Your Pregnancy Diary

8/3/2019 Your Pregnancy Diary

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your pregnancy diary

HealthTips

PrenatalScreening

Month-by-MonthDiary

BirthPlan


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2006,1998,Johnson&JohnsonPediatricInstitute,L.L.C.

Preface

Everychilddeservesahealthy

startinlie.Foralmostadecade,the

Johnson&JohnsonPediatricInstitute,

L.L.C.(JJPI)hasbeendevotedto

improvingthelivesochildrenand

theiramilies.Fromtheirrstbreaths

throughtheirearlyyears,childrenare

challengedtosurviveandthriveinthe

world.Everycountry,everyamily

andeverychildaceuniqueobstacles

tothepromiseoahealthylie.At

theorerontisJJPIcontinually

addressingthechallengesandpriorities

inchildrenshealth.

Acommitmenttomothersand

theirbabieshasbeenatthehearto

Johnson&Johnsonorover100years.

ReinorcedbytheJohnson&Johnson

Credothatstates,Webelieveourrst

responsibilityistothedoctors,nurses

andpatients,tomothersandathers

andallotherswhouseourproductsand

services,JJPIwasestablishedin1998.

Itsmissionistosavebabieslivesand

contributetoahealthyenvironment

orchildren.

Collaboratingwithworldwide

leadersromgovernment,medicine,

nongovernmentalorganizationsand

industry,JJPIaddressesthelocalneeds

ochildrenandtheiramilies.With

ourpartners,wedevelophigh-impact

educationalprogramsto:

Ensuremothershavesaeand

healthypregnancies

Improvecareorbabiesrom

birththroughtheearlyyears

Resourcesorproessionalsandparents

areavitalpartotheJohnson&Johnson

PediatricInstitutesprogramming.We

hopeyoundtheollowingeducational

materialavaluableresource.


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contents

Introduction. 1

YourPersonalDetails. 3

PrepregnancyPlanning. 6

HealthTipsorPregnantWomen..........7

SexDuringPregnancy..........................10PregnancyMassage..............................11

PrenatalScreening............................... 11

Prematurity/PretermBirth.....................15

FirstTrimester...................................... 17

SecondTrimester................................. 31

ThirdTrimester.....................................45UntiltheBirth.....................................59

Breasteeding....................................... 59

TheBirthPlan...................................... 61

ChecklistorYourHospitalBag............63

PostpartumPlans................................. 65

YourBaby............................................ 66

Glossary.............................................. 70

awdgmTheJohnson&JohnsonPediatricInstitute,L.L.C.wishestoacknowledgeAnnHabermanandDr.JasminMoshirpurortheircontributionandexpertiseinmakingthisdiaryamusthaveor

allexpectantparents.


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f o r e w o r d


JasminMoshirpur,MD,FACOG

Congratulationsonyourpregnancy.

TheJohnson&JohnsonPediatricInstitute,L.L.C.ispleasedtotakeyou

onaguidedtouroyourpregnancy.

Ourhopeisthatbetterunderstanding

willincreaseyouracceptanceand

toleranceothemanyphysical,

mentalandemotionalchanges

thataccompanypregnancy.Your

obstetricianandhealthcareteam

willundoubtedlyanswermanyo

yourquestions,butthisbookletwill

supplementtheirinormation,prompt

somequestionsandmayeliminate

theneedorsomeothers.The

events,possibleoccurrences,tests,

proceduresanddeliveryenvironment

arebriefyreviewed.

Overall,pregnancy,labor,delivery

andnurturingoyournewbornbabyarethehappyeventsyoudreamed

oandhopedor.Byconsulting

withmothersandmaternitycare

specialists,wehopethisbooklet

willbeaspecialinormationresource

thatwillmeetyourexpectations.A

healthy,happymotherandahealthy,

contentedbabyarethegoalsor

whichweallstrive.Bestwishesto

you,youramilyandahostoriends

whowaitwitheagerexpectationor

thegloriouseventthatistocome.


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i n t r o d u c t i o n


Therearemanybooks,videotapes

andcomputerizedmaterialabout

pregnancyandwhattoexpectwhen

youareexpecting.Sometimesthe

amountoinormationcanseema

littleoverwhelming.Tohelpputthis

inormationinasmall,easy-to-use

package,wehavegatheredthemost

importantthingsyoumaywantto

knowaboutpregnancyandputthem

intothisdiaryoreasyreerence.

Thisdiaryprovidesaloto

inormationaboutpregnancy,but

everypregnancy(andeverybaby)is

unique.Iyouhaveanyquestions

orconcerns,contactyourhealthcare

proessionalwhenevertheyarise.Pleasedonotwaituntilatime

recommendedinthisdiary.


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Attheendothisdiary,youcan

writedownabirthplanthatcovers

yourexpectationsortheactual

birthoyourbaby.Whileplanscan

change,thiswillhelporganizeyour

prioritiesandeelingsaboutthe

bigday.

Itisimportanttotrytogeta

reasonableamountorestduringyour

pregnancy.Evenhalanhoursrest

aday,justsittingwithyoureetup,

canmakeadierence.Althoughthis

canbehardtodo,especiallyiyou

areworkingorhaveayoungamily

tocareor,yournewbabyandyou

deservealittlerest.

Inthebeginningpagesothisdiary

are2charts,oneonHealthTipsor

PregnantWomenandanotheron

PrenatalScreening.TheHealthTips

chartdiscussesnutritionandhow

tocopewithmorningsickness.The

PrenatalScreeningchartcoversmany

othetestsyoumaybeaskedto

considerduringyourpregnancy.

Followingthissectionisamonth-

by-monthdiarywithspacesor

youtorecordyourweight,any

sensationsyoueel,detailsoyour

nextappointmentandanyquestions

youhave.Dontorgettotakeyour

diarywithyouwhenyougoseeyour

healthcareproessional.Thatwayoneoyoucanwritedowntheanswersto

yourquestions,aswellasanyother

instructionsoradvice.


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YourPersonalDetails

Dateolastmenstrualperiod:__________________________________________

Expecteddeliverydate:_______________________________________________

Iyoucarryyourbabytoulltermyouwillbepregnantorabout40weeks.

However,only4%obabiesarriveonthedaytheyaredue.Thisismainlybecauseduedatesarecalculatedas40weeksromtherstdayoyourlast

period.Thisis2weeksbeoreyouovulatedandisstillonlyanestimate.

Ababymaybeborn3weeksbeoreoraterthisdateandstillbeontime.

Yourbloodtype:________________Rh:_________________________________

Theathersbloodtype:__________Rh:_________________________________

(I.you.are.Rh.minus.and.the.babys.ather.is.Rh.plus,.you.will.need.special.medication.to.protect.your.baby.at.approximately.28.weeks.[7.months].and..

ater.delivery)

Currentmedicalconditions:___________________________________________

____________________________________________________________________

____________________________________________________________________

Currentmedications:_________________________________________________

____________________________________________________________________

____________________________________________________________________

Allergies(includeallergiestomedicines):________________________________

____________________________________________________________________

____________________________________________________________________



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Numberopreviouspregnancies:______________________________________

Complicationsopreviouspregnancies(iany):_______________________________________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

Persontocontactincaseoanemergency: ______________________________

____________________________________________________________________

____________________________________________________________________

Relationshiptoyou:__________________________________________________

____________________________________________________________________

Phonenumber(day):_________________________________________________

(evening): __________________________________________________________Pager:______________________________________________________________

Cellularphonenumber: ______________________________________________

Persontocontactincaseoanemergency:______________________________

____________________________________________________________________

____________________________________________________________________

Relationshiptoyou:__________________________________________________

____________________________________________________________________

Phonenumber(day):_________________________________________________

(evening): __________________________________________________________

Pager:______________________________________________________________

Cellularphonenumber: ______________________________________________


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naMe PH.nUMBer

Doctor

Midwie

Nursepractitioner

Childbirtheducator

Doula(Laborcoach)

Hospital

Birthingcenter

Lactationconsultant

Pharmacy

Otherimportantpeople

Testsperormed:

tests resUlts tests resUlts

Importantpeopleandphonenumbers:


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PrepregnancyPlanning

Prepregnancyplanningisbecoming

increasinglyimportant.Thereare

manythingsyoucandotohelpyour

babydevelopinahealthyway.Some

othesearedescribedintheollowing

section.Allothesewillalsohelp

youbecomemorephysicallytand

healthytoo.

Iyouplantobecomepregnant,it

isimportanttoaskyourhealthcare

proessionalaboutrubella(German

measles).Iyouhaveneverhad

Germanmeaslesoriyouwerenever

immunizedagainstit,youshouldget

arubellashotbeoreyoubecome

pregnant.Thiswillhelplowertherisk

ocomplications,suchashearingloss,

heartdiseaseormentalretardation,

inyournewbaby.Youcannotbe

immunizedwhenyouarepregnant.

Beoreyoubecomepregnant,you

shouldalso:

stopsmoking

stopdrinkingalcoholicbeverages

eatmoreolate-enriched

oodsand/ortakeolicacid

supplementsorvitamins.The

recommendeddailyintakeo

olicacidis400g(micrograms).

DuringPregnancy

Beoreandduringyourpregnancy

itisimportanttotakecareoyoursel

byeatingawell-balanceddiet.Your

intakeovitaminsandmineralsis

importantoryouandyourbaby.

Weightgainduringpregnancy

isunavoidableanddependsupon

yourheightandweightatthetimeo

yourbabysconception,howmuch

youexerciseandyourcalorieintake

duringpregnancy.Theaverageweight

gainduringpregnancyisabout25

to35poundsor10to16kilograms.

Yourweightgaineachweekshould

bearound3/4oapoundorabout

340grams.

Therearesomeoodsthatpregnant

womenshouldavoid.Thetableon

dietrecommendations(page7)

givessomeguidanceintheseareas,

alongwithotherhealthtipsor

pregnantwomen.


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HealthTipsorPregnantWomen

Yourbabysmajororgansdevelop

duringtherst8weeksopregnancy.Itisnevertoosoontotakecareo

yoursel,eattherightoodsandavoid

substancesthatcanhurtyourbaby.

Itisbesttoeatavarietyo

nutritiousoodsromdierentood

groups.Washorpeelruitsandvegetables

beoreeatingtoavoidchemicals.

Eatawell-balanceddietoruits,

vegetables,wholegrainsand

increasedprotein.

Youshoulddrink10cups(8ounces/250mleach)oliquids

daily,including3cupsomilk.

Whdhuduvid?

Rawandslightlycookedeggs,

becausethereisariskoood

contaminationwithsalmonellabacteria.

Yourdietshouldinclude:

cbhd Pi I-rihfd

Bread Milk Greenleayvegetables

Potatoes Cheese Lentils

Rice Yogurt Eggs

Pasta Leanmeat Driedruit

Oats Fish Redmeat

Tou Sometypesoish Nuts

Soybeans

Vitaminc-rihfoods folate-rihfoods Zi-rihfd

Citrusruit Darkgreenleay Seaood

Tomatoes vegetables (especiallyreshoysters)

Berries Fruits Meat

Cantaloupe Yeastextract Wholegrains

Nuts

Soylinseedbread


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Sotcheeses,suchasCamembert,

eta,goatandbrie;pat,sliced

meatsorchoppedchicken;raw

shandanypremadesalads

thathavebeenstandingora

while,becausethereisarisko

oodcontaminationwithlisteria

bacteria.Thisormoood

poisoningsometimesoccurs

withthesetypesorerigerated

oods.

Whileyouarepregnantitisbest

toeatonlyreshlypreparedoods.

cuvimi?

Mosthealthcareproessionals

recommendaprenatalvitaminor

theentirepregnancy.Manyalso

recommendyoubegintakingaolate

(orolicacid)supplementbeore

youbecomepregnantandcontinue

throughoutyourpregnancy.Even

withvitamins,ahealthydietisan

importantsourceormostoyourvitaminsandminerals.

Ironsupplementationwasonce

considerednecessaryduring

pregnancybutisusuallynolonger

required.VitaminAsupplements

shouldbeavoidedintherst

trimester,becausevitaminAisstored

bythebodyandhasbeenlinkedwith

birthdeects.

Whi?

Folateorolicacidisoneothe

Bvitamins.Itisveryimportantor

thenormaldevelopmentoababys

centralnervoussystem.Ithelps

protectagainstneuraltubedeects,

suchasspinabida.

Whzi?

Zincisamineralthathelpsthe

immunesystemunctionproperly.


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Bubmpg

Beoreyoubecomepregnant,andi

possiblethroughoutyourpregnancy,

youshouldavoid:X-rays.

Unnecessarymedicationdo

nottakeanymedications(even

onesyouusuallytake)without

checkingwithyourdoctor,

pharmacistormidwie.Smokingandsecond-hand

smoke.

Heavyalcoholconsumption

noneisbest.

Illicitmood-alteringdrugs

suchasheroin,marijuana,cocaine,ecstasy.

Contactwithsoiledcatlitter

anddogeces.Thesecaninect

youwithtoxoplasmabacteria

thatcancausemiscarriage.

Digginginthegardencanalso

exposeyoutoecesandshould

beavoided.

Exposuretochemicalsitisnot

agoodtimetorenovate.Old

paintmaycontainhighlevels

olead.Evennewpaint,wood

treatmentsandsolventscanhave

harmulumesyoumayinhale.

Iyouareinanareawherethere

areumes,ensureyourexposure

isminimalandkeepthearea

well-ventilated.Youshould

alsoavoidplaceswherestrong

pesticidesorweedkillersare

sprayed.

Heavyliting20pounds

(9kilograms)ormore.

tipmigi

EatsomedrytoastBEFOREyou

getoutobed.Thisraisesyour

bloodsugarlevel.

Ontheotherhand,youcouldtry

havingalightsnackbeoreyou

gotobed.

Insteadoeating3main

meals,tryeatingsmaller,high-

carbohydratemealsmore

requently.Evensimplyeatinga

bananawillhelpmaintainyour

bloodsugarlevel.

Tryreducingtheamounto

atinyourdietwhileyouare

experiencingmorningsickness.

Theamountowholemilk,


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cheesesoreggsmayaectyour

nausea,sotrytocutback.

Consumesolidsandliquidsat

separatetimes.Avoidspicyoods,strongodors,

stuyroomsandsmokyplaces.

Keepyourstomachpartiallyull

alldaybysnackingondrycrackers

betweenmeals.Askyourmotheror

riendswhattheydidormorningsicknessandseeitheirideaswork

oryou.Iyouarevomitingrequently

andnditdiculttokeepanything

inyourstomach,youshouldconsult

yourhealthcareproessional.There

aretreatments,suchasvitaminB6

andanti-emeticsthatyourhealthcare

proessionalmayprescribe.

SexDuringPregnancy

Manywomenwonderiitis

saetohavesexduringpregnancy.

Theanswerisalmostalwaysyes.

However,therearecircumstances

whenhealthcareproessionalsmay

adviseagainstsexualintercourse,such

aswhenthereisvaginalbleedingor

whengoingintoearlylaborisvery

likely.Iyouhaveanyquestions

abouthavingsexduringpregnancy,

donthesitatetoaskyourhealthcare

proessional.

Sexualpositionsmayneedto

changeasyourbodychanges.Many

womenndthatlyingontheirside

isthemostcomortablepositionor

sexlaterinpregnancy.Fortunately,

muscularcontractionsinthevagina

anduterusduringorgasmarenot

likelytocauseproblems.

Withallthehormonalchanges

goingon,youmaynoteellikehaving

sex.Yourpartnerslibidomayalsobe

aected.Havingababyisabiglie

eventandaectspeopleindierent

ways.Themostimportantthingisto

talktooneanotherabouthowyou

0


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eel.Youmaybecomelessocused

onsexualintercourseandenjoybeing

intimateinotherways.

PregnancyMassagePregnancyshouldbeawonderul

andmemorableexperience.Butit

canbeademandingtimeboth

physicallyandemotionally.Pay

attentiontoyourbodyandtakethe

timetocareoryoursel.Onewaytocareoryourselis

toreceiveamassage.Massageisa

wonderulwaytorelaxandbecome

comortablewiththeamazing

changesinyourbody.Yourpartner

cangiveyouagentlemassagewith

lightstrokesandnodeepkneading

movements.

Thespecialattentionanexpectant

motherreceivesromtouchand

massagehasimportantbenetsor

herselandherbaby.Womenwho

aretreatedwellwhilepregnantand

duringdeliveryeelbetterabout

themselvesandareclosertotheir

inants.Massageisnotrecommended

inthersttrimester.

PrenatalScreeningPrenatalscreeningincludesallthe

scans,testsandchecksthataredone

whileyouarepregnant.Someo

thesearenecessaryandothersmay

beoptionalduringyourpregnancy.

Alwaysaskyourhealthcare

proessionaliyouarenotsure

whatyourtestresultsmean.Please

rememberthatnocurrentlyusedtest

canguaranteeahealthybaby.

Bd

Bloodwillbetakenoranumber

oreasons.Abloodwork-upwillbe

perormedthattellsyourdoctorabout

yourbloodtype,thenumberored

andwhitebloodcellsandseveral

otherblood-relateditems.


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Yourbloodwillbetestedtoseei

youareimmunetorubella(German

measles).Iyouarenotimmune,you

willbeadvisedtoavoidcontactwithpeople(mostlychildren)whomay

haveGermanmeasles.

Yourbloodwillbetestedor

hepatitisB,gonorrhea,syphilis

andotenhepatitisC.Allothese

inectionsaectyourhealthandmay

aectyourbabyshealthevenater

birth.TestingorHIVantibodies

maybeanoptionaltest;thismaybe

valuableitreatmentisavailableto

preventtransmissiontothebabyor

womenwithHIV.

Bdpu

Yourbloodpressurewillbetaken

eachtimeyouvisityourclinicor

doctor.Anincreasingbloodpressure

maybeasignopre-eclampsia,a

dangerousconditionorbothpregnant

mothersandtheirunborninants.

Ui

Urinetestsaredoneroutinely

ateachvisitwithyourhealthcare

proessional.Aurinetestmaybe

perormedtoconrmanat-home

pregnancytest.Urinesamplesare

importantbecausetheymayreveal

thepresenceoinection,proteinor

sugarinyoururine.Proteininyour

urinemaybeasignopre-eclampsia,andsugarmaybeasignogestational

diabetes.

Ppm

Allwomenbetweentheageso

20and70shouldhaveaPapsmear

every1to2years,dependingontheirhistory.APapsmearisascreening

testorcervicalcancer.Itisa

relativelyquickprocedurethatisnot

painulbutmaybeuncomortable.In

aPapsmear,yourcervixisexamined

andasmallsampleocellsistaken.

Thissampleistestedorthepresence

opre-cancerouscells.Youmay

alsorequestthatyourdoctortestor

bacterialinections,suchasgonorrhea

orchlamydia,duringyourPapsmear.

IyouaredueoryourregularPap

smearwhenyoubecomepregnant,

yourhealthcareproessionalwill

perormoneatyourrstprenatal

visit.Checkwithyourhealthcare

proessionaltoseeiyouneedto

haveone.


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Firsttrimesterscreening

cVs(hiiviimpig)

Thechorionicvilliareapartothe

placentamadebythegrowingetusthatlooklikesmallrootsorngers.

Theyareimportantintheexchange

onutrientsbetweenthemothers

bodyandherunbornbaby.Asample

ovillicanprovideinormation

aboutyourbabysgeneticmake-up

andcandiagnosecysticbrosis,

musculardystrophy,hemophiliaand

othergeneticconditions.Thistest

isusuallydonebetween9and12

weeksopregnancy.Itinvolvestaking

avillisamplewithaneedlethrough

eitheryourvaginaorabdomen.

ManypeoplepreerCVSbecause

itcanprovideanswerssoonerthan

amniocentesis,whichisusuallydone

atweek16or17opregnancy.

Therearerisksassociatedwiththis

procedurediscussthemwithyour

healthcareproessional.

nuhu

Thisrsttrimesterscreening

testmayprovideyouwithuseul

inormationearlyinyourpregnancy

withoutriskinglossopregnancy.

Thistest,usuallydoneat12weekso

pregnancy,involves2parts:therst

isanultrasoundmeasurementothe

clearareabehindtheetalneckand

thesecondisasampleoyourblood

tomeasure2proteins:reebetahuman

chorionicgonadotropin(BhCG)and

pregnancy-associatedplasmaprotein

A(PAPP-A).Thistestwilltellyoui

youareatriskorcarryingababywith

Downsyndromeorotherchromosome

abnormalities.

Secondtrimesterscreening

Qud(mum

ph-piig[MsafP])

Thequadtestisabloodtest

perormedat16to18weekso

pregnancy.Thisisascreeningtestto

detectiyouareatahigherriskthan

otherwomenyourageocarryinga

etuswithchromosomalabnormalities

oropenneuraltubedeects.Thetest

measuresthelevelso4hormones

producedbytheetusandpassed

intoyourblood.Thehormonesare

alpha-etoprotein(AFP),estriol,human

chorionicgonadotropin(hCG)and

inhibinA.HighlevelsoAFPcan

indicateadeectinthenervoussystem


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suchasspinabida.Abnormallylow

levelsoAFPandestrioltogetherwith

highlevelsohCGsuggestanincreased

riskoDownsyndrome.Theresultsothistestarenot

conclusiveandtherehavebeenmany

casesoalsepositives.Yourhealthcare

proessionalwillperormadditional

teststoollowupanyabnormalresults.

UudUsingsoundwaves,ultrasound

enablesyourhealthcareproessional

toseeyourbabybeorebirth.

Ultrasoundisnotpainulandis

perectlysaeoryourunbornchild.

Itisaairlyroutineprocedureandis

usuallyperormedat18to20weekso

yourpregnancytoallowyourdoctor

tocheckonyourbabysdevelopment,

conrmyourduedateandpossibly

determinethesexoyourbaby.

Ultrasoundcanalsobedonecloser

tobirthtodeterminewherethebaby

islyingandhowthebirthshouldbe

managed.Forexample,itcanindicate

thattheplacentaislyinginthelower

partotheuterusandthatacesarean

maybeneeded.Anultrasound

canalsoprovideuseulinormationi

bleedingoccursoriyourdoctor

suspectsamiscarriage.

Ultrasoundishelpulincheckingpregnancyinadierentway.Atrained

technicianshoulddoabasicultrasound

examination.Thiswillhelptondout

theageotheetus.Theultrasoundwill

alsoletyourdoctorseeithereareany

problemswiththeetus.Problemscan

beoundasearlyas16to18weeksinto

thepregnancy.Pregnantwomenmay

haveseveralsonogramstochecketal

growth,toseeithereismorethanone

etus,asaguideduringamniocentesis

(atestyourdoctormayrecommendto

checkthegeneticsotheetus),tolocate

theplacentaithereisvaginalbleeding

duringpregnancyandtoseehowthe

etusispositioned.

For.some.women.pregnancy.may.be.

difcult..Their.age,.their.amily.medical.history.or.a.concern.about.genetic.deects.in.their.baby.may.mean.undergoing.more.invasive.tests.to.ascertain.the.health.status.o.their.baby..I.you.are.considering.(or.have.been.asked.to.consider).any.o.these.types.o.tests,.you.should.discuss.seriously.with.your.partner.what.you.would.do.i..the.tests.came.back.abnormal


20/80

amii

Whenrecommended,amniocentesis

isperormedat16or17weekso

pregnancy.Itcandeterminethebabyssexaswellaschromosome

abnormalitieswhichmightindicate

problemssuchasDownsyndromeand

spinabida.Womenover35areoten

encouragedtohavethistestbecause

theyhaveanincreasedriskorhaving

inantswithDownsyndrome.Thereisa

riskomiscarriagewiththisprocedure.

Duringtheprocedure,ultrasound

isusedtohelpguidealongneedle

throughtheabdominalwallandinto

theuterus.Asampleoamnioticfuid

containingsomeetalcellsisobtained

withasyringe.Thecellsarethengrown

inalaboratoryandexamined.

Thirdtrimesterscreening

Gu

Thistestisperormedat26to28

weeksopregnancyandisusedto

determinewhetherornotyouhave

gestationaldiabetes.Gestational

diabetesaects2%to3%owomen,

includingmotherswithastrongamily

historyodiabetesandoldermothers

havingagreaterrisk.

Theinitialtestrequiresthatyou

haveblooddrawneither2ormore

hoursaterameal,or1hourater

drinkingaspecialverysweetliquid

calledGlucola.Itheinitialscreening

testispositive,thena3-hourglucose

challengetestisnecessarytodiagnose

gestationaldiabetes.

Prematurity/PretermBirth

Aprematureorpreterminantis

aninantwhoisbornpriortothe

completiono37weeksgestation.

Amongtheriskactorsassociatedwith

prematureorpretermbirth,maternal

historyopreviouslydeliveringa

prematurebabyisthesinglemost

importantriskactor.Otherrisk

actorsincludesmoking,vaginal

bleedinginmorethanonetrimester

and,insomestudies,excessively

physicallystressuljobswithlong

periodsostanding.Warningsigns

opretermlabormayincluderegularandpainuluterinecontractions

morethan5inanhour,vaginal

bleedingandleakingoamniotic

fuid.Iyouexperienceanyothese

symptoms,youshouldcallyour

doctorimmediately.Yourhealthcare


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proessionalhaswaystomonitorand

treatpretermlabor.Intheeventthat

youdeliverapreterminant,your

babywillspendtimeintheneonatal

intensivecareunitatyourhospital.


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24/80

Within2to3hoursoertilizationtheeggdividesinto2cells.In3daysitwill

splitinto32cells,andbytheendothethdayitwillhavebecome90cells.The

cellstravelasaclusterdowntheallopiantubestowardsyouruterus.Aweekater

ertilizationtheclusterocellshasembeddeditselintotheliningoyouruterus.

Weight:_____________________ BloodPressure:__________________________

Urine:Protein_______________ Sugar ____________ Ketones______________

NewsensationsIveexperienced(dateanddescription):

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

DiscomortsIveexperienced(dateanddescription):

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

Mostwomendonot

evenrealizethattheyarepregnantatthisstage.


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Appointmentsdate/time: ______________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

Thisquestionandanswersectionisincludedwitheachmonth.Manywomenhave

questionsaboutdiet,exercise,sex,weightgain,permissibleactivities,discomorts,

medications,travel,nursing,laboranddelivery.Dontbeshytoask.

Questionsormyhealthcareproessional:________________________________

________________________________________________________________________________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

Answers:___________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

Advice/Instructions:___________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

0


26/80

Do.not.take.any.medications.(even.ones.you.usually.take).without.checking.with.your.healthcare.proessional.irst

*.By.convention,.doctors.call.this.week.4.weeks.because.they.determine.the.date.from.the.last.normal.menstrual.period

BaBysDeVeloPMent

coMMonDIscoMforts

reMeDIes

th1Mh Week3(W1mpi) Week4*

MaternaleVents

Theembryo(ectoderm,endoderm,mesoderm)isormed.These3primitivecelllayerswillgenerate

everyorganandtissueinyourbabysbody.

Ovariesincreaseproductionopregnancy-maintaininghormone,progesterone.

Theovumbecomesertilized,dividesandburrowsintotheuterus.

Firstmissedperiod.Iyoususpectthatyouarepregnant,contactyourhealthcareproessional.He/shewillletyouknowwhentoscheduleyourirstappointment.


27/80

Placentagrowstocoverone-iteenthotheuterineinterior.Breastsmayeeltender.

Eataewdrycrackersbeoregettingupinthemorning.Frequent,small,low-atmealsduringthedayshouldalsohelp.

Theirstbodysegmentsappear,whichwilleventuallyormtheprimitivespine,brainandspinalcord.

Heart,bloodcirculationanddigestivetracttakeshape.Theembryoisnowabout3/8inch(0.5cm)long;theheadisone-thirdoitstotallength.

Week5 Week6

Exerciseregularlyandgetplentyosleepwithrequentnapsduringtheday.

Migioccursbecauseincreasedhormoneactivityslowsdownyourdigestivesystem,apparentlytoenhancetheabsorptiononutrientsoryourbaby.

figuisthoughttobecausedbyachangeintheovarianhormones.


28/80

By3to5weeksaterconceptionapregnancytestwillshowpositive.

Thepregnancyisusuallyindicatedbyaurinetestthatcanbedoneathome

andconrmedwithabloodtestcarriedoutbyyourhealthcareproessional.

Bythesecondmonthyouwillbenoticingchangestoyourbodyasoutlinedon

theollowingpages.Youmayhavealreadynoticedthatyouarelesssensitivetothe

coldandthatyouareocoeeandtea.

Weight:_____________________

Weightgainsince1stmonth: __________________________________________

BloodPressure:______________________________________________________



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Itisduringthismonththat

mostwomenstarttosuspecttheymaybepregnant.


29/80


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30/80


Week7

BaBysDeVeloPMent

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Week8

Yourirstprenatalappointmentwithahealthcareproessionalshouldbearoundyour8thweekopregnancy.

Uiqu maybeincreasedasthebladderiscompressedagainstyourpelvicbones,reducingitscapacity.

Youcandecreasepressureonthebladderatnightbysleepingonyourside.

Theheartstartstopumpblood;limbbudsappear.Majordivisionsothebraincannowbediscerned.

Eyesbegintotakeshape;externalearsdevelopromskinolds.

th2dMh

Exchangeonutrientsandwastematterbeginsthroughtheplacentathe2circulationsarecompletelyseparate.


31/80

Week9 Week10

Theplacentanowcoversaboutone-thirdotheuteruslining.

Bhvi/iguhd/dddpmduetoanincreaseinbloodsupply.

Rest.

cipiasaresultotheincreaseoprogesteroneinyoursystem.Thishormonesotensmusclesinyourwombandintestinetoaccommodatetheembryobecomingaetus.

Developmentisproceedingrapidly.Theaceisnowcompletewitheyes,nose,lipsandtongueevenprimitivemilkteeth.

Tinybonesandmusclesappearbeneaththethinskin.

Oncetheorgansareormedthebabyiscalledaetus.Weighingaround5/100ounceor1.5gmandabout1inchor2.5cmlong,itstiny

heartisbeatingatabout100beatsaminute.

Increasetheamountoiberinyourdiet.

Increaseluidconsumptiontoten8-ounce(250ml)glassesdaily.

Iachorionicvillisamplingtest(page13)isrecommendeditwilltakeplacethismonth.


32/80

Duringanormalpregnancyromthistimeon,mostwomenseetheirhealthcare

proessionalonceamonthuntil28weeksandthenevery2weeksuntil36weeks.

Thevisitsthenbecomeweeklyuntilbirth.

Youneedtoincreaseyourintakeoprotein,vitaminsandmineralsrom12weeksontosupportthegrowthothebaby.

Atthisstageothepregnancyyouwillneedtostartthinkingaboutthetype

ocareyouwantwhileyouarepregnantandorthebirth.Thereareanumber

ooptionsincludinghospitalsorbirthingcenters.Homebirthisalsoanoption

orsomepeople.Yourhealthcareproessionalwillbeabletohelpyouwithany

inormationrequiredorprovideyouwithcontactsortheoptionyoupreer.

Weight:_____________________

Weightgainsince1stmonth:__________________________________________

BloodPressure:______________________________________________________


Iyouhaventseenyour

healthcareproessionalby

your12thweekopregnancy,

thennowisthetime.


33/80


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34/80

Genitalsarenowwelldeined.Eyelidsinishormingandsealshut.

Thesensationotheseirstmovementshasbeendescribedbysomewomenasisomethingwereblowingbubblesthroughastrawintheirstomachs.Manymothersdonoteelanymovementyet.

spmayresultromthediscomortoranxietiesopregnancy.

Aglassowarmmilkbeorebedcanworkwonders.Itsalsogood

oryourbaby!


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exPecteDProceDUres/tests

reMeDIes

Theetusassumesamorehumanshape,asthelowerbodyrapidlydevelops.Bloodandbonecells

orm.Theirstmovementsbegin.

th3dMh Week11 Week12

Scheduleanultrasoundorthe18thweektoconirmtheduedateandcheckonyourbabysdevelopment.

Maternalbloodvolumehasincreasedby30%to40%.

MaternaleVents


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Organsbegintounction.Thepancreasisproducinginsulin;thekidneysareproducingurine.

Gumpbmmayresultromanincreaseinbloodlow.

Visityourdentistnowremembertotellhimyouarepregnant.

Thelungshavetakenshape;primitivebreathingmotionsbegin.Theswallowingrelexhasbeenmasteredastheetussucksitsthumbwhileloatingweightlessly

intheamnioticluid.Theetuswillweighabout2/10ounceor6gmsandmeasureabout1.5inchesor4cm.

Week13 Week14

Possibleincreaseinperspiration.

Theplacentahasreachedcompleteunctionalmaturity,actingasyourbabyslungs,kidneys,liver,digestiveandimmunesystem.

2to3lbsor1to1.5kgweightgainoverthepastmonthonaverage3/4lbor340gmaweek.

Bloodtests;Papsmeartocheckorthepresenceoprecancerouscellsorinectionswhichcouldharmyouoryourbaby.


36/80


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38/80

Youwillstarttoeelbetterandhealthier.Itwillbemorevisiblyobviousthat

youarepregnantnow.

Weight:_____________________


BloodPressure:______________________________________________________



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Iyouvebeenhavingmorning

sicknessitsmorethanlikely

toendthismonth.


39/80


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40/80

Themusculoskeletalsystemhasmatured.Thenervoussystembeginstoexercisesomecontrol

overthebody,bloodvesselsrapidlydevelop.

Vgiiaretheresult oanincreasedsupplyobloodandglucosetothevaginalmucosa.

Iyouareexperiencingsevereitching/irritation,aninection

maybepresent.Seeyourdoctor.


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th4hMh Week15 Week16

Pregnancybecomingmorevisiblyevident.Youmaydeveloplineanigra,adarklinedownthecenteroyourabdomen.Thislinewilltakeupto6monthstoadeaterdelivery.

Uitocheckorthepresenceoproteinsandsugarswhichcanindicatediabetes.



41/80

Allorgansandstructureshavebeenormedandaperiodosimplegrowthbegins.Theetusisnowabout6inchesor16cmlongandisdevelopingbones.

Hdhmayoccurwhileyourbodybecomesadjustedtochangesinbloodvolumeandvasculartone.Stress/emotionaltensionmayalsobeacontributingactor.

Withhandsreadytograsp,theetus,nowweighingabout7ouncesor200gm,kicksagainsttheamnioticsac.

Youwillnoteelthismovement,however.

Week17 Week18

Vgiiarelikelytocontinue.

Theuseopantylinersisrecommendedromnowuntiltheendoyourpregnancy.

Changebodypositionsslowly.Restingwithadampclothontheoreheadhelpssomewomen.

Drinkingmilkand/oreatingasmallsnackcanalsoproviderelie.

2to3lbsor1to1.5kgweightgainoverthepastmonthonaverage3/4lbor340gmaweek.

Massageisawonderulwaytorelaxand

becomecomortablewiththeamazingchangeshappeningtoyourbody.

Theetalheartbeatcannowbeheardwithaetoscope.Placentabeginsproducingtheetalestrogen.Someeelthebabymoveortheirsttime.

thquddmiimaybeperormedduringthe16thto18thweeks,ineeded(pages13and15).


42/80

ThismovementiscalledQuickening.Ithisisnotyourirstbaby,youwill

probablyhavebeeneelingyourbabyskicksoraewweeks.

Weight:____________________


BloodPressure:______________________________________________________



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Ithisisyourrstbaby,you

mayeelitmovingnow.


43/80


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44/80

Anoilycoatingdevelopstoprotecttheetus.Finehaircoversthebodyandkeepstheoil

ontheskin.

Trytositdownwithyoureetupwheneverpossible;riseslowly

andsupportyoursel.Gentleexercisesuchaswalking,cycling,orswimmingareveryhelpulinstimulatingyourbloodlow.Remember,yourheartbeatshouldnotexceed140beatsaminute.


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Week19 Week20th5hMh

fidizziwhenstandingsuddenly.Thisiscausedbyreducedbloodlowtothebrainasyourbodyadjuststonewcirculatorypatterns.Youmayalsoeelalittleshortobreath.

Iyouhavenotsigneduporchildbirthclasses,nowisagoodtimetoschedulethem.Theclassesbeginaroundmonth7butotenillquickly.


Uudthisusuallytakesplaceinthe18 thto20thweeks(page14).


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Eyebrows,eyelashesandheadhairdevelop.

Theetusisnowollowingaregularscheduleosleeping,turning,suckingandkickingandhassettleduponaavoriteposition

withtheuterus.

Vivi areotentheresultorisingbloodpressureinthelowerextremities.Thisiscausedbytheenlargeduterusintereringwithbloodlowbetweenthelegsandtheheart.

agi,suchashayever,areacommonproblemorsomepeople.

Whenyousitdown,restyourlegsonaootstoolwithyoureetelevated.

Avoidpressureonlowerthighs.Trynottocrossyourlegs.Supportorcompressionstockings

mayhelp.

Youshouldsleeponyourletsideuntilthebabyisborn.Thishelpsprovideanadequatebloodsupplyortheetus.

Airconditioning(withacleanilter)otenhelps.Therearealsopollenmasksyoucanwearto

screenoutallergens.

Week21 Week22

Theplacentareachesitslargestsizerelativetotheetus,coveringone-halotheuterinelining.Thereare13ouncesor40mloluidnowpresentintheamnioticsac.

Breastsmaybeginsecretingcolostruminpreparationornursing.

2to3lbor1to1.5kgweightgainoverthepastmonthonaverage

3/4lbor340gmaweek.


46/80

Asalotoyourclotheswontitanymore,youmayneedtoconsidermaternity

wear.Youwillprobablyhavemoreenergynowthanyouhadinthepastew

months.

Itisagoodtimetolookurtherintothedierentoptionsorthebirthoyour

baby.Begintodrawupyourownbirthplaninthespaceprovidedattheendo

thisdiarydiscussthisplanwithyourhealthcareproessional.

Weight:_____________________


BloodPressure:______________________________________________________



____________________________________________________________________

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Yourtummyisgrowing,it

iseasytoseethatyouare

pregnantnow.


47/80


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48/80

Theskeletonisdevelopingrapidlyasthebone-ormingcellsincreasetheiractivity.


BaBysDeVeloPMent

MaternaleVents

reMeDIes Youcanminimizeswellingbyelevatingyoureet,wearingcompressionstockingsandlimitingyoursodium(orsalt)intake.

sihgsuchasdarkenednipples,stretchmarks,splotchesoncheeksandorehead,acne,rednessonpalmsohandsandsolesoeetaremainlyduetoincreasedhormonelevelsinyourblood.

Thisisanormaloccurrenceandcanbeavoidedbyplentyohydrationandmovingslowlyromlyingtostandingpositions.

Dizziismorecommonduringyourirsttrimester,butitmayoccuratanytimeduringyourpregnancy.Feelingdizzyisduetorapidchangesinyourbloodpressure,especiallygoingromalyingdowntoanuprightposition.


coMMonDIscoMforts

swareextremelycommon,especiallyaspregnancyprogresses.Thisisprimarilyduetoincreasedplasmabloodvolumesthatnaturallyoccurwithpregnancy.Swellingistypicallyworseintheevening,ateralongdayostanding.


49/80

Theplacentabecomesthickerratherthanwider.Youwillnowbeabletosensewhenyourbabyisawake.

nbdcansometimesoccurbecauseoincreasedbloodvolumeandnasalcongestion.

Applyalittlepetroleumjellyineachnostril;ahumidiiermayalsohelp.Donotirritatethenasalmucosa.

Youmayhavetroublesleepingandhavevividdreams.

Eyelidsbegintoopenandclose.

Week25 Week26

Theetusnowweighsabout27ouncesor765gm.

2to3lbor1to1.5kgweightgainoverthepastmonthonaverage3/4lbor340gmaweeks.


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52/80

Youmayhavewhatiscommonlyreerredtoasthenestinginstinct.Thisis

adescriptionorpreparingyoursel,youramilyandyourhomeorthearrivalo

yourbaby.Rememberthatbabiesdosometimesarriveearly,soitisagoodidea

tohaveabagpackedandreadyromthistimeonwards.Tohelpyou,wehavea

checklistatthebackothisbooklet.

Youshouldstartchildbirtheducationclassesintheseventhmonth.Checkwith

yourhospitalaboutschedulingatourothelaboranddeliveryunit.Youshould

alsochecktoseehowmuchyourbabyismovingonadailybasis.Chooseatime

inthedaywhenyourbabyismostactiveandcounteachmovementothebaby.

Ithebabydoesnotmove10timesinanhour,callyourhealthcareproessional.

Weight:_____________________


BloodPressure:______________________________________________________



______________________________________________________________________________________________________________________________________________

Yourbabywillbegrowing

quiterapidlyatthisstage.


53/80


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54/80


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YoumayexperienceBraxtonHicks(rehearsal/mock)contractionswhicharenotpainulbuttheabdomenmayeelquitehardatthesetimes.

Toacertainextent,thebabycannowbreathe,swallow,andregulateitsbodytemperature,butstilldependsgreatlyuponmaternalsupport.

lgdmumpmaybecausedbyatigue,bypressureexertedonthenervesbytheuterusorbytoolittlecalciumortoomuchphosphorousinyourdiet.

Exerciseregularly,especiallywalking.Elevatelegsandlextoeswhenresting.Increaseyourhydration,especiallywithmilk,sport-aidbeveragesandwater.Getplentyosunshine.


55/80

0

Yourbabyisnowtwo-thirdsoitsbirthsize.Yourbabysskinischangingrombeing quitetransparenttoopaque.Itisverywrinkled.

Asubstancecalledsuractantormsinthelungs,sotheycanunctionindependentlyatbirth.

Week29 Week30

Thevolumeoamnioticluiddecreasestomakeroomorthegrowingetus.

Hbuotenoccursasthestomachemptyingtimeisdelayed,causingaburningsensationinthethroat.

Drinkmilkbetweensmall,requentmeals.Thisproblemwilldisappearsoonateryourbabysbirth.

Respiratorymovementscanbedetectedbyultrasound.Youmayeelyourbabysbreathingashiccups.

2to3lbor1to1.5kgweightgain

overthepastmonthonaverage3/4lbor340gmaweek.


56/80

Bythismonth,youcanactuallyseethebabymoveromtheoutside.Sometimes

youcaneventellialittleootorelbowispushingoutward.Youmayeelthat

yourbabyiscrowdingyourinternalorgansandevenmakingitdiiculttobreathe.

Yourbabyisgrowingsubstantiallyatthisstage,gainingaboutone-halpound

(0.2kg)perweek.Somebabiesdontchangepositiontohavetheirheaddown

until36weeksandeventhen,3%obabiesareborninthebreech,meaningeet

irst,position.Youshouldcontinuetocheckdailyorthebabysmovements.

Weight:_____________________


BloodPressure:______________________________________________________



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Youarenearlythere!


57/80


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Fundalheight:_______________________________________________________

Presentation&position:_______________________________________________

____________________________________________________________________

Estimatedduedate:___________________________________________________

Babysapproximateweight(iyouhadasonogram):___________________________________________________________________________________________

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58/80


BaBysDeVeloPMent

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th8hMh Week31

Fatdepositsarebuildingupunderneaththeskintoinsulatethebabyagainsttheabruptchangesintemperatureatbirth.

Yourjointsandspinearesoterthanusual,soyouwillneedto takeextracarewhenmovingthingsaround.Getsomeonetohelpwherepossible.Avoidheavyliting.

swmaybecausedbythepressureotheuterusonthe largeveinsreturningbloodtotheheart,inducingwaterretention.

Week32

Elevatelegssotheyarelevelwithyourhipsonceortwiceadayoranhour.Sleeponyourletside.Also,compressionstockingsmaybehelpultoreducetheswellinginyoureetandankles.


59/80

cipiisanotherresultothedecelerateddigestiveprocess.Asoodmovesslowlythroughyourintestines,morewaterisextracted,leavingthestooldrierandharder.

Eatoodthatishighiniber,suchasruit,vegetablesandcerealswithbran.Drinkliquidsandexerciseregularlyatacomortablepace.Strenuousexerciseisnotrecommended.

Thedigestivetractandthelungsarenownearlyullymatured.Theskinbecomeslessredandwrinkled.

Thebabyhasgrowntoabout14inchesor36cm. Thelungsarestartingtomature.

Week33 Week34

Soakinginawarmbathorsittingonsotpillowsshouldsoothethesymptomsohemorrhoids.

figuYoumaybegintoeeltiredanduncomortableandyoursleepingmaybedisturbedbecauseoyourbabysactivity.

Hmhidmayalsodevelop.Thesearecongestedorswollenveinsaroundyourrectum.Theymighteeluncomortableoritchy.

Theligamentsinyourpelvicareawillbelooseningandstretching,toaccommodatethebaby.Thismayresultinbackacheorpelvicpain.

2to3lbor1to1.5kgweightgainoverthepastmonthonaverage3/4lbor340gmaweek.


60/80

Yourbabynowtakesupmorespaceandthereislessamnioticluid.Babys

movementswilleeldierentbecausehehaslessroomtomovearound.

Yourvisitstoyourhealthcareproessionalshouldnowbeweekly.Yourblood

pressurewillbechecked,aurinesampletakenandyourgeneralhealthandyour

babyshealthwillbemonitored.

Continuecheckingetalmovementsdailyandcontactyourhealthcare

proessionalimmediatelyiyounoticeanychanges.

Yourbabywillputonweightasitmatures.Youmaystillhavetoscheduleaew

thingsoryournewbabyororganizechildcareoryourotherchildren.These

needtobeinplacebeoreyourbabyarrives.Trytogetasmuchrestasyoucan.

Weight:_____________________


BloodPressure:______________________________________________________


Youwillprobablyeelyour

babysmovementsasprods

duringthismonthratherthan

asswoopingmovements.


61/80


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____________________________________________________________________Fundalheight:_______________________________________________________

Presentation&position:_______________________________________________

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62/80

Theplacentaisnearly4timesasthickasitwas20weeksago,andweighsabout20ouncesor570gm.

Bhareotencausedbymusclesandligamentsrelaxinginpreparationorthestretchingrequiredindelivery,andalsobytheaddedo-centerweightotheenlargeduterus.

Backexercisesuchaspelvictiltcanhelpstrengthenbackandabdomenmuscles.Wearcomortablelow-heeledshoesorlats.Alwaysavoidheavyliting.


BaBysDeVeloPMent

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Week35th9hMh Week36

Maternalantibodiesagainstmeasles,mumps,rubella,whoopingcoughandscarleteveraretranserredtothebaby,providingprotectionor

about6monthsuntiltheinantsownimmunesystemcantakeover.

Virtuallytheentireuterusisnowoccupiedbythebabyanditsactivityisrestricted.

Keepinmindthewarningsignsopretermlabor,includingregularandpainuluterinecontractions(>5perhour),vaginalbleedingandleakingamnioticluid.Iyouexperiencethese,contactyourdoctorimmediately.


63/80

Uiquisincreasedorthesecondtimeinyourpregnancybytheuteruscompressingthebladderagainstthepelvicbones,thusreducingitscapacity.

Uiibecomeperceptibleasthecervixandloweruterinesegmentprepareorlabor.

Youcandecreasepressureonthebladderatnightbysleepingonyourletside.

In9shortmonths,themiracleiscomplete:youhavetransormedasingle,microscopicertilizedcellintoasix-thousand-billion-celledhumanbeing.

toterMWeek37

Atbirththeaveragebabyweighsabout7pounds8ounces(3.4kg)andis18-21inches(51cm)long.

Preparingorbirth,thebabydescendsdeeperintothemotherspelvis.

3to4lbor1.3to1.8kgweightgainoverthepastmonthonaverage

3/4lbor340gmaweek.


64/80

UntiltheBirth

Youareprobablytiredobeing

pregnantnow.Iyourbabyhas

turnedhead-down,theheadwill

usuallybecomeengagedandyour

undalheightwilldroptojustbelow

yourribcage.Thiswillprobablyhelp

withyourbreathing.Ithisisyour

rstpregnancy,thisotenhappens1to

2weeksbeoredelivery;iyouhave

givenbirthbeore,thiscanhappen

aterlaborstarts.

Iyourbabyislyinginabreech

position,itmaybepossibleoryour

doctortoturnthebabybeorelabor.

Ithisisnotpossible,itmaymean

thatyouwillhavetoprepareora

cesareandelivery.Discussthiswith

yourhealthcareproessional.

Iyouareoverdue,anultrasound

maybesuggested.Biweeklynonstress

testsorbiophysicalproleswillbe

perormed.Sometimesinduced

laborisrecommended.Thebaby

willbedeliverednolaterthan41to

42weeks.

Labormaystartinanumbero

ways.Theshowmayappearas

longasaweekbeorethestarto

labor.Yourwatersmaybreakaew

hoursbeorelaborbegins.Contact

yourhealthcareproessionalorthe

hospital,andyourpartnerand/or

otherbirthingsupportpersonwhen

yourwatersbreak,sothatthey

knowyourbabyiscoming.Your

contractionsmaynotberegularora

numberohoursyet.Oncetheydo

becomeregularat5minutesapartor

anhour,youknowitistime.

Breasteeding

Asthebirthoyourbabyis

imminent,youmightneedtostart

reallythinkingaboutthedaysater

yourbabysbirth.Breasteedingis

encouragedinmosthospitalsand


65/80

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aroundtheworld.TheWorldHealth

Organizationrecommendsthatbabies

shouldbebreastedexclusively

orabout6monthsbecauseithas

importantbenetsoryourbabys

health.

Moreandmoremothersare

breasteedingworldwide.Eachyear,

morestudiesshowthatbreasteeding

isimportantorbothwomenand

theirbabies.Humanmilkhelps

babiesdevelop,givesthemnutrition

andkeepsthemrombecomingill.

Formulaeedingdoesnotdothisas

wellasbreasteedingdoes.

Youshoulddiscussbreasteeding

withyourspouseandahealthcare

proessionalorlactationconsultant

beoreyougivebirth.Therearemany

booksavailableonbreasteeding;your

healthcareproessionalcanguideyou

intherightdirection.Itwillalsobe

helpultotalktootherwomenwho

havebreastedtondoutwhatitwas

likeorthem.

AbouttheBirthPlanBirthplansareagoodideaeveni

itallchangesatthelastmoment.By

thinkingthroughthestepsyouwishtotakeduringthebirth,youprepare

yoursel,yourhealthcareproessional

andyourbirthingpartner(s)orthe

bigday.

Itisagoodideatotalktoyour

healthcareproessionalaboutwhatis

bestoryouandyourbabybecause

eachwomansneedsandpreerences

aredierent.Onceyouhaveworked

outwhatoptionsyouwanttotake,

shareyourplanwithyourhealthcare

proessionalanddiscussitwithher

stepbystep.

Givesomethoughttowhetheryou

wouldlikepainrelieoranatural

laboranddiscusstheoptionswith

yourhealthcareproessional.

Youshouldndoutallyouwould

liketoknowaboutbirthbycesarean

delivery,eveniyouarenotexpecting

tohaveone,assometimesmothers

needtohaveoneunexpectedly.


66/80

the birth plan

preparation for birth

Childbirtheducationclassestaken:

Yes

NoHospitaltour: YesNo

Booksaboutpregnancyandbirthyouhaveoundthemosthelpul:

____________________________________________________________________

____________________________________________________________________

Namesothosewhowillbewithyouduringyourlaborandbirth:partner,

relativeand/orriend.Mosthospitalsallowyourpartnerandatleastoneother

birthingpartner.

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Doyouwishtohavephotostaken,havemusictolistento,ordoyouhaveany

specialrequeststhatshouldbenoted?____________________________________________________________________

____________________________________________________________________

Namesothoseyouwishtocontactateryourbabyisborn:

____________________________________________________________________

____________________________________________________________________

Yourname:__________________________________________________________

Nameoyourhealthcareproessional:___________________________________ ____________________________________________________________________

Expectedbirthdateoyourbaby:_______________________________________


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IgpdWritedownanythingthatisimportanttoyou.Youmay

wishtoincludeyourplansorrelieodiscomortorpositionsyoumightliketo

tryorlabororbirth.

________________________________________________________________________________________________________________________________________

____________________________________________________________________

cigpWritedownyourthoughtsaboutwhatyoumaywantdone

ithingsdontgoasexpected.Forexample,iyouhavealongordiicultlabor:

____________________________________________________________________

____________________________________________________________________

morepainreliethanyouanticipated__________________________________

____________________________________________________________________

abloodtransusion_________________________________________________

____________________________________________________________________

aorcepsdelivery __________________________________________________

____________________________________________________________________

anepisiotomy______________________________________________________

____________________________________________________________________

acesareandelivery_________________________________________________

____________________________________________________________________

iyourbabyisbornprematurelyandneedsspecialcare

____________________________________________________________________

____________________________________________________________________

Itisvaluabletothinkabouttheseissuesaheadotime.


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ChecklistorYourHospitalBag

Rememberthatbabiesdosometimesarriveearly,

sohaveyourbagpackedorthehospital.Youmay

wanttohave2bags:1orlaborand1oryourstayinthehospital.

laBorBaG

Toassistyouduringlabor:babyoilor

moisturizerorgentlebackmassage

RelaxationtapesorCDs

Lollipopsand/oricepopstosuckonduringlabor

Cameraorvideocamera(mosthealthcareacilities

willnotallowyoutovideotapetheactualbirth)

Coinsortelephoneoratelephonecard(youmaynotbeabletouse

acellulartelephoneinthehospital)

Anup-to-dateaddressbookwithtelephonenumbersoamilyandriends

Anobjecttoocusyourattentiononduringlabor

PostnatalBaG

Nursingnightgowns

Robe

2breasteedingbras

Nursingpads

Underpantsoraweek(earlydischargeromhospitaliscommoninmany

hospitals;however,youmayneedtochangeunderpantsrequentlyorbe

requiredtostayinthehospitallonger)

Sanitarynapkins


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Slippersorcomortableslip-onshoes

Yourowntoiletries

Hairbrushandshampoo

Yourprenatalrecordcard

Yourbirthandpostnatalplan

Healthinsurancedetails

Comortableclothestocomehomein

Newborndiapers

Babycareproducts

Babyblanket

Babysleeperorjumpsuit

BabyOnesiesorsinglets

THISDIARYwhichisarecordoyourpregnancy

Anythingelseyourhealthcareproessionalmayadvise.

Youcancheckwiththehospitalorclinictoindoutwhattheyrecommend

Anewborncarseatwhenyouarereadytogohome

Otheritemstoremember:

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

Try a practice run to the hospital to find the quickest route!


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BbPleasewritedown:

Howyouwishtoeedyourbaby:_______________________________________

____________________________________________________________________

Doyouwantorneedassistancewithbreasteeding? YesNo

Iyouhaveaboy,doyouwanthimtobecircumcised? YesNo

Isyourcarequippedwithapprovedinantsaetyseating? YesNo

Haveyouplannedorhelpathomeduringyourirstweeks?

Yes

No

Whathelpwouldyoulikeintheirstmonthandhowwillyouarrangeorthis

support?____________________________________________________________

____________________________________________________________________

Writedownanyconcernsyouwouldliketodiscussaboutcaringoryourbaby.

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

Beoreyouleavethehospital,haveyouilledoutthepapersneededoryour

babysidentiicationsuchasbirthcertiicateandSocialSecuritycard?

Theytakeapproximately4-6weekstoreceivebymail. YesNo

postpartum plans


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Yourbabyspicture

your baby

Babysname:________________________________________________________

Birthdate:___________________________________________________________

Time:__________________________ Weight: _____________________________

Length:________________________ HeadCircumerence:__________________

Apgarscore:at1minute________________at5minutes__________________

Healthcareproessionalwhoassistedinthedelivery_______________________

Testsbabyreceived:__________________________________________________

____________________________________________________________________

____________________________________________________________________

Medicationsbabyreceived:____________________________________________

____________________________________________________________________


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____________________________________________________________________

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about the birth


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about the birth


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____________________________________________________________________

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about the birth


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0

GlossaryotermsusedinthisdiaryAmniocentesis-alongthinneedle,guidedbyultrasound,isinsertedthroughthe

abdominalwallandintotheuterus.Asampleoamnioticluidistakenandcells

romtheluidaregrowninalaboratory.Thistestdeterminesthechromosomal

countothebabyandisusedtodeterminewhethertheetushasgeneticdisorders

suchasDownsyndrome.

Prenatal.Screening-routinetestsundertakenoranumberoreasonsduring

pregnancy.(SeePrenatalScreeningsectionothisdiary.)

Blood.Pressure.-thepressureyourbloodexertsagainstallthebloodvesselsin

yourbody.Ibloodpressurebecomesveryhighduringpregnancyitneedstobe

ollowedcloselyandcontrolled.

Braxton.Hicks.Contractions.-thesearecontractionsthatoccurlateinpregnancy

almostasarehearsalortherealthing.

Cesarean.Delivery.-asurgicalincisionothewallsotheabdomenanduterus

ordeliveryoaninant.

Chlamydia.-acommonsexuallytransmitteddiseasethatcandamageawomans

reproductiveorgans.Althoughsymptomsareotenmild,seriouscomplicationsincludinginertilitycanoccur.

CVS.(Chorionic.Villi.Sampling).-aprenatalscreeningproceduretotestorsome

abnormalities.Itinvolvestakingasmallsampleovillicellsromanareanearthe

placentawithaneedle.

Down.Syndrome.-achromosomaldisorderthatleadstointellectualimpairment.

Testingorthisoccursmainlyinolderwomenwhoarepregnantbecausetheolder

youare(over35years)themorelikelyyouaretohaveachildwiththisdisorder.

Epidural.-ananestheticgivenduringlaborwhichnumbsyourspine,usually

romthewaistdown.Itisinjectedintothespine.Thisallowsyoutobea

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Your Pregnancy Diary