Congratulations
You’re Having a Baby
Welcome to St. Luke’s,
where we deliver a third of all babies
born in Idaho. That’s a lot of babies,
a lot of experience, and a lot of joy!
While your baby’s arrival may seem a long way off, we encourage you to begin
preparing physically and emotionally for your pregnancy and delivery. Taking care
of yourself is the most important thing you can do to ensure a healthy, happy start for
your baby. See your doctor as scheduled, eat right, exercise, and take advantage of
the many classes and educational opportunities St. Luke’s offers. We’re available to
answer your pregnancy and health questions. Just call us at the numbers listed on
the inside front cover of this folder.
Congratulations on your little miracle, and our very best wishes for a bright beginning!
1 • WELCOME
Table of Contents
Prenatal Care
3
Nutrition for You Both
4
Concerns During Pregnancy
5
Your 1st Trimester
7
Your 2nd Trimester
9
Your 3rd Trimester
11
Planning for Your Baby’s Arrival
13
Choosing Your Baby’s Doctor
13
Classes and Resources
14
Purchasing A Car Seat
14
Breast, Bottle... or Both
15
Preparing for Birth
17
Managing Pain
17
Cesarean Birth
17
Create a Birth Plan
17
Labor Begins
19
When to Go to the Hospital
20
Packing List: Your Hospital Bag
20
At the Hospital: Welcome to St. Luke’s
21
Maps
22
The Process of Childbirth
23
Going Home
26
Postpartum Depression
26
More on Breastfeeding
27
Birth Preparation Classes
29
TABLE OF CONTENTS • 2
Prenatal Care
The average pregnancy lasts 40 weeks, and you will have at least 10 prenatal visits during your
pregnancy. Every visit with your healthcare provider is important. Take advantage of this time to ask
questions and discuss any concerns you may have.
Did you know?
• Only about 5% of babies
are born on their exact
due date. Usually they
arrive within 2 weeks
before or after the
expected date.
• You need at least 64
ounces of water every
day during pregnancy.
• The average woman
gains 25-35 pounds
during pregnancy.
• A woman who is pregnant
for the first time typically
notices fetal movement at
18-22 weeks. A secondtime mom, recognizing
that light flutter, will tend
to notice movement as
early as 16 weeks.
Prenatal Tests
Your caregiver may recommend the following tests during the course of your
pregnancy. If you have questions about any of these tests, ask your doctor or
go to stlukesonline.org/health.
1st TRIMESTER
• Blood tests to identify your blood type and RH factor and check for anemia
and other conditions
• HIV screening for the human immunodeficiency virus (which can cause AIDS)
• Urine test to determine levels of sugar and protein and detect any infections
• Hepatitis B screening
• Pap test to check for cervical cancer
• Ultrasound and blood test for certain fetal conditions
2nd TRIMESTER
• Urine test to determine levels of sugar and protein and detect any infections
• Ultrasound to determine your baby’s growth and development
• Alpha fetal protein (an optional test to screen for genetic problems and neural tube
defects such as spina bifida) and other blood tests, at 15-20 weeks
• Glucose screening at 26-28 weeks
• Amniocentesis (an optional test that involves removal of a small amount of amniotic
fluid that can give clues about your baby’s health), if indicated by age or risks
3rd TRIMESTER
• Group B strep test
• Depending on your medical history, your doctor may also recommend other tests
Group B Strep Test
A SIMPLE TEST TO PROTECT YOUR BABY’S HEALTH
Group B streptococcus (group B strep) is a type of bacteria that is the most common cause of life-threatening
infections in newborns. It’s a frequent cause of newborn pneumonia and is more common than other problems such
as spina bifida and heart conditions.
We recommended all pregnant women be tested for group B strep at 35-37 weeks. If you test positive, you will
receive antibiotics during labor to help destroy some of the strep bacteria that are dangerous to the baby during birth.
In addition, if you have had a baby with group B strep disease in the past, or now have a bladder or urinary tract
infection caused by group B strep, you should receive antibiotics during labor.
3 • PRENATAL CARE
Nutrition for You Both
Eating nutritious foods is important for your health, and your baby’s
health. Eat a well-balanced diet, and avoid alcohol and caffeine.
The number of servings you should eat daily from each food group
depends on the number of calories you require. Ask your doctor
about how many calories you need. Don’t forget to take your prenatal
vitamins as prescribed, and never take any medications, including
over-the-counter drugs and supplements, unless under the guidance
of your doctor.
Exercise
Depending on your level of fitness, moderate exercise is healthy for you
and your baby. Regular exercise helps you feel well during pregnancy;
the goal isn’t to lose weight, but to feel fit and well. Before beginning
any exercise regimen, talk to your healthcare provider, and always stop
exercising if you become overheated or experience symptoms such as
bleeding, abdominal cramping, pubic pain, back pain, rapid heartbeat, or
any sharp or unusual pain. Start out slowly and base your progression on
your exercise intensity before you became pregnant.
St. Luke’s offers Prenatal Yoga and Prenatal Water Aerobics classes to
support your health during pregnancy and provide an opportunity to
meet other expectant moms. For information on these and our other
pregnancy-related classes, or to register, call (208) 381-9000 or go to
stlukesonline.org and click on “Classes & Events.”
Fruits
Vegetables
Dairy
Grains
Protein
Grains
Eat at least 6 ounces of grains every
day, such as rice, oatmeal, bread,
cereal, pasta, or crackers, and
make sure at least half of them are
whole grains.
Vegetables
Vary your veggies and eat more of
the dark green and orange, such as
spinach, lettuce, kale, and carrots.
Fruits
Eat a variety of fruit: fresh, frozen, or
dried. Go easy on fruit juices.
Milk
Get your calcium from fat-free dairy as
well as green, leafy vegetables.
Meat and Beans
Go with a variety of lean protein,
especially beans, fish, and lean meats.
Bake, broil, or grill.
Fats
Get healthy fat from nuts, avocados,
fish, and olive oil. Limit or avoid butter,
lard, and trans fats.
Learn more at choosemyplate.gov
PRENATAL CARE • 4
Other Concerns During Pregnancy
Pregnancy
and Work
Sharing the News
with Young Children
Have your thoughts prepared before
telling your employer and coworkers
you’re pregnant. Consider these
suggestions:
If you have a young child, you
may want to consider these points
before telling him or her about your
pregnancy:
• Your health and your baby’s health
are your most important concerns.
Announce the news when you’re
ready, but particularly early on if you
work around chemicals or other
conditions that may pose health
hazards. Determine how your work
conditions can be modified for a
healthier pregnancy environment.
• Consider waiting until at least the
2nd trimester to share the news.
Nine months is often too long a
time for a child to understand or
anticipate.
• Know your rights. Under the Family
and Medical Leave law, you can take
up to 12 weeks of unpaid maternity
leave if your company has at least 50
employees, you’ve been there for a
year, and you work at least 25 hours
a week.
• Find out what specific maternity
leave benefits your company offers.
If medical disability benefits are
provided, you’re entitled to them.
• Ask other mothers in your
organization how the policy worked
for them.
• Write down your plans. Determine
the amount of maternity leave you’ll
need and when and how (i.e., full- or
part-time) you’ll return to work.
• If you have a lot of responsibility in
your job, delegate important tasks
and projects to a person you trust
while you’re gone. Discuss this with
your employer ahead of time.
5 • CONCERNS DURING PREGNANCY
• Recognize that your child may not
share your excitement, and that
feelings of jealousy are normal.
Dedicating time with your child
before and after the baby arrives
will help him or her adjust to the
transition.
• Refer to the baby as “ours” rather
than “mine.”
• Decide when and if it would be
appropriate to involve your child in
the delivery. Get input from your
healthcare provider.
• Connect the due date to an event
that your child can understand such
as “before summer vacation” or
“after your birthday.”
• When the new baby arrives, give
a special gift to your older child to
celebrate his or her new role as big
brother or big sister.
St. Luke’s Sibling
Preparation Class
St. Luke’s offers “Sibling Preparation,” a class
where children ages 3-8 prepare for the new
family member by discussing their feelings
concerning the baby’s arrival, practicing
diapering, and sharing ideas about how
they can be helpful as a big brother or
sister. Age-appropriate discussion of
birth and demonstration with a birthing
doll is included. At least one parent
is required to attend. Childcare is not
provided; please make arrangements for
children not registered for the class.
Cost: $12.50 for a family.
For more information or to register,
go to stlukesonline.org or
call (208) 381-9000.
Are You Being
Abused?
Domestic violence often begins or
escalates during pregnancy. According
to the Centers for Disease Control,
1 in 6 abused women reports that
her partner first abused her during
pregnancy, and at least 4-8% of
pregnant women report suffering abuse
during pregnancy.
It isn’t easy to admit or realize the
person you love or once loved is an
abuser. And you may be afraid he’ll hurt
you more. But if you’re being abused
physically or verbally, there is now a
second victim—your baby.
Help is immediately available for both
of you, whether you’re looking for
someone to talk with or are ready to
immediately leave your abuser. Call
the Women’s and Children’s Alliance
(WCA) in Boise at (208) 343-7025 for a
friendly voice, counseling, help leaving,
or temporary housing. In an emergency,
please call 911 immediately.
High-risk Pregnancy
A high-risk pregnancy can include a wide range of issues such as
multiple births, diabetes, premature labor, and genetic concerns. At
St. Luke’s, your high-risk team will be with you every step of the way,
providing expert care and constant monitoring, easing your anxiety, and
supporting you and your family.
Our board certified Maternal Fetal Medicine specialists are highly skilled
and experienced in the medical, genetic, surgical, and obstetrical
complications that can occur during pregnancy, and our Children’s
Hospital NICU is the largest and most experienced in the state. In
addition, our genetic counselors are trained and experienced in
addressing the complex educational and emotional needs of families
facing a high-risk pregnancy.
At St. Luke’s Boise, our Antepartum Care Unit is a comfortable and
cheerful home away from home for expectant mothers with high-risk
pregnancies who require days, weeks, or even months of bed rest. We
never lose sight of this important fact: Every day we help a woman hold
onto her pregnancy may save her baby three days in the NICU.
Abuse may be present
if your partner:
• Loses his temper frequently or easily.
• Uses alcohol or drugs excessively.
• Displays an unusual amount of
jealousy toward significant others in
your life.
• Monopolizes your free time.
• Insists you keep him informed about
your whereabouts.
• Has a sense of overkill in his cruelty
and kindness.
• Expresses anger in a way that causes
you to feel fearful, or if you constantly
try to keep him from becoming angry.
• Has rigid ideas of behavior based on
male or female stereotypes.
• Has physical/psychological abuse
present in his family history.
Grandparents need to be ready, too.
Sign your parents up for Yesterday’s Parents – Today’s Babies, a
fun and informative class that teaches grandparents the latest and
greatest information about today’s babies. Topics include current
sleep practices, immunizations, car seat safety, and more, as well
as the changing role of grandparents. Cost: $20 (up to two people).
For more information or to register, go to stlukesonline.org
or call (208) 381-9000.
CONCERNS DURING PREGNANCY • 6
Weeks 1-12
YOUR 1st TRIMESTER
Your 1st trimester is an exciting time filled with anticipation and
emotional and physical changes. It’s amazing to realize that
during these first 3 months a human being is growing inside
you, becoming more like a little boy or girl with each day.
7 Weeks
By week 7, your baby weighs
½-ounce and is ½-inch
long—about the size of
a blueberry.
Your Changing Body
As Your Baby Grows
During the 1st trimester, you will
experience many physical changes
that may include:
It can be difficult to picture this little
life growing inside you. But your baby
is going through some very real and
exciting changes:
• Fatigue
• Bloating
• Breast tenderness
• Nausea and/or mild vomiting
• Feelings of lightheadedness
or dizziness
• Mild headaches
• Excessive saliva
• Aversion to or preference for
certain foods
7 • YOUR 1ST TRIMESTER
•By the end of 4 weeks, your baby
is a tiny, tadpole-shaped embryo,
smaller than a grain of rice.
• By the end of 8 weeks, your baby
is a little over 1 inch long and has
a beating heart. Arms, legs, fingers,
and toes are beginning to form.
• By 12 weeks, this tiny fetus is
2½-3 inches long. More organs
are developing, circulatory and
urinary systems are working, and
reproductive organs are formed,
although it’s unlikely you’ll be able
to determine your baby’s gender at
this point.
To do:
• Learn about your daily food
needs, as well as foods
to avoid.
• Develop an exercise program
with your doctor’s help, such
as St. Luke’s prenatal water
aerobics class.
• Begin to read about
pregnancy, birth, and
parenthood.
• If you smoke, quit now.
Morning Sickness
Nausea and vomiting are common during pregnancy, especially in
the first trimester. Talk to your doctor about ways to alleviate these
problems. In the meantime, try these suggestions:
• Eat a balanced diet. Eat often and in small portions.
• Eating dry toast or crackers may make you feel better.
• Drink plenty of water. You need the extra fluids, especially if you’re
losing them through vomiting.
YOUR 1ST TRIMESTER • 8
Weeks 13-27
YOUR 2nd TRIMESTER
Many women enjoy this trimester most. Your energy is likely to pick
up, morning sickness is apt to subside, and the exciting reality of
your pregnancy is starting to show. While you may feel healthy and
energetic, don’t overlook your prenatal visits. They’re important for
managing your care and charting your progress.
17 Weeks
By week 17, your baby weighs about
5 ounces and is about 5 inches long—
about the size of a baked potato.
As Your Baby Grows
This is a time of rapid growth and
development for your baby, and
you may begin to feel him move.
Your baby is going through physical
changes that include:
• Developing reflexes, such as sucking
and swallowing.
• Hardening bones; fingers, toes,
eyelids, mouth, nose, and ears
have formed.
Your Changing Body
Kegel Exercises
• Your baby can yawn, stretch, and
make facial expressions. He may
even get the hiccups.
During the 2nd trimester, normal
physical changes may include:
• Backache
Kegel exercises are an important part of
maintaining urinary health and bladder
control during and after pregnancy.
Kegels strengthen pelvic floor muscles to
help with your recovery after the baby is
born. Follow these steps:
• Organs are formed; external genital
organs have developed enough
that gender can be detected by
ultrasound.
• Your baby can hear sounds outside.
Talk to him, and sing to him! If a
loud sound is made next to you,
your baby will likely raise his hands
and cover his ears. He may even
move to the music he hears.
• By the 6th month, babies experience
rapid eye movement (REM) sleep—
your unborn child may be
dreaming now.
9 • YOUR 2ND TRIMESTER
• Vaginal discharge
• Nose bleeds
• Stuffy nose
• Morning sickness and fatigue may
subside
• Enlarged breasts
• Changing body chemistry, including
bleeding gums and a sensitivity to
odors
• Excessive saliva
•Firmly tense the muscles around your
vagina and anus (as you would to keep
from passing gas).
•Hold for as long as you can (working
up to 10 seconds).
•Then slowly release and relax.
•Kegels can be done standing, sitting,
or lying down, and should be done
throughout your pregnancy and lifetime
to maintain pelvic floor strength.
To do:
• Schedule childbirth classes.
• Take a tour of St. Luke’s
maternity areas.
• Start preparing the nursery.
Clothing for Comfort
• Purchase a car safety seat.
By now, you may find that your regular
clothes are too snug. While maternity
clothes are often a matter of style, they
are also important for your comfort. Follow
these tips for a more comfortable and
healthy pregnancy:
• Maintain or continue an
exercise program.
• Visit your dentist for teeth
cleaning and a check-up.
• Determine costs for delivery
and what your insurance
will cover. St. Luke’s has a
“Financial planning for your
baby’s delivery” fact sheet
to help answer commonly
asked questions.
To sign up for a class,
find dates and times
of our birth tours,
or get a copy of our
financial planning
fact sheet, go to
stlukesonline.org
or call (208) 381-9000.
•A good rule of thumb is if you wore
a medium before, you’ll likely wear a
maternity medium now.
•Wear flat shoes with good support. Go
to a larger or wider size shoe, if your
feet grow.
•When it comes to purses, travel light.
Lugging around a heavy purse can
cause back and shoulder strain.
•Invest in new lingerie: nursing bras to fit
your larger breast size and to wear after
delivery, and cotton underpants (lighter
and healthier).
•Avoid unyielding waistbands or other
constrictive clothing.
YOUR 2ND TRIMESTER • 10
Weeks 28-40
YOUR 3rd TRIMESTER
These are the final exciting days before your baby is born! Many
women experience increased creativity and sensitivity during the
3rd trimester. You may also have difficulty sleeping as your body
continues to change. When you do sleep, you may experience
vivid dreams.
30 Weeks
By the end of this week, your baby
is about 15-16 inches long and
weighs almost 3 pounds—about the
size of a large cabbage.
Your Changing Body
As Your Baby Grows
As your body prepares for delivery,
normal changes in the final weeks
include:
In the final weeks before delivery:
• Braxton-Hicks contractions
• Baby may be less active than
previously, because she’s confined
and has less room to move, but is still
moving throughout the day.
• Backache
• Constipation
• Varicose veins
• Enlargement of breasts and leaking
of colostrum (a milky white liquid)
• Leg cramps
• Slight swelling of hands and feet
• Baby usually is in the head down
position, ready for birth.
• Your baby has received antibodies
from you to protect her from illness.
• Your baby is sensitive to light, sounds,
and temperature changes and may be
sucking her thumb.
• Stretch marks
• Itchy abdomen
Try HypnoBirthing
®
This technique is based on the belief that babies should enter the
world in an atmosphere of gentleness, calm, and joy. The 5-week class
includes education about the birthing process, deep relaxation, imagery,
birthing options, and more. Even if you require medical assistance or
cesarean birth, these skills will help you achieve a fulfilling and joyful
experience.
11 • YOUR 3RD TRIMESTER
Move Comfortably
Your last trimester can be the most
uncomfortable. Walking, climbing
stairs, and sitting for long hours can
be particularly difficult. Following these
guidelines may help:
• Wear flat or low-heeled shoes. Avoid
clogs and other open-heeled shoes.
• Avoid lifting more than 5-10 pounds.
• Avoid bending from the waist to
retrieve things.
• Drink plenty of liquids.
• Pack a variety of raw fruits and
veggies to help satisfy the munchies
in a healthy way.
To do:
• Choose a healthcare provider for your baby, either a pediatrician
or a family medicine doctor, and schedule an appointment to get
acquainted. Make sure he or she is taking new patients and can
see your baby at the hospital where you are delivering.
• Take regular breaks.
• Don’t try to do everything yourself.
Accept offers to help carry heavy or
bulky objects, or for support on a
stressful day.
• Create a birth plan.
• Pack for the hospital.
• Decide whether you will breastfeed or bottle-feed.
• Finish childbirth and parenting classes; attend
“Baby Care Basics” class.
• Register your young children for “Sibling Preparation” class.
• If you’ll be returning to work or want extra help after the baby
arrives, make decisions now about childcare.
• Purchase a child passenger safety seat (car seat), and schedule
an appointment for a free car seat check.
• Relax in a warm bath, take a walk, or listen to your favorite music!
To find a doctor, sign up for a class, or schedule
a car seat check, go to stlukesonline.org or call
(208) 381-9000.
YOUR 3RD TRIMESTER • 12
Planning For Your Baby’s Arrival
Planning for Your Baby’s Arrival
CHOOSING YOUR BABY’S DOCTOR
When choosing a doctor, look for a pediatrician or family medicine physician who is compatible with your personality
and lifestyle, and is conveniently located near your home or childcare facility. Ask your family, friends, or doctor for
recommendations.
You might meet with one or more doctors before your baby is born to help you make your decision, or you might not meet
your doctor until you bring your baby in for the first visit. Either way, it’s a good idea to bring along a list of questions. If there
are issues you feel strongly about such as returning to work, breastfeeding, antibiotics, immunizations, circumcision,
or nutrition, mention them. Most importantly, you should feel your child’s doctor is someone you can talk with and trust.
Follow your instincts about whether this is the right healthcare provider for your child.
If you need help finding a doctor for your baby, call (208) 381-9000 or go to stlukesonline.org.
Questions to Ask Your Baby’s Doctor
• What is your expertise in children’s healthcare?
• What are your office hours?
• What is your philosophy about breastfeeding?
• Do you offer extended hours to accommodate
working parents?
• Where will you see my baby?
• With which hospital(s) are you affiliated?
• Are there other providers in your practice?
• If you are unavailable, who will answer
my questions?
• How could I reach you after hours or
in an emergency?
13 • PLANNING FOR YOUR BABY’S ARRIVAL
• How are insurance claims handled? How is
billing handled?
• Can I schedule routine visits and immunizations
in advance?
• What reading materials do you recommend
for parenting?
Planning Ahead
• Buy baby-care products now:
diapers, bath items, cotton swabs,
digital thermometer, KY Jelly or other
water-soluble lubricant, etc.
• If you plan to send birth
announcements, purchase them now
and address the envelopes. This
way, after your baby is born, all you’ll
have to do is fill in the blanks inside.
• Make plans for a relative or friend to
help out, especially if you have other
children at home. Before asking,
be sure you’re comfortable having
guests in your home.
Purchasing
a Car Seat
If you haven’t already, now is the
time to purchase a child passenger
safety seat (car seat) for your baby.
The choices are many, so be sure
the seat you choose is appropriate
for your child’s weight and age, and
that it’s properly installed. Research
shows 90% percent of car seats are
improperly installed.
St. Luke’s offers free car seat checks
to help ensure your baby’s safety
while in the car. Our certified car seat
technicians will evaluate your car seat
for proper installation and answer
your questions.
For dates and times, go to
stlukesonline.org or call
(208) 381-9000.
Classes and Resources
to Help You Prepare
Health information at stlukesonline.org
• Find out about our services for women and children
• Check out our health library to learn all about your pregnancy,
from prenatal care to the birthing process, fetal development,
appropriate exercise, and much more.
Classes and support groups
• Register and learn more at stlukesonline.org or call
(208) 381-9000. And see page 29 of this guide.
Find a doctor for you or your child
• Go to stlukesonline.org or call (208) 381-9000.
Recommended Classes
During Pregnancy
St. Luke’s offers a wide range of classes to
help you before, during, and after the birth
of your baby. From Prenatal Yoga to CPR
for Families and Friends, from Hypnobirthing
to Sibling Preparation, you’ll find everything
you need to makes sure you and your family
are well-prepared for the big event. Read all
about it on page 29 of this guide.
Did you know?
New baby items are generally required to meet federal
safety standards. Look for the Juvenile Products
Manufacturers Association seal on strollers, play pens,
cribs, and other baby items.
PLANNING FOR YOUR BABY’S ARRIVAL • 14
Breast, Bottle...or Both?
Now is the time to develop a plan for feeding your baby. The American Academy of Pediatrics
recommends breast milk as the best possible food for your baby during the first year of life, and studies
continue to find strong links between breastfeeding and infant health. Beyond the health benefits, many
breastfeeding moms say the bonding they experience with their child is the single greatest benefit.
Your caregivers at St. Luke’s understand that some women may not be able to breastfeed, or may
choose not to breastfeed, for a variety of reasons. But we encourage you to try breastfeeding with an
open mind to give your baby a strong start in life. And our certified lactation consultants will be by your
side to guide and support you through any challenges you may experience.
We Want You to Succeed.
Breastfeeding is natural, but it is not automatic. Like any worthwhile endeavor, it takes practice. The first few weeks
can be the most challenging, and St. Luke’s is committed to helping you and your baby get off to a good start.
• Our certified lactation (breastfeeding) specialists are available to help you with your individual needs or to
give you private assistance. They can be reached in Boise at (208) 381-2592 and in Meridian at (208) 706-3119.
• We offer two classes you can take before delivery, “Breastfeeding: Plan for Success” and “Breastfeeding
Multiples.” To register, or for more information, go to stlukesonline.org or call (208) 381-9000.
• St. Luke’s also hosts the “Breastfeeding Bunch,” a weekly support group where nursing moms can share
experiences in quiet, comfortable surroundings. The Breastfeeding Bunch meets in Boise and Meridian. For times
and locations, go to stlukesonline.org or call (208) 381-9000.
15 • BREAST, BOTTLE... OR BOTH
Breastfeeding Benefits
The Bottle and Formula
• Breast milk is the best food for your
baby; it has all the nutrients your
baby needs.
Even if you plan to exclusively breastfeed, introducing a bottle is
• Babies are rarely allergic to their
mother’s milk.
with your baby.
• Antibodies from your milk offer
protection while your baby builds
up his own immunity, helping prevent
ear infections, viruses, and other
problems.
than others to switch from bottle to breast. It’s best to introduce a
• Breastfeeding may help to develop
your baby’s intellect. Studies show
breastfed babies may have a
higher IQ.
• Breast milk is always ready and
requires no special
preparation.
• Breastfeeding, placing
baby on his back to
sleep, and not smoking
around baby, reduce
the risk of sudden infant
death syndrome
(SIDS).
• Breastfeeding lowers
baby’s risk for
asthma, colic,
Crohn’s disease,
juvenile diabetes,
and ear infections.
• Breastfeeding may
help some women
lose weight.
• Breastfeeding
saves money.
• Breastfeeding
may lower some
women’s risk
of breast
cancer.
a good idea, just to give yourself a break once in awhile. Bottlefeeding will also allow other loved ones the opportunity to bond
Babies have the remarkable ability to adapt. Some will find it easier
bottle after 3-4 weeks or when you feel breastfeeding is going well
and you have a good milk supply. After 3 months, your child will
more likely resist a new approach. Pumped or expressed milk is
recommended for bottle-feedings.
If you choose to supplement breast milk with formula, or use
formula exclusively, iron-fortified formula based on cow’s milk is
closest to breast milk. Federal regulations require that all formulas
meet minimum standards. Your healthcare provider can help you
choose the most appropriate formula for your baby.
Did you know?
Breastfeeding should not be
painful; however, some women,
especially those with sensitive
nipples, may experience some
discomfort in the first few weeks.
Pain usually indicates something
is wrong; it could mean an
infection, or that your baby is
latched incorrectly. If the pain
is severe or continues,
talk to your healthcare
provider immediately,
or call St. Luke’s
lactation specialists.
BREAST, BOTTLE... OR BOTH • 16
Preparing for Birth
Managing Pain
Cesarean Birth
Every labor is different. Some women
feel very uncomfortable during
labor, while others may experience
discomfort for only some parts of labor.
It’s important to make an informed
decision regarding pain management,
and this decision is personal, based on
your needs.
A cesarean birth, commonly called
a “C-section,” is the delivery of an
infant through a surgical incision in
the mother’s abdomen and uterus.
Some C-sections are planned, such as
when a known problem or risk factor
makes vaginal birth unsafe. However,
even in a normal pregnancy, there is
the possibility that a C-section may be
necessary. An unplanned C-section
may be performed after slow, difficult
labor; when the fetus or mother
shows signs of distress; or when
labor complications develop, such as
umbilical cord or placenta problems.
There are many ways to manage
pain during labor, such as relaxation
techniques, massage, labor balls, and
Jacuzzi tubs, which are available in
St. Luke’s labor rooms. Several drug
options are also available, including
narcotics such as Stadol and regional
epidural anesthesia.
Talk with your doctor about options.
No matter your choice of pain
management, your nurse will carefully
assess and monitor your status and
your baby’s, and the anesthesia care
team is available, if needed.
Many infants benefit from surgical
rather than vaginal delivery. But
mothers who deliver by cesarean have
a higher risk of complications and a
longer recovery period than with a
routine vaginal birth.
If your doctor has determined you are
a candidate for planned C-section,
you may be interested in taking St.
Luke’s cesarean birth class. If you are
expecting to have a normal vaginal
delivery, our childbirth preparation
class will provide the information
you need, including the topic of
an unplanned C-section. For more
information about cesarean
birth, ask your doctor or visit
stlukesonline.org/health.
Create a Birth Plan
Every birth is unique, yet the priorities
are the same: your comfort and the
safety of you and your baby. By
making a birth plan, you provide your
doctor, caregivers, and birth partner
with your desires during this special
time. Consider these when preparing
your birth plan:
• Who do I want with me during
delivery (spouse, partner, family
member, friend)?
• Do I have/want a labor partner or
doula? (A doula is a non-medical
person who provides personal,
individualized support and education
during and after pregnancy.)
• Do I want a natural childbirth?
• What are my options for pain relief,
such as an epidural?
• How will I prepare for delivery;
for example, will I take childbirth
classes?
• After delivery, do I want my baby in
the room with me the whole time
or will I allow the baby to go to the
nursery when I need to rest?
• Will I breastfeed, and do I want the
help of a lactation consultant?
More information about birth plans is
available at stlukesonline.org.
17 • PREPARING FOR BIRTH
Sample Birth Plan
The following are my wishes for my upcoming birth experience at St. Luke’s. I would prefer to have a more
natural childbirth and would like to have my nurse support me with this goal. I understand that I will need to
be flexible in my wishes if something unexpected happens.
BEFORE DELIVERY, I WOULD:
• Prefer no routine IV.
• Like to eat light snacks.
• Like to walk and find positions that are comfortable for me.
• Prefer to help my labor along with natural methods such as pressure points, using IV Pitocin or
artificial rupture of the membranes only as a last resort.
• Like to avoid using pain medication and an epidural.
• Like to use oil and warm compresses in the vaginal area before birth, to avoid the need for an episiotomy.
• Prefer to give birth in the position I find most comfortable (on my side, squatting, on my hands and knees).
• Like my labor partner to cut the umbilical cord.
AFTER DELIVERY, I WOULD:
• Prefer to have my baby warmed by “skin-to-skin” contact with me.
• Like to breastfeed as soon as possible.
• Like bonding time with my baby before the eye ointment is given.
• Prefer that I and/or my labor partner be present at my baby’s first bath and other routine newborn care.
PREPARING FOR BIRTH • 18
Labor Begins
The exciting final days before your baby is born may also seem the longest. Not only are you experiencing
the discomforts of late pregnancy, you are on constant alert for signs of labor and anxious for the arrival of
your baby. It may be hard to imagine, but soon pregnancy will be a distant memory, and you’ll be holding
a sweet little bundle in your arms, the baby that you have so carefully nurtured throughout your pregnancy.
Signs of Labor
• Cramps that feel like a period
• Cramps with or without diarrhea
• Low, dull backache below the waistline
• The feeling that the baby is pushing down hard
• Clear, pink, or brownish water leaking from the vagina
• Contractions every 10 minutes, or 5 contractions in an hour
If you have signs of labor before the 37th week of pregnancy,
you may be experiencing preterm labor. Many women with no risk
factors experience preterm labor, but there is a higher risk
for women who:
• Have had little or no prenatal care
• Have already had a preterm baby
• Are younger than 17 or older than 35
• Are carrying twins or any multiple pregnancy
• Engage in strenuous activity at work
19 • LABOR BEGINS
When to Go to the Hospital
Especially if you’re a first-time mom, you may wonder how you’ll know when to go to the hospital. If you have
any of the following signs of labor, call your doctor or go to St. Luke’s Labor and Delivery and we will call your
doctor for you when you arrive.
• If your water breaks or you think it has broken (do not wait at home for contractions)
• If you’re having contractions that are strong, regular, as close as 5 minutes apart, and have lasted more
than 2 hours
• If you’re bleeding and there is enough blood to remind you of a menstrual period
If you have concerns, or if you have questions about whether or not you are in labor, call St. Luke’s Labor and
Delivery triage to speak with a caring nurse. We’re here to help you, any time of the day or night.
St. Luke’s Labor and Delivery Triage
Boise: (208) 381-2652 • Meridian: (208) 706-3115
Packing List:
Your Hospital Bag
• Items to help with relaxation
• An object to serve as a focal point
• Snacks for your partner
• Comfort items for delivery, such as a special
pillow or blanket
• Nightgown and robe
• Slippers with a non-skid sole
• Toothbrush, toothpaste, and other toiletries
• Relaxing music/CD player/iPod docking station
• Comfortable going-home clothes for you and baby
• Baby book (baby’s foot prints can be made right on
the pages at the hospital)
• Camera, video camera, batteries
• Sleepwear for your partner
LABOR BEGINS • 20
At the Hospital
Welcome to St. Luke’s
Whether you’ll be delivering in Boise or Meridian, we’re pleased and honored that you’ve chosen
to make us a part of this very special event. We love welcoming new babies into the world, and we
understand how important a safe and comfortable birthing experience is to you.
So from the time you arrive at
St. Luke’s in labor, through the
powerfully emotional moment of
delivery, and as you rest and recover
with your beautiful new gift, we’ll take
the best care of you, your baby, and
your family.
Make arrangements in advance to
have your support person or other
trusted family member or friend
drive you to the hospital. When you
arrive, park in the designated area
(see maps and directions on the
next page) and proceed to Labor
and Delivery triage, where you will be
assessed and admitted when you are
in labor. For safety reasons, only one
visitor is allowed in the triage room.
Waiting rooms with special areas for
children are available. If you plan to
bring children to the hospital, arrange
to have them supervised at all times
by a caring adult other than you or
your support person. Please do not
leave children unattended in the
play area.
21 • AT THE HOSPITAL
Your Labor and
Delivery Room
Photography
and Videotaping
At St. Luke’s, you and your family are
surrounded in comfort and care. Our
birthing suites are designed so you
can labor, deliver, and recover in one
comfortable room. You’ll appreciate
our extra special touches:
With permission of your doctor and
nurse, taking pictures or videotaping
the labor, and the baby after delivery,
are allowed. Disposable cameras and
batteries are available in the gift shop
and from vending machines in the
Labor and Delivery unit…just in case
you leave yours at home.
• Beautiful private birthing rooms
• Soothing whirlpool tub
•B
irthing ball and other equipment to
help with labor
•O
versized easy chair that reclines
to a bed, or built-in seating that
converts to a bed for your partner
or family member
•A
ll the technology to ensure a safe
delivery available in your room, kept
in closets and cupboards
until needed
After sharing some special time with
your new baby in the birthing suite,
you’ll be comfortably settled into
your own family-centered room in the
Mother-Baby Care unit.
Patient Privacy
To protect your family’s privacy, and
in keeping with federal privacy laws,
nurses cannot give out information on
laboring mothers over the telephone.
Please designate a family member
to update other family and friends on
your progress.
BOISE
MERIDIAN
EMERGENCY
St. Luke’s
Meridian
Medical
Center
HOSPITAL
ENTRANCE
Outpatient
Services,
MSTI and
Physician
Offices
Parking:
Parking:
St. Luke’s Boise Medical Center is located
at 190 E. Bannock Street, at the corner of
Bannock Street and Broadway Avenue in
downtown Boise. Convenient parking is
located directly across Bannock Street from
the hospital’s main entrance. Employees at
the Information Station in the parking lot are
available to assist you. Walking is encouraged
for moms in labor, but wheelchair assistance
is available.
St. Luke’s Meridian Medical Center is located
at 520 S. Eagle Road, on the north side of the
interstate at Eagle Road and I-84. Park on the
back (east) side of the hospital. Designated
parking spaces are available for expectant
parents.
Parking is also available in the South Tower
parking garage. There are 2 entrances to the
garage: off Idaho Street, just west of 1st Street;
and off Bannock Street, just west of 1st Street.
Entrance:
Entrance:
Enter through the main entrance on the east
side of the hospital. After 9:30 p.m., please
enter through the Emergency Department. Take
the elevator to the 3rd floor and check in at the
reception area. You will be escorted to a private
room where a nurse will carefully monitor your
condition before admitting you to a labor room.
Enter through the main doors. After 9 p.m.,
please use the Emergency Department entrance.
Take the elevators to the 2nd floor and follow the
signs to Labor and Delivery. You will be greeted
and escorted to a private observation (triage)
area where your condition will be
carefully monitored.
MAPS • 22
The Process of Childbirth
Every birth is unique, and although you can’t plan or control everything that may happen during
your labor and delivery, understanding the process and taking practical steps to prepare will go a
long way toward easing any anxiety you may have.
During the labor process, your body goes through a series of contractions of increasing
frequency, duration, and intensity to efface (thin) and dilate (open) your cervix and to move the
baby into and through the birth canal for delivery. Labor is divided into two phases: early (latent)
labor and active labor. In the final stage, shortly after delivery, the placenta separates from the wall
of the uterus and is expelled.
Early Labor
umbilical cord
uterine wall
pubic bone
vagina
amniotic sac
(bag of water)
cervix
tailbone
Diagram A: Effacement and Dilation of the Cervix
Before labor
Early effacement
23 • THE PROCESS OF CHILDBIRTH
Beginning dilation
Complete dilation
Early labor consists of mild to
moderate, irregular contractions that
start the process of effacement and
dilation of the cervix. Early labor may
last 2-3 days, especially during firsttime labor, and less for those who
have given birth before. Early labor
contractions lead to active labor.
If you have signs of labor before
the 37th week of pregnancy, you
may be experiencing preterm
labor. Go to St. Luke’s Labor and
Delivery triage for assessment.
cervix
completely
dilated
Dilation: Head descends further into
the birth canal. Mom is pushing with
each contraction.
Pushing: Baby continues through the
birth canal. Head rotates.
Delivery: Head emerges. Rotation of
shoulders. Body emerges.
Active Labor
Pushing
Delivery of the Baby
As you begin active labor, contractions
become stronger and more regular. If
you feel you are in active labor, go to
St. Luke’s Labor and Delivery triage.
Once you are fully effaced and dilated,
pushing begins. This stage, called
advanced or transitional labor, is the
most demanding and exhausting.
Contractions become strong and
intense, 2-3 minutes apart and 60-90
seconds long. This can take from a
few minutes to several hours, and may
be the stage of labor where you feel
overwhelmed.
Once the baby’s head enters the birth
canal and crowns (head first becomes
visible), it’s time to push your baby
out. You will have an overwhelming
urge to deliver the baby. This may
feel like the need to push out a bowel
movement. Once the baby’s head and
shoulders are out, the rest of delivery
should proceed quickly.
During the first part of active labor,
contractions are mild to moderately
strong, may range from 5-20 minutes
apart and last for 30-45 seconds.
Contractions may not be consistent
and may not be noticed at all. You
may have menstrual-like cramps,
indigestion, diarrhea, a bloody,
mucousy discharge, and a sensation
of warmth in the abdomen. Your bag
of water may rupture, but this can
occur at any time during labor. The
baby’s head begins to settle into the
pelvis. To allow the baby’s head to
fit through the narrowest diameter of
mom’s pelvis, the head usually turns
slightly during labor.
As contractions become stronger,
longer, and more frequent (usually
3-4 minutes apart and lasting 40-60
seconds), each contraction has a
peak and there is less time to rest
between contractions. You may
experience increasing backache, pain,
leg discomfort, and fatigue. This stage
is more intense, but usually shorter
than the first. The efforts of the uterus
are more concentrated, accomplishing
more in less time.
Did you know?
At the time of birth, a
baby’s head is too large to
be accommodated by the
mother’s birth canal. Nature
has provided for this by
allowing the infant’s head to
temporarily reshape itself.
This molding process is what
often causes the infant’s
head to take on an oddshaped appearance. It returns
to normal within a few days
after birth.
Delivery of the
Placenta
After the baby is born, you will
continue having contractions to expel
the placenta.
After Delivery
After delivery, the uterus continues
to contract and shrink for several
days. You may experience some mild
discomfort or “after pains” as the
uterus contracts and shrinks.
You will experience a vaginal flow
called lochia. This bloody discharge is
similar to your menstrual period and
may stop before your postpartum
exam. It’s perfectly normal and part of
the recovery process.
THE PROCESS OF CHILDBIRTH • 24
Newborn Intensive
Care Unit (NICU)
St. Luke’s Children’s Hospital, located
within our Boise Medical Center, is
home to Idaho’s largest and most
experienced level III Newborn Intensive
Care unit (NICU). Our highly trained
team of neonatologists, neonatal
nurse practitioners, nurses, respiratory
therapists, pharmacists, and other
specialists are skilled in caring for
these very special babies.
Cesarean Birth
Our state-of-the-art C-section rooms
and staff are always prepared,
whether a C-section is planned or
an emergency. Unless mom requires
general anesthesia, one support
person is allowed in the C-section
room. Photography and videotaping
are not allowed.
After delivery, the support person
will accompany the new baby to the
recovery room, where mom will join
them minutes later. As the conditions
of mom and baby permit, everyone
will stay in the recovery room until
they can be transported to the
Mother-Baby Care unit.
Mother Baby
Care Unit
The Mother-Baby Care unit was
created with your family in mind.
Sleep chairs, built-in benches, or
cots are available for visitors and
overnight stays. And our nurses are
always nearby to answer questions or
help with breastfeeding. If you need
special assistance with breastfeeding,
our certified lactation consultants are
also available.
25 • THE PROCESS OF CHILDBIRTH
You can keep your baby with you in
your room during your stay. Any time
you need to rest or take a shower,
you can ask that your baby be cared
for in our safe and secure newborn
nursery, where our staff specializes in
professional and tender loving care.
Your Baby’s Safety
When it comes to your baby’s safety
and security, you’ll have peace
of mind with our “Guardian Bear”
program. All St. Luke’s Mother-Baby
Care staff members wear a special
Guardian Bear identification badge.
Don’t let your baby go with ANYONE
who is not wearing this special
badge. Never leave your baby alone
in your hospital room at any time. Ask
your nurse to take your baby to the
nursery when you shower or use the
bathroom.
The nursery is a secure environment.
Only mom and one other person
of your choice are allowed into the
nursery—and both must be wearing a
special “Buddy Band” wristband.
St. Luke’s Children’s NICU has
24-hour, onsite neonatologist
coverage. When a baby needs
immediate care, a doctor is always
on hand to provide expert medical
treatment.
At St. Luke’s Meridian, newborns in
need of extra medical attention are
cared for in our level II NICU, where
a neonatologist is onsite eight hours
a day, and on call 24/7. If a higher
level of care is needed, babies are
transferred to our Boise NICU.
Going Home
Your doctor will let you know when it’s okay
to go home. Let your nurse know what time
you’d like to leave, so your paperwork can
be prepared ahead of time. To ensure your
safety, you and your baby will be transported
by wheelchair to your car.
Parenting is wonderful—and life-changing.
We want you to go home with the resources
you need to make the transition as smooth
as possible. St. Luke’s is pleased to provide
you with Baby’s First Months, a booklet that
covers baby care basics, feeding, signs of
illness, and safety, as well as postpartum
care for mom. You’ll receive this booklet at
the hospital to take home with you.
You’ll also receive a DVD copy of
The Happiest Baby on the Block, an
extraordinary approach to keeping baby
happy. Learn step-by-step how to help
baby sleep better and how to soothe and
calm your baby.
Baby Blues or Postpartum Depression?
Many new mothers (about 7 out of 10) experience the baby blues—feeling overwhelmed by the
responsibilities and sleepless nights that come with having a baby. These feelings generally last for
a short period of time and resolve without treatment.
However, loss of appetite, feelings of sadness, angry outbursts, and emotional detachment from
your child are symptoms that should not be ignored. If these feelings prevent you from caring for
your baby, functioning normally, or if they last for more than 2 weeks, you may be experiencing
postpartum depression (PPD). PPD is very common, affecting 1 in 8 women during the first months
after childbirth. It’s more than just an emotion—PPD is a treatable disorder caused by dramatic
hormonal changes and the adjustments to becoming a mother.
If you feel depressed or have other signs of postpartum depression, or if others are
concerned about how you are doing, talk to your doctor or call St. Luke’s New Parent Line
at (208) 706-5770 to get the support and help you need.
GOING HOME • 26
A Mother’s Health and Diet:
EFFECTS ON BREAST MILK
Diet
Many women neglect to eat well during the first exhausting and exciting months of motherhood. But eating nutritious
foods, drinking enough fluids, and getting enough rest are important to maintaining your milk supply. So make an
effort to eat plenty of fruits and vegetables, whole-grain bread and cereals, and calcium-rich and protein-rich foods
such as fish, beans, and dairy.
Even if your diet isn’t completely balanced, your baby is getting everything he needs from your breast milk. It’s
nature’s remarkable way of ensuring your milk contains all the nutrients and calories your baby needs. If you don’t
eat well, you often suffer the most. You need to replace the extra calories your body uses up through nursing and
receive the extra energy that a healthy diet provides.
It’s usually not necessary to avoid spicy or strong-flavored foods; there’s little evidence that they carry through to
breast milk. Talk to your child’s doctor before foregoing critical foods such as vegetables or dairy products to help
you determine whether a true allergy is the cause of your baby’s fussiness.
Alcohol and Caffeine
The American Academy of Pediatrics recommends avoiding the use of alcohol while breastfeeding. Alcohol is
absorbed in your breast milk and can be passed to your baby. Consuming alcohol of any kind may decrease
the amount of milk your baby drinks, and can change the taste of your milk, which may taste bad to your baby.
Plus, there are concerns about long-term, repeated exposures of infants to alcohol via breast milk. And keep in
mind that drinking alcohol can affect you and your ability to care for your child.
Large amounts of caffeine can affect your milk production and can make your baby irritable. One or two cups of
coffee a day should not affect your baby, but if your baby is having trouble sleeping or appears fidgety, avoid
caffeine. If you have questions about alcohol or caffeine, talk to your doctor or your baby’s doctor.
Illness
If you are ill, it’s best to continue nursing if you are able. Your breast milk provides the antibodies that help protect
your baby from getting sick. And nursing through minor illness is important if you wish to maintain your milk flow.
Talk to your doctor before taking any medications while breastfeeding.
27 • MORE ON BREASTFEEDING
Is My Baby Getting
Enough Milk?
Your body produces milk based on
supply and demand. The more your
baby nurses, the more milk you
produce. In the beginning, it’s not
unusual for a newborn to nurse every
1-3 hours. While this may exhaust
you, your baby is not starving. She’s
just doing her part to encourage
lactation flow. The good news is that
in time your supply will match your
baby’s demand. On average, infants
nurse about 8-10 times in 24 hours,
but don’t be surprised if your baby
nurses more often than that or at
irregular times (more often during the
day, for example, and maybe just
once at night).
You can tell if your baby’s getting
enough to eat if she has at least 6 wet
diapers and several bowel movements
a day. At about 2 weeks, your baby
will have a growth spurt, and she
will want to eat more frequently or
“constantly.” The growth spurt will last
1-2 days. Your baby’s stomach will
grow, so she can be fed more, but
less often. Rest assured, your baby
won’t eat every hour for the rest of
her life!
Breast Pumping
There will be times when you’ll need to
be away or when you’ll want to allow
others to feed your baby. Whether
you need to be away from your baby
occasionally or more regularly due
to work, school, or other outside
commitments, you can continue to
breastfeed.
•C
hoose an effective breast pump
and learn how to express milk.
•B
egin storing breast milk in your
freezer.
•F
ind a childcare provider who
will support you in continuing to
breastfeed.
•A
rrange and plan for a time and
place for nursing your baby and/or
expressing milk at work or school.
Breastfeeding in
Public Places
Breastfeeding is a natural way to
nourish your baby, and nursing
mothers can breastfeed any time
and place they feel it is appropriate.
These tips may make you feel more
comfortable when nursing in public:
•W
ear a loose-fitting blouse or top
that pulls up from the bottom.
•B
ring a shawl or blanket to throw
over your shoulder and loosely cover
your nursing baby.
• Wear a nursing bra.
•L
ook for a bench, restroom lobby,
or quiet area to give you and your
baby some privacy.
•H
elp your baby adjust to taking a
bottle/cup from his caregiver while
you are away.
More information is on the way!
We hope you have enjoyed reading Healthy Pregnancy, Healthy You. You can also
look forward to receiving additional information about caring for your newborn and
growing child. Healthy Pregnancy, Healthy You is a publication of St. Luke’s. If
you have questions, would like more information for yourself or a friend, or would
prefer not to receive future information, please call (208) 381-9000.
At least 2-5 bowel movements every
day indicate a baby younger than 6
weeks is receiving enough breast milk.
After 8-12 weeks, a baby may not
have bowel movements every day. As
long as your baby is breastfeeding,
her stool will be loose, unformed, and
“seedy” in appearance. Your baby’s
doctor will monitor her growth and
development—be sure to discuss any
feeding questions or concerns.
MORE ON BREASTFEEDING • 28
Birth Preparation Classes
The more you know what to
expect, the better prepared
you’ll be for labor, delivery,
and taking care of your new
baby. Take advantage of
our many classes led by
experienced teachers who
truly care about you and your
family. We encourage you
to plan ahead and sign up
early—classes fill up fast.
Recommended
Classes per Trimester
First Trimester
(Up to 14 weeks)
Couples Yoga for Childbirth
CPR for Family and Friends
Prenatal Water Aerobics
Prenatal Yoga
St. Luke’s Labor and Delivery Tour
Second Trimester
(13 to 24 weeks)
Baby Care Basics
Breastfeeding Multiples
Third Trimester (25 to 40 weeks)
Baby Care Basics
Preparation*
Birthing Nature’s Way
Intuitive Birth
Breastfeeding: Plan for Success
Prenatal Water Aerobics
Childbirth Preparation*
Prenatal Yoga
Intuitive Birth
Childbirth Review: The Next Time*
Sibling Preparation
Marvelous Multiples
Couples Yoga for Childbirth
St. Luke’s Labor and Delivery Tour
Prenatal Water Aerobics
The Happiest Baby on the Block
Prenatal Yoga
HypnoBirthing Complete Natural Childbirth
Yesterday’s Parents – Today’s Babies
(for grandparents)
St. Luke’s Labor and Delivery Tour
* Please register for this class during your second trimester.
Couples Yoga for Childbirth
CPR for Family and Friends
HypnoBirthing Complete Natural Childbirth
Preparation*
®
29 • BIRTH PREPARATION CLASSES
®
Prenatal Exercise Classes
Note: Physician permission required for participation in all exercise classes.
Couples Yoga for Childbirth
CPR For Friends and Family
Prenatal Water Aerobics
Gentle yoga postures (movement), breath-work,
visualization, and other comfort measures and
labor support techniques. Specific methods of
pain relief and ways to increase the relaxation
response. No yoga experience necessary. This
two-hour Saturday class is open to expectant
couples and/or their labor companion. Cost:
$20 per couple.
The class teaches performing CPR, using an
AED, choking, and how to assess and call
911. This class does not meet OSHA standards
or child care licensing requirements.
Cost:
$10 per person.
A comfortable, relaxing, low-impact way to
strengthen stomach muscles, condition heart
and lungs, and improve flexibility and overall
health. Cost: $30/month
Prenatal Yoga
A variety of stretching and toning exercises to
increase energy, relieve tension and stress, and
promote deep relaxation. Cost: $30/month
Birth Preparation Classes
Baby Care Basics
Learn the “how-tos” of caring for your newborn,
including comforting, feeding, bathing, cord
care, sleeping habits, safety issues, and the
parent’s changing world. Spouse, partner,
or support person is encouraged to attend.
Category B Child Development credit available.
Cost: $10
Birthing Nature’s Way
Assists couples in holistically experiencing and
immersing themselves in the joys of childbirth
without pain medication. Topics include creating
a calming and peaceful birth environment within
the hospital; crafting/formulating a birth plan;
and practicing and internalizing a variety of
comfort measures, birth positions, breathing
techniques, and relaxation methods for birthing
your baby. Cost: $60
Breastfeeding Multiples
Breastfeeding information and support for
families expecting twins, triplets, or more. Topics
include physical and emotional preparation,
getting started, common problems and
solutions, family adjustments, and nutrition.
Spouse, partner, or support person is
encouraged to attend. Cost: $10
Breastfeeding: Plan for Success
Physical and emotional preparation, getting
started, common problems and solutions, family
adjustments, and nutrition. Spouse, partner, or
support person is encouraged to attend.
Cost: $10
Childbirth Preparation
Prepare for the birth of your new baby through
a variety of coaching, breathing, and relaxation
techniques. Topics include the birth process,
pain management of labor, decision-making,
unplanned cesarean birth, and transition to
parenthood. Spouse, partner, or support person
is encouraged to attend. Cost: $60
Childbirth Review:
The Next Time
Designed for women who have studied a
prepared childbirth method within the last
five years. Overview of childbirth preparation,
including a discussion on sibling adjustment.
Spouse, partner, or support person is
encouraged to attend. Childcare is not provided.
Cost: $15
The Happiest Baby
on the Block
Learn an extraordinary approach to keeping
baby happy, including a step-by-step approach
to helping baby sleep better, and how to soothe
even the fussiest baby. For expectant parents
or parents of infants up to four months old.
Category B Child Development credit available.
Cost: $15 (babies are welcome)
HypnoBirthing Complete
Natural Childbirth Preparation
®
Techniques that enable a woman to work with
the natural rhythms of her body, facilitating
a more comfortable birthing experience and
minimizing the need for interventions. Whether
a woman is planning a natural birth or if she
chooses an epidural, HypnoBirthing is an
effective method to prepare physically and
emotionally for birth. Cost: $125 with a 50%
deposit at time of registration.
Marvelous Multiples
Addresses the special physical, emotional,
and social needs of those expecting multiples.
Includes information about pregnancy and
self-help techniques during labor to enhance
comfort. Provides a realistic look at home life
to help parents prepare for the challenges
ahead. Spouse, partner, or support person is
encouraged to attend. Cost: $45
Sibling Preparation
Children ages 3-8 prepare for the new family
member by discussing their feelings concerning
the baby’s arrival, practicing diapering, and
sharing ideas about how they can be helpful
as a big brother or sister. Age-appropriate
discussion and demonstration with a birthing
doll. Cost: $12.50 per family.
No additional cost
for multiple children in attendance but each child
needs to be enrolled individually.
Yesterday’s Parents Today’s Babies
“Babies haven’t changed, but what we know
about them has.”
This fun and informative class
teaches grandparents the latest and greatest
information about today’s babies. Topics include
current sleep practices, immunizations, car
seat safety, and breastfeeding. The class also
includes discussion on postpartum depression,
communication, boundaries, and the changing
role of grandparents. Cost: $20
Intuitive Birth
Learn traditional labor support techniques as
well as a comprehensive approach to reducing
the effects of stress and creating a deep
sense of peace in order to provide an optimal
growing environment for your baby. A thorough
awareness of the role of hormones during
labor and how to best support the physiologic
hormonal cascade will be emphasized in this
mindfulness-based childbirth education class.
Cost: $60
For more information
or to register, visit
stlukesonline.org or
call (208) 381-9000
BIRTH PREPARATION CLASSES • 30
More parents trust St. Luke’s with
the care of those they love most.
We honor that trust every day by providing:
OUR CHILDBIRTH PROGRAM: A full range of expert care, preparation, and education for parents—before,
during, and after delivery.
IDAHO’S ONLY CHILDREN’S HOSPITAL: Where we believe all children should have access to high quality
healthcare, regardless of their condition or their family’s ability to pay.
NEWBORN INTENSIVE CARE UNITS: Including the state’s largest and most experienced NICU at
St. Luke’s Children’s.
MATERNAL FETAL MEDICINE: Idaho’s most experienced team of physicians and genetic counselors specializing in
high-risk pregnancies.
ANTEPARTUM CARE UNIT: High quality care for expectant mothers with high-risk pregnancies who require bed rest.
MATERNAL-CHILD TRANSPORT: Safe and rapid transport by air and ground ambulance for expectant mothers,
newborns, and children throughout the region.
31 • TRUST IN ST. LUKE’S