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The Modern Midwife's Guide to Pregnancy, Birth and Beyond

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The Pregnancy, Birth and Beyond class is an antenatal education course which is jointly run over four sessions in antenatal period and a reunion session to meet up with your babies in the postnatal period. The functional state of the autonomic nervous system plays an important role throughout pregnancy, childbirth and in the newborn condition ( Atallah et al, 1999; Egliston et al, 2007; Dmitrieva et al, 2011). Postural orthostatic tachycardia syndrome (POTS) is a form of autonomic dysfunction that can cause orthostatic intolerance, with up to 78% of women with hEDS/HSD potentially affected ( Gazit et al, 2003). Significantly, in one study of pregnant women diagnosed with autonomic dysfunction, where autonomic dysfunction was present in 55% before pregnancy, this figure rose to 100% during pregnancy ( Taitubayeva et al, 2020). Those with POTS may also experience symptoms such as trouble concentrating, light-headedness, palpitations, fatigue, exercise intolerance, and in severe cases, syncope (fainting) ( Fedorowski et al, 2021). The authors of a recent review of the literature have determined that there is inadequate published evidence to confirm any relationship between hEDS, POTS and mast cell activation syndrome ( Kohn and Chang, 2019). However, others have argued that the overlapping symptoms of these conditions and their under-diagnosis means that the potential link should not be ignored, as clinical experts find these three conditions together commonly in practice ( Roma et al, 2018; Afrin et al, 2020). Such academic debates highlight the need for further inquiry. This interview was recorded nearly two years ago and with floods, and other events, it is only now we are airing it. Please see information below to learn more about the high dependency information evenings and afternoons. High dependency information evenings 6pm to 8.30pm Filled with month-by-month guidance, information on birth plans and advice on preparing to support labour, this book can help dads feel more prepared and less overwhelmed, helping them navigate through some of their own personal fears or anxieties around parenthood.

Samantha has been working for over six years, contributing to the field of menstruation by way of workshops, comprehensive online education programs, private mentorship and circle facilitation. Samantha is within a new wave of menstrual educators, approaching the field slowly and carefully with the utmost sanctity and respect; researching and writing while based in the Northern Rivers of New South Wales, Australia. In this interview, Jacqui shares her diverse and personal experience as a mother, including motherhood and work, creativity, and tuning in to your own wisdom in a world saturated with information. We also discuss Jacqui’s book ‘Mothers Mind Cleanse’ and hear about her own impetus and writing process. Enjoy this conversation

The course is jointly run by midwives and health visitors. Ask you community midwife for more information.To book onto a course, please ring 0300 303 1603. James Cook maternity tour Very factual, evidence-based, none of the patronising stuff a lot of pregnancy books have, and pretty balanced views on things too.” (Tried and tested by Mumsnet user Lola871) The Eating for Pregnancy Month by Month Nutrition Guide (clue is in the title), contains 150 recipes that are tailored to meet the nutritional needs of both you and your baby at every stage of your pregnancy, including postpartum.

Written specifically for men, this book is an excellent read for fathers-to-be who want to be more involved in their partner’s pregnancy or a good book to give to your other half to help them understand some of the physical and mental changes you’re experiencing during pregnancy. In due-date based groups, our registered midwives guide you through up-to date evidence based information and provide pragmatic tips in a relaxed and open minded environment. The symptoms of pregnancy can be exacerbated by hEDS/HSD and vice versa ( Pezaro et al, 2020). Those pregnant with hEDS/HSD can experience disabling increases in joint laxity along with a variety of urogynaecological complications ( Gilliam et al, 2020). Pelvic pain and joint instability are common ( Lind and Wallenburg, 2002; Volkov et al, 2018; Ali et al, 2020) and pelvic girdle pain can be especially notable in the first trimester of pregnancy ( Ahlqvist et al, 2020). In our previous review, we promoted the need for early referrals to physiotherapy services and general practitioners in such cases ( Pezaro et al, 2018). Due to increased elasticity in the soft tissues of those with hEDS/HSD combined with increased levels of relaxin during pregnancy, our previous review also highlighted that the occurrence and severity of varicose veins and/or gastrointestinal reflux may be increased ( Pezaro et al, 2018). Such cases of problematic varicose veins may be managed with the use of compression hosiery and/or a referral to a vascular service ( Marsden et al, 2013). Increased gastroesophageal reflux may be managed via standard treatments. For those with hEDS/HSD, joint hypermobility and instability are generally best managed conservatively with the use of physical therapies, orthotics and avoidance ( Tinkle, 2021). We researched the pros and cons of each pregnancy book, including its format, the complexity of the information and the reputations of the authors. Finally we looked at which pregnancy books worked best for each scenario to bring you our final list of recommendations. About the author Indeed, some midwives may now reflect that they may have already cared for a number of those birthing with hEDS/HSD previously. Additionally, while we have described a number of challenges associated with childbearing and hEDS/HSD here, it is also important for midwives to consider that those childbearing with hEDS/HSD may also feel well during pregnancy ( Pezaro et al, 2020), and enjoy favourable outcomes ( Sundelin et al, 2017). Equally, it is important to remember that there is no hierarchy as to whether cases of HSD are more severe than cases of hEDS and vice versa, and that symptomatic hypermobility may also be relevant in other conditions ( Eccles et al, 2020). Therefore, tailored support to the individual is vital in all cases, particularly as many symptoms are invisible. The higher prevalence of pregnancies affected by hEDS/HSD recently presented may also call into question whether some symptoms more typically thought of as being related to pregnancy may instead relate to cases of hEDS/HSD. Yet further research in these areas is required to better understand them in the context of childbearing.

In what ways are connective tissues affected for those with hEDS/HSD in childbearing, and what may be done to reduce the risk of any complications? What are your preferences?: You may already have some opinions and preferences about the pregnancy and birth experience you want, and this may dictate the kind of book that's right for you. If you have your heart set on a natural labour, a hypnobirthing book may be the obvious choice, whereas if you already know you're going to bottle feed, the breastfeeding specialism options may be ones to avoid. In this episode, Oni Blecher speaks with Ruth Schubert. Ruth is a physiotherapist for 20 years. She Schubert is inspired to help her clients lead a beautiful life. She believes in building resilience through developing a strong body and calm mind. Throughout her career, Ruth realised her passion in caring for women, and her own pregnancy and recovery found her fascinated with Women’s Pelvic Health. She has a specialist interest in pelvic pain, pelvic floor dysfunction and working with pre and post-natal women. She has undertaken extensive post-graduate training in the treatment of Women’s pelvic health and has completed a professional certificate in pelvic organ Prolapse management through UniSa and Pinc cancer rehabilitation certification. Along with her extensive clinical knowledge, Ruth takes a holistic approach to assessing and treating her patients, incorporating education, manual therapy, therapeutic exercise and mindfulness. Her unique ability to treat the internal and external pelvic structures has led to outstanding results and a loyal client base. There are some great options on this list, but if you’re looking for a great all-rounder that covers your entire pregnancy from conception to birth, The Positive Birth Book is a great choice.

If you’re preparing to become first-time mum and feeling intimidated with the mass of information regarding pregnancy and childbirth, Your No Guilt Pregnancy Plan is a good place to start. Breastfeeding for the first time can be incredibly daunting. Whether you’re worrying about feeding positions, the quality of your baby's latch, engorgement or simply if your baby is getting enough milk, establishing a breastfeeding routine can be really overwhelming, particularly when met with well-meaning but conflicting advice from friends and family. In terms of complications for those pregnant with hEDS/HSD, some can experience both high- and low-risk episodes ( Pezaro et al, 2018; 2020). In one study observing 13 881 592 births, pregnancies in those with EDS were found to be more likely to be associated with antepartum haemorrhage (OR 1.79 (95% CI 1.20-2.66)) and placenta previa (OR 2.23 (95% CI 1.29-3.86)) ( Nicholls-Dempsey et al, 2019). Although caution must be taken in interpreting these results, as the types of EDS included were not stated and findings are specific to the US, where the data was collected between 1999–2013.

Prepares you for some of the breastfeeding challenges you may encounter and how you can overcome them

Area of focus: Are you looking for one book that covers everything from conception to childbirth, or are you happy to read a book focused on a specific area such as nutrition, breastfeeding or labour? I have Your No Guilt Pregnancy Plan by Rebecca Schiller, which is great if you want something that won't panic you and tells you what your rights are in pregnancy, what you're entitled to, etc. It also has some lovely real-life stories from women with both negative and extremely positive experiences, which I found reassuring."(Recommended by Mumsnet user Miller2021)There can be a misconception that hypnobirthing can guarantee a natural labour (if that's your preference), but that's not the case Some reviewers found the jovial writing style a little patronising, as it does assume very minimal knowledge about pregnancy

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