Preparation for Birth Key terms: Maternity leave paternity leave fixed expenses flexible expenses Goal: Students will be able to list and recognize the basics of preparing for birth.

Helping siblings adjust Allow child to help prepare

Move child out of crib or room before birth

Purchase a new doll for sibling

Open communication is important

When mom goes to hospital: Call child(ren) at home soon after birth

Allow child to visit hospital as soon as possible

Sibling may want to take new toy to newborn

Breastfeed or Bottle feed?

Breastfeeding…. *protects your baby from gastrointestinal trouble, respiratory problems, and ear infections *protects your baby from developing allergies *may boost your child's intelligence *may protect against obesity later in life *may protect your baby from childhood leukemia * may protect your baby from developing type 1 diabetes

*may protect preemies from infections and high blood pressure later in life *may lower your baby's risk of SIDS *helps you lose weight *can lower your stress levels and reduce postpartum bleeding *may reduce your risk of some types of cancer *may protect against osteoporosis later in life

Advantages of bottle feeding… Babies need to be fed less frequently since it is more difficult to digest. If you are bottle feeding your baby, you know exactly how much milk your baby has had. Baby can be fed by anyone Your social life does not need to be curtailed.  You can resume your normal life.

Decisions before birth: Car seat NC Law- All children must be in a: car seat in the rear seat if child is less than 5 years old, weighs less than 40 pounds, and if the vehicle has passenger side air bag (should face the rear of the vehicle as long as possible, but at a minimum should not be turned around until AT LEAST 20 pounds AND at least 1 year of age)

Big boys and girls Car seat or booster seat if under age 8 and under 80 pounds

Making Cribs and Beds Safe Safety At Home Making Cribs and Beds Safe 1) the top of the adjustable rail at its highest position must be at least 26 inches above the of the mattress support at its lowest position, and 2) all wood surfaces must be smooth and free from splinters; 3)To prevent head entrapment and suffocation between the mattress and crib sides, a mattress used in full-size cribs must be at least 27¼ inches by 51⅝ inches with a thickness not exceeding 6 inches.

Family leave: determine finances new parents’ roles work schedules child care

Potty break…. (Go over Rubric for project) **flour baby projects will be given back on Monday

March 12 Reminder of Pregnancy booklet is due March 19 Give out progress reports, flour baby books, and bean projects Finish up lesson from Friday (preparing the home for baby)

Partners… **NO YOU MAY NOT CHANGE Andrew, Hannah Jennifer, Tierra Sakiquioa, Allison Alayni, Taylor Kaitlin, Nick Lisa, Cameron Ashley, Mylinh Haylee, Maranda Jared, Olivia Ana-Len, Seirah

Child Safety At home…

When Children are free from danger they are safe. Parents should look for ways to keep their children safe at home and away from home. When Children are free from danger they are safe. Childproofing The Home Kitchens, Bathrooms, heat sources, any room the baby will be in

Home Fires Safety At Home Fire alarms should be checked regularly. Batteries should be fresh. Carbon Monoxide Detectors. Carbon Monoxide is the silent killer. These are good if you have fireplace or work in the garage a lot.

Home Fires Safety At Home Keep a fire extinguisher handy in your kitchen or other areas

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

Never leave a child a lone around water!! Safety At Home Bathing Children Safely Cover faucets with rubber safety kits! Use baby tubs for infants! Never leave a child a lone around water!!

Preventing Falls Use Gates near stairs! Use foam/rubber edge guards! Safety At Home Preventing Falls Use Gates near stairs! Use foam/rubber edge guards! Use Door/draw locks so kids cant climb up furniture!

Preventing Suffocation Safety At Home Preventing Suffocation Keep clothes fitted not lose Keep blankets, stuff animals, and extra things out of the crib!

Prevent Choking Meal time Safety Safety At Home Meal time Safety Prevent Choking Keep Toddlers away from foods that are hard to chew! (string cheese) Learn CPR and the Heimlich maneuver! 2,800 people die each year from choking

Preventing Poisoning Keep all cleaning chemicals locked away Safety At Home Preventing Poisoning Keep all cleaning chemicals locked away Keep all doors and draws locked

Safety Away From Home Playground Safety all playground surfaces should be covered with either a rubber or rubber-like mat or at least 12 inches of pea gravel, sand, mulch, or wood chips. The landing surface should stick out at least six feet in every direction from the play structures. to prevent falls in the first place, all platforms or ramps should have guardrails or other barriers Toddlers and babies should use only full-bucket swings, not half-bucket swings. No sharp edges sticking out. • Make sure there are no strings, belts, or straps hanging from your child's clothing. Keep a close eye on your children. The safest playgrounds are the ones where parents are looking out for kids. Stay close!

Safety Away From Home Water Safety all playground surfaces should be covered with either a rubber or rubber-like mat or at least 12 inches of pea gravel, sand, mulch, or wood chips. The landing surface should stick out at least six feet in every direction from the play structures. to prevent falls in the first place, all platforms or ramps should have guardrails or other barriers Toddlers and babies should use only full-bucket swings, not half-bucket swings.

No sharp edges sticking out. Make sure there are no strings, belts, or straps hanging from your child's clothing. Keep a close eye on your children. The safest playgrounds are the ones where parents are looking out for kids. Stay close!

Childbirth classes Lamaze aimed at removing all kinds of fear and tension during labor Classes involve stretching and strengthening exercises, learning the art of relaxation and breathing techniques, labor Moms-to-be start taking Lamaze classes anytime the first trimester (fathers, too)

Normal labor, birth, and the early postpartum period (using videos of real births) • How to be active and informed participants during childbirth • Focused breathing techniques for labor • Other relaxation techniques and natural strategies to help you work with labor pain, such as massage, walking, position changes, and hydrotherapy • Tips to help your partner be encouraging and supportive during labor

• The value of one-on-one professional support during labor • How to communicate with your healthcare team so your needs are met • Complications that could arise during labor and birth, and interventions that might be medically necessary • Epidurals and other options for managing pain with medication • Early interaction with your baby • Breastfeeding

teaches natural childbirth and views birth as a natural process Bradley Method 12 weeks of classes teaches natural childbirth and views birth as a natural process system of natural labor techniques in which a woman and her coach play an active part

Bradley method teaches: *natural childbirth - nearly 90% of Bradley moms having vaginal births do so without pain medication *active participation by the husband as coach *nutrition *avoidance of drugs during pregnancy, birth, and breastfeeding, unless absolutely necessary *relaxation and NATURAL breathing management *“tuning-in" to your own body and trusting the natural process *immediate and continuous contact with your new baby *breastfeeding, beginning at birth provides immunities and nutrition *consumerism and positive communications

LeBoyer method Dr. Fredric Leboyer 1970’s 1975 Birth without Violence Goal: minimize the trauma and stress experienced by a baby at birth

Leboyer Method includes: quiet room that has low or dim lighting minimize noise levels not pulling on the baby's head baby placed on mom’s stomach after she or he is born baby is gently massaged to ease crying umbilical cord will not be cut until it has stopped pulsating baby may be placed in warm tub of water

You should definitely call your practitioner if: • You are less than 37 weeks pregnant and are showing any signs of pre-term labor • Your water breaks or you think you're leaking amniotic fluid • You have vaginal bleeding, fever, or severe or constant pain • Your baby stops moving or begins to move less

Signs of Labor Lightening Mucous plug (Bloody show) Amniotic fluid ruptures Contractions

Dilation of cervix Contractions Placenta is delivered 3 stages of birth Dilation of cervix Contractions Placenta is delivered

Stages of Labor First stage (several hours-24 hours) dilation of cervix *checked during a pelvic exam *measured in centimeters, from 0 cm (no dilation) to 10 cm (fully dilated) *4 cm dilated=active stage of labor *fully dilated=ready to start pushing

Effacement *cervix softens as it's preparing for labor *usually begins during the last month of pregnancy *by delivery day, cervix will have stretched from around 1 inch in width to paper thinness *doctor or midwife may start checking for gradual effacement during last two months of pregnancy with internal exams during prenatal visits *effacement is measured in percentages: 0%= no effacement 100%= fully effaced.

Contractions *uterus contracts *contractions get longer, stronger *true contractions=closer together, last 30-70 seconds Baby moves into position

Anesthesia may be used Other options: Epidural-A needle is placed between the vertebrae into a space called an epidural space. Medication is then placed into this space through a small catheter which is left in placed and taped. Other options: Demerol and Nubain -can make you drowsy, dizzy and cause nausea and vomiting paracervical block - local anesthetic injected around the cervix to numb the nerves that go to the perineum Spinal anesthesia- local anesthesia placed into the back into the spinal fluid; only lasts about an hour

Transition *Lasts from few minutes-several hours *Contractions last 60 to 90 seconds and come two or three minutes apart *Dilate to 10 cm

Second stage (few minutes-3 hours) *Contractions move baby through pelvis, out of vagina *pelvic ligaments stretch, bones open *episiotomy *baby moves through birth canal *head emerges, shoulders rotate, body is delivered, feet emerge

Third stage (2 minutes-30 minutes) *placenta is delivered

Newborn Procedures Vitamin K-helps blood clot Tests for hearing Blood test for PKU Silver nitrate drops Weighed and measured

What happens at birth? Apgar Scale (Virginia Apgar, 1952) One minute, 5 minutes after birth Activity (muscle tone) 0 — Limp; no movement 1 — Some flexion of arms and legs 2 — Active motion Pulse (heart rate) 0 — No heart rate 1 — Fewer than 100 beats per minute 2 — At least 100 beats per minute Grimace (reflex response) 0 — No response to airways being suctioned 1 — Grimace during suctioning 2 — Grimace and pull away, cough, or sneeze during suctioning Appearance (color) 0 — The baby's whole body is completely bluish-gray or pale 1 — Good color in body with bluish hands or feet 2 — Good color all over Respiration (breathing) 0 — Not breathing 1 — Weak cry; may sound like whimpering, slow or irregular breathing 2 — Good, strong cry; normal rate and effort of breathing

Work on Pregnancy book