Birthing Basics, LLC Multiples Class Syllabus Lisa-Marie Cook RNC-OB, BSN, ICCE, CD Cook CounterpressureSM This five and a half hour long childbirth class is designed to provide the mother and father a comprehensive, informative session covering all aspects of childbirth for multiples beginning with the last trimester, covering labor and delivery and newborn childcare. Topics in labor and delivery include the newest evidence-based “Mother-Friendly” care for laboring women including: comfort measures, breathing techniques, analgesia, anesthesia, vaginal delivery, assisted deliveries and cesarean section, skin-to-skin contact at delivery for successful breastfeeding. Group classes are available and are limited to four couples per class. If you have a health challenge that influence your pregnancy and perhaps can alter your plans for birth, we can discuss your special needs after the group class for an additional consultation. A modified class private class is available and can be specifically designed for the high-risk mother on bed rest/modified bed rest for private classes in the mother’s home or in the instructor’s home where the student can recline. The syllabus is then reformatted to meet the unique needs of the private student and their support people and will include how complications or high-risk pregnancy can affect their birth plan. Multiples Class Syllabus:
Introduction and Welcome
 Pain in Childbirth/Relaxation and its importance  Preparation for the hospital  Preparation for labor  Physiological changes in the last trimester of pregnancy  Signs and Symptoms of Labor/When to call the Doctor  Special Concerns for a Special Mom: Preterm Labor, Gestational Diabetes, Pregnancy Induced
Anatomy and Physiology
 Physiology: the Stages and Phases of Labor o Cervical changes: Dilation, Effacement, Station, Position o Physiological changes and Support Measures o Emotional changes and Support Measures First Stage: Latent Phase, Active Phase, Transition
o Needs of a Laboring Woman and Support Measures
 Abdominal Breathing/Patterned Breathing  Massage Techniques, Acupressure, Counter pressure  Positions for labor, Movement in Labor and Breathing Practice  Positions for labor using a Birthing Ball and Massage/Acupressure/  Coaching Support  Hydrotherapy  Aromatherapy Birthing Basics, LLC Multiples Class Syllabus Lisa-Marie Cook RNC-OB, BSN, ICCE, CD Cook CounterpressureSM  What is an “Augmentation/Induction of Labor”?  Pitocin, Cervidil, Prepidil, Cytotec, Foley catheter, Cook Catheter  Possible Medical Interventions, What are they for?:  Amniotomy- Amnihook, FSE, Amnioinfusion, Internal Uterine Pressure Second Stage
 Second Stage Pushing Positions  Breathing and Pushing Techniques: The “No Count” Method  Perineal massage  Coach’s Role: Waiting for the cord to stop Pulsating, Cutting of the Cord  “Skin-to-skin”: Babies in your arms and His arms  Episiotomies vs. Tearing  Vacuum/Forceps Delivery  Reasons for a Cesarean Section  Pre-operative teaching: What happens in the Operating Room?  Post-operative bonding and breastfeeding with your babies  Clips: Vaginal Delivery with an Epidural/ Epidural Placement Third and Fourth Stage:
o Postpartum Adjustments
 BREASTFEEDING/” Skin-to Skin” Bonding  Breastfeeding after delivery, “No Pacifiers, No Bottles”  Cord Care  “To Circumcise or Not to Circumcise?”  PRACTICE: “Shushing, Swaddling, and Swaying,”


Acetaminophen (Children’s Tylenol) How Supplied: Concentration: Dose: 160-480mg PO 118ml btl 160mg per 5ml Anti-Pyretic • Minor Aches & Pains Contra: Contact medical control if patient is on Warfarin or has liver disease • Severe liver damage can occur if patient takes more than 5 doses in 24 hour period • Do not use with other drugs containing acetamino


CRYSTALLOGRAPHIC IMAGING OF A MOLECULAR CRYSTAL : Aspirin C8H5O4-CH2D R.J. Papoular1, W. Paulus 1, P. Schiebel2, W. Prandl2, H. Zimmerman3, A. Detken3, U. Haeberlen3 1Laboratoire Léon Brillouin (CEA-CNRS)2Institut für Kristallographie, Universität Tübingen, Charlottenstr. 33, D-72070 Tübingen3Max-Plank Institut für medizinische Forschung, D-69120 HeidelbergThe nuclear density dis

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