Hi there
I really appreciate this list .I learn so much from all of you and the
discussions here also makes me think wider.I started last year with an early
bird class at 6-10 weeks pregnant following it up with another class at
14 -16 weeks.This was not well  attended ,there was 6 couples in my first
early class and 8 in the 2nd trimester.What I wanted to share here is that I
totally agree with Andrea the choice of caregivers makes the difference.In
this classes because of info that I gave and discussion under parents to be
as well as the opportunity to give info to the clients they could ask
caregivers some questions and get answers 3 of the initial 6 changed
caregivers not because of me but because of a) Dr wont let them go past 40
weeks induce on edd, b)not performing waterbirths and c)doing routine
episiotomies.
First of all me as the CBE experience anxiety that they might not get what
they want and they might regret the change ,after some introspection I
believed and realized that it is not me that told them to change,I am not
responsible for the outcome of their birth and I didn't influence or tell
them to change I merely gave them research based info and they made a
informed choice.
This was the best class I ever had so far.
When they started with their class at 28 weeks I teach a 12 week class 6 on
pregnancy and labor and 6  on post partum and baby care (couple classes)
they were such a jelled group already In this class I had 16 couples
although only 6 of them was at the first class and 8 in the second the other
never had contact with each other beforehand.What I experienced is that the
couples who came to the first classes had easier births all 8 of them got
exactly what they wanted and was cruising thru postpartum.The others was
drawn into the group so quickly by this 8 couples except for one couple who
didn't really appreciate and fit into the group The group as a whole
functioned as a support for each other .It was awesome to see the group
dynamics and how they really supported each other.
When one of them went into labor everyone were in contact with each other
and helped the partner with whatever e.g. meals errands.All of them visit
each other while they were still in hospital and when discharged they use to
take turns on helping with meals for the first 18 days at home.
Being in hospital visiting each other they also started to know the staff
and everybody was sad as the last one birthed even the staff
17 of them breastfed except for one who didn't want to from the start she
had breast and couldn't be convinced.One had a colicky baby one who didn't
become part of the group although after the birth is still part of the group
The last one had here baby on Sept 11 and up to know they are still group
breastfeeding and going out for supper on the first Friday of every month.
I am at the moment busy with another group like this we had 3rd class last
night and the whole class was turned upside down because one of them has a
sister who lost a baby at 38 weeks stillbirth and We could talk thru
unexpected outcomes and afterwards they commented that they are so glad they
could share and discussed this because they thought we don't talk about this
I am so glad this discussion happened because this is still one of my
problems to overcome and really discuss in the class
I so much wish that we can get the couples earlier maybe someone on the list
can give ideas how to market the class
In South Africa we CBE are still the weird ones who make people breath funny
and learn them to fight as well as you don't need to go for classes its
money wasting.After that first early class I have had another 6 with no more
than 3-4 couples.My peers say that I am wasting my time but after that first
group taking them thru I am convinced that that is how my classes should
operate.That was my vision fulfilled although so far it only happened once.I
do see a lot of support and group dynamics in every group but nothing like
that group
Sorry its so long but thank you that I can vent and share
Blessings
Hettie South Africa
----- Original Message -----
From: Andrea Robertson <[EMAIL PROTECTED]>
To: Ozmidwifery Mailing List <[EMAIL PROTECTED]>
Sent: Tuesday, March 19, 2002 11:25 PM
Subject: Re: fascinating moments in Childbirth Ed Class


> Hi Julie,
>
> Thanks for sharing this with us. I know that many midwives do feel
helpless
> about trying to work with these parents once they reach hospital... the
> problem is that it is the choice of caregiver that makes the difference.
>
> I am convinced that the decisions about choice of caregiver and birth
place
> are the most important onces that parents will make in relation to the
kind
> of birth they will eventually experience. Perhaps the best thing we can do
> as educators is to provide an opportunity for parents to really consider
> these issues when they are making these decisions - i.e. in the early part
> of their pregnancy.
>
> I have found that parents will book in early (for a class at around 12
> weeks) with the right publicity and it makes a huge difference to their
> approach to pregnany and birth when they can tackle these issues (and
other
> such as choosing/using screening tests) early on. It takes time for
parents
> to consider and assimilate new approaches and for a shift in attitudes to
> occur Parents also like the extended contact they have with their peers
> from time to time over 6 months rather than 6 - 8 weeks and this on-going
> support also helps to bolster their confidence.
>
> Congratulations on your handling of this very tricky topic - the
> flexibility you have with your program and your undoubted skills in
> facilitating group work are a wonderful resource for your clients. I
wonder
> if they know how lucky they are to have joined your program?
>
> Best wishes,
>
> Andrea
>
>
>  .

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