EZ Pass OB Class

The beginning of pregnancy can stimulate a variety of questions and fears about what the next nine months hold in store. To help alleviate fears and concerns we have created a pregnancy class for the first trimester called the EZ Pass class. We encourage you to attend. To register please visit;

http://www.physiciansandmidwives.com/pregnancy-class-less-12-weeks/

 

Weight Gain:

How much should I gain?? The weight advised to gain in pregnancy is directly related to what your body mass index is. Here is how to calculate your BMI :

https://www.cdc.gov/reproductivehealth/maternalinfanthealth/pregnancy-weight-gain.htm

 

Guidelines for Nutrition in Pregnancy

Please refer to PREGNANCY tab on home screen and scroll over to Diet and Nutrition for a comprehensive idea of what a pregnancy plate should look like

As a general rule of thumb an additional 100 calories for each trimester is recommended for pregnancy

  • Add 100 calories in the first trimester
  • Add 200 calories in the second trimester
  • Add 300 calories in the 3rd trimester

You should NOT have:

  • Alcohol; raw/undercooked fish or meat; unpasteurized milk, cheese or yogurts.

You should LIMIT:

  • Sugars, simple carbohydrates, unhealthy fats.

 

Water Intake:

It is extremely important you stay hydrated with water every day.

The Institute of Medicine recommends that pregnant women drink 10 cups (2.4 liters) of water each day. It’s smart to get in the habit now, because if you decide to breast-feed, that requirement increases to 12.5 cups (3 liters) each day.

Dehydration can cause dizziness, nausea, headaches, fatigue, preterm contractions.

 

Listeria :

Listeriosis is an illness caused by bacteria that can occur in unpasteurized milk, soft cheese, prepared and uncooked meats/poultry/shellfish.

It can be harmful to pregnant women.

https://www.fda.gov/Food/ResourcesForYou/HealthEducators/ucm083320.htm

 

Fish Consumption

Please refer to the FDA chart for a comprehensive guide regarding your fish consumption in pregnancy.

https://www.fda.gov/Food/FoodborneIllnessContaminants/Metals/ucm393070.htm

Choose small amounts of healthy oils (olive and canola) for cooking or to flavor foods. Nuts, seeds and avocados contain healthy fats.

 

Preventing Nausea and Vomiting

Refer to PREGNANCY > CHANGES YOU CAN EXPECT > NAUSEA & VOMITING

It is usually referred to as morning sickness but in fact, it usually occurs during the whole day. The nausea and vomiting pregnant women experience with early pregnancy can be overwhelming and frustrating for many women and their families. It usually begins at 6 weeks and has typically resolved by 13-14 weeks. One day it will be horrible, and the next day it will be better. Something that helps one day may not work the next.

Besides some prescription medications, there are many effective things to try first:

  • Try to eat small amounts of carbs and protein every 2 hours. This does not mean a whole meal but try to keep your stomach full.
  • Do not drink liquids while eating food. Wait 15 minutes before eating if you just drank, or wait 15 minutes after eating to drink something. So, do not eat and drink at the same time.
  • Avoid greasy and/or spicy foods
  • For some women, soda has a settling effect.
  • Ginger: Ginger tea, ginger chews, ginger lollipops, ginger ale can all help settle your stomach
  • Peppermint tea: Make 6 bags in 4 cups of water. Add it to a gallon pitcher and fill the rest of the pitcher with water. Add some sugar and lemon.
  • Vitamin B6 and Unisom: Try 25mg of B6 three times a day. Take the Unisom at night.
  • Take your prenatal vitamin at night.

If the above options aren’t working and you are unable to keep down foods or fluids, are not urinating, or vomiting more than 5 times in an hour, please call us. There are safe prescription medications that are effective to help alleviate morning sickness. Sometimes you might require a hospital visit for IV hydration and medication.

You can read more about nausea and vomiting in early pregnancy on our blog in the post Sickness in Pregnancy – It’s Not Just for the Morning:

http://www.physiciansandmidwives.com/2013/01/03/sickness-in-pregnancy-its-not-just-for-the-morning/

 

Spotting in Early Pregnancy

Around 25% of women experience some vaginal bleeding in the first 12 weeks of pregnancy. The good news is that half of these women go on to have a normal pregnancy and deliver a healthy baby. Spotting can be normal but can also be a sign of a problem.

If you had a sonogram and everything was normal, ask yourself: have you recently had sex, had an internal sonogram, or did any bearing down (coughing, vomiting, pushing for a bowel movement, picking up something heavy). If so, this could be the cause of the spotting and it will usually resolve.

If you have spotting or light bleeding that goes away in less than a day, with no associated pain, it can be normal. Any bleeding lasting longer than a day warrants a call to the office. If you have heavy bleeding, pass tissue with the blood, or have pain and cramping associated with bleeding, please call us.

You can read more about spotting early in pregnancy in our blog post Spotting the Problem: What Does Bleeding in Early Pregnancy Mean?

http://www.physiciansandmidwives.com/2012/10/25/spotting-the-problem-what-does-bleeding-in-early-pregnancy-mean/

 

Immunizations

Flu: It’s safe and very important for pregnant women to receive the inactivated flu vaccine. A pregnant woman who gets the flu is at risk for serious complications and hospitalization.

Tdap (Tetanus, Diphtheria, Pertussis): The Center for Disease Control now recommends that every woman get a vaccine for Tetanus, Diphtheria, and Pertussis (Whooping Cough) every pregnancy. The best time is between 32 to 36 weeks. This will give your baby the best protection against Pertussis possible. It is be better to get this vaccine after 36 weeks than not at all. The vaccine is safe and recommended for partners and anyone who will be around the baby. It can be done at your primary care provider’s office, walk in clinic, or pharmacy.

After pregnancy it is safe for women to receive routine vaccines right after delivery, even if she is breastfeeding.

Postpartum, if not immune, it is recommended to have your MMR (measles, mumps, rubella) and varicella (chicken pox) vaccines.

For more information on immunizations and pregnancy, visit www.cdc.gov

For more information on vaccines for your child, visit www.cdc.gov/vaccines

For more information, access the Pregnancy section of the home page and click on warning signs for more about preterm labor