Encourage grandparents-to-be to attend our FREE Changes: Grandparents session
out more about your feeding choices
Delivered by local midwives and health visitors through our Family Hubs or online
So you’ve found out you’re expecting!!
First of all congratulations!
We can imagine that you have a lot of things running through your mind, and you are probably worrying about a few things. Here’s some top tips from some of our parents to help you in the first few weeks of finding out the news...
Tip 1 - work out when your baby is due. There’s loads of calculators online, or your GP and midwife will be able to work this out for you
Tip 2 - register your pregancy as soon as you can. You can do this by calling/visiting one of our friendly family hubs.
Tip 3 - start thinking about where you want to have your baby. Your midwife will be able to talk about different options with you.
Tip 4 - don’t get overwhelmed, there’s a lot to take in. This magazine is designed to give you some information and to take you step by step through pregnancy and being a new parent.
From our experts
Even if you have done a pregnancy test you should still register with a midwife through your local family hub as soon as possible. When you first find out you are pregnant you may feel lots of different emotions and this is perfectly normal. You can feel extra emotional because of the change in your hormone levels.
Learn about the benefits you are entitled to now you are pregnant! Lots of things are included in this magazine. Some key things you could do:
Stop smoking Eat well Stay active
Take healthy start vitamins, or folic acid supplements
Stop drinking alcohol
Have the flu jab
Bump to Baby
...a
This has been put together with the support of local parents and with the help from Sandwell services.
Our focus this year is to help more local families to thrive and in this edition we have some great stories from some of our parents and helpful tips throughout for parents-to-be.
We hope you find this useful.
If you have any queries or want more information about anything in this publication please contact the Healthy Sandwell team by emailing lifestyle_services@sandwell.gov.uk
What makes a healthy pregnancy?
Exercising during pregnancy lifts your spirits and prepares you for childbirth.
• Physical activity in pregnancy is safe and healthy
Some women get swollen and sore gums, which may bleed, in pregnancy. Bleeding gums are caused by a build up of plaque on teeth.
Hormonal changes during pregnancy can make your gums more vulnerable to inflamation and bleeding. This is also called pregnancy gingivitis or gum disease.
It’s very important to keep your teeth and gums as clean and healthy as possible while you’re pregnant. The best way to prevent or deal with gum problems is to practice good oral hygiene.
Go to the dentist so they can give your teeth a thorough clean and give you some advice about keeping your teeth clean at home.
Remember: NHS dental care is free while you’re pregnant and a year after your baby is born. Ask your midwife to complete a maternity exemption certificate (FW8) as soon as possible
To find a local
Health and wellbeing
Being pregnant is a big life event and it is natural to feel a lot of different emotions.
It’s normal to have some worries during pregnancy, but if you’re concerned about how you’re feeling, you can always talk to your midwife or one of our friendly family hub staff. They will point you in the right direction for all the support that you need, without judgment. You can also share any concerns with your partner, friends or family.
Do not compare your pregancy to other’s. Everyone experiences pregnancy in different ways.
Domestic abuse
One in four women experience domestic abuse at some point in their lives. This may be physical, sexual, emotional or psychological abuse.
30% of abuse starts in pregnancy, and existing abuse may get worse during pregnancy or after giving birth.
Domestic abuse does not have to be tolerated
You have choices and help is available. You can speak in confidence to your GP, midwife or health visitor. In an emergency always phone the police on 999. Use the 101 number to call the police if it’s not an emergency.
Sandwell Women’s Aid provides a range of services and support to men and women experiencing domestic abuse. You can call them 24 hours a day on 0121 552 6448
You are not alone!
Top tips
Your mental wellbeing in pregnancy is just as important as your physical health, so try to take care of your mind as well as your body. Here are ten tips to help you relax in pregnancy:
1. Take time out for yourself every day
Do something you enjoy that’s just for you. Take a warm bath, chill out to some music, close your eyes, gently massage your bumpwhatever makes you feel peaceful.
2. Talk to someone you trust Getting things off your chest and talking your worries through with an understanding and trustworthy friend, family member or work colleague can make all the difference. Talk about how you’re feeling.
3. Stay active every day
Exercise releases endorphins that will lift your mood. You don’t have to do aerobics classes or hit the gym. Just try to make staying active part of your everyday life. For example, you could go for a walk or do some office exercises. This can reduce stress and it’s good for your unborn baby, too.
4. Rest when you need to
It’s hard to feel cheerful if you’re exhausted and uncomfortable, so make sure you take time to rest when you can.
5. Ask for practical help from family or friends
Can they cook you a meal, help with the shopping, or look after your children? Family and friends are there to support you, so don’t be afraid to ask for help.
6. Be realistic about how much you can do
Whether at work, at home, or in your social life, we are all be guilty of taking too much on for fear of letting someone down. Saying no can be tricky, but now you need to take care of yourself. The people around you will understand if you need to say no.
7. Eat well
A balanced and varied diet will keep you healthy and help your baby grow and develop.
8. Join the Tommy’s Facebook page
If something’s worrying you, talk to your midwife or doctor about your options and where you can get support.
Talk to one of the Tommy’s midwives. Join their Facebook page or email us at midwife@tommys.org
9. Meet other pregnant women or new parents at local groups or on online forums.
Ask your midwife or Family Hub what’s available locally. Sharing your feelings with other people having similar experiences can help you feel less isolated.
10. Don’t believe the hype
It may seem like everyone else is happy and coping all the time, but everyone will be facing their own challenges. Lots of women feel low in pregnancy or after the birth, but a lot of people hide their real feelings, especially in public.
Information from: www.tommys.org/pregnancy-information/ im-pregnant/mental-wellbeing/10-tips-relax-pregnancy
It really is a rollercoaster!
“One minute I feel so happy, the next I’m really emotional, what is going on?”
When you are pregnant it can sometimes seem as though you have to be happy all of the time. You may find that people expect you to look forward to the baby, be excited and to ‘bloom’. You too may think that this is the way you ought to feel. In fact, you are likely to have ups and downs, just like any other nine months in your life.
Hormonal changes and tiredness
Hormonal changes taking place in your body can make you feel tired, nauseous, emotional and upset - particularly in the first three months. You may find that you cry more easily, sometimes for no reason or lose your temper more often. Being tired and run down can make you feel low. Try to look after your physical health and get plenty of sleep, if you are feeling very tearful or anxious most of the time - for whatever reason - talk to your midwife, GP or one of our friendly family hub staff.
5 ways to wellbeing
Wellbeing is about feeling good and doing well in our day to day lives. Our five ways are simple things to do every day, to improve how you are feeling.
Speak to someone; a friend, a relative, your midwife or the maternal wellbeing team (see below). Pregnancy can be a worrying time for some, support is available to you.
Speak to someone; a friend, a relative, your midwife or the maternal wellbeing team (see below). Pregnancy can be a worrying time for some, support is available to you.
Connect meet up, build relationships, make friends
Ask a neighbour how they are
Ask a neighbour how they are
Speak to someone; a friend, a relative, your midwife or the maternal wellbeing team (see below). Pregnancy can be a worrying time for some, support is available to you.
Ask a neighbour how they are
Attend courses antenatally to connect with other parents-to-be (book now at www.bookwhen.com/changes)
• Speak to someone; a friend, a relative, your midwife or the maternal wellbeing team (see below). Pregnancy can be a worrying time for some, support is available to you.
• Ask a neighbour how they are
Attend courses antenatally to connect with other parents-to-be (book now at www.bookwhen.com/changes)
Attend courses antenatally to connect with other parents-to-be (book now at www.bookwhen.com/changes)
• Attend courses antenatally to connect with other parents-to-be (book now at www.bookwhen.com/changes)
Go for a walk
Go for a walk
Put on some music and dance
Be Active whatever you can do, being active makes you feel good
Put on some music and dance
Go for a walk
• Go for a walk
Put on some music and dance
Go swimming or do an Aquanatal class (you can book a free Aquanatal class at www.bookwhen.com/changes)
• Put on some music and dance
Go swimming or do an Aquanatal class (you can book a free Aquanatal class at www.bookwhen.com/changes)
For more "Be Active" ideas, visit: www.healthysandwell.co.uk/strongersandwelldirectory
Go swimming or do an Aquanatal class (you can book a free Aquanatal class at www.bookwhen.com/changes)
For more "Be Active" ideas, visit: www.healthysandwell.co.uk/strongersandwelldirectory
• Go swimming or do an Aquanatal class (you can book a free Aquanatal class at www.bookwhen.com/changes)
For more "Be Active" ideas, visit: www.healthysandwell.co.uk/strongersandwelldirectory
• For more “Be Active” ideas, visit: www.healthysandwell.co.uk/ strongersandwelldirectory
Create your own jar of happiness and fill it with messages about your favourite music, people, memories, books and places
Create your own jar of happiness and fill it with messages about your favourite music, people, memories, books and places
Take Notice take time, stop and focus on the moment, enjoy the outdoors
Try some mindful colouring in (you can find a page in this magazine)
Create your own jar of happiness and fill it with messages about your favourite music, people, memories, books and places
• Create your own jar of happiness and fill it with messages about your favourite music, people, memories, books and places
Write in your pregnancy journal
Try some mindful colouring in (you can find a page in this magazine)
• Try some mindful colouring in (you can find a page in this magazine)
Plant some seeds and watch them grow
Write in your pregnancy journal
Try some mindful colouring in (you can find a page in this magazine)
• Write in your pregnancy journal
Plant some seeds and watch them grow
Write in your pregnancy journal
• Plant some seeds and watch them grow
Plant some seeds and watch them grow
Try a new hobby
Learn a new language or sign language
Try a new recipe
Read a book
Do a puzzle from the paper (and in this magazine)
Learn something new ( visit www.discoversandwell.co.uk for local activities)
try and learn something new, see what’s out there, surprise yourself
Learn something new (visit www.sandwellfamilyhubs.com for local activities)
Write a note to someone who has helped you or been kind recently
Make someone a drink
Give your unwanted things to a charity shop
Give someone a smile
Considering volunteering (visit www.letsgosandwell.info for more information)
Considering volunteering (visit www.letsgosandwell.info for more information)
Each of these pictures take a few minutes to colour in. Grab a drink, your free crayons and get creative!
Each of these pictures take a few minutes to colour-in. Grab a drink, your free crayons and get creative!
Puzzle page
Find the following words in the wordsearch
EXPECTANT MIDWIFE GESTATION PARENT
Can you match these babies to their celebrity parents?
Lyra Antarctica Pink
Tiana Katy Perry
Wednesday
Daisy Dove
Stacey Dooley
Rupert Grint
Bambi Rebel Wilson
Minnie Ed Sheeran
Jameson Moon
Royce
Molly-Mae Hague
Dwayne ‘The Rock’ Johnson
Yummy food...
that’s great for you and your baby
that’s great for you and your baby
Everything that you eat and drink reaches baby in some way and can impact on baby’s health before and after it is born.
A supplement of folic acid is important before pregnancy and in early pregnancy. It can be found in broccoli, green bean, oranges, peas, chick peas. You don’t need a special diet but it is a good idea to have a healthy diet.
Choose Healthy Snacks
Instead of snacks that are high in fat and/or sugar like crisps, biscuits or chocolate, try these healthier options:
• Pitta bread filled with grated cheese, lean ham, mashed tuna, salmon or sardines with salad.
• Salad vegetables, such as carrot, celery or cucumber
• Low-fat lower-sugar plain yoghurt or fromage frais with fruit
• Hummus with wholemeal pitta bread or vegetable sticks
• Ready-to-eat apricots, figs or prunes
• Vegetable and bean soups
• Unsweetened breakfast cereals or porridge with milk.
• Baked beans on toast or a baked potato
• Milky drinks
• Fresh fruit
Preparing food
• Wash fruit and veg to remove any traces of soil.
• Wash all surfaces and wash your hands before you eat.
• Heat ready meals until they are piping hot, to get rid of any bacteria (not just warming them up).
• Keep leftovers covered in the fridge, and don’t eat anything more than two days old.
Veggie or vegan?
... here’s some top tips to keep healthy during pregnancy
• Good sources of iron - pulses, dried fruit like apricots and wholemeal bread
• Good sources of vitamin B12 - milk, cheeses, yeast extracts such as Marmite.
• Vitamin D supplement
• Calcium for vegans - make sure you opt for calcium set tofu, or use fortified soya, rice and oat drinks.
• Vitamins - your doctor or midwife may suggest you take some vitamins or supplements to help make sure you get everything you need to help your baby grow, and to keep you healthy.
Food to avoid in pregnancy
There are some foods that you shouldn’t eat while you’re pregnant as they can put your baby’s health at risk. These include:
What to be careful with
• Cold cured meats, such as salami, pepperoni, chorizo and prosciutto (unless cooked thoroughly)
• Smoked fish, such as smoked salmon and trout
What to avoid
• Raw or undercooked meat
• Liver and liver products
• All types of pate, including vegetarian pate
• Game meats such as goose, partridge or pheasant
• Raw or partially cooked hen eggs that are not British Lion or produced under the Laid in Britain scheme
• Raw or partially cooked duck, goose or quail eggs
• Fish such as; wordfish, marlin, shark, raw shellfish
• Any foods made from unpasteurised milk, such as soft ripened goats’ cheese
• Pasteurised or unpasteurised mould-ripened soft cheeses with a white coating on the outside, such as Brie, Camembert and Chevre ( unless cooked until steaming hot)
• Pasteurised or unpasteurised soft blue cheeses, such as Danish blue, Gorgonzola and Roquefort (unless cooked until steaming hot)
• Unpasteurised cows’ milk, goats’ milk, sheep’s milk or cream
Please note this list has been simplified, for up-to-date information go to: www.nhs.uk/pregnancy/keeping-well/foods-to-avoid/
Myths and Facts
Myth - Eat for two
Your baby only weighs a few pounds, so you don’t need to eat double what you would eat normally.
Myth - Don’t eat salt
You need salt in your diet, so it’s important that you keep salt in your diet whilst you are pregnant.
Myth - You shouldn’t eat fish
Fish is really good for you and for baby. You just need to be careful to make sure you cook it through, and you only eat fish a few times a week.
Breakfast
Eating a healthy breakfast kick-starts your metabolism and gives you the energy to get through to lunch.
A morning meal also means you’re less likely to snack later in the day, or over-indulge on not-so-healthy options when hunger hits you. Breakfast is a prime time to take in a variety of essential nutrients for you and your baby, such as B vitamins, folate, calcium and vitamin C.
Whynot try...
• Low-sugar cereal (like Shreddies or muesli) and milk with a chopped banana
• Wholemeal toast or bagel with butter/jam marmite and a fruit smoothie
• Banana with plain yoghurt and wholemeal toast
• Scrambled eggs (cooked through) with wholemeal toast and grilled tomatoes
• Porridge with raisins and orange segments
• Toasted muffin with peanut butter and plain yoghurt
Lunch
Eating smaller meals throughout the day can help in all sorts of ways. It can prevent nausea and sickness, help with indigestion and make you feel comfortable as the baby gets bigger.
Why not try...
• Quick grilled ‘pizza’ made with baguette, chopped tomatoes, any veg you like with grated cheese on top. Plus an apple.
• Tinned sardines on wholemeal toast with sliced tomato
• Vegetable soup, corned beef & salad sandwich and a banana
• Tomato soup, cheese & pickle sandwich and a pear
• Baked beans on wholemeal toast and two satsumas
• Wholemeal pitta bread filled with chicken salad. Plus an orange.
Vaccinations
Flu jab
The flu vaccine is free for anyone who is pregnant. This is because it’s really important to fight against flu and infection if you are pregnant, to keep you and your baby protected.
Speak to your GP or midwife, who will be able to book an appointment for you to have the vaccination.
Whooping cough
There’s a lot of whooping cough (pertussis) around at the moment and babies who are too young to start their vaccinations are at greatest risk.
Young babies with whooping cough are often very unwell and most will be admitted to hospital because of their illness. When whooping cough is particularly severe, they can die.
You can safely help protect your baby by getting vaccinated - ideally when you are 28-32 weeks pregnant, although you may be given the vaccine up to 38 weeks of pregnancy.
For your baby
When your baby is born, they will be asked to have various injections. These are all free and are needed to help keep us protected against diseases and illnesses.
Your health visitor will give you all the details about when your baby needs to have these important vaccinations.
If you smoke they smoke...
Stopping smoking is the best thing you can do if you are having a baby because...
• Every cigarette harms your baby
• The smoke restricts the oxygen supply going into your baby, so their tiny heart finds it harder to beat.
• It’s never too late to stop! If you stop smoking, you are more likely to have a healthier pregnancy and healthier baby.
Second hand smoke
If your partner or anyone around you smokes, it can affect your health and your baby’s health.
Ask them to smoke outside, or even encourage them to seek support to quit.
“I couldn’t quit alone”
If you are struggling to quit, why not get some help? We have a free service for those who are trying to quit. Get in touch today, and find out how we can help you give up smoking
0800 011 4656.
There’s also information online at www.nhs.uk/smokefree/ why-quit/smoking-in-pregnancy
Is one, one too many?
When you drink, the alcohol will also go through to the baby’s body.
This means if you drink a lot, the alcohol can interfere with your baby’s development and cause physical and mental difficulties. No one knows how much alcohol is safe, however what is known is the more you drink, the more likely you are putting your baby at risk.
The safest thing is not to drink any alcohol when you are pregnant. No alcohol means there is no risk for your baby to have these complications.
What is FASD?
You might have heard people talk about FASD, this stands for Foetal Alcohol Spectrum Disorder.
This is the life-long condition that is caused by women drinking when the baby is still in the womb.
You can learn more at about FASD at www.fasdtrust.co.uk
How does alcohol cause a problem in pregnancy?
Alcohol passes through the placenta and remains in the amniotic fluid for a while afterwards, so even after you have stopped drinking, your baby could still be affected. This is because the baby has not yet developed the ability to process the alcohol.
Alcohol is toxic and can affect the way the baby’s brain and body develop leading to lifelong disability.
FASD results when prenatal alcohol exposure affects the developing brain and body. FASD is a spectrum. Each person with FASD is affected differently. While more than 400 conditions can co-occur, FASD is at its core a lifelong neurodevelopmental condition. All people with FASD have many strengths. Early diagnosis and appropriate support are essential, especially for executive functioning.
What’s the effect on the baby?
The baby develops throughout the entire pregnancy and alcohol use can cause physical conditions such as heart defects or bone malformation (there are more than 400 conditions that can co-occur with FASD).
However, everyone with FASD will have damage to their brain and the rest of their central nervous system which is very sensitive to alcohol exposure in pregnancy. Alcohol causes by far the most neurobehavioural effects to a developing baby than other substances such as marijuana, cocaine and heroin (BMA, 2016).
If you do not drink your baby cannot have FASD, it is only caused by alcohol exposure during pregnancy.
Will every baby exposed to alcohol get FASD?
There is currently no way to predict which babies will be affected by the alcohol and which will not.
This is why experts agree that no alcohol during pregnancy is safest, as it avoids any risk of your baby having FASD.
Getting help - if you want help or advice on your drinking, call the local support service on 0800 011 4656
A parent’s view...
E & H are a same-sex married couple. They are able to offer a unique perspective as they have both been the pregnant and the supportive partner.
We asked them....
1. KNOWING WHAT YOU DO NOW - IS THERE ONE BIT OF ADVICE YOU WOULD GIVE YOURSELF ABOUT BEING PREGNANT?
• Bank the sleep
• Be kind to yourself and rest when you can
• Enjoy it!
2. WHAT DID YOU FIND MOST USEFUL TO PACK IN YOUR BAG? (AS THE BIRTH PARTNER AND THE BIRTH MOTHER)
Birth partner - we didn’t have time to get the bag from the car so I guess the moral here is not to worry too much as they have spares of everything in the hospital!
Birth mother - comfy clothes and shower bag for afterwards. Also favourite snacks!
3. WHAT WAS THE MOST USEFUL/THOUGHTFUL THING THAT THEY DID FOR YOU?
It’s the small stuff that mattered the most, foot rubs, hot tea, being considerate and respecting the others independence. A main one though would be taking photos of the other parent when pregnant and with the baby in the early days to capture special moments.
4. YOU HAVE A UNIQUE PERSPECTIVE OF BEING BOTH THE BIRTH MOTHER AND THE BIRTH PARTNER; WHAT ADVICE WOULD YOU GIVE?
H - Each pregnancy is different but being pregnant first before your partner, gives a deeper level of empathy and understanding to be a better partner during pregnancy and the early days.
E - I think knowing how tough it was first time around, made me feel much more prepared as we had been though it once, and more willing to accept help and support in the early days and weeks.
5. DID YOU FEEL PREPARED FOR BABY’S ARRIVAL?
With our first, we thought we were, until he arrived. Nothing can prepare you for the early days but maternal instinct takes over and somehow you can live off food, tea and no sleep. We felt much more prepared for our second although sleep deprivation is always a shock to the system.
6. WAS THERE ONE THING THAT YOU BOUGHT, THAT YOU COULD NOT DO WITHOUT DURING PREGNANCY?
For H it was definitely the pregnancy pillow, it even had a name: Bo!
For E without a doubt it was rennie tablets…
7. DID YOU FIND IT USEFUL TO MEET OTHER EXPECTANT PARENTS AT ANTENATAL CLASSES OR OTHER ACTIVITIES?
I have really enjoyed going to baby groups/other activities, as it got me out of the house, added to structure to my day, and I’ve made a few ‘mum friends’ which has been lovely to have other adult company during the day as maternity leave can be quite isolating and lonely at points.
Tips from other parents
Best advice I could give is accept any help offered to you
My advice would be to go out with baby and do things, a class, a walk, to the shop. Doesn’t matter just get out the house.
“Don’t be afraid of being noisy around them, get them used to everyday noise even when they’re asleep.
Don’t compare yourself or your baby to others. Some sleep, some don’t. Some breast feed, some don’t. Some go to classes, some don’t. Do what you feel is best for you and your baby. It’s lovely hearing other people’s stories and advice but ultimately you know you and your baby best
Accept help you don’t need to do everything
Wish someone would have told me it’s ok to say no to the visitors if you want or need to and to actually prioritise the newborn and the new parents we had become. Definitely took my own advice with the second baby and was much kinder on ourselves
Your baby, your rules! You don’t have to let everyone in or let them hold the baby
Ask for help when you need it
Every child and every parent find different stages and phases easy or difficult. Your journey doesn’t have to match anyone else’s.
Say no to visitors within the first few days and if you let people come round then make sure they do something for you. Washing up, laundry, bring you food, walk the dog whatever. Something that’s gonna make your life easier. Remember you’re still a person outside of being a
Take every opportunity. Everyone is a beginner at the start of something new
Take the help when it’s offered!
You’re enough! Even on your worst day and you feel like a terrible mommy and you don’t know what you’re doing. You are enough
Sandwell Libraries
Becoming a member is free and entitles you to borrow books, DVDs, CDs and other items from any Sandwell library
• Free to join and borrow up to 10 books, talking books, e-books and more
• Free activities for children and adults
e.g. Play, Talk, Read, craft activities and homework help
• Free access to IT and Wi-Fi in all libraries
• Just turn up and make new friends at one of our groups, e.g. reading groups, knit and natter and baby groups
• Libraries are designated warm and cool zones To
www.sandwell.gov.uk/libraries
Talking to your bump
Did you know?
Your child starts to learn even before they are born. In fact, your baby learns more during pregnancy and the first 2 years compared to any other point in their life!
Studies show the heart rate of your unborn baby increases when they hear your voice. This means your baby becomes more alert when you speak and is learning about language and sounds even before they are born.
• Your baby is able to recognise familiar sounds and voices they have heard during pregnancy. This can help soothe them after they are born.
It’s never too soon to talk to your baby. Babies are ready to learn even before they are born. Try and spend a few minutes a day talking and singing to your baby. It may feel silly having a one-sided conversation but the more you talk to your baby bump the more natural it will feel. Talking to your bump is easy to do and helps you build a bond with baby before they are here! Older siblings and parent/family members can join in too and give and help give your baby a head start with language and learning.
Grandparent
“Brilliant really friendly and informative. I have gained a lot more knowledge about caring for a baby in 2024 thank you. We will be looking to do any other sessions available.”
“(The session was) very useful information given, as things have changed so much since having my children and I want to support my new grandchild with the proper support.”
To book your free Grandparent antenatal session please visit www.bookwhen.com/changes
Statutory Paternity Leave and Pay
Statutory paternity leave and pay is one or two weeks’ paid time off work so that you can help look after your new baby.
To get this you must be:
• The child’s biological father or adopter
• The mother’s partner
• The intended parent (if you’re having a baby through surrogacy)
You must also:
• Have worked for your employer for 26 weeks by the 15th week before the baby is due
• Be employed by your employer until the baby is born
The Welfare Rights Team
Our aim is to improve income for Sandwell citizens and in doing so this provides a better quality of life. We give free independent and impartial advice and support on all welfare benefits.
We can help with: giving general guidance and support, completion of all welfare benefit forms, giving advice and support for people who have overpayments of benefits, benefits payments when they cease or are reduced, offering appointments to discuss any help with benefits issues. Please contact the team on 0121 569 3158 or email welfarerights_team@sandwell.gov.uk
What are you entitled to?
When you are pregnant you are eligible for free support and help for various different things. It’s important you explore what’s on offer to you, so you don’t miss out.
Maternity leave
This depends on your employer and what policy they have for maternity leave.
Statutory maternity leave is 52 weeks, ordinary maternity leave is the first 26 weeks, and additional leave is the last 26 weeks. You don’t have to take this, but you do have to take 2 weeks leave after your baby is born. (If you work in a factory, this is 4 weeks)
Maternity pay
This depends on where you work and what maternity pay they give their staff.
Statutory maternity pay is paid for up to 39 weeks. You get 90% of your weekly earnings for the first 6 weeks, and then £184.03 a week for the next 33 weeks.
You qualify for statutory maternity leave if you are an employee and you give the correct notice. It doesn’t matter how long you have worked there for, and how many hours you work, or how much you get paid. You can’t get less than the statutory maternity entitlement.
Extra help from the government
You may be able to get further support from the government, depending on your current situation. This could include:
Child benefit helping parents with the cost of caring for their children
Child tax credit gives financial support for children
Working tax credit helps people in lower paid jobs by reducing the amount of tax they pay
Income support and job seekers allowance are payments for people who are not in work or who don’t have enough money to live on
Housing benefit this can help with your rent or mortgage repayments
DID YOU KNOW?
When you are pregnant you are entitled to...
3 FREE DENTAL CARE (including up until the year after the baby is born)
3 FREE PRESCRIPTIONS
3 PAID TIME OFF to go to your antenatal appointments. If you are studying you could get help to pay for your living expenses and living costs
Buying for baby, what do we really need?
There are so many things we are told to buy when a new baby is due. All a baby really needs is to be safe, warm and fed. Read on for more information on what you really need.
Baby will need:
• Love
• Attention
• Clothes
• A safe, clean place to sleep
• Breastmilk/Formula
• Car-seat
• A baby carrier or pushchair
• Nappies
• A steriliser if you’re planning to breastfeed
Items no longer recommended:
• Bottle prep machines
• Cot Bumpers
• Baby pillows
• Bottle prop pillows/holders
Splurge on...
Car Seats
It can be hard to know the history of a second hand car seat or tell if it’s been in an accident.
Even a small hairline crack somewhere within it could mean it won’t provide the protection your child needs in the case of collision (including wear and tear on harnesses that you may not be able to see).
Older seats might also fail to comply with the latest safety regulations.
Cot Mattresses
It is not recommended to use second hand cot mattresses. Although the link is not yet proven, the Lullaby Trust charity state research has found an increased risk of sudden infant death syndrome (SIDS) when a second-hand mattress had been used.
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Pushchair
Look for the British Standards safety sticker BS7409. Check it hasn’t been involved in a product recall. Ensure the brakes and buckles work properly.
Cots
Although it is advised to use brand new cot mattresses, a second hand cot is a good money saving alternative.
A few safety tips to remember are:
• If the cot was made before 1973 it may contain lead-based paint.
• Look for a cot bed that conforms to British Standards BS EN 716 as a cot, and BS 8509 as a bed.
• The distance between each bar shouldn’t be less than 2.5cm or more than 6.5cm, so that your baby’s head can’t get trapped.
• Check the drop-side mechanism (banned in the US but not in the UK) to ensure fingers can’t get trapped. It should have a lock when in the lowered position.
Maternity clothing and baby clothing
Friends and family, charity shops and online selling sites are perfect places to get second hands clothes for you and your growing bump, or your new baby.
Some things to consider:
• Check the labels on nightwear. See if they say ‘Keep away from fire’ and ‘Low flammability to BS 5722’. If they don’t, they might not meet the latest standards.
• Check for choking hazards. These can include draw strings and loose buttons. This is especially important on older clothes and home knits where safety standards don’t necessarily apply.
Reusable nappies
These can be quite costly when buying brand new, so buying second hand could save you money, as well as being great for the planet.
Baby Movements
Feeling your baby move is a sign that they are well.
You’ll usually begin to feel your baby move between 16 and 24 weeks. A baby’s movement can be described as anything from a kick, flutter, swish or roll.
How often should my baby move?
There is no set number of normal movements. Your baby will have their own pattern of movements that you should get to know. From 16-24 weeks on you should feel the baby move more and more up until 32 weeks. From 32 weeks onwards the pattern of movements should stay roughly the same until you give birth.
It is NOT TRUE that babies move less towards the end of pregnancy.
You should CONTINUE to feel your baby move right up to the time you go into labour and whilst you are in labour too.
You must NOT WAIT until the next day to seek advice if you are worried about your baby’s movements.
If you think your baby’s movements have slowed down or stopped, contact maternity triage immediately (it is staffed 24 hrs, 7 days a week).
• DO NOT put off calling until the next day to see what happens.
• Don’t worry about phoning, it is important for your doctors and midwives to know if your baby’s movements have slowed down.
Do not use any hand held monitors, Dopplers or phone apps to check your baby’s heartbeat. Even if you detect a heartbeat, this does not mean your baby is well.
Why are my baby’s movements important?
A reduction in a baby’s movements can sometimes be an important warning sign that a baby is unwell.
Around half of women who had a stillbirth noticed their baby’s movements had slowed down or stopped.
For more information on baby movements talk to your midwife.
Best Beginnings
www.bestbeginnings.org.uk/our-chance
When you are pregnant your body has a clever way of letting you know when you need to see your midwife or doctor.
‘Our Chance’ is a campaign created by the charities Best Beginnings and SANDS. It aims to raise awareness of the things that can go wrong and give information and advice to reduce pregnancy risks.
Introduced by Abbey Clancy, the ‘Our Chance’ website and Baby Buddy app host a series of short videos to help keep moms and babies as healthy and safe as possible.
All of the ‘Our Chance’ safer pregnancy video clips can be found in the videos section of the Baby Buddy app. This can be downloaded from the App Store or Google Play.
Call the midwife if you experience any of the following...
Spotting or light bleeding
Painful urination
Swelling in face, hands or legs
Baby’s movements slow down or pattern changes
Contractions or cramps
Leaking fluid
Constant vomitting
Pelvic Pain
Persistant and severe headache
Blurred vision, spots in front of eyes
Itching, especially hands and feet
If you experience any of these... GET HELP
Trust your instincts: if you feel something is wrong, even if it’s not on this list, contact your midwife or doctor.
All pregnant women are entitled to free NHS maternity care.
This includes women who do not have immigration status.
Where can I have my baby?
Having a baby can be an exciting and scary time. No matter what the circumstances of your pregnancy, you can be assured of the very best of care. Our maternity services help you reach informed decisions about your care throughout their pregnancy.
Maternity care is generally divided into two categories:
Low risk care is offered where any previous births and general health have been problem-free. Expecting women are managed throughout their pregnancies by midwives.
Combined care is provided where a medical condition exists that may need additional monitoring. Care is shared between a midwife and a consultant obstetrician (a doctor who specialises in pregnancy and childbirth).
You and your family will be treated with kindness, respect and dignity. Your views, beliefs and values will be respected at all times.
Services to meet individual needs such as interpreters and link workers for those whose first language is not English are available.
Choosing where to have your baby
Having a baby is a natural event in life, and you should consider giving birth where you feel most comfortable and in control. You may find it helpful to talk to your midwife, or to other parents and support groups, or by visiting maternity units and birth centres.
It’s important that you feel as relaxed as possible when you give birth, as the pain can feel worse if you are tense or anxious. When you have your baby in hospital you may use rooms with home-like surroundings or bring pillows or other items to make you feel more comfortable.
At City Hospital, the Serenity Midwifery Birth Centre is a purpose-built facility that looks and feels homely to make women feel comfortable and relaxed.
A note from a Health Visitor
What is a health visitor and the service they provide?
Health visitors are registered nurses/midwives who have additional training in community public health nursing.
Health visitors work with parents who have new babies, offering support and informed advice from the ante-natal period until the child starts school at 5 years.
Health visitors visit parents through a minimum of 5 universal home visits from late pregnancy through to a developmental assessment at 2 years. These visits are usually in the home, but the health visitor may invite you to join groups, clinics and networks run by the health visiting team or colleagues who work with them such as: nursery nurses, Family Hub staff, voluntary organisations or community mothers.
Health Visitors provide a personalised service based on individual needs to support their children’s health and development.
When should I get medical help?
Trust your instincts. You know your baby best and will know what their usual behaviour is.
If you think your baby is seriously ill call your GP, NHS 111 or call 999 in a medical emergency.
Fontanelles (soft spots)
On the top of your baby's head, near the front, is a diamondshaped patch where the skull bones have not fused together yet. There is another, smaller, soft spot towards the back of their head. These are called the fontanelles. It will probably be a year or more before the bones close over. Do not worry about the fontanelles as they are covered by a tough protective membrane.
Your baby's skin
Vernix, the white sticky substance that covers your baby's skin while in the womb, should always be left on the skin. It's a natural moisturiser that also protects against infection in the first few days. It's best to bath your baby with plain water only for the first few months. Do not add cleansers to your baby's bath water or use skin lotions or medicated wipes as this may cause them to have dry skin. It is really important to change your baby’s nappy regularly as they have very sensitive skin – this will prevent nappy rash. Use either baby wipes or cooled boiler water and cotton wool to clean your baby’s nappy area. If your baby has dry skin apply petroleum jelly (Vaseline) or organic coconut oil to any dry areas.
Newborn spots
Spots and rashes are very common in newborn babies. They may come and go, but if you also notice a change in your baby's behaviour – for example, if your baby is not feeding well, or is very sleepy or very irritable – tell your midwife or GP immediately.
Breasts and genitals in newborns
Quite often, a newborn’s breasts are a little swollen and ooze some milk, whether they are a boy or a girl. Your newborn's genitals may appear swollen initially but will look normal within a few weeks. Baby girls also sometimes bleed a bit or have a white, cloudy discharge from the vagina. All this is caused by hormones passing from you to your baby before birth. Do not be concerned. Boys' testicles develop inside their body and sometimes take a while to descend into the scrotum. A health professional will check whether they have descended as part of the newborn physical examination.
Your baby's crying
Crying is your baby's way of telling you they need comfort and care. It can be hard to know what they need, especially in the early days. Check are they hungry, need a nappy change, tired or over stimulated, need a cuddle or too hot or cold. If you are worried that your baby is unwell contact a medical professional for advice.
Hospital bag
It’s a good idea to get a few things ready at least two weeks before your due date.
Items for you:
• Something loose and comfortable to wear during labour
• Take some comfortable bras or crop tops into hospital, your breasts may have changed size during pregnancy and they might change again when your milk comes in around day three when your milk supply increase.
• About 24 super-absorbent sanitary pads
• A lip balm
• Your washbag with your toothbrush, toothpaste,
Items for your baby:
• Newborn size baby grows
• Newborn size vests
• A hat
• Nappies for the baby – first size
• A shawl or blanket to keep baby warm
• Car seat
• Muslin cloths
• Scratch mittens
hairbrush, flannel, soap and other toiletries
• Things to help you pass the time and relax, for example - books, magazines or music
• Towels
• A sponge or water spray to cool you down
• Front-opening or loose-fitting nighties or tops for breastfeeding and skin-to-skin contact
• Dressing gown and slippers
• Five or six pairs of pants
• A loose, comfortable outfit to wear after you have given birth, and to come home in
Birthing partner tips
• Going by car? Make sure the car always has fuel in it
• Going by taxi? Make sure you have the taxi fare put to one side
• Pack your own snacks and drinks
• Pack a spare change of clothes for you
• Money – including change – for the parking machine, and for the vending machine
• The car seat – have a practise fitting it before hand
• Mobile phone – keep it charged!
• Camera
What is antenatal care?
Your midwife
A midwife is the main provider of care during your pregnancy.
Midwives are highly-skilled, qualified professionals who care for women you during normal pregnancy, childbirth and after the birth. You will be introduced to your midwife, who will care for you during your pregnancy and when you go home. You may meet different members of a team of midwives throughout your pregnancy.
Midwives are trained to make sure everything goes as well as possible and to recognise any potential problems for you and your baby.
Midwives work both in maternity units and in the community, often in a team system. The style of care may depend on where you live. Community midwives may visit you at home before the birth and will continue to care for you after the birth.
Obstetrician
A doctor who specialises in pregnancy and childbirth. You may see an obstetrician or another qualified doctor who is trained in obstetrics. Obstetricians are likely to be heavily involved if there is a problem with your pregnancy or birth but, if everything is fine, the chances are you may not need to see one.
WNOK MORE
about sleeping with your baby KNOW MORE
The safest place for baby to sleep is in a cot in your room for at least the first 6 months
The safest place for baby to sleep is in a cot in your room for at least the first 6 months
NEVER share a bed with your baby if either you or your partner smokes, has drunk alcohol, has taken legal (prescribed or unprescribed) medication/drugs that make you sleepy, taken illegal drugs or your baby was premature or low birth weight. Your baby could suffocate in the covers or pillows or if you roll on top of them.
Local babies have died this way.
NEVER share a bed with your baby if either you or your partner smokes, has drunk alcohol, has taken legal (prescribed or unprescribed) medication/drugs that make you sleepy, taken illegal drugs or your baby was premature or low birth weight. Your baby could suffocate in the covers or pillows or if you roll on top of them.
Local babies have died this way.
Keeping babies safer in the Black Country designed and developed by Dudley Council Public Health endorsed by Black Country CDOP
For more information go to www.lullabytrust.org.uk about sleeping with your baby
For more information go to www.lullabytrust.org.uk
Keeping babies safer in the Black Country designed and developed by Dudley Council Public Health endorsed by Black Country CDOP
Safer sleep for babies
Things you can do:
Always place your baby on their back to sleep.
Breastfeed your baby.
Keep your baby smoke free during pregnancy and after birth.
Use a firm, flat, waterproof mattress in a good condition.
Place your baby to sleep in a separate cot or Moses basket in the same room as you for the first 6 months.
Things to avoid:
Never sleep on a sofa or in an armchair with your baby.
Avoid letting your baby get too hot.
Don’t sleep in the same bed as your baby if you smoke, drink or take drugs or if your baby was born prematurely or was of low birth weight.
Don’t cover your baby’s face or head while sleeping or use loose bedding.
Bottlefeeding
Which formula milk should I choose?
Choose any brand of first infant milk for the first year of life. All first infant milks in the UK have to meet the same nutritional standards. Some manufacturers add extra ingredients or use different formulations. These additions are not agreed to offer any benefit, and only make the product more expensive.
How do I make up feeds?
Powdered infant formula is not sterile. It is important you make up feeds according to the NHS guidelines.
Remember make one feed up at a time:
• Put the water in first and powder second.
• Use cooled, boiled water at more than 70ºC to make up infant formula
• Make the powered up according to the instructions on the tub. Don’t add any extra powder, water or anything else as this can cause your baby serious harm.
Milk preparation devices are available to buy. The food standards agency and NHS website do not recommend the use of milk preparation devices.
You can sterilise your bottle feeding equipment by using:
• Steam
• Cold water sterilising solution
• Boiling
Other devices to sterilise equipment are available to buy. But, they are not currently recommended on the NHS website. Speak to your midwife or health visitor if you are not sure.
What is responsive bottle feeding?
Feeds are a time for you and your baby to love and bond with each other. Limit the number of people who bottle feed your baby to one or two main care givers, especially in the first few weeks. This is usually the baby’s parents.
For more information and guidance on bottle feeding, visit the Family Hubs website: www.sandwellfamilyhubs.com
Breastfeeding
Breastfeeding is normal and natural but not always easy. 8 out of 10 parents stop breastfeeding before the want to.
Here are some good things to know to help manage problems and get off to a good start:
1 Breastmilk contains all the nutrition for your baby to grow AND also contains special substances only found in breastmilk that reduce the risk of infection and disease.
2 Find out about breastfeeding before baby is born. Babies feed a lot and this can take parents by surprise. Breastfeeding should not hurt but it often does hurt when baby isn’t attached at the breast properly. Attend antenatal breastfeeding classes if you can.
3 Sign up to FLO text messages. FLO sends useful video clips and information about feeding and nurturing your baby. Speak to your community midwife who can sign you up. Parents say the messages help them breastfeed for longer.
4 Express milk before your baby is born. You can express your first milk colostrum from around 37 weeks pregnant. Ask your midwife for an early expressing pack.
5 As soon as baby is born have skin to skin cuddles until after the first feed. Breastfeeding in the first hour is a good way to get off to a great start. Your baby knows how to crawl to you breast and feed but they need skin to skin to do it.
6 Know how to tell your baby is getting enough milk. Lots of parents stop breastfeeding or give formula because they don’t know how much milk baby is getting.
7 Get help from your local feeding support as soon as possible. No one breastfeeds alone.
If you want to find some useful videos and more breastfeeding tips, visit the Family Hubs website: www.sandwellfamilyhubs.com
Breastpump hire is available from your local Family Hub
10 top tips for bringing a new baby home
1 Fill your freezer with meals
It can be difficult to prepare and cook meals when baby is first here. Pre-preparing meals before baby’s arrival can help with this, ensuring you have nutritious and filling meals that can easily be heated up. If you have friends or family members who love to cook, get them involved too!
2 Set up a couple of nappy changing stations around your home.
It’s almost a guarantee in new-parent life that a baby will poo when you are least prepared. Having several nappy-changing stations in a household can limit the stress . . . and mess when these moments happen.
3 Stock up your bedside table with night-time essentials
Often babies can be quite active in the evening or night-time especially in the early days and weeks, consider having snacks, drinks or other essentials easily to hand to get you through those times.
4 Accept offers of help from visitors
Accepting help from others can be one of the hardest things to do. Allowing loved ones to support you really can be a lifeline and the difference between getting a hot drink while it is still hot!
5 Meet other parents
Sometimes being at home can be lonely (even with family around), attending groups and activities can mean spending quality time with baby while meeting other new parentsvisit www.bookwhen.com/book4changes for free bookable sessions for Sandwell parents.
6 Do what you used to love doing
It is easy to put hobbies and interests to the back of your mind when you have a new baby – who has time for hobbies? Self-care comes in many forms. Taking part in things you enjoy is one form and can be important for mental wellbeing. Keep them in your mind, even if it takes time to get back to those hobbies and interests.
7 Do it as a team
We know parenting teams look differently to everyone, whether your team is a partner, grandparents or friends they are all equally important. Let them know they are in your team prior to the birth and what you would like to happen after baby is here. Do you have a team member with a particular skill? Let them show off that skill while you are parenting.
8 Prepare the things you need before birth
Have you set up baby’s sleeping area? Do you have the car seat prepared or baby clothes washed? It might seem like a while until baby is due but preparing these things now may mean you are less stressed closer to baby’s arrival and have more time to relax.
9 Sleep when baby sleeps
Although this can sometimes be easier said than done, if you struggle to sleep then a rest, pause or a warm drink and snack can make you feel like a new person. It can sometimes feel you are the only parent not in an established routine, we promise, you aren’t.
10 Be kind to yourself
Parenting can be hard at times. Be kind to yourself and to each other. You are all learning what it is like to have a new life in your world (even if this isn’t your first baby) and you are doing great!
Infant crying and it will stop!
Infant crying is normal and it will stop!
Babies start to cry more frequently from around 2 weeks of age
Babies start to cry more frequently from around 2 weeks of age.
The crying may get more frequent and last longer.
The crying may get more frequent and last longer.
After about 8 weeks of age babies start to cry less each week
After about 8 weeks of age babies start to cry less each week.
sometimes soothe the baby and the crying will stop
Comfort methods can sometimes soothe the baby and the crying will stop.
to w you have checked the baby is safe and the crying is getting to you
Never, ever shake or hurt a baby.
shake or hurt a baby.
It can cause lasting brain damage or death
Think about are they:
• hungry
• hungry
Infant crying is normal and it will stop!
Think about are they:
Babies start to cry more frequently from around 2 weeks of
Think
• tired
• tired
• in need of a nappy change
The crying may get more frequent and last longer
It’s ok to walk away if you have checked the baby is safe and the crying is getting to you.
After a few minutes when you are feeling calm, go back and check on the baby.
It can cause lasting brain damage or death.
If you are worried that your baby is unwell contact your GP or cal NHS 111
If you are worried that your baby is unwell contact your GP or call NHS 111. Speak to someone if you
After about 8 weeks of age babies start to cry less each week
• in need of a nappy change
After a few minutes when you are feeling calm, go back and check on the baby.
Try simple calming techniques such as singing to the baby or going for a walk.
Try simple calming techniques such as singing to the baby or going for a walk.
Best Beginnings www.bestbeginnings.org.uk/our-chance
Black Country Women’s Aid: 0121 552 6448
Sandwell Breast Feeding Network 07505775357
Changes Antenatal www.bookwhen.com/changes
Lullaby Trust: Bereavement support 0808 802 6868
Information & advice 0808 802 6869 www.lullabytrust.org.uk
National Breastfeeding Help Line 0300 100 0212
Sandwell Infant Feeding Team 07816061633
New Beginnings Baby Bundles
Family Hubs: Family_HubsTeam@sandwell.gov.uk www.sandwellfamilyhubs.com
Tel: 07762 303374 babybundles@ newbeginningscommunity.co.uk Facebook: New Beginnings Baby Bundles
Healthy Sandwell: 0800 011 4656 or 0121 569 5100 text GETHEALTHY to 87007 LS@nhs.net
Children’s Centres are growing to include more support and services and will now be the home for Sandwell Family Hubs.
www.iconcope.org
Twins and Multiple Births Association (Tamba) www.tamba.org.uk
Welfare Rights Sandwell 0121 569 3158 email welfarerights_team@sandwell.gov.uk
What is a Family Hub?
Our mission is to help all families in Sandwell thrive.
Family Hubs will offer the right help, in the right place, at the right time with services and support for all families with children aged 0 – 19 (or 25 with SEND). Extra support is available for families during pregnancy and in your baby’s first years.
Below are a range of services the Family Hubs offer. Visit the website for a full list of services and how Family Hubs can support your family.