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Baby on boardAntenatal classes in English
Produced by Sarah Ann Sommer, Katharina Jahn and Sabine Marie Møller Jensen
Antenatal classesJuli 2017
Herlev Hospital
Antenatal classesJuli 2017
Program
Anatomy
Early labour
Active labour
Management of pain
The role of the partner
Delivery of the baby and the placenta
Other ways of delivery
• BREAK
The newborn baby
Breastfeeding
Maternity period
Antenatal classesJuli 2017
Anatomy
Antenatal classesJuli 2017
Early labour
When does labour start?
37-42 weeks of gestation
How?
Contractions
The waters break
Antenatal classesJuli 2017
Early labour
Back pain
Period-like pain
Braxton Hicks
Bleeding / show
Mucous
Antenatal classesJuli 2017
Early labour
What to do at home
Rest
Eat and drink
Calm breathing
Go for a walk
Warm bath/shower
Hot pads
Distractions
A safe and calm environment
helps the release of oxytocin
Antenatal classesJuli 2017
Early labour
What happens?
Contractions increase:
• Strength
• Frequency
• Duration
Cervix softens and shortens
Dilation of cervix
Antenatal classesJuli 2017
When and where to call
The waters break
Contractions are 4 minutes apart
• lasting 1 min.
• regular for 1-2 hoursEarlier if you have given birth before or
have had a ceasarean section before
Fødemodtagelsen
Assessment Unit 38 68 32 57
No ambulance – always call us firstAntenatal classesJuli 2017
Other reasons to call
Heavy bleeding
Reduced fetal movements
Constant pain - other than contractions
Any urgent concerns
Antenatal classesJuli 2017
What happens at the Assessment Unit?
Located at entrance 56, 4th floor, I3
Midwife
Fetal heart rate
The baby´s position
Vaginal examination
Overall assessment
Antenatal classesJuli 2017
What to bring to the hospital
Vandrejournal (the blue copy of your journal)
Comfortable clothes
Clothing for the baby
Duvet for the baby
Slippers
Toiletry/ lip balm
Camera/ mobile phone
Music
Food/ drink
Entertainment (book, Ipad etc.)
Antenatal classesJuli 2017
Active labour
Strong, regular contractions
Cervix dilates from 4-10cm
Progress 0,5-1cm per hour
Antenatal classesJuli 2017
Labour ward
Panoramic image of the delivery room:
https://www.herlevhospital.dk/afdelinger-og-
klinikker/graviditet-og-
foedsel/foedsel/Sider/Foedegang%20og%20foedemodta
gelse/Foedestuens-indretning.aspx
Antenatal classesJuli 2017
Active labour
The midwife
Is highly qualified. Will be your primary health
professional
Continuous care
Assesses the progress and the fetal heart rate
Administers pain relief
Consults the doctor if necessaryAntenatal classesJuli 2017
Management of pain
Non medical pain relief:
Breathing technique
Movement/changing positions
Massage
Relaxing music
Warm pads
Warm shower/bath
Acupuncture
Sterile water deposits
Oxygen mask
Antenatal classesJuli 2017
Management of pain
Medical pain relief:
Cocktail
Morphine
Entonox / laughing gas
Epidural: http://trygmedbarn.dk/en/fodslen/smertelindring/#!prettyP
hoto
Pudendal block
Antenatal classesJuli 2017
Active labour
The role of the partner, friend or relative:
Support her by:
• Holding her hand
• Massaging her lower back
• Helping her remember the breathing technique
• Offering food, drinks and a cold flannel
• Encouragement
• Assisting her to the toilet and in moving around
• Actively supporting her during pushing
Remember: It is okay to take a break!!
Antenatal classesJuli 2017
Active labour
Transition
Cervix 8-10 cm dilated
Baby´s head moves down the birth canal, closer to
the pelvic floor
Increased urge to push
Can last 2-3 hours
Antenatal classesJuli 2017
Delivering the baby
Cervix dilated 10 cm
The baby´s head on the
pelvic floor
Active pushing
Close communication
with the midwife
Supporting the
perineum
Antenatal classesJuli 2017
What happens next?
For your baby:
Blood gasses from the umbilical cord
Clamping and cutting the umbilical cord after a few minutes
Vitamin K injection recommended
Delivering the placenta:
Syntocinon injection
recommended
Up to 1 hour after delivery
Antenatal classesJuli 2017
Tears
Suturing by the midwife or doctor
Sufficient analgesia available
Sutures dissolve within 4-6 weeks
Antenatal classesJuli 2017
Other ways of delivery
Vacuum extraction – ventouse
Indications:
Fetal distress
Exhausted mother
Performed by obstetrician
If not possible – Caesarean section
Antenatal classesJuli 2017
Other ways of delivery
Caesarean section
Spinal anaesthetic
Partner can be present
Lots of staff
Recovery ward
• 1- 3 hours
Antenatal classesJuli 2017
Homebirth or hospital?
You can choose to give birth at home if you have an uncomplicated
pregancy and are expected to have an uncomplicated birth.
Please talk to your miwife and visit our ”homebirth café” for more
information (see webside).
Juli 2017 Antenatal classes
Antenatal classes
Break
Juli 2017
The newborn baby
Antenatal classesJuli 2017
The newborn baby
Undisturbed time
Skin-to-skin
Closeness, peace and quiet
Dimmed light and warmth
Breastfeeding
Examination of the baby
withing the first 2 hrs
Antenatal classesJuli 2017
Breastfeeding
Benefits of breastfeeding:
Release of oxytocin and early attachment
Perfect nutrition
Early immunization
Cheap and always at hand
Antenatal classesJuli 2017
Breastfeeding
Feeding positions:
Stomach against stomach
Baby’s nose in front of the nipple
Use pillows to support arms and elbows
Antenatal classesJuli 2017
Breastfeeding
Latch-on:
Smelling and licking
Baby’s mouth opens up wide
Succesful latch-on, when both nipple and areola is
in the baby’s mouth
Antenatal classesJuli 2017
Breastfeeding
Frequency
Allow your baby to feed as often, and for as long as he/she wants!
Antenatal classesJuli 2017
Signs of a thriving baby
Normal pink colour
Awakeness and alertness
General interest in suckling
Happy and at ease
Not too drowsy
Wet nappies/diapers
Antenatal classesJuli 2017
Slow adjustment
Limit visits for the first weeks
Keep the baby close to you / skin-to-skin contact
Create a calm and low-activity environment
Give high priority to breastfeeding and rest
Antenatal classesJuli 2017
Maternity period
Bleeding
After-pains
Hygiene
Rest
Fluids
Hormones / baby-blues
Antenatal classesJuli 2017
Maternity period
Early discharge
4-6 hours after a delivery without complications
Telephone call by midwife the day after delivery
• Wellbeing of mother and child
• Breastfeeding
Heel-prick test and hearing
test appointment when baby
is 3 days old (at the hospital)
24-hour hotline the first week:
”Ammetelefon”
38 68 94 53
Antenatal classesJuli 2017
Maternity period
Maternity ward/ patient hotel
optional for 1st time parents
in case of observations or after ceasarean section
single- or double rooms
usually 1-2 days
partner can stay and get
meals (free of charge)
help with breastfeeding
visiting hours
(18:30 – 20:00)
Antenatal classesJuli 2017
Maternity period
After discharge
Baby receives CPR nr. at birth
Midwife sends birth report to your local church office and health visitor
Visit from the health visitor at home the first days
You will need to register baby’s name at the local church office
within 6 month after birth
Unmarried couples need to apply for joint custody
(”fæderskabserklæring”) within 2 weeks after birth at www.borger.dk
(you need Nem ID)
24-hour hotline the 1st week
Contact your GP for appointments
• 5 weeks after delivery – baby
• 8 weeks after delivery – mother
Antenatal classesJuli 2017
See you soon!
Antenatal classesJuli 2017
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