelpherpostureandthebirthing journey SheusesClarySageoiltohelpherduringlabour
TheBirthingPartnerisseentobeprovidingreassurance,reciting affirmationsandusinglighttouchmassagetohelpwithbuilding therighthormonesrequiredforthebirthingjourney
NoticethattheMidwifeissatinthebackgroundandnot interferingunlessrequestedtodoso
TheBirthingPartnersupportstheBirthingMotherwhenshefeels sheisunabletocontinueandusesgrounding/anchoring techniquestohelpherremaincalm.
TheMidwifeperformsavaginalexaminationfollowingtherequest oftheBirthingMother herwishesarerespected!
TheBirthingMotherisheardtobevocalbutindoingsobreathes down,similartogrunting/roaring.
TheBirthingPartnerlistenstoandfollowstheguidanceofthe BirthingMother,supportinghertobirththeirbaby
HOME
46 | LABOUR AND BIRTH
REFLECTIONS
SomethingNEWwelearnttoday
SomethingthatSURPRISEDustoday
Somethingwearetakingawaywithustoday...
SESSION 3
LABOUR AND BIRTH | 47
PRACTICE
HOMEWORK
Continuelisteningtopositiveaffirmations
ContinuewiththeGoddessRelaxation(birthvisualisation)
ContinuewiththeCloudRelaxation(releasenegativity)
ListentoWindowtoBabyRelaxation(visualisebaby)
ShootingStarsRelaxation(managenegativethoughts)
AnchorRelaxations(settingaphysicalanchor)
PracticeCalmBreathing,introduceMountain&BirthBreathing
ContinuepracticingMassageTechniques
ContinuepracticingPelvicFloorexercises
ContinuepracticingBirthBallexercises
PracticeUMBRELLA
DISCUSSION:
Startdiscussingwhatyouwouldlikeoncebabyisborn Lookatyouroptionsfromthe birthpreferencesandconsiderwhatistheideal,secondchoiceandsoforth
Continuelookingatdifferentresources,journalsandbooksthathavebeensuggestedto helpyoumakedecisions RememberthisisNOTthefinalcopyofyourbirthplan it'sjust tohelpyoutogainanunderstandingofwhatyoulike,whatyouwouldbehappyto compromiseandwhatyoudefinitelydonotwant Thesecanandmaychangesobe flexibleandkeeptalkingtooneanother!
Anyquestions,justletmeknow
CannotwaittoteachyouSession4!
48 | LABOUR AND BIRTH
THE FOURTH
TRIMESTER "ittakesavillagetoraise ababy,newmother andnewfather"
KimberlyAnnJohnson
HELLO
BabyBlues/Pinks MidwifeChecks UterusShrinking Stitches Sweats&HormonalChanges BloodLoss(Lochia) HealthVisitorChecks... GPChecks Communication
PleasealsoremembertocontinueyourPelvicFloorExercisesintoyourfourthtrimester 50 | THE FOURTH TRIMESTER
MUMMA PooandWee
Don'tfeellikeyouhavetogeteverything"right"straightaway Remembertotakeiteasy onyourself,physicallyandmentally
DADDA
HELLO
Skintoskinandplaytimeisgreatforthis! Physicalsupport... Emotionalsupport FinancialSupport... THE FOURTH TRIMESTER | 51
1in10dadsexperiencepostnatalillness Pleaserefertomywebsiteforsupportbutalso findyourdadtribesoyoucansupportoneanother Createavisitorlist/planwithallocatedtimesetcsoyoucanmanagewhoandwhen guestsarrive Ifyoufeelitistoomuchorbabyhasnotsleptwelldonotbeafraidtosay notoguests.Youneedyourresttoo! Havesomebondingtimetoo
Writingapostnatalplanisjustasimportantasplanningandpreparingforyourbirth. Consideringdifferentoptionsandgivingyourselfanideaofwhatcouldhelpcanaid youinthoseearlycoupleofdays
POSTNATAL
PLANNING
Visitors
CoupleTime… Cooking Shopping
52 | THE FOURTH TRIMESTER
Holdingbaby Me TimeforMumma Me TimeforDadda Carryingbaby… Bathingbaby
Feedingbaby
POSTNATAL PLANNING Careofotherchildren/pets Laundry Generalhouseholdchores Feedingsupportgroups SupportNetworks... Localbabygroups... Rememberthisplanisnotsetinstone itishereasaguide Pleasediscussthings togetherascouplesoyoucansupporteachotherinthepostnatalperiod Dark Muffledsounds Constant36degrees Constantlyfed Snuggleduptightly ConstantcontactwithMum Floatinginwater Nosmells Naked Bright Noisy Colder Hunger&thirst Notbeingheld LesscontactwithMum Intheair Lotsofsmells Clotheson THE FOURTH TRIMESTER | 53
NEWBORN CARE
Female Male
Nappies
Day1 Black Blacktar like(Meconium) Day2 BlacktoKhakhi Day3 KhakhitoBeige Day4 Beige Formulafeeding Day5 yellow/mustard softandrunnywithsomeseed likebitsifbreastfeeding
1stDay(Grape) 5 7ml
3Days(Strawberry) 22 27ml
1Week(Apricot) 45ml 60ml
1Month(KiwiFruit) 80 150ml
PLEASEUSETHISASAGUIDEONLY.EACHBABYISUNIQUE. SEEKSUPPORTFROMAMEDICALPROFESSIONALSIFYOUHAVEANYCONCERNS Layers
54 | THE FOURTH TRIMESTER
NEWBORN CARE Breastfeeding WitchingHour MIdwifeChecks TransportingBaby... BathingBaby Sleep FormulaFeeding HealthVisitorChecks… GPChecks Routine Takeyourtimetogettoknowyourbaby Askforhelpifyouneeditandreachoutto yoursupportnetworktohelpyouinyourparentingjourney THE FOURTH TRIMESTER | 55
BREASTFEEDING POSITIONS
CRADLEHOLD
Mostfamilies Latchrecognition
Lieinfantacrosslap,facingmother Placebaby’sheadonmother’sforearm nosetonipple
Mother’shandsupportsthelengthofbaby’s body
Baby’sear,shoulder&hipareinastraightline
KOALAHOLD
Babieswithreflux,tonguetie Motherswithfastmilkflow
Holdbabysecurelyupright,legsstraddledover mother’slegs
Ensurebaby’sheadisinlinewithbreast,noseto nipple,baby'sarmsout,relaxed Mothershouldsupportbaby’shead&keepone armaroundherbodyatalltimes
SIDEHOLD
Largerbreasts NighttimefeedsCaesareansection
Motherliesonherside Pillowsupportingher head
Babyplacedontheirsidefacingmother Mother&babyfaceeachotherbellytobelly, baby'smouthlineduptonipple
PLEASEREFERTOTHELULLABYTRUSTFORMORE INFORMATIONABOUTSAFECO SLEEPING
56 | THE FOURTH TRIMESTER
BREASTFEEDING POSITIONS
AIDBACKHOLD
fficultchildbirth aesareansection mallerbreasts
Motherproppedupintosemi reclining positionwithpillows/cushions
Placebabyontheirfront,bellytobelly Baby'scheekisneartobreast,letbaby'root' forbreast
CROSSCRADLEHOLD
Smallerbabies
Latchrecognition Twins
Motherinslightlyreclinedpositionandlaypillow orcushiononmother’slap
Placebabyonpillow/cushiontoraisethemto nipplelevel
Holdbaby’sbodywithoppositearmtobreast, ie leftarmforrightbreast
Rotatebaby'stummytowardsmother'stummy
FOOTBALLHOLD
Largerbreasts Caesareansection Twins
Sitwithacushionorpillowalongmother’ssideP Positionbabyatmother’sside,underarm,hipto hip
Ensurebaby’snoseislevelwithnipple
Supportbaby’sneckwithpalmofmother’s hand
THE FOURTH TRIMESTER | 57
SIGNS FOR SUPPORT SUPPORT
TONGUE TIE
Tonguetiediagnosisisnotpartofthenew bornchecksothereisnostandardised assessmentallnew born'swillundergo Ifyouareconcerned,pleasespeaktoyour Midwife/HealthVisitor,howeverbemindfultheNHSmayhavealongwaitinglist.
Therearealsomanyprivateservicesavailable YoucanfindalistofNHStongue tie servicesandalistofprivatepractitionersherewww.tongue tie.org.uk
Commonsignsoftonguetie:
Babyfeedingconstantlyandstillappearinghungry Babytakingshortfeedsonly Babynotgainingweight Mumhasverysorenipples Mumdevelopsmastitis Mumhaslowmilksupply
COLIC
It'struethatthereisnospecifictestorwayofknowingifababyhascolic However,commonsignsare:
Babycriesformorethan3hours,formorethan3daysofaweek
Oftenthishappensinthelateafternoonandevening
Babygoesveryredintheface,clenchestheirfistsandbringsuptheirknees Babymayfinditdifficulttobringupwind/orbeverywindy
REFLUX
Refluxusuallystartsbeforeababyis8weeksoldandgetsbetterbythetimethey're1.
Symptomsofrefluxinbabiesinclude:
Ababyarchingtheirbackandturningtheirhead
Cryingforlongperiodsandbecomingirritableduringandafterfeeds
Chokingorcoughingduringafeedorseemingtohaveasorethroat
Spittingupmilkduringorafterfeedsseveraltimesaday,whichupsetsthem
Persistenthiccups
Frequentearinfections
Fightingfeedingorrefusingtofeed
Poorweightgain
Wakingveryfrequentlyatnight
Signsofpainordiscomfortwhenfeeding
58 | THE FOURTH TRIMESTER
HeuristicBasketsarefilledwith everydayitemsyoufindaround yourhouse Thetexturesyour babycanexplorethoughallthese itemswillhelptheirdevelopment andcanbeafunwaytokeep thementertainedforawhileata cheapercost!
IDEAS FOR AYTIME
Mirrorsareagreatwayto engageinplaywithyourbaby Usefoammirrors,mirrored gardenballsormirroredpebbles (allnewandcleanedofcourse) canreallyhelpwiththeirsocial development Fireblanketsare alsoexcellentforthemtoexplore
MusicalInstrumentsaregoodto understandhand eye coordinationbutalsogreatto explorenewsounds Justgeta fewdifferentinstrumentsandplay theminrotationandalsoallow themtoplaytogivethemanidea ofhowcauseandeffectworks
Black,whiteandredflashcards areagreatfocussingactivity, allowingbabiestoreallylookat theshapesandgetapictureof whattheysee
Feathers&DanceScarvesare greattoplaypeek a boowith andwillslowlyteachyourbaby thatyoumayleavebutwill alwaysreturntothem
SensoryBallsandLightshavelots oftexturesagainthataregreat forbabies Usingdifferentcolours shapesandmovementscan reallyhelpwithbaby’s development
ReadingBooksinpregnancyand assoonasyourbabyisborncan begreattoencourageearly languagedevelopment Talkabout whatyouseeonthepagesand describewhatishappening Texturedbooksarealsogreatto use!
NurseryRhymesaregreatto sing anddojustthat;singto them!Babieswillrespondtoyour voicebetterthantheyrespondto somethingyoudownloadand play (Theywontbejudgingyour singingskills!)
You!quiteliterallyallowyourbaby toplaywithyou,exploringyour face,differenttexturesandtalking tothem Playtimedoesnthaveto beexpensive,justcreative!
P L E A S E S U P E R V I S E Y O U R B A B Y A T A L L T I M E S W H E N E X P L O R I N G I T E M S T O P L A Y W I T H . THE FOURTH TRIMESTER | 59
PARENTING
Whatwouldyoulikeforyourbaby?
Thinkabouttheirlikes,interests,personality,values,beliefsetc
HowwasIparented?
KEEP CHANGE
KEEP CHANGE
POSITIVE
60 | THE FOURTH TRIMESTER
REFLECTIONS
SomethingNEWwelearnttoday
SomethingthatSURPRISEDustoday
Somethingwearetakingawaywithustoday...
SESSION 4
THE FOURTH TRIMESTER | 61
PRACTICE
HOMEWORK
Startlookingatyourpostnatalplananddiscusstogetherwhatyouwouldlikeyour postnataljourneytolooklike
Reflectonhowyouwereparentedanddiscusstogetherwhatparentingstyleyou feelwouldsuityouboth?Whatwouldyouliketobringfromyourparentsandwhat wouldyouliketochange
Remembertobekindtoyourselfandtoeachother.Noonehasitallfiguredout
Startajournaloragratitudejar Somewhereyoucannotedownwhatyou'regrateful youhavebeenforthatday (ItcouldbeasmallasIhadahotcuppa!)
Usethepostnatalmindfulnesstracksandfeedingaffirmationsasandwhenyou needinyourpostnataljourney
Communicatewitheachotherandaskforhelpwhenyouneedit!It'snotshowing weakness,it'sbeingreal.Itisnormaltohaveamixtureofemotions.
Andthat'sit!
Sendingyouallmyloveforyourpregnancy,birthandparentingjourney
pooja
62 | THE FOURTH TRIMESTER
Weunderstandandrespectthatalltheitemsoutlinedinthisbirthpreferencemaynot beapplicable,howeverwewouldliketorequestthosethatcanbemet,doso.Ideally, asabirthingperson,Iprefernottobedisturbedunlessnecessaryandsorequestyou speaktomybirthpartner,whoismyadvocate
Pleaseaskmypermission myconsentisimportant BIRTHINGMOTHER: BIRTHINGPARTNER(S): ADDITIONALINFORMATION: NUMBEROFBABIES: SEXOFUNBORN: PLACEOFBIRTH: BASICS single twins triplets other male female unknown BIRTH PREFERENCES PLEASENOTE Dimlights Normallighting sshhh…quietplease Talkaway Studentmidwiveswelcome Nostudentmidwives Privacyplease ENVIRONMENTWEWOULDLIKECREATE... Relaxationmusic Affirmationcardsvisible UFOcardsvisible Aromatherapy Birthball Freedomtomove Wirelessmonitoring(wherepossible) WWW MYSTRIMUMMA CO UK
BIRTH PREFERENCES LANGUAGEWEPREFER... Surges Waves Contractions Pressure Intensity Pain "Breathebabydown..." "Push" "Wouldyoulike..." "Youhavereached..." Calm Encouraement Thebenefits Therisksinvolved Anyalternativeoptions Alloptions Statistics Percentages PLEASEEXPLAIN: Freedomtomove Eat Drink Followmybody’slead VaginalexaminationsOK NoVaginalexaminations DURINGLABOURIWOULDLIKETO... Breathingtechniques Guidemybreathing Shower/Bath Privacyplease Rest/Sleep Guidemypositioning Nolabourreliefthankyou NaturallabourreliefONLY Paracetamol TENSmachine GasandAir BirthBall LABOURRELIEF BirthPool Shower Hotwaterbottle Heatpack Pethadine Epidural Pleaseaskmebeforegivinganylabourreliefoptions WWW MYSTRIMUMMA CO UK
SECONDSTAGEOFLABOUR
BIRTH PREFERENCES Followmybody'slead/urgetobirthbaby Pleasesuggestpositionstohelpbabydescend Allowmetobreathemybabydown Coachmetobirthbaby Noepisiotomywithfulldiscussionandconsent IwanttoguidebabyEarthside BirthPartnertoguidebabyEarthside BirthProfessionaltoguidebabyEarthside
Physiologicalbirthofplacenta Activethirdstage(sytocinon) DelayedCordClamping Waittillwhite Lotusbirth
SeePlacenta KeepPlacenta PlacentaEncapsulation ProfessionalstodisposeofPlacenta Myself/birthpartnertocutcord Skintoskin DoNOTrubbaby DoNOTwipebabydown Wipebabydown Privacyplease Allowustodiscoversex IMMEDIATELYPOSTBIRTH Checkbabyimmediately Delayweighing/measuringbaby VitaminKorally VitaminKinjection NoVitaminK Noroutineproceduresbefore1hour WWW MYSTRIMUMMA CO UK
THIRDSTAGEOFLABOUR
BIRTH PREFERENCES DonotbookmyIOLwithoutdiscussion StretchandSweepOK MembraneRupturestohappennaturally ArtificialMembraneRupturesOK Discussmyopinions Giveaslongaspossibleforbodytoprogresswithlabour Minimalmonitoring Donotgivemetimelimits Discussfoetalmonitoringoptionswithmebeforedoingthem INDUCTIONOFLABOUR DimLighting RelaxationMusic BirthPartnertoremainwithBirthingMother Pleasekeepbirthfocussedconversationsonly Pleasecommentatethebirthofourbaby Iwouldlikeacleardrapeifpossible Iwouldlikethedrapetobeloweredtowitnessthebirthofmybaby Monitoringdevicesawayfromchest SkintoSkinimmediately Babytoremainwithmeatallopportunities CAESAREANBIRTH Breastfeed IPLANTO... Formulafeed WWW MYSTRIMUMMA CO UK
MAKE NOTES
#ownmybirth
MYSTRI MUMMA DON'T FORGET TO LEAVE US A REVIEW PLEASE
