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What would you like to have seen at NCT/Hospital classes.

42 replies

ValiummyMummy · 10/11/2010 22:57

I'm doing some research for a book that I am writing. I went to both NCT (paid for) and local hospital (free) classes, but still feel, in retrospect, that there were things that could or should have been talked about, and subjects that should have been covered in more details, that weren't. If you could do your pre-baby classes again, what would you want to see?
Would you want individual classes, restricted numbers?
Should there have been more 'speakers'? A focus on baby basics?
Were there things that you liked? Would you recommend your classes?

Any feedback you can give me would be much appreciated and comments used will be referenced.
Many thanks.

PS - I am a regular MN user/lurker. Ask any of the antenatal March 2010ers- they'll vouch that I am not a total nutter who i say i am.

OP posts:
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SkyeplusArlo · 10/11/2010 23:27

i would have prefered it if the mw had not said that i was very lucky the 1st time to have a 12hr normal delivery without intervention,and that i probably wouldnt be so lucky again...

Hmm

more focus on baby basics for first timers...and perhaps something on how to cope with a second child,how to involve the older child and make sure they dont become jealous,how to multi task in the early days,or is that going to far?
maybe more about natural birth, im an ina may devotee,and one of my mw's had been to a conference of her's but i didnt learn this until AFTER the birth,nothing at all mentioned in classes...sorry i'm babbling Grin

Siamesecatwoman · 11/11/2010 07:41

Hi valiummy. you are a nutter an excellent maker of cupcakes :)
I went to NCT classes and I feel the emphasis was too much on an ideal birth - water birth , just g&a and out in 6 hours. That none of the five of us in our group had this birth that we had all written down as a birth plan, led to nearly a lynching at the reunion!
I would have liked less emphasis on the ideal birth and more on the reality! I dithered for ages before accepting pethadine and felt a failure for having to go to the consultant led suite from the birth centre for failure to progress. This was a direct result of the NCT classes.
I would want to see more info on coping with new baby, maybe a new mother coming in to talk? And someone to point out this is just the start of the journey, one small peice. I lost sight of the goal, far too tied up in the labour process.
However, I did like the small group size, we are all good friends now.
Good luck V.

BiscuitNibbler · 11/11/2010 08:05

I only attended NHS classes as the local NCT only had daytime sessions available, and I felt woefully under-prepared. Only two two-hour sessions were provided, and a lot of the time was spent on "ice-breaker" activities. The midwife refused to discuss caesareans, and glossed over questions about problems and interventions. At the hospital tour only those booked in for ELCS were shown the theatre, and the rest of us herded upstairs out of the way. I remarked at the time to my husband that I pitied the poor people who ended up having a caesarean with no idea as to what was to come or where they would end up...

Guess who ended up having an EMCS?

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sarah293 · 11/11/2010 08:07

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DuelingFanjo · 11/11/2010 08:13

I would prefer it if men and women were not separated so much, particularly when talking about birth, intervention and breastfeeding. I've not finished my classes yet but am hoping they do something on after the birth and the Husband's/partner's role in keeping people away from the new mum at the hospital and once they are home.

I think also more opportunity to talk about difficulties breastfeeding and how to over-come them.

starfishmummy · 11/11/2010 08:16

DH and I went to nhs one. Mainly about labour/pain relief and a brief session about breast is best. The only bit we get about baby care was a demo of bathing when we did the hospital visit (and only cos one of the mws patients was on the ward). Definitely neended more about looking after a newborn

ValiummyMummy · 11/11/2010 09:00

I was very lucky because I have a background in childcare, so was confident I knew the baby basics, but didn't think much to that element of our NCT classes. It's interesting that most of you agree with that.

OP posts:
Orissiah · 11/11/2010 09:12

More focus on life AFTER birth eg newborn basics, overview of different parenting techniques eg contented little baby/baby whisphere routines, attachment/unconditional parenting etc, baby physical and mental development/milstones first year.

Orissiah · 11/11/2010 09:13

Focus not just on "natural births" and "breast is best" but also on emergency c-sections and formula feeding (including guidelines on how much formula) - in case breast feeding didn't work.

LittlebearH · 11/11/2010 09:20

I would have liked more emphasis on what to do when at home etc. DP kept inviting everyone round so we had so many visitors that it affected breastfeeding. Luckily I managed to re-lactate (had to pay for a consultant) as my milk dried up.
Very little info on BF.

Also what to expect if things dont go to plan. C sections the use of forceps etc.

Sadly I had a horrific ordeal and only recovered 5 months later. DD was fine, it was me that suffered. Very little support from MW or HV.

eldritch · 11/11/2010 09:24

We had a breastfeeding session as part of the NCT course, but it was very theoretical so pretty much useless - all they had were biological diagrams of breasts and baby dolls to practise positioning! (nigh on impossible with a pregnant bump anyway!). What I would have appreciated is to actually see a real baby breastfeeding - maybe not practical/tasteful but I had never seen a breastfeeding baby until I had my son, if I'd known what it was supposed to look like it would have helped me immensely! Once I'd gone the hang of feeding I would have been happy to go along and demonstrate Smile

Cosmosis · 11/11/2010 09:58

more about looking after babies! it was too much about the birth imo.

BiscuitNibbler · 11/11/2010 10:02

Oh I forgot, maybe they should be a little bit more explicit with the basics to help the idiots like me. I had read about bleeding after the birth, but naively optimistically thought that as I'd had a c-section that I wouldn't. I don't know why I assumed this, or how it would be removed (handy hoover-like suction pipe?), but I did.

Obviously I feel a fool now. Blush

(I'll get my coat)

gegs73 · 11/11/2010 10:03

More about what happens after the birth with the baby and ways of caring.

Also about how you will feel after the birth, postnatel depression, milk coming in, body changes etc. Might scare poor first time mothers to death but help them mentally prepare them for how it can be.

Ineedsomesleep · 11/11/2010 10:07

We didn't do classes with DC1 as I was too ill but we were offered a class. However, it was in a large group across the other side of the city.

Would like to see more local classes in smallish groups. My SIL had her NHS classes in the local Health Centre and as a result she got a good circle of friends.

We did do a class with DC1 but I think there should be more information on where to access help if you need it after.

If you wanted you could join this Facebook Group. They are in a large city with low bfing rates, about 5000+ births a year at the hospital and as far as I know the NHS class is 2 hours with 50 couples.

Sariska · 11/11/2010 10:09

Definitely babycare and what is "normal" newborn behaviour. E.g. I didn't know that Velcro babies existed, couldn't understand why a tired baby wouldn't sleep but, equally, knew nothing of the symptoms of severe silent reflux.

FWIW my ante-natal classes first time round at the Royal London were very good on the labour process, including sections, and pretty good on BFing. Second time round, in Hants, I did NCT refresher classes and mine was good at (a) reminding us that birth #2 would be a different birth involving a different baby, and that what went wrong/right first time around wouldn't necessarily happen second time; and (b) juggling a baby and toddler. Well worth the ££ IMO.

RoonilWazlib · 11/11/2010 10:21

I know you asked for what was missed out but I really liked the way my NHS class explained what would happen for cs and vb.
They used playmobil people to show who would be present in the room and explained what their roles were. They had a hospital bed and a hospital style cot for the baby. This was a handy visual thing to remember when I had my cs.

A proper explanation about pelvic floor exercises would have been good. I had a tear after dc1 and 7 months after I finally got to see a physio. The way she explained the exercises and the model of the muscles helped me to do them properly. It's a shame I didn't know that before hand, I could have been doing them properly for 7 months.

FlipFantasia · 11/11/2010 10:29

Hello valium - another Mar 2010er to say you're a nutter perfectly sane Grin

Interesting thread...I did NCT classes and found them excellent - it was 16 hours, spread over 8 sessions, so we got to know each other while still having loads of time to cover things in great detail (we're all still friends now, and will keep up the friendships as we start to go back to work).

We covered all forms of pain-relief and interventions in details, including c-sections (crash, emergency and elective). We did a role play, acting out a c-section, so who would be present, and where they would be in relation to the mum and dad etc. We also covered all the forms of pain relief possible, pros and cons, as well as what was actually happening hormonally and physically at each stage. We had a specific babycare class, that included nappy changes on dolls (hilarious!) and advice on bathing, dressing, amount of bedding, room temp etc and included "timetables" the teacher had had former students do at 3-6-8 weeks old (basically seemed to be "feed, change, feed, change" with some things like "walk in park" thrown in Grin). There was also a female only class, where we covered tears/episotomies/pelvic floor exercises and anything we felt too squeamish to ask about in the regular class (mainly questions about sex, twas like being a school girl again!). There was also a specific feeding class, which included the usual how to diagrams and was a v interesting exploration of feelings about breastfeeding (we had to talk to our own parents about how we'd been fed) and revealed that all the dads were v pro-BFing (as it's the best start to life) but the mums were much more ambivalent (what if it doesn't work?)...anyway, I digress!

Of the 8 of us, there were 4 sections (1 crash, one emergency, two elective for medical reasons), 3 inductions (2 for overdue, 1 for pre-eclampsia), 1 forceps (after an awful labour that led to long-term bladder damage), 1 ventouse and 2 water births (one of whom wouldn't have even considered it without the classes). We all felt the classes reasonably prepared us for this, especially as the teacher (an independent midwife) kept reminding us that the birth plan was about preferences only, as you can't "plan" labour!

We also booked in a reunion before the classes had even finished, so even if we hadn't have bonded we would have had a chance to "meet each other on the other side" so to speak.

Personally, I would have liked to see more about induction and going overdue. Three of us were induced, two at 42 weeks (me included) and 6 out of 8 of us went overdue (to 41 weeks plus) and we all struggled with it psychologically and I v much felt like a failure for not going into labour naturally.

I would also have loved to have had new mums come in and talk to us/show us their babies. Although having given birth myself I'm not sure how much I'd have liked to go in front of a class and be gawked at by a bunch of NCT first-timers!

I would also have liked a reminder that things do get easier. The baby grows up, the couple grows into becoming parents, and everything passes. . I know this is my personal bias, but I would have liked to feel more prepared for the psychological torment that was going overdue!

But all in all, I think the NCT classes were money well spent - I have great friends from it (can't imagine how lonely my maternity leave would have been without them!), I learned a lot, and I don't think I'd have come to terms with the reality of my birth (induction, hyperstimulation while strapped to a monitor on my back, crash section due to decelerations) when my desired birth (home water bith with hypnotherapy) had been so different...

OK, ramble over! Off to get some tidying up done while DS sleeps!

vez123 · 11/11/2010 10:50

Had similar experience as Flipfantasia at our local NCT classes. Content well balanced on different kind of births, not biased towards natural birth without pain relief. Still very close with all the other girls right now.
In hindsight would have preferred more on baby care - some preparation on how to deal with all the crying, colic and reflux. Also some tips on baby sleep patterns and how to get a baby to sleep. I think less time could have been spent on the birth experience. After all the birth is only a small part of having a baby and compared to parenting is a fairly passive experience.

Meita · 11/11/2010 11:21

I did both an NCT class and the local NHS class; the former about 16 hours in 6 sessions, the latter 4 hours in one session. Plus an extra NHS breastfeeding session.

The NHS class was pretty useless - too much theory in too little time, and no opportunity for meeting people either. The BF session was ok but mainly repeated what I had already heard in the NCT classes. I pitied the people who went on to giving birth with the NHS classes only.

The NCT class was quite good, but as others have said, everyone came out having this idealised image of labour in mind.

I don't know if adding more on what might go wrong would be a good idea, because a) mums-to-be would just get more worried, feeding into the fear-tension-pain cycle; and b) there are so many different things that might go wrong that it is impossible to be prepared for them all.
For instance, I knew that sometimes labour is slow, but nobody had told me that it was possible to have been in labour for 20 hours and be 0cm dilated (oh, and that even if you have established strong contractions every 3 minutes, since 10+ hours, you might not be allowed into a labour room, as you are not yet in established labour since you haven't dilated - far from waterbirth, but also far from balls, mats and beanbags, you get stuck in a cubicle in the assessment room). I hadn't known that some babies' cords are so short that they have to be cut before the baby can come out. We had been through cesaerians, and that skin-to-skin right after birth is still possible, but I hadn't thought about what might happen if the baby was born covered in thick meconium.
I knew that when my waters broke, I needed to call the hospital; but I hadn't known what risks are associated with waters breaking before labour starts.
But while I might wish all that to have been covered in the course, next time I'm sure there will be completely different problems. It's impossible to cover all eventualities.

The one thing though that I would definitely campaign to have included in antenatal information - through antenatal MW care, NCT courses, hospital courses, wherever possible - is information on group B strep. Group B strep is the number 1 killer of newborns and a common cause of term stillbirths in this country, and yet most women give birth without ever having heard of it. Whilst not everyone might choose to be tested for it, nor everyone who carries it might choose to take preventative measures during labour, still everyone should at least know what it is, what the implications are, and what can be done about it.
My DS had a totally avoidable group B strep infection at birth and given that one in ten babies who have it die, and another 40% have long-term problems such as cerebral palsy, hearing loss, sight loss, and learning difficulties, I am hugely grateful that he is now well and seemingly not suffering effects from it. My case - with waters breaking 24 hours before contractions started - would have been a classical case for preventative intervention. And yet I had never even heard of it before I was told he had it.

DuelingFanjo · 11/11/2010 11:54

I had an NCT class last night and we spent about 40 minutes talking about crying babies. So I do feel quite happy with that part of the course to be fair.

BoffinMum · 11/11/2010 11:59

Best thing we ever did in our NCT classes was act out a CS in teams with little Playmobil figures!

We all had no idea what went on and that soon became apparent. It was a truly brilliant exercise and got us all talking.

BoffinMum · 11/11/2010 12:01

I think they should get a specialist gynae physio in to give everyone a ten minute once over and teach them the pelvic floor exercises properly, as most people have no clue how to do them properly.

pinkmagic1 · 11/11/2010 12:04

Less focus on the birth and more info on new born baby care.

JustineMumsnet · 11/11/2010 12:05

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