Occurrences in Childbirth

Childbirth brings occurrences and circumstances with it.   With labour, likely and unlikely situations may arise. These things are brought to your attention to assure you that health providers are properly trained and prepared to mitigate against these occurrences. Be focussed.  There is no need for panic despite the situation.

In most things, some circumstances are expected because of the nature of the situation. In the case of the birth of a child, there is no difference. Truly too, as there are expected, even so there are unexpected or unlikely situations.

In this post, I will discuss some of the circumstances and likely circumstances of childbirth.  In childbirth, it is expected that the head of the baby is the first part that will appear.  However, this has not got to be so   Some babies make. In this case, the buttocks or the lower part(s) of the baby appear first.

This unexpected occurrence is considered unfortunate as it poses itself as a problematic delivery.  This is not a regular thing as only a small proportion of babies are presented in this way. Still yet, there are other cases in which other body parts are presented first.

Why is head presentation considered the best?

This is so because the head is firm and round and somewhat rounded, as some babies are born with misshapen heads. Nevertheless round enough to come through the birth canal smoothly.   Because of this natural feature, its roundness serves as a good purpose to stretch the soft tissue of the birth canal.  This is not effectively done when other body parts are presented first.  Fortunately, this happens to a small proportion of deliveries.

The baby face may also be presented backward or forward in respect to the mother’s body. Having the baby’s face backward is better as this is a little easier.

It is amazing of the changes that take place within the baby’s body. There are changes which happen tactically to facilitate the child’s own living processes.  One of the amazing occurrences is that of the baby’s lungs being on time to take over in drawing its own oxygen rather than its mother’s own.

The baby must be able to take on its own delivery of oxygen shortly after birth as soon as it is cut from the mother’s blood supply.  If the baby is unable to do this it is most likely that it will suffer brain damage.

While the baby is in the womb, the baby receives blood via the umbilical cord and the placenta (afterbirth).  The baby receives oxygen and food from the mother and the baby dumps waste and carbon dioxide to the mother’s blood.

The baby travels through the birth canal with the umbilical cord attached to the navel and the after birth.  The umbilical cord is detached from the afterbirth baby with umbilical cordafter the third stage of labour.  The third stage of labour is the delivery of the afterbirth.

In some unlikely or unfortunate instances, the umbilical cord presents itself on its way out with the baby’s head and may also be wrapped around the neck. In this case, the doctor or nurse on duty has to be very tactical if not technical in getting this delivery properly done and without any further undue circumstances.

By the way, saying this and saying that what if the third stage of labour happens to be the first?

Do not worry about this. The doctors are ready to take on every complication that may arise.  They are committed  to always do their best in the best interest of their patients (mother and baby).

I would like you to know also, that the things that are considered unlikely, are really expected somehow, and, they are well prepared for.

The umbilical cord is cut and tied by the doctor or the nurse in attendant. The doctor clears mucus from the air passage and then stimulate it to breathe by slapping the bottom of its feet.   At this time, the blood from the umbilical cord slows down and then the cord is cut and tied.

At the time that the baby takes its first breath, many changes takes place in its body.  We truly have to believe that we are intricately and beautifully made.

As expected, at the first time, the baby made its first cry some amazing things happen. Shryock and Swartout, et al, also explain that: The baby lungs expand and blood is in full circulation.  There are changes in the blood pressure of the baby’s heart.  The arteries in the lungs are in full effect and the lungs are fully effective.  To top it all, the opening between (the partition) the left and right sides of the heart immediately closes.  Isn’t this great?

After birth, some babies do not appear as handsome or as beautiful as we would want them to be. As stated before, some may have misshapen heads.  All babies are likely to have this appearance because the bones of the head are not firmly fused together.  This happens for the protection of the baby’s brain while it is going through the birth canal.  This  misshapen appearance will resolve quickly after birth and the head takes its proper formation.

There is also the case of the babies being born with red spots in the eye(s).  There may also be bruises and swelling in some areas of the babies bodies. in a short time all these injuries will be healed and disappear.

Ooop!  How could I conclude without mentioning one common occurrence?  Of course, there are much more that could be mentioned.  Well you know all could not be said. There are times when mothers are expected to have only one baby, mutiple births_2but there comes two (twins).  Two babies are expected, but there comes three.  For that matter, three could have been expected and four arrived.  This some times  topple even the medics.  Is this rare?

I would be happy to hear of some of the stories you know or hear about.  Please share these with me.

To most persons, childbirth is a sensitive and delicate event.  Of course it is. It carries a sense of anxiety and different circumstances.  Nevertheless, it is comforting to know that medical science has improved greatly and health providers can take on and rectify even difficult cases to a solution.

It therefore, behoves the prospective mothers and pregnant women to be committed to the things that are expected of them.  Their commitment will also give the medical team much room to mitigate against some of the issues or “unexpected” occurrences that arise or may arise.  Be it known, however, that some of these issues are unpredictable.  They just present themselves without warning.

I am one who enjoy hearing from people. As I am willing to share, in the same way I would like to hear from you.  I will be willing to answer you questions and to have your comments also. These you can post in the comments section below.

 

 

The Event of Labour

The woman in pregnancy and pain is admitted.  In this event of labour the preparation continues to another level and to the final outcome of childbirth.

It is now obvious that the pregnant woman is now in labour. There has been Contractions and pains occurring at intervals. The pregnant woman is in the childbirth process.

She is given an enema.  This is given to ensure that delivery will be safer and easier. It is also given too because it ensures that as labour heightens, faecal matter will not occur and contaminate the sterile field which will be prepared for the birth of the child.

The pregnant woman is also given a shave of the vaginal area.  This prevents contamination of the birth area and helps the genital to be kept macroscopically,  if not microscopically clean for the process.  Shaving also facilitates the proper cleaning of the genital and surrounding area.

Childbirth has three distinct stages.  Quite obviously, you would realise that the pains, nausea, other discomfort and maybe frequent urination from the baby bearing down on the bladder gave the warning.  This signalled  that “the time has come”.  These were the announcement of the first stage of labour.

What was happening at this time was that the cervix (the neck of the womb) and the tissues of the vagina were stretching to facilitate the passage of the baby through the birth canal.  During the pregnancy, these tissues were being prepared for this time. This time, in particular, all of this shift into high gear.  The eventful day is here.  It is labour day!

The muscle of the womb stretches.  With every contraction of the muscles of the womb, the baby is forced down into the birth canal.  Further contraction would mean that further moving down for the baby on and on, on its way.  With every contraction comes the baby a little closer to home.

The second stage of the labour event or the process of childbirth, is demonstrated by the expulsion of the baby.  At the crowning of the head or the first view of the appearance of the head, the Midwife refers to this as “head on perineum”  (That is the opening to the vagina, immediately from the vulva).  In this case, the head rests on the narrow passage between the vagina and the anus.

It is expected that the baby’s head would be the first part that would pass through the birth canal. After this then comes the shoulder and the rest of the body follows immediately after.

Although it is expected that the head of the baby will pass through the birth canal first, sometimes this does not happen.  Unexpectedly there are some cases wherein the buttocks are presented first instead of the head.  This is referred to as “breech presentation”.  This is considered difficult especially for the mother.  Cases as such most times end with the doctor having to do a Caesarean section. This is a surgery done by cutting through the mother’s abdomen to remove the baby.

Still yet a smaller incidence of cases occurs having other body parts such as an arm coming first or for that matter, other body parts lying obstructively across the birth canal at the time when labour begins.  In such cases, the doctor may choose to do an internal manipulation to reposition the baby or a caesarean section.    In his position, it is his decision to make the call.  He is depended on to make the best decision for his patient(s).

In the third stage of labour the placenta, which is commonly called the Afterbirth, other tissues and fluid in the womb and on which the baby depended on and which is not needed again leaves the womb.

After the birth of the baby, the umbilical cord (Navel String) is tied by the Midwife or the doctor.   This signifies that the baby is at its first, assumption of being on its own, yet not independent of those around it.

The third stage of labour is much easier than the first and second stage of labour. In contrast to the two other stages, the third stage sometimes only a slight contraction and pain may be felt for the passage of the placenta and the other tissues surrounding the baby.  Of course, individuals do differ.  Therefore, some persons experience otherwise.

After the event of labour or childbirth, the baby is warmly wrapped and delivered to the mother.  At this time, bonding of mother and baby moved to a much higher level.

What Are Some of the Tips To Ensure Satisfactory Outcome of Childbirth?

To:

  • Prospective mothers
  • Women in pregnancy
  • Women having babies for the first time

Are you looking forward to labour?

Are you worried about the events of labour, the pains among other things?

Let me tell you this-

Do not worry.  If you are pregnant, you are already pregnant.  There must be a delivery.  Ooops! I was about to say there must be labour.  You do not have to labour, but there must be a delivery.  Enter childbirth without worry.  If worry will help go ahead and worry. I wish you would not.  Even those who worry know that worry does not help to make anything good.  

Talk to your doctor/healthcare providers about your fears

Do not entertain stress, as this will only make the situation worse, if it is already bad.  Do not consider yourself a candidate for stress.

Seven days ago, I met a young lady at an antenatal clinic at a hospital who told me that she was worrying much, because her first child was thirteen years old and she was now pregnant with her second child and she was worrying about childbirth.

Remember childbirth culminates with joy, especially if you are well prepared.  Be prepared.

Always expect the best. If there is evidence that things are not working out well do what you have to do to change the situation for the better.

Remember that early and proper pre/antenatal care brings about the best outcome. This helps doctors and other caregivers to be prepared for any situation.

Be advised too that as soon as the event of labour is finished, in a few weeks the pain will be gone from your thoughts.  It does not live with you.

I will leave with you my best advice. This is to submit yourself for early and proper prenatel care.  This is where your preparation for a satisfactory outcome is.  This cannot be over-emphasised.  Trust your Creator to come through for you.

Remember also that preparation for childbearing begins before pregnancy.  Live your life well. Your lifestyle is important in all aspects of your life.

Let your spouse know that your are depending on him for support all the way. That is if it is not forthcoming.  If it is already there show him your appreciation.

Share your thoughts with me. When you do so other readers will also benefit.  Please let me hear from you and thanks for visiting.

 

 

 

 

 

Identifying Labour

The bags are packed and you (baby en utero) are about ready to go. Do you really know how to identify labour pains? How do you identify Labour?  Everything has been working well for you so far.luggage(2)

Well, for all I know the baby seems to be able to identify labour. It’s the baby that will make the first move. You watch if I am joking. Before looking at labour, let us get something into perspective.

It must be understood that the due date of the baby does not mean that the baby will arrive exactly on that date. Of course, this happens so for some persons, few maybe. However, this is not a direct expectation but a probable time of birth. Therefore, the baby may arrive sooner or later around the due date. This date (the due date) serves as a factor of anxiety to pregnant women. I must tell you, however, that the due date or the expected date of delivery as it is sometimes called is very important. It is important as everything of the woman’s pregnancy is anchored around it.

It causes the pregnant woman to keep looking with eyes of expectations and having a feeling of things that might not be so, such as pains when there are no pains of labour. In addition to this, the day of delivery seems to be longer away than anyone may think. It is as if the day will never come. This is not so becausepregnant woman ILthe baby shall surely arrive, one way or the other. This is more so amongst newbies to pregnancy.

During the time, the weight of the baby is more burdensome and the pregnant woman is hoping that if it is not today it has better be tomorrow. Even with the thought of the pain of labour in mind. The woman who is pregnant for the first time may somehow never give thoughts about the pains of labour. She thinks about the joy of seeing her baby.

The woman, who has already had an experience, has thoughts of the joy of seeing her baby. She has thoughts of the pains of labour. She longs also and stays anxious; she wants the day to be present, pains or no pains.

There is a Light!

Within the view, there comes a flicker of light. A ray! It may be obvious to the pregnant woman that there is a settling down of the baby of the baby. Whenever this noticeable it is a sign that baby’s head is moving into the first part of the birth canal. I told you the baby would make the first move. The baby knows when and its way out.

This settling down and head and positioning is referred to as “lightening”. This gives an indication that the baby is getting ready to leave the womb. Yet you still do not know exactly when. My mother would say that she knows whenever a pregnant woman is about to have her baby.  She refers to this as lightening also and she would also say that the abdomen falls (gets lower).

Nearing the time of delivery the expectant mother may feel some small contractions, these are tightening and relaxing of the muscle of the uterus (womb). The first timers to pregnancy may say: “Yes, this is it”. But no, it is most likely to be the muscles of the uterus conditioning itself for the job of labour (the delivery). The muscles of the uterus have to condition and prepare itself to force the baby through the birth canal. Isn’t this awesome?

I must warn you, however, that that these contractions are not easy to be distinguished from the real contractions of labour. These are most likely to be a false alarm. Because of this, many pregnant women attend for delivery at the hospital and have to return home after they were examined by the doctors or nurses.

On the other hand when it is time for labour, the pregnant woman will have no doubt especially knowing before of the conditioning symptoms. A difference is now established in her mind and feeling. One which said: “This must be it. The uterus at this time is in a rhythmic manner. This may occur, say every half hour or longer for a start. Then the intervals begin to get closer and closer. The pain gets sharper and sharper. Continues like this up to delivery.

The woman comfort level decreases and discomfort takes over and becomes heightened as the baby takes it journey outward. The muscles of the uterus continue to force the baby’s head through the birth canal. I must let you know that at this time you may want to walk around a little. This may be good for you, but it will not change the discomfort. Therefore, if you want to walk stand or sit, whatever you will still feel the pain, the muscle of the uterus and the baby continue their actions.

A woman who has experienced childbirth before will have an understanding as to when it is time to start off for the hospital. In managing this consideration pregnant woman_ IL2must be taken for the mode of transportation and the distance from the hospital and the time it takes to arrive there. Also of importance is the duration of the interval of the contractions. I am certain that no pregnant woman would like to deliver her baby on the way to the hospital or unattended by a competent person.

Within the pain process and even without pains, the pregnant woman may notice a mucus mass discharged from the vagina. As a matter of fact this sometimes is the first sign of labour that is seen or felt by many women. This mucus mass at times is referred to as “the mucus plug”. This mucus plug may be tinged with blood. This is a sure sign of the real thing happening. This indicates that the cervix is stretching in order that the baby’s head will make its way through. Wow!

The next event comes sometime around the sign of the mucus plug or a little later. This is a sudden gush of clear fluid from the vagina. This is sometimes referred to as: “the breaking of the water”, “the head water” and “the breaking of baby in wombthe bag of water”. This indicates that the membrane surrounding the baby has broken. This causes some of the fluid contained in this membrane to escape. This is a normal sign.

For the pregnant woman, timing is of great importance. Therefore, all events described you will be asked about what time these events took place. That is if were not admitted in the hospital when these happened. Certainly you will be asked as soon as you get to the hospital. Therefore be cognizant of them and the time they happened.
If you are in communication with your doctor, nurse or birthing coach, you will notice that these questions are asked. Note also, that if timing is important to the medical staff it should also be important to you. Make note of the time when these events happen. This is important as it gives a good understanding of your situation. It helps in decision making and action.

As soon as you have identified or recognised that you are in labour please do not satisfy the stomach by having a meal of all the food you want. This may interfere with the birthing process. A cup of mint tea, no milk, or clear soup with no food may be taken. You may also have a cup of warm water. You may also drink water if you are thirsty. Labour can really bring on the thirst. It is good to drink in small amounts or as much as you need it. The doctors usually have a way to get around you drinking all the water you need.

Please let me have your comments on identifying labour. You might have had some experience you would like to share.   You may be looking forward to having your baby.  All the best.

Patient Documentation

For discussion is the importance and preparation of the pregnant woman’s information in the hospital, as she attends for delivery.  Though brief, this will give a good understanding of the documentation done in the hospital.

This writer will not ignore this important procedure.  This I have called Patient Documentation as it is the common procedure for all patients whether they are pregnant or not. One must also note that for the pregnant woman attending for childbirth or delivery at the hospital, that there is a particular procedure that  is important to be done before delivery.

Aims of This Article

It is important for the pregnant woman to understand the importance to:

  • Attend for delivery before she is in an advanced state of labour.
  • Understand the importance of proper and timely documentation
  • Have a clear understanding of confidentiality
  • Have information about self; family history; onset of signs and symptoms of  present situation, submission of referring notes and tests results if necessary

Tips

  • Do not wait until labour is advanced to submit self for delivery of the baby.
  • You will benefit from timely documentation of your information. There will be  no rush in preparing this.  There is no need to be tense about it.
  • Be comfortable. As you know your private information will be kept confidential.  Health Providers owe this to their patients.
  • Make sure to submit all important document such as test results, referring information such as letter, among other things, to hospital in order that necessary documentation may be done for delivery.

Preparation of Documents

Its Importance and What is Done

On reaching the hospital, the pregnant woman is registered by the person who is responsible for medical records.  This person’s duty is to see to it that the pertinent data of this patient is recorded.  The information recorded is relative to the care of the patient.

The information recorded will be used presently and it must also be accessible, for subsequent follow-ups and history.   It also provides information necessary to the identification of the patient among other things.    If this information was previously provided, the opportunity to have it updated would be capitalised on at this time.    

This information forms the base information of this patient, within this facility.  Even though the necessary information might have been gathered and stored by a referring medical practitioner it must also be done by the present medical entity to which the pregnant woman now seek medical service.  

The worker carrying out the procedure for the proper documentation of these has the responsibility to provide the basis for the documents. This person sees to it by putting in, the appropriate charts and data sheets for the notes taken by the practitioners. This worker also has the responsibility to collect personal information such as age, next of kin, address and other things as such from the patient.

Medical entities have different means of storing information of patients.  Some may store information on small index cards, full sized papers which are stored in files or dockets.  Of course, charts and tables and sheets of plain papers are included.  These are then stored in cabinets and sometimes on shelves. Others are stored on computer databases with the necessary backups.  The common thing about this information is that they have to be accessible to the persons who should be using them.

 

The prepared data and blanks for writing are sent to the nurse(s) who continue by gathering general and medical information about the patient.  My description of this process may seem to be very long time.  However, this is not so, as this is quickly done.  Furthermore, little Johnny or Missy Jane  who is on the way has his/her own agenda. That is to arrive in his or her own time.

After all this preparation at the hospital documents, the pregnant  woman is admitted for delivery.

 

As soon as the pregnant woman goes to the delivery suite the general and medical information including family history and other information pertaining to the present condition are noted. Every information on the patient is recorded  in this document.

At this time, the maternity nurse (midwife) will need information such as onset of contraction and timing of other significant signs and symptoms.  These are noted for decisions to actions. The patient is expected to submit the test results and other information to the midwife for recording.  These will also be perused and noted by the doctor also for his/her analysis and action.

There are some hospitals who stipulate that pregnant women who are desirous to have the baby in their facilities that they must attend pre-natal clinic at the hospital even twice before  the delivery.  During this time therein lies the chance for the documentation to be prepared.

Pregnant patients who attend late when the baby in advanced labour are sent to the wards immediately and the documentation are sometimes done at the bedside.

Confidentiality

What is Confidentiality?

Simply put, confidentiality is the act of keeping safe any information that is divulged about you.  This information, entrusted to a health care worker  will not and should  not to be in the public domain, will not be used to slander nor defame you. Such information will not be discussed with anyone even any other health care worker unless you stand to benefit.

Therefore, if you will benefit, for example from a better, experienced, advanced or specialised health care, then it is within the rights of the practitioner to refer you to another health care worker who will offer you this specialised care.

This other level will be discussed in my next post.  Please let me hear your comments.

Naming Your Baby

What’s in a name?

Names have power. In naming your child, you add power and meaning to the character of the baby. When you name your child, you are actually saying to this child: This is who you are, (his/her identity), by what you are known by (his/her reputation).

Many Persons give their babies names along cultural lines. For the purpose of this post, I will be dealing with the given name. The last name is acquired even before birth, automatically. That is the father’s name. Some persons do their background checks on families before getting married or having a baby regarding the last name, family line of course. That is not the purpose of this post. Do not get me wrong, the last name is important. But from the standpoint which I write, I am addressing the given name.

What Then is the Given Name Saying?

This is saying that whatever you name your child or call your child that is his /her identity, that is also its reputation. That name belongs to the baby and it grows with the name. A given name is even more powerful, than the surname. Most times when babies are named, they are given what is said to be their “given name”. This given name is also referred to as their “first name” and is also called by some persons, “Christian names”.
If it is a case that you also give a child a pet name that too is a given name. An alias is also a given name. The more you call it the greater its power is impressed on the child.

If name identifies the person, names are important. In order for me to know who you are, I first have to know your name. Not seeing you, not hearing you and if your name is written, I will be able to say this is most likely to be a male person. Or, this is most likely to be a female. This is depending on what you are called. Of course, some names are given to both males and females. There are more names given to males only and females only than those that are given to both males and females.

The names you give your child are important. Consider, the patriarchs whose names were changed and their characters were also changed. There were many of such persons. I have noted that nowadays, persons are coining names for their babies. But whatever the names they do have meanings. There are names which connote good and names which connote negative meaning.

In Naming the Baby

In naming the baby, one must always understand that names have power and names have meanings. This cannot be over-emphasised. Because of this, it can shape one’s character. I have always felt that it is important to have the baby name ready before the baby is born. This  is the best thing to do.

 

Having the name ready will close the gap of allowing persons to want to impose “any” (not needed) name on your baby.  There should be no place for a strange “fairy godmother”.  You and the family may want to discuss the name before birth. Remember naming your child is important.

Some persons  give names to their children according to the month, day or place  of birth.  Others may think about names of their elder relatives, characters in the Bible and the list goes on. By the way, have you ever heard of anyone named “Judas”?  That came to my mind, so I just ask about it.  Research for your child’s name.  Know the meaning.

Is it good to greet persons addressing them by their names? Here you have a chance to greet this new one with his/her name. The baby will grow to realise that: “This is me”. The baby begins life knowing who he/she is from the start.
I will suggest that you give your baby a name that you know the meaning.

Whatever name you give this baby, the child will become the name. Names have meaning and Words have power. The meaning of the name is what you call your child from day to day. That is a great part of the child’s identity. You must know the meaning of the name(s).

Many persons give their babies names that have meanings of worthlessness, wickedness, etc. By calling them these names they are making pronouncement of whatever the names signify on their innocent children. What then is the outcome? The child begins to act his/her name, behaves like it, lives like it and maybe it. There are some persons who have overcome the odds in this respect and do very well despite the odds, of a name with a negative meaning.

Therefore, do not put your child to the test. Seek after positive names for your baby. Also chose a name that your baby will be happy to have. One which helps his/ her esteem. The fact is some names have good meaning yet they are not liked. In this case the esteem of the person is affected. A person who likes his/her name always have a ready made feather in his/her hat. This is a proud person.

Remember names and words have meaning. They are powerful. Do not give your child names with negative meanings. If you like a name, look it up to find the meaning and its origin. The name you thought was a good nice name may just have the meaning say “thief” in your locality, region or in any other part of the world. This is saying that, you do not just hear a name and think it sounds good to the ears. Check it out.

I want to let you know that I would like to hear your views on this post. Please let me have your comment.

Pre and Post Pregnancy Checklist

In this article, I have provided for you a checklist of certain important things to be done. It is a useful checklist. What is to be done are the things I have given as a checklist for the woman who is pregnant. It also  considers those women who have reached menarche, are not yet pregnant and are contemplating pregnancy. It targets also, the woman who has had sex even since the last 28 days and by all means sexually active. The checklist serves as a reminder to some of the things previously discussed.

It is designed to be a facilitative tool which guides the woman to some of the simple yet important things documented as a reminder of the necessary things to be done in and before her pregnancy. These are the things to be done to ensure a positive outcome all the way. This also means that the desired outcome of her pregnancy may be achieved. Owing to this, the well-being of her baby and herself will be good.

The list is by no means cast in stone. It can be modified as some persons can have changes to suit the different situations. However, contained in the checklist are basically the very important things. Below is the list.

Are you Contemplating Sex and Pregnancy?

1. Consider or know the blood chemistry of your prospective sex partner.
This is written also in consideration that it is not only married persons who do contemplate having children). Remember that a partner with safe blood (that is
free from diseases such as HIV, Sickle cell Disease, Syphilis, Hepatitis B, etc, ensures yourself of having a safe blood. Even though your sex partner cannot
infect your baby, you can become infected.

2. Know about your blood status. Are you free from diseases such as HIV, Sickle Cell Disease, Hepatitis B, Syphilis and other transmissible infections. Remember
that it is only you who can infect your baby with these diseases.

3. Visit your doctor along with your spouse for pre-conception Counselling, advice, and testing (if necessary)

4. Submit self for pre-conception examination (check-up). After this examination, your doctor will treat the situation as he/she sees fit.

Pregnant?

5. Visit the doctor as soon as you have missed your period (menses) for the start of your antenatal(pre-natal) care experience. The doctor will state if you are
pregnant.

6. Keep all your prenatal care appointments

7. Pay attention to instructions from your doctor and maternal care nurse(s)

8. Pay attention to your nutrition. Remember that this is extremely important to the make-up of your baby and you. Your nutrition is one of the most defining and
decisive aspects to the viability of you and your baby.

9. Comply in the taking of necessary supplements and or other medication prescribed by your doctor (Obstetrician/Gynaecologist).

10. Do not take any medication(s) unless they are prescribed by your doctor.

11. Discuss all other medication(s) not prescribed by your doctor that you may want to take.

12. Make an early start in preparing the baby layette. These are important to be ready at least three (3) months before the due date. Be ready with some vital
things for you and the baby’s delivery. These are some articles of clothing and other things relating to the arrival of the child.
Remember also that some babies do arrive before the expected date.

13. Remember to put in your suitcase any letter or anything of the sort that you might have been given by your doctor to submit at the hospital or special birthing
unit.

14. Remember to submit all referrals and any other things to the receptionist, (unless it was otherwise stated that they be given to any other specific person, at
the time you visited for delivery. It is important that these are handed over immediately before the birth of the baby. It may be too late after the birth of the
baby.

15. Have baby nursery arranged for his/her home-coming.

16. Pre-arrange for transportation to and from hospital

17. Pre-arrange for accompaniment to and from hospital (that is if necessary)

18. If there are small children or elderly in your care make arrangement for person(s) to stay with them while you are away. Some persons try to make these
arrangements at last minute and get their feet tied up unnecessarily. You can do without the stress.

19. If there are small child or children at home begin to sensitize them about your expected new arrival as soon as your tummy begins to show. This should be done
in a fun and loving way. Get them to expect and await the baby with love. Do not take this matter for granted. Older children do show jealousy of the newborn.

The main reason for this? Newborn gets more attention and do occupy ‘spaces’ previously ‘owned’ by others. Expect behavioural changes in older children.
Sometimes if these changes are not handled properly they can have far reaching effects. Sensitizing the child about the newcomer’s arrival in a loving way is
one way in which you may be able to quash any psychological effect on the older child before it starts. The older childer does not even have to be your
biological child but if this is so, that can also make matters worse.

Please do continue to show much love for the older child and newborn. I have explained as much as briefly as possible on this aspect because it is very
important. I write of this, because of my love for children and I feel passionate about them. However, I do speak for everyone’s well-being. I trust that the
message has been well communicated. Please discuss with me for clarification if this is necessary. In other words please let me have your comments.

20. Remember to continue with your preparation of articles for delivery and post-birth.

21. Prepare a name for the newcomer(the baby)before his/her birth. This is not important to do in some cultures so early. While in other cultures
it is important to be done before after the birth of the baby. Select a boy and girl’s names. In my next post I will discuss the naming of the baby. Please
look forward to this post.

22. After delivery, attend to immediate post-natal follow-ups. Keep first and subsequent appointments. Thus also the start of a journey to your baby (child)
continued health care.
All the best you are on the way.

Please let me have your comments.