Antenatal care is very critical for all pregnant women and their partners, first-timers and others alike. At Kangaroo Care, we ensure to provide the best of information based on evidence bundled with lots of care. Mums-to-be, we know you’re carrying your dream in your womb. We’re here to make your dream come true.
Our antenatal programme covers the following and more:
At the time of booking/applying:
- Lifestyle advise, food hygiene, safe pregnancy eating etc.
- Advice on avoiding alcohol and all other drugs.
- Medication advise which includes the study of the safety of any current medication and avoiding any and all types of over-the-counter/unprescribed medication.
Information during the first stages of the pregnancy:
- Baby’s development.
- The importance of these classes
- Written data about antenatal care in the form of books, booklets, etc.
- Workout advice
- Information regarding the options of delivery methods and the choice of place
- Understanding that there may be possibilities of antenatal depression and dealing with it correctly if symptoms are present.
- Information regarding breastfeeding
Just before 36 weeks, we offer:
- Preparing for labor and delivery
- Information about baby care
- Reiterating information regarding breastfeeding
- Information regarding routine postnatal procedures like infant screening, etc.
- Information on postnatal self-care and postnatal depression
At 38 weeks, we offer:
- Information about prolonged pregnancy
What is high-risk pregnancy ?
Your pregnancy is a high risk one if you or your baby has a health problem or even a possibility of it. Many factors contribute to a high-risk pregnancy, but the term doesn’t necessarily mean that it is scary. It's how doctors ensure that you give it special attention. The points mentioned below state that there may be a higher possibility for problems like slow growth of your baby, preterm labor, issues with the placenta, and preeclampsia. However, it is elementary to remember that a high-risk pregnancy doesn't mean that you and/or your baby will certainly have problems. It may be nothing at all too.
On that note, generally, your pregnancy may be a high-risk one if you have:
- High blood pressure
- Kidney problems
- Heart problems
- Sickle cell disease
- Lupus and Rheumatoid arthritis
A high risk pregnancy can also be because you are/had:
- Under 17 or over 35 years old
- Pregnant with more than one baby
- 3 or more miscarriages or abortions
- Infected with HIV, hepatitis C, cytomegalovirus, chickenpox, etc.
- Using lithium, phenytoin, valproic acid, carbamazepine, etc. as medication
Some other issues can be:
- Your baby has a genetic condition such as Down syndrome
- Developmental Defect in the heart, lung, or kidney of the baby
- You had a previous pregnancy issue such as preterm labor, preeclampsia or seizures, and previously had a baby with a genetic problem.
The following are the most common birthing methods or delivery options available. However, come over for a chat and our specialists will talk about these and some other methods in greater detail, so that you can make the choice that’s best for you and your baby.
Vaginal delivery is the safest, the most common, and natural birthing method. If necessary, additional instruments maybe used to assist in the delivery. Here are some kinds of vaginal delivery methods:
- Lamaze This method was developed by Dr. Fernand Lamaze in 1951. It comprises classes (for about 6 weeks) regarding relaxation and breathing techniques and techniques (walking, changing positions, using a birth ball, and massages) of responding to pain. The intention is to boost a woman’s confidence to make choices that are right for her during pregnancy and birth. This method gives the option of using or not using drugs.
- The Bradley Method This method is for those who are pro natural childbirth with no use of drugs. Developed by Dr. Robert Bradley in the 1940s, today, mums-to-be attend a course of 12 classes to learn about natural ways to give birth, handling pain by working with their bodies, staying healthy tips, creating a birthing plan, and training for the couch and/or doula.
Caesarean delivery (C-section) is an option for those mums-to-be who may not be able to opt for vaginal delivery because of a complication or other reasons. It is a surgical method.
- Unplanned C-section Unplanned C-sections are opted for in cases of complications during labour. It may be the safest choice in some circumstances (if baby is too large and cannot be delivered vaginally, if the umbilical cord is wrapped around baby's neck, etc.).
- Planned C-section There are medical and personal reasons why a mum-to-be may plan to undergo a planned C-section. These include placental problems like where the placenta sits low and covers part or all of the cervix’s inner opening, an infection like genital herpes, some cases of high blood pressure or diabetes, if the baby has a genetic or other birth defect, etc. Beside medical necessity, some women simply want to give birth to their baby/babies on a particular day or at a time of their choice.
Postnatal care is of utmost importance. It is absolutely necessary to understand the physiological and psychological changes that the body will go through and understand that it also brings a lot of stress. Here, at Kangaroo Care, we deal with postnatal care very delicately. Allow us to tell you a bit about the postnatal period, while we welcome you to come over so that we can talk to you about it in greater detail, and help you cope during your postnatal phase.
The postnatal period is usually the 6-8 weeks following the birth of your child, during which, various pregnancy changes revert to the pre-pregnant state. Few physiological systems that undergo a change are as follows:
- The cardiovascular system sees a change. The extra load on the heart because of the extra volume of blood eases by the 2nd week.
- The vaginal wall, which is initially swollen and pouting, rapidly goes back to its original tone, although it remains fragile for 1 or 2 weeks.
- Post-delivery, the uterus becomes of the size of a 20-week pregnant one, but reduces in size each day, such that by end of 6-8 weeks, it is only slightly larger than it was before pregnancy.
Some common postnatal problems are:
- A damaged and repaired perineum may cause considerable pain. If so, it is important to check for any signs of infection. Occasionally, sutures maybe removed, if needed.
- Some women develop urinary incontinence, which may lead to stress incontinence.
- Constipation can be a problem for a little while.
- In case of haemorrhoids, they can be more painful post-delivery than before.
- Backaches may persist post-delivery. The pain may be considerable and could last for several months.
Some common psychological problems are as follows:
- There’s a psychological phenomenon called the “third day blues”. Usually on days 3-5, many women experience a temporary bout of sadness and emotional low.
- A whopping 10% of women suffer from postnatal depression. It can occur any time during the first year after delivery, immediately post the child’s birth or later.
- Preconception advice: Before getting pregnant, it is important to talk to your doctor about preconception health care. Take this time to discuss both yours and your family’s health history and any medical conditions that may be prevalent. Also, it is preferred that you discuss any previous pregnancy problems, medicines that you maybe currently taking, vaccinations that might be required, any additional steps to be taken to prevent possible birth defects, etc.
- Contraception advice: Contraception is the deliberate use of natural techniques or artificial tools to prevent conception. There are many ways to do this. Do feel free to talk to your doctor about it in detail. Some other points you must discuss with your specialist are as follows:
- Confidential advice
- Emergency contraception
- Advice about STIs and STI testing
- Cervical screening
- Unplanned pregnancy advice
- Required pregnancy tests
- Checking and fitting of caps, diaphragms, intrauterine devices, intrauterine systems, etc.