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5 Things to look for when choosing your childbirth education

5 things to look for when choosing your childbirth education

Want to feel prepared for the birth of your baby (or babies)? Here are 5 things to look for when choosing your childbirth education.

As the birth of your baby approaches, you may have a lot of questions. What does a contraction wave feel like? How will I know when to call the midwife? What kind of breathing techniques can I use? How do I know when it is time to push?

You may also feel a mix of emotions – excitement, nervousness, stress, even anxiety. The good news is that preparing for the birth can ease your fears and build your confidence. Choosing the right childbirth course for you (and your partner) is key: it should give you practical knowledge about the physiology of birth, and tell you where to find practical and emotional support.

5 Things to look for when choosing your childbirth education

1. Does the course agree with your idea on childbirth?

Whether you’re planning a vaginal birth, caesarean birth, waterbirth, home birth or something else, make sure your chosen course supports your wishes and preferences. How you give birth is up to you.

Knowing the general philosophy of the birth course you are considering is essential. The techniques that you’ll be learning should be something that you can see yourself doing and something that you believe in. The techniques should support you to achieve the birth you are aiming for.

2. Which topics are covered during the course?

If this is your first baby, your course should cover everything you need to know about your options and what to expect. If you’ve given birth before, you may prefer a refresher course – and you may also want to prepare older siblings for the arrival of their little brother or sister. Learning about childbirth can ease anxiety and help you make informed choices, but the wrong type of course can increase anxiety, so choose your course and its leader carefully.

3. Who created the course?

Who created the childbirth preparation course? Are they a medical professional or a teacher? Are they an expert in childbirth education? Check their certifications and experience! You want the person and organisation offering your childbirth preparation course to be established and reputable. Ask them to show you proof of their qualification(s).

4. What format is the course in?

Check the format of the course. You may prefer a course which focuses on the birth only, or one that includes practical baby care. If you are interested in hypnobirthing, does the course include hypnobirthing or maybe you prefer a stand-alone hypnobirthing course.

Can partners come along too, or is the course for birthing parents only? Which format would you prefer?

5. Practical things to consider

  • Where and when is the course held? Are the dates, time and venue convenient for you?
  • What is your budget? What are your options at your budget?
  • For an in-person course
    • is there parking available or is it easily accessible via public transport?
    • Is the venue clean and spacious?
    • What are the chair/seating arrangements like? Do you want/need to bring a birthing ball, cushions etc.?
    • Are refreshments included?
    • Accessibility of the venue (where needed)
  • For an online course
    • are you confident in using the platform the course is being offered on?
    • is it a live course or has live elements or is it fully self-paced? – for live elements: are they recorded? If not can you make all the sessions?
    • Is your internet connection reliable?
    • Have you got a pc or laptop to access the course on? This will make your online course a more positive experience.
    • Have I got a comfortable (seating) setup where I can join the online childbirth preparation course?

What type/style of childbirth preparation course you choose is entirely up to you! Use your B.R.A.I.N. acronym when choosing the right course for you:

Brain acronym

What are the benefits, risks (or repercussion), alternatives (for each option)? Trust your gut, your intuition. And think about how you might feel if you do nothing, i.e. you don’t choose a childbirth preparation course?

If you’d like to prepare at your own pace, my fully self-paced online childbirth preparation course includes hypnobirthing, mp3s and much, much more! You can read more about the BRAIN acronym in The BRAIN Acronym for Childbirth.

Online Birth Preparation Course only £35!

Please also check out my online course! No videos, just text and images to learn in your own time. Includes hypnobirthing mp3s, scripts, workbook, handouts, infographics and much more! Lots and lots of information at your fingertips! Includes:

  • hypnobirthing mp3s
  • hypnobirthing scripts
  • written information
  • infographics and other imagery
  • printable handouts
  • printable workbook/journal

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Teaching about Waterbirth

Teaching about Waterbirth Teaching ideas for birthworkers

Teaching about waterbirth has become one of my favourite topics in recent years. With its many benefits and few downsides, waterbirth is a popular choice among birthing families in the UK.

Ideas for teaching about waterbirth in your antenatal classes

Paperchase: benefits for mother, partner, baby and midwife

Split the class into four groups, each with a sheet of flipchart paper headed: mother/birthing person, father/partner, baby/babies or midwife. Each group brainstorms the benefits of waterbirth for their person. After one minute, groups move on to the next chart and add to it, until every group has had a minute on each chart. Then share the findings as a whole group. This takes around 10–15 minutes.

Dry run with an inflatable pool

A dry run with an inflatable pool is a great way to teach about waterbirth. I usually have the partners set up the pool while I time how long it takes to inflate it and add the liner. Meanwhile, the birthing parents explore pictures of different pool birth environments and positions in the pool. Once the pool is up, we discuss how long it might take to fill and what else they might need. Then every family can try out the pool to get a feel for its size. Be careful when trying positions: an empty pool will tip over if someone leans over the edge, so always have someone at the opposite side to keep it steady.

Brainstorm: home vs hospital practicalities

This works as a whole-group or small-group activity. Give each group a sheet of flipchart paper divided into two sections, and ask families to compare the practicalities of a waterbirth at home and in a hospital or maternity unit.

Pictures: “Why did you pick…?”

Lay out a selection of photos and position cards, including photos of equipment families might need or choose for a waterbirth. Ask each person or family (depending on group size) to pick one picture. Then, as a whole group, share: Why did you choose it? What can we see? How does it make you feel? Any questions about it? I usually use this as an icebreaker and ‘information leveller’.

How do you teach about waterbirth? Please share your ideas with me!

Have you seen my positive birth video collection, including waterbirths? For background reading, see Benefits of Waterbirth.

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How long does labour last?

How long does labour last?

How long does labour last? What is the average length of labour and birth?

In medical terms, labour is divided into three stages:

  • First stage – your uterus and body are getting ready. Your cervix softens and begins to open until it is fully open (dilated). This is sometimes called the “up stage”, because the sensations pull upwards.
  • Second stage – this begins when you feel the urge to push. It’s sometimes called the “pushing stage” or “down stage”, because the sensations push downwards. At the end of this stage, your baby is born!
  • Third stage – the birth of the placenta, the final stage of labour.

So, how long does labour last? According to the NHS, a first labour lasts on average 8–12 hours, and later labours are usually much quicker (around 5 hours). However, midwives only start timing from when you are in established labour – when your cervix is around 4cm dilated. The contractions and sensations you experience before then aren’t officially counted, although birthing people usually include that time when they describe their experience. From your baby dropping (lightening) to the start of established labour can take hours, or sometimes days with a first baby. Use this time to rest when you can, stay hydrated and keep your positive energy up!

Although the NHS and other healthcare providers divide labour into three stages, it isn’t always that simple. Each stage can be broken down into smaller steps, and people who have given birth or attended births often describe many more stages. Milli Hill, for example, divides birth into 15 steps in The Positive Birth Book (affiliate link).

Here is a graphic showing a timeline of childbirth:

How long does labour last?
Childbirth/labour timeline
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Benefits of Waterbirth

benefits of waterbirth

Thanks to its many benefits, waterbirth has become increasingly popular with expectant families in recent years. Let’s explore the benefits, the possible disadvantages and some of the practicalities.

The benefits of waterbirth

  • Contractions feel more comfortable
  • No known side effects for baby or mum
  • The warm water helps you relax
  • Being relaxed helps your body produce more endorphins (natural painkillers)
  • Being relaxed helps your body produce more oxytocin (which makes contractions more effective)
  • Less need for medical pain relief
  • Less need for drugs to speed up labour
  • Shorter labour
  • Added privacy
  • The water supports your weight, so you feel more comfortable and can move and change position more easily
  • You are more likely to have an unassisted vaginal birth
  • A gentler birth for your baby
  • Breastfeeding can start straight away
  • Less tearing, as the water relaxes you and softens the perineum (the area between your vagina and anus)
  • A more enjoyable experience of labour and birth

Comfort measures you can use in or alongside the pool

Comfort measures you CANNOT use in the pool

  • TENS machine – although you can use it until you get into the pool!
  • Epidural
  • Opioids

Possible disadvantages

  • Not suitable for everyone – in some circumstances, using water for labour and birth may not be recommended
  • Not available everywhere – your local birth unit or hospital may have few or no pools
  • Hiring or buying a birth pool for a home birth can be expensive
  • Your home or hot water system may not be suitable for a pool

Buying or hiring a pool for your home birth?

There are many different suppliers and manufacturers. In my 10+ years in the birth world, I’ve found that pools from Birth Pool in a Box get the best reviews. Look out for a local home birth group, as some have free or low-cost pool hire schemes. If you’re buying a birth pool, or have hired or borrowed one and need extra equipment, get 10% off everything at the Birth Pool in a Box shop! (Please note: this is an affiliate link.)

Want a smile? Read my husband’s story of our waterbirth in the kitchen!

Online Birth Preparation Course only £35!

Please also check out my online course! No videos, just text and images to learn in your own time. Includes hypnobirthing mp3s, scripts, workbook, handouts, infographics and much more! Lots and lots of information at your fingertips! Includes:

  • hypnobirthing mp3s
  • hypnobirthing scripts
  • written information
  • infographics and other imagery
  • printable handouts
  • printable workbook/journal

References and further reading:

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Waterbirth at home

waterbirth at home

Are you pregnant and planning a waterbirth at home, but not quite sure how to sell the idea to your partner? Read this light-hearted ‘guide’ to persuading your partner to have a waterbirth at home 😉

My husband wrote about the birth of our second baby for an NCT (National Childbirth Trust) newsletter back in 2011. He wanted to tell the story from the mother’s point of view – so he did!

Persuading the Hubby, part 2: “Waterbirth in the kitchen”

If you read part 1, you may remember the challenge I set myself: persuading a sceptical Mr Hubby of the virtues of reusable nappies. Persuading the hubby can sometimes feel like cycling uphill into a stiff wind – but, just like the equally stiff winds so often encountered at changing time, it can be overcome with a deep breath and a firm resolve! Compared with the reusable nappies, however, my next challenge was a veritable Tour de France of uphill cycling!

The idea quite literally surfaced while we were swimming at the local pool. It was towards the end of my second pregnancy, and I was floating in the water, enjoying the sheer bliss that only a pregnant woman can feel as eight months of pregnancy weight lifts off her feet. Mr Hubby was throwing our youngest into the air, and they were splashing about wildly, filling the air with giggles. Our little one was two now, and he’d come such a long way since his traumatic hospital birth two years earlier. It suddenly struck me how relaxed I felt in the water with my family around me, and I decided there and then that I would bring that feeling of tranquillity to my next birth. “I’m going to have a waterbirth in the kitchen!” I exclaimed. My sudden outburst caught poor Mr Hubby completely off guard, and he froze mid-throw in stunned bewilderment as our little bundle of joy spiralled through the air and hit the water with a resounding splosh! Without the “1-2-3, breathe” they’d been practising at baby swimming, the little mite came up coughing and spluttering. He was absolutely fine, but a lifeguard had already blown his whistle and several youthful pool attendants were diving athletically into the water! By the time we’d towelled off, thanked the lifeguards for their diligence and smiled meekly at the other swimmers (who were looking at us as if we were completely incompetent parents), Mr Hubby had pulled himself together enough to reel off an immeasurably long list of reasons why ‘waterbirth in the kitchen’ was a terrible idea. “Surely giving birth at home will make a right mess?” “What if something goes wrong while you’re in labour at home?” “Where on earth would we get a pool?” “Are you seriously thinking of the kitchen?” “What if you get in and a wave of water goes everywhere?” “Will you cope without pain relief?” “Will it be massively expensive?” And finally: “Could we do it on the cheap with the little one’s paddling pool and our leaky garden hose?!”

Well, I’m all for winning my man round with a bit of frugality, but after some research online and on the NHS website, it soon became clear that the paddling pool and garden hose idea wasn’t going to fly. Birth pools need to be clean, deep enough to immerse your body, and strong enough to take your weight as you hang over the side catching your breath after a contraction. Luckily, I did find ways to avoid forking out gazillions of pounds. First there was the hire option, with pools available from around £80 for five weeks – but in the end I got a second-hand one on eBay, complete with a hose, for just £24. All I needed then was a new pool liner for £25, and my set-up was complete! That came to around £50 in total, but as I pointed out to Mr Hubby (when the postman turned up with an inflatable birth pool under his arm), parking at the hospital last time had cost over £30 – and this time we’d have needed a babysitter for our little tyke as well – so I reckon we made a saving!

Mr Hubby’s other concerns about home birth were addressed by a couple of interesting encounters. The first was with a very kind midwife who visited us at home and reminded us that giving birth is a natural process and that I could trust my body. She promised to bring plenty of gas and air, and added that a home birth would really help her meet her home birth targets. She was so lovely that we could hardly say no! The deal was sealed later that day by the second encounter: a chance conversation over the fence with the elderly lady next door, who told Mr Hubby that in her day kitchen births were quite the norm. After an hour of listening to stories about births in times gone by, Mr Hubby was quite dazed and in no state to argue any further.

Despite my immaculate preparation, there was one thing I forgot – and I strongly advise you not to: a decent pump. My labour started a few days before my due date and, as Mr Hubby will tell you, home birth pools are very, very large. Very large. With his little bike pump, it took a good hour of frantic pumping to inflate the thing, and halfway through – just as he hit his lowest ebb and his right arm was about to drop off – two very stern midwives arrived just in time to whip him back into action. Eventually he crossed the finish line, I stepped into the warm, soothing water, and all my cares drifted away. Mr Hubby was clearly exhausted and looked as though he’d been in labour himself, but before he could even catch his breath, one of the stern midwives spun on her heel and told him, in no uncertain terms, that his next job was to keep the pool within a degree of 36°C – and as it had already dropped to 34, he’d better get cracking! So back and forth across the kitchen he went, carrying saucepans of water out of the pool and topping it up with hot water from the tap. Back and forth he went, nineteen to the dozen, for a good three hours, spurred on by the hawk-like glare of the midwives – which gave me excellent entertainment between contractions. In fact, it struck me that the whole thing was a modern-day version of “Why don’t you go and get some warm towels ready?”, and it kept him nicely occupied for the whole labour.

Before I knew it, my second child was born. The warm water eased my contractions, softened my tender regions and helped me avoid the dreaded stitches. It was such a soothing entry into the world, and I will never forget it. Neither will Mr Hubby – his pumping arm has never been the same since!

Thinking about a waterbirth at home or in hospital? Read more in Benefits of Waterbirth and Waterbirth: A Natural Approach to Childbirth.