Where to give birth in Barcelona

Where to give birth in Barcelona?

Are you pregnant and do you live in Barcelona or its sourroudings? Congratulations! Probably you are excited with this new life growing inside you!

How is the prenatal care in Barcelona?

You have 2 options: you can choose the public healthy systme or you can go to a private clinic or hospital. If you have a private health insurance , everything will probably be covered. In both systems, the medical contact with pregnant women is frequent, you will have scans every 3 months and several visits and tests during each trimester.

Which hospitals do I have available?

In Spain and Barcelona the most common option to give birth is a hospital but you can find some midwifes that offer you the option of giving birth at home or you can find houses of birth. Depending on where you live you will have nearby some hospitals and your midwife or gynecologist will let you know which one is your reference one, having said that, in the moment of giving birth you can choose any hospital, you are not obligated to go to an specific one. Epidural is quite common and you will have the option to ask for it almost until the last minute. If you want to have available a hot tub for dilation, there are some in Hospital Maternitat o Hospital Sant Joan de Deu. If you have more questions, don’t hesitate to ask me: info@doulabarcelona.com

¿Qué tipos de doulas existen?

¿Qué tipos de doulas existen?

El propósito de una doula es ayudar a las madres y las familias a prepararse para el bebé durante el embarazo, el parto y después del parto, por ello, a pesar de que en España no sean muy conocidas, existen diversos tipos de doulas que especializadas en las diferentes circunstancias de las familias.

Es verdad que en muchas ocasiones una misma professional puede acompañarte en diversas estapas y que rara vez una familia elige diversas doulas para cada etapa pero está bien saber que existen diversas opciones.

Por ejemplo, yo suelo acompañar a las familias en diversas etapas y diversos momentos, es decir, que me convierto en la doula que necesitan en cada etapa o en alguna en particular, dependiendo de las necesidades de la familia.

DOULA DE PARTO

Es una voz de confianza en el proceso de parto para la madre. Proporciona asistencia física y ofrece confort emocional a la familia, contestando las preguntas de mamá y papá sobre el nacimiento.

DOULA ANTENTAL

Las doulas antentales cuidan de la madre y la familia ofreciendo información y cuidados cuando la mama todavía está embarazada. Tienen dos funciones:

  1. En caso de embarazos normales

Ofrece clases de preparto, lactancia o de cuidados del bebé, ya sean en grupo o de forma privada.

  1. En caso de embarazos de riesgo

Las doulas anteparto ayudan a la madre a sobrellevar el estrés adicional de un embarzo de riesgo y del reposo que seguramente se le prescribirá. Podrá brindar apoyo emocional, apoyo físico y ayudar a responder cualquier pregunta.

DOULA POSTPARTO

La doula posparto apoya y alienta a la familia en los primeros días del bebé. Puede ayudar también con la lactancia maternal, las noches de insomio o el dolor del postparto.

DOULA DUELO PERINATAL

Cuando existe una pérdida perinatal una doula ofrece apoyo emocional y psicológico a la madre y al resto de la familia para pasar esa etapa de dolor y pérdida.

What will you feel when you get pregnant?

What will you feel when you get pregnant?

 

You may already know that you’re pregnant, otherwise there are signs to look out for. The first sign of pregnancy tends to be missing a period, probably around two weeks after you’ve conceived.

 

There’s very little research on this topic, and early symptoms of pregnancy are different for everyone. Some women feel the first twinges of pregnancy a week or two after conceiving, while others don’t feel any different for a few months.

 

Beside missing first sign of pregnancy. You may have some other physical signs as well. These include mild cramping and a little bleeding when the fertilized egg implants itself in your uterus.

 

Feeling very tired is another common symptom of early pregnancy. Your body is working hard to adjust to all the new physical changes. This can cause extreme fatigue. You may need to sleep longer than usual at night. Whenever possible, take short naps during the day. Your energy will most likely return in the second trimester of pregnancy.

 

Morning sickness consists of nausea and vomiting. It is caused by pregnancy hormones. Many pregnant women have it to some degree in their first trimester. Regardless of its name morning sickness can occur at any time of day. Certain foods or smells might trigger queasiness or sickness. Some women seem to feel sicker on an empty stomach. Morning sickness usually goes away by the second trimester.

 

Most women notice changes in their breasts early in pregnancy. The hormones in your body change to prepare for breastfeeding. As this occurs, your breasts may feel tender and swollen. You might notice small bumps forming in the area around your nipples. Your breasts will continue to grow and change throughout your pregnancy. They may feel even bigger and fuller later on.

 

Preguntas frecuentes de una embarazada

Preguntas frecuentes de una embarazada II

¿Tengo que cambiar mi alimentación?

Depende de los hábitos alimenticios que tengas. El objetivo es que ni a ti ni a tu bebé os falte ni os sobre ningún nutriente, que el aumento de peso sea el correcto en cada trimestre y prevenir enfermedades como la toxoplasmosis o la listeriosis. La dieta mediterránea es la ideal.

¿Tengo que tomar vitaminas en el embarazo?

Además de una dieta sana y equilibrada, todas las embarazadas necesitan un suplemento de ácido fólico y de yodo durante toda la gestación. Lo ideal es comenzar tres meses antes del embarazo y continuar después del parto dependiendo del tipo de lactancia que hayas elegido para tu bebé.

¿Cuándo voy a notar a mi bebé?

Si es tu primer embarazo, empezarás a sentir como se mueve tu bebé sobre la semana 20-22 de gestación. En los embarazos posteriores se suelen notar sus movimientos antes, sobre la semana 18-20 aproximadamente. Al principio puede que no sea todos los días, pero según vaya avanzando la gestación los movimientos serán más evidentes. En cualquier caso, no te agobies si otra embarazada de las mismas semanas nota a su bebé y tú no. Cada embarazo y cada bebé son distintos.

¿Cuándo debo ir a urgencias?

Además de las consultas programadas con tu ginecólogo, debes acudir al hospital:

- Si tienes pérdida de sangre y/o líquido por la vagina.

- Si comienzas con dolor abdominal intenso que va aumentando progresivamente.

- Si notas contracciones uterinas regulares antes de la semana 37 de gestación.

- Si has tenido un golpe o caída sobre tu abdomen aunque te encuentres en perfecto estado.

- Si tienes fiebre elevada.

- En caso de molestias urinarias

- Si tienes dolor de cabeza intenso.

- Si dejas de notar los movimientos de tú bebé a partir del quinto mes.

- En caso de vómitos o diarreas intensas.

¿Cuánto peso es recomendable aumentar durante el embarazo?

Entre nueve y doce kilos es la medida que se maneja como aumento de peso máximo durante el embarazo. Es el aumento de peso para evitar enfermedades como la diabetes gestacional, la obesidad y la hipertensión durante el embarazo.

¿Una mujer embarazada debe vacunarse?

Sí, pues algunas enfermedades pueden afectar seriamente la salud de una mujer y su hijo, y, por eso, es mejor vacunarse contra ellas. Consulta con tu médico cuáles son las vacunas que puedes ponerte y cuáles no, y en qué momento del embarazo es seguro ponértelas.

World Breastfeeding Week – Doula Barcelona

breastfeeding advisor barcelona - doula barcelona

We are celebrating the World Breastfeeding Week and I can be happier to help day after day women to achieve healthy and pleasant breastfeeding with their babies.

Probably all you know the benefits of Breastfeeding, but just in case, I’m going to explain it again!

  1. Improve baby health

The incidences of pneumonia, colds and viruses are reduced among breastfed babies, » says infant-nutrition expert Ruth A. Lawrence, M.D., a professor of pediatrics and OB-GYN at the University of Rochester School of Medicine and Dentistry in Rochester, N.Y.,

Also breastfeeding your baby and will reduce the risk of diabetes, celiac disease or Chron’s also as other chronic conditions.

  1. It will help youto heal after delivey

The oxytocin released meanwhile you breastfeed will help to contract your uterus, It means less blood loss after delivery and that your uterus will go back to normal quicker.

  1. Keep cancer away

For your baby it will decrease the rick of some cancers during childhood and for you, you will have lower risk of breast and

  1. Ce’s cheap and always available.

Can you calculate how much would you pay on formula milk? According to La Leche League International from 134$ to 491$ per month.

On top of that your milk is always ready for your baby, and it is custom-made: it is exactly what you baby needs in every moment.

Forget to prepare bottles before going for a walk. Your breast is enough.

  1. Bonding with your baby

It is true that you are not a worse mummy if you don’t breastfeed, and you can have excellent relationship with your baby.

Anyway, science can explain the secret behind how breastfeeding helps mothers bond with their babies: This results in a massive rush of the ‘love hormone’ oxytocin in women’s brains.

Preguntas frecuentes de una embarazada

Preguntas frecuentes de una embarazada I

¿Hay algo que pueda hacerse para evitar las náuseas?

A las náuseas del embarazo se les llama « náuseas matutinas » porque suelen producirse sobretodo por la mañana, aunque pueden suceder en cualquier momento del día.

Un cuando más aparecen es por la mañana puedes probar tomando algo sólido antes de levantarte (una tostada, una galleta,…). Si suceden durante el resto del día se recomienda comer y beber pocas cantidades siempre, pero aumentando la frecuencia, y evitar alimentos grasos y bebidas lácteas que no suelen digerirse demasiado bien.

Me siento tan cansada que apenas puedo hacer nada, ¿cómo puedo luchar contra esta fatiga?

De ninguna manera, porque no debes luchar contra ella. Si te sientes cansada, tanto que apenas puedes hacer nada, no hagas nada. Tu cuerpo te está diciendo que necesita que descanses y que necesita que te muevas poco. Escúchale, hazle caso y poco a poco, a medida que el embarazo progrese, empezarás a notar más energía.

¿Puedo tomar medicamentos en el embarazo?

Por lo general, las embarazadas deben evitar cualquier medicación a menos que tu médico te indique lo contrario. Lo primero que debes tener en cuenta es que los fármacos pueden pasar al feto y afectar a su desarrollo, así que evita toda automedicación. Si te sientes enferma consulta con tu médico de cabecera

¿Puedo viajar en avión estando embarazada?

Otra de las dudas habituales que se plantean las madres es la de los viajes en avión. Los vuelos comerciales permiten viajar a las futuras mamás libremente hasta la semana 28 de embarazo, este es el límite que marcan muchas compañías para plantea

¿Y cuando llegue el bebé seré capaz de cuidarle?

¡Claro que sí! El miedo a no estar preparada es muy frecuente entre las madres primerizas, pero no te preocupes. La mayoría de cuidados que necesita un bebé son de sentido común y, además, hay que tener claro que la madre perfecta no existe. Para tu hijo siempre serás alguien maravilloso, con tus virtudes y tus defectos, así que no te agobies y disfruta de la experiencia de la maternidad.

Safe flying while pregnant

Safe flying while pregnant

If you are enjoying a healthy pregnancy, plane travel is likely to be safe.

The second trimester is probably the best time to fly. You’re likely to be over morning sickness. Later on, your expanding belly could make airport maneuvers more challenging.

Before booking, however, visit your doctor and describe the trip details. If your doctor clears you for flying, take some precautions before and during your flight to stay safe and healthy.

Check Policies: Air Carriers, Insurance Carriers

Airlines discourage travel after 36 weeks. Contact your carrier and ask about their policy for pregnant travelers. Ask if you will need a note from your doctor verifying your due date.

Check your health insurance plan, too. What happens if you need medical help or you deliver at your destination? Are you covered?

If you are traveling out of the country, see if you need a supplemental policy for coverage overseas. Consider buying medical evacuation insurance so you can be flown home for medical care, if necessary.

Get Cleared for Takeoff

A few weeks before your trip (or a few months, if you are traveling internationally), visit your doctor. It’s especially important to get cleared for takeoff if you have a chronic medical problem such as problems with breathing.

Ask about:

- Decompression stockings. Ask if you should wear them. No, they’re not fashionable. But they may help blood flow.

- Nausea remedies. If you’re prone to motion sickness, ask about a nausea remedy or acupressure bands. Little scientific evidence supports these bands. But some people find them helpful.

- Gas and diarrhea remedies. The increase in altitude on flights can cause intestinal gas to expand and cause discomfort. Avoid gassy foods before your flight. International travel may expose you to bacteria that can lead to diarrhea. Ask about a diarrhea remedy.

- Prenatal care. Depending upon the length of the trip, decide if you need to get some prenatal care at your destination. If so, figure out who will supply it.

- Destination medical care. Ask for suggestions about names of doctors and hospitals at your destination, just in case. Your doctor may know a colleague there or be able to make recommendations.

when do i feed my baby

When do I feed my baby: hunger cues

Babies should be fed when they indicate hunger. Crying is a late indicator of hunger – breastfeeding is much easier for both mom and baby if mom is able to pick up on baby’s earlier hunger cues.

Early Cues:

  • Smacking or licking lips
  • Opening and closing mouth
  • Sucking on the lips, tongue, hands, fingers, toes, toys, or clothing

Active Feeding Cues

  • Rooting around on the chest of whoever is carrying him
  • Trying to position for nursing, either by lying back or pulling on your clothes
  • Fidgeting or squirming around a lot
  • Hitting you on the arm or chest repeatedly
  • Fussing or breathing fast

Late Feeding Cues (calm baby before feeding)

  • Moving head frantically from side to side
  • Crying

Newborns should be nursed anytime they cue hunger

After the newborn period, hand sucking is not as reliable an indicator of hunger. Starting at around 6-8 weeks, baby will begin to gain more control over her hands and will soon begin to explore her hands and everything else using her mouth. It is also common for babies to suck on their hands when their gums become tender in preparation for tooth eruption. Symptoms of teething can sometimes occur weeks and even months before the first tooth erupts.

pregnant woman travel by plane

Can I travel during my pregnancy?

Wherever you go, find out what healthcare facilities are at your destination in case you require urgent medical attention. It’s a good idea to take your medical records with you so you can give doctors the relevant information if necessary.

Make sure your travel insurance covers you for any eventuality, such as pregnancy-related medical care during labour, premature birth, care of the baby and the cost of changing the date of your return trip if you go into labour.

Can I travel during my pregnancy?

Some women prefer not to travel in the first 12 weeks of pregnancy because of nausea and feeling very tired during these early stages.

Whether you’re travelling or not, the risk of miscarriage is higher in the first three months. While there’s no reason why you can’t travel at this time, if you have any worries discuss them with your midwife or doctor.

Travel within Australia by bus, car, train, or boat is usually not a problem as long as the woman is comfortable. When travelling long distances or overseas, it is wise to consult with your doctor, especially if your pregnancy is considered high-risk.

Air travel

Flying is usually not harmful to you or your baby, but discuss any health issues or pregnancy complications with your midwife or doctor before you fly.

The likelihood of going into labour is naturally higher after 37 weeks (around 34 weeks if you’re carrying twins), and some airlines will not let you fly towards the end of your pregnancy. Check with the airline for their policy on this.

After week 28 of pregnancy, the airline may ask for a letter from your doctor or midwife confirming your due date, and that you aren’t at risk of complications.

Long-distance travel (longer than five hours) carries a small risk of blood clots (deep vein thrombosis, or DVT). If you fly, drink plenty of water and move about regularly – every 30 minutes or so. You can buy a pair of support stockings in the pharmacy over the counter, which will reduce leg swelling.

Vaccinations

Vaccines are not recommended because of concerns that the virus or bacteria in the jab could harm the baby in the womb.

However, it is safe for pregnant women to have influenza vaccine, which is strongly recommended for all pregnant women, as influenza in pregnancy can be a very serious illness.

You are generally advised to avoid travelling to countries where immunisation is required.

However, if you must travel to areas requiring vaccinations, you should discuss this with your doctor, as the risk of catching an infectious disease often outweighs the risk from vaccination.

Find out more about travelling to countries effected by the Zika virus.

Malaria Prevention

If travelling to a country or reigion that has a risk of malaria the usual advice is to take some anti malarial protection via a medication. Some anti-malaria tablets aren’t safe to take in pregnancy. You should consult your doctor for advice.

Car travel

Fatigue and dizziness are common during pregnancy so it’s important to drink regularly, eat natural, energy-giving foods (such as fruit and nuts) and stop regularly for a break. Keep the air circulating in the car and wear your seatbelt with the cross strap between your breasts and the lap strap across your pelvis under your bump, not across your bump.

Road accidents are among the most common causes of injury in pregnant women. Avoid making long trips on your own and share the driving with your companion.

Wearing a seatbelt

You need to wear a seatbelt when you are pregnant. Research shows that when you wear a seatbelt there is much less risk of injury to you and your unborn baby.

The law in Australia says that you have to use a seatbelt when you are pregnant – at every stage of your pregnancy.

You may worry that a seatbelt will hurt the baby or you may find it uncomfortable. However, a seatbelt that is worn properly does not put much pressure on your abdomen or your unborn baby.

There is a penalty for not wearing a seatbelt and you can be fined.

Food and drink

Take care to avoid food- and water-borne conditions, such as stomach upsets and diarrhoea. Some medicines for treating stomach upsets and diarrhoea aren’t suitable during pregnancy.

Always check if tap water is safe. If in doubt, drink bottled water. If you get ill, keep hydrated and continue eating for the health of your baby, even if you may not be hungry.

contraction Braxton hicks

What Do Braxton Hicks Contractions Feel Like?

Braxton Hicks (BH) contractions are “practice contractions” that tone the uterus in preparation for real labor. They don’t cause any changes to the cervix however, so they won’t cause premature labor and are totally normal and safe. In fact it’s actually a good thing if you’re having them, as it means your uterus is strong and practicing hard. Some women never notice Braxton Hicks contractions, particularly in their first pregnancy, so don’t be worried if you don’t feel them. Braxton Hicks occur randomly, but may also be caused by strenuous exercise, sex, orgasm, and dehydration.

Braxton Hicks contractions start out as mild tightening in the front of the uterus. They are felt higher in the stomach in contrast to something like menstrual cramps. Some women notice a contorted belly shape during a Braxton Hicks contraction. Others have noticed a tightening, and some difficulty breathing during a Braxton Hicks contraction.

These mild uterine contractions are irregular and last for about 30 seconds at a time. Most women won’t experience more than 1-2 per hour a few times each day. Later in pregnancy, the frequency may increase. If you’re experiencing Braxton Hicks contractions, you may notice: a tightening or hardening of the uterus light, dull cramping higher in your abdomen quick contractions, not longer than 30 seconds at a time, that don’t escalate any pain decreases in intensity with rest, fluids, or time.

In many cases, Braxton Hicks contractions are simply just another symptom of pregnancy, but there are some things that can increase the likelihood of experiencing Braxton Hicks: Dehydration Stress Urinary Tract Infection (UTI) Strenuous Exercise. There is usually no low or deep pelvic aching or pain like in true labor and with menstrual cramps. If there is low pain associated with Braxton Hicks, it is not likely to wrap around the body like true labor contractions do. Braxton hicks contractions will slow down and disappear, especially with drinking water, changing position, and movement. True labor contractions won’t go away, will intensify in strength, and will become longer and closer together. Longer, stronger, and closer together usually suggests actual labor contractions.

Braxton Hicks vs. Real Contractions
Occur in the upper belly Occur lower and may wrap around the body
Don’t get longer Get longer
Don’t get stronger Get stronger
Don’t get closer together Get closer together
Subside with activity Do not subside with activity
Does not affect the cervix Affects the cervix

As noted, Braxton Hicks contractions are your body’s natural way of practicing for the big day. Even women who experience frequent Braxton Hicks contractions do not need to worry—these contractions are not harmful to mama or baby. If you’re uncomfortable, see below for some ideas to relieve some of the discomfort. And always call your doctor if you are concerned or experience what you think are real contractions.

What to Do if You’re Having Braxton Hicks Contractions? Practice! Just as your body is practicing for labor, you can use this time to practice tuning into your body, breathing, relaxing, and following the contraction from start to finish.