Sunday, August 9, 2009
Take precautions against the H1N1 (Swine Flu) Virus.
The answer is Yes. A simple nasal swab is all that is needed; it will be sent to a laboratory to test for the virus.
Well, H1N1 is highly contagious. The viruses are spread person-to-person primarily when infected persons cough and/or sneeze. Persons may become infected by touching something with flu viruses on it and then touching their mouth or nose. You cannot get H1N1 by eating pork.
Yes. Antiviral drugs can make you feel better faster. Antiviral drugs work best if started within two days of onset of symptoms. Presently, the CDC is working on the development of a vaccine. AU Health Services are monitoring the CDC's progress.
According to them, when the vaccine is first available, the following groups will be the priority:
•pregnant women
•people who live with or care for children younger than 6 months of age
•health care and emergency services personnel
•persons between the ages of 6 months through 24 years of age, and
•people from ages 25 through 64 years who are at higher risk for H1N1 Swine Flu because of chronic health disorders or compromised immune systems.
The H1N1 Swine Flu virus is rare in healthy persons over the age of 65. For this reason, people 65 and over are not in the high risk priority group for initial receipt of the vaccination. An adequate supply of vaccine supplies is expected, so that it will be offered to the general population as additional supplies are received.
Following recommendations should be taken to all the residents in India & abroad:
•Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
•Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective.
•Avoid touching your eyes, nose or mouth.
•Stay home if you get sick. CDC recommends that you stay home from work or school and limit contact with others to keep from infecting them.
If you become ill and are pregnant, are very young, or have a chronic health problem you should contact your health care provider. If you develop any of the following symptoms, you should seek immediate medical care:
•A high fever
•Children and Adults: Greater than 105°F (40.5°C)
•Babies 3- to 24-months-old: 103°F (39.4°C) or higher.
•Babies up to 3 months: Rectal temperature of 100.4°F (38°C) or higher.
•Coughing that produces thick mucus
•Dehydration (feeling of dry mouth or excessive thirst)
•Worsening of an existing serious medical condition (for example: heart or lung disease, diabetes, HIV, cancer)
•New onset of confusion
•Difficult breathing or chest pain
•Bluish skin
•Stiff neck
•Inability to move an arm or leg
•New onset of seizures
Note: Precaution is better than Cure
Wednesday, July 15, 2009
The Ways Babies Bond
When you're a new parent, it often takes a while to understand your newborn's true capabilities and all the ways you can interact:
- Touch becomes an early language as babies respond to skin-to-skin contact. It's soothing for both you and your baby while promoting your baby's healthy growth and development.
- Eye-to-eye contact provides meaningful communication at close range.
- Babies can follow moving objects with their eyes.
- Your baby tries — early on — to imitate your facial expressions and gestures.
- Babies prefer human voices and enjoy vocalizing in their first efforts at communication. Babies often enjoy just listening to your conversations, as well as your descriptions of their activities and environments.
Bonding with your Baby.
Bonding is the intense attachment that develops between parents and their baby. It makes parents want to shower their baby with love and affection and to protect and nourish their little one. Bonding gets parents up in the middle of the night to feed their hungry baby and makes them attentive to the baby's wide range of cries.
Scientists are still learning a lot about bonding. They know that the strong ties between parents and their child provide the baby's first model for intimate relationships and foster a sense of security and positive self-esteem. And parents' responsiveness to an infant's signals can affect the child's social and cognitive development.
Why Is Bonding with Baby is Important?
Bonding is essential for a baby. Studies of newborn monkeys who were given mannequin mothers at birth showed that, even when the mannequins were made of soft material and provided formula to the baby monkeys, the babies were better socialized when they had live mothers to interact with. The baby monkeys with mannequin mothers were more likely to suffer from despair, as well as failure to thrive. Scientists suspect that lack of bonding in human babies can cause similar problems.
Most infants are ready to bond immediately. Parents, on the other hand, may have a mixture of feelings about it. Some parents feel an intense attachment within the first minutes or days after their baby's birth. For others — especially if the baby is adopted or has been placed in intensive care — it may take a bit longer.
But bonding is a process, not something that takes place within minutes and not something that has to be limited to happening within a certain time period after birth. For many parents, bonding is a byproduct of everyday care-giving. You may not even know it's happening until you observe your baby's first smile and suddenly realize that you're filled with love and joy.
What Your Newborn Looks Like?
You've been waiting for this day for months: Finally you get to meet your new baby. But like many new parents, you might not have a clear idea of what that meeting will be like.
Wondering how your baby will look and what he or she will do after arriving?Although you may have visions of a robust bouncing baby, reality may not match that image. Many newborns are tiny, wet creatures when they first emerge. Often their heads are slightly pointed as a result of passing through the birth canal. This is only temporary — the head will take on a rounded appearance within a few days. It may surprise you that a newborn's head is so big compared with the rest of the body.
Your baby also may look scrunched up since the legs and arms have been kept bent at the knees and elbows while in the womb. After months of growing in ever-tightening close quarters, this is perfectly normal. The limbs will straighten out as your baby grows.
Look at your baby's tiny fingers and toes. You'll notice the paper-thin — and sometimes long — nails.
Your baby's skin may have one of several possible appearances, looking somewhat red, pink, or purple at first. Some babies are born with a white coating called vernix caseosa, which protects their skin from the constant exposure to amniotic fluid in the womb. The vernix is washed off with the baby's first bath. Other babies are born very wrinkled. And some, especially premature babies, have a soft, furry appearance because of lanugo, a fine hair that develops while in the womb. Lanugo usually comes off after a week or two.
Rashes, blotches, or tiny white spots also are common on newborns. These generally clear up over the first few days or weeks after birth. The doctor will examine your baby within the first 12–24 hours of birth and make sure that any rashes or spots are normal.
Remember, your baby's appearance will change dramatically over the next weeks as he or she grows. The limbs will extend, the skin tone will probably change, and the blotches will disappear.
Monday, April 20, 2009
The fact of life concerning Love.
The second fact of life is that there are different kinds of love, and we need to agree on what we are talking about when we say the word "love." Here are some of the different kinds of love that you might be familiar with:
- Parental love—Parents love their children, and this sort of love, devotion and caring is different from all other types of love. When done well, parental love could be called perfect.
- Christian love—Jesus said, "Love your neighbor as yourself," and many people are able to do that. They love and care about those around them because they are fellow human beings.
- Friendship love—A deep friendship between two people often involves a level of trust, devotion, commitment and caring that is love. So two women or two men or a man and a woman who have known each other for 20 years and have been through a lot together can say they love one another. There is not a bit of romantic or sexual attraction involved.
- Material love—You might hear someone say, "I love that car!" or "I love that movie!" It is love applied to an object. In this case the word "love" can mean a range of things from "I really like it" to "I must have it" all the way up to, in extreme cases, "I will (literally) kill myself if I don’t get it." Another word for this is infatuation.
- Lustful love—To some extent lustful love is a form of material love, but it is applied to another person and tied almost completely to a sexual infatuation. So a girl might say, "I love Tom Cruise!" Or a guy might say, strictly on the basis of a girl’s looks, "I love that girl!" This is lust.
- Romantic love—When most teenagers think of "love", this is what they are talking about. It is the combination of friendship, sexual attraction and the search for someone to marry. It is the search for the one person with whom you can raise your family and spend the rest of your life.
Monday, April 6, 2009
Risky Foods During Pregnancy
Avoid drinks like coffee, tea, coca colas and other drinks with caffeine. Too much caffeine may affect the growth of baby during pregnancy and at birth.
Caffeine & Pregnancy
Pregnant women who consume caffeine (from tea, cola, chocolate and some prescription drugs) even about a cup of coffee daily are at higher risk of giving birth to an underweight baby, according to the research findings published in the British Medical Journal in Novemebr 2008.
The researchers further found that pregnant women who drink two or more cups of coffee a day are at twice the risk of having a miscarriage as those women who do not take caffeine.
Advice: Reduce caffeine intake before conception and throughout pregnancy. The best advice was to limit caffeine consumption to below 100 milligrams a day, there is no lower limit for which there is no effect,
Avoid Vitamin A supplements as too much may harm your baby growing inside.
Avoid white breads and foods prepared with white flour (maida).
Avoid too much sugar and foods containing sugars.
Nutmeg spice in large quantity to pregnant women may result in miscarriage. Although there is no scientific evidence, some people believe that because pineapple and raw papaya contain enzymes, so they can induce abortion.
Avoid high-mercury sea-foods such as fish, especially Swordfish, Shark, King Mackerel and Tilefish. Raw fish and seafood may contain Listeria, a bacteria that can cause food poisoning and miscarriage or premature birth.
Avoid raw or smoked or frozen seafood such as oysters, sushi, sashimi, smoked oysters and smoked salmon. But canned seafood is safe to eat.Soft cheeses like ricotta without heating or uncooked.
Avoid raw meat such as seafood, sushi, uncooked beef, raw eggs or poultry as these may be contaminated by toxoplasmosis, coliform bacteria,and salmonella. Pre-cooked meat dishes without further heating.
Avoid Salads, readymade or pre-packed, ready-cooked cold meat including chicken.
You should not smoke.
Always consult your doctor about the safety of any drugs you take when pregnant.
Recipes: Cool Cucumber Buttermilk
4 cup low fat yogurts
2 tsp minced ginger
2 medium cucumber, peeled, seeded and chopped
2 capsicum
1/2 tsp black salt
salt and pepper to taste
6-8 cubes ice crushed
Direction:
Place all ingredients in the blender except ice.
Blend until smooth.
Serve cool.
Recipes: Masala Dal
2 tbsp oil
1 medium onion finely chopped
1 tsp garlic
1 tsp ginger
1 green chilly finely chopped
1 tsp cumin powder
1 tsp garam masala
2 tsp kastoori methi
2 tbsp chana dal
2 tbsp moong dal
2 tbsp masoor dal
2 tbsp soya granules
1 tsp mango powder
2 tsp lemon juice
150 gm paneer
Direction:
Heat oil and saute the onions till light brown.
Stir in garlic, ginger, green chillies and dry spices.
Add all dals, soya granules and water.
Let it boil, simmer until dals are tender.
Let it cool.
Place dal mixture and all balance ingredients in a blender and blend until smooth paste is formed.
Serve chilled with raw vegetable as a dip or with tandoori rotis.
Thursday, April 2, 2009
When is the Best Time to Have Sex to Get Pregnant?
To get pregnant, you need to have sex before you ovulate, with the two to three days prior to ovulation being your most fertile days.
Predicting Ovulation and the Day 14 Myth
Something else often heard, even from doctors, is that ovulation is on day 14 of the menstrual cycle (with day one being the day you get your period). Some women hear this and decide to plan to have sex on day 14. The problem is that many women don’t ovulate on day 14 of their cycle. Normal ovulation can occur as early as day 10 and as late as day 20 (or even later, especially if your cycles are irregular).
So how can you predict when you will ovulate?
But research says that the best day for sexual intercourse when trying to get pregnant is the day you notice the most fertile cervical mucus. Fertile cervical mucus is cervical discharge that resembles raw egg-white and typically appears on the days prior before ovulation.
Why Waiting for Ovulation Isn’t the Best Idea
Sometimes we get so obsessed about having sex at the right time, we neglect sex at other times during the cycle. Sex begins to feel more like a chore, becoming less about love and connection. This can put tremendous stress on a relationship.
Beyond that, though, there are other reasons not to wait that pertain to your fertility itself.
If you try to time sex only for ovulation, you’re more likely to miss your opportunity. If you’re waiting and waiting for ovulation signs, you could miss them or they could occur when sex just isn’t possible.
Research does say that sex during the six days prior to ovulation does indeed have the possibility of resulting in pregnancy. If you plan on having sex two to three times a week, regardless of fertility signs, you’re likely to have sex at least once during this six-day time period. This is less stressful than trying to time sex for a particular few days.
In addition, research studies have shown that after 10 days of abstinence, sperm quality and quantity is greatly diminished. Sperm quality and quantity peaks, however, after one or two days of abstinence.
If you’ve waited to have sex until you have signs of ovulation, and you haven’t had sex for several days before, the sperm your partner provides may not be as fertile. You may be at your most fertile time, but he won’t be at his peak fertility.
Why Do I Sometimes Feel Pregnant When I Am Not Pregnant?
The experience of feeling pregnant when trying to get pregnant isn’t uncommon. Spend any time on fertility message boards, and you’re bound to hear members refer to "imaginary pregnancy symptoms." You probably have experienced imaginary pregnancy symptoms yourself.
Imaginary Pregnancy Symptoms
Imaginary Pregnancy Symptoms (IPS) are exactly what they sound like — symptoms a woman experiences that make her think that she may be pregnant. Don’t expect to hear your doctor use the term IPS; it’s not a technical term. The phrase was invented on fertility message boards around the world as a loving way to refer to those “symptoms” that make us feel pregnant.
The time between ovulation and your expected period is when you’re most likely to be anxious about whether or not this month will be the month. It’s natural to assume that you may imagine some early pregnancy symptoms, such as tender breasts, fatigue, bloating, emotional sensitivity, light cramping and even food cravings. Much like an oasis in the desert, you want to be pregnant so much that you’re sure you can feel it.
Feeling Pregnant — Not Completely Imaginary?
What may surprise you is that these feelings aren’t all in your head. They’re real reactions to the hormones in your body that are preparing for possible pregnancy. Our bodies are optimistic when it comes to pregnancy potential, and as soon as ovulation occurs, the body prepares itself for new life, even if conception did not take place.
One of the hormones responsible for many imaginary pregnancy symptoms is progesterone, which increases just after ovulation and drops when your period comes (if you’re not pregnant). Also, if you’re taking fertility drugs, their side effects can sometimes be mistaken for early pregnancy symptoms.
It’d be nice if we could just feel whether we’re pregnant or not, and it sure would cut down the anxiety of the 2-week wait. The symptoms of early pregnancy, though, are practically indistinguishable from normal premenstrual symptoms.
The Bottom Line on Feeling Pregnant
While your "pregnant feelings" aren't 100% imagined, you can feel worse the more you focus on the feelings. It helps to remind yourself that whether you feel pregnant or not, it doesn’t mean anything. Some women are sure they are pregnant, complete with throwing up in the morning, and then find out they’re not. Some women feel absolutely nothing and find out they’re pregnant after all.
The only way to know if you’re pregnant is to wait out the 2-week wait and take a pregnancy test when your period is overdue.
Sunday, March 29, 2009
Is It Safe to Have Sex During Pregnancy?
So what's a "normal pregnancy"? It's one that's considered low-risk for complications such as miscarriage or pre-term labor. Talk to your doctor, nurse-midwife, or other pregnancy health care provider if you're uncertain about whether you fall into this category.
Of course, just because sex is safe during pregnancy doesn't mean you'll necessarily want to have it! Many expectant mothers find that their desire for sex fluctuates during certain stages in the pregnancy. Also, many women find that sex becomes uncomfortable as their bodies get larger.
You and your partner need to keep the lines of communication open regarding your sexual relationship. Talk about other ways to satisfy your need for intimacy, such as kissing, caressing, and holding each other. You also may need to experiment with other positions for sex to find those that are the most comfortable.
Many women find that they lose their desire and motivation for sex late in the pregnancy - not only because of their size but also because they're preoccupied with the impending delivery and the excitement of becoming a new parent.
When It's Not Safe
There are two types of sexual behavior that aren't safe for any pregnant woman:
If you engage in oral sex, your partner should not blow air into your vagina.
Blowing air can cause an air embolism (a blockage of a blood vessel by an air bubble), which can be potentially fatal for mother and child.
You should not have sex with a partner whose sexual history is unknown to you or who may have a sexually transmitted disease, such as herpes, genital warts, chlamydia, or HIV. If you become infected, the disease may be transmitted to your baby, with potentially dangerous consequences.
If your doctor, nurse-midwife, or other pregnancy health care provider anticipates or detects certain significant complications with your pregnancy, he or she is likely to advise against sexual intercourse. The most common risk factors include:
-a history or threat of miscarriage
-a history of pre-term labor (you've previously delivered a baby before 37 weeks) or signs indicating the risk of pre-term labor (such as premature uterine contractions)
-unexplained vaginal bleeding, discharge, or cramping
-leakage of amniotic fluid (the fluid that surrounds the baby)
-placenta previa, a condition in which the placenta (the blood-rich structure that nourishes the baby) is situated down so low that it covers the cervix (the opening of the uterus)
-incompetent cervix, a condition in which the cervix is weakened and dilates (opens) prematurely, raising the risk for miscarriage or premature delivery
-multiple fetuses (you're having twins, triplets, etc.)
Common Pregnancy Myths
Myth: Standing on your head after sex can increase your chances of becoming pregnant.
Truth: Although some experts say that lying down after sex for 20 to 30 minutes can boost your chances of conception because it keeps the sperm inside you, standing on your head has not been proven to aid in conception (and you might hurt your neck while trying to do it!).
Myth: The shape and height of your belly can indicate your baby's sex.
Truth: The popular belief that women carrying boys carry low and that women carrying girls carry high just isn't true. The shape and height of your belly is determined by your muscle tone, uterine tone, and the position the baby is in. That's why someone may think you're having a boy because you're carrying low, when actually the baby just dropped lower into the pelvis because you're closer to delivery. So, what's the most accurate way to determine your baby's sex? Talk to your doctor about getting an ultrasound.
Myth: Fetal heart rate can indicate your baby's sex.
Truth: A normal fetal heart rate is between 120 and 160 beats per minute (bpm), although some people think if it's faster (usually above the 140 bpm range) it's a girl and if it's slower it's a boy. But there have been no studies that conclusively show that heart rate is a predictor for a baby's gender. Your baby's heart rate will probably differ from prenatal visit to prenatal visit anyway - depending on the age of the fetus and activity level at the time of the visit.
Myth: The shape and fullness of your face during pregnancy can indicate your baby's sex.
Truth: Every woman gains weight differently during pregnancy, and every woman experiences different skin changes. If people tell you that because your face is round and rosy you're having a girl, they might be right - but it's just as likely that they're wrong!
Recipes: Creamy Broccoli Soup
Ingredients:
1 c. onion, diced
1 carrot, diced
1 celery stalk, diced
1 clove garlic, chopped
6 c. broccoli, chopped (about 2 crowns)
2 c. low sodium chicken broth
2 c. skim milk
ground black pepper to taste
Directions:
In a large soup pot, combine onion, carrot, celery, garlic, and chicken broth. Bring to a boil.
Add the broccoli, cover the pot, and cook for 5 to 10 minutes or until broccoli is tender.
Allow the soup to cool and transfer the soup to a blender. Add skim milk and blend until smooth.
Transfer soup back to the pot and reheat the mixture slowly until heated through.
Serves: 6
Serving size: about 1 cup
Nutritional analysis (per serving):
101 calories
8 g protein
1 g fat
0.5 g sat. fat
17 g carbohydrate
6 g fiber
3 mg cholesterol
142 mg sodium
169 mg calcium
1 mg iron
183 mcg folic acid
Nutritional analysis may vary depending on ingredient brands used.
This soup is high in folic acid because of the amount of broccoli used. Adequate folic acid intake is important, especially during the early weeks of pregnancy, to help prevent birth defects.
Recipes: Pasta and Cheese
Ingredients:
8 oz. bowtie pasta, uncooked
2 1/2 c. skim milk
1 tbsp. butter
1/2 c. broccoli, chopped
1/2 c. red pepper, chopped
1/2 c. onion, diced
3 tbsp. all purpose flour
1/2 tsp. dry mustard
2 c. reduced-fat sharp cheddar cheese, shredded
Directions:
Preheat oven to 375 degrees Fahrenheit (190 degrees Celsius).
Cook pasta according to package directions.
Add butter, broccoli, red pepper, and onion to a medium saucepan and sauté over medium heat. Add the milk and heat through.
Gradually whisk in flour and dry mustard. Simmer for 1 minute and whisk occasionally.
Remove the mixture from heat and stir in cheese until melted. Add the cooked pasta and stir to coat the pasta.
Transfer the mixture to a 9-inch square baking dish and bake uncovered for about 20 minutes or until hot and bubbly.
Serves: 6
Serving size: 1 1/3 cups
Nutritional analysis (per serving):
321 calories
19 g protein
10 g fat
7 g sat. fat
40 g carbohydrate
2 g fiber
34 mg cholesterol
346 mg sodium
376 mg calcium
2 mg iron
110 mcg folic acid
Nutritional analysis may vary depending on ingredient brands used.
This recipe is high in calcium and is a dish that other kids in the house can enjoy as well.
Note: This recipe is especially for pregnant and breastfeeding women, but it can be a nutritious part of almost anyone's diet. Pregnant and breastfeeding women need to consume extra calories and eat a variety of nutritious foods to contribute to their baby's growth and development.
Recipes: Apple French Toast
Ingredients:
2 medium apples (Cortland, Granny Smith, etc.)
1 c. egg alternative
12-oz. can of evaporated skim milk
4 slices of cinnamon swirl bread
½ c. granulated sugar, divided
1 tsp. cinnamon
1 tsp. nutmeg
Directions:
Spray 8x8 baking dish with nonstick cooking spray.
Line bottom with 4 slices of cinnamon swirl bread.
Mix egg alternative, evaporated skim milk, ¼ c. sugar together.
Pour half of egg mixture over bread.
Arrange apple slices over egg-bread layer.
Pour remainder of egg mixture over apple slices.
Mix remaining ¼ c. of sugar with cinnamon and nutmeg; sprinkle evenly over top of apple-egg layer.
Cover with plastic wrap and refrigerate overnight.
Next day: Preheat oven to 350° Fahrenheit (176° Celsius). Bake for 60 minutes until fluffy and golden brown and egg mixture is set.
(Note: French toast will "deflate" when taken out of oven).
Makes: 6 servings
Serving size: 1/6 of pan
Nutritional analysis (per serving):
209 calories
10 g protein
1 g fat
0.2 g sat. fat
40 g carbohydrate
2 g fiber
3 mg cholesterol
210 mg sodium
232 mg calcium
1 mg iron
32 mcg folic acid
Nutritional analysis may vary depending on ingredient brands used.
This recipe is an excellent source of protein, calcium, and riboflavin, which are essential during pregnancy and breastfeeding.
This is a great make-ahead breakfast dish for the whole family. Serve with turkey bacon or soy sausages and maple syrup.
Note: This recipe is especially for pregnant and breastfeeding women, but it can be a nutritious part of almost anyone's diet. Pregnant and breastfeeding women need to consume extra calories and eat a variety of nutritious foods to contribute to their baby's growth and development.
Recipes: "Baked" Candied Sweet Potato
Ingredients:
1 medium sweet potato
1 tsp. butter spread with canola oil
1 tbsp. brown sugar
1/8 tsp. cinnamon
Directions:
Wash and dry sweet potato; prick with fork.
Microwave potato on high for 6 minutes.
Meanwhile, mix together butter spread, brown sugar, and cinnamon.
Carefully remove potato from microwave, wrap in foil, and let sit for another 3 minutes.
Remove foil, cut slit in center of potato, and add brown sugar-cinnamon mixture.
Makes: 1 serving
Serving size: 1 potato
Nutritional analysis (per serving):
178 calories
2 g protein
2 g fat
0.5 g sat. fat
38 g carbohydrate
4 g fiber
2 mg cholesterol
96 mg sodium
42 mg calcium
1 mg iron
14 mcg folic acid
Nutritional analysis may vary depending on ingredient brands used.
Why this recipe is good for pregnant or breastfeeding women:
This recipe is an excellent source of vitamin A and a good source of fiber, which are important during pregnancy and breastfeeding.
Note: This recipe is especially for pregnant and breastfeeding women, but it can be a nutritious part of almost anyone's diet. Pregnant and breastfeeding women need to consume extra calories and eat a variety of nutritious foods to contribute to their baby's growth and development.
Thursday, March 26, 2009
Childbirth Options
Planning Ahead for Childbirth
Learn all you can about the birthing process. Most hospital and birth centers offer antenatal classes that go through the birth process, so be sure to take your partner along. These classes will teach you about the different stages of labor and what to expect at each stage.
At your prenatal classes and during your doctor or midwife appointments, be sure to ask about these important issues:
* When to go to the hospital (if you are having a hospital birth)
* What to expect when you get there
* What pain-relief options will you be offered (if any)
* What possible emergency situations may occur
* What resources are available to you
* When would it be necessary for you to have a cesarean section
* What will happen immediately after giving birth
How Does Labor Begin?
Although labor begins differently for each woman, there are some definite signs that the baby is on the way:
* You experience contractions
* Your water breaks
* You have the "bloody show"; this is a vaginal discharge of blood-tinged mucus
Normal Vaginal Delivery (NVD)
Most women should be strong and healthy enough to deliver their baby with an uncomplicated NVD. During delivery, your doctor or midwife performs certain procedures such as:
* Vaginal examination: Performed regularly to monitor your progress
* Enema: May be given to empty the colon to prevent defecation (passing of stool) during labor
* Intravenous line: May be inserted into you arm to administer fluids or painkillers
* Fetal monitoring: An external ultrasound monitor is placed on your tummy to monitor your baby’s wellbeing if your cervix has not fully dilated. If your water has broken, an internal monitor could be used.
Assiting Procedures
Here are some common procedures used to assist during delivery when nature needs a little hand:
* Inducing labor: Contractions are stimulated by using medication or by amniotomy (breaking of the waters by making a tear in the amniotic membrane by using a small plastic hook). Reasons for inducing labor could be post-term pregnancy, high blood pressure (hypertension), diabetes mellitus, previous stillbirth or premature rupture of membranes.
* Episiotomy: A small cut, done under local anesthetic, is made to enlarge the vaginal opening when the baby’s head is crowning to prevent the muscles from tearing
* Vacuum extraction: Used to assist the mother if she becomes too exhausted or if the baby shows any sign of distress. A small cup is placed on the baby’s head and a slight suction is applied.
* Forceps: Instruments used to guide the baby’s head out of the birth canal
If these methods are applied and fail and the mother is still struggling or the baby is in distress then a caesarean section may be necessary.
5 Reasons to Talk to Your OB About Your Pregnancy Weight Gain
1. You have special diet restrictions or needs.
If you are a vegetarian, vegan or have other special needs in pregnancy, it is important to discuss with your practitioner about your weight gain and dietary needs. It is possible to have a very healthy pregnancy without meat and/or dairy, however, you will need to be informed and committed to your dietary needs.
2. You're overweight.
Being overweight when you're pregnant will get you a lot of pressure about your weight gain. The important thing to remember is that you must gain weight. Some practitioners recommend that you only gain between 10-15 pounds. You should choose a weight gain goal based on a discussion with your doctor or midwife. Having someone to guide you might help each pound count and make your weight be less of an issue. Keeping your weight in check can also help to stave off certain pregnancy complications that may be more likely to occur when you're overweight.
3. You're underweight.
When you are starting a pregnancy being underweight it may be more important for you to also gain weight early in pregnancy. Your pregnancy may take its toll on your body in many ways, the calories you take in for you and your baby are important. Some practitioners will advise you to gain slightly more weight than average, between 35-45 pounds, depending on where you are starting. Some of this may also take into account how healthy you are and why you are underweight.
4. You have a history of an eating disorder.
Past or present eating disorders can play havoc with you in pregnancy. It is imperative that you confide in your practitioner and continue having a dialogue. Weight gain is a necessary part of pregnancy and even many years later, it can cause issues for women with disordered eating.
5. You are expecting twins or higher order multiples.
How to determine what you should gain is also dependent on how many babies you are busy growing. The truly important part with multiple pregnancy is also the pattern of weight gain. It is very important for you to gain weight early in pregnancy since multiple pregnancies tend to be shorter. So consider gaining about 20 pounds by around the 20th week of pregnancy. This can help increase the weight of each baby helping to prevent low birth weight in the event of preterm labor.
Your midwife or doctor should discuss your nutritional needs as well as weight issues. You should talk to them about your thoughts and feelings about gaining weight. You should also consider asking for a referral to a dietitian or someone who specializes in nutrition and pregnancy, particularly related to your above issue.
It is possible to have a healthy baby even with a pregnancy that requires special attention. The good news is that, unlike other complications or issues, what you eat is completely in your hands.
Twin Pregnancy : How Much Weight Will I Gain?
Generally, a healthy pregnancy requires that a woman gain 25 to 30 pounds during the nine month gestation period. But that's for just one baby. Like everything about having multiples, more is required. Doctor recommendations vary, but most women gain about 35 to 45 pounds during a twin pregnancy, with about 10 additional pounds for every additional baby in a higher order multiple pregnancy. In most cases, about a third of the weight belongs to the babies.
Although the thought of gaining weight can be daunting, it's vitally important for the health of the babies, and for mom, too. It takes an incredible amount of energy to sustain a twin or multiple pregnancy. Maternal fat stores supply some of that energy, especially in the last trimester, when the babies are taking in every bit of nutrition that mom can ingest! That's why it's important to eat a healthy diet throughout pregnancy, and build up the fat stores to sustain your health in the later months.
Discuss your nutritional needs with your doctor or caregiver, and don't worry about the soaring scale. You've got your babies' best interests at heart!