Group+Prenatal+Curriculum

toc Each session has a packet including a cover page stating the themes and a place to write questions, a page for a self-assessment of some sort, and a few pages on each theme. Each participant will be given a folder to keep them all in, and will be given a packet at each session, and the “introduction” packet at the first session she attends. There are 10 session packets, and an introduction packet. We also plan special to develop special packets for baby shower, and art projects (plaster casts, baby slings, clay birth objects), and movement and meditation suggestions.
 * Themes Materials for Group Prenatal Pregnancy **
 * Contra Costa County Health Services 12/2009 **

[|Spanish Binder (]PDF Version)


 * Abbreviations and copyright status for materials sources: **
 * •S2T ** Steps to Take - used with permission from the California Department of Health Services.
 * •KO ** Krames Online – licensed for use by Contra Costa County Health Services, copyright by the StayWell Company.
 * •CHI ** Centering Healthcare Institute – original adaptations of credited copyrighted materials.
 * • ** Materials without source credits are original.

** INTRODUCTION **:
(special packet for first session and all new participants) (Book plate, “This book belongs to:”) Cover page with photo and title Phone number list (for all sites) Calendar – 2010, 2011 What is Centering and how to participate Group participation consent (2 copies) Photo consent (2 copies) Copy of daily visit page of prenatal record (Additional custom page for specific group with names of staff, contact numbers and group dates if wanted)
 * Pages: **

** SESSION 1: 10-16 weeks **
What is Centering and How to Participate Discomforts Danger Sign Recognition
 * Themes: **

Themes/Questions list SAS: Important points in Prenatal Care – a survey of topic of interest to participants SAS: Prenatal Discomforts Summary of Common Discomforts (CHI-2) S2T NUTR 33-34 Nausea: Tips that Help Danger Signs (S2T HE9-10) **(**not included: KA - Comfort Tips)
 * Pages: **

*Provide additional page with introduction packet with names of staff for this group, contact numbers, and dates of group. *Play name and introduction games *Set up sign-in sheet *Make copies of both consent form and photo consent form, file original in chart correspondence section, the copy in staff folder for group. *Save roster and attendance sheet in staff folder every week. *Collect “Important Points SAS” and review Photograph group members, make composite to give them. Organize lottery of flea market for incentives
 * Staff Notes: **

** SESSION 2: 14-20 weeks **
__ Nutrition __ Exercise: Kegels, Back Care and Pelvic Tilts Antepartum Screening
 * Themes: **

Themes/Questions list SAS: Draw how it feels to be pregnant Select Healthy Foods (S2T) Get the iron you need (S2T NUTR 62, 64) Foods rich in calcium (S2T NUTR 37,38) Don’t get sick from the foods you eat (S2T NUTR 101,103) Lower your chances of eating food with unsafe chemicals (S2T NUTR 105, 106) Pelvic Tilts and Kegels: S2T HE 71-74 Pregnancy: how to plan your program of exersize (KO) Sheet on California Prenatal Detection Program (original)
 * Pages: **


 * Staff Notes: **

** SESSION 3: 18-24 weeks **
Thinking about breastfeeding Fetal Development Tobacco, Drugs and Alcohol Dental Care Sexuality Gestational Diabetes
 * Themes: **

Themes/Questions list SAS: Thinking about breastfeeding (CHI3) Benefits of Breastfeeding (State Health Dept.) Fetal Development (KO Pregnancy, your First, Second and Third Trimester Changes) You can quit smoking S2T HE 85-86 When you want to stop using drugs or alcohol S2T HE Keep your teeth Healthy (S2T HE 58-59) List of Dental Referrals (original) Sexuality (original) What is Gestational Diabetes? (KO)
 * Pages: **

These are a lot of topics. __The primary discussion should probably be “thinking about breastfeeding” and “sexuality”.__ The other material is mostly for their information, and to prompt mentioning the following: •The importance of stopping tobacco, drugs and alcohol, and good dental hygiene, and the resources available to help. •That we will screen for GDM at the next session, why, and how to prepare for the screen. Short clips from 2 inexpensive English __videos__ are fun for fetal development: •National Geographic “In the Womb” Chapter 9 and 10 (affect of music, foods and REM sleep on fetus. •NOVA “The Miracle of Life” Chapter 6 (2-10 week embryo), 7 (10w-term)
 * Staff Notes: **

** SESSION 4: 22-28 Weeks **
Relaxation and Stress Reduction Labor and Preterm Labor Recognition Delivery Hospital Options
 * Themes: **

Themes/Questions list SAS: Relaxation Methods (CHI3) Time to go to the hospital (S2T) Signs of preterm labor (S2T HE 17) What is GDM (KO) Labor and Birth – your body prepares (KO) The beginning of labor (KO)
 * Pages: **

Remind women to bring MediCal cards next session to copy for hospital registration. Many will probably need glucola tests this session.
 * Staff Notes: **

** SESSION 5: 24-30 Weeks **

 * Themes: **

Relaxation in labor and delivery Analgesia and Epidurals C-Sections, VBACS Birth Plan, and Advice for companions Hospital Registration / Complete hand-carried record

Themes/Questions list SAS: Methods to be comfortable in labor (CHI-6) SAS: Draw the feeling of Delivery Techniques of Relaxation During Labor Labor and Delivery(?) Anaesthesia and Epidurals (KO) C-Sections, VBACs (KO) Birth Plan (original) Advice for Support People (original)
 * Pages: **

*Complete hospital registration. For Alta Bates patients, this involves copying boths sides of __signed__ white MediCal card. *Complete purple hand carried record for Alta Bates patients
 * Staff Notes: **
 * * ** Have patients complete birth plan and take to hospital

** SESSION 6: 26-32 Weeks **
Contraception STD Prevention
 * Themes: **

Themes/Questions list SAS: How do I stay safe and sound? (CHI-4) Contraceptive options (reproductive access.org) What are STDs? (KO)
 * Pages: **

**Staff Notes:**

** SESSION 7: 28-34 Weeks **
Domestic Violence Discuss choice of doctors and insurance for the baby, and mother post-partum Car seats
 * Themes: **

Themes/Questions list SAS: The Family (CHI-3) SAS: Draw a family portrait (original) Cycle of Violence (S2T) Violence Wheel (Duluth Domestic Violence Intervention Project) STAND – 6 pages of info from and about. Info on car seats (KO) Invitation to bring your baby to your Family Practitioner’s pediatric practice (original) Info on signing up for MediCal and pediatric and post-partum care. (original)
 * Pages: **

The Agree Disagree cards and paddles from CHI work well for this topic. Talk about planning baby shower and art projects if interested.
 * Staff Notes: **

** SESSION 8: 30-36 Weeks **
Breastfeeding - how to Preparation of Siblings Post-partum Depression Discuss Group B Strep testing
 * Themes: **

Themes/Questions list SAS: Family Support and Decisions (CHI-7) Breastfeeding basic how (KO) Sibling prep (original) Post-partum depression (KO) GBS testing (KO)
 * Pages: **

Look at what appointments are needed between sessions, and after the series is over and schedule them.
 * Staff Notes: **

** SESSION 9: 32-38 Weeks **
Baby Care •danger sign recognition •safe sleep position •safe bathing, safe feeding, accident prevention, safe discipline, child abuse prevention, circumcision
 * Themes: **

Themes/Questions list SAS: Program eval, (CHI 6&10) Postnatal: When to call the Doctor (Danger sign recognition) (KO) Basic precautions safe baby care (original) Putting to sleep (KO) Bathing (KO)
 * Pages: **

Collect patient program eval. and keep in folder for group. Look at what appointments are needed between sessions, and after the series is over and schedule them. Birth stories if there are any. Discuss ending the group, follow-up plans, distributing current phone list.
 * Staff Notes: **

** SESSION 10: 34-40 Weeks **
Baby massage Colic Baby games Ending group / thinking of future
 * Themes: **

Themes/Questions list SAS: Personal Eval (CHI 8, 9 and 10) Baby massage (crecebebe.com) Colic (KO) Baby games (cosasdelinfancia.com)
 * Pages: **

Birth stories if there are any. Discuss ending the group, follow-up plans, distributing current phone list.
 * Staff Notes: **

**SPECIAL PACKETS**
Planning a baby shower Page on options for gifts Page on options food Page on options games
 * PLANNED SPECIAL PACKET ON BABY SHOWER **

Cover: Art Projects for Prenatal Groups Page on clay items Page on plaster casts Page on baby slings Page on Collages
 * PLANNED SPECIAL PACKET ON ART PROJECTS **

Natasha’s meditations Joanna’s meditations Arturo’s meditations Gina McCarthy’s meditations Nancy Bardake’s meditations African song for child meditation
 * PLANNED SPECIAL PACKET ON MEDITATION: **

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