Down’s syndrome is an abnormality that affects a baby very soon after conception. Affected children have a characteristic appearance: a flatter than usual face, slanting eyes, snub nose and a large and protruding tongue. They may suffer from heart disease. The degree of learning disability varies enormously. All children with the syndrome are mentally and physically affected, but most will learn to speak and many can read and write. Down’s children are usually loving and affectionate.
The risk of having a child who is affected rises sharply according to the age of the mother.
Many maternity units and health center run classes for expectant parents. They may be called antenatal classes or parent craft classes. These classes are free and usually taken by midwives and health visitors with perhaps one class including a contribution from a hospital doctor, probably about pain relief, caesarean section or special care facilities for babies who are sick or premature.
The major non-NHS classes are run by the National Childbirth Trust, with courses taken by their own specially trained teachers in most areas of the UK. There is usually a charge for NCT classes, although in some areas subsidized places are available for those who cannot afford to pay
NCT classes are often less formal than NHS ones, with teachers concerned to encourage class members to support each other and to use the class as a safe, welcoming environment in which to explore feelings and fears, as well as a forum for information giving. NHS classes vary enormously – some are excellent, others patchy – but there is usually not the same emphasis on group support NHS classes usually offer you the opportunity to visit the labor ward and the special care baby unit (although you can always ask to do this if you intend to have your baby in hospital, even if you do not attend the classes).
A typical course of antenatal classes consists of between seven and ten two-hour sessions and you can expect to start going when you are around seven months pregnant. Good classes cover:
* what to expect during labor and birth and afterward, with time for questions and discussion so that you go into the birth confident that you are making the right decisions for you
* you may be shown a video of childbirth
* options in pain relief
* relaxation techniques to help with pain in labor exercises to keep fit and to help in labor
* advice on caring for your baby
* advice on looking after yourself after the birth.
If you know other women with children, ask them which classes they found most useful, You may also he influenced by the timing and location of classes. Some classes are primarily, for couples, others for women only. You can of course go to more than one set of classes (particularly if you have not been working locally) can be a good place to meet other mothers-to-be with whom you can perhaps stay in touch after your baby’s birth.
Ask your community or hospital midwife about the availability of classes; in some cases you may have to book in advance.
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