Prenatal Patient/Family Teaching Plan Design a teaching plan for individual/group on a topic of your choice following the format listed below. Topic: Patterned Breathing During Labor Target Audience: Older (35 +) first time mom’s in their third trimester Time: Evening class – 7pm Place: Local Library Lecture Hall Method of Teaching: Video, return demonstration, handout for take home, discussion – question and answer Anticipated Readiness to Learn: This group is anticipated to be willing to learn something new and have questions answered they have regarding breathing during labor.
Anticipated Knowledge Base: This group is anticipated to have some knowledge on the subject before coming into the class. This is based on the assumption that these women will have done prior research and studying on the subject of labor and breathing during labor. Cultural considerations: Although the class is being taught in a small town there are still people with different ethnic backgrounds, different levels of education, several different religious beliefs, and family roles that need to be taken into consideration. Potential Barriers to Learning: Barriers to learning with this group could be the older first time om having already done research on the subject and question the content of the teaching. Comfort could be a barrier due to the mom’s being in their third trimester, and education level is a possible barrier with some being under educated and some being over educated. Patient/Family Learning Objectives: The learners in the group will be able to utilize patterned breathing during labor to calm and relax them and also to use breathing to make each contraction productive. Content of Teaching: (1 – 2 pages) I will begin the class by passing out the pamphlets and going over the material included in the pamphlet.
The material in the pamphlet thoroughly explains the process of patterned breathing. I will explain how pattern breathing is used to help the laboring mom’s work through the pains, discomfort, fears and anxiety that they experience when giving birth to their first child. The first stage of labor in the patterned breathing process is when the mom has to pause during a contraction and cannot talk or walk anymore. At this point is when they begin the breathing by taking a deep breath. Then they begin what is called slow breathing. Which is just one of the patterns in the first stage of labor that they will be taught.
Another pattern is called light accelerated breathing and another called variable breathing. Each one of these styles is for the first stage of pregnancy and the mom’s will be taught all three of them. They can use them all throughout the first stage or they can pick the one that is most comfortable for them and use it. They will be taught breathing patterns for the second stage of labor, this is when the cervix is fully dilated and the mom can start pushing. There are not different patterns in this stage of labor; it is one type of breathing that will help the mom focus on pushing the baby out.
This is when I will be teaching the mom’s how to utilize each contraction to the fullest for getting baby out. The support person is important at this point as well. I will be teaching them to count for mom while she is pushing, where to position themselves to help mom achieve the best position when pushing, and how they can help her make each contraction productive by coaching her through it. I will also be teaching the mom’s how to practice the patterned breathing once they leave the class. I will be sharing tips with them on how patterned breathing can actually benefit them in other areas of their life as well, not just child birth.
Even after the birth of the child the mom can use patterned breathing for relaxation and calming stress that occurs in everyday life. At this point, after the pamphlet is reviewed in detail, I will show them a video. The video will consist of three different laboring moms’ that is each using the patterned breathing technique. The mom’s in the video each have their support person with them also. Watching this video will let the mom’s visualize how the patterned breathing works during labor and how the mom’s use it to make each contraction productive.
The support people will be able to see what role they will be playing during the birth by watching the support people in the video. Once the video is over I will have the mom’s get comfortable on the floor with their support person to do a return demonstration and show me what they have learned so far. I will have them demonstrate the different patterned breathings in stage one of labor and I will have them show me how to utilize a contraction to its fullest in the second stage of labor. It will be at this point when everyone is relaxed and working on the breathing that we will have question and answer.
The mom’s and support people can utilize this time to ask questions and discuss any concerns that they might have. Materials Required (be specific): Mom’s need to bring a blanket and pillow so they are comfortable when seated on the floor for the return demonstration. If they would like to take notes they also need to bring a pen and paper. Mom’s also need to bring their support person if they have one because they also need to be educated on the breathing process during labor and contractions. My materials will consist of my notes and resources on the subject of patterned breathing during abor, a video that show’s mom’s in labor using the patterned breathing process and the process of using breathing to make each contraction productive, pamphlets that explains the patterned breathing process for the mom’s to take home for practicing at home, and pen and paper for myself to take notes for possible new things that I might learn from the mom’s and to also write down questions from the mom’s that I may need to research for them if I do not know the exact answer at that time. How would teaching success be measured? (be specific): The success of the teaching will be easured by the mom using the patterned breathing technique successfully during labor. Success will also be measured by the mom using the breathing to make each contraction productive during labor. References Americanpregnancy. org. (2010). Patterned Breathing During Labor. Retrieved March 3, 2011 from American Pregnancy Association: http://www. americanpregnancy. org/labornbirth/patternedbreathing. htm Perry, H. L. (2010). Childbearing Beliefs and Practices. Maternal Child Nursing Care (4 ed. , p. 22). Maryland Heights, Missouri, United States: Mosby Elsevier.