The sources of stress during pregnancy can be wide ranging, from concern about your baby's health and wellbeing, or the impending labour, through to how you'll manage after the birth. It could be that your journey to work is exhausting, or you're anxious about finances and how you are going to afford all the costs involved with a new baby. Whatever it is that's worrying you, there are many positive steps you can take to overcome these feelings.
1. Make time to rest
It's a simple thing, but sometimes so difficult to take time out for yourself. Not only is this good for you, but also extremely good for your baby - so don't feel guilty about 'doing nothing'.
At work, find somewhere to put your feet up and relax during your lunch break and, in the evenings, try to cut down on chores. Leave the laundry until the weekend, and forget about housework for a while. Obviously, if you have a child already it can be hard to find the time to rest, so why not get your partner, a friend or grandparents to amuse them for an afternoon, while you have a well-earned break?
2. Prenatal yoga
Yoga during pregnancy not only helps tone your body, but the relaxation techniques that will assist you in labour can have a beneficial effect during pregnancy. If you are prone to feelings of anxiety or have experienced panic attacks, practising your breathing techniques can really help.
3. Talk about it
If you are worried about whether your baby is healthy or whether he will be born safely, you're certainly not alone. Talking about these concerns will really help, whether it's with your partner, mother or a friend who already has children. Other women at the same stage of pregnancy as you, perhaps at your prenatal class, will undoubtedly share your concerns, and your midwife, doctor or prenatal teacher can also reassure you.
4. Relaxation and complementary therapies
Massage in pregnancy is a fantastic way to de-stress. The cost of a registered massage therapist is covered by many health plans in Canada and there are lots of books available with tips and advice on how massage can help you relax.
If you are using aromatherapy or essential oils, it's important to make sure they are safe for use in pregnancy as some are not suitable for the first or third trimester. Oils safe for use after 20 weeks include most lavender oils, citrus oils and ylang ylang, but you should check with a qualified aromatherapist.
Reflexology is also a great way to relax, but make sure the therapist is qualified in working with pregnant women.
Some moms-to-be find that Bach Flower Remedies, available from health food shops or pharmacies, can help with feelings of stress or panic, particularly the Walnut Remedy and the Rescue Remedy.
Meditation and positive visualization techniques can also help. Meditation is a way of relaxing by concentrating on a mental focus, and positive visualization is a technique for releasing anxieties by creating an inner picture of a peaceful scene. You can find books in your library that show you how to relax in this way if you haven't tried it before. Buy some special relaxation tapes to play in the background - great for helping your mind switch off. Choose a time when you know you won't be disturbed and try to give yourself at least 30 minutes.
5. Preparing for the birth
You may be worrying about the impending labour and how you will cope with the pain, whether you will make a fool of yourself or how your partner will cope. Find out about the mechanics of labour as well as the physical and emotional aspects of each phase by signing up for antenatal classes, reading books and magazines and gathering information from online. Being informed will help you feel more confident and in control.
If you are having your baby in hospital, it will also help to visit the labour and delivery rooms beforehand, so that you know what to expect.
For a few women, the fear of childbirth can be so overwhelming that they would rather have a caesarean section than a normal delivery. This fear is known as 'tocophobia' and is not uncommon. Tell your midwife or doctor about your fears. Research has shown this can be helped with the right counselling and support; cognitive behavioural therapy is one of options available which might help.
6. Relationship changes
It's perfectly understandable to worry about how having a baby will affect your relationship with your partner or how you will cope as a parent. Parenting is something you learn along the way and often there is no right or wrong way to do things, you just have to do what feels right for you. Try and spend some time with a friend who has a young baby to pick up some useful tips and ideas. If you have any anxieties about your finances, job, relationship or housing, speak to your midwife as she will know which local organizations or support groups you can contact for advice.
7. Commuting strategies
Like a lot of women these days, you may plan on working until just a few weeks before your due date because you want more time off with your baby after he's born. Experts agree commuting is one of the major sources of stress for expectant moms and one which is made worse the more heavily pregnant you are.
Ask your employer if you can avoid rush hours, particularly if you use public transit. Perhaps starting work earlier and finishing earlier would be possible, or even working from home one or two days a week.
Make sure you always sit down while travelling and if you are not offered a seat you should ask for one. Don't feel embarrassed - it's really not safe to be swinging around in a train, subway or bus - and most people are more than willing to give up their seats, they just need to be reminded sometimes.
8. Money matters
The knock-on effect of having a baby is the dent it makes in your finances. If you are worried about how you are going to afford everything, make a list of the items you need - in order of priority - then decide which ones you could borrow from friends or family. It really isn't necessary to buy everything, particularly when some items are often only used for a couple of months.
Make sure you get your full entitlement of maternity leave and pay. Find out what it is from your personnel department and don't be afraid to seek further help if you need more advice.
9. Diet and exercise
Eating calming nutrients can help suppress the hormones that rise at times of stress. Foods containing B vitamins, such as yeast extract, wholegrain bread and wholegrain rice, increase your levels of the anti-stress hormone serotonin. Ensuring that you eat well in pregnancy is very important.
Physical exercise also has proven benefits in terms of relieving tension, so continue with the exercise you did before you were pregnant -- so long as it is safe for you to do so. If you're in any doubt, check with your doctor. If you attend exercise classes, always inform your teacher that you are pregnant.
Swimming is the perfect exercise for pregnancy as it keeps you toned and healthy, without being too hard on your joints, although be careful with excessive breaststroke as it may cause backache. Aquarobics classes for pregnant women are also a fun way of keeping fit.
At work, make sure you get up and walk around regularly, especially if your job is mainly desk-bound, and pop out at lunchtime for some fresh air, even if it's only for ten minutes.
10.Treat yourself
Laughter is one of the body's best ways of relaxing, so meet up with some friends or go to the movies and see the latest comedy.
Go on a weekend break and make the most of your time with just you and your partner, or treat yourself to a spa that offers treatments for pregnant women.
Pregnancy is also the perfect time to treat yourself to all those beauty treatments you never normally splash out on. When your bump gets too big for you to cut your toenails, enjoy regular pedicures, instead.
Be nice to yourself -- you deserve it.
Showing posts with label birth. Show all posts
Showing posts with label birth. Show all posts
Monday, April 5, 2010
Thursday, March 18, 2010
Week Twelve
Your Baby's Development
Your baby's brain continues to develop, and tiny fingernails and toenails start to form. Vocal cords are formed this week, which is the last of your first trimester.
Your baby's kidneys are functioning! After swallowing amniotic fluid, your baby will now be able to pass it out of the body as urine. And the intestines will make their way into the abdomen, since there is room for them now.
Your Body
Has anyone told you that you have that "pregnant glow"? It's not just the joy you may feel because you're having a baby — there's a physiological reason for smoother, more radiant skin during pregnancy. Increased blood volume and pregnancy hormones work together to give you that glow. The greater blood volume brings more blood to the blood vessels and hormones increase oil gland secretion, resulting in a flushed, plumper, smoother skin appearance. Sometimes, though, the increased oil gland secretion can cause temporary acne.
Your baby's brain continues to develop, and tiny fingernails and toenails start to form. Vocal cords are formed this week, which is the last of your first trimester.
Your baby's kidneys are functioning! After swallowing amniotic fluid, your baby will now be able to pass it out of the body as urine. And the intestines will make their way into the abdomen, since there is room for them now.
Your Body
Has anyone told you that you have that "pregnant glow"? It's not just the joy you may feel because you're having a baby — there's a physiological reason for smoother, more radiant skin during pregnancy. Increased blood volume and pregnancy hormones work together to give you that glow. The greater blood volume brings more blood to the blood vessels and hormones increase oil gland secretion, resulting in a flushed, plumper, smoother skin appearance. Sometimes, though, the increased oil gland secretion can cause temporary acne.
Wednesday, March 17, 2010
Birthing Centers and Hospital Maternity Services
You'll make plenty of decisions during pregnancy, and choosing where to give birth — whether in a hospital or in a birth center setting — is one of the most important.
Hospitals
Many women fear that a hospital setting will be cold and clinical, but that's not necessarily true. A hospital setting can accommodate a variety of birth experiences.
Traditional hospital births (in which the mother-to-be moves from a labor room to a delivery room and then, after the birth, to a semiprivate room) are still the most common option. Doctors "manage" the delivery with their patients. In many cases, women in labor are not allowed to eat or drink (possibly due to anesthesia or for other medical reasons), and they may be required to deliver in a certain position.
Pain medications are available during labor and delivery (if the woman chooses); labor may be induced, if necessary; and the fetus is usually electronically monitored throughout the labor. A birth plan can help a woman communicate her preferences about these issues, and doctors will abide by these as much possible.
In response to a push for more "natural" birth events, many hospitals now offer more modern options for low-risk births, often known as family-centered care. These may include private rooms with baths (birthing suites) where women can labor, deliver, and recover in one place without having to be moved.
Although a doctor and medical staff are still present, the rooms are usually set up to create a nurturing environment, with warm, soothing colors and features that try to simulate a home-like atmosphere that can be very comforting for new moms. Rooming in — when the baby stays with the mother most of the time instead of in the infant nursery — also may be available.
In addition, many hospitals offer a variety of childbirth and prenatal education classes to prepare parents for the birth experience and parenting classes after birth.
The number of people allowed to attend the birth varies from hospital to hospital. In more traditional settings, as many as three support people are permitted to be with the mother during a vaginal birth. In a family-centered approach, more family members, friends, and sometimes even kids may be allowed. During a routine or nonemergency C-section, usually just one support person allowed.
If you decide to give birth in a hospital, you will encounter a variety of health professionals:
Obstetrician/gynecologists (OB/GYNs) are doctors with at least 4 additional years of training after medical school in women's health and reproduction, including both surgical and medical care. They can handle complicated pregnancies and also perform C-sections.
Look for obstetricians who are board-certified, meaning they have passed an examination by the American Board of Obstetrics and Gynecology (ACOG). Board-certified obstetricians who go on to receive further training in high-risk pregnancies are called maternal-fetal specialists or perinatologists.
If you deliver in a hospital, you also might be able to use a certified nurse-midwife (CNM). CNMs are registered nurses who have a graduate degree in midwifery, meaning they're trained to handle normal, low-risk pregnancies and deliveries. Most CNMs deliver babies in hospitals or birth centers, although some do home births.
In addition to obstetricians and CNMs, registered nurses (RNs) attend births to take care of the mother and baby. If you give birth in a teaching hospital, medical students or residents might be present during the birth. Some family doctors also offer prenatal care and deliver babies.
While you're in the hospital, if you choose or if it's necessary for you to receive anesthesia, it will be administered by a trained anesthesiologist. A variety of pain-control measures, including pain medication and local, epidural, and general anesthesia, are available in the hospital setting.
Birth Centers
Women who experience delivery in a birth center are usually those who have already given birth without any problems and whose current pregnancies are considered low risk (meaning they are in good health and are the least likely to develop complications).
Women giving birth to multiples, have certain medical conditions (such as gestational diabetes or high blood pressure), or whose baby is in the breech position are considered higher risk and should not deliver in a birth center. Women are carefully screened early in pregnancy and given prenatal care at the birth center to monitor their health throughout their pregnancy.
Natural childbirth is the focus in a birth center. Since epidural anesthesia usually isn't offered, women are free to move around in labor, get in the positions most comfortable to them, spend time in the jacuzzi, etc. The baby is monitored frequently in labor typically with a handheld Doppler. Comfort measures such as hydrotherapy, massage, warm and cold compresses, and visualization and relaxation techniques are often used. The woman is free to eat and drink as she chooses.
A variety of health care professionals operate in the birth center setting. A birth center may employ registered nurses, CNMs, and doulas (professionally trained providers of labor support and/or postpartum care). Although a doctor is seldom present and medical interventions are rarely done, birth centers may work with a variety of obstetric and pediatric consultants. The professionals affiliated with a birth center work closely together as a team, with the nurse-midwives present and the OB/GYN consultants available if a woman develops a complication during pregnancy or labor that puts her into a higher risk category.
Birth centers do have medical equipment available, including intravenous (IV) lines and fluids, oxygen for the mother and the infant, infant resuscitators, infant warmers, local anesthesia to repair tears and episiotomies (although these are seldom performed), and oxytocin to control postpartum bleeding.
A birth center can provide natural pain control and pain control with mild narcotic medications, but if a woman decides she wants an epidural, or if complications develop, she must be taken to a hospital.
Birth centers often provide a homey birth experience for the mother, baby, and extended family. In most cases, birth centers are freestanding buildings, although they may be attached to a hospital. Birth centers may be located in residential areas and generally include amenities such as private rooms with soft lighting, showers, and whirlpool tubs. A kitchen may be available for the family to use.
Look for a birth center that is accredited by the Commission for the Accreditation of Birth Centers (CABC). Some states regulate birth centers, so find out if the birth center you choose has all the proper credentials.
Hospitals
Many women fear that a hospital setting will be cold and clinical, but that's not necessarily true. A hospital setting can accommodate a variety of birth experiences.
Traditional hospital births (in which the mother-to-be moves from a labor room to a delivery room and then, after the birth, to a semiprivate room) are still the most common option. Doctors "manage" the delivery with their patients. In many cases, women in labor are not allowed to eat or drink (possibly due to anesthesia or for other medical reasons), and they may be required to deliver in a certain position.
Pain medications are available during labor and delivery (if the woman chooses); labor may be induced, if necessary; and the fetus is usually electronically monitored throughout the labor. A birth plan can help a woman communicate her preferences about these issues, and doctors will abide by these as much possible.
In response to a push for more "natural" birth events, many hospitals now offer more modern options for low-risk births, often known as family-centered care. These may include private rooms with baths (birthing suites) where women can labor, deliver, and recover in one place without having to be moved.
Although a doctor and medical staff are still present, the rooms are usually set up to create a nurturing environment, with warm, soothing colors and features that try to simulate a home-like atmosphere that can be very comforting for new moms. Rooming in — when the baby stays with the mother most of the time instead of in the infant nursery — also may be available.
In addition, many hospitals offer a variety of childbirth and prenatal education classes to prepare parents for the birth experience and parenting classes after birth.
The number of people allowed to attend the birth varies from hospital to hospital. In more traditional settings, as many as three support people are permitted to be with the mother during a vaginal birth. In a family-centered approach, more family members, friends, and sometimes even kids may be allowed. During a routine or nonemergency C-section, usually just one support person allowed.
If you decide to give birth in a hospital, you will encounter a variety of health professionals:
Obstetrician/gynecologists (OB/GYNs) are doctors with at least 4 additional years of training after medical school in women's health and reproduction, including both surgical and medical care. They can handle complicated pregnancies and also perform C-sections.
Look for obstetricians who are board-certified, meaning they have passed an examination by the American Board of Obstetrics and Gynecology (ACOG). Board-certified obstetricians who go on to receive further training in high-risk pregnancies are called maternal-fetal specialists or perinatologists.
If you deliver in a hospital, you also might be able to use a certified nurse-midwife (CNM). CNMs are registered nurses who have a graduate degree in midwifery, meaning they're trained to handle normal, low-risk pregnancies and deliveries. Most CNMs deliver babies in hospitals or birth centers, although some do home births.
In addition to obstetricians and CNMs, registered nurses (RNs) attend births to take care of the mother and baby. If you give birth in a teaching hospital, medical students or residents might be present during the birth. Some family doctors also offer prenatal care and deliver babies.
While you're in the hospital, if you choose or if it's necessary for you to receive anesthesia, it will be administered by a trained anesthesiologist. A variety of pain-control measures, including pain medication and local, epidural, and general anesthesia, are available in the hospital setting.
Birth Centers
Women who experience delivery in a birth center are usually those who have already given birth without any problems and whose current pregnancies are considered low risk (meaning they are in good health and are the least likely to develop complications).
Women giving birth to multiples, have certain medical conditions (such as gestational diabetes or high blood pressure), or whose baby is in the breech position are considered higher risk and should not deliver in a birth center. Women are carefully screened early in pregnancy and given prenatal care at the birth center to monitor their health throughout their pregnancy.
Natural childbirth is the focus in a birth center. Since epidural anesthesia usually isn't offered, women are free to move around in labor, get in the positions most comfortable to them, spend time in the jacuzzi, etc. The baby is monitored frequently in labor typically with a handheld Doppler. Comfort measures such as hydrotherapy, massage, warm and cold compresses, and visualization and relaxation techniques are often used. The woman is free to eat and drink as she chooses.
A variety of health care professionals operate in the birth center setting. A birth center may employ registered nurses, CNMs, and doulas (professionally trained providers of labor support and/or postpartum care). Although a doctor is seldom present and medical interventions are rarely done, birth centers may work with a variety of obstetric and pediatric consultants. The professionals affiliated with a birth center work closely together as a team, with the nurse-midwives present and the OB/GYN consultants available if a woman develops a complication during pregnancy or labor that puts her into a higher risk category.
Birth centers do have medical equipment available, including intravenous (IV) lines and fluids, oxygen for the mother and the infant, infant resuscitators, infant warmers, local anesthesia to repair tears and episiotomies (although these are seldom performed), and oxytocin to control postpartum bleeding.
A birth center can provide natural pain control and pain control with mild narcotic medications, but if a woman decides she wants an epidural, or if complications develop, she must be taken to a hospital.
Birth centers often provide a homey birth experience for the mother, baby, and extended family. In most cases, birth centers are freestanding buildings, although they may be attached to a hospital. Birth centers may be located in residential areas and generally include amenities such as private rooms with soft lighting, showers, and whirlpool tubs. A kitchen may be available for the family to use.
Look for a birth center that is accredited by the Commission for the Accreditation of Birth Centers (CABC). Some states regulate birth centers, so find out if the birth center you choose has all the proper credentials.
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