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
Parking instructions
where can i park?
Phone Number
Format: (000) 000-0000.
Due date
-
Day
-
Month
Year
Date
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
Other
Any other information that is relevant to the planning of our class ?
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