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Index
Cover Title Page Copyright Introduction How to use this book Contents Part 1 - Enjoying a Healthy Pregnancy
Chapter 1 - Preparing to become pregnant
Is the time right?
Questions to ask
Is your body ready?
Contraception Immunization Medical conditions Medications and supplements Prenatal vitamins Sexually transmitted infections Family history Previous pregnancies Lifestyle Additional nutrients
How to get pregnant
When you’re most fertile Maximizing your fertility Healthy sperm If you’re having trouble
Are you pregnant?
Early symptoms Home pregnancy tests
Choosing a care provider
Obstetricians-gynecologists Nurse midwives Family physicians Maternal-fetal medicine specialists Choosing a birth location How to decide
Delayed pregnancy and fertility
Issues to consider Making healthy choices
Chapter 2 - Healthy choices during pregnancy
Pregnancy diet
Making every bite count Foods to avoid Vegetarian tips The good stuff Taking supplements Folate and folic acid Calcium Protein Iron Getting your D
Gaining weight
What’s healthy? If you’re overweight If you’re underweight Slow and steady Your weight goal Determining your BMI Where the weight goes
Staying active
Baby, let’s move! When to use caution Listen to your body Working in workouts Sports and pregnancy Activities to approach with care Pregnancy exercises
Playing it smart
Caffeine Caffeine counter Alcohol Tobacco Illicit drugs
Making sense of medications
What’s safe? What’s not safe? A medication guide What about herbal products? Birth control pills and pregnancy
Working while pregnant
Handling fatigue Bending, lifting and standing Proper way to lift Avoiding harmful substances
Traveling wisely
Airplane travel Destinations to avoid Sea travel Car travel Proper seat belt use
Common questions
Falls Flu shot and other vaccinations Colds and allergies Acne Lactose intolerance Hair coloring Hot tubs and saunas X-rays Cell phones, computers and microwaves Mosquito bites Household cleaners Paint fumes Litter boxes Pregnancy and cavities Water parks
Chapter 3 - For dads and partners
How to take part Getting through the first trimester together
Minimize nausea triggers Your symptoms (you get them too) Help combat fatigue Ride out the mood swings Remember it will pass
Sex during pregnancy
Staying intimate
Labor and delivery worries
Educate yourself about childbirth Map your route Install an infant car seat Keep a copy of the birth plan Pack your bags Manage communications
Common anxieties
Take action Stay involved
Pregnancy calendar How to respond
Part 2 - Pregnancy Month by Month
Chapter 4 - Month 1: Weeks 1 to 4
Baby’s growth
Week by week X and Y
Your body changes
What’s happening and where Estimating your due date Baby’s sex: Can parents choose?
Your emotions
Mixed feelings Mood swings Your partner’s reaction Your relationship with your partner
Scheduling a prenatal checkup
Getting yourself prepped Exercise of the month
Chapter 5 - Month 2: Weeks 5 to 8
Baby’s growth
Week by week Can stress cause miscarriage? What to avoid
Your body changes
What’s happening and where Spotting Exercise of the month
Coping with morning sickness
Hormones and more How to ease the queasiness The ‘warmed up’ effect
Your emotions
Anticipation Worries and concerns
Prenatal checkup
What’s going to happen? First appointment checklist
Twins, triplets, quads and more
How multiples are made Fraternal vs. identical What it means for mom Possible complications
Chapter 6 - Month 3: Weeks 9 to 12
Baby’s growth
Week by week
Your body changes
What’s happening and where That pregnancy glow
Your emotions
Dealing with body image
Prenatal checkup
Prenatal tests: Yes, no, not sure? Boy or girl: Do you want to know? Exercise of the month Sex during pregnancy
Chapter 7 - Month 4: Weeks 13 to 16
Baby’s growth
Week by week
Your body changes
What’s happening and where ‘Congestion’ problems Exercise of the month
Your emotions
Feeling productive
Time to go shopping Prenatal checkup Thinking ahead to child care
Child care options Making your decision Work and family balance
Chapter 8 - Month 5: Weeks 17 to 20
Baby’s growth
Week by week
Your body changes
What’s happening and where Exercise of the month
Your emotions
Baby on the move! ‘Baby brain’
Prenatal checkup What is centering pregnancy? Cord blood banking
Public vs. private Should you consider it?
Chapter 9 - Month 6: Weeks 21 to 24
Baby’s growth
Week by week
Your body changes
What’s happening and where Is it false or true labor? Exercise of the month
Your emotions
Confronting your fears Being intimate
Prenatal checkup Childbirth classes
Different types What to look for Thinking ahead: Finding a care provider for your baby
Chapter 10 - Month 7: Weeks 25 to 28
Baby’s growth
Week by week
Your body changes
What’s happening and where
Your emotions
Enjoy a little break
Prenatal checkup
Exercise of the month Losing your personal space Glucose challenge testing Rh antibodies testing
The breast or bottle question
A tough decision for some women Sagging breasts
Chapter 11 - Month 8: Weeks 29 to 32
Baby’s growth
Week by week
Your body changes
What’s happening and where Changes in baby’s movement Exercise of the month Watching out for preterm labor
Your emotions
Handling anxiety Finding a comfortable sleep position
Prenatal checkup Baby gear essentials
Buying a car seat Buying a crib Buying a baby carrier
Chapter 12 - Month 9: Weeks 33 to 36
Baby’s growth
Week by week
Your body changes
What’s happening and where Exercise of the month
Preparing your body for labor
Kegel exercises Perineal massage
Your emotions
Preparing yourself for labor
Prenatal checkup
Strep test Checking baby’s position
Your birth plan
Birth plan checklist Pain control
Chapter 13 - Month 10: Weeks 37 to 40
Baby’s growth
Week by week How baby comes out
Your body changes
What’s happening and where Where the weight is going
Your emotions Time to relax
Techniques to keep you calm
Prenatal checkup
Exercise of the month When to call What to do when baby’s overdue
Chapter 14 - Labor and childbirth
While you wait
Review your plan Preregister at the hospital Pack your bag Try to relax
How your body prepares
Common questions Labor signals Position and station Signs you’re in labor Can you kick-start labor?
It’s time! — or is it?
False alarms What’s that for?
Stages of labor and childbirth
What does labor feel like? Stage 1 Labor positions Factors that can speed or slow labor Back labor How baby comes out Stage 2 Stage 3
If you’re the labor coach
During early labor During active labor During transition and delivery During pushing and delivery
Chapter 15 - Cesarean birth
When is a C-section done?
What about elective C-sections?
The risks
Risks for you Risks for your baby Is there a limit? Dealing with the unexpected
What you can expect
Preparation The operating room The recovery room
After surgery
Recovery Your partner’s involvement Restrictions Possible complications
Part 3 - Baby Is Finally Here
Chapter 16 - Your newborn
Your baby’s appearance
Head Skin Hair Eyes Jennifer’s story
Newborn care
Examinations Treatments and vaccinations Screening tests
Circumcision
Issues to consider How it’s done Circumcision care
Newborn issues
Jaundice Infection Learning to eat
The premature newborn
The setting The neonatal intensive care unit team What baby may look like Getting involved Complications of prematurity When your baby is hospitalized
Chapter 17 - Taking baby home
Your baby’s world
Reflexes and senses Crying Swaddling baby Coping with colic Eating and sleeping Developing good sleep habits ‘Back’ to sleep Peeing and pooping First bowel movements
Baby-care basics
Holding your baby Changing diapers Diaper rash Bathing Skin care Cradle cap Umbilical cord care Nail care Clothing
Twins, triplets or more
Getting through the first weeks
Chapter 18 - Issues for mom
Breast care
Engorgement Leaking milk Sore or cracked nipples Blocked ducts
Bowel and urination problems
Hemorrhoids Bowel movements Urine leakage Difficulty urinating
Healing
Afterpains Episiotomies and tears Vaginal discharge
Getting back into shape
Fatigue Hair and skin Weight loss Exercise
The baby blues
Causes Dealing with the blues Signs and symptoms Is it more than the blues?
Baby bonding
Give it time
Chapter 19 - Managing as parents
Early survival tips
Tackling transitional stress Getting enough sleep When sleep becomes a struggle Negotiating household chores Paying for baby
Parenting as a team
Common feelings after childbirth The importance of support Setting the tone What makes a strong, healthy family?
Finding time for yourself and each other
Getting away on your own Getting away together Sex after pregnancy
Single parenthood Hang in here
Part 4 - Important Decisions of Pregnancy
Chapter 20 - Genetic screening
What is it?
Different types of genetic tests
Issues to consider
8 key questions
Family history screening
Population-based screening Genetic diseases
How it’s done Understanding the results
Chapter 21 - Prenatal testing
Issues to consider
6 key questions
The tests
Ultrasound First trimester screening Second trimester screening, or quad screening Amniocentesis Speeding up test results Chorionic villus sampling Percutaneous umbilical cord sampling When the results indicate a problem
Late pregnancy tests
Fetal nonstress and stress tests Biophysical profile testing Doppler ultrasound
Chapter 22 - Breast-feeding
5 key questions Breast-feeding
Milk production Benefits for baby Benefits for mother Pros vs. cons When breast-feeding may not be an option Getting started Feeding positions Nursing basics Breast care Keeping yourself healthy Breast-feeding multiples Pumping your breasts Storing breast milk Going back to work Introducing a bottle
Bottle-feeding
Pros vs. cons Bottle-feeding basics Be flexible Getting started Preparing formula Feeding tips Getting into position
Chapter 23 - Pain relief during childbirth
Issues to consider Your options
Pain medications Natural methods
Pain medications
Epidural block Spinal block Combined spinal epidural Receiving an epidural block Narcotics Local anesthetic Pudendal block Tranquilizers
Natural methods
Breathing techniques Relaxation techniques Other techniques
Chapter 24 - Elective cesarean birth
Issues to consider Benefits vs. risks
Maternal benefits Maternal risks Fetal risks
Making your decision
Chapter 25 - Vaginal birth after a cesarean birth
Benefits vs. risks
Benefits of VBAC Risks of VBAC
Issues to consider
Previous incision Reason for previous C-section Who might not be a candidate
Tips for planning a VBAC
Chapter 26 - Contraception after delivery
Issues to consider Breast-feeding and contraception
Fertility Hormones and breast milk Vaginal dryness
Options
Hormonal methods Barrier methods Intrauterine devices Permanent methods Natural family planning methods Emergency methods
Making your decision
Part 5 - Symptoms Guide
Abdominal discomfort Abdominal pressure Abdominal tenderness Acne Allergies Baby’s hiccups Baby’s kicks Backache Black line Bleeding gums Blurry vision Breast discharge Breast enlargement Breast tenderness Buttock and leg pain Carpal tunnel syndrome Clumsiness Constipation Contractions Cramping Dizziness and faintness Dreams Enlarged veins Excessive salivation Eye changes Facial skin darkening Fatigue Feeling warm Fluid leakage Food aversions Food cravings Forgetfulness Gas and bloating Gum disease Headaches Heartburn Hemorrhoids Hip pain Hunger Increased heart rate Insomnia Irrational fears Itchiness Leg cramps Mood swings Morning sickness Mucous discharge Navel soreness Nesting Nipple darkening Nosebleeds Pelvic pressure Perineal aching Perspiration Pubic bone pain Rashes Rectal bleeding Red palms and soles Rib tenderness Round ligament pain Sensitivity to smells Shortness of breath Skin tags Snoring Stretch marks Stuffy nose Swelling Swollen feet Thirst Urinary tract infections Urinating frequently Urine leakage Vaginal bleeding Vaginal discharge Varicose veins Vomiting Yeast infections
Part 6 - Complications of Pregnancy and Childbirth
Chapter 27 - Issues during pregnancy
Blood concerns
Rhesus factor incompatibility Iron deficiency anemia
Depression Early labor
Making the best of bed rest
Excessive vomiting Gestational diabetes Infection
Chickenpox Cytomegalovirus Fifth disease German measles Group B streptococcus Herpes HIV and AIDS Listeriosis Toxoplasmosis
Placental problems
Placental abruption Placental previa
Preeclampsia Slowed fetal growth
Chapter 28 - Problems of labor and childbirth
Labor that fails to start
Inducing labor Oxytocin
Labor that fails to progress
Prolonged early labor Prolonged active labor Assisted birth Prolonged pushing
Baby in an abnormal position
Facing up Awkward angle Head too big Breech Lying sideways
Intolerance of labor
Umbilical cord prolapse Umbilical cord compression Decreased fetal heart rate
Chapter 29 - Managing mom’s health concerns
Pre-existing health issues
Asthma Cancer Depression Diabetes Epilepsy Heart disease Hepatitis B High blood pressure Immune thrombocytopenic purpura Inflammatory bowel disease Lupus Phenylketonuria Rheumatoid arthritis Sexually transmitted infections Sickle cell disease Thyroid disease Uterine fibroids
Postpartum concerns
Blood clots Excessive bleeding Infection Postpartum depression Self-care for postpartum depression
Chapter 30 - Pregnancy loss
Miscarriage
Signs and symptoms Causes What doesn’t cause miscarriage? Types of miscarriages Seeing a doctor Treatment Recovery Recurrent pregnancy loss
Ectopic pregnancy
Signs and symptoms Treatment Future pregnancies
Molar pregnancy
Signs and symptoms Treatment
Cervical incompetence
Signs and symptoms Treatment Coping with pregnancy loss
Trying again
Emotional recovery Your partner Physical recovery Tips for future pregnancies
Additional Resources Glossary Index
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