S.M.I.L.E.• SMILE program began in 1976

with one location at the Rose of Durham in Oshawa

• The program has expanded to 5 locations across Durham Region

S.M.I.L.E.

• The S.M.I.L.E program consists of a 3 week early pregnancy series and a 6-8 week labour & delivery series.

S.M.I.L.E.Early Bird Classes

• Your changing body in pregnancy• Fetal development• Coping with discomforts• Healthy eating• Healthy lifestyle• Safe exercise during pregnancy

S.M.I.L.E.Early Bird Classes

• Importance of prenatal care• Prenatal tests/procedures• Danger signs in pregnancy• Changing life/relationships• Importance of reducing stress and having social

supports

S.M.I.L.E.Labour and Delivery Classes

• Your changing body in pregnancy• Coping with discomforts• Preterm labour• False labour vs. true labour• Ways to cope during labour, breathing, relaxation,

positioning, massage etc.

S.M.I.L.E.

Labour and Delivery Classes• Role of the birthing coach/partner• Medical interventions• Newborn appearance and baby care• Breastfeeding• Relationships• Community resources

S.M.I.L.E.• Referral sources:

• Self referral through Durham Health Connection Line• Rose of Durham• The Youth Centre• PHN’s from HBHC Program• Physicians• Guidance Counsellors• Food ‘4’ Thought (CPNP Program)• Other community agencies