Personalised Antenatal Class

Personalised Antenatal Class
Name

First Name Last Name
Partner's/ support person's name
Email
example@example.com

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Parking instructions
where can i park?
Phone Number
Due date

Day Month Year
Date Date Picker Icon
Preferred date and time of antenatal class
Hospital/OB/Midwife booked in with ?
Is this your first pregnancy and/or child?
Previous birth history
Pregnancy history
Any medical or health issues, scan and blood results, any concerns
Any birthing preferences/ wishes/ plans ?
Are you planning to breastfeed ?
Are you seeing any other health care professionals in regards to pregnancy and birth ?
calm/hypno birhting, chiro, physo, acupuncture etc
Please select areas you are interested in learning about during our class

Pregnancy diet and weight gain Antenatal schedule and common tests in pregnancy Baby movements Health conditions of pregnancy Preparing your bag and space for labour and birth Creating a birth plan When and who to call? Normal birth and optimal positioning Utilising alternative health providers Third stage options Delayed cord clamping Birth emergencies Overdue Induction – Natural and medical C- section VBAC The first few hours- skin to skin, self attachment and the first feed Postnatal body- what to expect- lochia and ab separation Newborn testing and vaccinations Common newborn issues – reflux,rashes, cord care, jaundice Baby blues and PND SIDS and safe sleeping spaces Newborn skills- bathing, settling, swaddling, changing etc Attachment parenting and babywearing Contraception Breastfeeding Bottlefeeding Expressing
Any other information that is relevant to the planning of our class ?
Should be Empty:

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on monthly & annual plans

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