Pregnancy For Dummies [NOOK Book]

Overview

The reassuring guide to a happy, healthy pregnancy

This new edition offers soon-to-be moms and dads detailed, friendly information on preparing and planning for pregnancy. You'll find guidance on the basics, as well as special considerations like age, multiple births, complications, illness, labor and delivery, postpartum care, and everything in between.

Now in a portable, handy trim size that makes it easy to keep with you on the go, Pregnancy...

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Pregnancy For Dummies

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Overview

The reassuring guide to a happy, healthy pregnancy

This new edition offers soon-to-be moms and dads detailed, friendly information on preparing and planning for pregnancy. You'll find guidance on the basics, as well as special considerations like age, multiple births, complications, illness, labor and delivery, postpartum care, and everything in between.

Now in a portable, handy trim size that makes it easy to keep with you on the go, Pregnancy For Dummies, 4th Edition is your go-to guide on everything you'll encounter during the first, second, and third trimesters—and beyond. Packed with new information and the latest developments in medical technology, it puts your mind at ease by offering straightforward answers to all the questions you may have about pregnancy, including health risks during pregnancy, fertility problems and solutions, "on demand" cesarean sections, weight gain during pregnancy, the correlation between mercury and autism, ways to stay emotionally and physically healthy during pregnancy, and much more.

  • Includes a complete guide to pregnancy, through all three trimesters and beyond, including a week-by-week account of what to expect during pregnancy
  • Covers the latest information related to healthcare and pregnancy, including the latest on vaccinations, fertility problems, and prenatal diagnoses
  • Offers advice on picking a doctor, planning prenatal visits, and designing a birthing plan
  • Explains the stages of labor and how to care for yourself and your newborn after childbirth

If you're an expectant parent, Pregnancy For Dummies, 4th Edition covers everything mom and baby experience before, during, and after childbirth.

"This friendly, reassuring book will answer questions, help with significant decisions, and provide state-of-the-art guidance."

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Editorial Reviews

From the Publisher
“…an accurate and informative read…giving essential information without instilling fear…” (Junior Pregnancy & Birth, February 2005)
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Product Details

  • ISBN-13: 9781118825594
  • Publisher: Wiley
  • Publication date: 7/8/2014
  • Series: For Dummies Series
  • Sold by: Barnes & Noble
  • Format: eBook
  • Edition number: 4
  • Pages: 480
  • Sales rank: 71,308
  • File size: 4 MB

Meet the Author

Joanne Stone, MD, and Keith Eddleman, MD, are Board Certified in Obstetrics and Gynecology, and are Associate Professors at Mount Sinai School of Medicine.

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Table of Contents

Introduction 1

Part I: Getting Started with Pregnancy 7

Chapter 1: Seeing Double Lines: I Think I’m Pregnant! 9

Chapter 2: Your Pregnancy at a Glance: Over view of Pregnancy Week-by-Week 27

Chapter 3: Preparing for Life during Pregnancy 39

Chapter 4: Diet and Exercise for the Expectant Mother 63

Part II: Pregnancy: Countdown 87

Chapter 5: The First Trimester 89

Chapter 6: The Second Trimester 123

Chapter 7: The Third Trimester 151

Part III: The Big Event: Labor, Delivery, and Recovery 189

Chapter 8: Honey, I Think I’m in Labor! 191

Chapter 9: Special Delivery: Bringing Your Baby into the World 223

Chapter 10: Hello, World! Meet Your Newborn 245

Chapter 11: Taking Care of Yourself after Delivery 263

Chapter 12: Feeding Your Baby 291

Part IV: Dealing with Special Concerns 317

Chapter 13: Pregnancies with Special Considerations 319

Chapter 14: When Things Get Complicated 347

Chapter 15: Pregnancy in Sickness and in Health 371

Chapter 16: Coping with the Unexpected 397

Part V: The Part of Tens 403

Chapter 17: Ten Things Nobody Tells You 405

Chapter 18: Ten Healthy Snacks for Pregnant Women 411

Chapter 19: Ten Key Things You Can See on Ultrasound 423

Index 431

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First Chapter

Pregnancy For Dummies


By Joanne Stone Keith Eddleman Mary Duenwald

John Wiley & Sons

ISBN: 0-7645-4483-7


Chapter One

From Here to Maternity

In This Chapter

* Checking out your health and family history

* Preparing your body for pregnancy

* Making it happen: Conception made easy

Congratulations! If you're already pregnant, you're about to embark upon one of the most exciting adventures of your life. The next year or so is going to be filled with tremendous changes and (we hope) unbelievable happiness. If you're thinking about getting pregnant, you're probably excited at the prospect and also a little nervous at the same time.

And if your pregnancy is still in the planning stages, check out this chapter to find out what you can do to get ready for pregnancy - first by visiting your practitioner and going over your family and personal health history. Then you can discover whether you're in optimal shape to get pregnant, or if you need to take some time to gain or lose weight, improve your diet, quit smoking, or discontinue medications that could be harmful to your pregnancy. We also give you some basic advice about the easiest way to conceive, and we touch on the topic of infertility.

Getting Ready to Get Pregnant: The Preconceptional Visit

By the time you miss your period and discover you're pregnant, the embryo, now two weeks old or more, is already undergoing dramatic changes. Believe it or not, when the embryo is only twoto three weeks old, it has already developed the beginnings of its heart and brain. Because your general health and nutrition can influence the growth of those organs, having your body ready for pregnancy before you get pregnant really pays off. Schedule what's called a preconceptional visit with your practitioner to be sure your body is tuned up and ready to go.

Sometimes you can schedule this visit during a routine gynecological appointment: When you go in for your annual PAP test, mention that you're thinking about having a baby, and your practitioner will take you through the preliminaries. If you aren't due for your annual exam for several more months and you're ready to begin trying to get pregnant now, go ahead and schedule a preconceptional visit with your practitioner, and bring along the father-to-be, if at all possible, so both of you can provide health histories - and know what to expect from this adventure.

If you're already pregnant and didn't have a preconceptional visit, don't worry, because your practitioner will go over these topics at your first prenatal visit, which we discuss in Chapter 5.

Taking a look at your history

The preconceptional visit is a chance for your practitioner to identify areas of concern so he or she can keep you and your baby healthy - even before you get pregnant. A multitude of factors come into play, and the practitioner is likely to ask you about the following:

  •   Previous pregnancies and gynecologic history: Information about previous pregnancies can help your practitioner decide how best to manage your future pregnancies. He or she will ask you to describe any prior pregnancies, any miscarriages or premature births, multiple births - any situations that can happen again. For example, knowing whether you had problems in the past, like pre-term labor or high blood pressure, is helpful for the practitioner. Your gynecologic history is equally important because information like prior surgery on your uterus or cervix or a history of irregular periods also may influence your pregnancy.
  •   Your family history: Reviewing your family's medical history alerts your practitioner to conditions that may complicate your pregnancy or be passed on to the developing baby. You want to discuss your family history because you can take steps before you conceive to decrease the chance that certain disorders, such as having a family history of neural tube defects (spina bifida, for example), will affect your pregnancy (see the sidebar "Why the sudden hype on folic acid?" later in this chapter). In Chapter 8, we discuss in more detail different genetic conditions and ways of testing for them.

For those of you considering the use of donor eggs or sperm, keep in mind that the donor's genetic history is just as important as any other biological parent's. Find out as much as you can.

  •   Looking at your ethnic roots: Your preconceptional visit involves questions about your parents' and grandparents' ancestry - not because your practitioner is nosy, but because some inheritable problems are concentrated in certain populations. Again, the advantage of finding out about these problems before you get pregnant is that if you and your partner are at risk for one of these problems, you have more time to become informed and to check out all your options (see Chapter 5).

Evaluating your current health

Most women contemplating pregnancy are perfectly healthy and don't have problems that can have an impact on pregnancy. Still, a preconceptional visit is very useful because it's a time to make a game plan and to find out more about how to optimize your chances of having a healthy and uncomplicated pregnancy. You can discover how to reach your ideal body weight and how to start on a good exercise program, and you can begin to take prenatal vitamins with folic acid.

Some women, however, do have medical disorders that can affect the pregnancy. Expect your practitioner to ask whether you have any one of a list of conditions. For example, if you have diabetes, stabilizing your blood sugar levels before you get pregnant and watching those levels during your pregnancy are important. If you're prone to high blood pressure (hypertension), your doctor will want to control it before you get pregnant, because controlling hypertension can be time-consuming and can involve changing medications more than once. If you have other problems - epilepsy, for example - checking your medications and controlling your condition are important. For a condition like systemic lupus erythematosus (SLE), your practitioner may encourage you to try to become pregnant at a time when you're having very few symptoms.

You can expect questions about whether you smoke, indulge in more than a drink or two a day, or use any recreational/illicit drugs. Your practitioner isn't interrogating you and is unlikely to chastise you, so be comfortable answering honestly. These habits can be harmful to a pregnancy, and dropping them before you get pregnant is best. Your practitioner can advise you on ways to do so or refer you to help or support groups.

You also need to discuss any prescription or over-the-counter drugs you take regularly and your diet and exercise routines. Do you take vitamins? Do you diet frequently? Are you a vegetarian? Do you work out regularly? Discuss all these issues with your practitioner.

If you haven't had a recent physical exam or PAP smear, your practitioner will probably recommend that you have it done during this preconceptional visit.

Answering Commonly Asked Questions

Your preconceptional visit is also a time for you to ask your practitioner questions. In this section, we answer the most common questions - about body weight, medications, vaccinations, and quitting birth control.

Getting to your ideal body weight

The last thing most women need is another reason to be concerned about weight control. But this point is important: Pregnancy goes most smoothly for women who aren't too heavy or too thin. Overweight women stand a higher-than-normal risk of developing diabetes or high blood pressure during pregnancy, and they're more likely to end up delivering their babies via cesarean section. Underweight women risk having too-small (low birth-weight) babies.

Try to reach a healthy, normal weight before you get pregnant. Trying to lose weight after you conceive isn't advisable, even if you're overweight. And if you're underweight to begin with, catching up on pounds when the baby is growing may be difficult. (Read more about your ideal weight and weight gain in Chapter 4.)

Reviewing your medications

Many medicines - both over-the-counter and prescription - are safe to take during pregnancy. But a few medications can cause problems for the baby's development. So let your doctor know about all the medications you take. If one of them is problematic, you can probably switch to something safer. Keep in mind that adjusting dosages and checking for side effects may take time.

Exposure to the following drugs and chemicals is considered to be safe during pregnancy:

  •   Acetaminophen
  •   Acyclovir
  •   Antiemetics (for example, phenothiazines and trimethobenzamide)
  •   Antihistamines (for example, doxylamine)
  •   Aspartame (brand names Nutrasweet and Equal)
  •   Low-dose aspirin
  •   Minor tranquilizers (for example, meprobamate, chlordiazepoxide, and fluoxetine)
  •   Penicillin, cephalexin, trimethoprim-sulfamethoxazole, erythromycin, and several other antibiotics
  •   Zidovudine

The following are some of the common medications that women ask about before they get pregnant:

  •   Birth control pills: Women sometimes get pregnant while they're on the Pill (because they missed or were late taking a couple of pills during the month) and then worry that their babies will have birth defects. But oral contraceptives haven't been shown to have any ill effects on a baby. Two to three percent of all babies are born with birth defects, and babies born to women on oral contraceptives are at no higher risk.
  •   Ibuprofen (Motrin, Advil): Occasional use of these and other nonsteroidal anti-inflammatory agents during pregnancy (for pain or inflammation) is okay and hasn't been associated with problems in infants. However, avoid chronic or persistent use of these medications during pregnancy (especially during the last trimester), because they have the potential to affect platelet function and blood vessels in the baby's circulatory system.
  •   Vitamin A: This vitamin and some of its derivatives can cause miscarriage or serious birth defects if too much is present in your bloodstream when you get pregnant. The situation is complicated by the fact that vitamin A can remain in your body for several months after you consume it. Discontinuing any drugs that contain vitamin A derivatives - the most common is the anti-acne drug Accutane - at least one month before trying to conceive is important. Scientists don't know whether topical creams containing vitamin A derivatives - anti-aging creams like Retin A and Renova, for example - are as problematic as drugs that you swallow, so consult your physician about them.

Some women take supplements of vitamin A, because they're vegetarians and don't get enough from their diet or because they suffer from vitamin A deficiency. The maximum safe dose during pregnancy is 5,000 international units (IU) daily. (You need to take twice that amount to reach the danger zone.) Multiple vitamins, including prenatal vitamins, typically contain 5,000 IU of vitamin A or less. Check the label on your vitamin bottle to be sure.

If you're worried that your prenatal vitamin plus your diet will put you into that "danger zone" of 10,000 IU per day, rest assured that it would be extremely difficult to get that much vitamin A in your diet.

  •   Blood thinners: Women who are prone to developing blood clots or who have artificial heart valves need to take blood-thinning agents every day. One type of blood thinner, coumadin, or its derivatives can trigger miscarriage, impair the baby's growth, or cause the baby to develop bleeding problems or structural abnormalities if taken during pregnancy. Women who take this medicine and are thinking of getting pregnant should switch to a different blood thinner. Ask your practitioner for more information.
  •   Drugs for high blood pressure: Many of these medications are considered safe to take during pregnancy. However, because a few can be problematic, you should discuss any medications to treat high blood pressure with your doctor (see Chapter 16).
  •   Antiseizure drugs: Some of the medicines used to prevent epileptic seizures are safer than others for use during pregnancy. If you're taking any of these drugs, discuss them with your doctor. Don't simply stop taking any antiseizure medicine, because seizures may be worse for you - and the baby - than the medications themselves (see Chapter 16).
  •   Tetracycline: If you take this antibiotic during the last several months of pregnancy, it may, much later on, cause your baby's teeth to be yellow.
  •   Antidepressants: Many antidepressants (like Prozac) have been studied extensively and are considered perfectly safe during pregnancy. If you are taking an antidepressant and planning to conceive, you should ask your doctor whether you will be able to keep taking the medication while you're pregnant.

Considering nutraceuticals

Many women choose to treat common ailments with over-the-counter plant extracts or other natural medications. Some are considered completely safe during pregnancy, but keep in mind that, because they are considered nutritional supplements, these agents are not regulated by the FDA. Despite the fact that many pregnant women use these supplements, very few studies have evaluated their safety during pregnancy. St John's wort, for instance, is an herb commonly used to treat depression, sleep disorders, and viral infections. Not only can this herb interact with other medications, but also its safety during pregnancy has not been studied, so use it with caution.

Some herbal medications should not be used during pregnancy because they can cause uterine contractions or even miscarriage. A short list of agents that are not recommended during pregnancy includes mugwort, blue cohosh, tansy, black cohosh, Scotch broom, goldenseal, juniper berry, pennyroyal oil, rue, mistletoe, and chaste berry.

Continues...


Excerpted from Pregnancy For Dummies by Joanne Stone Keith Eddleman Mary Duenwald Excerpted by permission.
All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.
Excerpts are provided by Dial-A-Book Inc. solely for the personal use of visitors to this web site.

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Customer Reviews

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See All Sort by: Showing 1 – 20 of 24 Customer Reviews
  • Anonymous

    Posted March 16, 2005

    Great information

    When my husband and I got pregnant we were thrilled, then that feeling of 'what do we do now' hit us. I had seen this book before, so I decided to buy it and it was great! I read this book and often consulted it throughout my pregnancy. This book also helped me understand what was going on inside me, how the baby was growing and helped me ask BETTER questions to my doctor.

    4 out of 4 people found this review helpful.

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  • Anonymous

    Posted March 23, 2000

    The Ultimate Guide for 1st Time Mommies

    This book is outstanding for first time mommies! It is complete, comprehensive, and in true 'dummies' fasion, is extremely easy to read and understand. Far exceeds my expectations of what to expect while I'm expecting. If you are going to read any book while you are pregnant, read this book and by-pass 'What To Expect While you are Expecting'. 'what to expect' is too much medical mumbo jumbo. 'Dummies' is definitely the best book to start with!

    3 out of 3 people found this review helpful.

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  • Anonymous

    Posted June 19, 2003

    This Book Is Great!!!!

    This is the ultimate book for first time moms to read if they want to know 'what to expect'...not that other book (you know which book I'm talking about). I could not get into the other book, it was so boring and drab. But this book, I just couldn't put it down. I actually read this book from cover to cover more than once, and it was an excellent reference throughout my pregnancy and afterward also. It even inspired me to pursue my current career field. As an OB nurse and a mom, I would definitely recommend this book to every first time mom.

    1 out of 1 people found this review helpful.

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  • Anonymous

    Posted November 27, 2014

    Wow

    Dummies has everything!

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  • Anonymous

    Posted March 15, 2014

    Lizzy

    Gtgtb bbt

    0 out of 2 people found this review helpful.

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  • Anonymous

    Posted March 15, 2014

    Waverly

    Thank you ( holds them )

    0 out of 1 people found this review helpful.

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  • Anonymous

    Posted March 15, 2014

    Talia

    Well i must get my sleep and you as well. My dad is going to do math with me in 6 and a half hours. Nite! Hugs all of them.

    0 out of 3 people found this review helpful.

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  • Anonymous

    Posted October 20, 2012

    This book

    This book is great my sister just gave birth to quintoplits last week and i am expecting twins.

    0 out of 3 people found this review helpful.

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