HealthPartners - Preparing for childbirth

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Preparing for childbirth - Cover	I
Your Guide to Labor and Birth	1
Digital Companion to Your Book	2
Videos in This Book	3
Table of Contents	4
Welcome!	6
BEFORE you give birth	7
Chapter 1: Preparing for Birth	8
Choosing a Facility	8
Hospital or Birth Center?	8
Taking a Tour	9
Your Birth Team	9
Your Labor Partner	10
Essential Duties of a Labor Partner	10
Healthy Communication	11
Classes and Educators	11
Prenatal Classes	11
Creating a Birth Plan	12
Writing Your Birth Plan	12
Birth Plan	13
Making Informed Decisions: BRAIN	15
BRAIN Decision-Making Tool	15
Baby’s Medical Provider	16
Chapter 2: Having a Healthy Pregnancy	17
Staying Active	17
Easy Exercises	18
The Pelvic Rock	18
Squats	20
Kegel Exercises	20
Eating Healthy	21
Healthy Snacks	21
Vitamins	21
Foods to Avoid	21
Foods to Limit	21
Head-to-Toe Health	22
Cleaners and Sprays	22
Emotions and Stress	22
Medications	22
Teeth and Gums	22
Rest	22
Sex	22
Travel	22
Working	22
Making Good Choices	23
Aches and Pains	24
Backache and Sciatica	24
Belly (Round Ligament) Pain	24
Braxton Hicks Contractions	24
Breast Changes	24
Congestion and Nosebleeds	25
Constipation and Bloating	25
Fatigue	25
Feelings and Mood Swings	25
Frequent Urination	25
Heartburn	26
Hemorrhoids	26
Joint Pain	26
Leg Cramps	26
Nausea and Vomiting	27
Preeclampsia	27
Shortness of Breath	27
Skin Changes	27
Swelling	27
Tracking Baby’s Movement	28
Preterm Labor	28
Chapter 3: Pain and Comfort	30
Understanding Pain	30
How Fear Increases Pain	30
How Your Body Processes Pain	31
Comfort Measures	32
20-Minute Rule	32
Relaxation	32
Breathing Techniques	33
Cleansing Breath	33
Focus and Distraction	33
Changing Positions	34
Touch	36
Light Massage	36
Pressure	36
Back Labor	36
Double Hip Squeeze	36
Sensory Enhancement	37
Heat and Cold	37
Hydrotherapy	37
Aromatherapy	37
Music and Lighting	37
Useful Items	38
Birthing Ball	38
Peanut Ball	38
Rebozo	38
DURING Childbirth	39
Chapter 4: Labor and Birth	40
Understanding Labor	40
Anatomy and Physiology	40
Labor Language	41
Amniotic Sac (Bag of Waters)	41
Mucus Plug	41
Placenta	41
Labor Hormones	41
Lightening and Fundus	41
Effacement	42
Dilation	42
Station	43
Terminology Checkup	44
Anatomy and Physiology Checkup	45
Frequently Asked Questions about Labor and Birth	46
Stages of Labor	48
What is Pre-Labor?	48
First Stage of Labor	50
Active Phase	52
Transition Phase	54
Second Stage of Labor	56
Pushing	56
Pushing Positions	58
Third Stage of Labor	60
Birth of the Placenta	60
Placenta Options	61
Umbilical Cord	61
Delayed Cord Clamping	61
Cord Blood Banking	61
Perineal Repair	61
Fourth Stage of Labor	62
Water Birth	62
Emergency Birth	63
Chapter 5: Medical Interventions	64
What Are Interventions?	64
Intravenous (IV) Fluids	64
Pain Medications	65
Nitrous Oxide	65
Analgesics-Narcotics	65
Epidural Block	66
Spinal Block	66
General Anesthesia	67
Fetal Monitoring	67
External Fetal Monitor	67
Internal Monitors	68
Induced Labor	69
Pregnancy Definitions	69
Cervical Ripening	69
Stripping the Membranes	70
Nipple Stimulation	70
Artificial Membrane Rupture	70
Pitocin	70
Assisted Birth	71
Chpter 6: Cesarean Birth	72
Reasons for a Cesarean	72
Prolonged (Stalled) Labor	72
Fetal Distress	72
Medical Complications	73
Preparing for Surgery	74
In the Recovery Room	75
Vaginal Bleeding	76
Incision Site	76
Post-Surgical Pain	76
Frequently Asked Questions about Your Cesarean Birth	77
Vaginal Birth After Cesarean (VBAC)	78
AFTER You Give Birth	79
Chapter 7: Your New Baby	80
Skin-to-Skin Contact	80
Apgar Score	81
What New Babies Look Like	82
Initial Procedures	84
Eye Treatment	84
Vitamin K	84
Identification and Security	84
Health Screening	84
Metabolic Screening	84
Pulse Oximetry Screening for Heart Disease	85
Jaundice	85
Rooming-In	86
Safe Sleep and SIDS	87
Signs That Baby Has Been Shaken	88
If You Get Frustrated	88
Car Seats and Safety	89
Hot Car Warning	89
Chapter 8: Postpartum Care	91
Coming Home	91
Physical Changes	92
Vaginal Discharge (Lochia)	92
Bladder	93
Bowel Movements	93
Hemorrhoids	93
Self-Care	93
Perineal Care	94
Menstrual Cycle	94
Resuming Sex	94
Managing Pain	95
Rating Your Pain	95
Emotional Changes	96
Postpartum Blues	96
Handling Postpartum Blues	96
Postpartum Depression and Anxiety	97
Depression and Anxiety	98
Postpartum Psychosis	98
Chapter 9: Breastfeeding	100
Benefits of Breastfeeding	100
Exclusive Breastfeeding	100
Your Breasts	101
Making Milk	101
Feeding Your Baby	102
Feeding Cues	102
Breastfeeding Positions	103
Latch-On	104
Baby-Led Latch (Biological Nursing)	104
Cluster Feeding	104
How Much Babies Eat	105
Approximate Milk Volumes and the Newborn Stomach Size	105
Frequently Asked Questions about Breastfeeding	106
Hand Expression	107
Storing Breast Milk	108
Milk Storage Guidelines (Full-Term Babies)	108
Looking Ahead	109
Baby’s Daily Feeding Log	110
Glossary	111
Back Cover	114

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