Monday, August 25, 2008

Prenatal Classes


Happy Monday. As school is about to begin for kids all across the country I thought we would spend this week talking about all the possible classes that can prepare you for the new adventure of bringing home a new baby (or two). During your sixth month is a good time to sign up for classes.

Before the mid-twentieth century, the most help a woman could hope for in preparing for birth was some wise advice from her mother, sister, or friend. Fathers were not involved in birth at all. For many women, giving birth for the first time was frightening. Childbirth education has radically improved the experience of childbirth for most women. Depending on where you live, you may be able to choose among many types of classes for parents-to-be and new parents. Some places offer classes as narrowly focused as “Pregnancy Meditation” and “Preparing for Twins or Triplets.”

Here are some typical offerings:

Pregnancy planning. Usually taught by a gynecologist or nurse practitioner, these classes cover fertility, conception, and caring for your health before and during pregnancy.

Early pregnancy. Most often taken during the first trimester, these classes cover information about changes in a woman’s body, fetal development, and nutrition. Because so many women have a small library of pregnancy books at home, many communities are eliminating early-pregnancy classes.

Prenatal exercise. These classes are led by a physical therapist or a personal trainer with advanced training in obstetrics, the musculoskeletal system, and women’s health. The classes generally include low-impact aerobics, stretching and strengthening exercises, and relaxation. For safety, most of these classes require a doctor’s referral.

Prenatal yoga. These classes are designed to increase comfort and flexibility in a pregnant woman’s rapidly changing body; to alleviate common discomforts of pregnancy such as back pain, sciatica swelling, anxiety, and fatigue; and to help the woman connect with her developing baby. Many women find prenatal yoga classes to be both relaxing and energizing.

Labor and childbirth preparation. These are most often designed as a series. There is instruction in relaxation and breathing to reduce the discomfort of labor, massage, positions for labor and birth, the partner’s role, hospital procedures, medicated and non- medicated labor, anesthesia, and cesarean birth. You and your partner will want to take a course taught by a certified childbirth instructor, a registered obstetrical nurse, or a midwife.

Breastfeeding. A certified lactation consultant discusses the benefits and basic techniques of breastfeeding; how to prevent, recognize, and manage difficulties; and how partners can help.

Refresher for childbirth or breastfeeding. For those who already have one or more children, these classes provide a review and an update of labor and birth, breathing and relaxation methods, and the partner’s role during birth and breastfeeding.

Newborn parenting. These classes can be great fun, as they often involve hands-on practice (on dolls) with diapering, wrapping, dressing, and bathing. Newborn appearance and behavior, infant development, and practical tips for new parents are frequently included.

Infant safety and CPR (cardiopulmonary resuscitation). I recommend that parents take one of these classes when their babies are 3 to 6 months old, although the demonstrations and practice are on infant mannequins rather than real babies. The classes address how to recognize and treat emergencies such as choking and respiratory difficulties, how to perform basic first aid, how to “childproof” a house, and how to avoid common childhood accidents.

Infant massage. These are wonderful classes to take with your baby. They teach gentle massage strokes that promote digestion, elimination, and relaxation in the early weeks after the baby’s birth.

New moms’ support groups. These informal groups, a lifeline for many new mothers, often sprout from a childbirth preparation class. Although dads are usually welcome, the groups tend to be made up primarily of women whose babies are close to the same age. Sleep, husbands, work, sex, all things baby, and life in general are discussed. I started a new moms’ group when Alexander was born, and the other women have become some of my dearest friends. We call ourselves the Sanity Sisters. We do things together with our children as well as without them. We try to have dinner out at least once a month, and we occasionally even include spouses! For nearly five years, the kids spent every Wednesday together, and they now think of each other as cousins. Today, there are thirteen children between the six of us. I have heard similar stories about such friendships from mothers everywhere.

Support groups for parents of multiples. I strongly recommend that moms of twins and other multiples get dialed into their local twins or multiples mothers’ support group while they are still pregnant. These groups can be an enormous help. Depending on where you live, you may find one or more groups. Because urban areas tend to have a lot of twins, if you live in or near a city you may have several groups to choose from. In your local community, first check with your own hospital or childbirth education center. Time and again, I hear women say that they wish they had become involved in a multiples group before their babies were born. They feel that the chance to talk with a mother who had been through the experience would have saved them from having to figure it out alone. Here is a very telling quote from a mother of twins: “I figured that I was an efficient, high-energy career woman, that I didn’t need any special support, and that I would figure out what was best for our family. But once the twins came, it changed everything. I realized that I couldn’t just ‘figure it out.’ My parents-of multiples group helped me find a much-needed night nurse to help care for my children from 10 P.M. to 6 A.M., twice a week, so that I could get some sleep. This was an expensive indulgence for us, but worth every penny. I was so exhausted that I could barely function, and my night nurse was my savior! Later, I went to a couple of the multiples-club support groups, and ended up meeting two moms who remain close friends to this day.”

Next, we will talk specifically about Childbirth Preparation Classes. Have a great day!

~ Warmly, Tori

Friday, August 8, 2008

Tori's August Blog Tour

Happy Friday! I wanted to let you know that I am in the middle of a Virtual Book Tour this month. It has been great fun--please take a moment to check out some of the stops I have made.

~~ Warmly, Tori

Aug 4 http://mommyreviewed.blogspot.com/
Aug 5 http://bookexcerpts.wordpress.com/2008/08/01/the-joy-of-pregnancy-by-tori-kropp/
Aug 6 http://newmothercentral.typepad.com/becomingamother/2008/07/book-review-the.html
Aug 7 http://www.americanchronicle.com
Aug 8 http://detailwithnikkileigh.blogspot.com/
Aug 11 http://www.thewriterslife.blogspot.com/
Aug 12
Aug 13 http://rebecca2007.wordpress.com/
Aug 14 http://www.divinecaroline.com
Aug 15 http://www.finallygettingfit.com/
Aug 18 http://www.thebookconnectionccm.blogspot.com/
Aug 19 http://www.publicbroadcasting.net/wamc/news.newsmain?action=article&ARTICLE_ID=1326166
Aug 20
Aug 21 http://reviewyourbook.com/review.cfm?reviewid=884
Aug 22 http://www.thebookstacks.com/
Aug 25 http://tristisbooktours.blogspot.com/ and http://www.popsyndicate.com/books
Aug 26 http://www.momstakeonthings.com/ and http://www.popsyndicate.com/books
Aug 27 http://www.blogginboutbooks.blogspot.com/ and http://www.popsyndicate.com/books
Aug 28 http://www.popsyndicate.com/books
Aug 29

Monday, August 4, 2008

Pregnancy Fitness

There are so many great reasons to exercise. It helps all of us to feel better and to be healthier whether we are pregnant or not. During pregnancy, however, regular exercise and being fit can help decrease the incidence of gestational diabetes, help you to develop more stamina for labor and experience less post partum depression.

For those women who are not physically active I suggest that you begin a loose regimen of daily walks, stretching or prenatal yoga. Walking tend to be the easiest because you can pace yourself and increase your efforts, as you feel fit. You can park your car a bit farther away from work or take a walk at lunchtime and enjoy the outdoors. Be sure to walk in safe, comfortable shoes. 


If you are already physically active, these exercises are designed specifically for each trimester of pregnancy.


Trimester I


Generally, if your pregnancy is completely normal and going smoothly, you are not limited at all- unless you participate in a contact sport such as, fencing, kickboxing or soccer. If this is the case, you should ask your doctor or midwife before continuing. 



– Workout activities such as running, bicycling and weight lifting are fine.



– Be extra careful when you are stretching! Women have an increase in the hormone relaxin during pregnancy. This can result in loose joints for several months during pregnancy and after giving birth. Because you may feel more limber, you can over-stretch and hurt yourself. 




Trimester II


The second trimester is the ideal time to shift from strictly aerobic activities and include mind /body exercises. 



– Prenatal yoga is a wonderful way to slowdown and center yourself, in addition to getting a great workout. 



– Alter your sit-ups! They are fine if they are done on a 45-degree incline with your knees bent. 



– Lifting weights are also still fine, so long as they are not too strenuous--just be sure to use caution. 



– Using a stationary bicycle or taking a moderate ride outside is terrific. Bicycling is an aerobic, non-weight bearing activity. 



– It is vital not to become overheated. It is important to pace yourself, rest as needed during your workout and drink plenty of extra water. Remember, you’re drinking for two now! 




Trimester III


Your activities in the third trimester should be limited to your level of comfort. 



– Taking a daily walk can be perfect and you might find it, alone, to be enough. 



– Swimming is also an excellent form of exercise. It is aerobic, and safe to do everyday. Floating in the water gives you a “weightless” sensation in which you don't feel the physical limitations of your growing body. 



– Here again, in the third trimester, prenatal yoga is a wonderful way to prepare your body, mind and spirit for your soon-to-arrive baby.


Women who exercise regularly are also more likely than others to report feeling accomplished, confident, and positive about life. I wish you much health and happiness on this exciting adventure.


~ Warmly, Tori Kropp