A) Definition:
- It is a training that prepares pregnant women for the birth and subsequent care of their babies. It informs women, their husbands and families. Prenatal preparation training for women; It contributes to women being more self-confident in all processes of birth and being able to actively participate in decisions regarding their own birth.
- There is no definite start time for prenatal preparation training. Training start time may vary from country to country and institution to institution. The UK healthcare system recommends starting at 30-32 weeks. Training in our country usually starts between 20-28 weeks. The earliest week when the woman feels ready for training and wants to receive the training may be the ideal starting time. Trainings are generally held once a week and last approximately 2-3 hours.
- Since these trainings are given by a wide variety of people and institutions, their contents may vary. The main focus points of the training can be summarized as follows:
1) Teaching what a woman should do to stay healthy during pregnancy; To have an information infrastructure to choose interventions;
3) To be able to make a birth plan specific to the woman with the information she has learned;
4) Increasing the level of knowledge on postnatal baby care and breastfeeding.
- Training is usually in the form of group training. Group training provides the opportunity to socialize among families expecting a baby and can lead to new friendships. Families then have the chance to learn about the others' birth plans and preparations. This helps them reduce their own shortcomings. It is possible to consult with professionals about birth plans.
- Prenatal preparation training can also be received free of charge from state hospitals that offer this training. Trainings offered by private individuals and institutions can be evaluated. B) Brief history of prenatal preparation training
The concept of prenatal preparation training was first introduced in the 1930s by British gynecologist and obstetrician Dr. Introduced to the world by Grantly Dick Read �shush. Dr. Grantly Dick Read defined natural birth in his book "Fearless Birth: Principles and Practice of Natural Birth". Dick Read stated that receiving prenatal preparation training for mothers who want to have a natural birth is one of the most important factors that increase their chances of having a natural birth experience. According to him, not knowing enough about birth processes leads to fear about birth. Fear causes the woman to go into labor nervous. Women who are tense also tend to feel painful stimuli more intensely than usual. The main starting point of prenatal preparation training is the fact that fear will decrease with knowledge, in the structure that Dick Read calls the "fear-tension-pain triangle".
C) What is the content of prenatal preparation training?
The contents of these trainings vary depending on the trainer giving them. Baby care and breastfeeding training can be given in separate courses. In general, the course content is as follows:
1) Explaining that birth is not a disease, fully explaining how birth is a natural and physiological process, and thus reducing the fear of birth,
2) Reminding that women have the inner strength required for birth,
3) Teaching partners how to support them during the birth process,
4) Turning inward, breathing and breathing so that the woman can surrender herself to the flow of birth. relaxation exercises,
5) Healthy nutrition methods during pregnancy and birth,
6) Body exercises that will keep you fit during pregnancy and help you be active during birth,
7 ) Can be done during birth; Information about interventions such as vascular access, enema, pubic shaving, continuous electronic fetal monitoring, episiotomy, vacuum and forceps, informing the woman about her rights in this regard,
8) Information about the postpartum period, baby care, breastfeeding training,
9) Information about the emotions that may be experienced before birth, during birth and in the postpartum period.
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