Your Baby's Birth - Pregnancy & Childbirth Home

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Premature Labor Preterm or premature labor is labor that begins after 20 weeks and before 37 weeks. About 10 percent of infants are born more than three weeks before the due date. The uterine contractions may feel like menstrual-type cramps, dull backache or pelvic pressure. Drinking fluids and lying on your side may make the contractions go away. If there are more than four contractions in one hour, immediately call your physician or midwife. It is important to know the difference between preterm labor and the normal growing pains of pregnancy. Normal Discomforts of <strong>Pregnancy</strong> • Contractions occurring three or fewer per hour. • Backache as the baby grows. • Pressure as the baby presses on your pubic bone and legs. • Pulling and stretching of muscles causing localized pain. Signs of Preterm/Premature Labor and Warning Signs Signs of preterm labor may be easily apparent or very subtle. Call your caregiver if you have any of the following symptoms: • Regular contractions or uterine tightening, more than four per hour. These contractions may be painless or feel like the baby is “balling up.” • Rhythmic, lower abdominal cramps - with or without diarrhea, nausea or indigestion. • Lower back pain or pressure. • Achiness or pressure in the pelvis, thighs, groin or lower abdomen. • Increase or change in vaginal discharge (watery, pinkish or brownish) sometimes preceded by the passage of a mucus plug. • Bleeding (more than one inch of spotting on your undergarments). If you think you are having preterm labor, call your healthcare provider right away. Treatment can often stop or postpone premature labor and increase the baby’s chance of survival. Limiting physical and sexual activity, bed rest, and sometimes hospitalization may be needed to stop preterm labor. Emergency signs for contacting your healthcare provider Other problems can also occur later in pregnancy. Call your healthcare provider if any of the following occur. • Trickle or flow of amniotic fluid from the vagina. • Bleeding—more than one inch of spotting on your undergarments. • Green or tarry color (meconium) when your water breaks. • Decreased fetal movements. 22 Y O U R B A B Y ’ S B I R T H
Later <strong>Pregnancy</strong> Now that you are in your second trimester, you should continue to see your care provider, exercise and eat right for a healthy pregnancy and begin planning your baby’s birth. Things to Arrange • Tour Consider touring Harrisburg Campus Maternity Center before delivering your baby. Tours are included in childbirth classes if your class meets at the Brady Building next to Harrisburg Hospital or the Fredricksen Outpatient Center in Mechanicsburg. Call the Learning Institute at 221-6255 for other community tour information. • Baby’s Healthcare Provider You must choose a healthcare provider for your baby before you deliver. Make sure the caregiver you choose accepts your insurance. To find a pediatrician in your area go to www.pinnaclehealth.org and click on Find a Doctor. Circumcision Circumcision is a choice. Only you can decide whether it is right for your baby boy. Circumcision is a surgical procedure that cuts away the foreskin, which is the skin covering the glans (head of the penis). Remember, as with any surgical procedure, you will need to sign a consent form and there are possible complications. Talk with your obstetrician for more information about circumcision. Check with your insurance provider to be sure the cost of circumcision is covered by your policy. Breastfeeding or Bottlefeeding Deciding whether to feed your baby by breast or bottle is one of the most important decisions you will make concerning the care of your baby. The best decision is one that you feel most comfortable with. Read books that offer objective information. Friends and family may offer advice that reflects good or bad experiences with newborn feeding. Keep this in mind when making your own personal decision. Attend a breastfeeding class that offers accurate, up-to-date information. PinnacleHealth Learning Institute has a lactation center staffed by registered nurses who are board-certified lactation consultants. The lactation consultants teach breastfeeding classes, offer guidance to moms experiencing difficulty with breastfeeding, and provide assistance to moms returning to work who wish to continue breastfeeding. See the section “All the Help You Need” for more information about the Learning Institute. Benefits of breastfeeding include: For baby: • Breast milk is easier for baby to digest • Protection against gastrointestinal infections • Protection against ear infections • Reduced incidence of childhood lymphoma • Reduced incidence of childhood onset diabetes • Reduced incidence of Crohn’s Disease • Reduced incidence of allergies For mother: • Reduces blood loss after birth and helps the uterus return to its normal size • Produces hormones that help keep mother calm • Decreases risk of osteoporosis • Protects against ovarian and breast cancer Y O U R B A B Y ’ S B I R T H 23
Page 1 and 2: Congratulations! It is wonderful th
Page 3: You and Your Baby’s Health
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Visitation Policy For Labor And Del
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Second Stage - Pushing What is happ
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Pain Management PinnacleHealth uses
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Your Birth Plan Are you in the earl
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My Birth Plan Date: I, ____________
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Care for You & Your Baby Following
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Visiting Hours on Postpartum Try to
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Your Going Home Guide
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Layette and Nursery Needs The follo
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• Sneezing: all babies sneeze bec
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Is Your Baby Sick Risk of Infection
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Feeding Baby: The time you spend br
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• Vaginal Bleeding Bleeding may l
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• Get active - when your doctor s
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Abstinence This means that you do n
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Common Signs of Depression: • Slu
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Making Childcare Decisions When cho
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Y O U R B A B Y ’ S B I R T H 101
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Your Baby's Birth - Pregnancy & Childbirth Home

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