Mayo Clinic Guide to a Healthy Pregnancy: From Doctors Who Are Parents, Too! PDF
Preview Mayo Clinic Guide to a Healthy Pregnancy: From Doctors Who Are Parents, Too!
Copyright Mayo Clinic Guide to a Healthy Pregnancy © 2011 Mayo Foundation for Medical Education and Research All rights reserved. No part of this book may be reproduced or used in any form or by any means, electronic or mechanical, including photocopying, or by any information storage and retrieval sys- tem, without permission in writing from the publisher, except by a reviewer, who may quote brief passages in review. Address inquiries to Good Books, Rights and Permissions, P.O. Box 419, Inter- course, PA 17534 Print edition published by Good Books Publisher Merle Good Executive Editor Phyllis Pellman Good Assistant Publisher Kate Good First electronic edition published 2011 by RosettaBooks LLC, New York If you would like more print copies of this book, contact Good Books, Intercourse, PA 17534; 800-762-7171; www.GoodBooks.com For bulk print edition sales to employers, member groups and health-related companies, contact Mayo Clinic Health Solutions, 200 First St. SW, Rochester, MN 55905, or SpecialSalesMay- MAYO CLINIC Medical Editors Roger Harms, M.D. Myra Wick, M.D., Ph.D. Managing Editor Karen Wallevand Senior Product Manager, Books Christopher Frye Director, Health Information Jay Maxwell Creative Director Wes Weleczki Art Directors Stewart Koski, Richard Resnick Editorial Research Librarians Anthony Cook, Amanda Golden, Deirdre Herman, Erika Riggin Proofreaders Miranda Attlesey, Donna Hanson, Julie Maas Indexer Steve Rath Contributing Reviewers and Writers Rachel Bartony; Kristi Boldt, M.D.; Brian Brost, M.D.; Katherine Brost, R.D.; Petra Casey, M.D.; Walter Cook, M.D.; Paula Craigo, M.D.; Douglas Creedon, M.D., Ph.D.; Anita DeAn- gelis, R.N.; Matthew Hopkins, M.D.; Keith Johansen, M.D.; Robert Johnson, M.D.; Mar- garet Long, M.D.; Mary Marnach, M.D.; Sharon Munns, R.N.; Mary Murry C.N.M.; Carl Rose, M.D.; Susan Sobolewski, R.N.; Cheryl Stuhldreher, I.B.C.L.C.; Jennifer Tessmer- Tuck, M.D.; Kyle Traynor, M.D.; William Watson, M.D. Medical illustrations and photo credits: A Colour Atlas of Life Before Birth, Marjorie A. England, © 1990; Getty Images; Joseph Kane at Mayo Clinic; John W. Karapelou; Mayo Clinic staffllustrators; Gary Allen Ness; PunchStock; Veer. Introduction There are few events in anyone’s life that rival the signifcance — and the joy — of childbirth. This new person you’re bringing into the world will become so important to you that you’ll do anything to nurture and protect him or her. Your eagerness to form this unbreakable bond is refected in your interest in this book. You want to do all you can to help ensure a healthy pregnancy and a wonderful beginning to your child’s life. Mayo Clinic Guide to a Healthy Pregnancy is an authoritative reference manual that you can trust. This book is the work of a team of pregnancy ex- perts who fnd nothing in medicine more exciting and satisfying to experience than the development and birth of a child. It’s our sincere wish that you fnd this book helpful and meaningful as you anticipate your new baby. Roger Harms, M.D., is a specialist in the Department of Obstetrics and Gynecology. In his 32 years at Mayo Clinic, Dr. Harms has guided thousands of women through pregnancy and childbirth. Dr. Harms is an associate pro- fessor at College of Medicine, Mayo Clinic, and a recipient of the Mayo Clin- ic Distinguished Educator Award. Dr. Harms says fatherhood has been his greatest learning experience. Myra Wick, M.D., Ph.D., is a specialist in the Department of Obstetrics and Gynecology and the Department of Medical Genetics. She is also an assistant professor at College of Medicine, Mayo Clinic. As a mother of four children, Dr. Wick can relate to pregnancy from both a doctor’s and a mother’s per- spective. How to use this book Mayo Clinic Guide to a Healthy Pregnancy is a comprehensive and easy-to-use how-to manual that provides answers and explanations to all of the questions and concerns of expectant mothers and fathers. To help you easily fnd what you’re looking for, the book is divided into six sections. Part 1: Enjoying a Healthy Pregnancy From how to get pregnant, to eating and exercise during your pregnancy, to what you should know about medications, this section covers it all. Here you’ll also fnd answers to many of those questions you’ve been wondering about. Part 2: Pregnancy Month by Month This section provides weekly and monthly insights into your baby’s develop- ment and your own physical and emotional changes. It also includes detailed information on labor and childbirth. Part 3: Baby Is Finally Here For frst-time parents, caring for a newborn can be nerve-racking. The in- formation and advice in Part 3 can help you get through those frst couple of weeks. Part 4: Important Decisions of Pregnancy During pregnancy, you may be confronted with a number of decisions, big and small. Part 4 is designed to help you determine the best option for you in your particular situation. Part 5: Symptoms Guide Here you’ll fnd helpful self-care tips for backache, fatigue, heartburn, leg cramps, swelling and many more common concerns of pregnancy. The symp- toms are listed alphabetically to help you easily fnd them. Part 6: Complications of Pregnancy and Childbirth Most pregnancies proceed smoothly, but sometimes problems can develop in mother or baby. The most common complications, and how they’re treated, are discussed here. 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 infec- tions • 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 • Prop- er 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 • House- hold cleaners • Paint fumes • Litter boxes • Pregnancy and cavities • Water parks Chapter 3 For dads and partners
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