ulrasound-sonogram

What happens if I go past my due date?

According to research, only about one in 25 (four per cent) of babies are born on their exact due date. About one in five babies are born at 41 weeks or after. So rest assured, you’re not alone in wondering when your baby will make an appearance!

If you’re only a few days past your due date, most doctors won’t offer to induce your labour for a while. Although most babies remain healthy, obstetricians do worry when pregnancy continues several weeks past their due date. That’s because, after 42 weeks of pregnancy, a small number of babies die unexpectedly while they are still inside the womb (uterus) or shortly after the birth. Most hospitals follow guidelines which recommend offering induction of labour when you’re 41-42 weeks pregnant. This is based on evidence that babies are healthier at birth and more likely to be born safe and well when hospitals induce labour at or beyond 41 weeks. This approach seems to reduce the number of caesareans that are needed too.

If your pregnancy has been straightforward, you’re likely to be offered induction at 41 weeks. The timing may vary according to your hospital’s policy. In some areas you may be offered an induction at between seven days and 10 days after your due date, in others it may be two weeks. This is because it’s still not known when the ideal time is to induce labour in overdue mums. You may prefer to have your labour induced at 42 weeks, by which time you may have had enough of being pregnant. Or you may prefer to wait and see what happens, particularly if you’ve had a baby before, as the risk of stillbirth is lower for women who’ve already had a baby.

If your obstetrician suggests an induction, ask if your hospital usually offers inductions at a certain date, or if it’s due to your individual circumstances, such as your age, your weight, or complications in your pregnancy, such as diabetes or high blood pressure. Your doctor will be able to answer any questions you have and she’ll take your wishes into consideration when an induction date is suggested. If your obstetrician suggests an induction, ask if your hospital usually offers inductions at a certain date, or if it’s due to your individual circumstances, such as your age, your weight, or complications in your pregnancy, such as diabetes or high blood pressure. Your doctor will be able to answer any questions you have and she’ll take your wishes into consideration when an induction date is suggested.
If you’ve spoken to your obstetrician but you’re not sure about having an induction, you could ask for a day or two to consider it. See what your midwife thinks, read our information on induction with your partner and talk to friends who’ve had an induction. Though keep in mind that every pregnancy is different.

If there are no risks to your pregnancy and you don’t want to be induced, you could ask to be monitored every two to three days, to check that your baby is well. This should be offered to you if your pregnancy continues beyond 42 weeks.

 

hipopresivos

Hipopresivos: perfectas para el postearlo

Los ejercicios hipopresivos son aquellos que están basados en el trabajo abdominal y postural realizados, normalmente, en en apnea espiratoria, es decir, interrumpiendo la respiración tras haber soltado todo el aire que había en los pulmones (respiración). Éstos fueron creados como alternativa más saludable a los ejercicios tradicionales que se venían prescribiendo, los conocidos como abdominales, y como una forma de ejercitación global pues integra entrenamiento abdominal, postural y del suelo pélvico simultáneo, tres puntos fundamentales en la recuperación después del embarazo.

En definitiva, se trata de un método holístico que considera al cuerpo como un todo y concibe el entrenamiento de forma global, integrando la postura y la respiración, con especial atención al cuerpo de la mujer.

¿Cómo funcionan los hipopresivos?

La musculatura de la faja abdominal y del suelo pélvico está diseñada para ejercer de sostén de los órganos situados en la cavidad que envuelven. En la vida cotidiana se producen constantes aumentos de la presión abdominal: al toser, gritar, reír, cantar, cargar pesos, mantener relaciones sexuales, practicar deporte, etc. Debido a estos y otros factores, como la inactividad, los embarazos o la menopausia, esta faja abdominal y la musculatura perineal pueden verse afectadas y dejar de realizar correctamente sus funciones de sujeción.

Con los ejercicios hipopresivos podemos devolver esta función reprogramando la respuesta muscular ante las situaciones de aumentos de presión del día a día. ¿Cómo? Mediante un incremento del tono muscular en reposo, es decir, de la contracción muscular que se realiza de forma involuntaria y sostenida en el tiempo. Asimismo, se puede mejorar la respuesta muscular ante los aumentos de presión puntuales, ya que incrementa el soporte central ante las actividades que demandan fuerza.

Los beneficios más destacados que nos ofrece esta técnica en las mujeres que acaban de dar a luz son:

  • Mejora el aspecto estético del abdomen, reduciendo el perímetro abdominal en un periodo de tiempo relativamente corto.
  • Mejora los problemas de incontinencia urinaria.
  • Son ejercicios potencialmente beneficiosos para mejorar la vida sexual.
  • Es altamente recomendable para la recuperación y la tonificación en la etapa de post-parto.
  • Evitar y combatir la depresión postparto.
  • Mejora la salud de nuestra espalda.

pregnant barcelona

Having a Baby in Barcelona

If you are having a baby in Barcelona there are some things you need for you postpartum and the legal/professional life.

How to register your baby’s birth in Barcelona?

During 2017 some hospital offer to register your baby directly in the hospital, so you don’t need to go to the “Registro Civil”. They will give you a document call Cuestionario para la Declaración de Nacimiento en el Registro Civil. Make your baby’s name is correct!! This document is signed by the doctor or the midwife that was with you during the delivery.

In case your hospital doesn’t offer this service you must register your baby at the local Civil Registry Office (Registro Civil) within eight days of the birth. You can go directly to Plaça del Duc de Medinaceli, 3. If your married only one of the parents needs to go, but if you are not married then both parents must attend the registry office

If you intend to apply for a non-Spanish passport for your baby, remember to ask for a full birth certificate (certificación literal). In addition to the documentation provided by the hospital, you must also bring any national insurance documents belonging to the parents and a marriage certificate, which must be officially translated into Spanish. Don’t forget to bring your passports and identity cards (and copies), in case they are required to verify your identity.

Maternity and paternity Leave: do you qualify?

Maternity benefits are paid by Seguridad Social, the Spanish Social Security System. To qualify have a maternity/paternity leave you must have paid contributions for at least 180 days in the last seven years if you are 26 or older with certain exceptions, for example, those aged 21–25 qualify in fewer days and women under 21 have no contribution period. Maternity benefits are also available to self-employed women, provided they are registered in the Spanish social security system for the self-employed. You apply through your local social security office, they will let you know which documents you need to fill, basically you need to bring the Birth Certificate, el “Libro de familia” (they will give it to you at el Registro)

Maternity and paternity leave can be taken part-time if an arrangement has been made with the employer ahead of the birth. In the case of patenity leave, a part-time day must be no less than 50 percent of the full-time workday. In the case of a birth (versus an adoption), the mother cannot avail of part-time maternity leave until after the mandatory six-week, full-time maternity leave period after the delivery.

Extended maternity leave is also available for women who cannot perform their job because it puts their pregnancy at risk. Extended benefits are also offered to breastfeeding mothers if their job prevents them to nurse.

prueba de la rana

La prueba de la rana – Doula Barcelona

Existen algunas manera curiosas para detectar si una mujer está o no embarazada, de hecho muchas habréis oído sobre “la prueba de la rana” y es que antes, para saber si una mujer estaba embarazada, se usaba una rana o sapo hembra.La prueba de la rana era una prueba de embarazo que se utilizó comunmente hasta los años 60 del pasado siglo, cuando se desarrollaron los métodos inmunológicos, es decir, los típicos test de embarazos actuales. La prueba de la rana es una prueba efectiva y de hecho se continúa usándo en zonas rurales de muchos países latinoamericanos por su simplicidad y bajo coste. Consiste a inyectar a una rana o sapo hembra, bajo la piel, la orina de la mujer que se cree que puede estar embarazada. La orina de una mujer embarazada contiene la hormona GCHque estimula la ovulación del animal. Si la rana desovava en 24 horas, el test se consideraba positivo. El animal sobrevivía y podía ser utilizado para otro test, a pesar de que con demoras de unos 40 días. Este test se desarrolló en Sudáfrca en los años 30 del siglo XX por los investigadores LancelotHogben, Zwarenstein y Shapiro.
De hecho existe otro método muy similar y que se suele llamar igual pero que está basado en otro fenómeno biológico que requiere machos en vez de hembras, fue desarrollado por Galli Mainini en Argentina (1947), con el sapo Rhinella arenarum . Si se inyecta orina de una mujer embarazada en el saco linfático dorsal del sapo esto provoca la eyaculación del animal dentro de las tres horas siguientes y confirmaría que la mujer está embarazada.

¡Curioso! ¿No? ¿Conocéis algunas otras pruebas de embarazo tradicionales?
prenatal course barcelona

Testimonials of our Prenatal Course Parto y Movimiento

A Vicky me la recomendó mi ginecóloga. No sabía mucho sobre lo que hacen las doulas pero sí sabía que no quería hacer el curso típico de preparación al parto. Me interesaba mucho la parte emocional de lo que significa este evento. Como al final no podrás controlar como irán las cosas, necesitaba prepararme a nivel emocional y mental para poder superar lo que fuera y tener a mi bebe en brazos sano y salvo. Y esto es lo que ofrecen las clases de Vicky – a parte de mucho conocimiento sobre los partos-, apoyo de verdad.

Hoy mi pequeño cumple una semana y acabamos de volver de su primera cita con el pediatra. Cogió peso y altura lo que significa que la lactancia va muy bien. Esto se lo debo a Vicky porque el apoyo que nos ofreció con este tema ha sido enorme. A parte de que Vicky estuvo a nuestra disposición cuando la hemos necesitado en el hospital y en casa, nos enseñó de manera muy eficaz como hacerlo bien. Como dice Vicky, amamantar no duele si sabes cómo hacerlo y ¡es cierto!

Un abrazo, Vicky y muchísimas gracias por todo!

Alexa Profir mama de Robert

 

My partner and I searched for English antenatal classes here in Barcelona and found Vicky very easily online. She was extremely quick to respond to our enquiry and very helpful. As soon as we arrived we were made very welcome.

Vicky had a great way of making both the practical and theroy easy to understand, interesting and even fun. Her course is not just aimed at mothers to be and is also brilliant for fathers to be.

We have both learned so much and feel she has been a massive help for preparing us with the birth of our baby boy here in Spain. It really has exceeded both our expectations and would highly recommend Vicky’s classes to parents to be here. She has also been supportive via the telephone when we have needed some help during pregnancy.

Victoria and Adam

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Being pregnant with our first in a foreign country it was important for us to find an Antenatal course in a safe environment. We read about Vicky’s services online and after mailing forth and back with her, we agreed to give her international Antenatal class a shot. And we’re so happy that we did.

Vicky’s classes have provided us with information, exercises and confidence about giving birth in Spain. She has prepared us for our (soon) new roles as parents and given us a network of other parents-to-be.

Thank you, Vicky.

Tatiana & Emil

 

Vicky was an amazing support to me and my husband before and after the birth of my baby girl Alia. We had a prenatal session with Vicky before the birth at home which was invaluable for my birth that ended up being a very long (36hours) and tough labour. She taught us things about labour that hadn’t even come up in the prenatal course we had already done…

Zara (Alia’s mum)

PAPEL PADRE PARTO

El papel del padre en el parto y primeros días del bebé

El momento del parto es un momento perfecto para que el padre esté de forma presente y participe de la forma más activa posible, porque aunque esté dando a luz su compañera él puedo hacer mucho por ella, aunque solo sea estar a su lado y tratar de satisfacer sus necesidades.

De hecho las clases de preparación al parto son una oportunidad ideal para que ambos aprendan sobre la fisiología del parto, los cuidados del bebé, y también compartir la experiencia con otras parejas que están en nuestra misma situación.

Durante la fase activa de parto el padre es un apoyo muy necesario para la mujer. Puede ayudarla a sobrellevar el periodo de dilatación, acompañándola, aliviando los dolores con masajes y ofreciéndole lo que pueda necesitar en cada momento, tanto en casa como en el hospital. También puede ocuparse de las cuestiones más prácticas como llevar la documentación requerida, llevar la parte administrativa y asegurarse de que se está cogiendo todo lo necesario y pactado previamente. También puede ayudar midiendo el tiempo de las contracciones, llamando a quién considere necesario…

Una vez el bebé ya está aquí lo primero que necesita es el contacto físico con su madre, por tanto no debería ser apartado de su lado, pero si la mamá ha sufrido una cesárea el papá puede ofrecerse para el piel con piel. Lo ideal es que los primeros chequeos como medirlo y pesarlo esperen si el bebé está sano, aunque normalmente se realizan en la propia sala de partos, o si se lleva al niño a una sala contigua, el padre puede acompañar al bebé.

Los primeros días después del nacimiento, padre e hijo irán conociéndose poco a poco. Sus caricias, sus brazos y sus palabras contribuirán a que se establezca entre ellos un vínculo muy especial. También, si así lo habéis decidido, puedes favorecer y apoyar a tu pareja en la lactancia, primero formándote y luego acompañándola en el proceso, facilitándole la vida con las comidas y el orden de la casa… También el nuevo papá puede ayudar a controlar y si es necesario limitar las visitas para que el bebé y la mamá puedan estar tranquilos.

 

portear invierno

¿Cómo portear en invierno?

Si te has decidido a portear durante el invierno… ¡Lee este post que te ayudará y aclarará algunas dudas!

La primera cosa que hay que saber es que a pesar del frío que hace fuera el porteo mantiene la temperatura corporal del bebé gracias al contacto constante con el porteador. ¡Vamos, mucho mejor portear que una estufa! Esto genera que el bebé no necesite ir súper cargado de ropa, facilitando así los movimientos y la buena colocación del bebé en el portabebés. Es mucho más recomendable abrigarse por fuera que vestir en exceso al niño. Así en caso de entrar a un lugar calentito no necesitamos molestar o despertar el bebé, con quitarnos el abrigo también lo desabrigamos a él/ella.

¡Eso no quiere decir que llevemos al bebé al descubierto! Es IMPORTANTÍSIMO proteger todas aquellas partes que no quedan en contacto directo con el cuerpo del porteador y no quedan cubiertas por el portabebés como son la cabeza, las piernas y los pies. Por ello es recomendable un gorro, pantalones adecuados a la temperatura y zapatitos o botas para que el bebé no pierda nada de calor. También es muy importante proteger los ojos del bebé si vamos a ir a zonas con nieve, para ello te recomiendo gafas de sol homologadas.

¡Muchas os estaréis preguntado porqué hablo de bebés si podemos portear a un niño! Pues aquí van algunos consejos para vosotras, en caso de portear a un niño que ya camina es recomendable colocarle el abrigo antes de colocarlo en el portabebés y que el porteador se coloque su abrigo, es decir, que el portabebés quede por fuera el abrigo para así facilitar que el niño pueda subir y bajar sin problemas.

¡Y hasta aquí mis consejos para mamás y papás porteadores estos días de frío!

giving birth barcelona

Giving birth in Barcelona

It is well-known information that the healthcare system in Spain is among the best in the world, so giving birth in Barcelona is really a good idea! Barcelonas maternity facilities range from large hospitals to smaller clinics and in medical terms, are regarded as being of a high standard. The bigger hospitals tend to operate under the social security system and the clinics under private insurance. Birthing options, however, are limited although this is beginning to change as more women are opting for a natural birth.

The degree of medical contact with pregnant women is reasonably high in Spain, with more antenatal tests, scans and intervention during childbirth than in some other countries,. The standard of care in Spain is highly regarded, both public and private, although women are generally required to have held a private insurance policy for a certain amount of time to cover maternity costs, while state healthcare does not have any time restrictions.

Choosing the specific clinic for delivery is a decision future parents should handle with care. You can give birth in Barcelona both in private and public hospitals. Everything depends on the personal preferences of the parents-to-be and whether the future mother has medical insurance. If you are a resident of an E.U.-country, in order to receive free medical service in a public clinic, it is sufficient to present the European Health Insurance Card (EHIC).

On the other hand, one can choose a private clinic in which payment will be charged on a daily basis or they can be covered by a private medical insurance. There is a good reason for this charge – private clinics in Barcelona very often resemble expensive hotels, boasting personal rooms, individual service, excellent food, and 24/7 presence for mother and baby.

Normally, in private or public, you can get a guided tour of a clinic before the childbirth and in public you can find some hospitals with private rooms meanwhile in private hospitals all rooms are private.

When you go to the hospital to give birth you should go to the emergency ward (urgencias) of the local hospital, and take your passport, foreign identification card (NIE) and necessary paperwork. English is not always widely spoken so it is sensible to have someone with you who can speak Spanish to ask questions and communicate your preferences concerning medical treatment. Spanish hospitals will have standard operating procedures that they don’t necessarily run past patients, so it is important to have someone to explain what is happening and to speak up for you.

You need to know that not in all hospitals not allow gas or air, although epidurals and pethidine are available. Birth in Spain is seen as a fairly straightforward medical process and alternative birth methods, such as water births, and birthing plans are not as common in Spain as in other countries but in Barcelona you can find at least two hospitals with the possibility of dilation in water. However, you can still write your birthing plan in Spanish and take it with you.

Home births in Barcelona, meanwhile, are not covered by the state health system.

Apart from that, one should bear in mind that during childbirth Spanish doctors widely administer epidural anesthesia (in 98% of the cases). The epidural is considered completely safe for both mother and child and allows the mother to move through the whole process in a more comfortable and less painful way. However, if this option does not suit your vision of the ideal childbirth, you can always choose to decline the epidural anesthesia.

doulas barcelona

What are Doulas?

You might have seen the word ‘doula’ pop up in pregnancy magazines or on parenting websites, and of course in this website… Maybe you have wondered what it is they actually do or who they are. Well, a doula is is a professional trained in childbirth who provides emotional, physical, and educational support to a mother who is expecting, is experiencing labor, or has recently given birth. The doula’s purpose is to help women have a safe, memorable, and empowering birthing experience.

What does a doula do?

Most doula-client relationships begin a few months before the baby is due. During this period, they develop a relationship in which the mother feels free to ask questions, express her fears and concerns, and take an active role in helping to create a birth plan. Doulas are not medical professionals. They don’t deliver babies or provide medical care.

Most doulas make themselves available to the mother by phone in order to respond to her questions or address any concerns that might arise during the course of the pregnancy. Doulas do not provide any type of medical care. However, they are knowledgeable in many medical aspects of labor and delivery.

Having a doula present can:

  • shorten first-time labour by an average of two hours,
  • decrease the chance of C-section section by 50% and
  • decrease the need for pain medication.

The role of the doula in early breastfeeding support can also help women reach their goals of a satisfying and successful transition to motherhood. And yet, many doulas may not be aware of new and important research into risk assessment for mothers and babies for whom early breastfeeding does not go smoothly.

 

What do I do as doula?

I help you to experience a childbirth consciously and positively with your partner by your side. I give the information you need to have in every stage and also help to cope with birth, as well as keys for breastfeeding successfull, if you want!

If you are looking for a doula in Barcelona, please contact me

+34 687 98 69 13
info@doulabarcelona.com

going back to work

4 Tips for Smoothly Transitioning Back to Work after Maternity Leave

Motherhood is a blessing. It comes with its share of pleasures and aches. Being with your baby at home all day long makes you happy. Work life seems like a blurred memory. But, as soon as you realize that your maternity leave is about to end, you start to worry!

No matter how long and hard you’ve thought about your decision to return to work, and how sure you are that it’s the right choice, you need to be prepared for mixed emotions

A Working Mom’s Guide to Breastfeeding

If you’re planning to continue nursing, you’ll need to get the pumping routine down well before your return to work.

Start pumping and freezing the milk a month before you’re due back on the job.You’ll get in the habit of pumping and build up an emergency supply.

Let someone else bottle-feed your baby, use Calma bottles of Medela, they don’t interfere in breastfeeding! If you consider avoiding bottles, you have other options. Your milk could be offered to her in a sippy cup.

Find a private location. If your company doesn’t have a designated lactation room, perhaps there’s an empty office or conference room that you could use to pump. Some women get creative and hang a curtain around the outside of their cubicle when no privacy is available. Be informed about your rights! In general you have the right to return to the same job on the same terms and conditions after your maternity leave.

When?

Start back on a Wednesday or Thursday if you can. The first few days are likely to be the toughest, as you figure out pumping, milk storage and managing daycare. Having a shorter week to start means you’ll soon have the weekend to evaluate how things are going and make adjustments as needed. For Tsarfati, the biggest challenge was realizing how much longer it took to get ready in the morning than in the days when it was just her and her husband.

Breastfeed “on demand” on weekends. If you’ve noticed your milk production flagging during the week at work this is your chance to rebuild it and enjoy the convenience of a more natural nursing relationship. If you are pumping, the milk you stored on Friday will keep just fine in the fridge for baby to have on Monday.

Don’t Be Hard on Yourself!

You never know for sure how you’ll feel during this motherhood transitional challenge. But don’t make any hasty decisions about your future the first week. It’s a very emotional time of transition.