The Bradley Method of Natural Childbirth

The Bradley Method of Natural Childbirth

For The Best Birth Possible!

Class 3 Answers:

Coaching Challenges p. 25
1. For you to figure out.
2. Check with Human Resources at your company.
3. Think about this ahead of time so you don't get discouraged. See p.24
4. Swimsuit, and change of clothes.  Hospitals don't provide scrubs to dads anymore.
5. Consider garden clogs or Crocs or swim shoes. (Job Lot may have them cheap.)
6. And whatever else you may need -- medications of your own?
7.  Orange juice (her favorite kind -- write your last name on it with a Sharpie pen and pop it in the fridge on the labor and delivery floor.  Also: peanut butter and crackers, some hard cheese, grapes, fresh pineapple, watermelon, honey sticks, snack-sized apple sauce, your preferred soda pop, etc.  No food that has a strong smell.  Leave the tuna, garlic, pepperoni, etc. at home
8. 2 fine-toothed combs, 1 or 2 foam kneeling pads (the gardening type you can pick up cheap at Job Lot, Benny's or Christmas Tree Shop), 2 tennis balls (not dog-chewed up, but not stinky brand-new either) and 1 pair of tube socks, lotion, music, battery-operated candles
9. Be aware of your body mechanics, don't hurt yourself.  Use your weight, not your muscles when possible;  lie down and rest together; eat, drink and go to the bathroom when needed.
10. Go.
11. Rub your back, give you a break, get you food and drink, make phone calls with updates, pray, walk your dogs, take care of your pets. 

Study Helps on p. 26:

Birth place: RI doesn't have any free-standing birth centers, so your options are limited to hospital or home.  Although a hospital is most widely chosen in the US, research shows that home births, with a trained provider (midwife or doctor) are at least as safe.
Cesarean:  pros: can save your life or baby's life, when medically necessary;  cons:  its overuse (according to the W.H.O.) has led to more babies and mothers injured or dead than is acceptable.  C/section rates should between 10-15%, and the USA's is over 32%.  Surgery always has potential risks and serious side effects; here are a few: infection, nicked bowel, scarred uterus leading to possible placenta previa, embolism, and always major abdominal surgery.
Circumcision: pros:  tradition, some religious expectations.  cons:  can be dangerous, cause excessive bleeding, pain, has no medical value and is now considered, in the US, to be "cosmetic" surgery.  The physical risks are high and the only proven benefits are sociological in some groups.  Google "intactivism."
Ultrasound:  pros: can alert doctors to serious problems with babies, are fairly cheap (when covered by insurance) and readily available.  cons: have never been proven safe and significant research (see Doris Haire's work, among others at http://www.aimsusa.org/ultrasnd.htm) shows real risks on a cellular level.  Another con:  ultrasounds are not accurate for many of the tests they're used for and doctors often give these flawed tests more weight than is reasonable, leading to misdiagnoses and considerable anxiety for the parents.
EFM:  pros: can alert medical staff to fetal distress.  cons: are overused and have NOT diminished fetal morbidity or mortalilty, but instead increased C-section rate, leading to increased infant and maternal morbidity and mortality.  Also, generally requires mother to be on a short leash to the EFM computer, and so unable to walk around much in labor.
Exams (vaginal):  pros: can bring encouraging news about labor progress and may alert doctor or midwife that baby's position is difficult.  cons:  uncomfortable (at least), may introduce germs leading to an infection, can be discouraging for mother, can be inaccurate, are only part of the picture of labor's progression.
Bed Rest:  pros: can prolong pregnancy, allowing baby more time to develop before premature birth.  cons:  weakens mother, is depressing
Admitting procedures: the pros and cons depend on which procedures, of course.  ask your HCP what you can do ahead of time;  paperwork, gown, draw blood, vaginal exam, pee, blood pressure, monitor strip of ext. EFM, questions, ID, insurance cards, etc. IV routine IV, heparin lock, saline lock.
Options:  Ask me about ones you're wondering about.
IV:  pros: may be needed, especially if you have thin or rolling veins (most hospitals insist on maternity patients having a hep lock, which is a capped-off IV "just in case").  cons: meds may cause allergic reactions (particularly drugs you've never had before), the wrong medication could be used, it's uncomfortable, it's rare that a mother needs it, etc.  Also, IV fluids during labor are insufficient for laboring women who are quite capable of eating and drinking and so simply don't need glucose fluids given intravenously.

1.  There are pros and cons we discuss in class - or privately -and these can inform the choices you make for yourself. So I'll be very brief here and we'll talk these over as much as you need. 
2. Stretches, walking, swimming, low-impact aerobics, bicycling (if you're used to it), yoga,pelvic rocks, squats, and tailor sitting.
3.  By the mother's bones, muscles, fat, and uterus, by the amniotic fluid, amniotic sac...pretty much everything around the baby is protection from bumps from outside.
4.  You know this.
5.  Ask your HCP for a list.  Ask what the tests are looking for and what the options are depending on what the tests find.  Ask (or look up for yourself) the accuracy of the tests.  For example, ultrasounds can be off by as much as 2 pounds when estimating baby's size!  Before agreeing to a test, learn enough to decide whether you'd change your plans because of the outcome.  Also, blood and urine tests, fundal hgt, beta strep, glucose tolerance, amnio, ultrasound, dopler, biophysical profile, Bishop’s score
6. Ask questions, gather information, talk it over with your partner, then with your HCP, make sure you understand risks and benefits.  Remember, you're protecting yourself AND your baby, so don't be afraid to speak up and ask for clarification.  Ask for research and references and drug inserts, if you wish.
7.  Doppler, fetoscope, palpitation, ultrasound, counting kicks, fundal height measurement, pinard stethoscope, normal stethoscope,  etc.
8.  Fetoscope, Doppler, ultrasound
9.  Partners, YOU fill this out.

If you tell me in our next class what the secret word is (placenta), I'll actually give you a prize for doing your homework! 

Squat, pelvic rock, Kegels, butterfly, and tailor sitting.