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OK, now that you've calmed down some from the initial excitement,
wiped out the pregnancy shelf at your local bookstore, and made a down
payment on a new maternity wardrobe, it's time to focus on the most
important thing here (and no, it's not the wallpaper pattern for the
nursery): your health and the baby's health. Your first assignment: Pick
up the phone and call your doctor, nurse practitioner, or
midwife—whomever you plan to see throughout your pregnancy and
delivery—and make an appointment. It's time to begin prenatal care.
HOW ARE YOU FEELING? 4 Weeks Pregnant Symptoms
Studies
find that babies of mothers who don't get prenatal care are three times
more likely to have a low birth weight and five times more likely to
die than babies born to mothers who do get care. Need any better reason?
The First Visit and Beyond
In
a normal pregnancy, you will see your health care professional every
month until about the sixth month; then every two weeks during the
seventh and eighth months, and then weekly until labor.
During
the first visit, your health care professional will take a full health
history, including a history of any previous pregnancies. You will also
receive a full physical exam, including a pelvic exam and Pap test in
most cases, and will be weighed and measured and have your blood
pressure taken. Your health care provider should also test for any
sexually transmitted infections. You will get a due date, officially
called the "estimated date of delivery," typically 266 days from the
first day of your last period if you have regular menstrual cycles.
Otherwise it is customary to assign the due date based on ultrasound.
During
every future visit, you will be weighed, have your belly measured and
blood pressure taken, have your urine tested for protein or sugar (signs
of potential complications), and, most exciting, hear your baby's heart
beat.
Prenatal Tests
Near the end of your
first trimester and early in the second trimester, your health care
professional will talk with you about a variety of prenatal tests to
assess the health of the fetus. It's up to you which ones you have done.
For instance, if you have no intention of terminating the pregnancy if
the tests do find a problem, you may want to skip them. However, even
then, you may want to have the test so you can prepare yourself
emotionally for the possibility of having a special-needs child.
Who and When to Tell
Although
you may want to send an e-mail to everyone in your address book, post
to your Facebook account and shout your pregnancy from the proverbial
rooftops, we urge you to relax and take a deep breath.
The first
three months are the most common time for miscarriage; so give the baby
time to get settled. Plus, you need time to adjust to the news, to
discuss options with your partner (Keep working? Work part-time? Quit
your job?) and decide how to break the news to your employer, if you're
employed.
If you work for a company that employs 50 or more
people for at least 20 weeks a year, you are covered by the Family and
Medical Leave Act. The act requires that your employer provide up to 12
weeks of unpaid leave during any 12-month period for the birth and care
of a newborn child. When you return, you are entitled to your same job
or the equivalent.
In addition, most states require that
employers offer the same disability leave (and pay) to pregnant women as
to employees with other medical conditions that interfere with their
ability to work. Thus, many women find that their first six weeks of
leave are often paid.
However, every company is different. The
only way to know what goes on in your company is to talk to your human
resource department or your manager/employer—after your first trimester.
"Preparing for "The Talk"
Make
a list of questions regarding benefits and maternity leave to discuss
with your employer after your first trimester. Also, develop a plan for
how your job will be handled while you're out on maternity leave and for
your post-pregnancy employment. The more on top of things you are, the
better things will go with your manager/employer
First Trimester Issues
So
how are you feeling? If you're like most women, the answer is exhausted
and nauseous. Let's deal with the fatigue first. Do you have any idea
what your body is doing right now? It is building a home that can
nourish and protect that baby for the next nine months—that is, the
placenta. This is really hard work. It takes a lot of energy—
your energy. So stop being superwoman for once and listen to what your body is telling you. That means:
- Napping on the weekends and when you get home from work
- Slowing down at work if possible.
- Putting your feet up as much as possible.
- Turning
over housework, cooking, errands, etc., to your partner, friend or a
professional agency—or just letting things go for a while.
Don't worry; in your second and much of your third trimesters, you'll have energy to burn.
Now,
about that nausea: They call it morning sickness, but for many women it
lasts all day. You may never throw up—just feel like you're
occasionally (or continually) seasick—or you may throw up every morning
as soon as your feet hit the floor. Don't worry. This is normal. There
is even some evidence that the nausea is nature's way of protecting the
baby from potentially harmful foods.
Most morning sickness disappears by the end of the first trimester. Until then:
- Eat small meals throughout the day so you're never too full or too hungry.
- Avoid rich, spicy, greasy or fatty foods, and foods whose smells bother you.
- Eat more carbohydrates (plain baked potato, white rice or dry toast).
- Eat
bland foods when you feel nauseous (saltine crackers, gelatin desserts,
popsicles, chicken broth, ginger ale and pretzels). Keep some crackers
by your bed and eat one before you get up.
- Use acupressure wristbands.
- Take additional vitamin B6 (25 mg three times a day), which some studies find can help with nausea.
If your prenatal vitamins make your nausea worse, talk to your health care provider about prescribing a vitamin without iron.
Pregnant Women Ask… I'm nine weeks pregnant, and I can't keep anything down. Should I worry?
Some
women experience a severe form of morning sickness called hyperemesis
gravidarum. If you experience any of the following, you may have more
than just "morning sickness" and should call your health care
professional:
- You have lost more than two pounds
- You vomit blood (which can appear bright red or black)
- You have vomited more than four times in one day
- You have not been able to keep fluids down for more than one day
Eating Right throughout Pregnancy
You
know you're supposed to follow a "healthy" diet during pregnancy (think
lots of fruit and veggies, low-fat forms of protein, high fiber, etc).
But do you know why? Beyond the obvious—maintaining enough calories to
keep you healthy and ensure the baby keeps growing—we're learning that
in-utero nutrition, including whether the mother is overweight or has
pregnancy-related diabetes, can impact a child's health throughout his
life.