Where to give birth in Barcelona

Vaginal Birth After C-Section

If you’ve delivered a baby by caesarean section, you may have a choice with your next pregnancy – a vaginal birth after caesarean, also known as a VBAC, or a planned (elective) caesarean. It depends on your medical circumstances, and it helps to know about the potential benefits and risks of VBAC. Vaginal Birth After C-Section

As long as you’re an appropriate candidate for a vaginal birth after a cesarean there’s a good chance you’ll succeed. Of course, your chances of success are higher if the reason for your previous c-section isn’t likely to be an issue this time around.

The chances of having a successful VBAC are higher if you and your baby are in good health and your pregnancy is progressing normally. In contrast, your doctor may recommend a planned caesarean if:

  • you have a pregnancy complication (for example, high blood pressure, your baby is in the breech position or there is concern about the size or health of your baby)
  • the reason you had your previous caesarean still exists
  • you’ve had two or more caesareans and no successful vaginal deliveries
  • your previous caesarean was performed using a vertical incision (cut) in your abdomen
  • you have a multiple pregnancy (for example, twins, triplets or more).

Why is a VBAC done?

Women consider VBAC for various reasons:

  • Shorter recovery time. You’ll have a shorter hospital stay after a VBAC than you would after a repeat C-section. Avoiding surgery will help you resume your normal activities sooner, as well as reduce the expense of childbirth.
  • Opportunity for an individualized birth plan. For some women, it’s important to experience a vaginal delivery.
  • Impact on future pregnancies. If you’re planning to have a larger family, VBAC might help you avoid the risks of multiple cesarean deliveries, such as scarring. Scarring might make additional surgery difficult and increase the risk of placental problems in pregnancies.
  • Lower risk of surgical complications. Vaginal deliveries have lower rates of bleeding, infection, blood clotting in one or more of the deep veins in the body (deep vein thrombosis), and injury to abdominal organs, such as the bladder or bowel.
when do i feed my baby

Ways to Establish a Positive Bond with Your Baby

Bonding is essential for a baby. Studies of newborn monkeys who were given mannequin mothers at birth showed that, even when the mannequins were made of soft material and provided formula to the baby monkeys, the babies were better socialized when they had live mothers to interact with. The baby monkeys with mannequin mothers also were more likely to suffer from despair. Scientists suspect that lack of bonding in human babies can cause similar problems. Ways to Establish a Positive Bond with Your Baby

Most infants are ready to bond immediately. Parents, on the other hand, may have a mixture of feelings about it. Some parents feel an intense attachment within the first minutes or days after their baby’s birth. For others, it may take a bit longer.

But bonding is a process, not something that takes place within minutes and not something that has to be limited to happening within a certain time period after birth. For many parents, bonding is a byproduct of everyday caregiving. You may not even know it’s happening until you observe your baby’s first smile and suddenly realize that you’re filled with love and joy.

The best way for a new mother to establish a positive bond with her newborn at home is breastfeeding so you have the physical connection. Besides the physical connection, the mother releases a lot of endorphins, happy hormones, during breastfeeding so moms are generally happier when they breastfeed. But if you have decided not to bresastfeed for any reason, you can look to your baby in the eyes having her really close meanwhile you feed her.

Making an Attachment

Bonding with your baby is probably one of the most pleasurable aspects of infant care. You can begin by cradling your baby and gently rocking or stroking him or her. If you and your partner both hold and touch your infant frequently, your little one will soon come to know the difference between your touches. Both of you can also take the opportunity to be “skin to skin” with your newborn by holding him or her against your own skin.

Babies may respond to infant massage, you’ll need to massage your baby very gently. Before trying out infant massage, be sure to educate yourself on proper techniques by checking out the many books, videos, and websites on the subject. You can also find out if there are classes in infant massage in your area.

Breastfeeding and bottle-feeding are both natural times for bonding. Infants respond to the smell and touch of their mothers, as well as the responsiveness of parents to their needs. In an uncomplicated birth, caregivers try to take advantage of the infant’s alert period immediately after birth and encourage feeding and holding of the baby. However, this isn’t always possible and, though ideal, immediate contact isn’t necessary for the future bonding of the child and parent.

¿Cuándo llevar a un bebé al médico?

¿Cuándo llevar a un bebé al médico?

Es común que los nuevos padres y madres se sientan como tú. Hasta hace poco, el bebé estaba sano y protegido dentro de ti. Aunque instintivamente sabes que es fuerte y resistente, a veces también recuerdas lo vulnerable que puede ser.

Si tu bebé tiene algún problema de salud o lo encuentras comportándose de forma extraña, confía en tu instinto.

Para protegerlo sigue algunas precauciones básicas: mantenlo alejado de personas enfermas y lávate las manos después de cada cambio de pañal. Si está amamantando, debes saber que ya lo está protegiendo.

Aquí una lista de síntomas que usted decidirá ir al médico.

Carácter. Si su bebé parece estar feliz y se alimenta bien, probablemente no esté gravemente enfermo. Esto no significa que no se deba pensar en agendar una cita para ver a su pediatra si tiene fiebre, moquitos o alguna otro síntoma. Pero es probable que un bebé que tenga tos y una gran sonrisa no esté tan enfermo como un bebé que tenga moquitos y esté muy letárgico.

Lloro inusual. Si su bebé comienza a llorar repentinamente más de lo normal y no puede consolarlo de la manera habitual, o si su llanto es débil o inusualmente agudo, es posible que esté enfermo.
Apetito. Si tu bebé cambia su apetito de un día para otro, si se cansa fácilmente de succionar o pierde interés en el pecho o en alimentarse probablemente esté enfermo. Además, si observa que su bebé regurgita su comida más de lo normal, con más esfuerzo.

Movimientos intestinales anormales. Los bebés pequeños, especialmente los bebés amamantados, suelen tener deposiciones suaves o líquidos. Sin embargo, si tu bebé tiene diarrea (deposiciones acuosas), su estómago puede tener algún problema. Controla la frecuencia y si la diarrea continúa asegúrate de hidratarlo con frecuencia. Es especialmente importante que controlemos las heces del bebé en ese caso para descartar que contienen sangre o moco.

Dificultad al respirar . Si observas que tu bebé tiene problemas para respirar, o que el bebé respira con dificultad, busca ayuda de inmediato.

Temperatura. Aunque la presencia de fiebres altas en un bebé es una señal de que está enfermo la fiebre sola no suele ser motivo de preocupación. Un bebé puede tener fiebre baja y estar gravemente enfermo, o fiebre alta y estar solo ligeramente enfermo. Pero si un bebé menor de tres meses tiene fiebre más alta que 38 grados C, debe ser examinado por un médico.

¿Cómo te ayuda una DOULA?

¿Cómo te ayuda una DOULA?

Cómo puede apoyarte una doula en el parto, el parto y el posparto

El embarazo puede ser un momento de gran alegría para muchas mujeres, pero a veces puede provocar preocupaciones o miedos.

Una doula puede ayudarte a aprovechar al máximo tu embarazo y tu parto, permitiéndote experimentar la alegría y la aventura de ser madre, por primera vez o en experiencias sucesivas… ¡Cada embarazo y parto son un mundo!.

Una doula también puede escucharte, ser una buena guía y ayudarte en momentos de estrés o cuando se deben tomar decisiones complejas: te dará la información adecuada y completa para que elijas de forma informada.

Pero una doula no solo está ahí solo para la futura mamá. ¡La doula también ayuda a la pareja y sobre todo cuida del bebé! La mayoría de las familias a las que yo acompaño comentan no solo el que la ayuda fue relevante para la madre, sino también a la pareja y la familia que se acaba de formar o que acaba decrecer.

Cuando comience el parto tu doula te acompañará y podrá indicarte el momento adecuado para ir al hospital si así lo has decidido, o podrás llamar al médico o las matronas si das a luz en casa. Como doula conozco los procedimientos de entrada en la mayoría de hospitales y seguramente podré ayudarte a rellenar los papeles necesarios así como te iré explicando qué irá sucediendo en cada momento, para que tu y tu pareja podáis centraros en lo importante: el bebé que está llegando. Y durante el parto, si así lo deseas, estaré contigo para ayudarte a disfrutar al máximo de la experiencia.

También puedo ofrecerte formación previa, a ti y a tu pareja, para que en caso de que deseéis estar solos en el paritorio, podáis tener la información necesaria.

Después del nacimiento, te puedo ofrecer apoyo a la lactancia materna. También estará disponible por teléfono y en visitas a tu casa para que aclares dudas o cuestiones, y esto suele ser un alivio para las mamás. También, como doula de post parto, puedo ayudarte quedándome contigo en algunos momentos.

Exercise During Pregnancy

Exercise During Pregnancy

In general, exercise during pregnancy does wonders. It boosts mood, improves sleep, and reduces aches and pains. It also prepares you for childbirth by strengthening muscles and building endurance, and makes it much easier to get back into shape after your baby is born.

Which exercises are best in pregnancy?

The ideal exercise in pregnancy will get your heart pumping and keep you supple, without causing physical stress. Many activities, such as running and weight training, are fine in the beginning, but you may need to modify your workout as you grow bigger. You’ll really feel the benefit if you do a combination of: aerobic exercise, which works your heart and lungs and muscle-strengthening exercise, which improves your strength, flexibility and posture.

To get the full benefits, you’ll need to exercise at least three times a week, ideally more. Try to find something that you enjoy, as you’ll be more likely to stick to it in the longer term. Build activity into your daily life, too. For example, taking the stairs instead of the lift, and doing housework or gardening, counts as exercise. Avoid doing sports where there’s a risk of hitting your bump, or of slipping and falling, such as squash, gymnastics, rollerblading, horse riding and skiing. The following types of exercise are safe in pregnancy, though some may not be suitable for the last few months, and you may need to lessen the activity as your pregnancy progresses. Talk to your doctor, midwife or a physiotherapist before starting any exercise that’s new to you.

You will probably want to avoid these types of exercises during pregnancy:

  • Activities where falling is more likely
  • Exercise that may cause any abdominal trauma, including activities with jarring motions, contact sports or rapid changes in direction
  • Activities that require extensive jumping, hopping, skipping, or bouncing
  • Bouncing while stretching
  • Waist twisting movements while standing
  • Intense bursts of exercise followed by long periods of no activity
  • Exercise in hot, humid weather
  • Do not hold your breath for an extended period of time
  • Do not exercise to the point of exhaustion
Birthing Pool Barcelona

Birthing Pool Barcelona

An increasing number of women are choosing to spend at least some of their labour immersed in water. Birthing pools are increasingly being more used in hospitals in Barcelona but just for dilation, and some women even choose to hire birthing pools for use at home, because is the only way you can give birth inside.

What different positions can I be in, in a birthing pool?

You could think about trying different positions before giving birth in water, such as:

  • Kneeling, leaning on the side of the pool.
  • Squatting, holding onto the sides of the pool.
  • Using floats under your arms for support.
  • Floating on your back with your hands holding the sides, while your head is supported on a waterproof pillow.
  • Floating on your tummy with your head turned sideways, resting on a pillow.

When might I need to get out of the pool?

Sometimes you may be asked to leave the pool during labour.

  • Changes in the baby’s heart rate
  • Meconium (baby’s poo) staining your waters;
  • Bleeding from your vagina during labour
  • If you develop a high temperature, pulse or blood pressure
  • You may also be asked to leave the pool for abdominal palpation and for vaginal examinations (to assess progress in labour).

If your labour slows down after about two hours, it may be wise to leave the pool – you can get in again later. You may choose to stay in to give birth, or find, as many women do, that dry land suits you better when the moment arrives. You will probably get out of the pool for the delivery of the placenta. When you get out, you need to be wrapped in a warm towel or a soft warm robe. If you are wearing a T-shirt in the water, it’s best to take it off while you are out so as not to cool down too much.

The advantages:

  • Warm water can provide relief from the discomfort of labour, and may even be used instead of medical pain relief.
  • It doesn’t prevent the use of other medicines, you would still be able to use certain forms of pain relief in the pool. Speak to your healthcare provider to find out more.
  • Water can have a calming effect, allowing you to relax during labour which can help labour to progress.
  • Water can support your weight, meaning that you may find yourself free from some aches and pains of late pregnancy.
  • Water can support your weight, leaving you better able to change position and stay upright.
  • The pool around you can help you to feel more private and protected.
  • Giving birth in water is thought to reduce the risk of vaginal tearing.

The disadvantages:

  • There are some forms of pain relief that are not compatible with the pool, so you may need to abandon the birthing pool if you want to use one of those pain relief options.
  • If you get into the pool before labour is underway, there are concerns that you could slow down the onset of labour.
  • Birthing pools are not available in all birthing units, you will need to check with your healthcare provider whether you will be able to have one on the day .
  • If you are planning a homebirth, you will need to hire a pool yourself which you will need to budget for.
  • Not all women experience the pain relieving benefits of water, some simply feel disappointed when they get into the pool.
¿Cuáles son los patrones de sueño de un recién nacido?

¿Cuáles son los patrones de sueño de un recién nacido?

El recién nacido promedio duerme gran parte del día y la noche, y se despierta solo para comer cada pocas horas. A menudo es difícil para una mamá y un papá primerizo saber cuánto tiempo y con qué frecuencia debe dormir un recién nacido.

Al inicio no hay un horario establecido y muchos recién nacidos no tienen establecidos los horarios de día y noche, y de hecho algunos pueden tener cambiado el horario de sueño de los adultos. En general, los recién nacidos duermen entre 8 y 9 horas durante el día y alrededor de 8 horas durante la noche.

Cabe recordar que los bebés, en general, no duermen la noche entera (de 6 a 8 horas sin despertarse) hasta pasados los 3 meses e incluso este proceso puede durar más de 1 año. Además los bebés recién nacidos tienen el estómago pequeño y deben despertarse cada pocas horas para comer. En la mayoría de los casos, tu bebé se despertará con hambre cada 3 horas. Pero esta es una cifra genérica: tu pediatra y tu sentido común te dirán si necesitas despertarlo o puedes dejarlo dormir.

Es interesante que estés atenta a los patrones de sueño del bebé: si tu bebé ha estado durmiendo bien y de seguido y de repente se está despertando con lloros de forma constante, puede haber un problema de salud como una infección de oído. Por lo general las alteraciones del sueño se deben simplemente a cambios en el desarrollo o debido a una sobreestimulación.

os bebés, como los adultos, tienen varias etapas y profundidades de sueño. Dependiendo de la etapa, el bebé puede moverse activamente o quedarse quieto. Los patrones de sueño infantil comienzan a formarse durante los últimos meses del embarazo: primero el sueño activo, luego el sueño tranquilo alrededor del octavo mes.

Para un bebé, igual que para un adulto, existen dos fases del sueño:

REM (sueño de movimientos oculares rápidos). Este es un sueño ligero cuando ocurren los sueños y los ojos se mueven rápidamente de un lado a otro. Aunque los bebés pasan aproximadamente 16 horas cada día durmiendo, aproximadamente la mitad de este tiempo está en sueño REM. Los niños mayores y los adultos duermen menos horas y pasan mucho menos tiempo en el sueño REM.

Sueño no REM. Es el profundo y se compone de 4 etapas

Etapa 1: somnolencia, ojos caídos, pueden abrirse y cerrarse, dormitar

Etapa 2: sueño ligero, el bebé se mueve y puede sobresaltarse o saltar con sonidos

Etapa 3: sueño profundo, el bebé está tranquilo y no se mueve.

Etapa 4: sueño muy profundo, el bebé está tranquilo y no se mueve.

Un bebé empieza su sueño en la etapa 1 del ciclo de sueño, luego pasa a la etapa 2, más tarde a la 3 para finalizar en la 4. Después recorre el proceso inverso: de la 3, a la 2 y luego a REM.

Además estos ciclos pueden ocurrir varias veces durante el sueño. Los bebés pueden despertarse cuando pasan de un sueño profundo a un sueño ligero y pueden tener dificultades para volver a dormir en los primeros meses.

Sobre todo es una cuestión de paciencia y de cariño hacia tu bebé: está aprendiendo a dormir. ¡Sé que al principio puede ser complejo pero… todos los bebés acaban durmiendo!

When to go to the doctor with a newborn?

When to go to the doctor with a newborn?

It’s common for new parents to feel the way you do. Until recently, you were able to keep your baby healthy by keeping her inside you. Even though you instinctively know she’s strong and sturdy, at times you also remember how vulnerable she can be.

First of all, give yourselves credit for being the caring, conscientious parents that you are. That said, you can take some precautions so that your baby will stay healthy. Keeping her away from sick people and washing your hands after each nappy change is a good start. If you’re breastfeeding, continue with it for as long as you can.

Here a list of syntomps that will you decide to go to the doctor

  • Temperament. If your baby seems like her usual happy self and is feeding well, she’s probably not seriously ill. This doesn’t mean that you shouldn’t consider an appointment to see your doctor if she has temperature or the sniffles. But a baby who has a runny nose and a big smile is probably not as sick as a baby who has a runny nose and is lethargic.
  • Unusual crying. If your baby suddenly starts crying more than usual and you can’t comfort her in the usual ways, or if her cry is weak or unusually high-pitched, she may be seriously ill. The opposite is also true — if your baby seems unhappy and doesn’t cry but is unusually inactive and difficult to wake from sleep, call your doctor.
  • Appetite. How hungry your baby is varies from day to day. But if she is hungry she should feed vigorously. A baby who tires easily from sucking or loses interest in nursing or feeding is probably sick. Also, if you notice your baby reguritating her food more than usual, with more effort, or if the possit is greenish in colour, she may be sick.
  • Abnormal bowel movements. Young babies, especially breastfed babies, may have very soft or liquid bowel movements. However, if your baby has diarrhoea (watery stools), her tummy may be upset. Monitor her bowel movements and see whether the diarrhoea continues. Make sure she is drinking lots of fluids or breastfeeding as often as usual so she doesn’t get dehydrated. Your baby should wet a minimum of six nappies a day. If your baby is acting sleepy and begins to have small, hard, or dry bowel movements, or if her stool is streaked with blood or mucus, or has the consistency of jelly, call your doctor
  • Difficulty breathing. If your baby’s breathing is laboured or if she’s having trouble breathing at all, get help immediately.
  • Temperature. Although the presence of high temperature in a baby is a signal that she’s sick, the fever alone is usually not a reason to be worried. A baby can have a low-grade fever and be seriously ill, or a high fever and be only mildly ill. But if a baby under three months of age has a fever higher than 38 degrees C, she should be examined. If an older baby has a fever but appears completely well otherwise, observe her for a day to see whether she develops other symptoms.
Miscarriage: emotions, doubts and pain.

Miscarriage: emotions, doubts and pain

First of all, I’m so sorry that you’ve experienced a loss. We and so many women in similar situations all over the world grieve with you and want to remind you that no matter how you feel, the truth is that this is not your fault. Miscarriage: emotions, doubts and pain.

Experiencing a pregancy loss means that you are probably feeling more sadness than you ever thought possible. Having a miscarriage can be very difficult. The emotional impact usually takes longer to heal than the physical recovery does. Allowing yourself to grieve the loss can help you come to accept it over time.

Often people don’t view pregnancy loss as significant because the pregnancy was short. But the duration of a pregnancy does not determine the bond that you can feel with a baby you have lost. And research shows there is no relationship between the length of time a woman was pregnant and how long she will grieve the loss of that child.

What Are Emotions I Might Feel After A Miscarriage?

Women may experience a roller coaster of emotions such as numbness, disbelief, anger, guilt, sadness, depression, and difficulty concentrating. Even if the pregnancy ended very early, the sense of bonding between a mother and her baby can be strong. Some women even experience physical symptoms from their emotional distress, such as fatigue, trobule sleeping, loss of appetite, episodes of crying, sadness, even suffer with relationships with family or friends. The hormonal changes that occur after miscarriage may intensify these symptoms.

Will a miscarriage affect my ability to have a healthy pregnancy next time?

The positive news is that this is unlikely. You’re much more likely to have a healthy pregnancy than another loss. A miscarriage is usually a one-off. So having a miscarriage doesn’t necessarily mean that you’ll have problems next time you try to have a baby. But the risk of miscarriage increases with age, so you may want to try again sooner rather than later if age or fertility are a consideration for you. Your chances for having a healthy pregnancy next time may be good even if you’ve had three or more miscarriages in a row. Three quarters of women who’ve had normal test results after recurrent miscarriages go on to have a healthy baby. Unless your doctor tells you otherwise, your next pregnancy is more likely than not to go smoothly.

How Can I cope with My Pregnancy Loss?

The causes of miscarriage vary and are often poorly understood, which makes the situation only more difficult to grasp. Respect your needs and limitations as you work through your grief and begin to heal. As you work through this difficult time:

  • Reach out to those closest to you. Ask for understanding, comfort, and support.
  • Seek counseling to help both yourself and your partner. You don’t have to face this alone.
  • Allow yourself plenty of time to grieve and the opportunity to remember.

Grieving is a very normal and healthy response to pregnancy loss. For some women, physical and emotional healing happens fairly quickly. For others, it can take longer – months or even a year. And for many women, although their grief will become less acute over time, miscarriage is a loss they always carry with them.

¿Qué hospital elegir para dar a luz en Barcelona?

¿Qué hospital elegir para dar a luz en Barcelona?

Si estás eligiendo en qué hospital dar a luz en Barcelona, ¡enhorabuena! ¡Tu bebé está llegando!

Te dejo algunas reflexiones para que sea más fácil elegir un hospital para dar a luz.

Sistema público

Si vas al sistema público seguramente en tu CAP te habrán informado cuál es tu hospital de referencia y puede que te hagan el seguimiento del embarazo en ese hospital.

Seguramente tienen un formulario de plan de parto que puedes llevar rellenado el día del parto, y también podrás visitar las instalaciones antes del gran día.

Sino te convence no estás obligada a dar a luz allí, puedes hablar con tu matrona y pedir el cambio a otro hospital o simplemente le día que vayas a dar a luz ir a otro hospital: están obligados a atenderte.

Si quieres un parto respetado todos los hospitales están obligado a ofrecerte ese parto y esos cuidados pero existen dos hospitales en Barcelona especializados en partos respetados como son Sant Joan de Déu y la Maternitat.

Sistema privado

Si tienes seguro médico privado o eliges el sistema privado existen muchas opciones, ya sean hospitales grandes o pequeñas clínicas.

Infórmate sobre qué procedimientos tienen en los partos y si disponen de una UVI para neonatos por si tu bebé la necesita.

Parto en casa o casa de partos

Si decides dar a luz en casa o en una casa de partos tienes diversas opciones de matronas que ofrecen estos servicios.