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Pregnancy and Birth (PDF) Pregnancy & Birth & Birth HEALTHY PARENTS, HEALTHY CHILDREN & Birth 2 nd EDITION Because they don’t come with a manual healthyparentshealthychildren.ca This book belongs to: Your baby’s due date: My important contact information Health care provider Name: Phone: Birth centre/hospital Name: Phone: Community or public health centre Name: Phone: Other: Name: Phone: This book has lots of information to help you through your pregnancy and prepare you for your baby. The content in this book reflects Alberta Health Services’ (AHS) information Follow us on at the time of printing. For more /healthyparentshealthychildren information and regular updates visit @AHS_HPHC healthyparentshealthychildren.ca Copyright © (2013) Second Printing (2014) Third Printing (2018) Second Edition (2018) Reprint (2019) Alberta Health Services. This material is protected by Canadian and other international copyright laws. All rights reserved. These materials may not be copied, published, distributed or reproduced in any way in whole or in part without the express written permission of Alberta Health Services. These materials are intended for general information only and are provided on an ‘as is’, ‘where is’ basis. Although reasonable efforts were made to confirm the accuracy of the information, Alberta Health Services does not make any representation or warranty, express, implied or statutory, as to the accuracy, reliability, completeness, applicability or fitness for a particular purpose of such information. These materials are not a substitute for the advice of a qualified health professional. Alberta Health Services expressly disclaims all liability for the use of these materials, and for any claims, actions, demands or suits arising from such use. ISBN 978-0-9916769-1-0 Table of Contents INTRODUCTION 3 Important Contact Information 3 Important Websites 4 Your Book 5 Thank You! 8 AN OVERVIEW OF PREGNANCY 9 Becoming a Parent 11 Growing Together 16 The Developing Brain 19 STARTING OFF HEALTHY 21 Growing Together 23 Prenatal Care 24 Healthy Body and Mind 26 Being Safe 75 Planning Ahead 85 FIRST TRIMESTER: THE BEGINNING 89 Growing Together 91 Healthy Body and Mind 95 Prenatal Care 103 If Pregnancy Doesn’t Go as Expected 108 SECOND TRIMESTER: THE MIDDLE 111 Growing Together 113 Healthy Body and Mind 117 Prenatal Care 123 Planning Ahead 126 If Pregnancy Doesn’t Go as Expected 137 Healthy Parents, Healthy Children | Pregnancy and Birth 1 THIRD TRIMESTER: THE FINAL STRETCH 143 Growing Together 145 Healthy Body and Mind 148 Prenatal Care 154 Planning Ahead 156 If Pregnancy Doesn’t Go as Expected 161 LABOUR & BIRTH: THE BIG EVENT 163 Knowing What to Expect 165 Three Stages of Labour 171 First Stage of Labour: Contractions, Thinning and Opening of the Cervix 172 Second Stage of Labour: Birth 190 Third Stage of Labour: Separation and Delivery of the Placenta 192 Pain Relief Options During Labour 193 Other Procedures During Labour and Birth 196 POSTPARTUM: THE FIRST 6 WEEKS 205 Congratulations Your Baby is Here! 207 At the Birth Centre 208 Your First Few Weeks at Home 224 Healthy Body and Mind 226 Healthy Relationships 253 BREASTFEEDING 273 Breastfeeding Your Baby 275 Breastfeeding Basics 279 The First Week and Beyond 286 Expressed Breastmilk 293 Healthy Body and Mind 303 Challenges and What to Do 307 THE EARLY YEARS 321 INDEX 323 2 Pregnancy and Birth | Healthy Parents, Healthy Children INTRODUCTION Important Contact Information No cost services available in many languages Emergency Services Health Link Ambulance, Fire and Police Health advice from a registered nurse. 911 811 Available 24/7 Available 24/7 Addiction AlbertaQuits Helpline Bullying Helpline Services Helpline Tobacco cessation counsellors Advice or support Help for problems with can help you make a plan on bullying. gambling, alcohol, tobacco to quit, manage cravings 1-888-456-2323 and other drugs. and stay on track. bullyfreealberta.ca 1-866-332-2322 1-866-710-7848 Available 24/7 Available 24/7 albertaquits.ca 8am–8pm Child Abuse Family Violence Income Support Hotline Info Line Contact Centre Hotline to report child Provides information about Financial help for neglect or abuse. family violence programs Albertans who don’t have 1-800-387-5437 and services, as well as the resources to meet their advice and support. basic needs (e.g., food, Available 24/7 310-1818 clothing, shelter). Available 24/7 1-866-644-5135 Available 24/7 Medication & Mental Health Poison & Drug Herbal Advice Line Helpline Information Service Advice and information Offers help for mental health Confidential advice about about medicine and concerns for Albertans. poisons, chemicals, herbal products from 1-877-303-2642 medicine and herbal pharmacists and nurses. products. Available 24/7 1-800-332-1414 1-800-332-1414 Available 24/7 Available 24/7 Healthy Parents, Healthy Children | Pregnancy and Birth 3 Important Websites ahs.ca ahs.ca/options covenanthealth.ca Alberta Health Know Your Options Covenant Health Services (AHS) Get the care you need Catholic service Canada’s largest integrated when you need it. The provider within Alberta’s health system, responsible best place to start is with healthcare system, for promoting wellness Health Link at 811 or your with 17 facilities in and providing health care family doctor. There are 12 communities. across the province. other options depending on what you need. myhealth.alberta.ca alberta.ca immunizealberta.ca Your resources for To find the Alberta For information on non-emergency health Government services and Alberta’s routine information and tools. information you need. immunization schedule and the answers to frequently asked questions. healthyparentshealthychildren.ca Find information from Healthy Parents, Healthy Children: Pregnancy and Birth and Healthy Parents, Healthy Children: The Early Years online with many interactive features. Browse on a smart phone, tablet or computer. readyornotalberta.ca Whether you’re ready for another baby or not, it’s healthy to have a plan. This website has many interactive features in a user-friendly question and answer format. Browse on a smart phone, tablet or computer. 4 Pregnancy and Birth | Healthy Parents, Healthy Children INTRODUCTION Your Book Congratulations, you have a baby on the way! Now what happens? You can read this book to find out. This made-in-Alberta resource will help you with the many changes that are coming. We’ll take you from the early stages of pregnancy, “It’s true, we’re pregnant!”, through the thrill of your baby’s birth, “It’s a boy!” or “It’s a girl!”, and into your baby’s first few weeks, “What do we do now?”. There’s a lot of information out there on pregnancy and birth. However, too much information can be confusing, especially when you hear different things from different sources. This book is based on today’s knowledge, evidence and best practices. We asked expectant and new parents what they wanted to learn and we asked health Use the book (Pregnancy and experts from across Alberta to help write Birth) and Health Link (811). this book. We encourage you to balance the “ You basically have help at your information you find here with your own knowledge, values, skills and instincts to fingertips 24 hours a day! help you have the healthiest pregnancy and ~ Rachel, mom of a toddler baby possible. ” This book is a resource intended to guide you through the journey of pregnancy and birth. It will help prepare you for each trimester, labour and birth, and life after you have your baby. If you’re a partner or support person of a pregnant woman, reading this pregnancy and birth book will help you understand and relate to what your pregnant partner is going through and how you can best support them. There are also special sections for partners and support persons to prepare you for your role in pregnancy, labour and birth, and parenting. Families are as unique as the people in them. Your family might include a mother and father, same-sex parents, adoptive parents, foster parents, grandparents, brothers, sisters, aunts, uncles or close friends living together or on their own. This book is for you and your family! Healthy Parents, Healthy Children | Pregnancy and Birth 5 How to use this book In this book, you’ll find: ■■ An Overview of Pregnancy gives you a general look at pregnancy and the many changes you can expect. ■■ Starting Off Healthy tells you what you need to know so that you, your partner and your baby can be healthy during your pregnancy and later on. Health information related specifically to a trimester, labour and birth, postpartum or breastfeeding will be found in those chapters. ■■ First Trimester, Second Trimester and Third Trimester are separate chapters that tell you about the changes during each trimester and offer some practical tips for common discomforts. ■■ Labour & Birth: The Big Event tells you about the process of labour and birth, ways to work with your body’s natural instincts and many helpful coping and comforting strategies. ■■ Postpartum: The First 6 Weeks tells you about caring for yourself during the first six weeks and the first few days with your baby. ■■ Breastfeeding gives you information about how to breastfeed your baby and how to deal with common challenges. We let you know throughout this book when we have additional information that is available on our website. When you see Links, Videos, Tools or Printables, simply visit healthyparentshealthychildren.ca/resources to learn more. We refer to your baby as ‘your baby’, no matter how many weeks pregnant you are. We refer to hospitals and midwifery run birth centres as ‘birth centres’. 6 Pregnancy and Birth | Healthy Parents, Healthy Children You’ll also find: INTRODUCTION ■■ words that you may not know are green and have definitions at the bottom of the page ■■ Quotes from Alberta parents ■■ “text boxes that highlight: ” Things to know Helpful activities If you’re a partner ■■ text boxes that describe when to ask for help: Call Health Link at 811 or Call 911 or go to the your health care provider Emergency Department ! within 4–6 hours !! NOW ■■ QR codes you can scan with your smart phone to link directly to more information.
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