Why Should you see a Private Midwife During your Pregnancy
And After Giving Birth?

 

Your urine test is positive: congratulations you are pregnant!
But many questions can bother you. Many of you are very much in need of explanations, a personalized follow-up, a midwife who can give you all the necessary explanations, answer your questions and especially show AVAILABILITY as much medical as emotional to feel reassured and confident !

French midwife graduate since 2007, Pauline Fetu worked for more than 10 years in a hospital
near Paris. In 2012 I enriched my experience with an inter-university nutrition diploma in order to
better support my patients in consultation.
Having become a mother myself 3 times during those years, I realized the importance of personalized and unlimited support throughout this wonderful period of pregnancy and the arrival of a child.

Pregnancy is a unique time, a wonderful part of our lives, but it is also a leap into the unknown. So much happiness and so much concern at once. Feeling supported, accompanied, is essential.
Becoming a mother, even more so abroad for some of you, often far from family, is an adventure mixed with doubts and fears.
In order to assist you in this adventure and to answer your questions, I propose a personalized follow-up throughout these 9 months and during the weeks or months following the birth.

PREGNANCY MONITORING

Consultations at the practice in Kentish town & Pimlico or at home.
The consultation includes:

  • Measuring blood pressure
  • Urine analysis
  • Examination
  • Gynecological examination (palpation and measurement of the uterus, listening to heartbeat, examination of the perineum and vaginal examination if necessary)
  • More general review adapted to the purpose of the consultation

 

BIRTH PREPARATION CLASSES

Antenatal classes to be prepared for the arrival of his / her child in a global, physical, psychological or material way.
These sessions are offered in individual sessions. As an indication, here is the proposal of the topics, this distribution being adapted to the wishes and expectations of each future mom (and future dad if he can be present!)

First session

  • Reminders of the Anatomy and Physiology of Pregnancy
  • When to go to maternity? Signs of early stage of labour
  • Labourflow: from first contractions to birth

Second Session

  • The management of pain and ways to implement
  • Special cases (labour induced, forceps delivery or Caesarean section, ..)

Third Session

  • Mum’s first care and her stay at the hospital
  • The first moments of the baby’s life, first aid

Fourth Meeting

  • Breastfeeding and bottlefeeding
  • Weaning

POSTNATAL CARE

Consultations at one of our practices in Kentish Town or Pimlico or at home.
The consultation includes:

  • Blood pressure, pulse, temperature
  • Medical history
  • Gynecological examination (breast exam, uterus palpation, caesarean scar examination (if applicable), perineum examination, vaginal examination if necessary)
  • More general examination depending on the cause of appointment
  • Newborn check-up

These consultations also provide a very good opportunity to speak about breastfeeding together and to resolve any difficulties.

PELVIC FLOOR REHABILITATION

The perineum is a set of muscles from the pubis to the base of the spine. Having the form of a hammock, it is the floor that supports the abdominal organs: the bladder, the uterus, the intestine and the rectum. Throughout pregnancy, the perineum supported the weight of the baby, the amniotic liquid and the placenta. Thereby, this hammock became more and more distended until the moment of the delivery by low way where it was widely opened to let the baby pass. With an increased pressure all along the pregnancy and childbirth, the perineum has lost a good part of its tonicity and can no longer assume its role of support and maintenance of the organs in the pelvis.

The purpose of rehabilitation is to teach the woman to tone this set of muscles in order to prevent possible complications such as urinary leaks, pain during sexual intercourse or even the descent of the organ (prolapse). Getting to know her perineum better also means learning how to protect her and preserving her quality of life in the future!

The best period for pelvic floor rehabilitation is about 4 to 6 weeks after delivery. But if necessary, it can be done at any time of life.
I use the CMP method – Knowledge and Mastery of the Perineum. It is a French manual technique of educational reeducation, which, thanks to the visualization of images, allows the patient to work autonomously in each area of the perineum, deep and superficial. Thus, she learns to become aware of her perineum, to know it and to control it in order to maintain its tonicity.

Each session lasts between 45 and 60 minutes. A first session is necessary to evaluate the perineum. Then, depending on the initial situation, the possible symptoms, and the personal work of the patient, an individual program can be put in place.

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