Prenatal Class Companion

PRENATAL CLASS COMPANION

263x252-prenatal-csectionIn the third trimester make sure that your baby is moving on a regular basis.

If you feel that the baby is too quiet, sit down, eat and drink something sweet and cold. Your baby should start to move. We want 3 movements in the hour after a meal. If your baby does not start to move after the meal please come to the hospital.

A small amount of vaginal bleeding is normal in the third trimester. Do not worry if you see some staining or even some fresh blood on the underwear. If you have soaked a pad with fresh blood or if you see blood running down your legs this is too much bleeding to be normal. Please come to the hospital immediately.

Continue to eat, exercise and go about your daily activities as normal. There is not much that you can do to get yourself into labour. You can drive right up until you are in labour.

Knowledge Base

What to do If my waters break?

If you think or are convinced that your waters have broken, have a shower, eat something and make your way to the hospital. Do not speed as this is not an emergency. If you notice that the waters are green make your way in sooner.

Once at the hospital we will check to make sure that your waters have indeed broken. If they are not we will send you home.

If they have broken and you are not in labour we will admit you and induce you with a drug called oxytocin. This will involve you getting an IV and also being attached to a fetal heart rate monitor. You cannot eat or shower once the induction starts and the induction process may take a long time.

If you are GROUP B STEP POSITIVE please remember to remind the nurses that you need antibiotics in labour.

labour

Remember, if you think you are in labour you are not!

You are only in active labour when your contractions are 3 to 4 minutes apart and lasting about a minute long. The most important criteria for active labour are that your contractions are so painful that you cannot walk or talk during a contraction.

What to do while waiting for your contractions to get stronger?

Find positions that are comfortable for you. Walking, bending forward, and standing in the shower with the warm water on your back, lying in the tub, getting a back massage. Keep on eating and drinking. Remember, eat whatever you want to throw up!

Going to the hospital.

When you feel that it is time to go to the hospital just go. You do not need to call anyone to let them know you are on your way.

Where to go?

Enter off Oak Street and stop at the first entrance that is no.97 labour and deliver.

Park outside ,pay for parking (the payment machine is at the door and you do not have to put the ticket in your car) and enter into the assessment room area.

The only things you need to bring with you at this point are your MSP card and a picture ID.

If you are in labour that means your cervix is 3cm or more dilated you will be admitted to the labour room.

If your cervix is less than 3cm dilated you will be sent home. You will be offered some Morphine and Gravol to help you relax. I suggest you take it. The nurses will tell you when to return to the hospital.

Options for pain medication in labour.

  • Tub or shower, birthing balls etc
  • Hypnobirthing
  • Laughing gas
  • Epidural

First stage of labour is when you are in active labour and your cervix is between 3 and 10cm dilated.

Once you are admitted in active labour you will have a nurse to help you during your labour. She will help you with monitoring you and your baby’s wellbeing. She will contact the doctors to update them on your progress and arrange for an epidural if you feel you want one.

The second stage of labour

This is from when your cervix is 10cm dilated until you deliver your baby.

Remember that you do not start to push until you feel pressure in your pelvis like you need to go to the washroom. NO PRESSURE-NO PUSHING.

There are many different positions that you can push in. Your nurse will direct you.

The most efficient position to push in as the head comes under the pubic bone is with you lying flat on your back with your knees pulled up to your chest and your pelvis tilted upwards (The McRosengarten).

The Baby is Delivered

The baby will be delivered onto your chest where it will remain for at least a few minutes if the baby is breathing and pink. We do not cut the umbilical cord for at least 2 minutes (delayed cord clamping).Dads you can do this if you wish.

We then deliver the placenta and repair any tears.

Baby then goes onto your breast for the first feed.

After the feed the baby will be checked by the pediatrician and weighted. You finally get to eat and drink. If you have delivered downstairs you will then go upstairs to your postpartum ward.

Your Stay in Hospital

You will usually stay at least 2 nights.

You can bring your own food and other creature comforts.

Limit visitors. Remember you are going to be up most of the nights.

The Breast Feeding

This will take some time to master this. Remember, if you are finding this part easy you are doing something wrong!!!!!

Wake your baby up every 3 to 4 hours during the day and feed for approx. 1 hour.

At night your baby is likely going to wake up at around 10:30pm and will cluster feed for the next 3 to 5 hours.

On the 2 to 5th nights after the delivery if your baby sounds hungry and will not settle after being on the breast for a long time, then I suggest that you can “top up your baby with some donor milk or some formula. 30 to 50mls or half and ounce should settle you’re baby and get you some much needed sleep.

You can usually buy some donor milk from the hospital before you go home. (Available Monday to Friday). You can also use formula. Any newborn formula will do. I suggest premixed. Once you have opened a bottle of formula keep it at room temperature. It can be used again within 4 hours. After that discard and use a new bottle.

Your milk comes in

This usually happens around the 5th to the 7th day after delivery but may be sooner or later.

Use frozen cabbage leaves and advil to help with breast engorgement between feeds and apply warm compresses before you feed.

Nipples

These will get cracked, blistered and even bleed. Apply nipple cream and try the nipple shield. If you need a break from feeding try the breast pump.

Remember to go to the lactation café before you leave the hospital. Open Monday to Friday.

Caring For Your Bottom

The stitched dissolve by themselves and your bottom does not get infected.

Regular pain meds including Hydromorphone (Dilaudid ) if necessary. Stay ahead of the pain.

Stool softeners . These will be given to you. Your first bowel movement will not be as difficult as you expect and it may take a few days for your bowel to work.

Tucks medicated pads to wipe with. Buy these beforehand and bring to the hospital with you.

Hemorrhoid cream and ice packs for hemorrhoids.

Sit in a warm bath of water as often as you want.

Caring For Your Baby

There is no manual. Use your common sense. You cannot harm your baby.

Babies choke during the first day of life. They will not suffocate. Pick up the baby, hold it on your forearm with the head down and pat its back.

Your baby will lose weight for the first week of life and it will also get jaundiced for the first few days.

Wrap your baby with a single towel. Arms in or out doesn’t matter.

The baby goes home with the cord clamp attached to the end of the cord. You do not have to care for the end of the cord. It will fall off by itself after a week or so. You do not have to clean the area or apply alcohol.

Put baby on its back to sleep. Try putting it in the Bassinet first but if it won’t settle there then put baby on your chest and go to sleep.

Use a soother for babies that just cannot stop sucking.

Use a nail file to trim baby’s nails. Socks and mittens also help stop baby form scratching their faces.

The Bright Start Bundle

Only apply for this if you have extended medical form your work.

The hospital will send you these forms to complete towards the end of your pregnancy. If you do not get these forms you can complete them at the time of admission. They do not guarantee you the “special rooms” upstairs. The package does give you free parking, T.V, coffee, baby pictures and a private room if one is available.

Stem Cell Banking

I do recommend you enroll in the Canadian Blood Services stem cell collection program. It is free and does not involve anything more of you than to complete the form which I will give you and to remind you nurse that you want to donate the cord blood at the time of delivery.

For Dads

The only 4 things that Dads need to remember:

  1. Ask for the nice rooms upstairs (Holly and Dogwood rooms)
  2. Remember to limit visitors during the day. You are the “bouncer”
  3. By the cabbage
  4. Get your partner out of the house every day!

Also remember to:

  1. Tell your partner how awesome they are
  2. Buy a “push” present
  3. Back and foot rubs are always appreciated
  4. You do the bottle feeds