A Special "Thank You" is extended to:
American College of Nurse-Midwives
Expanded Food & Nutrition Education ProgramHarborview Injury Prevention & Research Center
Idaho Department of Health and Welfare
International Childbirth Education Association
March of Dimes
New York State Assembly
New York State Department of Health
Otsego County WIC
ReQuest Technologies, Inc.
for contributing to the materials used in this binder.
Work group included:
Patty Brown, Noel Clinton, Jean Cramer, Norma Dayton, Shelley Dorritie,
Bill Hayes, Andrea Johnson, Sharon Kinch-Mead, Paula Lawrence,
Marilyn Maher, Sonia McCann, Laura O’Shea, Sandi Preston, Kim Prendergast,
Kerrie Ryan, Shirley Taylor, Patricia Zawisza
Table of Contents
Introduction
Welcome Letter i
Bassett Phone Numbers – Women’s Health Department/Regional Pediatric Network ii
NYS Maternity Information v
Today’s Certified Nurse Midwives vi
Admitting Pre-Registration Form vii
NYS Electronic Birth Certificate Work Booklet viii
Programs We Offer/Registration Form x
Pregnancy
Education Checklist 1
First Visit Topics 1
Practice Setup 1
Content Prenatal Visits 1
Risk Assessment 1
Nutrition Assessment 2
HIV Testing During Pregnancy 2
Smoking 3
Alcohol 3
Drugs 3
Exercise and Rest 3
Hygiene 4
Exposure to Workplace Toxins 4
Common Discomforts 4
Emotional Changes 5
Danger Signs 5
Financial Need 5
Vaginal Birth After Cesarean 6
Fetal Growth and Development 6
Genetic Screening 6
Lab Tests 6
Sonograms 7
Emergency Phone Numbers 7
Second Visit Topics
Review Lab Tests 8
Review Diet History 8
AFP or Triple Screen 8
Common Discomforts 8
Sexual Concerns 8
Rest and Activity/Work Pattern 9
Maternal Seat Belt Use 9
20-Week Visit Topics
Listening to Fetal Heart/Stethoscope 10
Quickening (Fetal Movements) 10
Support Persons 10
Dietary Follow-up 10
- Inappropriate Weight Gain 10
- Rapid or Excessive Weight Gain 10
- Tips to Modify Weight Gain 10
24-28 Weeks Topics
Prepared Childbirth Classes 12
Common Discomforts 12
Warning Signs of Premature Labor 12
Tubal Ligation Discussion 12
Birth Certificate Workbook 13
Lab Tests 13
34-36 Weeks Topics
Late Pregnancy Complications 14
Work Plans/Employment After Birth 14
Feeding Method 15
Perineal Massage 15
Tour of birthing Center 15
Family Roles/Adjustment 15
Birth Plan 15
Postpartum Help at Home 16
Birth Control After Birth 16
Infant Car Seat Use 16
Beta Strep Culture 16
37-40 Weeks Topics
Labor and Delivery 17
Comfort Measures 17
Kick Counts 17
Pediatrics 17
Circumcision 18
Danger Signs of Late Pregnancy 18
40-42 Week Topics
Kick Counts 19
Postdates Testing 19
Labor Induction 19
Birth Plan Review 20
Health Concerns and Health Testing During Pregnancy
Health Report – Lead Poisoning 21
Triple Test (formerly AFP) 23
Amniocentesis 25
Chorionic Villus Sampling 28
One-Hour Glucola Screen 31
Three-Hour Glucola Screen 31
Ultrasound in Pregnancy 32
You… Your Baby… Hepatitis B 33
Rh Disease 35
Infections During Pregnancy: Toxoplasmosis and Chlamydia 37
Low Birth Weight 39
Making Love During Pregnancy 42
Posture for Pregnancy 43
A Healthy Start 45
Smoking and Pregnancy 46
Secondhand Smoke: A Deadly Poison 48
AIDS and Pregnancy 49
Fetal Growth and Development 54
Warning Signs of Pregnancy 63
After Delivery 64
Breastfeeding
Breastfeeding resource guide 71
Benefits of breastfeeding 72
Getting started 73
Feedings 74
Baby Friendly Hospitals 75
Protecting your baby: Breastfeeding and childhood illnesses 76
Practical hints for breastfeeding 77
Breastfeeding support 78
Engorgement 79
Pacifiers/Artificial nipples 80
Pumping and storing your milk 81
Books and videos 82
Feeding plan 84
NYS Law 85
Exercise
Reasons to exercise during pregnancy 87
Tips for a safe and healthy exercise program 88
Warning signs while exercising 89
Postural changes during pregnancy 90
Prenatal exercises 92
Post-partum exercise guidelines for vaginal and c-section deliveries 97
Nutrition
Eating for a healthy pregnancy 99
Managing common discomforts 101
Labor
Warning signs of Pre-term Labor 1
Birth Plan 2
Stages of Labor 3
Labor Recommendations 9
Comfort in Labor: Breathing Techniques, Positioning, Pushing, Massage, Analgesia for
Labor and Delivery 10
After Delivery
Pediatric Care
Questions to ask your pediatric provider 1
Newborn reflexes 2
Infant care 3
Feeding 6
Immunizations 12
Illness 13
Safety and your child 15
Community Resources
Resource List 1
Early Intervention Program 2
Chenango County 3
Delaware County 4
Fulton/Montgomery County 5
Otsego County 6
Herkimer County 7
Schoharie County 8
Prenatal Care Assistance Program 9