Enjoying Your Pregnancy Guide to Understanding - Brigham and ...

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2 Table of Contents INITIAL PRENATAL CARE ............................................................................................................................................5 The First Office Visit ................................................................................................................................................5 Frequency of Office Visits ........................................................................................................................................5 HIGH-RISK PREGNANCY ..............................................................................................................................................6 Prenatal Diagnosis of Genetic Disorders ..................................................................................................................6 Genetic and Family History ......................................................................................................................................7 KEEPING TRACK OF YOUR BABY’S HEALTH ............................................................................................................7 Ultrasound ................................................................................................................................................................7 Amniocentesis ..........................................................................................................................................................8 Chorionic Villus Sampling (CVS) ............................................................................................................................8 Alpha-Fetoprotein Test..............................................................................................................................................8 Triple Screen Test ......................................................................................................................................................9 Non-Stress and Contraction Stress Testing ..............................................................................................................9 Biophysical Profile ....................................................................................................................................................9 Glucose Tolerance Test..............................................................................................................................................9 Fetal Movement (Kick Count) ............................................................................................................................9-10 Fetal Maturity Tests ................................................................................................................................................10 Preserving Your Baby’s Umbilical Cord Blood ........................................................................................................10 UNDERSTANDING YOUR BABY’S DEVELOPMENT ................................................................................................11 EXPECT SOME CHANGES ....................................................................................................................................11-16 Physical Changes..................................................................................................................................................11-16 Weight Gain ......................................................................................................................................................11-12 Breasts ....................................................................................................................................................................12 Urination ................................................................................................................................................................12 Nausea ....................................................................................................................................................................12 Morning Sickness Survival Tips..............................................................................................................................13 Excessive Salivation ................................................................................................................................................13 Heartburn ................................................................................................................................................................13 Constipation............................................................................................................................................................13 Uncomfortable Breathing ........................................................................................................................................13 Backache..................................................................................................................................................................13 Insomnia..................................................................................................................................................................14 Skin Changes ..........................................................................................................................................................14 Varicose Veins..........................................................................................................................................................14 Hemorrhoids ..........................................................................................................................................................14 Vaginal Discharge ....................................................................................................................................................14 Abdominal Pain/Round Ligament Pain ............................................................................................................14-15 Cravings ..................................................................................................................................................................15 PICA (unusual cravings) ........................................................................................................................................15 Dizzy Spells ............................................................................................................................................................15 Arthritis ..................................................................................................................................................................15 Swelling ..................................................................................................................................................................15 Stretch Marks ..........................................................................................................................................................15 Nose Bleeds ............................................................................................................................................................15 Headaches................................................................................................................................................................15 Contractions............................................................................................................................................................16 Emotional Changes....................................................................................................................................................16 Depression/Anxiety ................................................................................................................................................16 Emotional Mood Shifts ..........................................................................................................................................16 What To Do About Moods ......................................................................................................................................16 Sexual Changes..........................................................................................................................................................16
Table of Contents 3 CARING FOR YOURSELF............................................................................................................................................17 Diet..........................................................................................................................................................................17 The Food Pyramid Guide........................................................................................................................................17 Estimated Dietary Needs for Non-Pregnant and Pregnant Women ......................................................................18 Serving Sizes............................................................................................................................................................18 Proper Dietary Balance and Calorie Intake ............................................................................................................18 THINGS YOU SHOULD KNOW BEFORE HAVING YOUR BABY AT BRIGHAM AND WOMEN’S HOSPITAL ............................................................................................19-22 CARING FOR YOURSELF (Continued) ......................................................................................................................23 Appropriate Exercise and Rest ................................................................................................................................23 Fluid Retention ......................................................................................................................................................23 Work........................................................................................................................................................................23 Travel ......................................................................................................................................................................23 Baths........................................................................................................................................................................23 Tampons..................................................................................................................................................................23 Exercise ..............................................................................................................................................................23-24 Rest..........................................................................................................................................................................24 Seat Belts ................................................................................................................................................................24 Clothing ..................................................................................................................................................................24 Douching ................................................................................................................................................................24 Caring For Your Breasts ..........................................................................................................................................24 Infant Feeding: Breast or Formula..........................................................................................................................25 Teeth........................................................................................................................................................................25 Immunization..........................................................................................................................................................25 Insecticides and Household Chemicals ..................................................................................................................25 Saunas and Hot Tubs ..............................................................................................................................................26 Sex ..........................................................................................................................................................................26 PLAN AHEAD................................................................................................................................................................26 EXERCISES FOR PREGNANCY ..................................................................................................................................27 Standing Up ............................................................................................................................................................27 The Pelvic Rock ......................................................................................................................................................27 Kegel Exercise ........................................................................................................................................................27 All Fours..................................................................................................................................................................27 The Squat ................................................................................................................................................................27 Stress and Tension ..................................................................................................................................................27 CARING FOR YOUR UNBORN BABY ........................................................................................................................28 Alcohol ....................................................................................................................................................................28 Medications ............................................................................................................................................................28 Caffeine ..................................................................................................................................................................28 Aspartame (Nutrasweet ® )........................................................................................................................................28 Street Drugs ............................................................................................................................................................28 Smoking ............................................................................................................................................................28-29 X-Ray Studies ..........................................................................................................................................................29 Genital Herpes ........................................................................................................................................................29 German Measles ......................................................................................................................................................29 Toxoplasmosis ........................................................................................................................................................29 Hepatitis B in Pregnancy ........................................................................................................................................29 Hepatitis C ..............................................................................................................................................................30 Chickenpox (Varicella) ..........................................................................................................................................30 Influenza (Flu)........................................................................................................................................................30 HIV/Human Immunodeficiency Virus ....................................................................................................................30 Cytomegalovirus (CMV) ........................................................................................................................................30 Mumps ....................................................................................................................................................................30
Page 1 and 2: Specializing in care for a lifetime
Page 3: Congratulations! You're Pregnant! Y
Page 7 and 8: INITIAL PRENATAL CARE INITIAL OFFIC
Page 9 and 10: Your Prenatal Guide 7 • GENETIC A
Page 11 and 12: Your Prenatal Guide 9 Conversely, a
Page 13 and 14: First Month During your first month
Page 15 and 16: Your Prenatal Guide 13 MORNING SICK
Page 17 and 18: Your Prenatal Guide 15 movements li
Page 19 and 20: Fats, Oils, and Sweets Use sparingl
Page 21 and 22: Things You Should Know Before Havin
Page 23 and 24: Prior to admission: Please ask your
Page 25 and 26: Your Prenatal Guide 23 APPROPRIATE
Page 27 and 28: Your Prenatal Guide 25 INFANT FEEDI
Page 29 and 30: Your Prenatal Guide 27 EXERCISES FO
Page 31 and 32: Your Prenatal Guide 29 disorders ma
Page 33 and 34: Your Prenatal Guide 31 PROBLEMS DUR
Page 35 and 36: Your Prenatal Guide 33 RH DISEASE A
Page 37 and 38: IS THIS REALLY LABOR? Your Prenatal
Page 39 and 40: UTERINE INCISIONS Transverse Incisi
Page 41 and 42: Your Prenatal Guide 39 YOUR OWN CHA
Page 43: 75 Francis Street Boston, MA 02115

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