Valerie Gommon Midwife’s Blog

Archive for the ‘TENS’ Category

Introduction to Homoeopathy – Ursula Kraus-Harper

Thursday 17th June 8 – 9.30 pm

Talk at NCT event Medbourne Community Sports Pavilion, Pascale Drive, Medbourne

Milton Keynes Antenatal Exhibition

Sunday 20th June,

2-4.30 pm FREE entry,

Christ the Cornerstone Church, CMK opp M&S bit.ly/dBsLmL 300 Saxon Gate West, Central Milton Keynes, MK9 2ES.

FREE entry, refreshment and goody bags. An opportunity for expectant parents to gather information on all aspects of pregnancy, birth and early parenting. Exhibitors include: midwives, breastfeeding, waterbirth, cloth nappies, complementary therapies, ultrasound scan, baby massage, aquanatal and much more!

Please contact me info@3shiresmidwife.co.uk for more details.

Prior to labour:

Inflate pool, test for filling and ensure tap connectors are correct

Early labour:

  • Have pool up and perhaps begin to fill
  • Have calm, relaxing music
  • Lots of positive encouragement for your partner
  • Does she want any light food
  • Encourage drinking regularly
  • Encourage her to pass urine every hour or two
  • Does she want to use the birth ball
  • Does she need to rest
  • Does she want the TENS machine
  • How about a bath/shower

Also remember to eat and drink yourself!

Help by breathing together through contractions – have eye contact

Offer massage, back, tummy, hands and arms, neck, head

Remind your partner that the baby is coming, that this is all normal and positive!  Babies usually take their time!

Antenatal notes

Any medication you are currently taking

Lots to do:

books, cards, games, music etc

Money for telephone/parking/television

IPod/CDs

Snacks to eat/drink (you and partner)

Bath towel and toiletries, flannels

Cotton nightie/t-shirt

Slippers and dressing gown

TENS

Camera, batteries

Glucose tablets/Cold spray

Massage oil/lip salve for dry lips

Socks

Disposable pants

Bra/Nursing Bra/Breast Pads

Sanitary Towels – plenty of thick maternity pads

Light day wear

Tissues

Pen

Baby

Nappies (6 – 8 a day)

Vests

Babygro/sleepsuits

Hat

Scratch mittens

Cotton wool

Cardigan

Shawl/blanket for going home

Hospitals usually supply sheets, wraps, blankets, towels and bowls for washing baby during your stay in hospital.

I was delighted to read Ulrika Jonnson’s article in today’s Daily Mail about Stress Incontinence.  How brave of this woman to admit something that most of us keep secret, Ulrika will have helped thousands of women with the public admission of her problem.  www.dailymail.co.uk/health/article-1160211/Ulrika-reveals-embarrassing-health-secret-TV-presenter-breaks-secret-taboo-incontinence-affects-millions-women.html

Stress incontinence is a large problem affecting 1:4 (or maybe even 1:3) women at some stage in their lives.

Urinary incontinence can be broken down into “frequency” (often associated with infection), “urgency” (usually caused by nerve pathway damage), “overflow” (when the bladder is atonic and has lost the ability to empty correctly) and “stress”.

Stress incontinence occurs when the intra-abdominal pressure rises abruptly when under stress, (e.g. coughing, laughing, sneezing).  Urine loss is likely to be small in volume, however it is not unknown for the stress to act as a “trigger” causing a complete void (perhaps when suffering from mixed “urge” and “stress” incontinence).

There are various theories and several predisposing factors to stress incontinence, these include the ageing process, denervation during childbirth, multiple pregnancy, multiparity, large babies, obesity, chronic cough, intra-abdominal mass (e.g. fibroids/tumour) and constipation.

Many women manage the problem day-to-day basis with the use of panty liners and by doing pelvic-floor exercises, but in many cases it can be treated, so speak to your GP about it or contact your local continence clinic – you can contact many of these clinics directly for a consultation www.bladderandbowelfoundation. org/continence-clinic-directory –  more than 70 per cent of cases can be helped, so it is very important to overcome your inhibitions and ask for help!  www.continence-foundation.org.uk is another really useful site.

Pelvic Floor Exercises

The first-line treatment for stress incontience is to do Pelvic Floor Exercises.  The muscles are in the bottom of the pelvis and form a sling that supports your pelvic organs (bladder, uterus and bowel) and are a vital part in preventing bladder and bowel incontinence. They also play a part in sexual function and are important during pregnancy and childbirth.

It is important to make sure that you are using the right group of muscles and contracting them in the right way. It helps to be lying down or sitting forward when you first try to do the exercises and you need to breathe normally.

Imagine that you are trying to stop yourself passing urine and at the same time trying to stop yourself passing wind. The muscles should feel as though they ‘lift and squeeze’ at the same time. The buttock and thigh muscles should remain relaxed but a gentle tightening in the lower part of your tummy muscles is quite normal.

You should try to do your pelvic-floor exercises at least three times a day. Most women aim for ten long squeezes followed by ten short squeezes. It can take three to five months before you notice an improvement.

Tighten pelvic-floor muscles and hold for several seconds and then relax for the same length of time. Repeat until muscles feel tired.

Tighten your pelvic-floor muscles for a second and then relax. Repeat until muscles feel tired.

One of the best booklets I have come across is “Fit for Motherhood” produced by the Association of Chartered Physiotherapists in Women’s Health www.acpwh.org.uk/docs/FitforMotherhood.pdf

There are also devices that can be bought to help you, for example www.tenscare.co.uk/index.php?action=products&product=75 or vaginal weights www.aquaflexvaginalweights.com however I really do encourage you to pluck up the courage and speak to your midwife or doctor first and ask for a referral to a physiotherapist.


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