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Early Signs of Pregnancy

Early Signs of Pregnancy. Missed period Mild ache in lower abdomen Feeling tired, drowsy, or faint Need to urinate more than usual Tenderness in breast Nausea early in the day. Medical Care During Pregnancy. Obstetrician-MD who specializes in pregnancy Group of doctors Cost: lump sum

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Early Signs of Pregnancy

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  1. Early Signs of Pregnancy • Missed period • Mild ache in lower abdomen • Feeling tired, drowsy, or faint • Need to urinate more than usual • Tenderness in breast • Nausea early in the day

  2. Medical Care During Pregnancy • Obstetrician-MD who specializes in pregnancy • Group of doctors • Cost: lump sum • Covers prenatal exams, normal birth, check up after birth

  3. The Initial Exam • BP, pulse, respiration, weight • Medical history • Measure pelvis • Analyze urine • Blood test

  4. Later Check Ups • 1 time a month until 6 months • 2xs month until 9th month • 9th month – 1 time a week

  5. Discomforts of Pregnancy • Nausea last until about 3rd month • Sleepiness-first trimester • Heartburn • Shortness of breath • Varicose veins • Muscle cramps in legs • Lower back pain

  6. Possible Complications • Vaginal bleeding • Excessive thirst • Persistent headaches • Fever • Swelling • Prolonged backache

  7. Nutrition During Pregnancy • Protein-vital for growth of baby and keeps mom’s body in good repair • Vitamins-supplement, more folic acid • Minerals-iron • Carbohydrates and fats-energy

  8. Special Diets • Teens • Body is still growing • Higher calorie needs • Calcium and iron • Lactose intolerant • Vegetarians

  9. Weight Gain During Pregnancy • Normal BMI- 25-35 lbs • Underweight-28-42 lbs • Overweight-15-25 lbs • 1-3 months, little/no weight gain, weight loss • 4-6 months, steady weight gain • 6-9 months, 1 lb a week

  10. Personal Care and Activities • Rest • Exercise • Hygiene • Usually do same things before pregnancy • Maternity clothes around 4th month

  11. Getting Ready for a Baby • Role and responsibilities • How we meet these responsibilities of childcare • Each partner’s goals, skills, schedule, and personal characteristics • Finances • Maternity leave • Law requires employers with more than 50 employees to give 12 weeks leave to workers for family reasons-can be used by either parent

  12. Preparing for Parenthood • Discuss ideas about parenting before baby is born • Anticipate roles • Other children in the family: • Children under school age-not too early • Children 4+, before people outside family • Include in plans • Changing living space • Changes in the child’s life-toilet training • Do not create unrealistic expectations • Sibling changes, patience for negative behaviors • Give reassurance and love

  13. Choosing a Pediatrician • Doctor who specializes in treating children • Questions to ask: • Where is the location and what are the office hours? • How should an emergency be handled? • When is the doctor available by phone? • What hospital does the doctor use? • How often are check ups? • What are views on breastfeeding and bottle feeding? • What is the philosophy on guidance?

  14. Decisions about feeding • Breastfeeding: many benefits • Bottle-feeding: convenient • Formula-a mixture of milk or milk substitute, water, and nutrients • Personal decisions

  15. Clothing, equipment, and space • Clothing, bedding, bathing supplies, travel equipment • Practical items first • Separate room for baby? • Crib or bassinet? • Baby monitors • Diaper changing area

  16. Reducing Expenses • Shop carefully • Quality used clothes and furniture • Relatives and friends • Yard sales • Secondhand stores

  17. Making a budget • Identify income • Where does money currently go? • Fixed expenses: cost of items that cannot change • Flexible expense: have control over • Medical care, health insurance • Maternity clothes • Formula • Furnishings for baby’s room • Child care

  18. Childbirth Choices • Prepared Childbirth-method of giving birth in which pain is reduced through the elimination of fear and the use of special conditioning exercises

  19. What you learn in class • What happens during labor and delivery • Watch films of childbirth • Tour medical facility • Learn skills to cope with discomforts of labor such as relaxation techniques and patterned breathing • coach

  20. Who will deliver the baby? • Obstetricians: specialize in prenatal and postpartum care of mom and baby • Can handle emergencies and special situations • Family doctor: may need to call an obstetrician if problems occur • Licensed midwives: • Certified nurse midwife- RN with advanced training in normal pregnancy and childbirth • Lay midwife- special training in the care of pregnant women and normal deliveries, but does not have a nursing degree

  21. Where will the baby be born? • Hospital • Family centered maternity care • Classes • Programs that help young children prepare for a sibling • Programs for fathers and other family members to help during labor and delivery • Birthing rooms

  22. Birthing rooms cont’d • Options allow mom to choose position they prefer for labor • Special steps such as lighting and music • Mom and baby can stay together for most of the hospital stay • LDRP concept • Alternative birth center- homelike rooms for giving birth, emphasize prepared childbirth, licensed midwives handle care, low risk deliveries

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