1. 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.

2. Helping siblings adjust
Allow child to help prepare

3. Move child out of crib or room before birth

4. Purchase a new doll for sibling

5. Open communication is important

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

7. Allow child to visit hospital as soon as possible

8. Sibling may want to take new toy to newborn

9. Breastfeed or Bottle feed?

10. 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

11. *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

12. 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.

13. 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)

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

15. 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.

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

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

18. 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)

19. 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

20. Child Safety
At home…

21. 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

22. 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.

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

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

25. 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!!

26. 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!

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

28. 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

29. 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

30. 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!

31. 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.

32. 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!

33. 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)

34. 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

35. • 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

36. 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

37. 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

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

39. 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

40. 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

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

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

43. 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

44. 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.

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

46. 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

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

48. 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

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

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

52. 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

53. Work on Pregnancy book