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Childbirth Class Day 5 – Complications, Drugs & C-Section

Today was all about complications, C-section and medications. It can get quite scary just talking about the many things that can go wrong, but as they say, knowing is half the battle.

It’s a good thing to know that not all complications call for a C-section; sometimes a natural birth is still possible. We plotted them out like this:

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At the end of the class, most of us agreed that we will all try our best to give birth naturally without epidural. Good luck to us!

Today we were also missing something we’ve always had since Day 1 – our name tags! Ms. Rome challenged us to remember each other’s names last meeting, and today she made us identify our classmates one by one.

Since I’m really bad with names I already had a hard time just remembering everyone’s first names. However,as always, Mr. Hubby had a 1UP plan – when it was his turn he named almost everyone by their first AND surnames! So proud of you, hubby! Because of that we won yet another prize – a pack of Chino Pino pre-folded diapers!

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TALK of the DAY!

Of course the class ended with anohter talk, this time from Ms. Honey of Huggies. It was actually my first time to touch a wet nappy, and I was surprised by the cold gel-like feel to it.

In the end we each got 2 packs of Huggies newborn nappies. I must say, it looked pretty convincing to me, but what do I know? I’ll definitely give it a try and probably write a diaper review when baby arrives. So excited!

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Ms. Rome also told us to google “Priscilla Dunstan’s baby language”, which interprets babies’ different cries. Here’s a link to her Oprah episode. Basically it says that 0-3 month babies all have a universal secret language, and they’re basically telling us 5 things:

“neh” – hungry
“owh” – sleepy
“heh” – discomfort
“eair” – lower gas
“eh” – burp

Amazing!

And finally, just to share some of my notes on today’s topics,

COMPLICATIONS

Postmature

One of the things I asked my OB is, “What if I still haven’t popped at 40 weeks?” Well, she said that by that time I’d already have to be induced.

During our class, a postmature baby is actually defined as one who hasn’t popped beyond 42 weeks. By this time a lot of things can go wrong – meconium stain (baby can poop inside the tummy), he can contract pneumonia, or grow so much bigger, etc.

When this happens, they can give you drugs to induce labor, but it can also be DIY – via a lot of walking, driving around bumpy roads, or even sex.

Yup, sex actually induces labor, but not because the main reason is not the rigorious activity or the position, but actually the prostaglandin in a male semen. Trivia for the day alert!

Premature

This time baby is under under 37 weeks, so he’s still not fully developed, especially his lungs.

Prolapsed cord

When the cord detaches while the baby is still inside, it calls for emergency C-section. This usually happens when the water breaks and the cord detaches and goes down first.

Other Cord Problems

Like when the cord loops around the baby, or when the cord is too short, keeping baby from getting out.

Placenta Abruptio

Like prolapsed cord, when the placenta detaches while baby is still inside the tummy, baby loses his life support system so this calls for C-section also.

Herpes

When a mom has herpes the baby is at risk of picking up the disease from the birth canal.

Placenta previa

There are three types of previa – when the placenta s just low lying, or when it is partially or completely covering the cervix, blocking the baby.

Meconium stain

When baby poops inside, which can be toxic for both baby and mom.

Preeclampsia / Eclempsia

High blood pressure, swollen feet, extreme body temperature, or in extreme cases, having seizures and severe drop in the levle of amniotic fluid.

Face-brow Orientation

When baby present himself face first.

CPD

When mommy’s pelvis is too small.
C-SECTION

C-section is a 10cm cut (eep, got more info on advanced methods with smaller cuts, anyone?), which can be done horizontally – Bikini Cut, or vertically – Classical Cut.

For moms who want to try for vaginal birth after C-section, or wear a two-piece again, the Bikini Cut is recommended.

DRUGS

There are 3 types – local (for episiotomy), regional (epidural, or spinal to numb a certain region), or general (which knocks both mommy and baby out completely).

On drugs I didn’t take much notes, but the handouts pretty much covered everything.

– end of notes-

Next week is our last week! I’m excited that the weeks are passing so quickly, but I’m sad at the same time that we’re going to go our separate ways again after sharing Sunday mornings for more than a month.

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Rome Kanapi’s Childbirth Class Day 1

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Happy Mother’s Day, everyone!

Today I attended my first Lamaze birth class by Ms. Rome Kanapi. If you browse through my blog you might think I’ve started to become a bit of a mother’s class junkie. Guilty!! Well, what’s a clueless mom to do?

I first learned about Rome’s classes while I was browsing in the internet for search word: “pregnancy/baby classes in Manila”. All my searches led me to the two classes: Rome Kanapi’s Lamaze class, and Chiqui Brosas’ Bradley classes.

I found a lot of helpful tips from other mom bloggers, who put in a good word for both. My OB also basically said I can take either. And then finally, I found a friend of mine who actually took the class – Sarah attended Rome’s class and gave me a glowing review; however she still ended up having a C-section for her first baby, so now she’s looking at taking Chiqui’s classes this time.

Rome Kanapi’s Birth Class Curriculum

Finally I decided to take Rome’s class, mostly just out of gut feel. I also thought maybe her six classes will be easier to digest than Chiqui’s condensed into just four.

Classes are held in Ateneo for 6 consecutive Sundays. Our are from 9am to 12nn, though there are also classes in the afternoon. Fee is P4,500 for the 6 sessions per couple.

Below is Rome’s class curriculum, which we got on the first day. I was really delighted when I saw the last day will be about baby care.

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Why take a birth class?

I’m not really planning to give birth medication-free. Maybe I’d change my mind after a few more classes, but right now I’m already scared as it is.

I really just want to have a normal delivery. My mother had all of us three daughters by vaginal birth (all delivered at home too, which makes her even more amazing, but I don’t think that’s recommended). I really want to have the same experience as she did.

Also, I’ve read a lot of studies about the benefits of vaginal birth – that when your baby passes through your birth canal she picks up good bacteria that protects here later on, and other such benefits.

Of course, there are also those hospitals who only allow birth partners inside the delivery room if they have a birth class certificate, so be sure to ask your hospital just to be sure.

DAY 1

Classes start on time. We were just a wee bit late so we picked up our nametags by the door and walked into a comfy semi-circle of other preggy couples, where Ms. Rome was already starting introductions.

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The class was informal and very comfortable, and Ms. Rome was very warm, motherly and professional at the same time.

The class went exactly as the curriculum said and I definitely learned a lot, but these were some of the most interesting points of my day:

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  • Getting to know other preggy couples. It was really nice meeting other couples who have the same due date – most of us are due June to August, and majority are boys like Oreo! It made me feel a lot less anxious meeting other first-time moms who share the same fears and backaches, who eat more (but healthier, oops) than I do, and who also have the same questions and apprehensions like I do. The mix of good humor and excitement in our group is very infecting too!
  • Hubby should talk to my baby from the lower portion of my belly, so he’d be more encouraged to turn upside down. Rome explained the many different ways our baby can come out depending on his position (orientation of his body) and presentation (which body part comes out first), and which positions would make us more likely to be candidates of a C-section. My baby is still transverse (lying horizontally on my belly) when we had our last check-up, so wish me luck!

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  • Mother’s Day Mustela Freebie! Mustela also came in before break and gave a talk about their products. They gave away samples, and since it was Mother’s Day, they gave away FREE full-sized Mustela Post Partum Body Restructuring Gel (worth P1,600)each!

I’m not really a big fan of Mustela since I got a less than stellar experience with their anti-stretchmark cream, but another mom swore by it, so I guess to each her own. I still really appreciate the gesture, and look forward to trying their other products, especially the baby care ones.

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  • Exercise & relax your way to a healthy childbirth. Of course this is really what we came for, and we already got down on the floor (including the partners) on that Day 1. The message was simple – stretch, exercise, and Kegel to a better childbirth.
  • Daddy is involved too. My hubby is really excited and supportive – he was even the one who kept reminding me to book a childbirth & prenatal class, so it was good that they were involved as we are during the session. They shared common sentiments about spoiling us girls, and they got their share of relaxation too.

For all clueless moms out there, and even the not so-clueless ones, I really recommend joining Rome’s classes. To join, you can reach her easily via (0917) 541 5114.

You can also learn more about Chiqui Brosas here, or reach her via (0917) 882 4748.

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Cardinal Santos Mother’s class

Today we attended a mother’s class in Cardinal Santos. During my last check-up, my OB mentioned that Cardinal was having their regular mother’s class / hospital tour for free, and invited me to join.

Of course, clueless mom got excited right away! I’ve been dying to find a mommy class to attend since I found out I was pregnant, and the class, basic as it was, didn’t disappoint a first-time mommy class attendee.

The class was held at Cardinal Santos from 8am to 12nn (yes, I know how hard it is for a preggy girl to get up this early, but sometimes, it’s worth the try).

The class basically had four parts:

I. Exercise & Labor

The speaker (sorry I was late so didn’t catch her name, eep) shared different breathing techniques for pushing, for relaxation, and to control yourself when you need to not yet push. She also shared some exercises to help with pain and childbirth, like the pelvic exercise (rock your hips left and right), and Kegel.

II. What To Do After Giving Birth

Officially gone are the days when right after being pulled, the baby is turned upside down, spanked, checked, cleaned and then wheeled out of mother’s sight. At least, this is no longer how it goes in Cardinal.

Now when the baby comes out, the baby is immediately dried, then placed on top of mommy’s belly for precious skin-to-skin contact. This is called “unang yakap”, a law that is now being implemented in delivery rooms all over the country. Baby is then immediately breastfed even before he is cleaned, weighed, and examined thoroughly.

The cord is not cut immediately, but after 1 – 3 minutes when the pulsation has stopped, so the precious blood supply is not cut right away.

Babies are wheeled out of the delivery room in mommy’s arms. They should be fully breastfed within 90 minutes from birth, and not washed for 6 hours when the protective residue of the amniotic fluid is still at work.

And probably the best of all, no more theatrical tapping on the nursery window glass. Baby now rooms in with mommy right after birth!

III. Cord Blood Banking

Cordlife came in to give a talk about cord blood banking. The basic idea is that baby’s umbilical cord is filled with stem cells that can be collected, stored and later on used to cure certain types of diseases that require stem cell treatment.

I’ve been curious about cord blood banking since I first read about it in the internet, so I found the talk interesting. I’ll most probably avail of Cordlife’s service, will you know more about it when I do.

You can read more about cord blood banking with Cordlife here. Stemcord is also another well-known group, you can find them here.

IV. Hospital Tour (my favorite part!!!)

Finally, we had a hospital tour wherein we toured the labor rooms, delivery room and nursery (for sick babies only and for when babies get officially weighed and recorded) of Cardinal Santos. As expected, their facilities are very impressive and quite modern, and it actually made me consider giving birth there instead (I’m planning to deliver in VRP, still need to do more research on this!).

One thing I didn’t quite love about it though, is that birth partners are not allowed in the labor rooms, unless you use the Lamaze room. Otherwise, you only get to have your hubby with you in the delivery room. I really can’t imagine going into labor without my hubby in tow.

However, there was definitely lots of things to love about Cardinal – they’re very strict in implementing “unang yakap”, they’re strong breastfeeding advocates (bottles are not allowed in hospital premises moms!), and from just that mother’s class their team seemed very capable and warm at the same time.

Oh, and we got some freebies too. The event was sponsored by baby & mommy care companies, so we found out some new things about their products, and got quite a number of samples too.

I really recommend attending the mother’s class in Cardinal Santos, especially if you’re sure you’ll give birth there. I think they do it monthly.

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