Top 12 Pregnancy Fears (and Why You Shouldn't Worry) Cont'd

THE FEAR: What if something really gross or embarrassing will happen during delivery?

THE (RELAX!) FACTS: You've likely heard all sorts of delivery room stories -- say, about the woman who pooped on the table, or threw up all over her doctor...or cursed her husband for "doing this to me" in front of everyone present. And yes, you will wind up with a team of doctors and nurses staring expectantly at your vagina for a loooong time -- and by your side for every grunt and groan. But you know what? They do this like five times a day and whatever happens, they've seen before. And in the moment, you won't care either. The only thing you'll be thinking about is getting that baby out and seeing her for the first time. "Honestly, nothing grosses us out," says Dr. Morse. "So put it out of your mind!" If it will help ease your nerves any, go ahead and get waxed before D-day, or institute a "stay north of my waist" rule for any family or friends keeping you company.

THE FEAR: I'll need an emergency c-section.

THE (RELAX!) FACTS: A third of all babies are born by c-section, but many of these surgeries are known in advance -- not the scary last-minute, rush-into-the-OR kind, says Dr. Morse. A c-section might be planned, for example, if the baby is breech or very large, if there are problems with the placenta, or if the mom has had a previous c-section. "I can tell you from my own experience that emergency c-sections are not common. But if something happens and you do need one? That's why you're in the hospital," she says. "And as scary as it may be to get whisked into surgery, mom and baby usually come out of it just fine."

Source : parents.com

Top 12 Pregnancy Fears (and Why You Shouldn't Worry) Cont'd

THE FEAR: Sex will never be the same again.

THE (RELAX!) FACTS: After baby makes her way out, it's hard to imagine how everything down there will get back to the way it was. But it will! You just need to give your body a little time to heal, and your libido a chance to fire back up again (breastfeeding may dampen your sex drive at first). During the first few months, odds are you and your hubby will crave sleep more than sex, anyway. Once your doctor does give you the green light to go for it, take it slow -- it may hurt or feel uncomfortable the first few times (lube will be your new best friend). But the human body is an amazing thing with an incredible ability to snap back and recover. In fact, nearly 70 percent of women report that things are back to business as usual by six months after delivery, according to one recent study in the journal Obstetrics & Gynecology. And once the initial ouch-ness passes and your muscles regain their strength, a lot of new moms actually find their sex lives improve post-baby. They crave it more often and find the intimacy more satisfying than before.

THE FEAR: Labor will be too tough or painful -- I'll never make it through.

THE (RELAX!) FACTS: It's easy to get so wrapped up in your pregnancy -- all the week-by-week developments, picking out baby names, decorating the nursery -- that it doesn't dawn on you until those last few weeks that your baby actually needs an exit strategy. So you start worrying about all the different things that can happen: How much will it hurt? How long will it last? First, take a step back and realize that women have been doing this since the dawn of time (so yes, you can handle it too) -- and these days, there's plenty you can do about pain. If you're the type of person who gets more nervous the more information you have, you might be better off talking with your doctor about a few specific issues, and then just waiting until it happens to get through it. And don't watch those real-life delivery room shows on TV! They're not indicative of what you'll go through, since they tend to show just the super-dramatic deliveries. And if you're the total opposite -- and really do feel better the more uber-prepared you are -- then go for the childbirth classes, poll all your friends for tips on how they got through it, and draw up a birth plan and discuss it with your doctor. "Regardless of your worrying style, it's most important to have a doctor you trust and can chat openly with about your fears and wishes in the delivery room, and who can talk you through what to really expect," says Dr. Morse. "That will go a long way toward putting your mind at ease."

Top 12 Pregnancy Fears (and Why You Shouldn't Worry) Cont'd

THE FEAR: I'll never lose all this baby weight.

THE (RELAX!) FACTS: Every giant-bellied gal on the planet worries about getting her pre-baby body back. And it doesn't help to see celeb after celeb snap back to their skinny selves the instant they're wheeled out of the delivery room. Truth is, research shows that 14 to 20 percent of women do keep on at least some of their pregnancy weight, but there are ways to boost your odds of shedding every last pound: First, try to stay within the weight guidelines during your pregnancy (that's about 25 to 35 pounds for normal-weight women). Research shows that women who gain more than what's recommended are the least likely to melt it off afterward. Another biggie: breastfeeding. It's known to rev up metabolism (by hundreds of calories a day!) and helps a lot of moms naturally slim down. And once your doctor gives you the green light, get some exercise. Brazilian researchers found that women who dieted and worked out after delivering lost significantly more pregnancy weight than those who only cut calories. (But remember, breastfeeding moms shouldn't cut back too much -- you still need about 2,000 well-balanced calories a day to meet the nutritional demands of nursing.) And it's easier to slip in exercise than you think -- yes, even when you're a totally pooped new mom. Try going for long stroller walks or picking up some Pilates or cardio DVDs and slipping in a quick workout after you put baby down for the night. Finally, try the old "nap when the baby naps" advice. According to a recent Kaiser Permanente study, new moms who got five hours of sleep or less a day were three times more likely to keep on their extra baby pounds (11 of them, on average) a year later than those who got more zzz's.

THE FEAR: I'll have complications like preeclampsia or gestational diabetes.

THE (RELAX!) FACTS: The risk of developing dangerously high blood pressure (preeclampsia) is just between 5 and 8 percent. It's more common in women under 18 or over age 35 -- as well as in women who have borderline high blood pressure going into their pregnancy. "But if you had any of these factors, your doctor would be monitoring you closely from the very beginning -- and would likely catch the condition early," says Dr. Ashton. Preeclampsia also doesn't tend to develop until the second half of pregnancy, and in some cases, arises so late that there are few, if any, adverse health affects. There's no way to necessarily lower your risk for the condition. But making sure you get regular prenatal checkups (during which your blood pressure will be checked) and alerting your doctor to any symptoms of preeclampsia, such as swelling of your hands or face, blurry vision, or major headaches, will ensure it's caught in its earliest stages. As for gestational diabetes -- a condition where your body becomes unable to process sugar properly, so it accumulates in the bloodstream -- the risks are similarly low. Simple dietary changes, like limiting your intake of starchy carbs, are usually all it takes to get it under control. For healthy women with no history of diabetes, a routine blood glucose test between weeks 24 and 28 of pregnancy can spot the condition.

Top 12 Pregnancy Fears (and Why You Shouldn't Worry) Cont'd

THE FEAR: My baby will have a birth defect.

THE (RELAX!) FACTS: Like many moms-to-be, you hold your breath during every single prenatal test, hoping the results will prove your baby is healthy and developing on track. And it's overwhelmingly likely that she is. The risk of your baby having any birth defect is only 4 percent -- and that includes serious ones, like Down syndrome, as well as all of the thousands of other identified abnormalities, many of which are small and insignificant, like a problem with a toenail, or a tiny heart defect that goes away soon after birth without causing any health issues. Even if a screening test (like an ultrasound or quad screen) comes back abnormal, it doesn't necessarily mean there's actually a problem, and in many cases, subsequent tests confirm that everything is fine, says Dr. Morse. The best way to protect your baby: Take a multivitamin with folic acid before pregnancy and pop your prenatal vitamins daily to reduce the risk of brain and spinal defects, and talk to your doctor about any specific concerns you have. She should be able to give you a clear idea of the true risks, given your family history and age, and help put your "what if" worries in perspective.

THE FEAR: I'll go into labor too early.

THE (RELAX!) FACTS: This one might be on your worry radar because the rate of premature births has been steadily increasing (it's just shy of 13 percent). But more than 70 percent of these babies are born between 34 and 36 weeks -- far enough along in the pregnancy that the risk of serious complications or developmental issues, while not nil, is much lower. And there are actually quite a few things you can do to lower your risk of delivering early: Don't smoke or drink alcohol, have regular prenatal checkups, and take your prenatal folic acid supplements every day. A recent study of nearly 40,000 women found that those who popped the vitamins for a year prior to conception and throughout their pregnancies were between 50 and 70 percent less likely to deliver early than those who didn't take them. The researchers believe that folic acid may prevent certain genes from malfunctioning and causing premature labor.

Top 12 Pregnancy Fears (and Why You Shouldn't Worry) Cont'd

THE FEAR: I'll eat or drink the wrong thing -- and harm my baby.

THE (RELAX!) FACTS: Women today feel a lot of pressure to do all the "right things" when they're expecting, says Dr. Morse. Beyond the basics like eating healthy and taking prenatal vitamins, pregnant gals today worry about every little "Is it safe?" question. But agonizing over every decision will drive you crazy -- and there's no need for it. Your doctor should outline the big no-nos at your first prenatal visit, and you can ask about any major concerns then. Remember, no one can possibly follow every rule and guideline to the letter. And here's the truth: "Even the risks associated from things like eating unpasteurized cheese or dying your hair during your first trimester -- both of which doctors advise against -- are probably very, very small, and we're just being extra cautious," says Dr. Ashton. So don't fret if you accidentally order a turkey sandwich (oops...forgot that cold cuts are off-limits!) or sip a glass of juice at a brunch, then realize it's unpasteurized. And hey, we bet your mom didn't do half the things you're doing for your kiddo -- and look how brilliantly you turned out.

THE FEAR: I'm too stressed out -- and it's hurting the baby.

THE (RELAX!) FACTS: Between those crazy hormones, the sheer exhaustion, and everything else going on these days, it would be weird if you didn't feel a bit on edge every now and then. But stressing over your stress is useless, says Dr. Morse -- especially because a super-taxing day or week at work is not going to harm your baby. Most research shows that intermittent stress (the kind your body gets used to over time) has minimal impact on an unborn baby. While some studies show that acute, severe stress (like losing a job or a death in the family) can increase a baby's risk for things like premature birth, experts agree that it's all about how you handle the situation. Bottom line: If you know you tend to get super-tense, try to take things down a notch, and find a way to reclaim your calm at the end of a bad day -- be it writing in your journal, venting to your hubs, or going to bed an hour earlier.

Top 12 Pregnancy Fears (and Why You Shouldn't Worry)

Relax! Here, doctors share the truth about your biggest pregnancy worries -- and why they're not as scary as you think.

It's only natural to worry a bit throughout your pregnancy -- after all, this whole baby thing is new, nail-bitingly unpredictable, and you just want so badly for it to go perfectly. And guess what? It usually does. Here, doctors explain the real facts about the things that freak you out most. Read on -- and heave a huge sigh of relief.

THE FEAR: I'll have a miscarriage.

THE (RELAX!) FACTS: It's unlikely. Most pregnancies result in healthy babies (less than 20 percent end in miscarriage), says Karyn Morse, MD, an ob-gyn at Cedars-Sinai Medical Center in Los Angeles. "Remember also that most miscarriages also happen within the first few weeks of pregnancy, when many women typically don't realize they're expecting and wouldn't know if they did miscarry. They'd just get a normal-looking period," she says. After your doctor can see a heartbeat (usually around 6 to 8 weeks) the risk of miscarriage drops to about 5 percent. And there's very reassuring news if you should have one. The odds of having a second miscarriage is very small -- less than 3 percent, says Diane Ashton, MD, MPH, deputy medical director for the March of Dimes. So what causes a miscarriage? Often, it's due to a chromosomal abnormality that prevents the fetus from developing normally, and miscarrying is totally unavoidable -- not because of anything you did or didn't do. But you can lower your risk by not smoking or drinking alcohol and cutting back on your caffeine intake (aim for 200 milligrams or less, or one large cup of coffee, a day).

THE FEAR: My morning sickness is terrible! My baby isn't getting enough to eat.

THE (RELAX!) FACTS: Pardon the comparison, but babies are very good parasites, says Dr. Morse. "They'll absorb all of the nutrition from the foods you do give them -- so even if you're living on only crackers and juice, you don't need to worry," says Dr. Morse. Dr. Ashton agrees: "Unless you're sick to the point that you become severely dehydrated -- and if you were you'd feel so lousy that you'd call your doctor anyway -- morning sickness isn't going to cause any nutritional imbalance or affect the fetus." Just be sure to take your prenatal vitamins and do the best you can, otherwise. "Eat small, frequent meals," adds Dr. Morse. "Little bites tend to be less overwhelming to your digestive system. And eating more often will keep you from getting too ravenous, which is when women tend to feel the most nauseous." If you constantly find yourself over the toilet bowl, your doctor may prescribe an anti-nausea medication that is safe for the baby. And hang in there: Most women are able to stomach a wider variety of healthy foods after about 16 weeks -- which is coincidentally about when your baby needs to start gaining more weight too.

When Your Baby Is Breech

In the vast majority of term pregnancies the fetus will be in the vertex, or "head-down" position at delivery. When the fetus is not in this position it is referred to as breech. Early in pregnancy the breech position is common. However, when the pregnant woman approaches her due date only 3% of babies will remain in the breech position. The majority of breech pregnancies in this country are delivered by cesarean section. However, as many as 17% are still delivered vaginally, although this number is quite variable at different hospitals.

Most of the time, the doctor can determine the position of the baby by feeling the pregnant woman’s abdomen. This is an examination known as "Leopold’s maneuvers". If this exam leads the doctor to believe that the baby is breech, an ultrasound study can be ordered to confirm this condition.

Although the cause of breech positioning is not always known, sometimes it can be linked to certain conditions. These conditions include premature labor, problems with the amount of amniotic fluid, problems with the placenta (the "after-birth"), tumors that change the shape of the uterus, and women who have had several previous pregnancies.

Under certain conditions a vaginal breech delivery can be attempted. However, as I stated earlier, most will be cesarean deliveries. The reason that so many breech babies are delivered by cesarean section is twofold. First of all, many physicians are concerned that there are increased risks for both mother and baby during a vaginal breech delivery. The actual scientific information on this topic is inadequate however, due to the difficulty in performing this type of study. And second, many obstetrical training programs no longer train doctors in the technique of vaginal breech delivery.

As an alternative to cesarean section, your doctor could attempt to manually turn the fetus out of the breech position. This procedure is referred to as "external version". It is best performed 3 weeks before the due date, and is usually done in the hospital while the fetus is closely monitored. External version is successful in up to 65% of breech pregnancies, although you must meet certain criteria in order to be considered a candidate for this procedure.

In summary, most pregnant women will never have to worry about their babies being breech. However, when this does occur a procedure known as "external version" can sometimes be attempted to convert the fetus to a "head-down", or vertex, position. If your baby remains in the breech position, most will be delivered by cesarean section, although vaginal delivery can sometimes be attempted if certain conditions are met.

Source ; thebabycorner.com

When Something Goes Wrong

For many women, pregnancy comes and goes. Although it is an unforgettable experience, most women find pregnancy to be uneventful. However, there are some women who face issues and conditions during pregnancy, that aren't common. When something does go wrong, how do you cope?

Once you encounter a complication in pregnancy, you are never able to relax again. Every twinge, ache, or odd feeling will lead you to believe that something is going terribly wrong. With all four of my miscarriages, they occurred at exactly the same point in the pregnancy, with the same onset of symptoms. I could literally look at my calendar and calculate when a miscarriage was going to begin. As terrible as that sounds, it is the honest truth. So, when the cause of my miscarriages was diagnosed, and I was pregnant with Hannah, I still worried. But, days, weeks and months passed, with no complications. She was, very much, an "uneventful" pregnancy. I imagined that this is what most women experienced, but due to my history, I had a difficult time enjoying the early part of pregnancy. I was constantly rushing to the bathroom, to see if any bleeding had started. When she was born, happy and healthy, a rush of relief came over me. I was thrilled that the doctors were able to find out why I was losing my pregnancies, and enabling me to carry a happy, healthy, full-term baby.

When I found out I was pregnant with our second baby in April of this year, I expected much the same experience as with Hannah. I begin my daily injections of Heparin, and was careful not to overdo it (very hard with a toddler!). My beta Hcg levels were rising as they should, and everything was going along as my doctor had hoped. On Mother's Day, I noticed I was spotting. I couldn't believe this was happening, and tried my best not to panic. My parents were in for the weekend, and I didn't want to upset them. After they left, I called my doctor, who asked that I go to the hospital for an immediate check on my Hcg levels. My doctor put me on bed rest, and demanded that I take it easy. Thankfully, everything was fine. However, I found that I had begun "preparing" myself for the worst. The spotting continued on and off until I was 10 ½ weeks pregnant. There was no known cause, and it stopped as quickly and unexpectedly as it had started. I am now 4 months pregnant, and have had no problems since the earlier episode.

Compared to what some women face, my situation seems rather mild. I have a friend who had such a severe case of hypermesis; she was unable to eat anything (liquid or solid) throughout her entire pregnancy. She was fed through a feeding tube, connected directly to her stomach. Luckily, her baby girl was born healthy, but my friend endured a great deal of pain and discomfort through her pregnancy. Through all of our troubles, scares, and confusion, it definitely helps to talk with others who have been in the same (or similar) situation. For me, on-line message boards became my support group. I found that, in talking with others about my fears, I was better able to cope with the complications I was dealing with at the time. Often times, seeking out support from friends and family will not give you the peace of mind you are so in need of. I know that, as much as my Mom wanted to help, she couldn't begin to understand my concerns and fears. She insisted I leave the "medical" situations up to the doctors, and just try to enjoy my pregnancy. Although she had the best of intentions, all her advice did was make me wonder if I was being overly paranoid.

If complications arise in your pregnancy, seek out support. You may know a friend of a friend who went through the same thing. Perhaps there is a local support group in your area. Of course, there are many online forums that offer message boards and special/topical chats. Don't feel that you need to handle the fear and pressure on your own. Look for support, do your research and don't be afraid to ask questions. By becoming an informed patient, you will better be able to understand the realm of your complications, and your doctor may feel more comfortable going into greater detail about your condition. You are almost guaranteed to locate what you need on the Internet. Good luck.

Source : thebabycorner.com

Lady In Waiting:Coping With Bedrest

"Bedrest," she said, stoically. Incredulous, I asked my doctor to clarify. "You mean I can't go back to work?" "I mean you can get up to use the bathroom and to take the occasional short shower. Other than that, I want you lying on your left side at all times." Before I knew it, I was in the front office holding a packet of disability forms and scheduling weekly OB visits.

My husband and I started the car trip home in stunned silence, but we soon found ourselves joking about how I'd single-handedly keep the video rental store afloat, how I'd finally get to tackle that mountain of magazines beside the bed, and just how high I might be able to wrack up our phone bill. I'll admit to giddy pleasure that afternoon in alerting my boss that I wouldn't be coming in the next day -- or any day thereafter in the relatively near future. It felt sneaky and indulgent, a bit like cutting class back in high school, only this time I was armed with a legitimate excused absence, signed by the good doctor herself.

But as I put down the receiver and prepared to "go lie down," I looked around the house at all the things left undone -- mounds of dishes in the sink, the soon-to-be nursery that was still a catch-all junk room, the baby book that hadn't even been cracked open, my work bag brimming with half-finished paperwork…. They taunted me. It became evident that being a forced lady of leisure wouldn't be all peaches and cream.

Singing the Bedrest Blues

Bedrest is a pain -- practically, physically, and emotionally. Typical bedresters include expectant moms experiencing preterm labor, preeclampsia, placenta previa, gestational diabetes, etc., all of which come with more than their fair share of worry, fear, frustration, and guilt. Sentenced to bed until your baby's birth, you have nothing but time to dwell on your anxieties.

Most striking to me and to many other fellow bedresters was the feeling of being robbed of a "normal" pregnancy. I resented that I couldn't show off my belly, which had finally reached that cute, clearly pregnant but not too big stage. I mourned the fact that we'd miss out on prenatal classes. I longed to be a part of the stories I'd read about where moms meet up in Lamaze, and they and their babies become lifelong friends.

Also overwhelming was the jealousy I felt -- of my friends, who still got together for girl's night out while I stayed in, and even of my husband, who continued on with literal business as usual as he headed out the door for work each morning.

Bedrest blues are natural and warranted. Expect them and accept them -- but listen hard for any cheery notes in between (such as the fact that you're likely to be much more intimately aware of your baby's every hiccup, kick, and tumble than your on-the-go, out-in-the-world pregnant mom counterparts). Revel in all the time you've been granted to talk to your sweetie, sing to her, read to her, dream of her….

Designing Bedrest Central

Whether in bed or on the couch, you'll want a few staples within easy reach at all times: · An amply stocked cooler (one with plenty of drinks and a variety of healthy snacks -- and a few naughty ones, too, just in case an irrepressible craving strikes).A telephone and address book.A computer with Internet access: get your home computer moved to your bedside or beg, borrow, or steal a laptop. The computer can be your lifeline, allowing you to browse articles, connect with others in chat rooms, bulletin boards, or instant messaging, build a free homepage, or just pass some hours with mindless computer games. You can even order your groceries and stamps online. An extendable grabber to lend you a "hand" when you need something just out of reach. (I also recommend a squirt bottle or water pistol for when unsuspecting kitties act out!)A clock and calendar.

robe and slippers. Paper and pens. Lotion, lip balm, mascara, nail polish and remover, a brush, a mirror -- anything that makes you feel pampered and attractive.Cups and flexible straws. Napkins. A wastebasketThe remote control and TV Guide.

What to Do While You're Doing Time

Many of the usual suggestions for bedrest activities (jigsaw puzzles, scrapbooking, reading the classics, knitting, or quilting…) require a level of concentration and interest that I could rarely muster when I was on bedrest. I think the focus should be less on how productive you are and more on your approach to getting through this challenging time in your life:

· Know your limits. For instance, don't tell your boss you'll work from home if you don't have the energy to do so; likewise, if reading a book seems too daunting when you're distracted by contractions or you're just grumpy or tired, read a magazine in short spurts or tackle a simple crossword puzzle instead.·

Look into getting a break on your auto insurance. If you're not driving it, why pay for it? Get dressed. Some bedresters choose to get dressed every day to feel more "put together;" others take advantage of this chance to wear comfy pj's day and night. Try meditation. Books and online tutorials make it easy to get started in this stress-reducing technique -- and meditation may even help prepare you for childbirth!Encourage friends and family to come by (but don't book so many visits that you become overwhelmed). When friends and family offer to help, accept graciously and be honest about what specifically they might do for you. Let your husband know what you need from him. Whether it's a shoulder to cry on, fresh flowers, a massage, or a slurpee, be straightforward about what you want, and you're much more likely to get it. Learn the words to your favorite lullabies and practice your Dr. Seuss reading voice.Get good at doing nothing at all. Just be with your baby.

Source : thebabycorner.com

The Facts About High Risk Pregnancy

There are many factors that constitute a high risk pregnancy. Some depend on the physician you have and their current opinions. Some stem from chronic conditions that was in place before pregnancy occurred. And some crop up during pregnancy. Even though you may have a high risk pregnancy - with today's medical knowledge and help - chances are your outcome will be a healthy baby in the end.

Age
The age of the mother if she is over 35 constitutes high risk to some doctors. The reason being is that certain conditions such as downs syndrome occurs more often. Also, miscarriages happen more with older women, because of the declining hormone levels. A physician will probably see an older women more often and will run non-stress tests and offer amniocentesis.

Prepregnant Chronic Conditions
Conditions that were in place before pregnancy occurred will put a mother in a high risk category. Sexually transmitted diseases, sickle cell anemia, cancer, lupus, maternal PKU, diabetes, uterine fibroids, hypertension, and urinary tract infections are some of the conditions that will constitute a high risk pregnancy. With these illnesses your doctor will be seeing you more often and will monitor and run more tests to insure as healthy a baby as possible.

Pregnancy Induced Conditions
Sometimes a perfectly healthy mother will come down with symptoms during pregnancy that will put her in a high risk situation. These include pregnancy induced hypertension (toxemia or preeclampsia), gestational diabetes, toxemia, infections such as urinary tract infections, problems with the placenta, incompetent cervix and preterm labor.

There are some cases where a previous cesarean or a breech or transverse presentation of the baby will be categorized as high risk. Again - this depends upon your circumstances and your doctor.

The pregnancy induced conditions will occur later on in pregnancy - often surprising an otherwise healthy mom. In most all cases there is nothing you can do to prevent certain conditions - they simply occur and have to be dealt with. I've had to deal with gestational diabetes, breech presentation, previous cesarean and preterm labor and in all instances I kept asking if I could have done something to prevent it. I was always reassured that it was nothing I did - just something that happened.

With the onset of most of these conditions - you will see your doctor more often. A lot of the cases, such as placenta problems (previa - where the placenta lays over the cervix - and abrupto - when the placenta tears away from the uterine wall), preterm labor and occasionally toxemia requires bedrest - at the hospital or at home depending on it's severity.

Close monitoring of both mother and baby will often keep a check on all the conditions of high risk pregnancy. Most high risk pregnant moms will go through a number of tests or at least be offered these tests- nonstress and stress tests, amniocentesis, blood tests, urine screenings, CVS (chorionic villus sampling) and level 2 ultra sounds. Some of these tests - CVS and amniocentesis do not come without risk - and you may need to weigh the benefit of having the test to the possible risk involved. However with today's medical technology - there is a certain assurance that everything possible is being done to help baby to come to maturity - healthy and whole.

Whether you are facing a high risk pregnancy due to preexisting conditions or due to pregnancy induced conditions - rest assured that if you seek the proper medical help and if you follow doctors orders you stand as good a chance of a healthy outcome as a normal woman with a normal pregnancy.

Source : thebabycorner.com

Anemia in Pregnancy

Feeling tired, exhausted, fatigued, getting short of breath and experiencing dizzy spells can all be symptomatic of anemia. Anemia is defined as "a condition in which there is an abnormally low proportion of red corpuscles in the blood, treated by iron (Fe) supplements."

However, it may be difficult to assess if you are anemic or not, as many of the associated symptoms are symptoms typically associated with the state of pregnancy anyway. The blood count your doctor routinely checks will reflect the late stage of anemia. You may still be deficient in iron even though your blood count is reading as normal.

If you do think you are anemic, consult your doctor about checking the ferritin level in your blood. This particular type of test is more accurate in the measurement of iron stores in your tissues. If the test reveals a low ferritin level (less than 20), it may be indicative that your tissues are being deprived of iron. This can be tiring for the mother and unhealthy for the baby. Mothers who are anemic have a greater chance of delivering premature and/or low birth-weight babies.

On the other hand, the hemoglobin that your doctor measures may suggest you are anemic when, in fact, you are not. Due to the normal increase in fluid volume in your blood during pregnancy, "hemodilution" occurs, possibly showing lower values of hemoglobin than before you were pregnant. In The Pregnancy Book by William Sears, M.D., this is referred to as the "physiological anemia of pregnancy."

According to Sheila Kitzinger in her book The Complete Book of Pregnancy and Childbirth, it is normal for hemoglobin levels to fall during pregnancy. In days gone by, iron was routinely prescribed during pregnancy, but it is now known that can be harmful. Moreso, if a woman's hemoglobin level does NOT fall during pregnancy, she increases her chances of delivering pre-term.

Women who do suffer from anemia during pregnancy are less able to deal with heavy bleeding at the time of birth and are more prone to infection. To compensate for this condition, be sure to incorporate more iron-rich foods, protein, B vitamins (most notably B12), and vitamin C. Additionally, speak with your doctor about taking the folic acid supplement. All of these nutrients are essential to your blood's ability to carry oxygen to all the tissues in your body.

Be sure to discuss all of your symptoms with your doctor so he/she can determine the best course of action to make your pregnancy as comfortable as possible for you.

Source : thebabycorner.com

Placenta Previa

It is the job of the placenta to provide the growing fetus with the necessary nutrients and oxygen. If this organ fails to function properly, the fetus could be deprived of oxygen and become malnourished. If a problem with the placenta is discovered early enough, doctors can work to maintain the health of the baby.

According to Dr. Stefan Semchyshyn, in his book, How to Prevent Miscarriage and Other Crisis of Pregnancy, "in a normal pregnancy, the fertilized ovum should implant on the upper portion of the uterus or womb, which is thicker, stronger, and more muscular than the lower half. However, in cases of placenta previa, the ovum implants on the weaker, lower portion of the womb, causing the placenta to grow over all or part of the cervical canal or cervical os. Complete or central placenta previa refers to a condition in which the cervical canal is completely covered. Partial or low-lying placenta previa means the cervical canal is only partially covered."

When the placenta grows and increases in weight, the weaker part of the uterus cannot offer sufficient support. This can cause the placenta to stretch and thin out, and could possibly tear and bleed.

"Painless bleeding," according to Dr. Semchyshyn, "in either the second or third trimester, is the only symptom of this potentially life-threatening situation for both mother and baby."

To confirm this condition, the patient should be given an ultrasound. If this problem has occurred, the ultrasound will show a bulge over the mouth of the womb. Serious internal bleeding can happen if the cervix is completely covered by the placenta and the mother is allowed to go into labor. Such cases usually call for a cesarean section delivery.

As for treatment for placenta previa, Dr. Semchyshyn notes that it all depends on the stage of the pregnancy in which the woman is in and the exact location of the placenta. If this occurs late in pregnancy, with complete covering of the cervical canal by the placenta, the doctor must decide if the pregnancy should be sustained or if a cesarean section should be performed. If tests show the baby's lungs can fully function outside of the womb, the doctor may proceed to go ahead with the delivery.

If placenta previa is noted in early months, before the baby can survive outside the mother, the doctor has to determine whether he can prolong the pregnancy without posing a risk to the mother. If the doctor feels this can be done safely, the mother will be instructed to bed rest. In addition, certain medication must be given to stop any uterine activity that could prompt premature labor. In these cases, the expectant mother must carefully monitor herself and alert her physician if she suspects any uterine activity.

If the medication helps to control the bleeding, the mother may be able to return to some of her normal activities until the birth of the baby. In some cases of partial previa, the growth of the baby forces the placenta upwards, away from the cervical canal.

Dr. Semchyshyn stresses that while placenta previa is a serious condition, with the aid of proper management, women can have a good chance of delivering a healthy baby.

Source : thebabycorner.com

Pre-eclampsia and Eclampsia

The term pre-eclampsia means a pregnancy disease in which symptoms are hypertension, protein in the urine and swelling. Pre-eclampsia was once known as toxemia. Eclampsia is when hypertension, protein in the urine and swelling (Edema) becomes life-threatening. The symptoms are followed by loss of consciousness, convulsions and possibly coma.

Pre-eclampsia is first diagnosed when the blood pressure rises. Confirmation of pre-eclampsia is when protein is found in the urine. Symptoms include swelling of the hands and face occurring after the 20th week of pregnancy. Often there are no outward symptoms, other than those discovered by the healthcare provider. The swelling often happens once the disease has been diagnosed.

Occasionally one sign first discovered is a sudden weight gain. This is caused by retention of fluid. Weight gain of more than two pounds in a week or six pounds in a month is cause for concern.

The cure for pre-eclampsia/eclampsia is delivery of the baby. But since this is often diagnosed in the early second trimester, delivery isn’t an option, so careful management of the remainder of the pregnancy is imperative. Mild cases of pre-eclampsia can be managed with simple bed rest. Your healthcare provider will determine how much bed rest you need. Severe cases of pre-eclampsia require long-time hospital stays.

If hospital stay is required, the risk of the disease to the mother is compared to the likelihood of the fetus surviving an early delivery. Tests such as amniocentesis are preformed to determine the maturity of the baby’s lungs. If the baby deems mature enough to survive outside the womb, then labor is induced or a cesarean section is preformed to deliver the baby.

In the cases of eclampsia, the severe form of the disease, an emergency cesarean is preformed to save the mother’s life. Every measure is taken to prevent fetal death, however if eclampsia is severe enough that the mother could die, the only route is an emergency cesarean. Magnesium sulfate is given to the mother to prevent seizures or convulsions. In less severe cases, the mother is allowed to carry her baby up to 40 weeks with labor being induced to bring on delivery.

Normally after delivery the blood pressure will fall back into a safe range. However, if the blood pressure doesn’t drop, medication will be given to help bring it down. You will need to see your physician regularly for monitoring.

The risk of a recurrence of pre-eclampsia/eclampsia in subsequent pregnancies depends on how severe the disease was in the first pregnancy. Normally, with mild cases, the disease does not return.

Source : thebabycorner.com

Gestational Diabetes: The Basics of This Not So Sweet Condition

Gestational Diabetes is a complication that occurs in approximately 4% of pregnancies and exemplifies yet another reason to seek and receive quality prenatal care, but it is still considered a very manageable condition. While testing, diagnosis, and treatment is somewhat disputed among medical professionals, gestational diabetes can result in various complications with delivery and if untreated may compromise the health of both mother and baby. For these reasons, the vast majority of obstetricians send their patients for a glucose screening test midway through pregnancy.

What is Gestational Diabetes?

A diabetic condition that occurs at approximately 20 to 24 weeks, gestational diabetes results in women whose pancreas does not produce enough insulin to regulate their blood sugar. The reason a previously non-diabetic woman may experience diabetes during pregnancy is due to the insulin blocking hormones that are produced by the placenta. After delivery of the placenta, the condition essentially goes away. In fact, most women’s blood sugar returns to normal almost immediately after giving birth. However, research has indicated that gestational diabetes may be a precursor for developing the condition later in life. Approximately one half of women who develop gestational diabetes develop the condition permanently within about 15 years.

The Glucose Screening Test

Somewhere around 22 weeks of pregnancy, your obstetrician will order a glucose-screening test. You will likely be asked to refrain from eating for one to two hours prior to your scheduled test time when you will be given a sugary, sickly sweet, liquid to drink. If you’re lucky, you may be offered a variety of flavors from cola to orange, but be prepared, it won’t be a thirst-quenching treat. Some women experience nausea to a level of discomfort, but severe nausea is rare. The test itself is performed by drawing blood and testing the blood sugar level. If your blood sugar level is 120 or higher, a similar, but more in depth, glucose fasting test will likely be required to actually diagnose gestational diabetes. Don’t panic if your initial glucose screening results in a blood sugar level higher than 120 since it is not an automatic indicator that you are or will be developing gestational diabetes, simply that further testing is required to confirm the condition. A good percentage of women test below 120 even with a higher than normal blood sugar level after the first test.

How is it Treated?

Once gestational diabetes is diagnosed, your blood sugar will need to be monitored throughout the remainder of your pregnancy. In many cases, a modified diet with limited intakes of sugar and complex carbohydrates is all that will be necessary to control the condition. This may seem difficult if you happen to be one of those women who crave chocolate, ice cream, butterscotch and the like, but well worth the self-restraint. If diet alone is not enough, it may be necessary to take insulin injections. Moderate and safe exercises may also be recommended. Your health care provider should be comfortable with treating gestational diabetes and will advise you on treatment and control.

What About Baby?

The most common effects of gestational diabetes are larger than normal babies, jaundice and fetal distress. For these reasons, a woman diagnosed with diabetes during pregnancy may be required to obtain more than one ultrasound and multiple stress tests. Ultrasounds can help to determine the growth rate of the baby and can thus prevent a complicated delivery. While the risk of cesarean does increase, preventing complications from attempting to deliver a baby too large to fit through the birth canal is priority. In some cases, it may be necessary to induce labor. Fetal stress tests are also more common and frequent under these conditions.

It is important to remember that this is a controllable condition and that participating in the screening is the first preventative measure you can take to avoid any further complications. While it’s true that if gestational diabetes occurs in one pregnancy, it’s likely to reoccur in subsequent ones, most women go on to have a moderately normal pregnancy and healthy children. Screening for and discussion of gestational diabetes with a qualified health care provider will ease any uncertainties you may have. As a resource to learn more about gestational diabetes visit http://www.nichd.nih.gov/publications/pubs/gest1.htm#2.

Source : thebabycorner.com

Bonding with Baby, During Pregnancy

By nature, mothers are nurturers. From the moment of conception, a mother's love will greatly influence her baby's journey through life. As babies are conceived out of love, they need to be cared for and loved. Bonding with your baby doesn't have to wait until birth. Mothers can bond with their baby throughout their pregnancy.

Babies need to have their most basic needs met. From their mothers' body they receive the nourishment needed to grow and thrive outside the womb. Mothers must establish a healthy pregnancy lifestyle to make sure their baby is getting all he needs to be healthy at birth. This means having routine prenatal visits to your doctor or midwife, eating a healthy diet, and establishing a routine exercise program.

Mothers can connect with their unborn baby through touch and relaxation. When a woman massages her belly using both hands, hormones are released which relax the uterus. This in turn calms and relaxes the baby. This is one of the examples of baby "knows" how you are feeling. Try to be relaxed during pregnancy. Take time to pamper yourself. This will let your baby know that everything is alright, and that he is safe and secure.

Women tend to daydream about their babies during pregnancy. I like to call it meditation for connecting with baby. While sitting peacefully, and daydreaming about her baby, a woman almost creates a telepathic connection. This is how I felt while pregnant with my first daughter. We were making a mother-child bond. I would concentrate really hard on my baby. I would try to image her inside me; what she was doing, what she was thinking. She would then reward me with a kick, or a squirm to let me know she was alright. I can't think of a more nurturing way to connect than through meditating or daydreaming.

Mothers can also connect with their baby through music. Babies like the rhythmic sounds of music, (like a heartbeat, or breathing), as it is very calming. If you put a tape player with headphones on your belly while lying down, and play a lullaby or classical music, most babies, in the third trimester, will respond by kicking or moving. A baby will also respond to his mother's voice, whether you are humming or singing, your baby can hear you and knows you are with him.

Mothers and Fathers can both bond with their baby by nurturing their own relationship. After all, the baby was conceived out of love, and needs to feel that love throughout pregnancy and life. Continue dating your partner throughout pregnancy. Laugh with each other and don't be afraid to make love. Most women are able to have sexual relations throughout pregnancy, but check with your doctor first to make sure you are not considered as having a "high risk" pregnancy. Nurturing your own relationship will ensure your baby will be born feeling loved and nurtured. The time you share together now will also help your relationship later when you face the many challenges as new parents. As a couple, you will enter into parenthood with open arms for your baby.

Source : thebabycorner.com

Boy or Girl? Can You Choose The Sex of Your Baby?

The issues surrounding choosing the sex of a baby are controversial, to say the least. Those who are for gender selection feel that hereditary, gender-related diseases can be avoided, as well as allowing for "family balancing." Those who are opposed to gender selection feel that it is not our place to take nature into our own hands. Regardless of your stance on this subject, the fact remains, that there have been great advancements in this field. I am going to discuss three of the most popular.

The Shettles method of gender selection has been around for some time. Released in 1984, Dr. Shettles' Book "How to Choose the Sex of Your Baby", by Dr. Landrum B. Shettles, MD, and David M. Rorvik, instructs couples how to use the most favorable conditions to conceive a child of their selected gender.

To get the full picture of this method, I suggest reading the book. However, the premise of the Shettles' Method is as follows:
There are two types of sperm produced by men; the X (female) and Y (male). According to Dr. Shettles' studies, the male (Y) sperms are smaller, weaker, but faster than the female (X) sperm, which are bigger, stronger, but slower. By understanding this information, there are many things a couple can do favor the conception of a boys or girl. The most important aspect of gender selection is the timing of intercourse, during the monthly cycle. Therefore, a woman must know how her cycle runs, usually by keeping a chart for a few months in advance. The Shettles' Method suggests that the closer to ovulation you have sex, the better the chances are of having a boy. Again, this is because the male (Y) sperms are faster, and most often tend to reach the egg first. If you have sex 3 days or more prior to ovulation, you have a better chance of conceiving a girl. This result is due to the fact that the weaker male (Y) sperms tend to die sooner, and the female (X) sperms will be available larger amounts, and "healthier," whenever the egg is actually released. However, if a couple has sex from 2 days before ovulation, through a few days after ovulation, the chances are better for conceiving a boy. Finally, at approximately 48 hours before ovulation, the odds of conception are equal for either a boy or girl.

Other factors such as sexual position, depth of penetration, vaginal ph, female orgasm, sperm count, type of underwear worn by the male, body temperature and caffeine intake also play an important role in the Shettles' method. To get an entire overview of this method, I suggest reading the book.

A second popular choice among couples wanting to select the gender of their child is something called "Cytometric Separation Technology." The basic premise of this technology is that the female (X) and male (Y) sperm can be separated before fertilization, and based on the gender desired, and egg can be fertilized with only the male or female sperm. Although it is impossible to completely separate the X and Y sperm, this technology allows for more favorable conditions. Once the sample is sorted, those desiring a female child have a better than 90% chance of doing so. Those who prefer a male child have a better than 73% chance. For more information on this type of procedure, visit the Genetics and IVF Institute at www.microsort.net.

The third method in selecting gender is performed using information obtained about a woman's previous menstrual cycles. Dr. Eugen Jonas offers couples a service, which he claims to be 99% effective. After the initial consultation, Dr. Jonas analyzes information such as the length of a woman's cycle, gender of previous children, and average day of ovulation, to calculate what days of a cycle will bring a male or female child. This method is interesting, because conception would need to take place one year after you are presented with your information. For more information on this type of gender selection, you can visit Dr. Jonas' page at http://www.usmev.com.au/gender.htm. Regardless of your opinion on gender selection, I think that we call all agree that the best outcome is a healthy, happy baby; regardless of the gender.

Source :thebabycorner.com

Matters of Maternity Leave

Pregnancy can be a thrilling time of anticipation and joy. But when you start contemplating how on earth you'll manage to be both a stellar employee and a stellar mom, your nine months can also be fraught with anxiety and conflicting feelings about what may become of your career -- and what you want to become of your career.

Negotiating and orchestrating a smooth maternity leave will work wonders toward easing your mind.

Do Your Homework

Before you share your news at work, study up. Familiarize yourself with the federal Family and Medical Leave Act (FMLA), which provides new parents -- both men and women -- with up to twelve weeks of unpaid leave in any twelve-month period for the birth or adoption of a child. Under the FMLA, you are guaranteed an equivalent job upon your return and are assured continued health coverage, at the company's expense, throughout your leave (as long as you return). The act only applies, however, to people who have been employed for a full year by a company with at least fifty employees.

Whatever the size of your company, educate yourself. Contact your state labor office to learn about disability options (this is particularly important for those of you working in smaller companies). Consult your employee handbook and check in with your human resources department or union, if applicable. Look to trusted coworkers who've already been through a maternity leave at your company. But be judicious about whom you trust with your news. You don't want to put anyone in an awkward position, you don't want word to spread, and you don't want your boss to feel like she's the last to know. If you can gather the data you need without telling anyone, do so.

When Do You Want to Leave?

Knowing your rights is just the beginning. You also need to know your wants. When do you want to begin your maternity leave? Many women choose to work right up to their due date so they can enjoy the bulk of their time off with their new baby. Others opt to take some time at the end of their pregnancy to rest up and prepare for the arrival of their little one. (You are welcome to take advantage of the FMLA while you're still pregnant, since your pregnancy is considered a serious medical condition under the act, but it will lessen the time you have to spend with your baby after he arrives.) Much of your decision will depend on your level of energy, the progression of your pregnancy, and the kind of work you do.

How Much Time Do You Want to Take?

It's nearly impossible, before baby, for you to anticipate just how much time you'll want for your maternity leave, but it's safe to say that you'll likely want more than you think. Find out what kind of pay you're entitled to (usually a combination of your company maternity leave policy, a short-term disability program, and accrued time off); tally up your accumulated vacation, sick, comp, and personal days; and determine just how much unpaid leave your finances will allow. Keep in mind, when budgeting, that your employer can legally require you to use up your paid leave first, and that some states require you to cover at least a portion of your leave before disability kicks in (again, check with your state labor office).

Who Might Handle Your Work While You're Away?

It's not necessarily your responsibility to make arrangements for covering your workload while you're on leave, but your willingness to help do so will go a long way to reassuring your employer that you are indeed committed to your job and to the welfare of your company.

A savvy employee will:

Suggest how her duties may be delegated; Offer to help find and train a temporary employee; Prepare her co-workers for her absence;Write out her job description in full detail; Label and make accessible her computer and physical files;Prepare regular status reports on all ongoing projects as her due date draws near;And be clear about whether, how, and how much she'll be accessible during her leave.

How Do You Picture Your Re-Entry?

If you're creative, you can finagle yourself a very smooth return to work.

Know that under the FMLA, you can break up your twelve weeks in any way. That means you can take, for instance, eight weeks up front and then spread the next four over several shortened workweeks before returning full-time. Your employer will likely be amendable to this idea, as she'll surely be eager to get you back into the office as soon as possible.Remember that your significant other is also entitled to take a twelve-week FMLA leave with the arrival of your child. Unless you work for the same employer, you can each take up to twelve weeks at the same time, you can overlap a portion of your leaves, or you can take them consecutively, as long as each leave occurs within a year of the child's birth (your partner, of course, will not be entitled to any medical disability pay). You might be able to arrange for your partner to care for your baby during your initial weeks back at work, which would no doubt make the transition a much easier one for you.Consider requesting a more flexible work schedule for your return. More and more family-friendly companies are offering part-time schedules, flextime, job sharing, and telecommuting privileges to keep their best employees happy and productive. Don't underestimate yourself or your company -- they may just be willing to accommodate to keep you. Negotiate yourself an area for pumping if you intend to breastfeed. You'll need a private place with a free and accessible electrical outlet (if you have an office, push for a lock on your door and curtains; if you're in a cubicle or shared office, ask for regular access to a private office with the same amenities).

Spilling the Beans

Only when you've thought through all of the above -- but before you're obviously showing! -- should you announce your pregnancy at work. Give your immediate boss the courtesy of being the first to know, and tell her in private, when she's in a good mood and free of distractions. Don't be discouraged if your joyful news isn't met with the genuine smile and hearty well wishes you might expect. Your delightful bun in the oven, you see, may also be an unfortunate thorn in her side. You're an undoubtedly indispensable employee, and the fact that you'll be leaving for any length of time may throw her into a panic.

Ask your boss if you can schedule a time in the next day or two to go over maternity leave options. Don't expect her to be prepared at your initial announcement to discuss your plans -- give your news time to soak in. When you do meet to negotiate leave details, it's important to do the following:

Remain upbeat and confident; you shouldn't be in the least bit apologetic about this wonderful event in your life;Be prepared with your ideal proposal -- in your head or even on paper;Anticipate and respect your boss's valid concerns while offering several options for easing them; Don't agree to anything you haven't thought through fully; Be willing and prepared to compromise; And get your final agreement in writing.

In no time you'll be cradling your newborn in your arms and reveling in the gloriously stress-free maternity leave you've earned.

Source : thebabycorner.com

Pregnant but Organized

I will admit that I am very fortunate. I have two children already, and they are ages 10 and 8, and are fairly self-reliant. If Mom can't tend to the household duties, they can help. However, with all that said, the Mom in me still wants things to go smoothly, especially that first week after the baby arrives. Starting with the first month of my pregnancy, I began to prepare for our big arrival, and I would like to share my tips with you.

FEEDING THE CLAN THAT FIRST WEEK:
As the woman/wife/mother of the house, I am the one who does 99% of the cooking in my home. I also know that in my personal situation, I will be having a scheduled cesarean section, and I will have some extra down time, compared to if I gave birth vaginally. I decided very early in my pregnancy, that I would prepare meals that could be frozen ahead of time, so that during the first week -- and maybe even the second week -- no one in my home would have to cook much.

This idea has proven to be quite easy for me to do. During my first and second trimester, I began to search the internet, my cookbooks, and our everyday favorite dinners for recipes that would freeze well. I even joined an email list that would help me in my quest to freeze meals for the family. I kept a list of the type of meals that I wanted to make so that during my last trimester, I could prepare one or two of these meals each week.

At 31 weeks into my pregnancy, I had the following in my freezer: Mexican Lasagna, Twice Baked Potatoes (side dish), Turkey Noodle Soup, Ham and Potatoe Casserole, Spanish Rice (side dish), and an Italian Lasagna. I also found that in the case of our family favorites (Mexican Lasagna and my Italian Lasagna) that it worked well to make an extra pan of the meal to freeze when I was preparing it for our dinner. My kitchen only got dirty once, but I now had two dinners out of my efforts!

HELP FROM LOVED ONES:
If you are lucky enough to have a support system nearby, great! During your pregnancy, and shortly after the baby is born, sometimes people offer to help you. But often we tell those people that we are fine and we nicely say that we don't think we need any help, but we'll call if we do need something. Yet, we never call them. There is no need to feel guilty about saying to your mother-in-law (or others who offer) that yes, her help would be great. Let her know what you would need. Do you need help with your toddler at home? Would you like someone to help you with some light housekeeping? Tell them! Those who ask if you need help, really are asking because they want to be of service -- if they didn't want to help you, they wouldn't offer!

THE LIST:
If you have many things that you want to get done by the time the baby arrives (detail cleaning, nursery, casseroles for freezer, etc.), take the time to list each and every thing down on a piece of paper. This is not the time to be a perfectionist! Only list those things that you 1) know you can get done with the proper planning and help, and 2) you would go crazy if it wasn't done before the baby arrived. The fewer weeks you have left in your pregnancy, the less time you will realistically be able to get things done. If you just found out your pregnant, you probably have 30-40 weeks to divide your list up in, and you can probably accomplish more.

With your list in hand, determine the approximate number of weeks you have left in your pregnancy, and divide your list up according to most importance. Depending on how big or how small your list is, and how many weeks you have left in your pregnancy, you may find that you can complete one item a day or maybe two items a week. This method is especially good if you want your home clean and organized before the baby comes, but you don't have lots of family and friends to ask for help.

BIG EVENTS:
The arrival of your bundle of joy can't always be planned perfectly, and often times your due date may end up around the same time as big events in your life. For example, my baby was due December 12, but was born through scheduled cesarean section a week prior. Even though the baby was born a few weeks before Christmas, I was preparing myself during the entire pregnancy so that I would not go crazy with the holiday rush. I decided early in my pregnancy that I want to take it easy in December, that I want to enjoy the new baby, my family, and the holiday season. To accomplish this, I began Christmas shopping and working on my Christmas cards in the summer.

Overall, planning for the big arrival day isn't hard. It just takes some planning and some knowledge to know when enough is enough. Remember that during that first week at home, your #1 concern should be your new baby, and everything else will fall into place.

Source : thebabycorner.com

Baby Naming Tips and Considerations

Choosing the name for your baby will probably be one of the most important, exciting and fun things you will do during your pregnancy. Throughout the pregnancy, many hours will be spent on choosing the baby's name. Friends, relatives, and even strangers will give you their opinions. You will probably consider many names and name combinations before you finally come to a decision. The following are considerations and tips that will help to get you started to find the perfect name for your baby.

Consider what the baby's surname will be. Does the first name you have chosen go well with the surname? Do the names sound good together when said out loud?

Consider what the initials will spell out when first, middle and surname are initialized and avoid unpleasant initials. For example, Robert Allen Thomas when initialized spells RAT. Think about possible teasing from other children as your child grows up.

Some expectant parents feel the need and/or pressure from family members to use precedent family names. Family names are great and give your baby a rich heritage, but if you do not care for the name and the name is not what you want to call the child, consider using the family name as a middle name, or plan to call the child by the middle name of your choice.

Remember that children must live with the name you choose for them the rest of their lives, so while unique names and spellings are very interesting and favorable, consider the fact that the child could always have their name mispronounced or misspelled. This can be very frustrating for a child. Consider names that are of ethnic origin. They don't even have to be your own ethnic origin. Ethnic names sound beautiful and are very unique. Choose a name based upon it's meaning. Sometimes the meaning of a name can steer you away from the name, or draw you closer to it. Positive meanings are your best guide. You can find many possibilities for baby names, their meanings and their origins at BabyChatter.com.

Consider the possible nicknames that could arise from your baby's name. Do you like the nicknames that could possibly be derived from it?

Say the entire name out loud many times. Does it sound right? Does it rhyme? If it rhymes, does the rhyme sound good?

Consider popularity. Names that are popular today, may not be popular 20 years from now when your child is 20. Consider the trendiness of the name today.

If you are stuck on 2 names, consider combining the two. An example: If you are stuck on Carla and Leigh, consider combining the two names to form Carly (or Carleigh)

If you are going to use a suffix, for example, John Charles Carter, III, you may want to consider calling the baby by his middle name (Charles) if there are other family members already being called John, or consider calling the baby by his initials, such as J.C. This will help to avoid confusion.

Above all else, this is the name that YOU choose and are proud of, so choose what YOU like.

Source : thebabycorner.com

Traveling Safely During Pregnancy

f you have to travel for work or for other reasons during your pregnancy, don’t fret. While there are safety issues to consider, traveling during pregnancy is generally safe for both you and baby. Following are some precautions you can take to make sure you and baby stay safe and comfortable during your travels.

Talk to your doctor. Be sure to bring it up at your next visit, or make a special appointment to discuss your trip. Your doctor may have a good reason to keep you home, such as risks of preterm labor, or will clear you to travel. He or she may also have good advice for traveling while pregnant.

While you’re in the office, obtain a copy of your medical records, and – if you are traveling in the second half of your third trimester – a doctor’s note approving your travel. Some airlines won’t allow pregnant women past 34 weeks; if you are flying, be sure to check with your airline prior to your travels to make sure you can go.

Consider the timing. Traveling in your first or second trimester is generally the easiest and most comfortable for pregnant women. You’re not as large as in the third trimester and any morning sickness you might have experienced has probably eased up. If you have a choice, try to arrange your trip toward the end of your first trimester or during your second trimester.

Pack smart. Don’t pack everything, especially if you are traveling alone and need to be able to manage your own luggage. Use easy to carry luggage such as wheeled suitcases, and check your bags if possible. Pack snacks as well – dried or fresh fruit, peanut butter and whole grain crackers, and pasteurized cheese are healthy and energizing choices.

Dress Comfortably. Forego the high-heeled shoes for more comfortable flats. If you’re in your second or third trimester, you might not be able to see your feet when you look down anyway! Wear clothes that are not binding around the waist and a supportive bra. Don’t hesitate to buy maternity clothes, especially before you truly look pregnant – you’ll feel pregnant, and there’s no good reason to wait to be more comfortable.

Stay hydrated. One of the most important things you can do is to stay hydrated. Dehydration can bring on preterm labor, so drink up. Bring a bottle of water or juice with you and drink plenty of fluids throughout your trip.

Move around. Whether you are traveling by air, car or train, be sure to get up every hour or so to take a short walk and stretch your legs. Use the restroom whenever the need strikes.

Rest. Put your feet up when you can to avoid swelling, and take off your shoes if possible.

Be aware. Pay attention to your body. If you start to feel contractions, sit down, put your feet up and drink some water. Rest, and start timing your contractions. If they seem painful, are coming close together or are uncomfortable, seek medical attention. Don’t be embarrassed or afraid – be safe.

Carry a cell phone. Make sure that important emergency numbers are programmed in as well – phone numbers for family, your doctor, hospital, and the local hospital at your destination.

Be prepared. Call your health insurance provider prior to your trip to make sure you are covered, or to find out which hospitals accept your insurance. Write down the name, address and phone number of the hospital, and program the phone number into your cell phone.

Sometimes travel is unavoidable, but there are precautions you can take prior to your trip to make sure that you and baby stay safe and healthy.

Source : thebabycorner.com

Prepare to Breast Feed Your Baby

Breastfeeding your baby can be a rewarding experience for you both. Not only are you providing essential nutrients, but the act of breastfeeding is a bonding experience like no other. If you’ve decided that you will breastfeed your new baby, there are some things you can do while you’re still pregnant to prepare.

Educate Yourself
During your third trimester, learn as much as you can about breastfeeding. Talk to friends or family members about their experiences and get advice and tips. Read up on breastfeeding by visiting your local library and browsing the stacks of breastfeeding books (The Womanly Art of Breastfeeding by La Leche League International and The Baby Book by William Sears, MD, and Martha Sears, RN, IBCLC, are two excellent resources). Also, sign up to take a breastfeeding class – most hospitals offer birthing classes that teach breastfeeding techniques – or contact a local lactation consultant for a one-on-one tutorial.

You can also attend a La Leche League meeting if there is one in your area. It will give you the opportunity to meet mothers who are currently breastfeeding, and will be an excellent source of information and support after your baby is born. Visit LLI.org for details on meetings, as well as information on breastfeeding including articles, a mother-to-mother forum, and podcasts.

Create a Relaxing Environment

Breastfeeding should be a soothing and relaxing time you share with your baby. Create a spot in the house where you can put your feet up and rest in a comfortable chair while your baby eats. A comfortable environment will mean that both you and baby are relaxed and not stressed, making breastfeeding easier for you both.

You may also want to buy a nursing pillow to raise baby up to the correct position and make breastfeeding easier on your back. Baby stores carry the Boppy and/or Brest Friend nursing pillows. Try each one on, and see which one feels more comfortable and fits you best. Be sure to purchase an extra cover for your nursing pillow, so when one gets wet or dirty it can easily be replaced with a fresh one.

Build a Support Network

Talk to your spouse or partner, pediatrician, nurse practitioner or ob/gyn and others in your network about your choice to breastfeed. Make sure you have a supportive of and enthusiastic network of people who can answer your questions and provide support.

Prepare Yourself Physically

Experts now agree that “toughening your nipples” by rubbing them is not necessary and may actually cause uterine contractions that can stress the baby. However, you should avoid using soaps or lotions on your breasts and nipples, and other irritating or drying agents, during the last weeks of pregnancy and while you are nursing.

If you have flat or inverted nipples, you can still breastfeed successfully. However, there are some things you might want to do to make things easier for you and your baby, such as breast shields or massage. If you think that you have inverted nipples, talk to your nurse or ob/gyn or contact a lactation resource such as LaLeche League for advice and tips for breastfeeding success.

Stock up on Supplies

There are a few essentials that breastfeeding mothers should have. First, you will need a few nursing bras. These will provide the extra support you will need, and have handy flaps that can easily be undone at feeding times. During your last few weeks of pregnancy, visit a department store and get fitted for a nursing bra.

Second, stock up on breast pads to prevent embarrassing leaks. Another baby’s cries or the sight of an infant can stimulate milk flow when you least expect it. Nursing pads can help prevent leaks and stains on your clothing.

Third, if you will be going back to work but wish to continue breastfeeding, or if you will be traveling without your baby, a breast pump is essential. By pumping breast milk, you will keep your supply up and also keep your baby on a milk-rich diet. You can also use a pump to increase your milk supply. Find out more about choosing a pump and pumping breast milk.

Breastfeeding is a rewarding and joyful experience, and can be accomplished with a little advanced planning and preparation.

Source : thebabycorner.com

Ectopic Pregnancy

WHAT IS AN ECTOPIC PREGNANCY?

"Ectopic" is Latin for "in the wrong place." An ectopic pregnancy, also referred to as tubal pregnancy, occurs when a developing embryo plants itself outside the uterus. Most ectopic pregnancies are found in the fallopian tube, but they can occur at other pelvic sites such as the ovary, cervix, or abdominal cavity. The embryo cannot survive outside the uterus and must be removed to prevent maternal complications. This type of pregnancy is potentially dangerous and requires immediate treatment.

WHAT CAUSES AN ECTOPIC PREGNANCY?

An ectopic pregnancy occurs when a fertilized egg is slowed or blocked in some way as it travels from the ovary to the uterus. There are associated risk factors that put some women at a higher risk for an ectopic pregnancy:

• previous pelvic functions
• fibroids in the uterus, which block the tube's entrance to the uterus
• use of an intrauterine device (IUD) for contraception
• previous tubal pregnancy or uterine surgery
• in-vitro fertilization
• history of endometriosis
• adhesions (band of scar tissue) fromprevious abdominal surgery
• repeated occurrence of sexually transmitted infections
• smoking

WHAT ARE THE SIGNS AND SYMPTOMS OF AN ECTOPIC PREGNANCY?

An ectopic pregnancy may be characterized by:

• missed menstrual period or abnormally light or abnormally heavy period
• any unexplained vaginal spotting
• low abdominal cramping, especially on one side of the abdomen
• weakness, dizziness associated with any of the above symptoms

Early detection of an ectopic pregnancy is imperative. If a tubal pregnancy is allowed to continue, it may rupture the fallopian tube and cause massive bleeding. This can result in a decrease in fertility and even death.
With appropriate treatment, most women are able to have a normal pregnancy after an ectopic
pregnancy; but they should be monitored carefully when trying to conceive in the future.


Source : The Board of Trustees of the University of Illinois, 2002.

Oh, baby! What's it going to cost?

The biggest investment of your life won't come cheap. As you anticipate the joys of parenthood, a few mundane matters beg to be considered. One of the most fundamental is the question of money.

The bottom line is, inquiring minds want to know: What's it going to cost me?

Good question. Unfortunately, there's no easy answer. The glib answer is this: a lot. A whole lot. Probably more than you really care to ponder. But of course, the intangible rewards will always outweigh the financial investment associated with having a baby and raising it to healthy young adulthood. That said, there are some rough guidelines regarding what you can expect to spend over the next 18 years or so.

From diapers to formula to car seats, from cribs and baby-room curtains to insurance and medical care, your expenses are about to increase dramatically. And if you think you've got it harder than your parents, chances are you're absolutely right. According to one government estimate, published in the late 1990s, the cost of raising a child from birth to 18 had risen by 20 percent since 1960. And most estimates do not take into account lost wages due to one parent taking time off to raise the children. How is your hard-earned cash about to evaporate? Let me count the ways.

Some figures to ponder

For purposes of this discussion, estimates are based on the costs of raising a child in a dual-parent, two-child family. Costs for single parent families and only-child families will vary somewhat. Estimates are based on data collected by the U. S. Department of Agriculture from 1990 through 1992 through the Consumer Expenditure Survey. Figures have been adjusted to 1998 dollars.

Lower income

Households with a before-tax income of up to $ 36,000 can expect to spend about $ 115,000 per child to raise a child from cradle to 18. This does not take into account the considerable expenses of prenatal care and delivery, nor does it consider the skyrocketing costs of a college education. What the estimate does include is expenditures for housing, food, transportation, clothing, health care, childcare/education and a little extra for miscellaneous expenses (Pokémon cards?).

Middle income

Couples in the $ 36,000 to $ 60,600 annual income category can expect to spend even more. Raising just one of the two children used for the purposes of this illustration will cost this couple $ 156,690 in 1998 dollars. And remember, this estimate does not include the costs of prenatal care or delivery. Nor does it make allowances for children of less-than-average health.

Higher income

Higher income couples, earning in excess of $ 60,600 per year can expect to spend about $ 228,690 per child. The USDA expects that parents of an only child will spend slightly more on that child, and suggests multiplying the appropriate figure above by 1.24 to arrive at a more realistic estimate. Conversely, parents of three or more children are generally expected to spend slightly less per child, and USDA recommends multiplying the appropriate single child cost by 0.77. Costs drop slightly with each additional child, due to the "buy-in-bulk" factor, among other reasons.

What about "before and after" costs?

Naturally, everyone's expenses will be different. Infertility treatments and problem pregnancies can cause initial expenses to skyrocket, before your baby ever arrives. Likewise the costs of adoption. On the other end of the equation, college expenses vary wildly, depending on whether your child will qualify for scholarships or financial aid, and whether he or she plans to attend a state college or a private institution. Generally speaking, the cheapest higher education is available at state institutions. Expect to pay far more for private and out-of-state institutions.

In the 1990s, the average cost of a college education in this nation rose approximately 7.5% per year, while overall inflation was a more palatable 2.6%. Clearly, managing the cost of higher education is an enormous challenge for the average American family. At the same time, attaining an undergraduate degree has never been more important to attaining a middle-class lifestyle.

Parents hoping to put their children through college have no choice but to begin investing in some form of college savings or investment plan as early as possible. Waiting until kindergarten, for example, can nearly double the amount you will need to sock away each month, just to catch up, thanks to the magic of compounded growth.

Early financial planning can help

There are several steps you can take now, which will improve your overall financial picture. First, look into the insurance coverage offered by your employer. Find out what types of prenatal and pregnancy/delivery benefits are available to you. Second, determine if your wife will qualify for disability coverage while on maternity leave. Next, find out what it will cost to add dependents to your medical insurance plan. If both parents work, one parent's coverage may be more cost-effective than the other's. Consider starting a savings account dedicated to baby-related expenses, such as buying furniture or redecorating the baby's room.

If you are a two-career couple, take a hard look at the costs of paying for quality childcare versus the income generated by the spouse in the lower-income job. In some cases, when transportation costs are factored in, it makes more sense financially for one parent to stay at home to raise the child, rather than paying someone else to do so. Given the high cost of childcare, one income with no childcare expenses may actually be more cost-effective than two, with childcare expenses.

Another important tool for cutting your expenses is the use of pre-tax dollar childcare plans, offered by some larger employers. If this plan is available to you, be sure to sign up. It can significantly reduce your childcare expenses, which will be paid with pre-tax dollars. If such a plan is unavailable to you, be sure to take the childcare tax credit on your income tax return.

Consider forming a baby-sitting cooperative in your area to save on the costs of an occasional night out. By swapping sitting duties, everyone gets a scheduled break, and no one pays.

Finally, as children age, train them to be smart shoppers and responsible money handlers. By teaching them the value of money -- how to earn it, how to spend wisely and how to save -- everyone wins in the long run.

Source : thebabycorner.com

Prepare to Breast Feed Your Baby

Breastfeeding your baby can be a rewarding experience for you both. Not only are you providing essential nutrients, but the act of breastfeeding is a bonding experience like no other. If you’ve decided that you will breastfeed your new baby, there are some things you can do while you’re still pregnant to prepare.

Educate Yourself

During your third trimester, learn as much as you can about breastfeeding. Talk to friends or family members about their experiences and get advice and tips. Read up on breastfeeding by visiting your local library and browsing the stacks of breastfeeding books (The Womanly Art of Breastfeeding by La Leche League International and The Baby Book by William Sears, MD, and Martha Sears, RN, IBCLC, are two excellent resources). Also, sign up to take a breastfeeding class – most hospitals offer birthing classes that teach breastfeeding techniques – or contact a local lactation consultant for a one-on-one tutorial.

You can also attend a La Leche League meeting if there is one in your area. It will give you the opportunity to meet mothers who are currently breastfeeding, and will be an excellent source of information and support after your baby is born. Visit LLI.org for details on meetings, as well as information on breastfeeding including articles, a mother-to-mother forum, and podcasts.

Create a Relaxing Environment

Breastfeeding should be a soothing and relaxing time you share with your baby. Create a spot in the house where you can put your feet up and rest in a comfortable chair while your baby eats. A comfortable environment will mean that both you and baby are relaxed and not stressed, making breastfeeding easier for you both.

You may also want to buy a nursing pillow to raise baby up to the correct position and make breastfeeding easier on your back. Baby stores carry the Boppy and/or Brest Friend nursing pillows. Try each one on, and see which one feels more comfortable and fits you best. Be sure to purchase an extra cover for your nursing pillow, so when one gets wet or dirty it can easily be replaced with a fresh one.

Build a Support Network

Talk to your spouse or partner, pediatrician, nurse practitioner or ob/gyn and others in your network about your choice to breastfeed. Make sure you have a supportive of and enthusiastic network of people who can answer your questions and provide support.

Prepare Yourself Physically

Experts now agree that “toughening your nipples” by rubbing them is not necessary and may actually cause uterine contractions that can stress the baby. However, you should avoid using soaps or lotions on your breasts and nipples, and other irritating or drying agents, during the last weeks of pregnancy and while you are nursing.

If you have flat or inverted nipples, you can still breastfeed successfully. However, there are some things you might want to do to make things easier for you and your baby, such as breast shields or massage. If you think that you have inverted nipples, talk to your nurse or ob/gyn or contact a lactation resource such as LaLeche League for advice and tips for breastfeeding success.

Stock up on Supplies

There are a few essentials that breastfeeding mothers should have. First, you will need a few nursing bras. These will provide the extra support you will need, and have handy flaps that can easily be undone at feeding times. During your last few weeks of pregnancy, visit a department store and get fitted for a nursing bra.

Second, stock up on breast pads to prevent embarrassing leaks. Another baby’s cries or the sight of an infant can stimulate milk flow when you least expect it. Nursing pads can help prevent leaks and stains on your clothing.

Third, if you will be going back to work but wish to continue breastfeeding, or if you will be traveling without your baby, a breast pump is essential. By pumping breast milk, you will keep your supply up and also keep your baby on a milk-rich diet. You can also use a pump to increase your milk supply. Find out more about choosing a pump and pumping breast milk.

Breastfeeding is a rewarding and joyful experience, and can be accomplished with a little advanced planning and preparation.


Source : thebabycorner.com