Those childbearing with hEDS/HSD may experience the premature birth of their babies ( Hurst et al, 2014; Volkov et al, 2018; Nicholls-Dempsey et al, 2019; Turan et al, 2020). Additionally, other authors have reported how births may be affected by abnormal fetal presentation ( Lind and Wallenburg, 2002; Karthikeyan and Venkat-Raman, 2018). This may not be surprising when we consider that tissues which typically support babies to remain in an optimal position in preparation for birth may be looser in those with hEDS/HSD. Furthermore, as those childbearing with hEDS/HSD report episodes of both physical and psychological birth trauma ( Pezaro et al, 2020), it will be important to prevent, prepare for and anticipate such episodes as well as provide appropriate and effective parental support. Marie Louise has years of labour experience under her belt and a wonderful way of simplifying even the most complicated and overwhelming of pregnancy details into a format that is relatable and easy to understand. Covers a lot of ground - you may want something more focused on a specific area of pregnancy or childbirth

In conclusion, this article has presented a clinical update on caring for those childbearing with hEDS/HSD throughout the perinatal period, where management remains complex. Yet, cases should no longer be considered rare, only rarely diagnosed. The latest insights presented here may crucially explain the origins of some precipitate labours and births seen in practice along with other outcomes. They may also be used to galvanise change in perinatal services, whereby educational resources, policies, practices and guidelines are updated to reflect a new reality in which the needs of those childbearing with hEDS/HSD (approximately 1 in 20) are effectively accommodated. Such updates may also ensure that staff are better prepared to deliver the high-quality and safe care they aspire to, thus also further contributing to professional wellbeing overall. Key points We researched the pros and cons of each pregnancy book, including its format, the complexity of the information and the reputations of the authors. Finally we looked at which pregnancy books worked best for each scenario to bring you our final list of recommendations. About the author To learn more about how to get involved as a volunteer, please see the 'How can I volunteer for BBCS' section. The management of hEDS/HSD in childbearing remains complex. Yet, considering the new approximate figure of 1 in 20 put forward for the proportion of pregnancies affected by hEDS/HSD, cases in maternity services should no longer be considered rare, only rarely diagnosed ( Pezaro et al, 2020). It is considered that the recognition of hEDS/HSD is now critical ( Tinkle, 2021). Though as outlined in our previous review, the role of the midwife in this context is not necessarily to diagnose cases of hEDS/HSD but to work in partnership with those affected as part of a multidisciplinary team in making evidenced-based care plans along with early and appropriate referrals ( Pezaro et al, 2018). Nevertheless, it may be useful for midwives to remain informed and alert to the possibility of many pregnancies occurring in people affected by hEDS/HSD who are as yet undiagnosed.There can be a misconception that hypnobirthing can guarantee a natural labour (if that's your preference), but that's not the case What are your preferences?: You may already have some opinions and preferences about the pregnancy and birth experience you want, and this may dictate the kind of book that's right for you. If you have your heart set on a natural labour, a hypnobirthing book may be the obvious choice, whereas if you already know you're going to bottle feed, the breastfeeding specialism options may be ones to avoid. Not to be confused with hypnosis, hypnobirthing teaches a variety of relaxation and breathing techniques to help mums-to-be work with their body to make their labour a more calm and comfortable experience. With a focus on educating and changing your mindset, away from fear and negativity and towards enablement and empowerment, hypnobirthing has grown hugely in popularity over recent years.

Whilst not the most detailed of texts, and covering mostly pregnancy and pre-birth content, this is a lighthearted and informative read suitable for even the most reluctant of readers. I loved The Positive Breastfeeding Book by Amy Brown. She is a leading researcher into infant feeding and firmly places women, informed choice and evidence at the centre of her work.” (Recommended by Mumsnet user OakleyStreetisnotinChelsea) The Eating for Pregnancy Month by Month Nutrition Guide (clue is in the title), contains 150 recipes that are tailored to meet the nutritional needs of both you and your baby at every stage of your pregnancy, including postpartum.We believe that that the Birth and Beyond Community Support programme helps us to connect with our vision of a world where no parent is isolated and all parents are supported to build a stronger society. Where is the service running? In relation to the management of poor wound healing and anaesthetic coverage along with the additional risk of wound dehiscence in the postnatal period, our previous care considerations advocated the use of non-tension, non-dissolvable, deep double sutures, left in for at least 14 days in line with Chetty and Norton (2017), and individualised assessments of pain ( Pezaro et al, 2018). Frequent joint dislocations, along with difficulties in holding, caring for, bonding with, and breastfeeding can also further complicate parenthood for those with hEDS/HSD ( Pezaro et al, 2020). People with hEDS/HSD are at a greater risk of experiencing shoulder symptoms, which early findings indicate may be improved with strengthening exercises ( Liaghat et al, 2020). As such, there may be a heightened need to provide more bespoke, and practical postnatal care for those recovering from birth and engaged in early parenting with hEDS/HSD. The symptoms of pregnancy can be exacerbated by hEDS/HSD and vice versa ( Pezaro et al, 2020). Those pregnant with hEDS/HSD can experience disabling increases in joint laxity along with a variety of urogynaecological complications ( Gilliam et al, 2020). Pelvic pain and joint instability are common ( Lind and Wallenburg, 2002; Volkov et al, 2018; Ali et al, 2020) and pelvic girdle pain can be especially notable in the first trimester of pregnancy ( Ahlqvist et al, 2020). In our previous review, we promoted the need for early referrals to physiotherapy services and general practitioners in such cases ( Pezaro et al, 2018). Due to increased elasticity in the soft tissues of those with hEDS/HSD combined with increased levels of relaxin during pregnancy, our previous review also highlighted that the occurrence and severity of varicose veins and/or gastrointestinal reflux may be increased ( Pezaro et al, 2018). Such cases of problematic varicose veins may be managed with the use of compression hosiery and/or a referral to a vascular service ( Marsden et al, 2013). Increased gastroesophageal reflux may be managed via standard treatments. For those with hEDS/HSD, joint hypermobility and instability are generally best managed conservatively with the use of physical therapies, orthotics and avoidance ( Tinkle, 2021).

Prepares you for some of the breastfeeding challenges you may encounter and how you can overcome them Those left with chronic pelvic girdle pain (PGP) are at a significantly increased risk of suffering from anxiety and depression ( Siqueira-Campos et al, 2019). The management of this can be further complicated by emotional and behavioural responses to PGP ( Alappattu and Bishop, 2011), and fear avoidance beliefs, which may lead to worsening levels of pain tolerance ( Chang et al, 2007; Quartana et al, 2009; Alappattu and Bishop, 2011; Rashidi Fakari et al, 2018). Accordingly, multidisciplinary working with clinical psychology, psychiatry, pain management, physiotherapy, and rheumatology teams in line with summarised recommendations may be useful in the management of PGP ( Vleeming et al, 2008; Ali et al, 2020). Where PGP persists, last-line treatments may include intra-pelvic corticosteroid injection treatments ( Lindgren, 2020), and joint fusion ( Vleeming et al, 2008).

Taking care of your baby

Ina May Gaskin, America's leading midwife, shares her birthing wisdom in this intuitive guide to childbirth. With a focus on natural birthing, it offers advice and tips to maximise your chances of an unmedicated labour and helps you prepare for your birth experience, whether in a hospital or at home. Volunteers signpost to local services, accompany women to appointments or local services such as children’s centres, foodbanks or financial advice services, and provide vital non-judgemental listening and emotional support. Additionally, hyperemesis gravidarum, carpal tunnel syndrome and fatigue can be particularly challenging for those pregnant with hEDS/HSD ( Pezaro et al, 2020). In one case study, bladder diverticulum has reportedly developed without any obstruction of the urinary bladder during pregnancy ( Pradhan et al, 2020). This may be because of the growing fetus pressing over the bladder where connective tissues may be compromised. Consequently, in such instances, herniation and diverticulum can formulate and increase as the pregnancy progresses. Such cases may be managed conservatively unless chronic symptoms and complications arise in which case surgery may be required ( Pradhan et al, 2020). In this interview, Jacqui shares her diverse and personal experience as a mother, including motherhood and work, creativity, and tuning in to your own wisdom in a world saturated with information. We also discuss Jacqui’s book ‘Mothers Mind Cleanse’ and hear about her own impetus and writing process. Enjoy this conversation From conception through to those first daunting days and weeks at home with your newborn, the informal, friendly writing tone is both relatable and non-judgemental, and is presented in a format that is easy to read and digest.

It's worth noting, however, that hypnobirthing does not guarantee a natural labour if that's what you want - unfortunately you can’t prepare for every eventuality and medical intervention is sometimes required. That said, using these techniques can help you feel calmer and more prepared about the prospect of giving birth. Navigating through your baby's first year can be full of highs and lows, including challenges such as postpartum recovery and sleep deprivation. At times, it can be hard to trust your instincts, particularly when you are constantly met with others' opinions or recommendations of the ‘best’ way to approach parenthood. Mum-of-three Jenny Wonnacott is a Content Editor for Mumsnet, specialising in writing, editing and optimising pregnancy care and child play content. Jacqui Lewis is a meditation teacher, mentor, an author of four books, a Tedx Speaker, and hosts leadership programs globally. She co-founded The Broad Place, a global school sharing ancient knowledge and modern neuroscience, tools and experiences for higher grade living with Arran Russell. She focuses on philosophy and tools for greater clarity, creativity and consciousness and bringing a grounded, innovative and resilient approach into the lives of her students and clients. A student of Eastern wisdom, neuroscience and psychology, she continues to study and integrate these teachings into her work. Bears of Hope – Bears Of Hope Pregnancy & Infant Loss Support provides leading support and exceptional care for families who experience the loss of their baby. Bears of Hope has a great Facebook group for grieving parents. There is also one group set up just for Dads. http://www.bearsofhope.org.au/This interview is full of deep explorations around relationship; with self, with cycles, and with those who teach us. Enjoy ! The service is currently available to pregnant women or mothers with a child under the age of two living in one of the following areas: Robin Grille Is a psychotherapist, psychologist, author, mentor, speaker, and educator. His work seeks to restore relationships to their natural flow and balance: include family relationships, partnerships, workplace relationships, and relationship to self. His work enlivens relationship to vocation, to community, and to the natural world that surrounds and nourishes us. The BBCS Programme in Peterborough, Fenland and East Cambridgeshire is funded by Peterborough City Council and the Evelyn Trust.