Initial Prenatal Interview Connect – Evaluate – Inspire

Kaisa Tuominen & Jenny Burrell

You are more important than you think!

YOU will be the one person interested in her pregnancy that a mom has contact with every week!

She will see you more often than her midwife/Obgyn.

You have an amazing opportunity to educate, empower and make a difference in the health and quality of life for this mom, her baby and her family and ultimately the society and the world.

Your work changes the world.

• A large age fork from early twenties to mid forties

• Various family structures (single, gay, older kids, with extended family or without, etc.)

• Working? SAHM? Owns a business?

• Stress levels? Sleep?

• A lot of variety in health status and pregnancy ailments/pain

• A lot of variety in current activities and previous experience with exercise

• Fertility issues? Previous losses?

• Previous births? Recovery after birth?

• What kind of birth does she desire? Where? Is she undecided? Does she fear birth? How is

birth viewed in her family/circle of influence?

• Economic status?

Modern Pregnant Woman

• Capture emails • Include a video explaining the program and transmitting your

passion • FAQs (include price) • Testimonies • Big button to fill out the application which prescreens for

contraindications

• Connect! • Congratulate • Ask how she is feeling and LISTEN and EMPATHIZE • Give a tip if appropriate • Give praise and hope • Set a time for initial interview/assessment

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• Thank you • Explain how excited you are to coach her on her journey to

motherhood • Include a video welcome/PowerPoint that explains your program • Add value right away • Explain how to prepare for the first session • Send documents to bring with them to the first session (PARQ,

bank details, doctor release, policies & procedures, etc.) • Links to press • Links to your Facebook group • Tell them you add them to the WhatsApp group

Over deliver and make them feel a part of the tribe right away.

Welcome

Email

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Connect

Evaluate – Re screen via PARQ, HHQ, etc.

– Refer? (physio, osteo, psychologist, nutrition, birthing classes, etc.)

– Make notes on any physical symptoms AND emotional signs (fears, stress, etc.)

– Have her explain her goals (again as they should be on the intake form)

– Physical assessments: Body screen, DR?, posture, hypermobility?

– Do some «magic» that Jenny teaches you!

Inspire – Congratulate for getting started on this exciting journey

– Calm down worriers

– Give homework

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Basic Paperwork

• Basic information for data base

• Emergency contact

• Health care provider (other providers)

• Payment info

• How did they find you

• Green notes

Lifestyle:

• What is her typical day like?

• Work

• Nutrition/Meals

• Kids/family (support?)

• Current/previous physical activities

• Pregnancy/baby related activities

• Stress

Birth and babies!

• How is this pregnancy going? How is she feeling?

• When is the guess date?

• How did previous pregnancies go?

• How did previous births go (details)?

• Wishes for this birth?

• Fears? Worries? Issues?

• Maternity leave?

Health conditions/Pregnancy Issues:

Symphysis Pubis Dysfunction Sacrum or Sacroiliac Joint Pain Bleeding

Carpal Tunnel Syndrome Knee pain High/low blood pressure, episodes of

faintness, dizziness or breathlessness,

history of Thrombosis or blood clots

Upper Back/Neck/Shoulder Pain Coccyx Damage or Pain Diastasis

Incontinence Prolapse (Uterine, Bladder, Rectum,

Vaginal)

Breast Feeding, breast surgery

Piles/Haemorrhoids/Varicose

Veins/ Constipation

Thyroid issues Asthma, fibromyalgia,

Gestational Diabetes Policystic Ovaries Anaemia or taking Iron medication

Joint Pain or other structural issue

that can effect exercise

Buttock/Piriformis Pain/Sciatica Smoker or lives with a smoker

Depression Anxiety History of accidents/injuries/surgeries

The Royal College of Obstetricians and Gynecologists

(RCOG) Statement No. 4 – (January 2006)

‘Studies show that in most cases, exercise is safe for both

mother and fetus during pregnancy and the RCOG support

recommendations to initiate or continue exercise in most

pregnancies to derive the health benefits associated with

such activities’.

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• All women should be encouraged to participate in appropriate aerobic and strength-conditioning exercise as part of a healthy lifestyle during their pregnancy – 30 mins most days. Matching the guidelines for normal adults.

• Reasonable goals of aerobic conditioning in pregnancy should be to maintain a good fitness level throughout pregnancy without trying to reach peak fitness level or train for athletic competition.

• Women should choose activities that will minimize the risk of loss of balance and fetal trauma.

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• Women should be advised that adverse pregnancy or neonatal outcomes are not increased for exercising women.

• Initiation of pelvic floor exercises in the immediate postpartum (post natal) period may reduce the risk of future urinary incontinence. • Women should be advised that moderate exercise during lactation does not affect the quality or composition of breast milk or impact on fetal growth.

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• Significant heart disease

• Significant lung disease

• Incompetent cervix

• Multiple gestation at risk of premature labor

• Persistent spotting/bleeding or Placenta Previa

• Premature labor

• Ruptured membranes

• Uncontrolled Diabetes

• Evidence of Intrauterine Growth Restriction

• Pregnancy-induced Hypertension or Pre-Eclampsia

• Uncontrolled Epileptic Fits/Seizures

• Fever

Absolute Contraindications

• Vaginal bleeding/’Spotting’ • Dyspnea (difficult or labored breathing) before

exertion • Dizziness • Headache • Chest Pain • Calf Pain or swelling • Previous preterm labor • Previous decreased fetal movement • ‘Suspected’ Amniotic fluid leakage • Dramatic recent weight gain • Swelling or general noticeable appearance of

puffiness • Itchiness • Noticeable increase in your thirst

Relative Contraindications

· Multiple gestation

· Diabetes

· Anemia

· Thyroid problems

· +3 spontaneous abortions

· Asthma

· Smoker

· Obesity or low body weight

· Premature dilation

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Your role is important!

You have an amazing opportunity to educate, empower and make a difference in the health and quality of life for this mom, her baby and her family and ultimately the society and the world.

Your work changes the world.

Kaisa Tuominen & Jenny Burrell

Kaisa Tuominen & Jenny Burrell