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Pregnancy
Human pregnancy refers to the process by which a human female carries
a live offspring from conception until childbirth. The medical term
for a pregnant woman is "gravid," just as the medical term for the
unborn human is embryo and then fetus. A woman's body goes through
many changes during pregnancy. The relationships between your bladder,
uterus, and vagina before pregnancy are altered when the fetus begins
to develop. With the baby growing, pushing, and shifting everyday,
the pelvic muscles are stretched and the pelvic organs lose their
shape. This added pressure may cause bladder control problems (stress
incontinence, urge incontinence or mixed incontinence).
Pregnancy Symptoms
Pregnancy symptoms differ from woman to woman and pregnancy to pregnancy;
however, one of the most significant pregnancy symptoms is a delayed
or missed menstrual cycle. Below is a listing of some of the most
common pregnancy symptoms.
Implantation Bleeding: Implantation bleeding can be one of
the earliest pregnancy symptoms. About 6-12 days after conception,
the embryo implants itself into the uterine wall. Some women will
experience spotting as well as some cramping.
Delay/Difference in Menstruation: A delayed or missed menstruation
is the most common pregnancy symptom leading a woman to test for
pregnancy. When you become pregnant, your next period should be
missed. Many women can bleed while they are pregnant, but typically
the bleeding will be shorter or lighter than a normal period.
Swollen/Tender Breasts: Swollen or tender breasts is a pregnancy
symptom which may begin as early as 1-2 weeks after conception.
Women may notice changes in their breasts such as tender to the
touch, sore, or swollen. Fatigue/Tiredness: Feeling fatigued or
more tired is a pregnancy symptom which can also start as early
as the first week after conception.
Backaches & Headaches: Lower backaches may be a symptom that
occurs early in pregnancy; however, it is common to experience a
dull backache throughout an entire pregnancy. The sudden rise of
hormones in your body can cause you to have headaches early in pregnancy.
Frequent Urination & Darkening of Areolas: Around 6-8 weeks
after conception, you may find yourself making a few extra trips
to the bathroom. If you are pregnant, the skin around your nipples
may get darker. Once you come across any one of the above listed
symptoms. Visit to an appropriate health care provider to confirm
your pregnancy.
Pregnancy
Plans
Once there is a confirmation, there are various things which is
to be followed. We have given a list of things which would help
to plan your pregnancy
Planning
& preparing: Once you are pregnant it is important to plan and
prepare for many different things related to your pregnancy. Birth
Choices, the nine months of pregnancy are all about choices. Everything
from the best exercise, to the most comfortable shoes to more important
things like your prenatal care provider and place to give birth.
Pregnancy and the birth of a child are ranked as one the most memorable
experiences for a woman. Two things you will make decisions about
early in pregnancy are who will provide your care and where you
will birth your baby. Most women base their choices on health histories,
preference, finances and well informed opinions.
Creating Your Birth Plan: The delivery of your baby is one of
the most memorable, life-changing, exciting experiences of your
life. You will want to spend some time thinking through your hopes
and wishes for this special day. Starting with a journal, try to
write down as many of your thoughts and plans for your delivery.
Your journal will help you prioritize and articulate your ideas
for creating your birth plan. A birth plan is a simple, clear, one-page
statement of your preferences for the delivery of your baby.
Kick Counts: Most mothers-to-be eagerly await that first reassuring
flutter, just to know their baby is growing and developing. Sometime
between 18-25 weeks into pregnancy, moms will begin to feel movement.
For first time it may occur closer to 25 weeks and for second or
third time it may occur closer to 18 weeks. Don't panic if you're
not sure what you're feeling. For a couple weeks it may be difficult
to distinguish between gas and the real thing, but very soon you
will notice a pattern. You will gradually learn your baby's sleeping
and waking cycles, when he or she is most active, and what seems
to trigger activity. Being attentive to your baby's movements will
help you notice any significant changes.
Traveling: Whether you are traveling by car, bus or train it
is generally safe to travel while you are pregnant, however there
are some things to consider making your trip safer and more comfortable.
- It
is essential to buckle-up every time you ride in a car. Make
sure that you use both the lap and shoulder belts for the best
protection of you and your baby. Keep the air bags turned on.
The safety benefits of the air bag outweigh any potential risk
to you and your baby.
-
Buses tend to have narrow aisles and small bathrooms. This mode
of transportation can be more challenging. The safest thing
is to remain seated while the bus is moving. If you must use
the restroom, make sure to hold on to the rail or seats to keep
your balance.
-
Trains usually have more room to navigate and walk. The bathrooms
are usually small making the restroom more uncomfortable. It
is essential to hold on to rails or seat backs while the train
is moving
- .
Try to limit the amount of time you are cooped up in the car,
bus or train. Seek to keep travel time around five to six hours.
Use rest stops to take short walks and stretches to keep the
blood circulation going.
-
Most airlines allow pregnant women to travel up through their
eighth month. Traveling during the ninth month is usually allowed
if there is permission from the doctor.
Labor & Birth
Educating women on labor and delivery gives them a sense of empowerment
when they face one of life's biggest events. With the cesarean delivery
rate on the rise, many women have questions on what is the best
care for them and their baby. Understanding the signs of labor,
birthing options, choices in dealing with pain, and potential complications
helps moms face the day their new baby will be born. The articles
below address the ins and outs of labor and delivery and provide
you with the information you need.
Assisted Delivery: Near the end of delivery, it may be apparent
that mother and baby need a little extra help for a successful delivery.
After ensuring anesthesia is working, an obstetrician would gently
apply forceps or minimal suction to the baby's head. As you push
through the next contractions, your doctor would gently bring the
baby's head through the birth canal.
Crowning: Crowning during pushing and delivery, your baby's
head will begin to make an appearance through your vaginal opening
with each contraction. When your baby's head remains visible and
does not slip back in, it is known as crowning. When your baby's
head crowns, you will experience a burning or stinging sensation,
often referred to as "the ring of fire," as your baby stretches
the vaginal opening. As soon as you feel this, stop pushing. This
is very important because if you continue to push and bear down,
you increase your risk of tearing or needing an episiotomy. If you
forget, your doctor or midwife will remind you. The burning or stinging
sensation only lasts for a short time and is followed by a numb
feeling. This is due to your baby's head stretching your vaginal
tissue so thin that the nerves are blocked.
Episiotomy: An Episiotomy is a surgical incision occasionally
necessary to enlarge the vaginal opening to help deliver your baby.
An episiotomy may be needed for any one or more of the following
reasons:
-
Birth is imminent and your perineum hasn't had time to stretch
slowly
-
Your baby's head is too large for your vaginal opening.
-
Your baby is in distress. You need a force assisted delivery.
-
Your baby is in a breech presentation and there is a complication
during delivery.
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You aren't able to control your pushing.
Breech Births: Usually a few weeks before birth, most babies
will move into delivery position, with their head moving near the
birth canal. If this does not happen, the baby's buttocks and/or
feet, will be in place to be delivered first. This is called a breech
presentation. Breech births occur in about 1 of 25 full-term births.
Effacement: Effacement is the process by which the cervix prepares
for delivery. After the baby has engaged in the pelvis, it gradually
drops closer to the cervix; the cervix gradually softens, shortens
and becomes thinner. You may hear phrases like "ripens," or "cervical
thinning" which refer to effacement. Inducing Labor Inducing labor
is when the birth process is given an artificial start through medical
interventions or other methods. If your induction is not done for
medical reasons or as an emergency, induction is elective. The decision
to induce has recently been on the rise for convenience or to accommodate
busy schedules. However, the American College of Obstetricians and
Gynecologists (ACOG) has issued guidelines recommending that whenever
possible, induction should not be performed until at least 39 weeks,
and then only when benefits outweigh risks.
After Pregnancy
Breastfeeding Breast milk is produced naturally by women and provides
the basic nutrition for a baby during the first several months of
life. Breast milk has three different and distinct stages Colostrum,
transitional milk, and mature milk.
Colostrum: Colostrum is the first stage of breast milk that
occurs during pregnancy and lasts for several days after the birth
of the baby. It is either yellowish or creamy in color. It is also
much thicker than the milk that is produced later in Breastfeeding.
Colostrum is high in protein, fat-soluble vitamins, minerals, and
immunoglobulins. Colostrum will be replaced by transitional milk.
Transitional milk: Transitional milk occurs after colostrum
and lasts for approximately two weeks. The content of transitional
milk includes high levels of fat, lactose, water-soluble vitamins,
and contains more calories than colostrum.
Mature milk: Mature milk is the final milk that is produced.
90% is water that is necessary to maintain hydration of the infant.
The other 10% are comprised of carbohydrates, proteins and fats
that are necessary for both growth and energy. There are two types
of mature milk: foremilk and hind-milk.
First Year Development: Infant Development Perhaps your sixth
month old has not rolled over yet but the child development chart
shows that some babies start rolling over at five months. Or your
neighbor's eleventh month old is walking but your thirteenth month
old has not attempted to walk. Maybe you are worried that your baby's
development is not where it should be and wonder what this means
for his or her future. Comparing your baby's development to other
infants or to norms on developmental charts should be avoided. Instead
it is important to know that babies develop at different rates and
should only be compared to their individual milestones from the
previous week or month.
Newborn Testing: Now that you have had your baby and the delivery
was a success there is still one more thing to do before your baby
heads home. Depending on what state you live in, there are a number
of different screening test that your baby will receive. These tests
are intended to detect inborn disorders that could result in early
mortality or lifelong disability. Generally, most states only test
for selected disorders and not all states do the same screening
tests. It is important to be informed about any and all tests that
are available for your baby.
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