NICE | The National Institute for Health and Care Excellence



Appendix 2?Title of lessonWeek 1Introduction to a healthy lifestyleAim of session:?Facilitate group learning and interactionTo explore the benefits of a healthy diet in pregnancy and beyondTo discuss an ideal weight gain in pregnancy, and how it can be achievedTo acknowledge extra risks with a raised BMI and why extra scans and appointments may be necessaryTimeContentsMethodResources1200 to 1230??1230 to 1300?1300 to 1400AdministrationSafety questions asked and advise givenAerobicsWhat food is not recommended in pregnancyWhat food is recommended in pregnancy5 portions of fruit and veg, 1 portion of fish a week, Iodine is important in Dairy and seafoodNot eating for 2Eat well plateHydrationIdeal weight gain in pregnancyExtra risks exploredPre-eclampsiaGestational diabetesHealthy start?schemeVitamin D and folic acidCompletion of formsAdvised??Group participationInformation givingRCOG 2006 exercise guidelinesNICE Antenatal care for uncomplicated pregnancies CG62 March 2008 and 2016Obesity prevention CG43 December 2006 and March 2015Maternal and child nutrition ph11 March 2008Weight management before, during and after pregnancy ph27 july 2010Maternal and child nutrition QS 98 july 2015 CMACE and RCOG 2010RCOG why your weight mattersNHS choices overweight and pregnancy leafletsSlimming worldHealthy startBooks recommended:The pregnancy bookBirth to 5Websites recommendedEat well website?Title of lessonWeek 2PhysiotherapyAim of session:To explore the benefits exerciseTo empower women to make choices about activity in pregnancyTo inform women about why we test urine and BP in pregnancyTo highlight the importance of core exercises, pelvic floor exercises and good postureFacilitate group learning and interactionTimeContentMethodResources1200 to 1230??1230 to 13151315 to 1400How to test own urine??AerobicsPhysical activity in pregnancyBack care in pregnancyPelvic Girdle painPelvic floor exerciseAbdominal exercisesSteps to healthAvoiding constipationOnly go to toilet when bladder is fullPelvic tiltTummy tighteningSitting wellGetting in and out of a chairfootwearAudience participation??? ?Group participationFlip chartInstructionsUrine dipsticksLeafletAPEC why blood pressure and urine are tested in pregnancySteps to healthRCOG 2006NICE Antenatal care for uncomplicated pregnancies CG62 March 2008 and 2016Obesity prevention CG43 December 2006 and March 2015Maternal and child nutrition ph11 March 2008Weight management before, during and after pregnancy ph27 july 2010Maternal and child nutrition QS 98 july 2015 CMACE and RCOG 2010????Title of lessonWeek 3Yoga and relaxationAim of session:Facilitate group learning and interactionTo explore ways of preparing for birthTo empower women to take control of their own health through pregnancyConsider writing a birth planTo experience a yoga classTimeContentMethodResources1200 to 1245??? ?? ?? ?? ??1245 to 1400Preparation for?labourWhat happens in?labourFetal monitoringPositions in labourRaspberry leaf teaArnicaAromatherapyPelvic floor exercisesPerineal?massageRelaxation and posture in pregnancyYoga ClassAudience participation??? ?Group participationFlip chartFlip chart paperBallsNHS choices websiteExpectancy .co.ukCMACE and RCOG 2010Yoga teacherBlankets and yoga matsNICE Antenatal care for uncomplicated pregnancies CG62 March 2008 and 2016??Title of lessonWeek 4Small steps big changesAim of session:Facilitate group learning and interactionTo facilitate individual reflectionTo explore the benefits of a healthy lifestyle in pregnancy and beyondTo empower women to take control of their own healthIdentification of support available for people wanting to make lifestyle changesTimeContentMethodResources1200 to 1230??1230 to 1300??1300 to 1400Barriers to making healthier life style choicesAerobics?Positive steps to making a healthier lifestyle choice?Local support availableSugar in foodPortion sizesSetting small goalsGroup participation??Group participationFlip chart5 A’s behaviour change model?Currie 2015NICE Behaviour change general approaches ph6 2007Behaviour change individual approaches public health guideline January 2014 ph49Obesity prevention cg43 december 2006 and march 2015?? ?????????Title of lessonWeek 5LabourAim of session:Facilitate group learning and interactionTo explore ways of coping in labourTo empower women to take control of their birthTo explore benefits of active birthTimeContentMethodResources1200 to 1230??? ?? ?????1230 to 1315?1315 to 1400Latent stageFood for thought in labour (latent and active labour)Coping with painFears about labourExplore place of birth?AerobicsHypnobirthingGroup participation??? ?? ?Group participationFlip chartBirthing balls?NHS choices websiteCMACE and RCOG 2010NICE Antenatal care for uncomplicated pregnancies CG62 March 2008 and 2016Hypnobirthing?teacherLampBlankets????Title of lessonWeek 6Active familyAim of session:Facilitate group learning and interactionTo explore the benefits of a healthy lifestyle in pregnancy and beyondTo involve the whole family in exerciseTimeContentMethodResources1200 to 1230??1230 to 1300??? ?1300 to 1315??1315 to 1400Parents and children playChange4lifeDance and games for mums with childrenWalk for mums without childrenSnack and story?Bathing babyWhat happens when baby comes home?What babies can doAlternative contentDialing 999Putting mummy into recovery positionBasic first aid Group participation??? ?? ?Group participation??? ?demonstrationFit4life leafletsPhysical activity guidelinesBeaming Stars?Topsy?and Tim book?NICE Antenatal care for uncomplicated pregnancies CG62 March 2008 and 2016Obesity prevention CG43 December 2006 and March 2015Maternal and child nutrition ph11 March 2008Weight management before, during and after pregnancy ph27 july 2010Maternal and child nutrition QS 98 july 2015 CMACE and RCOG 2010RCOG why your weight mattersNHS choices overweight and pregnancy leafletsSlimming worldHealthy startBooks recommended:The pregnancy bookBirth to 5Websites recommendedEat well websiteBath, doll, nappy, cotton wool?Title of lessonWeek 7Infant feeding information for pregnant women with a BMI> 30Aim of session:The importance of keeping baby close and skin to skinThe importance of developing a close and loving relationship with baby, in utero and from birth, for brain development and sound attachmentRecognise evidence for importance of breast feedingTo enable participants to understand the principles and importance of effective positioning and attachmentDescribe signs of when a baby needs to feed, and when baby has had enoughTo explain how to hand expressTimeContentMethodResources1200 to 1230??? ?1230 to 1300??? 1300 to 1400Views on feeding exploredAdvantages and disadvantagesclocks?Aerobicsskin to skinHow a baby breast feedsPrinciples of positioning and attachment and hand expressResponsive feedingBed sharingGroup participation??? ?? ?? ?? ?Group participationFlip chart?ClockUNICEF BFI standardsCMACE and RCOG 2010?NICE Antenatal care for uncomplicated pregnancies CG62 March 2008 and 2016Obesity prevention CG43 December 2006 and March 2015Maternal and child nutrition ph11 March 2008Weight management before, during and after pregnancy ph27 july 2010Maternal and child nutrition QS 98 july 2015 CMACE and RCOG 2010RCOG why your weight mattersNHS choices overweight and pregnancy leafletsSlimming worldHealthy startBooks recommended:The pregnancy bookBirth to 5Websites recommendedEat well websiteOff to the best start leafletKnitted breastFormula milk to tryStraws and cupsBreast feeding café information?Title of lessonWeek 8Beyond pregnancy Aim of session:The importance of developing a close and loving relationship with baby, in utero and from birth, for brain development and sound attachmentTo understand a healthy diet for babyTo discuss ways of staying active when baby is born and role of children’s centresTo explore active play with babyTimeContentMethodResources1200 to 1230????1230 to 1315??1315 to 1400Explore parenting rolesWhat to buyImportance of budgeting?Co sleepingAerobicsDiscuss baby’s nutritional needsDiscuss ways of being active with babyPostnatal depressionNo sleepWalking groupsGroup participationProblem solving??? ?Group participationFlip chartProblem solving“Words”Healthy lives 2010NICE Antenatal care for uncomplicated pregnancies CG62 March 2008 and 2016Obesity prevention CG43 December 2006 and March 2015Maternal and child nutrition ph11 March 2008Weight management before, during and after pregnancy ph27 july 2010Maternal and child nutrition QS 98 july 2015 Antenatal and postnatal mental health clinical management and service guidance CG192 December 2014 band june 2015Community engagement improving health and well being and reducing inequalities NG44 march 2016Obesity prevention CG43 December 2006 and march 2015CMACE and RCOG 2010RCOG why your weight mattersNHS choices overweight and pregnancy leafletsSlimming worldHealthy startBooks recommended:The pregnancy bookBirth to 5Websites recommendedEat well websiteBaby weaning leafletHealth visitors from HENRY projectChildren’s?Centre informationWebsites Best BeginningsLullaby trustTommysService user feedback:“I attended your class on Tuesday and as usual found it very helpful and inspiring.”“I would like to thank you for all your effort yesterday. I attended your class and I enjoyed it very much.”“I feel so much better this morning my husband can see a change in my mood. My body feels better after a bit of exercise and I'm looking forward to this journey now.”“With your class I feel I have the tools and the support to make the best of this special time.” ?“Extremely beneficial having access to midwives. Peace of mind having regular checks. Nice to meet other pregnant women. Lots of useful information for first time mothers.”“Very informative and useful information”“I enjoyed every class I attended.”“This class is very informative and very friendly. I have been attending since half way through my pregnancy and continue to come. The exercise is perfect and the way that the class is run is just so lovely and easy to attend.”“Classes were fantastic, knowledgeable and open to discussion for concerns and advice”.“Enjoyed the community spirit and engaging with others going through same experience.” “I started coming to active mothers class from the very beginning of my pregnancy and I have found it so much help, support and guidance since it is my first pregnancy with a high BMI.”“It has been refreshing to attend the sessions, to actually talk, discuss and learn instead of reading everything.”It is a fantastic way to engage with mums to be and to have such wonderful support and advice.”“learning about new food to eat and helping me exercise more.”“Classes are helpful to personal circumstances” It is a refreshing class, each week is different but informative on different pregnancy related issues. You learn so much and the friendly teachers are eager to help and answer questions ................
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