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Updated by elainekingdomofbaby on Sep 18, 2019
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Mental preparation for childbirth

the mother-to-be chooses the motherhood in which she wishes to give birth.

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Elaine brooks

Elaine brooks

Step 1: the mother-to-be chooses the motherhood in which she wishes to give birth
There is no system of sectorization in this area. The woman can give birth in the maternity that she wants, although she must meet certain criteria, such as: :

  • the geographical proximity according to its place of residence
  • the period of registration with the maternity (in general, registration is made in the 5th month of pregnancy))
  • the choice between a public hospital or a private clinic

In Quebec, women have different choices about where to give birth :

  • in the hospital, in the delivery room or in the birth room
  • in a birthing house .
  • home

If the mother-to-be chooses to give birth in a hospital, she may choose to be assisted by a doctor or midwife.

Stage 2: pre-delivery sessions
Most maternity hospitals offer pre-natal classes, which are a real preventive measure designed to help expectant mothers live their births better, especially when it comes to the first child. Quebec women can attend prenatal classes in local community service centres (CLSCs), health and social services centres (CSSS), birthing centres or private centres.

Methods of preparing for childbirth
The preparation for childbirth allows the mother-to-be to project herself in this coming day, that of childbirth, to question professionals, doctors or midwives, in order to share with them their questions and their fears. It will also be an opportunity to meet other pregnant women and to exchange about their pregnancy and the upcoming birth.

Several methods can be proposed to future mothers, here are the main ones.

All methods of preparation for childbirth are not reimbursed by the Social Security, it is necessary to check with your sickness insurance fund in order to know the modalities of coverage. In Quebec, the cost of prenatal courses varies according to the region and the type of centre chosen. If you choose to take courses in a CLSC or CSSS, the sessions may be free or at a nominal cost (approximately$ 20) to cover expenses related to brochures, pamphlets and other informational materials that will be given to you. To find out the exact cost, we recommend that you check with the centre where you wish to take the prenatal courses.

The traditional method of preparing for childbirth, also known as OPD , is "obstetrical psychoprophylaxis". »
The PPO is the most common method in France. It consists in psychologically preparing the pregnant woman in such a way that she has appropriate and favourable reactions to the organism during childbirth. From the third trimester (6th or 7th month of pregnancy), the mother-to-be can benefit from 8 pre-natal classes, in general, 100% reimbursed by the Social Security. The classes last from 1h30 to 2h and take place in small groups of women with a birth date quite close.

In Quebec, the method most commonly used to prepare for childbirth is prenatal classes, in groups or in private. The ideal time to start these courses varies depending on the training offered and your expectations. In general, it is recommended to follow them from the third semester (26th weeks of pregnancy).

They are divided into 2 parts :

A theoretical part. These sessions allow pregnant women to better understand how a pregnancy unfolds, to know how a birth is going and finally, to have useful tips when returning home with the baby. It is an opportunity for women to ask questions and express their anxieties about the fear of childbirth. Gradually, thanks to the explanations, the advice given and the links created with other future mothers, they will gain confidence in themselves and better understand the birth of their baby.
A practical part : future mothers do muscle and breathing exercises and learn relaxation techniques. They follow a real preparation to be ready when the time comes. Finally, they visit the maternity ward and the delivery room in order to familiarize themselves with the place and the devices present in the birth room. The future AHS may also participate in this visit.
Haptonomy
It's a science of affectivity. It allows prospective parents to communicate with their baby before birth. This method is appreciated because it includes the father in pregnancy.

The word "haptonomy" comes from the Greek "hapsis / haptein "expressing" the touch, the bond " and "nomos" meaning " the norm, the rule ". This method makes it possible to create, during pregnancy, an exchange between the fetus in utero and its parents, establishing contact through touch and sound.

Indications: the haptonomy sessions begin from the 4th or 5th month of pregnancy, when the mother begins to feel the baby moving in her belly, and continue for about 1 year after the birth, to end as soon as the baby learns to walk.

A parent-baby bond is made thanks to the voice and by the application of the parents ' hands on the mother's belly. During classes, the father also learns the gestures that will relieve the mother during contractions, which can relieve her during childbirth.

Childbirth takes place in a maternity open to the practice of haptonomy, in the presence of the practitioner (often a midwife or a haptotherapist).

Prenatal sophrology
Sophrology is a method of relaxation. She proposes to help the mother-to-be to become more aware of her body and its tensions, and thus to better control her delivery.

Indications: the sessions usually start in the third trimester of pregnancy. They can continue after the birth to prevent the young mother from falling into a baby blues or to help her overcome her anxieties and fatigue.

The courses are taught by a midwife and take place either in a group or in an individual session.

Sophrology allows to work on breathing, letting go, Management of contractions and breath control. The midwife makes you feel and visualize the time of the birth and the baby's life during the expulsion. She prepares a positive experience of childbirth for the pregnant woman.

Acupuncture
Acupuncture is one of the branches of traditional Chinese medicine. It is chosen by women who want to relieve the pain experienced during pregnancy and to prepare for childbirth.

Common uses: according to the World Health Organization (WHO)1, the practice of acupuncture may be indicated to relieve nausea, soothe and relax pregnant women. It can also be used during childbirth to cause or reduce the duration of childbirth.

This practice is not recommended for women who do not support needles or who have too much skin sensitivity.

Prenatal singing
The prenatal song allows both parents to make contact with the baby in utero thanks to the vibrations. The exercises performed during the sessions promote well-being throughout the pregnancy.

Indications: prenatal singing is recommended from the 5th month of pregnancy, when the baby begins to be receptive to the sounds of the voice of his parents.

The workshops are held in small groups and usually last 1h30. They are always articulated in a time of awakening, a body awareness by massages, a work on Sounds by vocalizations, a time of songs (lullaby), and a sharing of experience concerning the baby to come on the birth, the place of the father or the carrying of the baby.

Aqua aerobics prenatal
Prenatal aquagym is a soft sport suitable for pregnant women. It allows better body maintenance and better blood circulation in the lower limbs.

Description: pregnant women generally attend classes around the 3rd or 4th month of pregnancy. Classes may be held until the end of pregnancy because they have no effect on the onset of childbirth.

Aqua aerobics are taught by a midwife in small groups in a swimming pool heated to 30 degrees. The exercises performed are varied and aim to strengthen muscles, soften joints, relieve heavy legs and reduce blood pressure.

A medical certificate issued by the attending physician or gynaecologist is required to attend aquagym sessions for pregnant women because there are contraindications (skin diseases, infections, hypertension, low blood pressure, etc.)...)

Yoga
Yoga teaches techniques of breathing, relaxation and posture, which facilitate childbirth.

Indications: the sessions can start from the beginning of the pregnancy and generally last 1 hour. if they are performed by a midwife, 8 sessions are reimbursed 100% by the Social Security. But they are not covered by the health insurance fund if they are insured by a yoga teacher. In Quebec, the Régie de l'assurance Maladie does not reimburse prenatal yoga classes. For women who have insurance through their employment, we recommend that you contact the broker responsible for your file. The cost of a session varies from centre to centre, but is typically $ 13 and $ 15 per hour.
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