Changes Antenatal by Open Box Media & Communications

Date of birth: Hospital reference number: Midwife’s phone number: Hospital phone number: GP’s phone number: Birth partner’s phone number: My D ET 2

1. My Pregnancy Notes c o n t e n t S 2. Becoming a Parent 3. The Birth 4. Caring For Our Baby 5. The First Few Weeks 6 . Fit For Life 7. Money Matters 8. People Who Are There For Us 9. Support And Signposting 3

Content developed by Sandwell Parent Support Team e source: stock.adobe.com/uk, www.dreamstime.com hts are owned by the photographers and are used royalty free C 0 All rights reserved ges 2022 C 0 The development of this programme has been funded by Sandwell’s Public Health Department. Many thanks to all the professionals who have collaborated and been involved in the development of the pro • Sandwell Best Start Service • Sandwell & West Birmingham Midwifery Services • Sandwell & West Birmingham Health Visiting Team • Sandwell’s Infant Feeding Team • Sandwell’s Breast Feeding Network Team • Sandwell Children’s Centres All information was correct at time of print. Information has been taken from the Department of Health best practice guidelines. Safer Sleep information from Lullaby Trust. sp ec i Al t h an ks 4

My baby diary

I found out I was pregnant on...

My due date is…

I had my first scan on…

My baby bump started to appear…

I felt my baby move for the first time on…

My pregnancy cravings are…

My baby was born on...

Mydpregnancy iary

Week 12 Week 13 Week 14 * Around now you’ll be offered an ultrasound scan, this is the first chance you’ve had to see a g limpse of your baby! 7

Mydpregnancy iary

* Try to stay active, it’s safe to exercise right up to your due date as long as you feel okay, log onto www.slt-leisure.co.uk to see what’s available.

Week

15 Week 16 Week 17

Mydpregnancy iary

Week 18 Week 19 Week 20 * You should be booked for your anomaly scan

now – this is to check to see how your

developing. 9

around

baby’s

Mydpregnancy iary Week 21 Week 22

* Book to have your whooping cough vaccine at your local GP; this will help protect your baby in the first few months.

Week 23

* Look at your maternity leave benefits. Visit www.gov.uk or speak to our local Welfare Rights team.

Mydpregnancy iary

Week 24 Week 25 Week 26 * Visit your local children’s centre to see what’s on offer during your pregnancy and after your baby’s arrived. 11

Mydpregnancy iary Week 27 Week

You may be visited by a Health Visitor at around 28 weeks. They will take over the care of your baby once you have been discharged by your midwife.

Thought of having your flu jab? Speak to your GP about this.

28 Week 29 *

Mydpregnancy iary

Week 30 Week 31 Week 32 *

Preparing for labour - you may start experiencing Braxton Hicks (practice) contractions around now, it may be a good time to start thinking of your birth plan.

Mydpregnancy iary

Week 33 Week 34 Week 35 * Arrange a tour of your local maternity unit; speak to your midwife about booking this. 14

Mydpregnancy iary

Week 36 Week 37 Week 38 * Install a smoke and carbon monoxide alarm at home. * Organise your bag ready for hospital. 15

Mydpregnancy iary

Week 39 Week 40 Week 41 * Take some time to relax before your baby arrives! 16

BECOMING

PARENT

What you will learn from this session. . . Waystokeep healthyduring identifyBudgetingand baby-careessential items changesPreparefor relationshipinyour andwhocanhelp FiveExplorethe WellbeingWaysto How baby will develop in the womb Improve awareness of parental rights and responsibilities

how y o u r b a b y

i s de v elo p i n g

Open me! vl

how y o u r b a b y i s de v elo p i n g

Open me! vl

Physical activity in pregnancy is safe and healthy l Exercise is great for your baby’s development l Exercise helps prevent headaches, stress, tiredness, pelvic pain, backache, constipation and swollen feet l If you are not active during pregnancy, you are 4.5 times more likely to have a caesarean section l If new to exercise start gently and build up – walking is a great start Always chat with your instructor or midwife to make sure activities work for you. Exercising during pregnancy lifts your spirits and prepares you for childbirth. Being active 20

Go out and visit local facilities including parks, children’s centres, and leisure centres to find out what is going on or visit: Sandwell Leisure Trustwww.slt-leisure.co.ukSessions for moms and expectant moms. Places for People West Bromwich Leisure Centre www.placesleisure.org 21

EAT HEALTHILY

You don’t need to eat for 2 people!

l Moms

l A supplement of

is important

and in

oranges, peas,

peas. l 10mcg of Vitamin D a day is also required. l

Everything that mom eats and drinks reaches baby in some way and can impact on baby’s health before and after it is born.

don’t need a special diet but it is a good idea to have a healthy diet.

folic acid

before pregnancy

early pregnancy. It can be found

broccoli, green beans,

chick

Instead of snacks that are high in fat and/or sugar like crisps, biscuits of chocolate, try these healthier options: CHOOSEHEALTHY SNACKS pitta bread filled with grated cheese, lean ham, mashed tuna, salmon, or sardines, with salad salad vegetables, such as carrot, celery or cucumber low-fat lower-sugar plain yoghurt or fromage frais with fruit hummus with wholemeal pitta bread or vegetable sticks ready-to-eat apricots, figs or prunes vegetable and bean soups unsweetened breakfast cereals, or porridge, with milk baked beans on toast or a baked potato milky drinks fresh fruit l l l l l l l l l l 23

Drinking in pregnancy can lead to long-term harm to the baby. The more you drink the greater the risk. l

Drinking can increase the risk of premature birth, low birth weight, learning difficulties, behavioural problems and poor growth.

Your baby cannot process alcohol as well as you can, and too much exposure to alcohol can seriously affect their development.

If you have difficulty cutting down what you drink, talk to your midwife, doctor or a pharmacist.

The safest approach is NOT to drink alcohol at all while pregnant.

Avo i d Alcoho l

When you drink, the alcohol will also go through to the baby’s body.

Protecting your baby from tobacco smoke is one of the best things you can do to give your baby the best start in life l It’s never too late to stop. If you stop smoking, you are more likely to have a healthier baby l If you smoke , they smoke! If you breathe in smoke when you’re pregnant, this smoke goes straight into the baby’s blood stream l Second-hand smoke can affect your health and your baby’s health l There is a free service for moms who are trying to quit, so get in touch today on 0800 011 4656. Or go to www.nhs.uk/pregnancy/keeping-well/stop-smoking/ E cigarettes are not a safe alternative to cigarettes. They contain nicotine which reduces the oxygen and goodness reaching baby l E cigarettes are unregulated, so we can never be sure which toxins are reaching your unborn baby l 26

stop smoking

Stopping smoking is the best thing you can do if you are having a baby.

Using illegal or street drugs during pregnancy, including cannabis, ecstasy, cocaine and heroin, can have a serious effect on your baby.

l It’s best not to stop abruptly without first seeking medical advice as there may be withdrawal problems or other side effects. l If you regularly use drugs, it’s important to tackle this now you’re pregnant. Speak to your midwife, GP or contact FRANK for friendly confidential drugs advice on www.talktofrank.com or call 0300 123 6600. Studies have shown that consumption of illegal drugs during pregnancy can result in miscarriage, low birth weight or premature labour. l 28

V acci nati on s

The

It is recommended that all women should have the flu vaccine whatever stage of pregnancy l

The flu vaccine protects both mom and baby l

Pregnant women have a higher chance of complications if they get flu l

vaccine can protect both mom and baby and be given from around 20 weeks and until 32 weeks

Young babies with whooping cough are often very unwell and most will be admitted to hospital because of their illness l The flu vaccine

The coughwhooping vaccine

BEST BEGINNINGS

www.bestbeginnings.org.uk/our-chance

When you are pregnant your body has a clever way of letting you know when you need to see your midwife or doctor.

‘Our Chance’ is a campaign created by the charities Best Beginnings and SANDS and aims to raise awareness of the things that can go wrong and give information and advice to reduce pregnancy risks.

Introduced by Abbey Clancy, the ‘Our Chance’ website and Baby Buddy app host a series of short videos to help keep moms and babies as healthy and safe as possible.

All of the ‘Our Chance’ safer pregnancy video clips can be found in the videos section of the multiaward winning free app, Baby Buddy. Download from the App Store or Google Play. 30

Trust your instincts: if you feel something is wrong, even if it’s not on this list, contact your midwife or doctor. Source: www.tommys.org/ pregnancy-information/symptom-checker Call the midwife if you experience any of the following... 31

BAB Y MOVEMENT

Feeling your baby move is a sign that they are well.

Most women usually begin to feel their baby move between 16 and 24 weeks. A baby’s movement can be described as anything from a kick, flutter, swish or roll.

How often should my baby move?

There is no set number of normal movements.

Your baby will have their own pattern of movements that you should get to know.

It is NOT TRUE that babies move less towards the end of pregnancy.

From 16-24 weeks on you should feel the baby move more and more up until 32 weeks then stay roughly the same until you give birth.

You should CONTINUE to feel your baby move right up to the time you go into labour and whilst you are in labour too.

You must NOT WAIT until the next day to seek advice if you are worried about your baby’s movements.

you think your baby’s movements have slowed down or stopped, contact your midwife or maternity unit immediately

is staffed 24 hrs, 7 days a week).

DO NOT put off calling until the next day to see what

Don’t worry about

for your

midwives to know if your baby’s movements

A reduction in a baby’s movements can sometimes be an important warning sign that a baby is unwell. Around half of women who had a stillbirth noticed their baby’s movements had slowed down or stopped. Do not use any hand held monitors, Dopplers or phone apps to check your baby’s heartbeat. Even if you detect a heartbeat, this does not mean your baby is well. For more information on baby movements talk to your midwife. Why are my baby’s movements important? 33

(it

happens. l

phoning, it

important

doctors and

have slowed down.

Connect • Spend time with your family and friends • Talk to someone instead

email • Ask

• Ask

• Join

club, hobby or

Be Active • Go for a walk at lunchtime • Take the stairs instead of the lift • Go

• Get

• Go

exercise

#MoveMoreSandwell

you

Wellbeing is about feeling good and doing well in your day to day life. 34

of sending an

someone how their day was and really listen when they tell you

a neighbour how they are

interest group

to the park with the kids after school or at the weekend

off the bus one stop early or park further away

to an

class. Check out

for ideas near

5 waYs

wEllbeing

Take Notice • Take some deap breaths. Look around, what do you see? • Think about your strengths and reflect on the positives • Turn the TV off when you are eating • Take a different route on your journey • Have a clear the clutter day Keep Learning • Learn a new word • Try a new recipe and cook something different • Do a puzzle from the newspaper • Read the news or a book: try your local library • Learn something new - find out about courses and activities on DiscoverSandwell.co.uk Give Back • Make someone a drink • Give your unwanted things to a charity shop • Let a car out of a junction in front of you • Give someone a smile • Volunteer 35

M y W e l l b e i n g

P l e d g e s

I will... I will... Connect Be Active 36

I will... I will... I will... Take Notice Keep Learning Give Back 37

M e n t a l h e a lt h

Being pregnant can be a rollercoaster

emotionally. There are plenty of ups and downs. . .

If the ‘downs’ mean that you are teary and anxious most of the time, have lost interest in yourself or your pregnancy – whatever the reason – then you need to do something about it.

These feelings are not uncommon and you should not feel guilty about not feeling happy.

Women with a history of mental health issues must tell their midwife so they can discuss how this might affect their pregnancy and birth. The right care and support can then be planned.

What you can do: Accept offers of help from friends and family. l Find someone to talk to. Perhaps a friend or antenatal group. l Don’t just change or stop medication without getting medical advice first. l Don’t try to be superwoman. Do less. l Speak to your midwife or doctor. Get professional help. l 39

EmotionalWellbeing Sandwell’s Maternal Emotional Wellbeing Team provide support for women and their families before and after the birth of a baby. Contact via the HUB: 0303 033 9903 Email: bcpft.sandwellhealthyminds@nhs.net www.sandwellhealthyminds.nhs.uk They are able to listen (if that is all you need) or offer practical advice to help manage the feelings you are having and cope better. They can also: Support with postnatal depression l Miscarriage l Traumatic delivery l Low self esteem l Relationship problems l Mental health problems l 40

H E a lt h y s a n d w e l l, h e a lt h y y o u! If you live in Sandwell we have lots of free help and support available to make your life healthier and happier. Our most popular services are: For more information visit: www.healthysandwell.co.uk Alcohol services Drug services Get active Healthy eating Best start Healthy weight NHS Health check Stop smoking Wellbeing 41

h o w a r e y o u Angry Anxious Arrogant Bashful Blissful Bored Confident Confused Depressed Disappointed Disbelieving Enraged Envious Exhausted Furious Guilty Happy Hot Hurt Hysterical 42

f e e l i n g t o d a y ? Lonely Lovestruck Negative Positive Regretful Relieved Sad Satisfied Shy Smug Sorry Surprised Suspicious Tired Undecided Upset 43

R ELATIO NS HI PS Talk to each other about your feelings and how your life may change: Your hopes and fears l Your expectations about life with your baby l What kind of parents you want to be l How you can support each other l Whatever happens, things will begin to change: - Less time for each other - Lack of sleep… and sex You can try to: • Talk to each other • Look after yourself & your own needs • Make each other feel special too • Remember that you are a couple and keep saying “I love you” • Let your family help! 44

out relationship problems Have an open and frank discussion about how you each feel and what you each need l Try not to be accusing or too negative, instead think about practical ways that could change for the better Try to understand things from your partner’s point of view as well as your own Get information about couple’s counselling at Relate If you don’t feel that you get much support from your partner, talk to a friend or family member For more information visit: www.relate.org.uk 45

Sorting

RELATIONSHIPS AND

Don’t

resume

partner l Everybody

they

l Talk

your

are other

affection l Let your

sexual

her,

the right

you l When can you have sex after

a baby? • Will it hurt? • Will it feel different? • How often will you have sex? • When will you have the time? 46

SEX Men generally want their sex life to resume much more quickly than women, who need emotional intimacy first.

feel pressured to

sexual activity and don’t pressure your

is different and some people take a long time before

feel ready

about

concerns openly, remember there

ways of showing

partner know you still have

feelings for

that you will wait for

time for both of

having

Top tips...

Sex

Make time for each other as partnersromanticrather than just as ‘Mom and Dad’.

doesn’t always have to be about intercourse. It can be as simple as making time for a kiss and a cuddle.

B e c om i n g A d a d Becoming a dad is fun and rewarding; you’ll have wonderful times marvelling at your baby’s fingers and toes, funny faces, and recounting to whoever will listen to what your new family life is like. How can you help support your partner? Stay supportive Make time as a couple Playtime Leisure time Bath time Working things out Housework Date nights Shopping Feeding Mom‘Me’time 48

The support of dad has been shown to be an important factor in enabling moms to breastfeed for longer. How dads can support Breast feeding Boost your partner’s confidence by encouraging her and being positive about her progress l Be involved with your baby in other ways so that caring is shared l Encourage your partner to eat and drink regularly l Get specialist help if there is a difficulty with breastfeeding l Accept her decision on when to stop breastfeeding l Reduce the household chores your partner has to do to allow more time for feeding l 49

ME TH IS I S

R E F L E C T I O N

Changes in my day:

Good things:

Work colleagues

Family Friends Midwife Agencies

Doctor/Nurse

Health visitor

Neighbours

Husband or Partner Children’s centre 53

p a r e n t a l r e s p o n s i b i li t y

With almost half of babies born outside marriage, some parents may be unclear about who has legal parental responsibility for their children.

All mothers, as well as married fathers, acquire legal rights and responsibilities as a parentknown as ‘parental responsibility’.

The most important roles are to:

Provide a home for the child l

A parentalautomaticallymotherhas responsibility for her child from birth.

Protect and maintain the child l

If you have parental responsibility for a child you don’t live with, you don’t necessarily have a right to contact with them - but the other parent still needs to keep you updated about their well-being and progress.

Determining the religion of the child Protecting and maintaining the child Agreeing to the child’s medical treatment Disciplining the child l Allowing confidential information about the child to be disclosed l The law does not define what parental responsibility is, some of the key roles are: Naming the child and agreeing to any change of the child’s name l Having contact with and living with the child l A father usually has parental responsibility if either: he’s married to the child’s mother he’s listed on the birth certificate (after a certain date, depending on which part of the UK the child was born) l l l 55

If the parents of a child are married when the child is born, or if they’ve jointly adopted a child, both have parental responsibility. They both keep parental responsibility if they later divorce.

Jointly registering the birth of the child with the mother l Getting a parental responsibility agreement with the mother l Getting a parental responsibility order from a court l Unmarried parents An unmarried father can get parental responsibility for his child in 1 of 3 ways:

registered

www.gov.uk/parental-rights-responsibilities 56

Births

in England and Wales

My thoughts on...

Parental Responsibility:

B udgetin For A B a Pay off cards, start family life with a clean slate. Clear your debts: Switch your utility provider: Start a savings account: Have a baby shower: Sell your clutter: Plan ahead: Switch your utility provider, car/house insurance, TV, internet, phone and mobile. Visit uSwitch to search for a better deal. If you’re planning to live on just one salary then start practising. Set up a separate savings account and put away as much as you can afford. Friends and relatives will be happy to buy things for your baby, draw up a list. Sort out the spare room, garage and loft and sell on eBay or at a car-boot sale. Look into childcare options now, ask family to help. Visit fis.sandwell.gov.uk for childcare options information. If planning for your baby has left you terrified then don’t panic! There are plenty of ways to make your new budget work for you. 58

1. 2. 3. 59

Which items are essential

your

for

baby?

Essential items for my baby...

www.sandwell.gov.uk/resilientresidents Supporting you to make the most of your money and find help if you need it. Resilient Residents 62

M Y F I N A N C E S Money coming in £ £ £ £ £ £ £ £ £ £ £ £ Money going out £ £ £ £ £ £ £ £ £ £ £ £ 63

your own s uper stor e Try keeping a well-stocked kitchen cupboard with a list on the inside as a reminder of your basic items. • Baked beans • Soup • Tinned pulses (chick peas, lentils, kidney beans, etc) • Tinned tuna, mackerel, sardines and salmon • Corned beef • Tinned sweetcorn • Tinned tomatoes • Rice pudding • Evaporated milk • Tinned fruit • Rice • Pasta • A range of nuts e.g. a handful of unsalted nuts is a quick/easy snack • Oatcakes • Dried noodles • Herbs and spices • Cereals e.g. Porridge oats, breakfast cereals (try wholegrain and lower sugar cereal options) Tins: Packets: 64

Stock up on handy, healthier snacks. They will help you top your energy up while looking after baby and/or breastfeeding and keep you healthy too. You can also eat mini meals (small portions of what you would normally eat for a main meal) to ensure you get fed. Find snack ideas here: https://www.nhs.uk/ healthier-families/food-facts/healthier-snacks/ • Mayonnaise • Vinegar • Olive oil/veg oil • Tomato ketchup • Tomato puree • Passata • Long-life milk • Long-life fruit juice • Jam Bottles, jars & cartons: My shopping list: shopping 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 65

easy fre ez y If you have a freezer it can be a great help and save you lots of time once baby arrives. Make meals so friends/family can help feed you! l Frozen food can be good for breakfast and lunch as well as dinner. l Don’t stress about not cooking as much as you’d planned before baby arrives. l • Lasagne - Make double and freeze half. • Stews/casseroles - Make double and freeze half. • Veggie dishes - Cauliflower and broccoli cheese, veggie bakes and savoury crumbles are great too. Easy Freezer Meal Ideas Based on : www.thekitchn.com/5-dos-donts-forfreezing-meals-before-baby-arrives-216363 a 66

• Cottage, shepherd’s, chicken or fish pie - all freeze really well. You can also freeze just your pie fillings and then top with ready rolled pastry or a potato topping for a quick dinner.

• Pasta Sauces - Bolognese sauce, cheese sauce and tomato sauces such as this one can all easily be frozen and then heated up and tossed with some pasta for a super quick and healthy meal.

• Soups – Homemade soups freeze really well and are a lovely healthy and filling lunch or dinner when you are short on time.

c• Curries and chilli - also reheat really well and make a quick meal with some boiled rice. Keep smaller portions for jacket potato toppings.

• Cakes and bakes - You can freeze most things, likes muffins, buns, cakes, flapjacks etc and they don’t take long to defrost e.g. banana, carrot or blueberry muffins, apple crumble

• Frozen fruit and frozen vegetables can be added to breakfast, lunch and dinner.

THINKING

PAGE

THE B IR TH

What you will learn from this session. . . Beprepared fortheroleof &Discusshopes givingworriesabout birth keySignpostedto agenciesforhelpandsupport differentUnderstand painreliefoptions Understand the signs of early labour Understand the processes during labour

g e t TI N G t o t h e h o sp it a l

Work out how you are going to get to the hospital or midwifery unit l

You may need to go any time of the day or night l

If you’re planning to go by car, make sure it’s running well and that there’s always enough petrol in the tank l

If a neighbour or friend has said they will take you, have a back-up plan just in case!

If you haven’t got a car, you could call a taxi l

Only call an ambulance in an emergency! 71

It’s a good idea to get a few things ready at least two weeks before your due date. Something loose and comfortable to wear during labour l H O S P I TA L Items for you: Two or three comfortable and supportive bras, including nursing bras if you’re planning to breastfeed. Remember, your breasts will be much larger than usual. l About 24 super-absorbent sanitary pads l Your washbag with your toothbrush, toothpaste, hairbrush, flannel, soap and other toiletries l A lip balm l 72

Things to help you pass the time and relax, for example - books, magazines or music

Towels l

A sponge or water spray to cool you down l

Front-opening or loosefitting nighties or tops for breast feeding and skin-to-skin contact

l Dressing gown and slippers l

Five or six pairs of pants l

A loose, comfortable outfit to wear after you have given birth, and to come home in

H O S P I TA L B A G Items for your baby: Newborn size baby grows l Newborn size vests l A hat l Nappies for the baby – first size l A shawl or blanket to keep baby warm l Car seat l Muslin cloths l Scratch mittens l 74

My Hospital bag packing list

l Pack

snacks

drinks l Pack

l Camera l

l 76

B I R T H I N G P A R T N E R Tips: Going by taxi? Make sure you have the taxi fare put to one side

your own

and

a spare change of clothes for you

Money – including change – for the parking machine, and for the vending machine

Going by car? Make sure the car always has fuel in it

Mobile phone – keep it charged!

The car seat – have a practise fitting it before hand

Birthing Partner checklist

s i g n s o f L a b o u r

If you feel unsure about when you should go into hospital or a midwifery unit, the best thing to do is to call for advice.

You’ll probably be told to come in when your contractions are: Every 2-3 minutes l Lasting about 60-90 seconds l

Regular and strong l

You may be advised to attend sooner if: you’ve had vaginal bleeding l your waters have broken l you feel unwell or worried l

your baby isn’t moving as normal l

Remember to call the hospital or unit before leaving home

If you are planning a home birth, follow the procedure you have agreed with your midwife during your discussions about the onset of labour.

strong, regular contractions

Contractions are when the muscles of the womb tighten and relax in a rhythm. They prepare the womb for labour and during labour they help push the baby into the birth canal. Some women describe them like ‘much stronger period pains’.

a “show”

When the plug of mucus from your cervix comes away. This small amount of sticky, jelly-like pink mucus is called a show. It may come away in one blob, or in several pieces. It is pink in colour because it’s bloodstained, and it’s normal to lose a small amount of blood mixed with mucus.

Backache

You may get backache or the aching, heavy feeling that some women often experience with their monthly period.

waters breaking

Your unborn baby develops and grows inside a bag of fluid called the amniotic sac. Sometimes this breaks with a trickle or with a gush. Your waters can break at any stage in your pregnancy; however it is more likely to happen during labour. Put a pad on and contact the hospital for advice.

My thoughts o n...

The signs of labour:

Wherever you’re planning to give birth, keep a list of important numbers in your handbag or near the phone. I M P O R T A N T N U M B E R S Make sure your mobile phone is charged and has credit! Your hospital or midwife’s phone number l Your partner or birth partner’s phone number l Your own hospital reference number, which is on your card or notes (you will be asked for this when you phone in) l Tel: Tel: Ref: 81

My notes on pain relief

A birth plan is a useful way of communicating your wishes to midwives when you might find it hard to think or speak at the start of labour.

My thoughts on...

My Birth Plan:

i n d u c e d l a bour

One in five labours are induced in the UK.

Sometimes labour can be induced if your baby is overdue or if there is any sort of risk to you or your baby’s health.

Why you might be induced:

l If you are overdue

l If your waters have broken

l If you or your baby have a health problem

Induction is offered to all women who don’t go into labour naturally by 42 weeks, as there is a higher risk of stillbirth or problems for the baby if you go over 42 weeks pregnant.

• A baby is born on its predicted due date just 4% of the time.

• Your baby is likely to come any time between 37 weeks and 42 weeks.

• 60% of babies are born a week either side of the estimated due date.

• More than 90% are born two weeks either side of the predicted date.

Duedate! 84

ASSISTED BIRTH

Sometimes a baby’s position in the birth canal means it is difficult for the woman to push her baby out.

1 in 5 women need help to give birth (assisted birth), either by ventouse or forceps

An assisted birth is offered if there is a concern about the mother or baby’s condition

Ask your midwife for more details

C A E S A R E a n s e c t i o n

A caesarean section, or C-section, is an operation to deliver your baby through a cut made in your tummy and womb

A caesarean is a major operation that carries a number of risks, so it’s usually only done if it’s the safest option for you and your baby

Around 1 in 4 pregnant women in the UK has a caesarean birth l A caesarean may be recommended as a planned (elective) procedure or done in an emergency if it’s thought a vaginal birth is too risky

l Planned caesareans are usually done from the 39th week of pregnancy l

Recovering from a caesarean usually takes longer than recovering from a vaginal delivery l

The average stay in hospital after a caesarean is around 3 or 4 days, compared with an average of 1 or 2 days for a vaginal birth

For more information visit: www.nhs.uk/conditions/caesarean-section

l Skin colour l Heart rate l Reflex response l Muscle tone l Breathing Your midwife will do a health check of your baby one minute after they are born. They will repeat this again five minutes after they are born. The test is so quick you may not even notice it being done.

cks Your midwife will check your baby’s: 87

n ewb orn b ab y c he

PH YSI C AL EX AM IN AT IO NS

The first should take place in the first 72 hours after birth.

The second should be carried out when your baby is between six and eight weeks old (around the same time you have your postnatal check-up).

Your baby will be given a top-to-toe physical examination but with a special focus on his eyes, heart, hips and for boys - their testes.

Your baby will be offered two full physical examinations.

l l

H eAR ING S CR EE NI NG

A hearing test for your baby is usually carried out in hospital.

A small soft-tipped earpiece is placed in the outer part of your baby’s ear, which sends clicking sounds down the ear.

It only takes a few minutes and the results are immediate.

If the test does not show a clear result from either one or both of your baby’s ears then your baby will need a second test, however, this is fairly common and doesn’t necessarily mean that he or she has hearing problems.

THINKING

PAGE

What you will learn from this session. . . Waysyou canbondwith Howtofeed yourbaby canWhatagencies andsupportyou yourbaby Whatequipment youneedfor yourbaby How to look after your baby How to keep your baby safe

New babies have a strong need to be close their parents When babies feel secure they release a hormone called oxytocin, which helps their brain to grow and helps keep them to be happy babies Holding, smiling and talking to your baby also releases oxytocin in you, which helps you feel calm and happy l l Developing a loving relationship: • Skin-to-skin • Chat and smile • Sing to your baby • Dance with your baby • Hustle out the visitors • Lots of eye contact • Limit mobile phone use B U I L D I N G A HAPPY BABY l 93

Feeding your baby

Day one

Your baby’s stomach is the size of a cherry. Baby may only need to feed 3 or 4 times, but if they want to feed more let them.

Day three

Your baby’s stomach is now the size of a walnut. After 24 hours your baby will need to feed at least 8-10 times, sometimes more.

One week

Your baby’s stomach is about as big as an apricot. They’ll need to feed frequently.

Feed your baby responsively. If you are breast feeding you can not over feed your baby.

L O O K I N T H Ei R N A P P Y

Looking at your baby’s poo is the best way to check if they are breastfeeding well

Day 1-2 you will see black poo’s turning more brown

Day 4 onwards at least two yellow poo’s every 24 hours and nappies getting wetter and heavier.

After day one, your baby should feed at least 8-10 times in 24 hours and breastfeeding should not hurt, if it does then get help.

For more useful tips and sources of information and support however you choose to feed your baby go to: www.swbh.nhs.uk/services/infant-feeding-team or call the infant feeding team on 07816 061633

Day 3 poo’s will be turning green and looking lighter in colour 95

Breastfeeding is normal and natural and is the healthiest way to feed your baby. However, it is not always easy. This is especially true if you do not get the right support. 07816 061633 Your breast milk is perfect for baby 07505 775357 96

BREASTFEEDING

B R E A S T F E E D I N G h ea lt h b e n e f i t s Benefits for you: Lowers your risk of... l Breast cancer l Ovarian cancer l Osteoporosis (weak bones) l Cardiovascular disease l Obesity Benefits for your baby: Lowers their risk of... l Infections, with fewer visits to hospital as a result l Diarrhoea and vomiting, with fewer visits to hospital as a result l Sudden infant death syndrome (SIDS) l Childhood leukaemia l Type 2 diabetes l Obesity l Cardiovascular disease in adulthood 97

BOTTLE FEEDING

Tips on bottle feeding:

l Only give first milk, not follow-on milks, any brand will do

l Hold baby close and give eye contact

l Keep the teat full otherwise your baby will take in air

l Your baby may need winding during the feed and may need to burp sometimes

l Feed your baby when they’re hungry, don’t force them to finish a bottle

l Throw away unused formula within 2 hours

l Never leave a baby alone to feed with a propped-up bottle as they may choke

If you’re planning to bottle feed with expressed breast milk or formula, these tips will help keep baby safe and healthy.

wi n d in g you r b a by

Your baby may need short breaks during the feed and may need to burp sometimes.

When your baby seems uncomfortable, pulls away or does not want any more feed, hold them upright and gently rub or pat their back to bring up any wind

This may only be a small amount l

Burps release air trapped in your baby’s stomach l

A good idea is to take a burping break when your baby switches breasts if you’re breastfeeding, or after every 2-3 ounces if you’re bottlefeeding

When baby is relaxed they are more likely to burp. Too much patting and rubbing can stop baby relaxing. 99

Cold water sterilising solution Steam sterilising Boiling the equipment 100

STERILISING YOUR BOTTLES

You need to clean your baby’s bottles every time you use them to reduce the risk of tummy upsets.

Wash in warm,

soapy water using a bottle brush.

Ways to sterilise your bottles: - You will need to change the solution every 24 hours and leave the bottles in the solution for 30 mins. - follow instructions that come with the equipment. Make sure the bottles and teats are facing downwards. - be careful as hot water is dangerous to you and to the baby. You will need to boil the bottles and teats for at least 10 minutes.

My thoughts on...

Baby feeding: 101

You don’t need to bath your baby every day, but if they really enjoy it, there’s no reason why you shouldn’t. l Two towels l A clean nappy l Clean clothes l Cotton wool l A baby bath or clean washing-up bowl filled with warm water You need: Never leave your baby alone in the bath, not even for a second! Bathing your baby 102

It’s best not to bath your baby straight after a feed or when they’re hungry or tired. l

Make sure the room you’re bathing them in is warm. l

Add cold water first, then add the hot water. l

The water should be warm, not hot. Check it with your wrist or elbow and mix well so there are no hot patches. l

Lower your baby gently into the water using one hand to hold their upper arm and support their head and shoulders. l

Don’t add any liquid cleansers to the bath water. Plain water is best for your baby’s skin in the first month. l

Keep your baby’s head clear of the water. Use the other hand to gently swish the water over your baby without splashing.

Wash their hair with plain water. l

Lift your baby out and pat them dry, paying special attention to the creases in their skin. l

This is a good time to massage your baby. Massage can help them relax and sleep. Avoid using any oils or lotions until your baby is at least a month old.

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Baby c

Babies grow very quickly. All you need for the first few weeks are enough clothes to make sure your baby will be warm and clean.

four vests

shawl or blanket to keep baby warm

stretch suits (all-in-ones) for both day and night

sun hat for going out if it’s hot or the sun is bright

hat, mittens, socks or bootees for going out if the weather is cold

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six

l A

l a

two cardigans – several light layers of clothing are best for keeping your baby warm

As a minimum you will need:

ap py changing

Before you change your baby’s nappy, wash your hands and get everything you need in one place, including: a changing mat or towel

cotton wool and a bowl of warm water or fragrance and alcohol-free baby wipes

a plastic bag or bucket for the dirty nappy and dirty cotton wool or wipes. (Beware of the dangers of suffocation with plastic nappy sacks)

barrier cream to protect your baby’s skin a clean nappy (and liner and cover if you’re using cloth nappies) clean clothes l

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C ut t ing y ouR b a b y’s n a i l s

Some babies are born with long nails and it is important to keep them cut short as they could scratch themselves.

You can buy special baby nail clippers or small, round-ended safety scissors.

If you find the idea of cutting your baby’s nails too nerve-racking, you could try filing them down with a fine emery board instead.

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My thoughts on...

Baby care:

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SAFER SLEEP FOR BABIES

Things you can do:

Always place your baby on their back to sleep.

Place your baby to sleep in a separate cot or Moses basket in the same room as you for the first 6 months.

Keep your baby smoke free during pregnancy and after birth.

Breastfeed your baby. If you can.

Use a firm, flat, waterproof mattress in a good condition.

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Never sleep on a sofa or in an armchair with your baby.

SAFER SLEEP FOR BABIES Things to avoid:

Avoid letting your baby get too hot. Don’t sleep in the same bed as your baby if you smoke, drink or take drugs or if your baby was born prematurely or was of low birth weight.

Don’t cover your baby’s face or head while sleeping or use loose bedding.

Sudden Infant Death Syndrome (SIDS) is the sudden and unexpected death of a baby for no obvious reason and although we don’t yet know how to completely prevent SIDS, it is possible to significantly lower the chances of it happening by following the advice.

For more information talk to your midwife or health visitor, or please contact:

Email: info@lullabytrust.org.uk

Telephone: 0808 802 6869

Website: www.lullabytrust.org.uk

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BED SHARING

Bed sharing increases the chance of SIDS (sudden infant death syndrome) and is particularly dangerous if:

Either you or your partner smokes (even if you do not smoke in the bedroom or anywhere else at home).

Either you or your partner has drunk alcohol or taken drugs (including medication that may make you drowsy).

You should never sleep together with your baby if any of the above points apply to you, or even if you just feel very tired.

Bed sharing is also dangerous if your baby was premature (born before 37 weeks) or had a low birth weight (less than 2.5 kg or 5 ½ lbs), even if you don’t smoke, drink or take drugs.

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A v oid l e tti ng your ba by ge t too h ot

l l l

Make sure that your baby is a comfortable temperature – not too hot or too cold

A room temperature of 16-20°C, with light bedding or a lightweight baby sleep bag

Use a room thermometer in the rooms where your baby sleeps and plays

Babies who are unwell need fewer, not more bed clothes l

Babies do not need to wear hats indoors, nor sleep under a duvet or quilt l

Remember: the safest place for your baby to sleep is in the same room with you for the first six months.

Advice on room temperature is intended as a guide. Every baby is different, so check your baby regularly to see if he or she is too hot. Feel baby’s tummy or the back of their neck (your baby’s hands and feet will usually be cooler, which is normal). If your baby’s skin is hot or sweaty, remove one or more layers of bedclothes. 111

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Car Seats The child car seat you choose, must: Conform to the United Nations standard, ECE Regulation 44.04 (or R 44.03) or to the new i-size regulation, R129. Look for the ‘E’ mark label on the seat. l Be suitable for your child’s

Be correctly fitted according to the manufacturer’s instructions l information see the website: www.childcarseats.org.uk/choosing-using

Are you ready for the

Changes can help guide you through your parenting journey. Designed just for Sandwell parents.

You’ll meet other parents, share ideas and learn from each other. Your FREE Changes book will give you more hints and tips and show what an important role being a parent is!

Changes: Antenatal Helping to guide you through a healthy and happy pregnancy.

LEARNING TANTRUMS PLAY ROUTINES RULES SCHOOL 114

in your child’s life? Changes: The Early Years Top tips for creating a warm, loving, safe environment for your little ones to talk, grow, learn, play and develop. How to manage toddler tantrums and provide your child with the best start. TheChanges:Secondary School SupportingYears your teen as they grow and move into the big wide world. Learning, digital technology, teenage pressures and more! To find out more about Changes, please visit www.healthysandwell.co.uk or to book, go to: bookwhen.com/book4changes Changes: The Primary School Years Helping you to navigate primary school life. Establishing good day-to-day routines, tips to support learning, managing behaviour and ideas on how to be a healthy family. RELATIONSHIPS ONLINE SAFETY HOMEWORK 115

THINKING

PAGE

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TAKING CARE OF YOURSELF AFTE BIRTH

Being a parent is probably the most exciting and emotional time of anybody’s life!

Who would have thought that such a small thing could demand so much attention, feeding, changing and washing. It’s exhausting!

But whilst you are spending all of your time looking after your baby, take a moment to think about yourself.

Making sure you’re ok will mean that you’ll be doing your best for your baby.

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Ask for help

l

TAKING CARE OF YOURSELF

Getting help from your partner, family, or friends - whether that’s washing, cooking, cleaning, or looking after the little one for a bit, is really important to help you get through this busy time.

Get some sleep

l

Sleep is more precious than gold when you have a baby! The truth is that for the first few weeks or months you won’t get enough. But remember, it will get better, and those late night cuddles with your little one really are a special time that you will treasure forever.

You could try to get active, and to hold back on the drinking and smoking - they all help make sure you have good quality sleep. 119

Walking is the easiest way to get out and about. And exercise helps you and your child to sleep better. So just use your two feet whenever you can:

l l

Get

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If you’ve had a straightforward birth, you can start gentle exercising as soon as you feel up to it - walking, gentle stretches, pelvic floor exercises and deep stomach exercises

Wait until your 6 week postnatal check until you do any high impact exercise

If you already have kids, walk them to school

Walk to work, to a friend’s house, the park or the shops

Park the car further away than you need

Take the long way

Talk and walk with a friend

Talk and walk with your baby in a buggy or sling

active

TAKING CARE OF

Playtime

very little babies can be active! l They also love to kick their legs and wiggle about so make sure they have enough space when they lie down l l Getting them out of their cot or rocker for a cuddle or a game of peek-a-boo is a great way of getting them to interact and move their muscles

Most swimming pools have separate areas or times for parents with babies or toddlers l Babies will love the feel of being in the water, as well as gentle play or splashing in the pool l 121

YOURSELF Active

Even

Swimming

for new parents Aim to eat at least five portions of fruit and vegetables a day If you attend a group, be sure to tell them that you have recently had a baby – and let them know if you’re breastfeeding – so they can give you the right advice If you think you need to lose weight, there’s lots of help available, including individual and group support. Your health visitor, midwife or GP should be able to give you more information about options near you Try to make eating well a priority. It will make you feel better, and healthy eating is important for the whole family. Try the Change 4 Life website for healthy food and activity tips for you and your child. www.nhs.uk/Change4Life l l l 122

eAting healthy

Try cooking more than you need and freeze a couple of extra portions for another day l Choose vegetables that can be eaten raw – for example, carrots and celery – and snack on these between meals if you get peckish l l l Tinned or frozen fruit and vegetables are quick to prepare, and count towards your five portions a day Time-saving food tips for new parents If friends or family are keen to help, take up their offer of a healthy home-cooked dinner once in a while l Steaming is a healthy and quick way to cook vegetables and fish 123

for you and

Smoking has also been linked to sudden infant death syndrome (SIDS, or cot death). Passive smoking is especially harmful for babies as they have less well-developed airways, lungs and immune systems. The best thing you can do for you and your new baby’s health is to stop smoking. l l l You’re up to four times more likely to stop smoking successfully if you do it with support. l Give up with support from Healthy Sandwell. l Contact them on 0800 0114656 to find out how they can help you quit! 124

stop smoking

baby Children whose parents smoke are three times more likely to become smokers themselves.

AVOID aLC OH OL

After a long, hard day, it can feel like you need to unwind with a glass of wine or beer. But it’s actually easier to get a good night’s sleep if we avoid drinking too much.

l Why not unwind with a long bath, a chat with your best friend, or a cuddle with your partner. l

If you’re breastfeeding, it’s important not to drink too much or too often. Alcohol makes difficult to release milk - which means your baby may need to feed more often, or may not want to feed at all. Alcohol can also pass into your breast milk which may affect your baby’s feeding, sleeping or digestion.

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Domestic abuse

One in four women experience domestic abuse at some point in their lives. This may be physical, sexual, emotional or psychological abuse. 30% starts in pregnancy, and existing abuse may get worse during pregnancy or after giving birth.

Domestic abuse does not have to be tolerated

You have choices and help is available. You can speak in confidence to your GP, midwife or health visitor. In an emergency always phone the police on 999. Use the 101 number to call the police if it’s not an emergency.

Black Country Women’s Aid provide a range of services and support to men and women experiencing domestic abuse. You can call them 24 hours a day on 0121 552 6448. You are not alone!

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ha v in g s ex afte r the bi rth

It’s possible to become pregnant again soon after the birth of a baby, even if you’re breastfeeding and even if your periods haven’t returned.

You ovulate (release an egg) about two weeks before your period arrives, so your fertility may have returned before you realise it.

lIt’s important to sort out contraception from the start. If you had your baby in hospital, you will probably have discussed contraception with a family planning advisor before being discharged home.

You’ll also be asked about contraception at your six week postnatal check, but you can discuss it at any time with your health visitor, midwife, GP or local family planning clinic.

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l l

coping with stress

You can spend a whole day trying (and failing) to get one job done. Just as you start something, your baby wakes up, a nappy needs changing, or they need a bit of attention.

Sometimes you can feel as though life is completely out of control. This can make you feel very tense and frustrated.

Worry and unhappiness can also cause stress. Maybe you’re worried about where you’re living, money or relationships.

Or perhaps you’re worried about a lot of small things that make a big difference to your life.

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Coping with the demands of a new baby and all that’s going on around you can be stressful...

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Ways to deal with stress

Unwind – Make time for yourself. Have a bath, read a book, watch TV or whatever helps you unwind. Borrow a book or DVD about relaxation. Ignore any housework – it can wait.

Express yourself – Talking about your feelings can help. Sometimes it’s better to talk to someone outside the family. l

Make time for your partner – Relationships can suffer when you’re tense, tired and don’t spend much time together. Make time, even if all you manage to do is fall asleep together in front of the TV.

Relax – There are no prizes for being a supermom or superdad. It can be difficult if you’re a perfectionist, but being a parent is the one thing that nobody is perfect at.

l Talk – Seeing other people can help relieve stress. Your health visitor or other parents may be able to recommend local mother and baby/toddler groups.

l Accept help – You can’t do everything yourself. Make the most of all the help you can get. l

is it postnata l depression?

Depression after a baby is born can be extremely distressing. Postnatal depression is thought to affect around one in 10 women (and up to four in 10 teenage mothers).

Many women suffer in silence. Their friends, relatives and health professionals don’t know how they’re feeling.

Postnatal depression usually occurs two to eight weeks after the birth, though sometimes it can happen up to a year after the baby is born.

Symptoms such as tiredness, irritability or poor appetite are normal if you’ve just had a baby. But these are usually mild and don’t stop you leading a normal life.

When you have postnatal depression, you may feel increasingly depressed and despondent. Looking after yourself or your baby may become too much.

l l l

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l loss of interest in the baby l feelings of hopelessness l not being able to stop crying l feelings of not being able to cope l not being able to enjoy anything l memory loss l being unable to concentrate l excessive anxiety about the baby Emotional signs of postnatal depression may include: l panic attacks l sleeplessness l extreme tiredness l aches and pains l anxiety l loss of appetite l feeling generally unwell If you think you have postnatal depression then try talking to someone you can trust. Talk to your partner, a friend, health visitor or make an appointment with your local GP. Other signs of postnatal depression may also include: 131

g e tt ing he lp f or po s tn a ta l d epr e ssi on

If you think you have postnatal depression, don’t struggle alone. It’s not a sign that you’re a bad mom or are unable to cope. l

Postnatal depression is an illness and you need to get help, just as you would if you had the flu.

Talk to someone you trust, such as your partner or a friend.

Or ask your health visitor to call in and visit you. Many health visitors have been trained to recognise postnatal depression and have techniques that can help. If they can’t help, they’ll know someone in your area who can.

It is also important to see your GP. If you don’t feel up to making an appointment, ask someone to do it for you.

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6 t o w n fa m i ly o f f e r Delivered through core children’s centres in each town of the borough. Offering support to children, young people and families. l Information and advice about services in the area l Antenatal education classes l Health Visitor clinics and groups l Links to local early years nurseries l Welfare rights and advice sessions l Support on accessing Early Learning for Two places l ‘Ready, steady learn’ activities for children 0-2 years l Autism spectrum disorder support l Early help support for families l Parenting groups l Links to family learning opportunities and employment support l Volunteering opportunities For details of children’s centres in your area see the signpost section. 133

SAFER SLEEP FOR BABIES

Things you can do:

Always place your baby on their back to sleep.

Place your baby to sleep in a separate cot or Moses basket in the same room as you for the first 6 months.

Breastfeed your baby. If you can.

Use a firm, flat, waterproof mattress in a good condition.

Keep your baby smoke free during pregnancy and after birth. 134

SLEEP FOR BABIES Things to avoid:

Avoid letting your baby get too hot.

Don’t cover your baby’s face or head while sleeping or use loose bedding.

For more information talk to your midwife or health visitor, or please contact: Email: info@lullabytrust.org.uk Telephone: 0808 802 6869 Website: www.lullabytrust.org.uk 135

SAFER

Never sleep on a sofa or in an armchair with your baby.

Don’t sleep in the same bed as your baby if you smoke, drink or take drugs or if your baby was born prematurely or was of low birth weight.

talki ng to your baby

development

in their first 12 months.

Talk to your

l Talk to your baby and treat them as a talker. l

baby

When you finish talking, wait for them to respond – they will!

When your baby starts babbling, copy your baby and babble back. You’ll probably find that they babble back to you again. This keeps the talking going and is great fun!

Babies develop many of the foundations that underpin speech and language

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Hearing your voice stimulates an interest in sounds and helps your baby develop listening skills.

Read and share lots of books with your baby. Reading to your child helps them learn new words from the books you share; words we don’t usually use when we talk.

l l www.hungrylittleminds.campaign.gov.uk www.thecommunicationtrust.org.uk/earlyyears www.blackcountryearlyoutcomes.co.uk

your

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Reading lets your child hear words in different contexts, which helps them learn the meaning and function of words. Reading aloud is a wonderful shared activity you can continue for years to come.

Read with

baby

lookinG aftEr baby’s teeth

Start brushing baby’s teeth with fluoride toothpaste as soon as the first milk tooth breaks through. Use a fluoride paste, as this helps to prevent and control tooth decay.

Brush their teeth twice a day: once just before bedtime and at least one other time during the day.

Take your child to the dentist when their first milk teeth appear. This is so they get to know the dentist. When you visit the dentist, be positive and make the trip fun!

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5waystowellbeing

what is wellbeing?

Wellbeing is all about feeling good and doing well in our day-to-day life.

Lots of things play a part in our wellbeing, including what we do, the way we think - as do other things in our lives like our lifestyle, work, money, education, our health and where we live.

Small things can make a big impact on our wellbeing.

Wellbeing is...

The ability to cope with life’s problems and make the most of life’s opportunities. It is about feeling good and functioning well, both as individuals and collectively.

The 5 ways to wellbeing are actions we can take to improve our wellbeing.

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5 ways to wellbeing

yo ur w el lb e in g

However, if you feel you are finding it difficult to cope with a normal day, you should talk this through with your midwife or health visitor. Here are some common signs to look out for:

Tearfulness l

Feeling overwhelmed l Being irritable/arguing l

Lack of interest in usual things l Problems sleeping l Extreme energy l Lack of concentration l Change in appetite l Racing thoughts l Feeling more anxious

Talking through how you are feeling helps you get through the exciting yet challenging time of becoming a parent. It doesn’t matter who you talk to but it is worth having someone you can trust and can give you the right support – midwives, health visitors and doctors will always want to help you.

You may have mixed emotions about your pregnancy and your baby.

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5 ways to wellbeing

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5 ways to wellbeing

Remind yourself that you do feel good.

I feel good when…

I feel good about…

I feel good if…

I feel good doing…

I feel good…

I feel good in… 143

The Maternal Emotional Wellbeing Team provide support for women and their families during the pre and postnatal periods of having a baby. This includes support with postnatal depression, traumatic delivery low self esteem, relationship problems as well as mental health issues after birth. Contact them via Sandwell’s Healthy Minds on: 03030 339 903 Email: bcpft.sandwellhealthyminds@nhs.net www.sandwellhealthyminds.nhs.uk Sandwell’s Maternal Emotional Wellbeing Team 144

K E E P I N G T E E T H A N D G U M S H E a L T H Y

Some women get swollen and sore gums, which may bleed, in pregnancy. Bleeding gums are caused by a build-up of plaque on the teeth.

Hormonal changes during pregnancy can make your gums more vulnerable to plaque, leading to inflammation and bleeding. This is also called pregnancy gingivitis or gum disease.

It’s very important to keep your teeth and gums as clean and healthy as possible while you’re pregnant. The best way to prevent or deal with gum problems is to practise good oral hygiene.

Remember NHS dental care is free while you’re pregnant and a year after your baby is born.

To find a local NHS dentist visit: www.nhs.uk or telephone 111

Go to the dentist so they can give your teeth a thorough clean and give you some advice about keeping your teeth clean at home.

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10 TOP TIPS FoR KEEPiNG ACTIVE DuRING PREGnANCY

1. Walk instead of taking the bus, or get off a stop early

2. Head to the park in your lunch break Start with a stroll and build up to a brisk walk.

3. Climb the stairs instead of getting the lift

If you’re on a very high floor though you could try getting out of the lift a few floors early instead!

4. When you’re shopping, carrying the bags will exercise your arms

If you bend to pick the shopping up, keep your tummy muscles held in and your back straight.

5. If you have other children, walk them to school, nursery or toddler group if it’s not too far

6. If you’re doing the housework, switch on some music and put lots of energy into it

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7. Take the dog for a walk If you have one!

8. Do some gardening

9. Have a dance

Put on some of your favourite music. It’s fun and a low-impact way to exercise.

10. Take up some organised exercise

If you did not exercise before getting pregnant, it is still absolutely safe and healthy to start now. Start with 15 minutes of continuous exercise three times a week and increase it gradually to 30-minute sessions four days a week or every day.

and special offers to move more every

www.nhs.uk/betterhealth/get-active

Find

your

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day

And one more tip for luck!

an app that will support

efforts.

HEaLTHY EATING

Eating healthily in pregnancy is good for you and your baby.

This is because every day your baby’s brain and organs are growing and needs lots of the right nutrients to do this. Eating well in pregnancy reduces the risk of your child having diabetes or heart disease in later life.

Using the Eatwell guide

Try to choose a variety of different foods from each of the groups to help you get the wide range of nutrients your body needs to stay healthy and work properly.

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l deciding what to eat l at home cooking l out shopping for groceries l eating out in a restaurant, cafe or canteen l choosing food on the go You can use the Eatwell guide when you are: l make all of your snacks fruit for 28 days l add a portion of fruit to breakfast every day for 28 days l have vegetables with dinner every day for 28 days Give yourself a Fruit and Veg Boost https://fruitandvegboost.change4life.co.uk Try to avoid eating food that has lots of sugar and salt. 149

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Being pregnant doesn’t mean that you’ll automatically put on weight. Maintaining a healthy weight in pregnancy means it’s easier for you to carry your baby, and help you have fewer complications at birth.

In pregnancy you only need to eat an extra 200 calories in the third trimester only.

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Most women

are recommended to gain between 10kg (22lb) and 12.5kg (28lb) during their pregnancy

women who are underweight women in the normal weight range women who are overweight women who are affected by obesity

Based on : www.nhs.uk/pregnancy/keeping-well/have-a-healthy-diet/

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A morning meal also means you’re less likely to snack later in the day, or over-indulge on not-so-healthy options when hunger hits you. Breakfast is a prime

essential nutrients for you and your

calcium and vitamin C. l Low-sugar cereal (like Shreddies or muesli) and milk with a chopped banana l Wholemeal toast or bagel with butter/jam/marmite, and a fruit smoothie l Banana with plain yoghurt and wholemeal toast l Scrambled eggs (cooked through) with wholemeal toast and grilled tomatoes l Porridge with raisins and orange segments l Toasted muffin with peanut butter and plain yoghurt Eating a healthy breakfast kick-starts your metabolism and gives you the energy to get through to lunch.

ideas breakfast 154

time

take in

variety of

baby, such as B vitamins, folate,

mEaL

mEaL ideas lunch

Eating smaller meals throughout the day can help in all sorts of ways. It can prevent nausea and sickness, help with indigestion and make you feel comfortable as the baby gets bigger.

l Quick grilled ‘pizza’ made with baguette, chopped tomatoes, any veg you like with grated cheese on top. Plus an apple.

l Tinned sardines on wholemeal toast with sliced tomato

l Vegetable soup, corned beef & salad sandwich and a banana

l Tomato soup, cheese & pickle sandwich and a pear l Baked beans on wholemeal toast and two satsumas

l Wholemeal pitta bread filled with chicken salad. Plus an orange.

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mEaL ideas dinner

Choose foods that release their energy slowly, rather than give you an energy spike which ends with a crash (sugary things like biscuits, cakes). Instead try: multigrain or granary bread, basmati rice, potatoes (new, boiled, baked), sweet potatoes, pasta.

l Baked potato with cheddar cheese, carrots and green beans

Vegetable curry, lentil dhal and plain rice

Meatballs in tomato sauce, potatoes and broccoli

Chicken, carrots and rice

Breaded fish, potato, peas and sweetcorn

Pasta with tuna and sweetcorn and a side salad

Couscous with salmon

Spaghetti bolognese

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mEaL ideas l Fresh fruit l Fruit smoothie l Tinned fruit and custard l Chopped banana and plain yoghurt l Carrot and cucumber sticks with low-fat dip l Pancakes with yoghurt and chopped fruit l Crackers and cream cheese l Low-sugar or plain yoghurt l Fruit scone and jam l Raisins, dried apricots or nuts l Wholemeal toast snacks Your body needs extra fluids to keep up with the demands of pregnancy. Water is the best choice, but if you need to mix it up try to avoid sugary drinks like coca cola and stick to just one glass of fruit juice per day. 157

HEaLTHY START

Help with healthy eating during pregnancy.

Healthy Start is a government scheme that offers food vouchers to eligible pregnant women and families with children under the age of four. You can use the food vouchers to buy plain milk, fresh or frozen fruit and veg in most local shops or supermarkets.

Healthy Start also provides vouchers that you can use to get free Healthy Start vitamins. You may be eligible for Healthy Start if you are:

l Under 18 and pregnant or have children under the age of four

l 18 or over, pregnant or with children under the age of four, and getting certain benefits and/or tax credits www.healthystart.nhs.uk/

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l Take a daily vitamin D supplement to support your baby’s bone development l Take a daily folic acid supplement for the first 3 months to support your baby’s spinal development Foods to avoid in pregnancy There are some foods that you shouldn’t eat while you’re pregnant as they can put your babies health at risk. These include: l Some types of cheese l Raw or partly cooked eggs l Raw or undercooked meat l Cold cured meats l Some types of fish l Liver, Pâté www.nhs.uk/pregnancy/ keeping-well/foods-to-avoid/ 159

Vitamins

food Tips

Cleaning

Wash hands thoroughly with soap and warm water, rinse well and dry. Wash your chopping board and other utensils in hot soapy water when you’ve finished using them and in between preparing raw and ready-to-eat food to avoid cross contamination.

Cooking Chilling

Cook poultry, pork, burgers, sausages and kebabs until steaming hot with no pink meat left inside and juices run clear.

Make sure your fridge is set between 0°C and 5°C. Keep raw meat and poultry in covered containers on the bottom shelf to avoid contaminating other foods.

Some tips to help you make sure the food you cook is safe.

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WHAT aRE PRIORITY DEBTS?

Mortgage or rent arrears. If you don’t pay these, you could lose your home. l

Gas and electricity arrears. If you don’t pay these, you can have your supply disconnected. l

Council Tax arrears. If you don’t pay these, a court can use bailiffs to take your goods. l

Court fines such as magistrates’ court fines for traffic offences. If you don’t pay these, the court can use bailiffs to take your goods.

Arrears of maintenance payable to an ex-partner or children. This includes Child Support you owe to the Child Support Agency. If you don’t pay these, a court can use bailiffs to take your goods.

Income tax or VAT arrears. You can be sent to prison for non-payment of income tax or VAT.

TV licence arrears. It’s a criminal offence to use a television without a licence. You could be fined. If you don’t pay the fine (from a Magistrates Court), you could be sent to prison.

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l Benefits overpayments l Credit debts such as overdrafts, loans, hire purchase, credit card accounts and catalogues l Water and sewage charges – you can’t be cut off for water debts l Student loans l Money borrowed from friends or family l Parking penalties issued by local authorities nonPRIORITY DEBTS You can’t be sent to prison for not paying non-priority debts. But if you don’t make any offers to pay, and without explaining why, then your creditors may take you to court. 163

All

basic

They

Account

If you have basic ID, you should be able to get a basic bank account with a debit card, and the ability to pay direct

offer

facilities for receiving money and settling bills,

overdraft facilities.

basic

without

bank accounTS

accounts are designed for people

qualify for other types of current account

poor credit history.

Basic bank

who don’t

due to

of the major providers have now removed fees for these accounts entirely.

holders also qualify for a debit card, rather than just a basic cash card, which can be used at ATMs and online.

164

debits.

What can I use for ID? Over 16 - You need to be 16 to open a basic bank account, although at some banks the minimum age is 18. l Proof of identity and address - All banks will ask for proof of your identity and address before you can open a bank account. l l Passport l EU identity card l UK driving licence l Benefit books including: l Pension l Child benefit l Income support l Jobseeker’s allowance l Disability Who can get a basic bank account? No need for a good credit history - Because basic bank accounts don’t allow you to go overdrawn, you don’t need to pass a credit check when you open the account. l 165

home credit

Home credit (doorstep loans) is where you borrow money and the lender calls at your home to collect the repayments.

The loans are usually for smaller amounts and you will be charged a high rate of interest for borrowing in this way.

Compared to other types of borrowing it is very expensive if you have access to other forms of credit.

The law says that home credit lenders have to be authorised by the Financial Conduct Authority (FCA). You can find out if a lender is authorised by checking the register at www.fca.org.uk.

If someone offers to lend you money on the doorstep, ask to see their lender’s authorisation. If they don’t have one, they are operating illegally and you should not borrow from them.

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Borrowing method Amount borrowed Monthly payment Interest charged Total amount repaid Home credit charging 272% APR £200 £30.30 (or £7 a week) £164 £364 Credit card charging 38% APR £200 £20 £37 £237 Doorstep loans are often for small sums – between £50 and £500 – but they come with steep interest rates as money is typically lent over very short periods. In some cases the rate can be as high as 1,500% APR. That’s much more expensive than a bank loan or an average credit card. If you borrowed £200 for a year from a doorstep lender, you’d pay much more interest than if you borrowed on a credit card charging a higher than average rate of 38%. The high cost of borrowing on your doorstep 167

South Staffs Water offer their Assure tariff to assist customers on a low income or struggling to pay their water charges; it aims to reduce water poverty and make our bills more affordable. South Staffs Water help with your water bills Customers with a household income of less than £19,050 per year, may qualify for a discount on water charges. If an application is successful, your charges will be discounted for two years, in the first year by 60% and the second year by 40%. For more information: www.south-staffswater.co.uk/household/ my-bills-and-payments/ my-bill-explained/ other-charges-andtariffs/assure-tariff 168

Severn Trent Water offer their Big Difference Scheme for those who struggle the most with their water bills. The scheme is open to all Severn Trent Water customers who may be struggling, whatever the circumstances. You’ll remain on the scheme for 12 months, after which you’ll need to reapply. To apply for the scheme, call 0800 917 6901. Alternatively, if you’re discussing your financial circumstances with a third party such as CAB, StepChange or National Debtline they can make an application on your behalf. Severn Trent Water If you qualify you could be eligible to get a reduction on your water bill. Depending on your circumstances, this could range anywhere between 10-90%. • Contact your Citizens Advice Bureau www.citizensadvice.org.uk • National Debtline – 0808 808 4000 or visit www.nationaldebtline.org • StepChange – 0800 138 1111 or visit www.stepchange.org 169

Proactive support for ‘Moms to Be’ about any benefits they may be able to claim. Tel: 0121 569 3158 Email: welfarerights_team @sandwell.gov.uk Web: www.sandwell.gov.uk/ Benefitsandgrants l Help with the completion of all welfare benefit forms l They offer representation at appeal tribunals l Give advice and support on benefits l Benefits payments when they cease or are reduced l Offer appointments to discuss any help with benefits issues l Offer home visits (where appropriate) welfare rights team 170

l Free to join and borrow up to 30 books, talking books, e-books and more l Free activities for children and adults e.g. rhythm and rhyme, craft activities and homework help l Free access to IT and Wi-Fi in all libraries l Just turn up and make new friends at one of the groups, e.g. reading groups, friends groups and mother and toddler groups Becoming a member is free and entitles you to borrow books, DVDs, CDs and other items from any Sandwell library. The library is an excellent place for my children to learn. The library has great facilities. It is so great to have kids, family, baby events and activities here. www.sandwell.gov.uk/ libraries sa n d w ell L I B R A R i es 171

A credit union gives the security and services of a bank, but they are owned and run by members. A credit union is people coming together to borrow, save and manage their money. l Savings accounts: (Standard/Christmas/child savings accounts) l Affordable loans l ‘Ring Fenced’ budgeting account 6 towns credit unio The services are designed around what people need. Whatever your income, whether you are financially secure or on a low income. Tel: 0121 553 3110 382 High St, West Bromwich, West Midlands B70 9LB Email: info@sixtowns.co.uk Web: www.sixtowns.co.uk 172

l Benefits entitlement l Specific maternity grants l Employee maternity and parental rights l Managing your money and thinking ahead l Income maximisation, including fuel poverty support, warm homes discount scheme, energy savings l Debt advice l Dealing with rent or mortgage arrears citizens advice sandwell Citizens Advice offer free, confidential and impartial advice. People go to Citizens Advice for all sorts of issues. You may have money, benefit, housing or employment problems. You may be facing a crisis, or just considering your options. Tel: 03444 111 444 22 Lombard St, West Bromwich, West Midlands B70 8RT Email:sandwell.org.ukinfo@citizensadvice Web: citizensadvicesandwell -walsall.org/ 173

f r ee pr e sc riptions i n p g n cy Prescriptions are free while you’re pregnant and for a year after the birth, if you have a valid Maternity Exemption Certificate (MatEx). All you need is a Maternity Exemption Certificate signed by your doctor or midwife. If you are pregnant or have just had a baby you can get free prescriptions and NHS dental care with a Maternity Exemption Certificate. 174

NHS dental care is free in the UK while you’re pregnant and a year after your baby is born. f r e e n h s d en t a l c a r e A NHS check-up would otherwise cost you about £23.80, and any treatment you might need would cost even more. Depending on the treatment between £65.20 for fillings and removing teeth and up to £282.80 for treatments like root canals, crowns, dentures and bridges. Many of us put it off, but it makes sense to see the dentist while it’s free. Some women have sensitive teeth and gums while pregnant, so getting them checked might help ease any discomfort. Free appointmentsdentistare an opportunity not to be missed. To find a local NHS dentist visit: www.nhs.uk or telephone 111 175

l Anyone responsible for a child under 16 (or under 20 if they’re in education or training) A regular payment from the government to help with the cost of raising a child. c h i l d b e n e f i t The rates for the 2022-23 tax year are: l £21.80 per week for the eldest or only child l £14.45 per week for Who receives child benefit? You can download a claim form (CH2) from www.gov.uk l You may have to pay a tax charge if your (or your partner’s) individual income is over £50,000 176

Universal Credit is a payment to help with your living costs. l You’re on a low income or out of work l You’re 18 or over (there are some exceptions if you’re 16 to 17) l You’re under State Pension Credit qualifying age (or your partner is) l You and your partner have £16,000 or less in savings between you l You live in the UK Contact the Universal Credit helpline on 08003285644 The number of children you have does not affect your eligibility for Universal Credit, but it may affect how much you get. You may be able to get it if you’re on a low income or out of work. Universal Credit replaces Child Tax Credit. You may be able to get Universal Credit if: U N i V E R S AL c r e d i t 177

A one-off payment of £500 from the Social Fund to help with the cost of your baby. sur e st ar t m ate rn it y gra nt You’ll get the grant if your new baby is the only child under 16 in your family and you or your partner gets one of the following benefits: l Income Support l Income-based Jobseeker’s Allowance l Income-related Employment and Support Allowance l Universal Credit l Pension Credit l Child Tax Credit at a higher rate l Working Tax Credit which includes a disability or severe disability element To claim fill in the Sure Start Maternity Grant (SF100) claim form. There are more rules if you’re adopting or becoming a surrogate parent. 178

The baby’s father or your partner (this includes same sex partners) is entitled to take unpaid time off work to go with you to two of your antenatal appointments (with the maximum time capped at 6 hours and 30 minutes for each appointment). p a i d t i m e o f f f o r a n t e n a t a l c ar e No matter how long you’ve been in your job, you have a right to paid time off from work to go to your antenatal appointments. Antenatal care includes: l Medical and midwife appointments l Doctor-recommended appointments like relaxation or parenting classes l Your time off should include travel time to and from each appointment This time off is in addition to your annual leave. 179

When you have a baby, you’re entitled to a year’s maternity leave and pay from your employer for up to 39 weeks while you’re on leave, if you’re eligible. sta t ut or y m ate rn it y lea ve To get maternity leave, you need to tell your employer when you want to stop working by the 15th week before the baby’s due date. To get Statutory Maternity Pay you must have: l Been working for your employer for at least 26 weeks l Average earnings of at least £123 per week You need to give your employer at least 28 days’ notice that you want to start Statutory Maternity Pay, and give them proof that you’re pregnant. 180

Maternity Allowance is a fortnightly or monthly payment from the government if you can’t claim Statutory Maternity Pay. l You haven’t worked for your employer for long enough l You’re self-employed m a t e r n i t y a l l o w a n c e AllowanceMaternity is based on how much you earn. Pregnant women and new moms may not be able to claim Statutory Maternity Pay because: l £156.66 per week or 90% of your average weekly earnings (whichever is less) for 39 weeks if you’re employed or have recently stopped working l You can get between £27 to £156.66 a week for 39 weeks if you’re self-employed Depending on your earnings and national insurance contributions, in the 2022-23 tax year you could get either: To claim fill in the Maternity Allowance (MA1) claim form or call Jobcentre Plus (0800 055 6688). 181

Statutory Paternity Leave and Pay is statutorypaternity leave and pay To get this you must be: l The child’s biological father or adopter l The mother’s partner l The intended parent (if you’re having a baby through surrogacy) 182

To claim give your employer Form SC3 at least 15 weeks before the week the baby is due. l Have worked for your employer for 26 weeks by the 15th week before the baby is due l Be employed by your employer until the baby is born l Earn at least £120 per week l £156 per week or; l 90% of your average weekly earnings(whichever is lower) You must also: In the 2022-23 tax year you’ll get: 183

If you’re more than 10 weeks pregnant or have a child under 4, you may be entitled to get help to buy healthy food and milk. he a l th y s tar t SC HEMe l Milk l Fresh, frozen, and tinned fruit and vegetables l Fresh, dried, and tinned pulses l Infant formula milk You can also use your card to collect: l Healthy Start vitamins – these support you during pregnancy and breastfeeding l Vitamin drops for babies and young children – these are suitable from birth to 4 years old. To see if you are eligible, and to apply for a card: www.healthystart.nhs.uk The Healthy Start Card can be used to buy: If you’re eligible, you’ll be sent a Healthy Start card with money on it that can be used in some UK shops. Your benefit will be added onto this card every 4 weeks. 184

your midwife

A midwife is the main provider of care for most pregnant women.

Midwives are highlyskilled, qualified professionals who care for women during normal pregnancy, childbirth and after the birth. You will be introduced to your midwife, who will care for you during your pregnancy and when you go home. You may meet different members of a team of midwives throughout your pregnancy.

Midwives are trained to make sure everything goes as well as possible and to recognise any potential problems for you and your baby.

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Midwives work both in maternity units and in the community, often in a team system. The style of care may depend on where you live. Community midwives may visit you at home before the birth and will continue to care for you after the birth.

o bstet r i c i a n

A doctor who specialises in pregnancy and childbirth.

You may see an obstetrician or another qualified doctor who is trained in obstetrics.

Obstetricians are likely to be heavily involved if there is a problem with your pregnancy or birth but, if everything is fine, the chances are you may not need to see one.

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You will receive 5 key visits: When you are around 28 weeks pregnant 10-14 days following the birth of your baby When your baby is 6-8 weeks old A review of your child’s development at 9-12 months A review of your child’s development at 2-2½ years Health visitors are trained nurses who support and educate families from pregnancy through to your child’s fifth birthday. your h e a lt h vis itor l l l l l 188

your gp General practitioners are qualified doctors. GP’s may have an extra qualification in obstetrics l l Your GP may provide your antenatal care If you call at night or the weekend, your call will be redirected to NHS 24 on 111 l 189

pae di at r ic ia n

A doctor who specialises in babies and children.

A neonatologist is a paediatrician who specialises in newborn babies.

If there are any worries about your baby’s health, a paediatrician may be present at the birth. A

may

baby over before you go home from hospital, although this is increasingly being done by midwives who have completed training in this specialised area.

check

paediatrician

also

your

Students and trainee health professionals All midwives, doctors and other health professionals need to be trained. You may be asked if you mind if students take part in your appointment. You have the right to refuse. 190

SP EE C H A ND LAN G U AGE Speech and Language Therapists offer support about swallowing, communication and language development from pregnancy onwards. If your child does not make progress with the support of community services a referral for specialist support from the local Speech and Language Therapy service should be considered. Contact 0121 612 2010 for referral. You can find help and ideas about communication, language and speech... https://hungrylittleminds.campaign.gov.uk www.blackcountryearlyoutcomes.co.uk l l 191

M Contact the infant feeding team if you or your baby need extra information and support before or after baby is born. We have a small Infant Feeding Team available from Monday to Friday, 8.30am till 3.30pm and you can contact us on 07816061633 by call or text. You can contact us before you have your baby, while you are in hospital and once you are discharged home. 192

I N F A N F E E D I N T E A

Antenatal classes The Breastfeeding Network (BfN) offer the following support to Sandwell families (all of which is free): l Phone or text support l Home visits l Breastfeeding support groups l

you need breastfeeding support please call or text the BfN Sandwell team on 07505 775357.

you are a breastfeeding mom then why not come along to one of our support groups? Our friendly Peer Supporters are on

if you need any information or support. These groups are

way of getting out and about and meeting other local breastfeeding moms. Find out more: search for the breast feeding networkSandwell! B R E A S T F E E D IN G HELP A N D ADVICE 193

hand

also a great

ng Parents’

The Young Parents’ Maternity Service provides a friendly and non-judgmental service to support young parents in Sandwell. They want every young parent in Sandwell and their family to receive the help and support they require to have a happy and healthy pregnancy - and a healthy start to parenthood. The Young Parents’ Maternity Service work alongside community midwives and other colleagues from various other agencies such as Health Visiting, Education, Family Nurse Practitioner, Welfare Rights and the Young Parent’s Children’s Centre. For further information contact the service on 0121 507 2726 194

you

m aternity se rvice

t H E f a m i ly o f f e r Delivered through children’s centres in each of Sandwell’s six towns. Offering support to children, young people and families. l Information and advice about services in the area l Antenatal education classes l Health Visitor clinics and groups l Links to local early years nurseries l Welfare rights and advice sessions l Support on accessing Early Learning for Two places l Free Play Talk Read Sessions that promote early language development, and build social skills l Autism spectrum disorder support l Early help support for families l Parenting groups l Links to family learning opportunities and employment support l Volunteering opportunities For details of children’s centres in your area see the signpost section. 195

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A www.aquarius.org.uk 0121 622 8181 Help people overcome the harms caused by alcohol, drugs and gambling. Aquarius www.autismwestmidlands.org.uk 0121 450 7582 Support people with autism. Autism West Midlands B www.breastfeedingnetwork.org.uk 0300 100 0212 or 07505 775357 Breastfeeding Network www.brushstrokessandwell.org.uk 0121 565 2234 Practical assistance to those in need through befriending, listening, helping, and teaching of skills. Brushstrokes - Smethwick c citizensadvicesandwell-walsall.org/ 0300 3309017 Citizens Advice Bureau (CAB) www.blackcountrywomensaid.co.uk 0121 553 0090 Refuge, support and counselling to victims of domestic abuse and sexual violence. Black Country Women’s Aid www.familyandchildcaretrust.org 020 7239 7535 Coram Family and Childcare Trust work to make sure that every child has access to high quality childcare. Families who face disadvantage, social exclusion and poverty are at the heart of our work. Coram Family and Childcare Trust’ 198

0121

1705 S

and

Edwards

F www.familyfund.org.uk 01904 550055 Family Fund provides grants for families raising disabled or seriously ill children and young people. Family Fund https://fis.sandwell.gov.uk 0121 569 4914 FIS provide free, confidential and impartial advice and guidance on all aspects of childcare and

services in

carers with

aged

until

Years old. Family Information Service (FIS) 0800 358 0899 Fostering & Adoption (Sandwell Children’s Trust)

Cranstoun 199

www.energyextra.co.uk 0121 561 1969 Provide a range of services, all aimed at reducing the amount of money spent on energy and increasing the household income. Energy Extra www.edwardstrust.org.uk

454

upporting children

families who are facing a loss and surviving bereavement.

Trust

Sandwell

parents/

babies and children

from birth

www.cranstoun.org/ services/substance-misuse/ cranstoun-sandwell/ Cranstoun Sandwell provides free and confidential advice and support to adults in Sandwell, who would like to talk about alcohol or drugs.

I www.idealforall.co.uk 0121 558 5555 A charity run by disabled people for disabled people in Sandwell. Social and health care services for disabled people, carers and disadvantaged groups. Ideal For All www.sandwell.gov.uk/info/ 200353/think_sandwell/240/ job_centres 0800 055 6688 or 0845 604 3719 Advice on claims, to make an appointment or to search for a job. Job Centre L www.stoploansharks.co.uk 03005552222 To report a loan shark and provide support and education. Loan Shark www.swbh.nhs.uk/services/maternity Community Midwives: 0121 507 3774 City Hospital: 0121 554 3801 City Hospital Infant Feeding Helpline: 0121 507 5703 Maternity www.sane.org.uk/what_we_do/ support/helpline/ 0300 3047000 SANE runs a national, out-of-hours mental health helpline offering specialist emotional support to anyone affected by mental illness. Mental Health Helpline J M H www.healthysandwell.co.uk 0800 0114656 Free support for Sandwell residents to make your life healthier and happier. Healthy Sandwell 0121 612 5021 Health Visitors Main Switchboard 200

www.murrayhall.co.uk 01902 826513 Social, health, welfare, educational and recreational interests of people. Murray Hall n www.netmums.com Parenting website offering local information and parenting advice etc. Netmums O www.optionsforlife.info 0121 544 6611 Supporting Adults with learning disabilities. Options for Life www.rethink.org 0300 5000 927 Listening, signposting and emotional support. Rethink - Sandwell Mental Health Line www.relate.org.uk 0121 643 1638 Relationship counselling, youth psychosexualcounselling,counselling. Relate www.rightsandequalitysandwell.co.uk 0121 541 1775 Advocacy, equality and diversity advice. Rights & Equality Sandwell 0121 552 9248 Oldbury Children’s Centre Cluster R 0121 559 9916 Rowley Children’s Centre 201

S www.samaritans.org 116 123 Samaritans safscare.org 0121 558 2198 Provides a range of quality care and support services for South Asian children, young people and adults who have a disability. Sandwell Asian Family Support Service (SAFSS) www.sandwell.gov.uk/housing 0121 569 6000 Tenancy support, homelessness. Sandwell Homes www.sandwell.gov.uk 0121 569 2200 SandwellBoroughMetropolitan Council www.kaleidoscopeplus.org.uk 0121 565 5605 Works to promote and support positive health and wellbeing. Sandwell Mind www.spmaltd.org.uk 0121 555 6047 To create and maximise positive opportunities for the Pakistani Community. Sandwell Pakistani Muslims Association (SPMA) www.sandwellhealthyminds.nhs.uk 0303 0339903 Provide opportunities for people to maintain and improve their own wellbeing. Sandwell Healthy Minds 202

www.sp-dc.org 0121 553 2093 SPDC is a charity focusing on play and leisure opportunities for disabled children and their families in Sandwell. Sandwell Parents for Disabled Children (SPDC) T 0121 555 6756 Smethwick Children’s Centre W www.sandwell.gov.uk/ info/200145/benefits_and_ grants/2184/benefits_advice 0121 569 3158 Benefit advice. Welfare Rights 0121 522 5150 Tipton Children’s Centre www.sands.org.uk 0808 164 3332 or 07709 425001 SANDS support anyone who has been affected by the death of a baby before, during or shortly after birth. They offer emotional support and information for parents, grandparents, siblings, children, families and friends, health professionals and others. Stillbirth and Neonatal Death Charity (SANDS) 0121 556 5405 Children’sWednesburyCentre 0121 500 4011 West Bromwich South Children’s Centre 0121 588 5431 West Bromwich North Children’s Centre 203

Parent Support Team 2022 Version 7