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Pregnancy Birth and Your Baby Book Government of Western Australia North Metropolitan Health Service Have this book with you at your appointments and when you have your baby Pregnancy, Birth and your Baby A guide to your care with King Edward Memorial Hospital | Family Birth Centre | Community Midwifery Program WNHS Community Advisory Council your voice 1 Pregnancy, Birth and your Baby Pregnancy, Birth and your Baby Table of Contents Important Information and Contacts ...........................4 Taking care of yourself Giving birth 7 Breastfeeding About this book ...........................................................4 3 5 Nutrition for you and your baby ................................19 Preparing for labour ..................................................59 Benefits of breastfeeding ..........................................96 Morning Sickness .....................................................21 What to bring to hospital ...........................................59 Getting started ..........................................................96 1 Pregnancy care options Food safety and hygiene ..........................................22 Medications ..............................................................60 The first few days .....................................................97 Exercise ....................................................................23 What to pack for your stay ........................................60 Feeding cues ............................................................99 Welcome .....................................................................6 Managing common aches and pains ........................24 Your birth plan ..........................................................61 How breastfeeding works .........................................99 Pregnancy care options ..............................................7 Medications and alternative medicines.....................26 Support in labour ......................................................61 Signs your milk is flowing .......................................100 Community Midwifery Program ...............................7 Midwifery Group Practice ........................................7 Common concerns in pregnancy ..............................27 How do I know I’m in labour? ...................................62 How long to feed your baby ....................................100 Hospital Antenatal Clinic Midwives..........................7 Drugs and alcohol in pregnancy............................27 When labour begins..................................................62 Signs baby is getting enough .................................101 Shared Care ............................................................7 Smoking ................................................................27 Stages of labour .......................................................64 Helping your baby to breastfeed.............................101 GP Shared Care ......................................................7 Dental care ...............................................................28 Delivering your placenta after the birth of your baby ....65 Nipple care .............................................................102 Private Practicing Midwife .......................................7 Cytomegalovirus (CMV) and pregnancy...................28 Keeping your placenta ..............................................65 Hand expressing.....................................................102 Antenatal Clinic – Obstetric Doctor Care ...............8 Immunisations and vaccines ...................................29 Pain management in labour......................................66 Expressing with an electric breast pump ................103 Private Obstetric Care .............................................8 Work and pregnancy ................................................29 Pain relief..................................................................66 Storage of breast milk.............................................105 Family Birth Centre .....................................................8 Air travel ..................................................................29 Monitoring your baby during labour ..........................68 Thawing and warming of breast milk ......................105 Wearing seat belts ....................................................29 Assisted birth ............................................................68 Engorgement ..........................................................106 2 Services and support Emotional ‘ups and downs’ .......................................30 Water birth ................................................................70 Blocked ducts .........................................................107 Depression and anxiety ............................................30 Mastitis ...................................................................108 Visiting Hours ...........................................................10 Emotional health and wellbeing ................................31 Dummy use while breastfeeding ............................108 Aboriginal Liaison Officer at KEMH ..........................10 Your partner’s feelings ..............................................31 6 After the birth Agnes Walsh House Lodge ......................................10 Abuse .......................................................................32 Immediately after birth ..............................................74 Crèche ......................................................................10 Sex during pregnancy ..............................................32 Your baby ..............................................................74 8 Unexpected outcomes Interpreters – Language Services ............................10 Coping alone ............................................................32 You ........................................................................74 Bleeding during pregnancy .....................................110 Outpatient Pharmacy ................................................11 Preventing falls after you have had your baby .........75 Miscarriage .............................................................110 Pastoral Care Services .............................................11 Tests and medications for your baby during the first Problems with the placenta ...................................110 Women and Newborn Health Library .......................11 Your visits few weeks of life .......................................................76 4 Breech baby ...........................................................110 Are you or your baby of Aboriginal or Torres Strait What is a routine check up? .....................................34 Newborn blood spot screening test ..........................77 Islander origin? .........................................................11 High blood pressure ...............................................110 Tests available in pregnancy ....................................34 Hearing screen .........................................................77 Department of Psychological Medicine ....................12 Pre-eclampsia.........................................................110 Screening tests .........................................................34 Pain relief after the birth of your baby.......................77 Violence and sexual assault .....................................12 Gestational diabetes ............................................... 111 Diagnostic tests ........................................................35 Going home ..............................................................78 Providing feedback ...................................................12 Premature labour and birth ..................................... 111 Gestational Diabetes screening................................35 Discharge medications at KEMH ..............................78 Social Work Department ...........................................12 Non-elective caesarean ..........................................112 Your first appointment ...............................................35 Support at home .......................................................79 Women living with a disability ..................................12 Jaundice .................................................................112 What happens at the first visit? ............................35 Postnatal care and the first six weeks ......................79 Privacy of your personal information ........................13 Intensive and Special Care.....................................112 Rhesus D negative in pregnancy..............................36 After pains .............................................................79 Public or private admission at KEMH only................13 When a baby dies ...................................................112 Between 12 and 20 weeks .......................................37 Bleeding ................................................................79 If you don’t have a Medicare card ............................13 Women and Infants Research Foundation .............112 Thinking about breastfeeding ...................................38 Pelvic floor exercises ................................................81 Student health professionals ....................................13 Find out more .........................................................114 What is the placenta?............................................38 Caesarean wound care ............................................81
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