{"id":1017,"date":"2026-03-06T10:16:16","date_gmt":"2026-03-06T10:16:16","guid":{"rendered":"https:\/\/portfolio.zenkoders.com\/ai-powered\/?p=1017"},"modified":"2026-04-08T22:55:04","modified_gmt":"2026-04-08T22:55:04","slug":"most-common-questions-of-pregnancy","status":"publish","type":"post","link":"https:\/\/portfolio.zenkoders.com\/ai-powered\/most-common-questions-of-pregnancy\/","title":{"rendered":"Most Common Questions of Pregnancy"},"content":{"rendered":"<p><b>What are the most common early symptoms of pregnancy?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Missing a period is usually the first sign of a new pregnancy, although women with irregular periods may not initially recognize a missed period as pregnancy. During the first few weeks of pregnancy, many women experience a need to urinate frequently, extreme fatigue, nausea and\/or vomiting, and increased breast tenderness. All of these symptoms can be normal and are expected in the beginning of new pregnancy.\u00a0\u00a0\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>How many months is a normal pregnancy?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Pregnancy is 280 days (40 weeks or 10 \u201clunar\u201d months) from the first day of your last menstrual period. 10 lunar (4 week months) months which a 40 weeks. A lunar month is 29.5 days.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The 40 weeks is further broken down into 3 trimesters.<\/span><\/p>\n<p><b>When does the first trimester start and end?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The first trimester is from week 1 to the end of week 12.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Why am I so exhausted during the first trimester?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Feeling exhausted is a classic symptom of an early pregnancy.\u00a0 In fact, it is often the very first symptom women notice when pregnant.\u00a0 Women experience overwhelming fatigue and find they cannot get enough sleep.\u00a0 These symptoms of feeling exhausted occur as a result of the hormonal changes caused by progesterone.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Is gas a common sign of an early pregnancy?<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Very early in pregnancy, complete chaos with bowel function occurs.\u00a0 Hormonal changes and prenatal vitamins create bowel pandemonium causing bloating, gas and constipation.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>How common is cramping seen during the first trimester of pregnancy?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Cramping is a common symptom early in pregnancy as the uterus begins to grow.\u00a0 The cramping should feel similar to the mild cramping you may experience with your period.\u00a0 If the cramping becomes more intense and associated with other symptoms such as vaginal bleeding, nausea, vomiting or fever you should contact your health care provider.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>How common is vaginal spotting seen during the first trimester of pregnancy?<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Any bleeding during pregnancy is scary. When the embryo implants itself in the uterine lining there can be normal bleeding or spotting described as implantation bleeding.\u00a0 Implantation bleeding is common occurring in 30% of pregnant women. \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The type of bleeding is classically light red, brown or pinkish. Implantation bleeding typically lasts for 2-7 days.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The main difference between normal implantation bleeding and an abnormal pregnancy is the amount of bleeding you experience and severity of uterine cramping.\u00a0 Implantation bleeding is light or \u201cscanty\u201d in appearance with mild uterine cramping.\u00a0 An abnormal pregnancy is associated with heavy, bright red bleeding with clots and severe uterine cramping.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>I just found out I am 6 weeks pregnant, why am I feeling so anxious?<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Early hormonal changes in pregnancy can make you feel more emotionally fragile and sensitive.\u00a0 Anxiety, depression and feeling emotionally vulnerable may be your first sign of pregnancy.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Can you get a period if you are pregnant?\u00a0<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Just around the time you are due for your next period is the same time the embryo implants into the lining of the uterus causing spotting or light bleeding lasting 1-2 days and mild uterine cramping.\u00a0 Implantation bleeding occurs in about 30% of pregnancies and is often the first sign of pregnancy. Implantation bleeding is not a period.<\/span><\/p>\n<p><b>What should you do if you suspect you&#8217;re pregnant?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Ideally you want accurate and reliable results when determining if you are pregnant or not. Delay pregnancy testing as close to your expected period as possible. The most accurate results will be if you miss a period and get a blood test to confirm pregnancy.\u00a0 Getting a blood test where you measure the HCG (Human Chorionic Gonadotropin) levels will give you the most reliable results but this would be done at your health care providers\u2019 office.\u00a0 HCG is a hormone only produced by fetal cells confirming pregnancy.<\/span><\/p>\n<p><b>When do I go see my once I find out I am pregnant or miss a period?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Typically, you will be seen by your obstetrician or healthcare provider sometime between 6 to 12 weeks from your last menstrual period (LMP).<\/span><\/p>\n<p><b>What happens during my first OB visit?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">During your first prenatal visit, your obstetrician or healthcare provider, will perform a physical exam, including a breast and pelvic exam. Vaginal cultures and a Pap smear will be taken along with an OB panel of blood that includes a genetic panel.<\/span><\/p>\n<p><b>What kind of genetic screening can I do for the baby in the first trimester?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Genetic screening tests can be invasive or noninvasive. <\/span><span style=\"font-weight: 400;\">A safe and noninvasive way to find out the chromosomes of the baby is a blood test called noninvasive prenatal testing (NIPT). NIPT involves taking maternal blood between 10-14 weeks to determine if the baby has abnormal chromosomes including Down\u2019s (trisomy 21), Edward\u2019s (trisomy 18) and Patau (trisomy 13).\u00a0 NIPT can also test for gender. <\/span><span style=\"font-weight: 400;\">The NIPT is cost effective, no risk to the baby and has a 98% to 99% accuracy rate.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What about Chorionic Villi Testing (CVS) for genetic testing?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">CVS is an invasive test to learn the chromosomes or gender of the baby. Chorionic villi testing is traditionally offered to pregnant women over 35year or who are high risk for chromosomal abnormalities.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Chorionic Villi Testing (CVS) is done between11-14 weeks and involves a needle that is inserted through the vagina or uterus under ultrasound guidance to collect cells from the placenta.\u00a0\u00a0 The placental tissue removed is tested for chromosomal analysis.\u00a0 JS<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Why do you feel dizzy when you&#8217;re pregnant?<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Feeling dizzy is a common and normal symptom of pregnancy, especially in the first trimester.\u00a0 It happens as a result of all the hormonal, blood volume, structural and blood sugar fluctuations throughout pregnancy.\u00a0 Some of these changes ultimately affect your blood pressure which can reduce blood flow to the brain and cause bouts of dizziness. When lying on your back after 20 weeks the uterus will put unwanted pressure on the large vessels carrying blood to the heart reducing the flow to and out from the heart causing dizziness.\u00a0 When you have not eaten regularly your blood sugar levels drop and can also cause dizziness. In the third trimester it\u2019s common to feel dizziness as a result of abrupt movement due to all the blood volume changes.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b><br \/>\n<\/b><b>Is dizziness dangerous for you or the baby?<\/b><b><\/p>\n<p><\/b><\/p>\n<p><span style=\"font-weight: 400;\">It can only be dangerous for the baby if it occurs frequently enough where it leads to fainting, falling or not eating enough calories which would have a potential negative affect.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b><br \/>\n<\/b><b>How can you prevent or reduce dizziness from happening during pregnancy?<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">You can prevent dizziness by making sure to follow some of these suggestions:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eat every 2 to 3 hours and avoid long periods of time between meals.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoid hot baths, showers or Jacuzzi\u2019s.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoid lying on your back after 20 weeks for more than 20 minutes.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoid getting up or going down too quickly.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoid standing on your feet for long periods of time.\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wear Ted Hose stocking to help the blood circulation in your lower legs when standing for long periods of time.<\/span><\/li>\n<\/ul>\n<p><b>Can I drink caffeine during pregnancy?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Caffeine can be consumed in a safe way in pregnancy.\u00a0 It was thought that moderate caffeine consumption &gt; 200mg\/day (12oz cup of brewed coffee) was thought to be a contributing factor in miscarriages and preterm labor. The good news for coffee drinkers is the studies currently do not show that drinking a 12 oz cup of coffee will lead to an increase miscarriage rate or affect your pregnant in the slightest way. \u00a0 It\u2019s recommended to limit your caffeine intake to 1 cup of coffee or 2 cups of tea\/day during pregnancy.\u00a0 Also know how much caffeine is contained in the foods and beverages you eat so you can keep the quantity under 200mg\/day which is considered a safe amount before and during pregnancy.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">The bottom line is all the medical research suggests that having a 12-oz cup of coffee or 2 cups of tea a day is safe for your growing baby.<\/span><\/p>\n<p><b>What foods should I avoid during pregnancy?<\/b><\/p>\n<p><b>\u00a0<\/b><span style=\"font-weight: 400;\">Food concerns during pregnancy include raw vegetables, unpasteurized juices, liver, and undercooked meat, poultry, or eggs. Food poisoning can occur when eating raw vegetables, unpasteurized juices, and undercooked meat, poultry, or eggs that can be linked with <\/span><i><span style=\"font-weight: 400;\">Salmonella<\/span><\/i><span style=\"font-weight: 400;\"> and <\/span><i><span style=\"font-weight: 400;\">Escherichia coli<\/span><\/i><span style=\"font-weight: 400;\"> bacteria.\u00a0 Cooking properly and thoroughly kills bacteria in the majority of foods.\u00a0\u00a0 Eating raw fish, such as sushi, has not been recommended in pregnancy since it can carry certain bacteria and parasites.\u00a0 Mercury is very toxic and can cause problems to the fetus and to the newborn nursing infant.\u00a0 Fish, such as shark, grouper, Chilean sea bass, halibut, swordfish, king mackerel, tuna and tilefish have increased mercury levels and cause the most concern for consumption by pregnant women.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">A pregnant woman can safely eat 12 ounces per week of varieties of fish thought to be low in mercury if they eat a variety of cooked, smaller fish. The safest fish that are low in mercury are shrimp, canned light tuna, scallops, oysters, squid and salmon.<\/span><\/p>\n<p><b>What is the miscarriage rate for pregnancy?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Every pregnant woman has a 25% chance of having a miscarriage.\u00a0 When the bleeding starts to look like a heavy period with blood clots and severe menstrual-like cramping then it\u2019s time to be concerned that you are experiencing a miscarriage.\u00a0 If heavy bleeding and cramping is associated with fatigue or dizziness it\u2019s important to contact your health care provider to have a pelvic US, blood count and beta HCG (human chorionic gonadotropin) to make the correct diagnosis.\u00a0<\/span><\/p>\n<p><b>When is a pregnancy considered safe?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The majority of miscarriages happen during the first trimester.\u00a0 Over 85% of miscarriages will happen by 6-8 weeks of pregnancy.\u00a0\u00a0 If you are not having any abnormal signs of pregnancy and have an US that shows cardiac motion after 12 weeks chances, are you have a healthy pregnancy. There are many complications of pregnancy that can occur in the second and third trimester that are based on maternal age and other preexisting medical conditions that can happen unexpectedly.<\/span><\/p>\n<p><b>What is morning sickness?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Nausea is considered as one of the classic symptoms of pregnancy. It popularly known as \u2018morning sickness\u2019, although it can occur during the morning, noon, or night and affects about 80% of all pregnant women.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In 2% of pregnancies, persistent nausea and vomiting can become so severe pregnant women can lose weight, become malnourished, and dehydrated where hospitalization is necessary.\u00a0 \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you are unable to keep down liquids or solid foods for more than 24 hours you should contact your healthcare provider.<\/span><\/p>\n<p><b>What causes morning sickness?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The actual causes of nausea and vomiting of pregnancy remains a mystery but theories include hormonal changes, imbalance in blood sugar levels and psychological factor<\/span><\/p>\n<p><b>\u00a0<\/b><\/p>\n<p><b>Why do some women have morning sickness, yet some don&#8217;t at all?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The actual causes of nausea and vomiting of pregnancy remains a mystery but theories include hormonal changes, imbalance in blood sugar levels and psychological factors.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>How long does morning sickness last?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Morning sickness can begin as early as 2 weeks into pregnancy and<\/span><\/p>\n<p><span style=\"font-weight: 400;\">continue until 12 weeks.\u00a0\u00a0<\/span><\/p>\n<p><b>Is morning sickness a sign of a healthy baby\/healthy mother?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">What is interesting is women with mild nausea and vomiting during pregnancy experience fewer miscarriages and stillbirths than women without these symptoms.\u00a0 So, for me, when a woman is really nauseous and has occasional vomiting, I know she is probably carrying a healthy pregnancy!\u00a0<\/span><\/p>\n<p><b>How long does morning sickness last?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">It is popularly known as \u2018morning sickness\u2019, although it can occur during the morning, noon, or night and affects about 80% of all pregnant women.\u00a0<\/span><\/p>\n<p><b>What foods combat morning sickness?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The best way to avoid nausea during pregnancy is to eat frequently and often.\u00a0 Don\u2019t wait to feel hungry to eat. Ideally eat foods high in carbohydrates and low in fat.\u00a0 Avoid foods that are spicy, salty or high in protein.\u00a0 The BRAT diet is always helpful and consists of Bananas, Rice, Applesauce and Toast. Drink cold, clear and carbonated beverages in small amounts and as often as possible.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Saltine crackers are also quite helpful!<\/span><\/p>\n<p><b>What medications can women take to combat morning sickness?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The safest medication to take in pregnancy is called Diclegis.\u00a0 It\u2019s basically a combination of Benadryl and Vitamin B6. Zofran has been used in the past but is not as safe to take in pregnancy.<\/span><\/p>\n<p><b>What are some natural remedies to combat morning sickness? 31<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Vitamin B6 25mg taken 3 times a day has been effective for nausea and vomiting pregnancy. \u00a0It&#8217;s not clear how it works but has a great track record.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ginger in different forms-ginger root boiled in water, ginger root tea, ginger lozenges, ginger nonalcoholic beer, gum or capsules works well. Ginger ale and ginger snaps are\u00a0less effective but also do help with symptoms. It&#8217;s thought that ginger helps relax gastrointestinal muscles relieving symptoms associated with morning sickness.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Acupuncture\u00a0and acupressure\u00a0are easy and safe alternatives to help the woes of morning sickness. Acupuncture and acupressure use the PC6 pressure points to relieve mild nausea and vomiting.<\/span><\/p>\n<p><b>How can pregnant women prevent morning sickness?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">There is really no way to prevent morning sickness.\u00a0 You can do your best to manipulate the way you eat and drink to help you get through it. Morning sickness is a normal sign of a healthy pregnancy\u2026a rite of passage so to speak. It suggests the pregnancy hormones are rising appropriately and your body is responding normally to the changes. Feeling miserable the first 12 weeks can be a soft sign to your health care provider that all systems are working normally. Reassuring women who don\u2019t see a light at the end of the tunnel is important so they understand morning sickness is common, it\u2019s short lasting and it suggests your pregnancy is off to a healthy start.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0\u00a0<\/span><\/p>\n<p><b>When should morning sickness be a cause for concern?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0In 2% of pregnancies, persistent nausea and vomiting can become so severe pregnant women can lose weight, become malnourished, and dehydrated where hospitalization is necessary. Losing 10% of your normal body weight would be a concern for you and your baby.\u00a0 This condition is called Hyperemesis Gravidarum.\u00a0 Where expected morning sickness of pregnancy typically improves around 10 weeks, Hyperemesis Gravidarum continues up until 20 weeks of pregnancy. Hyperemesis tends to improve in the last half of pregnancy, but may persist until delivery.<\/span><\/p>\n<p><b>Does stress increase morning sickness symptoms?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Many factors play a role in morning sickness for pregnant women. Normal hormonal changes cause a slowing of the digestive tract and relaxation of the intestinal muscles which all contribute to nausea and morning sickness during pregnancy.\u00a0 Stress can also trigger and exacerbate morning sickness.\u00a0<\/span><\/p>\n<p><b>What should someone do to reduce stress while pregnant?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Stress is inevitable, it\u2019s how we deal with it that ultimately makes us more resilient and equipped to handle it and minimize morning sickness during pregnant.\u00a0 I suggest creating daily rituals involving healthy habits which will help reduce unwanted stress. Regular exercise including yoga, meditation, biofeedback, practicing mindfulness, guided imagery, Tai Chi, massage, acupuncture and psychotherapy along with eating a healthy diet, drinking 8 to 10 -12 oz-glasses of water and sleeping at least 7 hours a night is helpful. Taking probiotics can also be helpful in minimizing gastrointestinal upset and improve digestive health.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The BRAT diet is always helpful and consists of <\/span><span style=\"font-weight: 400;\">B<\/span><span style=\"font-weight: 400;\">ananas, <\/span><span style=\"font-weight: 400;\">R<\/span><span style=\"font-weight: 400;\">ice, <\/span><span style=\"font-weight: 400;\">A<\/span><span style=\"font-weight: 400;\">pplesauce and <\/span><span style=\"font-weight: 400;\">T<\/span><span style=\"font-weight: 400;\">oast. Drink cold, clear and carbonated beverages, like 7-Up and Ginger ale, in small amounts and as often as possible. Cold foods, fruits, vegetable, Jell-O, popsicles, saltine crackers and pretzels should be added to your diet.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Find your stress-relieving activity and diet that works best for you!<\/span><\/p>\n<p><b>What are the signs that something is wrong with an early pregnancy?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The classic signs of an abnormal pregnancy or impending miscarriage are vaginal bleeding, pelvic pain and uterine cramping.\u00a0 If any of these symptoms are persistent it may represent an abnormal pregnancy. Following up with your health care provider will help you know if this is a healthy pregnancy or not.<\/span><\/p>\n<p><b>What are the most important things to do or keep track of during the first trimester?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Pay attention to how you are feeling and be aware of any potential warning signs of an abnormal pregnancy. Always bring your concerns and questions to the attention of your healthcare provider if you have any questions.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Continue taking your prenatal vitamin, eat a well-balanced diet, get plenty of rest and discuss any prescription medication with your health care provider before taking them.<\/span><\/p>\n<p><b>How can you calculate how many weeks pregnant you are?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Your pregnancy will first be dated by your first day of your last menstrual period (LMP). Since there is variation and irregularities with LMP\u2019s, a transvaginal ultrasound (US) may be a more accurate way to establish dating of a pregnancy. A transvaginal US is typically done in the first trimester to evaluate an early pregnancy and establish accurate dating of the pregnancy.<\/span><\/p>\n<p><b>When is an Ultrasound (US) done during pregnancy?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">A pelvic or abdominal ultrasound take pictures of the baby using sound waves throughout pregnancy. If an US is done prior to 12 weeks, it may be done using a vaginal probe, also known, as a transvaginal US. If performed on your belly it would be an abdominal US. Typically, the best time to do an US to evaluate the health of a growing baby is between 18 and 22 weeks.\u00a0 You may get other US\u2019s during the pregnancy if there is a concern with the baby\u2019s growth or well-being.<\/span><\/p>\n<p><b>Is Ultrasound safe during pregnancy?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">I am frequently asked if Ultrasound (US) during pregnancy is safe.\u00a0 Pregnant women can take a sigh of relief knowing that there is no evidence showing that US is harmful to a growing baby at any time during pregnancy. The US performed during pregnancy uses high frequency sound waves to evaluate a pregnancy.\u00a0 There is no harmful radiation used during an US.\u00a0<\/span><\/p>\n<p><b>What can the US see during pregnancy?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Ultrasound can check many aspects of the health of the baby including:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"> the number of babies<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> the size of the baby<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">\u2022 how well the baby\u2019s heart works<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">\u2022 how well other organs (such as the spine, brain and kidneys) are growing<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">\u2022 the anticipated date of birth<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">\u2022 whether there are problems with the mother\u2019s uterus, fallopian tubes or ovaries<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> to see what position the baby is in<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">\u2022 to check the placenta (afterbirth)<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">\u2022 to view how much fluid is around the baby<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">\u2022 to check the baby\u2019s growth and well-being<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">\u2022 to check for signs of a possible genetic problem<\/span><\/li>\n<\/ul>\n<p><b>Could a sudden cold be an early sign of pregnancy?\u00a0\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Early symptoms of pregnancy can include a headache, a metallic taste in the mouth, fatigue, feeling lethargic and a stuffy nose which could be confusing signs of the common cold. Since early pregnancy signs typically include missing a period, nausea, breast tenderness and other longer lasting symptoms, this can help in differentiating between pregnancy and the common cold.<\/span><\/p>\n<p><b>How does a pregnancy-symptom cold differ from a regular cold?\u00a0\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Missing a period is usually the first sign of a new pregnancy, although women with irregular periods may not initially recognize a missed period as pregnancy. During the first few weeks of pregnancy, many women experience a need to urinate frequently, extreme fatigue, constipation, heartburn, nausea and\/or vomiting, fluid retention, mood swings, headaches, back pain, increased breast tenderness and milky white vaginal discharge. All of these symptoms can be normal and are expected in the beginning of new pregnancy as a result of normal hormonal changes.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The common cold is usually more short term and doesn\u2019t include the majority of early pregnancy symptoms. The common cold symptoms are typically a runny or stuffy nose, cough, congestion, body aches, sneezing, low grade fever and sore throat. These symptoms are classic for the common cold and not for pregnancy.<\/span><\/p>\n<p><b>What are other reasons for cold like symptoms?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Other medical conditions that can appear like the common cold include COVID-19, allergies, an ear infection, pneumonia, asthma, sinusitis, and the flu. If symptoms persist longer than 7 days, you should contact your health care provider.<\/span><\/p>\n<p><b>When does the second trimester start and end?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The second trimester is from week 13 to 26 week.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">During the second trimester, the baby will grow from about 2.9 inches (7.5cm) in length, and weighing 1oz (30g) in week 13, to about 9 inches (23cm) in length and 28 oz (820g) at week 26.<\/span><\/p>\n<p><b>What are the most common symptoms during the second trimester?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The second trimester also referred to as the \u201choneymoon period\u201d is when you will feel the most energetic and less bothered by first trimester symptoms.\u00a0 Your belly, breasts and waistline will continue to grow. Feeling more nasal congestion, dizziness, headaches, leg cramps, milky white vaginal discharge, painless Braxton Hicks contracts and brown skin changes\u2014also known as melasma&#8211; on your body including your face, breasts and abdomen are common during the second trimester.<\/span><\/p>\n<p><b>When should you start to feel movement during pregnancy?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0Most women feel the beginnings of \u201cfetal movement\u201d before 21 weeks gestation. In a first pregnancy, this can occur around 18-21 weeks gestation, and in following pregnancies it can occur as early as 15-16 weeks gestation. Early fetal movement is felt most commonly when the woman is sitting or lying quietly and concentrating on her body. She may also feel fetal movement after eating or drinking a sugary beverage.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><b>When should you start kick counts?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Following your baby\u2019s \u201ckick counts\u201d especially in the 3<\/span><span style=\"font-weight: 400;\">rd<\/span><span style=\"font-weight: 400;\"> trimester is a way to ensure the baby moves 10 movements in an hour, at least twice a day. Fetal movement is noticed most often late at night between 9pm and 1am. If you notice there is less or decreased fetal movement during the day, you should drink a large glass of juice and lay on your left side to see if your baby will move with a sugar boost and blast of hydration.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><b>Will your baby be active leading up to and during labor?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0During labor you will continue to feel your baby move but it may be less noticeable or vigorous.\u00a0 Since you are not typically eating or drinking during labor, the baby is not being stimulated as much by the usual nutrients and may not move as actively. Plus, you are contracting every 2 to 3 minutes so you are more aware of what is happening with your uterus and body as opposed to the movement of the baby.\u00a0 The baby\u2019s heart rate is being continuously monitored during labor so you know everything is fine unless the nurse or obstetrician tells you otherwise. Focusing on the movement of the baby during labor is less of a priority.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><b>Should I worry if the baby seems to be moving less the closer I am to my due date?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s very common to feel a decrease in fetal movement a couple weeks before your due date but it tends to not be a true obstetrical concern. As the baby grows and gets larger the perception of movement will change and might be less noticeable as you get closer to your due date.\u00a0If there is persistent decreased fetal movement, an ultrasound to check the fluid around the baby and non-stress test (NST) should be performed.\u00a0 A lower amount of fluid around the baby is a concern that can lead to fetal distress and death. \u00a0Regular and frequent fetal movement directly correlates to the baby\u2019s well-being.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><b>\u00a0<\/b><\/p>\n<p><b>If your baby is active during labor, how does that feeling differ from contractions?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0Pregnant women get used to feeling the baby move during pregnancy.\u00a0One or many areas of the uterus move when a baby is moving around.\u00a0 When your baby moves it\u2019s a comforting and memorable sensation.\u00a0 During labor, uterine contractions involve a symmetrically tightening of this very large muscle.\u00a0 The entire abdomen is noticeably disrupted by a contraction compared to only certain areas of the uterus that are affected with the movement of the baby.<\/span><\/p>\n<p><b>What are Braxton Hicks contractions?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\">Simply put, Braxton Hicks contractions are <\/span><i><span style=\"font-weight: 400;\">painless<\/span><\/i><span style=\"font-weight: 400;\"> contractions where real contractions are <\/span><i><span style=\"font-weight: 400;\">painful<\/span><\/i><span style=\"font-weight: 400;\">.\u00a0 When you experience a Braxton Hicks contraction you will see your uterus tighten and become hard, like a rock, but it is not associated with pain. Braxton Hicks contraction are so subtle, most pregnant women doesn\u2019t realize they are having them.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Braxton Hicks contractions are a normal part of pregnancy and do not really prepare your body for labor.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><b>What do Braxton Hicks feel like?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">When you experience a Braxton Hicks contraction you will see your uterus tighten and become hard like a rock, but it is not associated with pain.\u00a0 They occur irregular at intervals meaning there is no pattern to the frequency Braxton Hicks contractions.\u00a0 They tend to be very subtle and most pregnant women don\u2019t realize they are having them.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0Real uterine contractions start as menstrual cramp and continue getting more intense and painful, unlike Braxton Hicks contractions.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><b>Do Braxton Hicks lead to labor?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Braxton Hicks occur spontaneously and are completely normal throughout pregnancy especially in the third trimester. They don\u2019t typically lead to going into labor unless they become regular in frequency and cause pain.<\/span><\/p>\n<p><b>\u00a0<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><b>What are some common triggers for Braxton Hicks?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The uterus is one large muscle. Just like any muscle in your body, the uterus will flex when\u00a0stimulated. \u00a0It contracts and relaxes for a number of reasons or for no reason at all.\u00a0 Common reasons for the uterus to contract, unrelated to going into labor, is if you are dehydrated, exercising, after an orgasm, during sexual intercourse or have a full bladder.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Can you stop Braxton Hicks when they happen?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">If you can identify the common causes of Braxton Hicks contractions, then you can stop them from happening. As an example, if you are dehydrated and haven\u2019t been drinking enough water throughout the day, you can rehydrate with water to stop them from happening. Emptying your bladder by peeing or resting during a workout can also calm the uterus and prevent BH contractions.\u00a0<\/span><\/p>\n<p><b>What is the difference between Braxton Hicks contractions and real labor contractions?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Real uterine contractions start as menstrual cramp and continue getting more intense and painful, unlike Braxton Hicks contractions.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Are Braxton Hicks the same things as false labor?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u201cFalse labor\u201d can occur before true labor actually begins.\u00a0 False labor is described as irregular uterine pains or contractions that do not increase in severity and frequency. Contractions can occur every 10-20 minutes for a few hours and then stop all together. False labor creates a lot of confusion for expecting moms.\u00a0 BH contractions should not cause you to feel pain so they are different than false labor.\u00a0 If you have frequent BH contractions which increase in intensity and pain then this could be beginning of false or early labor.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><b>What are the most important changes that happen to the fetus during the second trimester?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">During the second trimester the fetus continues to grow and starts looking like a developing baby on Ultrasound. From head to toe, limbs and organs are maturing and growing. Toenails, eyes, hair, skin, lungs and the central nervous system continue to form. Fetal movement can be felt in the early part of the second trimester if it\u2019s your second pregnancy or by 21 weeks if it\u2019s your first pregnancy.\u00a0 The fetus starts to gain weight, sleeps a lot and can hear sounds and voices outside the womb.<\/span><\/p>\n<p><b>During the second trimester, what are the most important things to do or keep track of?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">During the second trimester the fetus is assessed for any genetic abnormalities, either through blood tests, an amniocentesis or on Ultrasound. Blood tests checking for gestational diabetes, anemia and any Rh-negative blood incapability may also be done during the second trimester. It\u2019s an important trimester to make sure you are gaining the appropriate amount of weight, exercising regularly and getting adequate amounts of sleep.<\/span><\/p>\n<p><b>What is the genetic testing available in the 2<\/b><b>nd<\/b><b> trimester?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">An amniocentesis is an invasive form of genetic testing performed between 16 to 18 weeks.\u00a0 A needle is inserted into the uterus removing amniotic fluid under ultrasound guidance to be tested for chromosomes and gender.\u00a0\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What can be done about constipation during pregnancy?\u00a0<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Definitely one of the more uncomfortable problems that can be exacerbated during pregnancy, constipation is a common complaint.\u00a0 Between the hormonal effects of progesterone slowing down the motility of your intestines, the iron and calcium in prenatal vitamins, the displacement of the intestines by a growing uterus and the changes in our diets during pregnancy all lead to a disruption in bowel function.\u00a0 Some have bowel changes consistent with a softer and more frequent stool, others have hard \u201crabbit\u201d pellets and many others have bowel movements every 2-5 days.<\/span><\/p>\n<p><b>Constipation during pregnancy can be prevented with the following lifestyle changes:<\/b><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Drink plenty of fluids. <\/b><span style=\"font-weight: 400;\">Water is the best choice and I would recommend drinking at least 8-10, 8-ounce glasses a day. Fruit juice, especially prune juice, will help regulate your constipation.\u00a0 Drinking warm liquids in the morning is also effective.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Physical activity and exercise should be a part of your daily routine.\u00a0 <\/b><span style=\"font-weight: 400;\">Daily walks, lasting 30-45 minutes, and other aerobic activities can help prevent pregnancy constipation.\u00a0 Exercising regularly aids in our digestion and makes you feel physically and emotional stronger and more energetic.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Include more dietary fiber in your diet. <\/b><span style=\"font-weight: 400;\">Choose high-fiber foods, such as fruits, vegetables, beans and whole grains.\u00a0 Fiber helps bring water into the intestines, softening the stool and allowing it easier to pass.\u00a0 With your health care provider&#8217;s OK, consider a fiber supplement, such as Metamucil, Citrucel and Miralax.<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><b>Stool softeners, such as Colace, moistens the stool allowing easier passage.<\/b><span style=\"font-weight: 400;\"> I encourage most of my patients to take 50mg to 100mg of Colace two times a day throughout the duration of the pregnancy.<\/span><b>\u00a0\u00a0<\/b><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><b>Cascara Sagrada <\/b><span style=\"font-weight: 400;\">is a natural laxative made of dried bark.\u00a0 Take 1 to 2 capsules before bedtime with a large glass of water.\u00a0 It\u2019s a much gentler alternative then Sena.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Bulk forming laxatives such as fiber supplements are the gentlest on your body and safe to use during pregnancy.\u00a0 Metamucil, Citrucel and Miralax are examples of this and are recommended throughout pregnancy.\u00a0 Stimulant laxatives, such as Ex-Lax and Senokot are the hardest on your intestines and should not be used during pregnancy.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are remedies and solutions for this serious and uncomfortable side effect of pregnancy.\u00a0 As always consult with your health care provider for recommendations on the safest route to follow.\u00a0\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What\u2019s pregnancy acne about?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0Acne in pregnancy is extremely common, and it is often more difficult to treat.\u00a0 \u201cPregnancy acne\u201d is not a special form of acne.\u00a0 Pregnancy acne occurs due to the overproduction of sebum oil which happens from all the hormonal changes.\u00a0 Unfortunately, some women are more susceptible than others. Some studies show that as many as a third of cases actually improve in pregnancy but most women will report some worsening.\u00a0\u00a0<\/span><\/p>\n<p><b>\u00a0<\/b><b>What are some general things to keep in mind when choosing acne products for pregnancy?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">First things first when it comes to taking care of your face during pregnancy to minimize pregnancy acne.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The various forms of treatment include the following:<\/span><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\">Wash your face twice a day.\u00a0 You can use a mild cleanser with warm water and gently wash your entire face.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">If you have oily hair, shampoo daily.\u00a0 Be careful to keep your hair off your face.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Avoid picking, scratching, popping or squeezing acne sores.\u00a0 These types of habits can spread infection and potentially cause scarring.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">If you use cosmetics, stick to oil-free products.\u00a0 Descriptions such as water-based, noncomedogenic or nonacnegenic.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Avoid resting your face in your hands.\u00a0 This can trap skin oils and sweat, which can irritate acne.<\/span><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><b>What medication is safe to use to treat pregnancy acne?<\/b><\/p>\n<p><b><br \/>\n<\/b><span style=\"font-weight: 400;\">Medication is the second line of treatment for pregnancy acne.\u00a0 Erthromycin (Erygel) or clindamycin (Clindagel) is often the drug of choice of pregnancy acne.\u00a0 Azelaic acid (Azelex, Finacea) is another option.\u00a0 Both of these medications are applied to the skin as a lotion or gel and are available by prescription.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other more controversial and less studied products include benzoyl peroxide and other over-the-counter or prescription strength benzoyl peroxide during pregnancy.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medications to avoid during pregnancy include isotretinoin and other retinoids, minocycline, doxycycline and other tetracycline\u2019s.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Initially you should consult with your obstetrician or health care provider for first line treatments.\u00a0 If those prove to be unsuccessful consult with your dermatologist.\u00a0 Together you can weigh the benefits and risks of various treatment options.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0\u00a0<\/span><\/p>\n<p><b>When does the third trimester start and end?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The third trimester is from week 27 to 40 weeks.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">By\u00a0<\/span><a href=\"https:\/\/www.pregnancybirthbaby.org.au\/pregnancy-at-week-40\"><span style=\"font-weight: 400;\">40 weeks<\/span><\/a><span style=\"font-weight: 400;\">, your baby will be about 19.6 inches (50cm), and weigh approximately 7.5 lbs (3.4kg)<\/span><\/p>\n<p><b>What are the most common symptoms during your third trimester?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The most common symptoms during the third trimester include more frequent Braxton Hicks contractions, heartburn, backaches, shortness of breath, varicose veins, hemorrhoids, frequent urination, insomnia and anxiety in anticipation of delivery.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><b>What are the most important changes that happen to the fetus?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">During the third trimester the fetus is preparing for delivery. Hair growth, weight gain, practiced breathing, finger and toenails grow, testes descend into the scrotum for a male fetus and the skin becomes\u00a0smooth.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><b>When do most women give birth?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The majority of women give birth between 37 and 42 weeks.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><b>What are some signs that something is wrong?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Concerning third trimester symptoms include vagina spotting or bleeding, uterine cramping, lower abdominal pain, persistent headaches, nausea and vomiting and decreased fetal movement. \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><b>During the third trimester, what are the most important things to do or keep track of?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The most important things to keep track of during the third trimester is keeping track of daily fetal movement, getting adequate rest, eating a healthy well-balanced diet and preparing you and your partner for labor, delivery and preparing for a new born.<\/span><\/p>\n<p><b>What causes\u00a0feet\u00a0to\u00a0swell\u00a0in pregnancy?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Swelling in pregnancy is completely normal and expected. If you think about it, your body produces 50% more blood volume and other body fluids that help in the growth and development of the baby.\u00a0 All the additional fluids will be evenly distributed throughout the body and be most obvious in the hands, legs, feet and face. It\u2019s most noticeable after 28 weeks as you enter your third trimester of pregnancy.\u00a0 During the third trimester, the growing uterus puts additional pressure on the lower extremities making the swelling even more pronounced in the legs, feet and ankles.\u00a0\u00a0<\/span><\/p>\n<p><b>When does swelling in pregnancy usually begin?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">During the late second and third trimester the growing uterus puts additional pressure on the lower extremities making the swelling even more pronounced in the legs, feet and ankles.\u00a0 \u201cCankles \u201care affectionately used to describe swelling of where the leg meets the ankle. \u00a0Swelling is more noticeable during the day and goes down at night. Pain, heaviness and tingling are common symptoms.\u00a0 Prolonged standing and being on your feet for long periods of time will also make the swelling worse. \u00a0The last couple weeks of pregnancy are the most challenging. Your feet will increase by one shoe size during pregnancy.<\/span><\/p>\n<p><b>Are swollen\u00a0feet\u00a0during pregnancy ever cause for concern?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">When swelling of the feet seems excessive and with a more rapid onset that could be a subtle sign of preeclampsia or high blood pressure of pregnancy. If one leg or calf appears to swell disproportionately to the other leg this could be a sign of a deep vein thrombosis.\u00a0 Both of these conditions and swelling with pain or a rash should also be addressed by your obstetrician.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">If you develop \u201ccankles\u201d during the 3<\/span><span style=\"font-weight: 400;\">rd<\/span><span style=\"font-weight: 400;\"> trimester, the best treatment is to elevate your legs above the level of your heart periodically throughout the day, wear support hose, comfy shoes and stay hydrated with plenty of water.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Every pregnancy is different.\u00a0 Depending on the amount of weight you gain, frequency of exercising, foods (and salt!) you consume and what season you are during your third trimester will all affect the swelling in your body and feet!\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Avoid prolong standing and wearing too-tight of elastic stockings or socks.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What is the doctor doing when checking my cervix at 38 weeks?<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">The cervix can be checked in a couple of different ways.\u00a0\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">An internal pelvic exam uses two fingers by the doctor, nurse or midwife to check and feel how many centimeters the cervix is opened or dilated.\u00a0 Zero centimeters means the cervix has not dilated at all and 10 centimeters means the cervix is completely open and the baby is ready to deliver. During a pelvic exam, the cervical softening or effacement can be checked as well. The more effaced the cervix is the more likely the cervix will dilate.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Alternatively, a pelvic ultrasound can also be used to measure the length and dilation of the cervix during any stage of pregnancy.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Is a Hospital Tour necessary?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Taking a tour of the hospital before you go into labor gives you and your partner helpful information about the layout of labor-land.\u00a0 You can either sign up for a hospital tour physically or often do them virtually. A tour allows you to be familiar with the hospital, showing you where to park, which elevators to take you to labor and delivery and understanding the roadmap on the \u201cbig day!\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Taking a tour will make you feel more relaxed, more prepared and less stressed.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Do I need a birth plan?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">A birth plan allows the couple to do a deep dive into all aspects of the labor and delivery process and what happens with the baby during the first few days of life. But creating a birth plan is not for everyone and most couples do not make one.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A typical birth plans makes sure you and your partner cover every aspect of the delivery and postpartum process, from allowing the nurses to place an IV into your arm when you first arrive to whether or not the baby is placed directly on your chest immediately after delivering versus going to the baby warmer.\u00a0 It\u2019s your personalized road map through the entire process.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other common highlights of a birth plan include acceptable baby monitoring, pain medication options during labor, preferences for who should be in the delivery room, cutting an episiotomy versus letting the vagina tear naturally, delayed umbilical cord cutting, maternal-baby bonding guidelines, acceptable baby vaccines and other postpartum wishes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The most important thing to remember about a detailed birth plan is they may not go exactly as planned.\u00a0 Even with your personalized road map there can be unexpected detours and obstacles that you did not anticipate. You have to be open minded and not feel defeated or a failure if it doesn\u2019t go exactly as planned.\u00a0 During the labor and delivery process, even as a practicing OBGYN, you have to expect the unexpected.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Remember, \u201cman plans and God laughs\u201d is a perfect metaphor for the labor and delivery experience.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What should be included in my hospital bag?<\/b><\/p>\n<p><b><br \/>\n<\/b><span style=\"font-weight: 400;\">Pack your bag ahead of time! Slippers, robe, comfortable PJ\u2019s, camera (charged!), back-up batteries for all electronics, cell phone, video camera, memory sticks, camera and cell phone chargers, your favorite playlists, special object (photograph, stuffed animal) to focus on during labor, cord blood kit for storage, toiletries including your personal shampoo, soap, toothbrush, hairbrush, \u201cbelly bandit\u201d to wear postpartum, Baby memory book , favorite outfit you received from your baby shower to dress the baby in, favorite pillow and blanket, comfy sweats and nursing bra to wear postpartum.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What to know about labor?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">It can be confusing knowing when true contractions are occurring versus Braxton Hicks contractions.\u00a0 Simply put, Braxton Hicks contractions are painless contractions where real contractions are painful.\u00a0 When you experience a Braxton Hicks contraction you will see your uterus tighten and become hard, like a rock, but it is not associated with pain. Real uterine contractions start as a menstrual cramp and continue getting more intense and painful unlike Braxton Hicks contractions.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Timing your contractions helps you differentiate between false and early labor.\u00a0 Uterine contractions that have a pattern of every 3 to5 minutes for 2 hours help you become more aware labor is starting.\u00a0 Measuring contractions from the beginning of one contraction to the beginning of another contraction is one way of tracking the frequency.\u00a0 As long as you are consistent in how you time the contractions you will see a pattern that suggests labor is happening.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">As labor progresses, the intensity and frequency of the contractions will become stronger and more painful.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What are the first signs that you&#8217;re in early labor?\u00a0<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">As you get closer to term (38 to 42 weeks) your uterus, which is one large muscle, will start to contract.\u00a0 If the uterine contractions are irregular, occurring sporadically, and the pain in minimal, you are not in early labor.\u00a0 Once the uterine contractions become regular, appear closer together with an increase in intensity this is a sign that labor has started. Regular and painful uterine contractions, occurring every 3 to 5 minutes for 2 hours, are a sign early labor has begun.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Another sign that early labor has started is if your bag of water breaks.\u00a0 It may be a subtle \u201cleak\u201d or a \u201cbig gush\u201d when your \u201cwater breaks\u201d and you may or may not have uterine contractions.\u00a0 But one thing is definite, early labor will begin within hours of your water breaking.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What are all of the reasons women might need to be induced and WHY is it imperative that they are?\u00a0<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">The majority of labor inductions occur as a result of medical complication that can negatively affect the health of the mother or baby such as maternal high blood pressure, diabetes or poor growth of the baby. Medically indicated inductions should occur after 34 weeks ideally unless it\u2019s a matter of life and death for mom or baby. \u201cElective\u201d inductions can also be considered for a nonmedical reason at 39 weeks if the cervix is favorable for induction.\u00a0 An example of elective induction is if a previous delivery happened quickly and there are concerns the woman would not make it to the hospital when she goes into labor. \u00a0 When deciding to have an elective induction it has to be after 39 weeks with the accurate dating of the pregnancy and an inducible or \u201cfavorable\u201d cervix. A cervix is favorable when it\u2019s thinned out and dilated before the induction begins.\u00a0 Labor tends to go more quickly and is more likely to be a vaginal birth with a favorable cervix.\u00a0 If the cervix is \u201cunfavorable\u201d the process of an induction may take a couple of days or end up in a cesarean section.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What are the health hazards if they are not\u00a0induced?\u00a0<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">If a medically indicated induction does not occur there can be potential health dangers to both the mother and baby.\u00a0 The most concerning health hazard could be death to the mother and baby.\u00a0 Other complications include infection, maternal seizures, stroke, emergency hysterectomy and significant blood loss.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What is not a reason to be induced?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">If you have being induced electively you must have a cervix that is favorable for delivery.\u00a0 If you don\u2019t have a favorable cervix, you should not be induced unless there is a medical indication.\u00a0\u00a0<\/span><\/p>\n<p><b>Can Castro Oil induce my labor?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The most common myth is using castor oil to put you into labor.\u00a0 The problem with Castro oil is that it has side effects including diarrhea, dehydration and uterine irritability. \u00a0Unfortunately, all these recommendations are also known as old wives\u2019 tales. If any of these suggestions put a woman into labor it\u2019s just a wonderful coincidence.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><b>What are some myths of what will put a woman into labor?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">There are many suggestions given by friends, mothers, grandmothers and next-door neighbors about activities that will \u201cdefinitely\u201d put you into labor.\u00a0 They include eating spicy foods, drinking special teas, having mind blowing sex, explosive (and multiple!) orgasms, intense exercise workouts and, of course, labor inducing-acupuncture.\u00a0\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>FUN MYTHS ABOUT LABOR AND DELIVERY<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Here is a list of memorable myths of labor and delivery from my patients over the last 3 decades.<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Once your water breaks your baby will pop out!\u00a0 All women wish this was the case but it\u2019s not.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">When labor begins is obvious&#8212;not always!<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Labor is always painful.\u00a0 For a handful of lucky women, they don\u2019t experience horrible and painful contractions.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your obstetrician is present during most of your labor.\u00a0 Unfortunately, the doctor comes and goes and then returns when the baby is just about to delivery.\u00a0 The nurses are the ones who are with you during the entire process.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You rarely poop when you push out the baby\u2019s head&#8212;sorry ladies most women do!\u00a0 I will never say no to an enema!<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Doctors don\u2019t care if you wax or shave your vagina before giving birth&#8212;we may say we don\u2019t care but it is easier to repair a vagina if there is less hair around the opening.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You can receive a \u201clight\u201d walking epidural if you want to walk around with mild labor pains.\u00a0 In theory we tell patients that this is available but in practice it never happens.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Most women will delivery around their due date\u2014rarely does a women delivery on her due date.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Episiotomies will reduce the amount of tearing that happens in the vagina&#8212;not true, if you can avoid one you should ask your doctor to do so.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Losing your mucus plug or having your cervix dilated means you will immediately going into labor&#8212;pregnant women wish this was the case!<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tall women have the perfect pelvis for a vaginal delivery&#8212;unfortunately even tall women have small pelvis.\u00a0 You may look \u201cwide\u201d from behind but you may not have a large pelvis.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">More babies are born during a full moon&#8212;studies don\u2019t support this myth!<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A well thought out \u201cbirthing plan\u201d is key to a successful vaginal birth&#8212;if you ask the nurses on labor and delivery, most couples that create a 7 page birth plan for a vaginal birth are more likely to end up with a c\/section.\u00a0 Controlling new moms\u2019 and dads are even more high risk to have a csection!\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your labor will be just like your mom\u2019s-there may be similarities in your pelvis but there are many other factors that make your labor go one way or the other.\u00a0 Truth be told your labor will not be like your moms.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If I drink castro oil, take laxatives, eat Mexican food or go for acupuncture I can induce labor.\u00a0 These are myths that are not reliable plus for some you will get major diarrhea as a result.<\/span><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><b>Here is my list of Labor-do&#8217;s and don&#8217;ts\u00a0<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">\u201dDo\u201d pay attention to you symptoms and \u201cdon\u2019t\u201d minimize what you are experiencing or feeling.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">\u201cDo\u201d prepare yourself and your partner for the big day so you are aware of what labor will look like.\u00a0\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">\u201cDon\u2019t\u201d wait to the last minute to prepare your birth plan and discuss it in detail with your healthcare provider.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">\u201cDon\u2019t\u201d be afraid to call your doctor is you are not sure what symptoms you are experiencing.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">\u201cDon\u2019t\u201d wait too long to pack your hospital bag.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Most importantly, \u201cDO\u201d go into labor with an open mind, trusting your doctor and knowing whatever happens is beyond your control.\u00a0 \u201cDon\u2019t\u201d have a planned labor agenda, it\u2019s rarely followed!<\/span><b><\/p>\n<p><\/b><\/p>\n<p>&nbsp;<\/p>\n<p><b>How common are breech (butt or feet first) babies?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">3-4% of term pregnancies are breech pregnancies. \u00a0 97% of all deliveries are head first, also known as vertex. Vertex presentation can delivery vaginally, whereas breech baby\u2019s need to be delivered by C-Section.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What happens if the baby is in the breech position at term?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Most pregnant women want to avoid a C-section at all cost and are willing to try old wife tales and Eastern methods to change this mode of delivery.\u00a0 The good news is that homeopathic, Chinese and other Eastern approaches to turning a breech to a vertex presentation pose no real danger to the baby. Since the Tilt, Webster technique, Pulsatilla and Moxibustion are relatively safe techniques they are certainly worth a try.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">External cephalic version (ECV) is an option for turning a baby who is in the breech position to a vertex. ECV is not for the faint of heart since it can be very painful and uncomfortable for the mom.\u00a0 It\u2019s performed in a hospital setting and the baby is continuously monitored.\u00a0 The success of flipping a breech baby to the head down position is around 50%.\u00a0 Preterm labor, premature rupture of membranes, fetal distress and placental abruption (damage) can occur from all the external pressure placed on the uterus with this procedure.\u00a0 Fortunately, complications are rare.\u00a0 If the ECV fails, a breech baby has to be delivered by C-section to ensure a healthy birth.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Are women ever induced when they really don&#8217;t need to be?\u00a0<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">The obstetrician is the doctor in charge in determining if a woman needs to be induced and what is the indication for delivery.\u00a0 At times a high-risk obstetrician called a Maternal-Fetal Specialist is consulted to be involved in the discussion making process.\u00a0 The field of obstetrics is not always black and white when it comes to major pregnancy decisions.\u00a0 As a long time, practicing obstetrician, you sometimes have to go with a gut decision always having the woman and baby\u2019s health at the top of the priority list.\u00a0 As long as the doctor is not inducing you so he won\u2019t miss his annual golf tournament I image most obstetricians have the mom and baby\u2019s best interest in mind.\u00a0\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>How many weeks do inductions usually occur? What is the earliest\/latest<\/b><span style=\"font-weight: 400;\">?<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Inductions for medical complications putting the mother or baby at risk can be done at any time during pregnancy.\u00a0 Ideally, it\u2019s best to get to 39 weeks when it\u2019s known that the lungs of the baby are completely developed.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The latest to induce a low-risk woman is at 42 weeks pregnancy.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What are some techniques for handling early labor pains?\u00a0<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Early labor pains can be easily handled with a few classical techniques.<\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Breathing in a calm and controlled manner where you take a breath slowly, in through your nose and out through your mouth.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Relaxing your body, lower back and pelvis, keeping your body flexible-making circles with your hips.\u00a0 Bouncing on a birthing ball and sitting in a rocking chair helps shifts pain during early labor.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Messaging the lower back by your partner helps release extra tension builds up.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Taking a warm bath or shower.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Visualizing or focusing on a relaxing place such as a beautiful sunset or your favorite vacation spot.\u00a0 This is referred to as going to your \u201chappy place\u201d.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><b>When is it time to go to the hospital or birthing center?\u00a0<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">When to make the drive to the hospital varies for every pregnant woman.\u00a0 If you are having painful and regular contractions every 5 minutes for 2 hours or break your bag of water it\u2019s time to call your healthcare provider.\u00a0 Depending on the amount of pain you are experiencing will determine when it\u2019s time to go the hospital.\u00a0 If you can tolerate the pain and are able to easily breathe through the contractions, you may be able to stay home a bit longer. Once the pain becomes more intense and increasingly painful then it\u2019s time to gather your hospital bag and head over to the hospital.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>How long does a &#8220;typical&#8221; labor last?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">For first time moms who go into labor spontaneously, labor lasts 12-18 hours. If you have already had a vaginal delivery, labor lasts an average of 6 to 8 hours.\u00a0\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Is it better to rest up or stay active (like walking) to keep things progressing?<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s best to keep active during early labor.\u00a0 Walking can help promote uterine contractions.\u00a0 If you are in false labor walking may cause the uterine contractions to stop.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What should you eat or drink during labor?<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Eating in labor is not recommended since many women become nauseous and have vomiting, especially during the active stage of labor and pushing.\u00a0 The other concern about eating in labor is if there is fetal distress and an emergency cesarean section is necessary having food in your stomach can increase your risk of getting food in your airways (aspiration) during surgery.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Stick to ice chips and sips of water!<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What are the pros and cons of ripping naturally during childbirth versus having an episiotomy?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">I always reassure my patients the decision of cutting the vagina or letting the tissue tear naturally is determined at the time of the delivery.\u00a0 Some factors include how long the woman has been pushing, how large is the baby\u2019s head, how swollen is the vagina and is there any reason to deliver the baby quickly due to fetal distress.\u00a0 As long as you reassure a pregnant woman you have their best interest and the interest of the baby first and foremost, the conversation ends comfortably.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The episiotomy used to be the most common surgical procedure performed on women.\u00a0 But now the episiotomy is on the decline and less recommended as the first choice of helping delivery a baby vaginally.\u00a0 It used to be this procedure made enough room for the baby\u2019s head to be delivered with the least amount of damage to the vagina.\u00a0 Now it\u2019s thought to be more damaging then helpful.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The \u201cpros\u201d have been it helps make the pushing phase led to a faster delivery, prevents tearing into the rectum or urethra, an heals faster than tearing.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The \u201ccons\u201d or complications include infection, longer healing time, increased extension of vagina affected, bleeding, pain at the site of the episiotomy and future pain with intercourse.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Vaginal tearing is now a more common practice and recommended by Obstetricians.\u00a0<\/span><\/p>\n<p><b>Why might a women\u2019s vagina tear?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Women who are more likely to tear include the following:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If it\u2019s your first baby<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Having a larger than normal size baby<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vacuum or forcep assisted delivery<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If the baby is being born face-up (occiput posterior)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Uncontrollable pushing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Needing to expedite delivery due to fetal distress<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Severe vaginal swelling due to prolong pushing. There are times where an episiotomy allows for an easier vaginal delivery.\u00a0 Unfortunately, the decision to do an elective episiotomy is not known until the moment the baby\u2019s head is crowning.\u00a0 Hopefully you have had the conversation with your Obstetrician to allow her to make that judgement call at the time of that unpredictable moment!<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What problems can severe tearing or extensive episiotomies cause?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Severe tears or extensive episiotomies into the vagina or rectum can cause pelvic floor dysfunction and prolapse, urinary incontinence, fecal incontinence, sexual dysfunction including pain with intercourse.<\/span><\/p>\n<p><b>What are risk factors that increase your risk of needing a C-section before a woman goes into labor?<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Women who may be at higher risk to need a C-section while in labor include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Maternal Obesity<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Low Amniotic Fluid<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Postdates<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Unfavorable cervix\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Twin pregnancy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Maternal medical complications including High blood pressure of pregnancy (Pre-eclampsia), Gestational Diabetes, Heart disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Baby complications including smaller or larger than average, birth defects<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If the baby has an unusually large head.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Previous Cesarean Section<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Breech or Transverse presentation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">History of a herpes infection<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><b>What are the complications during labor that a C-section would be medically necessary?<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">The most emergent reason to need a C-Section during labor would be fetal distress, placental abruption (placenta separates from the uterine wall), breech or transverse presentation and an active herpes outbreak.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Are epidurals safe for pain management during labor?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">If they want pain medication I personal advice my patients to choose an epidural as the form of anesthesia since it is a nerve block and therefore does not affect the fetus during labor.\u00a0 With the epidural the patient losses the pain sensation to the area of the uterus so pain from the strong force of uterine contractions is not felt. Lighter dosed epidurals are called \u201cwalking epidurals\u201d and are used for those women that prefer less sedation.\u00a0 With an epidural you do not have any problems feeling drugged or foggy as you would with intravenous sedating medications.\u00a0 With an epidural, when the time comes to push the baby out you still can feel the rectal pressure that assists you in pushing effectively.\u00a0 Ultimately your choice of pain relief will be determined by you and your partner\u2019s preferences along with your health care provider.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What about using laughing gas in labor?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Laughing gas or happy gas is not a new fad to help take the edge off the agony experienced from the painful contractions during labor. It\u2019s been used since the 1800\u2019s for pain relief especially for use while in the dentist chair.\u00a0 In the 1950\u2019s, nitrous oxide which is the active ingredient to laughing gas, was used for women during labor.\u00a0The pain of labor is truly no laughing matter.\u00a0<\/span><span style=\"font-weight: 400;\">\u263a<\/span><span style=\"font-weight: 400;\">\u00a0 Once epidural anesthesia was introduced in the 70\u2019s and found to be a more reliable and effective pain option, laughing gas lost its popularity. In Europe, nitrous oxide is regularly used for women in labor.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The idea behind laughing gas is to use a cocktail of 50% nitrous oxide with 50% oxygen delivered through a breathing mask which gives you a feeling of euphoria and relaxation. Basically, you become less focused and aware of the intensity of the pain experienced during labor.\u00a0 Midwives are especially excited to be able to use nitrous oxide for their laboring patients.\u00a0 \u00a0 A recent study in Anesthesiology 2016 showed nitrous oxide may take the edge off but won\u2019t be effective for extreme pain and these women will ultimately need an epidural for true relief. In other words, nitrous oxide will never replace an epidural as the ideal way to manage labor pain.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Benefits include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Allows patient to move around in labor<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Short acting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Self-administrated by inhalation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Effective for mild pain of labor<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Safe alternative option of pain relief<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Easy to use<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Has a euphoric, anti-anxiety and relaxing effect<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Leaves the body in minutes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Less expensive than current pain relief options<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Midwives and other trained medical staff can administer nitrous oxide<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Colorless and nonflammable gas with a slightly sweet odor<\/span><\/li>\n<\/ul>\n<p><b><br \/>\n<\/b><span style=\"font-weight: 400;\">The side effects of nausea, vomiting and feeling light headed are no laughing matter, and often are a reason not to use method of pain relief.\u00a0\u00a0<\/span><\/p>\n<p><b>What medication is given for an elective C-Section?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The anesthesiologist is the doctor who decides whether a woman receives a spinal block versus an epidural.\u00a0 In general, women having an elective C-Section are given spinal anesthesia, which is a onetime dose and is shorter acting than an epidural.\u00a0\u00a0<\/span><\/p>\n<p><b>Is it necessary to bank cord blood, cord tissue and placental tissue during the delivery?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">I feel it\u2019s important to tell all my obstetrical patients the pros and cons of collecting cord blood, cord tissue and placental tissue and let them decide what\u2019s best for them.\u00a0 Even though statistically it is unlikely that the couple\u2019s baby will ever need to use their own umbilical cord blood, cord tissue and placental tissue many feel it is an expense they are willing to spend for an extra \u201cinsurance policy\u201d on their greatest gift! Future use of these resources could be lifesaving.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Umbilical cord contains \u201cstem cells\u201d that have endless potential to regenerate organs, nerves and other specific tissues in the body. The purpose of storing umbilical cord blood is to use it in the future for your child to treat a number of genetic, blood, and cancer conditions in children such as leukemia and immune disorders.\u00a0 Examples of such condition include acute and chronic leukemia, lymphoma, aplastic anemia, sickle cell anemia, and thalassemia major.\u00a0 Optimistic cord tissue research includes treatment for autism, cerebral palsy, diabetes, Alzheimer\u2019s disease, spinal cord injuries, organ regeneration and other medical conditions.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Other family members including siblings, moms and dads may also be able to use cord blood and tissue collected by the donor child.\u00a0\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Collecting cord blood is a more advanced in its research than collecting cord and placental tissue and how it may be useful for future use.\u00a0 The hope is that cord and placental tissue, which has more cell types than cord blood, will ultimately offer additional benefits for babies with a variety of cancers or medical conditions. \u00a0 If you believe in the possibilities using cord blood than I suggest collecting all three cells\u2019 types from these sources.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Can I dye my hair during pregnancy?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">As older women are getting pregnant in increasing numbers this question comes up frequently.\u00a0 When you use hair dye or hair coloring preparations, a small amount of dye can penetrate the skin of the scalp. \u00a0 Generally, the dye does not pose harm to a developing baby.\u00a0 Most researchers would agree that it is unlikely that use of hair products before or during pregnancy would increase risk of any problems to an unborn baby.\u00a0 The Organization of Teratology Information Services, which provides information on potential reproductive risks, states that \u201canimal studies are reassuring and that there are no reports of hair dye causing changes in human pregnancies\u201d.\u00a0 Furthermore, they point out that very little of the chemicals in hair dye is actually absorbed into your system.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some women wait until the first trimester passes until they have any hair treatments done knowing that this is the time when the most harm can occur to a growing fetus.\u00a0 Hair treatments using chemicals for highlighting, streaking, painting or frosting have little contact with your scalp and are safe alternatives to the all-over hair color process.\u00a0 Vegetable and pure henna dyes are safe to use during pregnancy as opposed to synthetic chemical agents, containing p-phenylenediamine, dihydroxybenzene, and aminophenol, which are not.\u00a0 Many hairstylists notice that the various coloring processes during pregnancy can be unpredictable due to the strong hormonal effect on the hair itself.\u00a0 In terms of chemical-based hair curling or straightening processes, it would best to wait until after pregnancy to use them.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In general, when you chose a hair dye consider these precautions from the Food and Drug Administration:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Follow package directions carefully if you are doing it yourself.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Work in a well-ventilated space to minimize exposure to the chemical vapors.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wear gloves when applying hair dye.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Leave the dye on your hair no longer than directed.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rinse your scalp thoroughly after using hair dye.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you&#8217;re concerned about the use of hair dye during pregnancy, consult your health care provider or consider postponing any chemical hair treatments.\u00a0\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What are some normal reservations women have around pregnancy sex?<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Sex is completely safe during pregnancy for low-risk women.\u00a0 There are misconceptions that sex can cause a miscarriage so pregnant women and their partners are often afraid to have sex during pregnancy. Men are often afraid to have sex with their pregnant partners for fear of hurting the baby.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What are some general reasons why they might not have it?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The most common reasons women don\u2019t want to have sex include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lack of interest in sex\u2026for the entire 9 months and beyond<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weight gain makes pregnant women feel depressed and not sexy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Breast enlargement is loved by husbands and partners but typically not by the pregnant woman.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Low sex drive in having sex with partner, more interest in masturbation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prefer intimacy to be cuddling and kissing to intercourse<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Husband\/Boyfriends are afraid to have sex with their pregnant partner<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Women are afraid to have orgasm, think that it could cause miscarriage or labor.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ask if oral sex is safe?\u00a0 Bacteria from the mouth can it cause infections? Can fingers placed into the vagina cause an infection?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pregnant women often wonder if vaginal intercourse can cause a rupture the membranes&#8211;break the bag of water surrounding the baby.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Each trimester brings a whole new set of circumstances that set the stage of for sex and intimacy.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><b>What are reasons why people don\u2019t want to have sex in the first trimester?<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\">In the first trimester between the hormonal changes, fatigue, nausea and fear of miscarriage, sex is not a high priority for couples, or at least for women.\u00a0 Contrary to what many couples believe, sex during pregnancy will not cause a miscarriage.<\/span><b>\u00a0\u00a0<\/b><\/p>\n<p><b>What are reasons why people don\u2019t want to have sex in the second trimester?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Your second trimester is your best bet to have sex because you feel more energetic, have not gained a lot of weight and getting along well with your partner.<\/span><\/p>\n<p><b>What are reasons why people don\u2019t want to have sex in the third trimester?<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">In the third trimesters you are suffering from lower back pain, carrying 30 (or more) pounds of pregnancy weight, feel swollen all over, including your vagina, losing urine on a daily basis and worrying that sex will throw you into labor. Because of all reasons sex is not a priority.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Will sex harm the baby?<\/b><b>\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The good news is that the baby is surrounded by 1-2 liters of fluid which serves as a protective cushion during sex.\u00a0 The baby may be bounced around but know that the baby is safe and insulated.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>How does pregnancy weight gain affect desire to have sex?<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Body image insecurity is hard to anticipate but with each passing week and visit to the OB where you have to get on the scale\u2026you are reminded about pregnancy weight gain.\u00a0 Even if you know it\u2019s the \u201cright thing to do for your baby\u201d it can be hard for your usual sexual pre-pregnant self when you have body insecurity.\u00a0 For many women gaining more than 5 pounds can be emotionally devastating.\u00a0 Weight gain and body changes are the hardest thing for women to overcome and may make getting naked an obstacle in the bedroom.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Will an orgasm be different during pregnancy and cause a miscarriage or labor?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0Pregnant or not, when you have an orgasm, muscles tighten and relax, there is increase blood flow to the genital area and your uterus contracts rhythmically.\u00a0 When your uterus is a normal size, the size of a pear, you may not even notice that this is happening.\u00a0 When you are pregnant and are 20 weeks and your uterus is the size of a melon you are aware of the contracting feeling or if you are 40 weeks when your uterus is the size of a watermelon you are even more of it.\u00a0 The rhythmic contractions that you feel as a result of an orgasm are short lived and don\u2019t persist.\u00a0 It\u2019s a bit of an old wives tale that orgasms can put you into labor.\u00a0 Orgasms don\u2019t officially cause you to go into labor, but it doesn\u2019t hurt to try\u2026with or without your partner. In pregnancy, women are more anxious and nervous about causing any harm to the baby or causing preterm labor.\u00a0 Since having an orgasm requires your most important and largest sex organ, which is our mind to be relaxed and free of worry we have to be in the right mental state to allow an orgasm to happen.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Why can\u2019t I have sex if I have a placenta previa?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Placenta previa is when the placenta covers or is near the covering of the internal cervical os.\u00a0 This condition can be diagnosed with ultrasound.\u00a0 Symptoms of a placenta previa include vaginal bleeding, hemorrhage and uterine cramping.\u00a0 Due to the risk of excessive bleeding, sexual activity and intercourse in forbidden.<\/span><\/p>\n<p><b>Why can\u2019t I have sex if I am at risk for a miscarriage?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">If you are having irregular bleeding or uterine cramping you should not being have sexual intercourse or any sexual activity. A women\u2019s risk for a miscarriage range from 10 to 50% depending on a woman\u2019s age, the average risk being around 15%.\u00a0The majority of miscarriages happen during the first trimester.\u00a0 Sex will not cause you to miscarriage but you should not be active<\/span><\/p>\n<p><b>Why can\u2019t I have sex if I have ruptured my bag of water?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The amniotic sac is filled with vital fluid that protects and nurtures the growing baby during pregnancy.\u00a0 If the amniotic sac prematurely breaks or ruptures there is less fluid protecting the baby from infection and can be a very dangerous complication.\u00a0 When PROM happens there is an increased danger to the baby and the mom.\u00a0 Sexually intercourse is definitely not allowed if you have PROM.<\/span><\/p>\n<p><b>Why can\u2019t I have sex if I have had preterm labor?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Preterm labor occurs when your body starts to go into labor before the baby is fully developed occurring before 37 weeks of gestation. Symptoms of preterm labor include uterine cramping and contractions, increased vaginal discharge, vaginal bleeding and backache. Sexual intercourse is not allowed since it can bring on some of these symptoms of preterm labor.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Why can\u2019t I have sex if I have twins or triplets?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">More than 50% of twins and 90% of triplets are born premature.\u00a0 If you are experiencing any signs of preterm labor including uterine cramping, contractions, back pain or vaginal bleeding sexual intercourse and sexual activity is not allowed.<\/span><\/p>\n<p><b>Why can\u2019t I have sex if I have a shortened cervix?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">During a pelvic exam or ultrasound the cervical length can be measured during pregnancy.\u00a0 If there is shortening early in the pregnancy this may be a sign of an incompetent cervix which could put you at risk for a miscarriage or preterm labor.\u00a0 If a shortened or incompetent cervix is suspected sexual intercourse is not allowed.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Why do doctors often advise pregnant women to avoid doing things on their back?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">When lying on your back after 20 weeks the uterus will put unwanted pressure on the large vessels carrying blood to the heart reducing the flow to and out from the heart causing dizziness and fainting.\u00a0 For this reason, it is not recommended to do any kinds of exercise or activities while lying on your back.\u00a0<\/span><\/p>\n<p><b>\u00a0Does this apply to sleeping as well?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Sleeping on your back for long periods of time can ultimately reduce the blood flow to the baby which can affect the growth and, overall health, of the baby.<\/span><\/p>\n<p><b>Why might it be bad for a pregnant woman to sleep on her back after a certain point in the pregnancy<\/b><b>?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Dizziness, fainting, reduced blood flow to the baby and potential for stillbirth are all reasons to avoid sleeping on your back after 20 weeks and, especially during the 3<\/span><span style=\"font-weight: 400;\">rd<\/span><span style=\"font-weight: 400;\"> trimester (after 28 weeks).<\/span><\/p>\n<p><b>How concerned about sleeping on your back should pregnant women be?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s recommended for pregnant women to sleep on their right or left side since this helps with the best blood flow to a growing baby<\/span><b>.<\/b><\/p>\n<p><b>What can women do to get in the habit of sleeping on their side if they&#8217;re typically a back sleeper?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Most pregnant women have the best intentions lying on their right and left side when sleeping. It\u2019s often the case where they wake up flat on their back or their partner has to wake them up to change their position.\u00a0 Using pillows, body size ones work well, wedged behind the back will help reduce the chance of a woman ending up on her back in the morning.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Why do people have unusual dreams during pregnancy?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Sleep is such an important commodity, even more so, when pregnant. With an ever-changing body, being told to sleep on the right or left side, avoid lying on the back, and the emotional highs and lows, make sleeping even more challenging throughout pregnancy.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Scientists tell us it\u2019s still a mystery why dreams are more vivid during pregnancy, but we can definitely speculate on some potential contributing factors. Emotional, physical, mental, and hormonal changes create the foundation for unpredictable, vivid and, often, terrifying dreams.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Our normal sleep pattern, as we know it, is also disrupted during pregnancy. Sleep during pregnancy is interrupted, irregular, with more wake-up times, and trips to the bathroom which ultimately affects our REM sleep pattern, which is the cycle of sleep where dreams primarily occur.\u00a0 Since REM sleep is interrupted it makes sense that pregnancy dreams are turned upside down.\u00a0\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What are the differences between your first and second pregnancy?<\/b><\/p>\n<p><b>\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">During your first pregnancy it\u2019s all about you and no one else. You can sleep 12 straight hours a night without worrying about a crying baby that needs to be breastfed.\u00a0 You can take naps throughout the day and spend the entire weekend relaxing at home\u2026all by yourself if you want too.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">During the second pregnancy that freedom to relax and sleep as long as you want to is no longer easily available to you. I believe this is what makes the second pregnancy so challenging.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Physically your lower back pain may start at 28 weeks instead of 36 weeks.\u00a0 You also lose urine with laughing, coughing, exercise and even with sex. The varicose veins and stretch marks are more prominent and noticeable.\u00a0 \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">During your second pregnancy, you may not create a photo album from every savored Ultrasound picture. You will also be less obsessed that the baby will be autistic.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You are less concerned about having a \u201cnatural delivery\u201d and more interested in being induced at 39 weeks so that you don\u2019t have to prolong the pregnancy.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Why are some women afraid to confide in their OB\/GYN?\u00a0<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Women are embarrassed and ashamed to tell their OB\/GYN some of the things they know they are doing knowing its activities they should not be doing.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Top 7 secrets my pregnant patients keep hidden from me<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Closet smoking is an issue.\u00a0 Some women are not typical smokers but do like a cigarette or two to destress.\u00a0<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weed is medicinal\u00a0<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">One glass of wine won\u2019t hurt!<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Xanax helps me relax.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ambien helps me get a good night\u2019s sleep.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">I hate exercising!<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">My husband is not the father of this pregnancy<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><b>Why is it so important, specifically during pregnancy, to be open and honest with your OB\/GYN?<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">When it comes to being pregnant, there is another person involved and certain behaviors and activities done can have a significant impact on a growing baby. Often pregnant women are unaware of harmful behaviors that could have a significant impact on their pregnancy.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Hopefully you have selected an obstetrician you feel comfortable with.\u00a0 Having an open and honest relationship with your obstetrician has to be a top priority. If you don\u2019t feel comfortable with your current obstetrician then you need to find the doctor that gives you that space to talk about all things comfortable and those things not so comfortable to talk about.<\/span><\/p>\n<p><b>How worried do you think moms-to-be should be about secondhand smoke during pregnancy?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Second hand smoke is not healthy for mom and baby, this is not new information.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Second hand smoke contains thousands of harmful and toxic chemicals that affects the normal functioning of the heart, blood and vascular systems of mom and baby.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s well known that exposure to secondhand smoke increases the risk of complications to the mom and baby including a greater risk to SIDS and infant breathing problems. Even though more studies are needed, this study supports the negative impact of second-hand smoke on the DNA methylation in umbilical cord blood that can cause underlying molecular mechanisms that might cause health issues for a newborn baby. These effects may lead to cancer, atherosclerosis, nervous systems disorders and cardiovascular disease of the newborn.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><b>What can moms do to minimize the risks of secondhand smoke during pregnancy?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s well known that exposure to secondhand smoke increases the risk of complications to the mom and baby.\u00a0 Avoiding exposure to second hand smoke should be a priority to pregnant women. The most important way for a pregnant woman to avoid any potential unforeseen dangers to her newborn baby is to avoid second-hand smoke exposure.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>How dangerous is gestational diabetes for the mom and for the baby?<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">1 in 5 pregnant women are diagnosed with gestational diabetes. Gestational diabetes puts the mom and baby at increased risk for pregnancy complications. Moms are at increased risk for high blood pressure or preeclampsia, preterm labor and needing a cesarean section. \u00a0 The baby is at risk for being much larger than normal which can lead to a dangerous shoulder dystocia (shoulder\u2019s get stuck coming out of the vagina) vaginal delivery, stillbirth and neonatal complications including low blood sugar, respiratory distress and longer days in the neonatal intensive care unit.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What can moms do to reduce the chances of developing gestational diabetes?<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Preparing 3 to 6 months before getting pregnancy is the first step in lowering your risk for gestational diabetes. Eating a complete and well-balanced diet is a perfect way to optimize your health and energy level.\u00a0 It\u2019s important to know what your BMI is and what your healthy weight should be. Your BMI is calculated from your height and weight.\u00a0 Being overweight can affect your ability to get pregnancy and have a healthy pregnancy. The Mediterranean diet has been embraced by the medical community as the model of healthy living. This style of eating combines a well-balanced diet, consumed in a relaxed environment and regular physical exercise.\u00a0 Plant foods, fresh fruit, whole grains, fish, lean meats, unprocessed foods and healthy fats are the highlights of this diet which is perfect for the pre-pregnancy planning period. \u00a0 Regular exercise, as little as 30 minutes of moderately intense exercise a day, can improve your health and well-being.\u00a0 Exercise can reduce blood pressure, reduce blood sugar levels, lower cholesterol levels, control body weight and body fat and lower your risk of gestational diabetes and other pregnancy complications. A minimum of 3-5 times a week is excellent for overall good health and preparedness for pregnancy.\u00a0 Starting pregnancy by eating well, controlling your BMI, exercising regularly and being your healthiest self will reduce your risk of gestational diabetes.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What are some of the best ways to help minimize the negative effects if you do develop diabetes?<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">If you are diagnosed with gestational diabetes a visit to a dietician is important to help, give you guidelines to create a low carbohydrate and high protein diet to control blood sugars.\u00a0 You are also taught to monitor blood glucose levels first thing in the morning and 2 hours after eating meals.\u00a0 You will be given a daily exercise regimen to help control blood glucose levels until you deliver.\u00a0\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What advice do you have for moms to be regarding gestational diabetes?<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">All these dietary and lifestyle habits will help control blood glucose levels and lower your risk of pre-term labor, needing a cesarean section or having a very large baby born with low blood sugar levels.\u00a0 You can definitely control your gestational diabetes when you are committed to your health and the health of your baby for at least 9 months.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What should I do if I am diagnosed with gestational diabetes?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">If you are diagnosed with gestational diabetes, a visit to a dietician is important to help give you guidelines to create a low carbohydrate and high protein diet to control blood sugars.\u00a0 You are also taught to monitor blood glucose levels first thing in the morning and 2 hours after eating meals.\u00a0 You will also be given a daily regular exercise regimen to help control blood glucose levels until you deliver.\u00a0 All these lifestyle and dietary habits will help control blood glucose levels and lower your risk of pre-term labor, needing a cesarean section or having a very large baby born with low blood sugar levels.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Can a pregnant person smoke, vape or eat cannabis?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">5% of women between 18 to 44years use marijuana during their pregnancy especially during the first trimester to ease morning sickness. Marijuana use has been increasing steadily, while alcohol and cigarette has decreased.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Use of marijuana during pregnancy is harmful and can lead to:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fetal Growth restriction (when a baby doesn\u2019t gain the appropriate amount of weight before birth)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A greater risk of stillbirth<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Preterm birth (born before 37 weeks)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Low Brith Weight\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Long-term brain development issues affecting memory, learning and behavior<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u201cAvoiding marijuana during pregnancy (and breastfeeding) can give your baby a healthier start in life.\u201d Substance Abuse and Mental Health Services Administration<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><br \/>\n<\/span><b>Is any amount of alcohol safe to drink during pregnancy?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">No amount of alcohol is safe or recommended during pregnancy. A recent study published in <\/span><i><span style=\"font-weight: 400;\">Pediatrics <\/span><\/i><span style=\"font-weight: 400;\">found the following on the hazards of alcohol consumption during all stages of pregnancy<\/span><i><span style=\"font-weight: 400;\">. \u201c<\/span><\/i><span style=\"font-weight: 400;\">Specifically, first trimester drinking (vs no drinking) produces 12 times the odds of giving birth to a child with FASD [fetal alcohol spectrum disorder], first and second trimester drinking increases FASD odds 61 times, and drinking in all trimesters increases the FASD odds 65 times.&#8221; This same study showed that 1 in 10 women still drink alcohol during pregnancy.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Drinking alcohol during pregnancy also puts you at risk for miscarriage, stillbirth, prematurity and sudden infant death syndrome (SIDS).<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What are the most common early symptoms of pregnancy?\u00a0 Missing a period is usually the first sign of a new pregnancy, although women with irregular periods may not initially recognize a missed period as pregnancy. During the first few weeks of pregnancy, many women experience a need to urinate frequently, extreme fatigue, nausea and\/or vomiting, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1021,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[10],"tags":[],"class_list":["post-1017","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-common-questions"],"acf":[],"_links":{"self":[{"href":"https:\/\/portfolio.zenkoders.com\/ai-powered\/wp-json\/wp\/v2\/posts\/1017","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/portfolio.zenkoders.com\/ai-powered\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/portfolio.zenkoders.com\/ai-powered\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/portfolio.zenkoders.com\/ai-powered\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/portfolio.zenkoders.com\/ai-powered\/wp-json\/wp\/v2\/comments?post=1017"}],"version-history":[{"count":1,"href":"https:\/\/portfolio.zenkoders.com\/ai-powered\/wp-json\/wp\/v2\/posts\/1017\/revisions"}],"predecessor-version":[{"id":1022,"href":"https:\/\/portfolio.zenkoders.com\/ai-powered\/wp-json\/wp\/v2\/posts\/1017\/revisions\/1022"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/portfolio.zenkoders.com\/ai-powered\/wp-json\/wp\/v2\/media\/1021"}],"wp:attachment":[{"href":"https:\/\/portfolio.zenkoders.com\/ai-powered\/wp-json\/wp\/v2\/media?parent=1017"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/portfolio.zenkoders.com\/ai-powered\/wp-json\/wp\/v2\/categories?post=1017"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/portfolio.zenkoders.com\/ai-powered\/wp-json\/wp\/v2\/tags?post=1017"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}