Pregnancy For Dummies [NOOK Book]

Overview

Each pregnancy raises the mother lode of questions -- from how to eat right to what really goes on in the delivery room. Now fully revised and updated, Pregnancy For Dummies, 2nd Edition, is a friendly guide full of practical advice on everything parents-to-be need to know to make pregnancy a happy, healthy experience!

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

...
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Pregnancy For Dummies

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Overview

Each pregnancy raises the mother lode of questions -- from how to eat right to what really goes on in the delivery room. Now fully revised and updated, Pregnancy For Dummies, 2nd Edition, is a friendly guide full of practical advice on everything parents-to-be need to know to make pregnancy a happy, healthy experience!

"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: 205,487
  • File size: 4 MB

Meet the Author

Joanne Stone, MD, and Keith Eddleman, MD, practice and teach in the Division of Maternal-Fetal Medicine at Mount Sinai Medical Center. They starred in a television series based on this book that aired on the Discovery Health Channel.

Mary Duenwald is a veteran journalist.

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Table of Contents

Introduction 1
About This Book 1
What's New in This Edition 2
Conventions Used in This Book 3
What You're Not to Read 3
Foolish Assumptions 4
How This Book Is Organized 4
Icons Used in This Book 6
Where to Go from Here 6
Part I The Game Plan 7
Chapter 1 From Here to Maternity 9
Getting Ready to Get Pregnant: The Preconceptional Visit 9
Answering Commonly Asked Questions 12
Introducing Sperm to Egg: Timing is Everything 18
Chapter 2 I Think I'm Pregnant! 23
Recognizing the Signs of Pregnancy 23
Testing, Testing, 1, 2, 3 24
Choosing a Practitioner Who's Right for You 25
Calculating Your Due Date 28
Chapter 3 Preparing for Life during Pregnancy 31
Planning Prenatal Visits 31
Preparing for Physical Changes 34
Understanding the Effects of Medications, Alcohol, and Drugs on Your Baby 37
Looking at Lifestyle Changes 41
Working during Pregnancy: A Different Type of Labor 47
Chapter 4 Diet and Exercise for the Expectant Mother 51
Looking at Healthy Weight Gain 52
Taking Stock of What You're Taking In 54
Determining Which Foods Are Safe 60
Considering Special Dietary Needs 62
Working Out for Two 63
Part II Pregnancy: a Drama in Three Acts 69
Chapter 5 The First Trimester 71
A New Life Takes Shape 71
Adapting to Pregnancy: Body Changes in the First Trimester 74
Making Your First Prenatal Visit 80
Recognizing Causes for Concern 88
Chapter 6 The Second Trimester 91
Discovering How Your Baby Is Developing 91
Understanding Your Changing Body 93
Checking In: Prenatal Visits 99
Recognizing Causes for Concern 99
Chapter 7 The Third Trimester 103
Your Baby Gets Ready for Birth 103
Keeping Up with Your Changing Body 106
Thinking about Labor 116
Hitting the Home Stretch: Prenatal Visits in the Third Trimester 118
Taking a Childbirth Class 118
Recognizing Causes for Concern 119
Getting Ready to Head to the Hospital 124
Chapter 8 Understanding Prenatal Testing 127
Considering Tests for Prenatal Diagnosis in the First Trimester 127
Testing in the Second Trimester 132
Looking at Third-Trimester Tests 142
Part III The Big Event: Labor, Delivery, and Recovery 147
Chapter 9 Honey, I Think I'm in Labor! 149
Knowing When Labor Is Real--and When It Isn't 149
Getting Admitted to the Hospital 154
Monitoring Your Baby 155
Nudging Things Along: Labor Induction 158
Getting the Big Picture: Stages and Characteristics of Labor 161
Handling Labor Pain 166
Considering Alternative Birthing Methods 170
Chapter 10 Special Delivery: Bringing Your Baby into the World 173
Having a Vaginal Delivery 173
Assisting Nature: Operative Vaginal Delivery 181
Having a Cesarean Delivery 182
Congratulations! You Did It! 187
Chapter 11 Hello, World! Your Newborn 191
Looking at Your Bundle of Joy--Goo, Blotches, and All 191
Knowing What to Expect in the Hospital 198
Checking In: Baby's First Doctor Visit 202
Bringing Baby Home 203
Recognizing Causes for Concern 210
Chapter 12 Taking Care of Yourself after Delivery 213
Recuperating from Delivery 213
Recovering from a Cesarean Delivery 220
The Party's Not Over: More Postpartum Changes 225
Returning to "Normal" Life 229
Chapter 13 Feeding Your Baby 235
Deciding between Breast and Bottle 235
Latching onto Breastfeeding 238
Bottlefeeding for Beginners 251
Dealing with Baby's Developing Digestive System 254
Part IV Special Concerns 257
Chapter 14 Pregnancies with Special Considerations 259
Figuring Out How Age Matters 259
Having Twins or More 263
Getting Pregnant Again 273
Looking at Single Moms and Nontraditional Families 277
Preparing Your Child (or Children) for a New Arrival 278
Chapter 15 When Things Get Complicated 281
Dealing with Preterm Labor 282
Handling Preeclampsia 285
Understanding Placental Conditions 286
Recognizing Problems with the Amniotic Fluid and Sac 288
Describing Problems with Fetal Growth 291
Looking at Blood Incompatibilities 293
Dealing with Breech Presentation 295
Pondering Post-Date Pregnancy 296
Chapter 16 Pregnancy in Sickness and in Health 299
Getting an Infection during Pregnancy 299
Handling Prepregnancy Conditions 311
Chapter 17 Coping with the Unexpected 319
Surviving Recurrent Miscarriages 320
Coping with Late-Pregnancy Loss 321
Dealing with Fetal Abnormalities 321
Finding Help 322
Beginning to Heal 323
Part V The Part of Tens 325
Chapter 18 Ten Things Nobody Tells You 327
Pregnancy Lasts Longer Than Nine Months 327
Other People Can Drive You Crazy 328
You Feel Exhausted in the First Trimester 328
Round Ligament Pain Really Hurts 328
Your Belly Becomes a Hand Magnet 329
Hemorrhoids Are a Royal Pain in the Butt 329
Sometimes Women Poop While Pushing 329
The Weight Stays On after the Baby Comes Out 330
Hospital Pads are Relics from Your Mother's Era 330
Breast Engorgement Really Sucks 330
Chapter 19 Ten (or So) Old Wives' Tales 331
The Old Heartburn Myth 331
The Mysterious Umbilical Cord Movement Myth 331
The Curse Myth 332
The Heart Rate Myth 332
The Ugly Stick Myth 332
The Java Myth 332
The Myth of International Cuisine 332
The Great Sex Myth 333
The Round Face Myth 333
The Moon Maid Myth 333
The Belly Shape Myth 333
The Ultrasound Tells All Myth 333
Chapter 20 Ten Landmarks in Fetal Development 335
The Baby Is Conceived 335
The Embryo Implants Itself 335
The Heart Begins Beating 336
The Neural Tube Closes 336
The Face Develops 336
The Embryonic Period Ends 336
The Sexual Organs Appear 336
Quickening Occurs 337
The Lungs Reach Maturity 337
A Baby Is Born 337
Chapter 21 Ten Key Things You Can See on Ultrasound 339
Measurement of Crown-Rump Length 340
The Face 341
The Spine 342
The Heart 343
The Hands 344
The Foot 345
The Fetal Profile 346
The Stomach 347
It's a Boy! 348
It's a Girl! 349
Appendix The Pregnant Man: Having a Baby from a Dad's Perspective 351
Reacting to the News 351
Knowing What to Expect from the First Trimester 352
Watching Mom Grow--the Second Trimester 353
Getting Down to the Wire--the Third Trimester 353
Dad in the Delivery Room 354
Home at Last--with the New Family 355
Index 357
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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 23 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 March 15, 2014

    Lizzy

    Gtgtb bbt

    0 out of 1 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 1 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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