Sunday, September 16, 2007

Pregnancy: Taking Care of You and Your Baby -Part 1

Is prenatal care important?

Yes! You can help make sure that you and your baby will be as healthy as possible by following some simple guidelines and checking in regularly with your doctor.

What will happen during prenatal visits?

Your doctor will probably start by talking to you about your medical history and how you've been feeling. You'll probably be weighed and have your blood pressure taken on every visit.

On your first visit, you'll also probably have a pelvic exam to check the size and shape of your uterus (womb) and a Pap smear to check for signs of cancer of the cervix (the opening of the uterus).

Urine and blood tests may be done on the first visit and again later. Urine tests are done to check for bacteria in your urine, high sugar levels (which can be a sign of diabetes) and high protein levels (which can put you at risk for preeclampsia, a type of high blood pressure in pregnancy). Blood tests are done to check for low iron levels (anemia).

Sometimes, an ultrasound may be done to help figure out when your baby is due or to check on your baby's growth and position in your uterus. An ultrasound uses sound waves to create an image of your baby on a video screen.

Other tests may be needed if you or your baby are at risk for any problems.

How much weight should I gain during pregnancy?

About 25 to 30 pounds. If you don't weigh enough when you get pregnant, you may need to gain more. If you're very heavy when you get pregnant, you may need to gain only 15 to 18 pounds.

Pregnancy isn't the time to diet! It's best to gain about 2 to 3 pounds during the first 12 weeks and about 1 pound a week after that. Talk to your doctor about how much weight you should gain.

What should I eat?

One of the most important things you can do for yourself and your baby is eat a balanced diet. There are a few foods that you should be more careful about eating while you are pregnant. Meat, eggs and fish that are not fully cooked could put you at risk for an infection. Do not eat more than 2 or 3 servings of fish per week (including canned fish). Do not eat shark, swordfish, king mackerel, tilefish or tuna. These fish sometimes have high levels of mercury, which could hurt your baby.

Wash all fruit and vegetables. Keep cutting boards and dishes clean. Eat 3 to 4 servings of dairy foods each day. This will give you enough calcium for you and your baby. Do not drink unpasteurized milk or eat unpasteurized milk products. Soft cheeses such as Brie, feta, Camembert and Mexican queso fresco may have bacteria that can cause infections.

If you drink coffee or other drinks with caffeine, do not have more than 1 or 2 cups each day.

It is okay to use artificial sweeteners such as aspartame (some brand names: Equal, NutraSweet) and sucralose (brand name: Splenda) while you are pregnant, but you should try to them in moderation. If you have a genetic disease called phenylketonuria, or PKU, you shouldn't use aspartame at all.

Should I take vitamins?

You should take 400 mcg (0.4 mg) of folic acid every day for the first 12 weeks of your pregnancy. Folic acid can help prevent problems with your baby's brain and spinal cord. It is best to start taking folic acid before you get pregnant.

Your doctor might want you to take a prenatal vitamin. If you do take a prenatal supplement, make sure you're not taking any other vitamin or mineral supplement along with it unless your doctor recommends it.

Is it okay to take medicine?

Check with your doctor before taking any medicine, including aspirin. Even medicine you can buy without a prescription can cause birth defects, especially if it's taken during the first 3 months of pregnancy.

How long can I keep working?

This depends on if you have any problems with your pregnancy, what kind of work you do and if you're exposed to anything at work that could harm your baby. For instance, lifting heavy objects or standing for long periods can be hard on you. Radiation, lead and other heavy metals, such as copper and mercury, could be damaging to the baby. Working in front of a computer screen is not thought to cause harm to an unborn baby.

What about exercise?

Unless you have problems in your pregnancy, you can probably do whatever exercise you did before you got pregnant. You may feel better if you're active. Try to get at least 30 minutes for exercise each day. Talk to your doctor about any special conditions that you may have.

Some women say exercising during pregnancy makes labor and delivery easier. Walking and swimming are great choices. If you didn't exercise before pregnancy, start slowly. Don't overdo exercise. If you can't talk easily while exercising, you are working too hard. Don't get overheated. Be sure to drink plenty of water so that you don't get dehydrated. It's best to avoid anything that could cause you to fall, such as water skiing or rock climbing.



Source: FamilyDoctor.Org