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Where can the cub® be used The cub® can be used at home, in hospitals or in a birth centre. Lightweight and portable the cub® can be moved to wherever it is needed quickly and easily, helping to maintain an upright position for birth wherever you are. Who can use the cub® The cub® can be used by anyone planning to have a vaginal birth using more upright positions during labour. This includes those using epidural pain relief, those having continuous monitoring, and those that have pelvic girdle or lower back pain in pregnancy. Please be advised by a registered healthcare professional during labour, as they will have a fuller picture of what may be appropriate for you at that time. ABOUT THE CUB® Who should not use the cub® Those that have been advised against its use Partners Children Visitors Staff in healthcare facilities when they need a comfy seat The cub® is a versatile modern interpretation of the traditional birthing stool and the widely used gym ball. Its patented, distinctive design enables a range of intuitive, natural, upright positions during childbirth and can be used to alleviate discomfort stemming from pelvic girdle or lower back pain during pregnancy. It provides a safe, stable, lightweight, adaptable, comfortable, easy-to-clean, and storable solution that can be reused and then recycled. Designed by a midwife and loved by thousands of mothers worldwide.

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.s2_6_bv-7eedc9c1-{font-size:23px;font-family:Gordita-Bold_3d_bv-7eedc9c1-;color:#00B2CA;} .s3_6_bv-7eedc9c1-{font-size:23px;font-family:Gordita-Bold_3d_bv-7eedc9c1-;color:#1F628E;} @font-face { font-family: Gordita-Bold_3d_bv-7eedc9c1-; src: url("userFiles/a/4/1/9/2/0/9/47vOgtSpn48O1i7dMZHPdD/fonts/Gordita-Bold_3d_bv-7eedc9c1-.woff?_cbt=1786964765") format("woff"); } @font-face { font-family: Gordita-Regular_3b_bv-7eedc9c1-; src: url("userFiles/a/4/1/9/2/0/9/47vOgtSpn48O1i7dMZHPdD/fonts/Gordita-Regular_3b_bv-7eedc9c1-.woff?_cbt=1786964765") format("woff"); } USING YOUR CUB® SAFELY The cub® is not designed for any other use except as a comfortable positioning support by those that are pregnant. The cub® is not a child’s toy or a general exercise aid. The cub® should not ever be used as a flotation device The cub® should never be used as a seat or support of any kind for infants or small children. What is the cub® not designed for? The cub® will need the air topped up if it is left inflated for more than 24 hours. The cub® is plastic. This means it will become softer and stretch in warm environments, and during use. The cub® is an inflatable and as such can be punctured or damaged if misused. The cub® is not a permanent piece of equipment and it should be replaced regularly with continued use. Things to remember when using The cub® The cub® recommended weight limit for users is 120kg (265lbs) The cub® is natural latex Free The cub® is phthalate and PCB free and complies with EN 71-1, 2,3. The cub® is fire retardant with a rating of: UL 94 V-0 The cub® can be recycled The cub® is manufactured in an ISO 9001:2008 certificated factory Every cub® is inflated for 24 hours prior to packing. cub® Additional Information

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Rinse off all visible surface contamination with clean water until it looks clean on every surface; pay attention to seam, valve and base areas. Dry the cub® with a clean disposable cloth, e.g. household kitchen paper towel. Spray or wipe the cub® with a selected cleanser from the above recommended products. Allow the cub® to air dry completely. Deflate and store the cub®. Cleaning your cub® We recommend chemical cleaning the cub® using one of the following cleaners: Personal Protective Equipment (PPE), such as gloves and aprons, should be worn where appropriate during cleaning. Clean whilst the cub® is inflated Do not deflate and store the cub® if it is still wet. Do not store in very warm or very cold environments as this can degrade the material. CLEANING YOUR CUB® THE CUB® SHOULD BE CLEANED THOROUGHLY BETWEEN USES.

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Milton Fluid is made of an aqueous solution of sodium hypochlorite and 16.5% sodium chloride. The Milton Fluid that is available to buy is 2% sodium hypochlorite. PPM concentrations are as follows: For blood contamination: 1 part Milton 2% to 2 parts water provides a 10,000ppm cleaning solution For body fluid contamination that is not blood stained: 1 part Milton 2% to 20 parts water provides a 1OOOppm cleaning solution. We recommend that a clean, disposable incontinence sheet or pad is placed onto the cub® if the user is sitting on it and has any PV loss that may come into direct contact with the cub®. The cub® should be thoroughly cleaned between users using the process below. Personal protective equipment (PPE) such as gloves and aprons should be worn during the cleaning process. The cleaning process for the cub® Clean whilst the cub® is inflated Rinse off all visible surface contamination with clean water until it looks clean on every surface; pay attention to seam, valve and base areas. Dry the cub® with a clean disposable cloth, such as a household towel. Spray or wipe the cub® with a selected cleanser from the above recommended products and Allow the cub® to air dry completely before further use. Deflate and store the cub®.

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These are just some of those potential benefits. Research references for them can be found on our website cubmama.com UPRIGHT POSITIONS DURING BIRTH The chance of your baby becoming distressed (a slow or very fast heart rate) during labour when you are upright is decreased by 54% Being upright during labour and birth can increase the available space within the pelvis (as opposed to semi sitting/laying on your back) by up to 30%. Giving more space for baby to be born. Your chance of needing a cut in your perineum (episiotomy) to help baby be born is reduced by 21% Your chance of needing medical assistance e.g. forceps or Ventous (suction cup) is reduced by 23% if you are in an upright position during birth. The chance of needing to have an emergency Caesarean section can be reduced by 29% if you are mobile and more upright during labour. Some studies have shown that instinctive movement and position change in labour is as effective as an Oxytocin (Pitocin) drip in stimulating stronger and more frequent contractions. The length of the early and middle parts of your labour can be significantly shorter when adopting an upright position. The average length of time taken to push your baby out is shorter in an upright position. You will have less chance of needing stitches for a tear in your perineum and less swelling in an upright position during birth. Standing, all fours kneeling and side laying are shown to be the positions least likely to result in perineal trauma.

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Using the cub® to ease discomfort. Supported kneeling position Coccyx pain Prolapsed inververtebral disc Cub support height 41cm Hip Flexion: 90 -100° Pain free abduction required Sitting upright with support Posterior pelvic pain Prolapsed intervertebral disc Spinal Stenosis Cub support height 41 cm Hip Flexion: 90 -100° Abduction: 20° Side laying position Pubic symphysis dysfunction or with Epidural Cub support height when used in single chamber inflation: 21cm Hip Flexion: 80° Abduction: 20° Lying on the comfortable side with leg supported is a more suitable and comfortable position. J.S. Boissonnault 2001 Supported forward kneeling position Posterior pelvic pain Coccyx pain Spondylolisthesis Cub support height 41 cm Hip Flexion: 90° Abduction: 20°

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#t3h_14_bv-7eedc9c1-{left:137px;bottom:68px;letter-spacing:-0.08px;} .s0_14_bv-7eedc9c1-{font-size:25px;font-family:Gordita-Bold_3u_bv-7eedc9c1-;color:#FFF;} .s1_14_bv-7eedc9c1-{font-size:26px;font-family:Gordita-Bold_3u_bv-7eedc9c1-;color:#FFF;} .s2_14_bv-7eedc9c1-{font-size:15px;font-family:Gordita-Bold_3u_bv-7eedc9c1-;color:#1F628E;} .s3_14_bv-7eedc9c1-{font-size:15px;font-family:Gordita-Regular_3r_bv-7eedc9c1-;color:#1F628E;} .s4_14_bv-7eedc9c1-{font-size:15px;font-family:Gordita-Bold_3u_bv-7eedc9c1-;color:#00B2CA;} .s5_14_bv-7eedc9c1-{font-size:20px;font-family:Gordita-Bold_3u_bv-7eedc9c1-;color:#FF2768;} .s6_14_bv-7eedc9c1-{font-size:15px;font-family:Gordita-Regular_3r_bv-7eedc9c1-;color:#00B2CA;} @font-face { font-family: Gordita-Bold_3u_bv-7eedc9c1-; src: url("userFiles/a/4/1/9/2/0/9/47vOgtSpn48O1i7dMZHPdD/fonts/Gordita-Bold_3u_bv-7eedc9c1-.woff?_cbt=1786964765") format("woff"); } @font-face { font-family: Gordita-Regular_3r_bv-7eedc9c1-; src: url("userFiles/a/4/1/9/2/0/9/47vOgtSpn48O1i7dMZHPdD/fonts/Gordita-Regular_3r_bv-7eedc9c1-.woff?_cbt=1786964765") format("woff"); } MODERN OFFICE SPACE TRANSLATED INFORMATION instrucciones de inflado Asegurate de que tu cub® este a temperatura ambiente antes del inflado. Para inflar: retira el embalaje del cub® y extiendelo. Localiza las dos valvulas de inflado de seguridad en la parte posterior del cub®. lnserta la boquilla de la bomba de inflado en la seccion negra de la valvula. lnfla cada camara del cub® hasta el tacto sea firme. Para desinflar: Solo tienes que retirar la seccion negra tirando de la pestana transparente de las valvulas y dejar que salga el aire. Las valvulas de seccion doble del cub® son un dispositivo de SEGURIDAD del producto. Una vez que este totalmente inflado y duran-te el uso, las valvulas deben empujarse hacia dentro firmemente. Tu cub® ya esta listo para usar. Si utilizas la cubierta cub®: lnfla el cub® hasta la mitad, coloca la cubierta encima y, una vez colocada, acaba de inflar tu cub® ajustando la cubierta cuando sea necesario. Limpieza de tu cub® Recomendamos una limpieza quimica con uno de los siguientes limpiadores: Espray o toallitas antibacterianas, espray o toallitas esporicidas, una soluci6n de hipoclorito diluida (lejia), p. ej., Milton. El cub® deberia limpiarse a fondo entre los distintos usos. *Deberia llevarse un equipo de proteccion personal (EPP) como guantes y delantales (si precede) Para limpiar: (Mientras el cub® esta inflado): 1. Enjuaga cualquier suciedad visible en la superficie con agua limpia hasta que todas las superficies se vean limpias, presta atenci6n a las zonas de la costura, las valvulas y la base. 2. Seca el cub® con un pano limpio desechable como el papel de cocina. 3. Roda o frota el cub® con el limpiador seleccionado de los productos recomendados anteriormente. 4. Deja que el cub® se seque al aire totalmente. Desinfla y guarda el cub®. ESPANOL : SPANISH Resoluci6n de problemas Si el cub® se desinfla durante un periodo de tiempo, ten en cuenta lo siguiente: 1. Recarga el cub® con aire, el cub® esta hecho de PVC que se estira con el uso repetido, especialmente en entornos calidos. 2. Si una camara continua desinflandose, rellena con aire y asegurate que las dos valvulas se hayan empujado hacia dentro del cub® firmemente 3. Si se sospecha de un pinchazo, reinfla el cub® y localiza el pinchazo frotando una pequena cantidad de lavavajillas/gel de bano en las costuras y valvulas o la zona que parece danada. Empuja el cub® suavemente hacia abajo e identifica la aparici6n de pequenas burbujas. A continuaci0n, localiza la zona para poder aplicar el parche de reparacion. 4. Una costura rota no puede repararse e indica que se ha aplicado presion o peso excesivo en el cub®. 5. Como producto inflable, el cub® no esta disenado para durar para siempre. El uso frecuente degradara naturalmente el producto con mas rapidez que el uso ocasional/infrecuente/de una sola vez. Seguridad 1. El cub® nunca deberia utilizarse para que se siente o apoye mas de una persona a la vez. 2. No ponerse de pie ni tratar de equilibrarse sobre el cub®. Los pies o las rodillas deberian estar siempre en contacto con una super-fi cie estable como el suelo. 3. Si la madre ha estado en el agua o esta mojada por algun motive, coloca una toalla absorbente sobre el cub® antes de que se siente/apoye en el. 4. El cub® no deberia utilizarse nunca como juguete, asiento para ninos ni en una piscina. 5. Mantener alejado de fuentes abiertas de calor, el cub® es de PVC y puede deformarse y derretirse al lado de calor directo. 6. Mantener alejado de fuentes potenciales de puncion, especialmente superficies duras irregulares u objetos afilados. 7. No inflar el cub® a menos que se haya guardado a temperatura ambiente durante al menos cuatro horas.

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INFORMATION FRANCAIS : FRENCH Instructions de gonflage Assurez-vous que votre cub® est a temperature ambiante avant de le gonfler. Gonflage: Deballez et depliez le cub®. Les deux valves de securite pour le gonflage se trouvent sur le dossier du cub®. Inserez l'embout de la pompe dans le clapet noir de la valve. Gonflez chaque chambre a air du cub® jusqu'a ce qu'il soit bien ferme lorsque vous appuyez dessus. Degonflage: Retirez simplement le clapet noir en ti rant sur l'opercule transparent des valves et laissez l'air s'expulser. Les valves a double clapet de cub® sont une fonction de SECURITE du produit. Une fois le gonflage effectue et pendant L'utilisation du cub®, les valves doivent etre correctement enfoncees. Votre cub® est pret a l'emploi. Si vous utilisez la housse cub®: Gonflez le cub® Nettoyage de votre cub® Nous vous conseillons de nettoyer le produit a l'aide des produits nettoyants suivants: Vaporisateurs desinfectants ou lingettes desinfectantes, vaporisateurs ou lingettes sporicides, une solution d'hypochlorite diluee (eau de Javel), par exemple Milton. Le cub® doit etre soigneusement nettoye entre chaque utilisation. *Le port d'un equipement de protection individuelle (EPI) tels que des gants et un tablier, est obligatoire (lorsque necessaire) Nettoyage : (lorsque le cub® est gonfle): 1. Rincez toutes les zones de contamination visibles a l'eau claire jusqu'a ce que la surface soit propre en faisant bien attention aux coutures et aux zones autour des valves et de la base. 2. Sechez le cub® avec un chiffon propre jetable tel qu'un essuie-tout. 3. Vaporisez ou essuyez le cub® avec l'un des produits nettoyants preconises dans la liste ci-dessus. 4. Laissez le cub® secher completement a l'air libre. Degonflez et rangez le cub®. Resolution des problemes Si le cub® se degonfle apres une certaine periode de temps, procedez de la maniere suivante: 1. Regonflez le cub®. Le cub® est fabrique en PVC, qui est un materiau qui s'etire apres un usage repete, notamment lorsqu'il fait chaud 2. Si une chambre a air continue a se degonfler, regonflez et assurez-vous que les deux valves de gonflage sont correctement en-foncees dans le cub® 3. Dans l'eventualite d'une crevaison, regonflez le cub® et recherchez la crevaison en frottant un peu de liquide vaisselle ou de bain moussant sur les coutures, autour des valves et des zones potentiellement endommagees. Appuyez doucement sur le cub® et localisez toutes les bulles qui apparaissent. Puis, localisez la zone a reparer. 4. Une couture dechiree est irreparable et indique que le cub® a ete soumis a une pression excessive ou a un trop grand poids. 5. Le cub® est un produit gonflable et n'a done pas une duree de vie illimitee. Une utilisation frequente entraTnera une degradation naturelle plus rapide du produit qu'une utilisation occasionnelle ou par une seule personne. Securite 1. Le cub® ne doit jamais etre utilise par plus d'une seule personne a la fois pour s'asseoir ou s'appuyer. 2. Ne jamais se tenir debout ou en equilibre sur le cub®. Les pieds ou les genoux doivent toujours etre en contact avec le sol ou une surface stable. 3. Si la maman a ete se baigner ou est mouillee, placer une serviette eponge sur le cub® avant de s'asseoir ou de s'appuyer sur ou contre le cub®. 4. Le cub® ne doit jamais etre utilise comme jouet d'enfant, siege d'enfant ou dans une piscine. 5. Tenir eloigne des flammes nues et de toutes autres sources de chaleur. Le cub® est fabrique en matiere PVC et peut se deformer et fond re lorsqu'il est proche d'une source de chaleur directe. 6. Tenir eloigne de source potentielle de crevaison, notamment les sols durs et irreguliers ou les objets saillants. 7. Ne pas gonfler le cub® s'il n'est pas reste a temperature ambiante pendant au moins 4 heures.

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