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 pomade Camera/ mobile phone Music Food/ drink Entertainment (book, Ipad etc.)
Juli 2015
Antenatal classes
4
29-02-2016
Active labour
Strong, regular contractions Cervix dilates from 4-10cm Progress 0,5-1cm per hour
Juli 2015
Antenatal classes
Labour ward Panoramic image of the delivery room: https://www.herlevhospital.dk/afdelinger-ogklinikker/graviditet-ogfoedsel/foedsel/Sider/Foedegang%20og%20foedemodta gelse/Foedestuens-indretning.aspx
Juli 2015
Antenatal classes
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 necessary Juli 2015
Antenatal classes
5
29-02-2016
Break
Juli 2015
Antenatal classes
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 Juli 2015
Antenatal classes
Management of pain Medical pain relief: Cocktail Morphine Entonox / laughing gas Epidural: http://trygmedbarn.dk/en/fodslen/smertelindring/#!prettyP hoto
Pudendal block
Juli 2015
Antenatal classes
6
29-02-2016
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!! Juli 2015
Antenatal classes
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
Juli 2015
Antenatal classes
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 Juli 2015
Antenatal classes
7
29-02-2016
Delivering the placenta Syntocinon injection Up to 1 hour after delivery
Juli 2015
Antenatal classes
Tears Suturing by the midwife or doctor Sufficient analgesia available Sutures dissolve within 3 weeks
Juli 2015
Antenatal classes
Other ways of delivery Vacuum extraction – ventouse Indications: Fetal distress Exhausted mother
Performed by obstetrician If not possible – Caesarean section
Juli 2015
Antenatal classes
8
29-02-2016
Other ways of delivery Caesarean section Spinal anaesthetic Partner can be present Lots of staff Recovery ward • 1- 3 hours
Juli 2015
Antenatal classes
Break
Juli 2015
Antenatal classes
The newborn baby
Juli 2015
Antenatal classes
9
29-02-2016
The newborn baby Undisturbed time Skin-to-skin Closeness, peace and quiet Dimmed light and warmth Breastfeeding
Juli 2015
Antenatal classes
Breastfeeding Benefits of breastfeeding: Release of oxytocin and early attachment Perfect nutrition Early immunization Cheap and always at hand
Juli 2015
Antenatal classes
Breastfeeding Feeding positions: Stomach against stomach Baby’s nose in front of the nipple Use pillows to support arms and elbows
Juli 2015
Antenatal classes
10
29-02-2016
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
Juli 2015
Antenatal classes
Breastfeeding Frequency
Allow your baby to feed as often, and for as long as he/she wants! Juli 2015
Antenatal classes
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 Juli 2015
Antenatal classes
11
29-02-2016
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
Juli 2015
Antenatal classes
Maternity period Bleeding After-pains Hygiene Rest Fluids Hormones / baby-blues Juli 2015
Antenatal classes
Maternity period Early discharge 4-8 hours after a delivery without complications Home visit by midwife • • • •
Wellbeing of mother and child Breastfeeding Hearing test Heel-prick-test
24-hour hotline: ”Ammetelefon” 38 68 94 53 Juli 2015
Antenatal classes
12
29-02-2016
Maternity period Maternity ward After caesarean section or ventouse delivery If mother or baby need to be observed First time parents with special needs Usually 1-2 days Partner pays for his own meals Visiting hours (18:30 – 20:00)
Juli 2015
Antenatal classes
Maternity period After discharge Visit from the health visitor 24-hour hotline Contact your GP for appointments • 5 weeks after delivery – baby • 8 weeks after delivery – mother
