Roger W
. Harms, M.D.
Editor in Chief
Associate Medical Editors
Robert V. Johnson, M.D. Mary M. Murry, C.N.M.
Part 1
: Pregnancy, childbirth and your newborn
......................................................
1
Introduction Preparing to have a baby
......................................................................
3
Before pregnancy: Giving baby the best
..............................................
3
Nutrition: Make every bite count
..........................................................
4
Exercise: Pace it for pregnancy
............................................................
17
Lifestyle: Living for two
......................................................................
20
Medications: Take with care
................................................................
25
Work: Plan ahead
..................................................................................
27
Pregnancy timing: Does age matter?
..................................................
35
: Weeks 1 to 4
..........................................................................
43
Chapter 1 Month 1
Your baby’s growth
..............................................................................
43
Your body
................................................................................................
48
Your emotions
........................................................................................
52
Appointments with your health care provider
................................
54
When to call a health care professional
..............................................
56
: Weeks 5 to 8
..........................................................................
57
Chapter 2 Month 2
Your baby’s growth
..............................................................................
57
Your body
................................................................................................
60
Your emotions
........................................................................................
63
Appointments with your health care provider
................................
65
When to call a health care professional
..............................................
70
: Weeks 9 to 12
........................................................................
71
Chapter 3 Month 3
Your baby’s growth
..............................................................................
71
Your body
................................................................................................
73
Your emotions
........................................................................................
75
Appointments with your health care provider
................................
76
When to call a health care professional
..............................................
77
: Weeks 13 to 16
......................................................................
79
Chapter 4 Month 4
Your baby’s growth
..............................................................................
79
Your body
................................................................................................
81
Your emotions
........................................................................................
86
Appointments with your health care provider
................................
86
When to call a health care professional
..............................................
88
Twins, triplets and quads — Oh my!
........................................................
90
: Weeks 17 to 20
......................................................................
93
Chapter 5 Month 5
Your baby’s growth
..............................................................................
93
Your body
................................................................................................
95
Your emotions
........................................................................................
98
Appointments with your health care provider
................................
99
When to call a health care professional
............................................
100
Chapter 6 Month 6
: Weeks 21 to 24
....................................................................
103
Your baby’s growth
............................................................................
103
Your body
.......
Your emotions
......................................................................................
108
Appointments with your health care provider
..............................
109
When to call a health care professional
............................................
110
: Weeks 25 to 28
....................................................................
113
Chapter 7 Month 7
Your baby’s growth
............................................................................
113
Your body
..............................................................................................
114
Your emotions
......................................................................................
117
Appointments with your health care provider
..............................
117
When to call a health care professional
............................................
120
: Weeks 29 to 32
....................................................................
123
Chapter 8 Month 8
Your baby’s growth
............................................................................
123
Your body
..............................................................................................
124
Your emotions
......................................................................................
128
Appointments with your health care provider
..............................
129
When to call a health care professional
............................................
130
: Weeks 33 to 36
....................................................................
133
Chapter 9 Month 9
Your baby’s growth
............................................................................
133
Your body
..............................................................................................
134
Your emotions
......................................................................................
140
Appointments with your health care provider
..............................
141
When to call a health care professional
............................................
143
: Weeks 37 to 40
..................................................................
145
Chapter 10 Month 10
Your baby’s growth
............................................................................
145
Your body
..............................................................................................
147
Your emotions
......................................................................................
150
Appointments with your health care provider
..............................
151
When to call a health care professional
............................................
152
Chapter 11 Labor and childbirth
..........................................................................
155
Making those final preparations
......................................................
155
How your body prepares for labor
..................................................
160
Is
it time to go to the hospital?
..........................................................
166
The stages of labor and childbirth
....................................................
167
What you can do as the labor coach
................................................
180
Chapter 12 Caesarean birth
..................................................................................
187
Why a Caesarean birth might be necessary
....................................
187
Risks of Caesarean birth
....................................................................
192
Managing anxiety about Caesarean birth
........................................
194
What you can expect during a Caesarean birth
..............................
195
Recovery from Caesarean birth
........................................................
200
Post-Caesarean restrictions
204
Possible post-Caesarean complications............
205
Chapter 13 Your newborn
207
Your baby’s appearance
208
Initial health care for the newborn.......................
212
Common newborn problems..............
215
The premature newborn......................
217
Chapter 14 Taking your baby home
....................................................................
225
Your baby’s world
..............................................................................
225
Baby-care basics
..................................................................................
235
Bringing home babies: Twins or more
..............................................
250
Chapter 15 Postpartum care for moms
................................................................
251
Breast care
............................................................................................
251
Healing from an episiotomy or tear
................................................
253
Fatigue
..................................................................................................
254
Bowel and urination problems
..........................................................
254
Afterpains
............................................................................................
256
Other postpartum changes
................................................................
257
Weight loss
............................................................................................
258
The postpartum checkup
....................................................................
259
Emotional and lifestyle changes
........................................................
260
Part 2
: Decision guides for pregnancy, childbirth and parenthood
..................
267
Understanding genetic carrier screening for prospective parents
....
269
Choosing your health care provider for pregnancy
............................
277
Understanding prenatal testing
..............................................................
289
Trying again after a pregnancy loss
........................................................
315
Managing travel during pregnancy
........................................................
321
Understanding pain relief choices in childbirth
..................................
325
Considering vaginal birth after Caesarean birth
..................................
345
Exploring elective Caesarean birth
..........................................................
351
Considering circumcision for your son
..................................................
355
Choosing your baby’s health care provider
..........................................
359
The breast or the bottle?
............................................................................
363
Contraceptive choices after delivery
......................................................
389
Returning to work
......................................................................................
401
Thinking about when to have another child
........................................
407
Part 3
: Pregnancy reference guide
............................................................................
413
Alphabetical listing of the common concerns and questions
of pregnancy, including self-care tips and advice on when
to seek medical help
............................................................................
415
Part 4
: Complications of pregnancy and childbirth
............................................
505
Maternal health problems and pregnancy
Asthma
..................................................................................................
507
Cancer
....................................................................................................
508
High blood pressure
............................................................................
511
Depression
............................................................................................
512
Diabetes
................................................................................................
513
Epilepsy
................................................................................................
515
Gallstones
..............................................................................................
517
Heart disease
........................................................................................
518
Hepatitis B
............................................................................................
519
Herpes
..................................................................................................
520
HIV/AIDS
..............................................................................................
521
Hyperthyroidism
................................................................................
522
Hypothyroidism
..................................................................................
523
Immune thrombocytopenic purpura
................................................
524
Inflammatory bowel disease
..............................................................
525
Lupus erythematosus
..........................................................................
526
Phenylketonuria
..................................................................................
527
Rheumatoid arthritis
..........................................................................
528
Sexually transmitted diseases
............................................................
528
Sickle cell disease
................................................................................
530
Uterine fibroids
....................................................................................
531
Problems during pregnancy
Preterm labor
........................................................................................
533
Pregnancy loss
......................................................................................
537
Depression
............................................................................................
545
Gestational diabetes
............................................................................
547
Hyperemesis gravidarum
..................................................................
550
Intrauterine growth restriction
..........................................................
550
Iron deficiency anemia
........................................................................
553
Placental abruption
............................................................................
554
Placenta previa
....................................................................................
555
Preeclampsia
........................................................................................
557
Rhesus factor incompatibility
............................................................
559
Infections during pregnancy
Chickenpox
..........................................................................................
561
Cytomegalovirus
..................................................................................
562
Fifth disease
..........................................................................................
563
Group B streptococcus
........................................................................
563
Listeriosis
..............................................................................................
564
German measles (rubella)
..................................................................
565
Toxoplasmosis
......................................................................................
565
Problems of labor and childbirth
Labor that fails to start
........................................................................
567
Labor that fails to progress
................................................................
570
Assisted birth
......................................................................................
570
Complications with the baby
............................................................
573
Fetal intolerance of labor
....................................................................
577
Postpartum conditions
Deep vein thrombophlebitis
..............................................................
579
Endometritis
........................................................................................
580
Mastitis
..................................................................................................
581
Post-Caesarean wound infection
......................................................
582
Postpartum bleeding
..........................................................................
582
Postpartum depression
......................................................................
585
Urinary tract infection
........................................................................
587
Glossary
................................................................................................
589
Index
......................................................................................................
595
. Harms, M.D.
Editor in Chief
Associate Medical Editors
Robert V. Johnson, M.D. Mary M. Murry, C.N.M.
Part 1
: Pregnancy, childbirth and your newborn
......................................................
1
Introduction Preparing to have a baby
......................................................................
3
Before pregnancy: Giving baby the best
..............................................
3
Nutrition: Make every bite count
..........................................................
4
Exercise: Pace it for pregnancy
............................................................
17
Lifestyle: Living for two
......................................................................
20
Medications: Take with care
................................................................
25
Work: Plan ahead
..................................................................................
27
Pregnancy timing: Does age matter?
..................................................
35
: Weeks 1 to 4
..........................................................................
43
Chapter 1 Month 1
Your baby’s growth
..............................................................................
43
Your body
................................................................................................
48
Your emotions
........................................................................................
52
Appointments with your health care provider
................................
54
When to call a health care professional
..............................................
56
: Weeks 5 to 8
..........................................................................
57
Chapter 2 Month 2
Your baby’s growth
..............................................................................
57
Your body
................................................................................................
60
Your emotions
........................................................................................
63
Appointments with your health care provider
................................
65
When to call a health care professional
..............................................
70
: Weeks 9 to 12
........................................................................
71
Chapter 3 Month 3
Your baby’s growth
..............................................................................
71
Your body
................................................................................................
73
Your emotions
........................................................................................
75
Appointments with your health care provider
................................
76
When to call a health care professional
..............................................
77
: Weeks 13 to 16
......................................................................
79
Chapter 4 Month 4
Your baby’s growth
..............................................................................
79
Your body
................................................................................................
81
Your emotions
........................................................................................
86
Appointments with your health care provider
................................
86
When to call a health care professional
..............................................
88
Twins, triplets and quads — Oh my!
........................................................
90
: Weeks 17 to 20
......................................................................
93
Chapter 5 Month 5
Your baby’s growth
..............................................................................
93
Your body
................................................................................................
95
Your emotions
........................................................................................
98
Appointments with your health care provider
................................
99
When to call a health care professional
............................................
100
Chapter 6 Month 6
: Weeks 21 to 24
....................................................................
103
Your baby’s growth
............................................................................
103
Your body
.......
Your emotions
......................................................................................
108
Appointments with your health care provider
..............................
109
When to call a health care professional
............................................
110
: Weeks 25 to 28
....................................................................
113
Chapter 7 Month 7
Your baby’s growth
............................................................................
113
Your body
..............................................................................................
114
Your emotions
......................................................................................
117
Appointments with your health care provider
..............................
117
When to call a health care professional
............................................
120
: Weeks 29 to 32
....................................................................
123
Chapter 8 Month 8
Your baby’s growth
............................................................................
123
Your body
..............................................................................................
124
Your emotions
......................................................................................
128
Appointments with your health care provider
..............................
129
When to call a health care professional
............................................
130
: Weeks 33 to 36
....................................................................
133
Chapter 9 Month 9
Your baby’s growth
............................................................................
133
Your body
..............................................................................................
134
Your emotions
......................................................................................
140
Appointments with your health care provider
..............................
141
When to call a health care professional
............................................
143
: Weeks 37 to 40
..................................................................
145
Chapter 10 Month 10
Your baby’s growth
............................................................................
145
Your body
..............................................................................................
147
Your emotions
......................................................................................
150
Appointments with your health care provider
..............................
151
When to call a health care professional
............................................
152
Chapter 11 Labor and childbirth
..........................................................................
155
Making those final preparations
......................................................
155
How your body prepares for labor
..................................................
160
Is
it time to go to the hospital?
..........................................................
166
The stages of labor and childbirth
....................................................
167
What you can do as the labor coach
................................................
180
Chapter 12 Caesarean birth
..................................................................................
187
Why a Caesarean birth might be necessary
....................................
187
Risks of Caesarean birth
....................................................................
192
Managing anxiety about Caesarean birth
........................................
194
What you can expect during a Caesarean birth
..............................
195
Recovery from Caesarean birth
........................................................
200
Post-Caesarean restrictions
204
Possible post-Caesarean complications............
205
Chapter 13 Your newborn
207
Your baby’s appearance
208
Initial health care for the newborn.......................
212
Common newborn problems..............
215
The premature newborn......................
217
Chapter 14 Taking your baby home
....................................................................
225
Your baby’s world
..............................................................................
225
Baby-care basics
..................................................................................
235
Bringing home babies: Twins or more
..............................................
250
Chapter 15 Postpartum care for moms
................................................................
251
Breast care
............................................................................................
251
Healing from an episiotomy or tear
................................................
253
Fatigue
..................................................................................................
254
Bowel and urination problems
..........................................................
254
Afterpains
............................................................................................
256
Other postpartum changes
................................................................
257
Weight loss
............................................................................................
258
The postpartum checkup
....................................................................
259
Emotional and lifestyle changes
........................................................
260
Part 2
: Decision guides for pregnancy, childbirth and parenthood
..................
267
Understanding genetic carrier screening for prospective parents
....
269
Choosing your health care provider for pregnancy
............................
277
Understanding prenatal testing
..............................................................
289
Trying again after a pregnancy loss
........................................................
315
Managing travel during pregnancy
........................................................
321
Understanding pain relief choices in childbirth
..................................
325
Considering vaginal birth after Caesarean birth
..................................
345
Exploring elective Caesarean birth
..........................................................
351
Considering circumcision for your son
..................................................
355
Choosing your baby’s health care provider
..........................................
359
The breast or the bottle?
............................................................................
363
Contraceptive choices after delivery
......................................................
389
Returning to work
......................................................................................
401
Thinking about when to have another child
........................................
407
Part 3
: Pregnancy reference guide
............................................................................
413
Alphabetical listing of the common concerns and questions
of pregnancy, including self-care tips and advice on when
to seek medical help
............................................................................
415
Part 4
: Complications of pregnancy and childbirth
............................................
505
Maternal health problems and pregnancy
Asthma
..................................................................................................
507
Cancer
....................................................................................................
508
High blood pressure
............................................................................
511
Depression
............................................................................................
512
Diabetes
................................................................................................
513
Epilepsy
................................................................................................
515
Gallstones
..............................................................................................
517
Heart disease
........................................................................................
518
Hepatitis B
............................................................................................
519
Herpes
..................................................................................................
520
HIV/AIDS
..............................................................................................
521
Hyperthyroidism
................................................................................
522
Hypothyroidism
..................................................................................
523
Immune thrombocytopenic purpura
................................................
524
Inflammatory bowel disease
..............................................................
525
Lupus erythematosus
..........................................................................
526
Phenylketonuria
..................................................................................
527
Rheumatoid arthritis
..........................................................................
528
Sexually transmitted diseases
............................................................
528
Sickle cell disease
................................................................................
530
Uterine fibroids
....................................................................................
531
Problems during pregnancy
Preterm labor
........................................................................................
533
Pregnancy loss
......................................................................................
537
Depression
............................................................................................
545
Gestational diabetes
............................................................................
547
Hyperemesis gravidarum
..................................................................
550
Intrauterine growth restriction
..........................................................
550
Iron deficiency anemia
........................................................................
553
Placental abruption
............................................................................
554
Placenta previa
....................................................................................
555
Preeclampsia
........................................................................................
557
Rhesus factor incompatibility
............................................................
559
Infections during pregnancy
Chickenpox
..........................................................................................
561
Cytomegalovirus
..................................................................................
562
Fifth disease
..........................................................................................
563
Group B streptococcus
........................................................................
563
Listeriosis
..............................................................................................
564
German measles (rubella)
..................................................................
565
Toxoplasmosis
......................................................................................
565
Problems of labor and childbirth
Labor that fails to start
........................................................................
567
Labor that fails to progress
................................................................
570
Assisted birth
......................................................................................
570
Complications with the baby
............................................................
573
Fetal intolerance of labor
....................................................................
577
Postpartum conditions
Deep vein thrombophlebitis
..............................................................
579
Endometritis
........................................................................................
580
Mastitis
..................................................................................................
581
Post-Caesarean wound infection
......................................................
582
Postpartum bleeding
..........................................................................
582
Postpartum depression
......................................................................
585
Urinary tract infection
........................................................................
587
Glossary
................................................................................................
589
Index
......................................................................................................
595