Baby on board · 2018-03-20 · Antenatal classes in English Produced by Sarah Ann Sommer, Katharina Jahn and Sabine Marie Møller Jensen Juli 2017 Antenatal classes. Herlev Hospital

Baby on boardAntenatal classes in English

Produced by Sarah Ann Sommer, Katharina Jahn and Sabine Marie Møller Jensen

Antenatal classesJuli 2017

Herlev Hospital


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


Anatomy


Early labour

When does labour start?

37-42 weeks of gestation

How?

Contractions

The waters break


Early labour

Back pain

Period-like pain

Braxton Hicks

Bleeding / show

Mucous


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


Early labour

What happens?

Contractions increase:

• Strength

• Frequency

• Duration

Cervix softens and shortens

Dilation of cervix


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


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


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.)


Active labour

Strong, regular contractions

Cervix dilates from 4-10cm

Progress 0,5-1cm per hour


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


https://www.herlevhospital.dk/afdelinger-og-klinikker/graviditet-og-foedsel/foedsel/Sider/Foedegang og foedemodtagelse/Foedestuens-indretning.aspx

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


Management of pain

Medical pain relief:

Cocktail

Morphine

Entonox / laughing gas

Epidural: http://trygmedbarn.dk/en/fodslen/smertelindring/#!prettyP

hoto

Pudendal block


http://trygmedbarn.dk/en/fodslen/smertelindring/#!prettyPhoto

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!!


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


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


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


Tears

Suturing by the midwife or doctor

Sufficient analgesia available

Sutures dissolve within 4-6 weeks



Vacuum extraction – ventouse

Indications:

Fetal distress

Exhausted mother

Performed by obstetrician

If not possible – Caesarean section



Caesarean section

Spinal anaesthetic

Partner can be present

Lots of staff

Recovery ward

• 1- 3 hours


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


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


Breastfeeding

Benefits of breastfeeding:

Release of oxytocin and early attachment

Perfect nutrition

Early immunization

Cheap and always at hand


Breastfeeding

Feeding positions:

Stomach against stomach

Baby’s nose in front of the nipple

Use pillows to support arms and elbows


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


Breastfeeding

Frequency

Allow your baby to feed as often, and for as long as he/she wants!


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


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


Maternity period

Bleeding

After-pains

Hygiene

Rest

Fluids

Hormones / baby-blues


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


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)


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


See you soon!


Documents

Baby on board · 2018-03-20 · Antenatal classes in English Produced by Sarah Ann Sommer, Katharina Jahn and Sabine Marie Møller Jensen Juli 2017 Antenatal classes. Herlev Hospital