The Pregnancy Encyclopedia

354 Pages·2016·39.79 MB·english

by  Paula Amato M.D. (consultant editor)

THE
Pregnancy
ENCYCLOPEDIA

THE
Pregnancy
ENCYCLOPEDIA
All your questions answered
Consultant Editor Paula Amato, M.D.
Editor-in-chief Dr. Chandrima Biswas, Consultant Obstetrician
Editor-in-chief Dr. Chandrima Biswas
Consultants Dr. Anastasia Alcock, Dr. Jenny Hall,
Dr. Su Laurent, Professor Lesley Page
US Editorial Consultant Lisa Fields
US Medical Consultant Dr. Paula Amato
Writers Judy Barratt, Claire Cross, Susannah Steel
Senior Editors Carrie Love, Victoria Heyworth-Dunne
US Editor Jane Perlmutter
US Senior Editor Shannon Beatty
Senior Art Editors Nicola Rodway, Alison Gardner, Collette Sadler
Project Editors Shashwati Tia Sarkar, Victoria Marshallsay,
Dawn Bates, Hilary Mandleberg, Ruth O’Rourke
Project Designers Emma Forge, Tom Forge
Jacket Designer Nicola Powling
Jacket Editor Francesca Young
Preproduction Producer Andy Hilliard
Senior Print Producer Stephanie McConnell
Creative Technical Support Sonia Charbonnier
New illustrations Peter Bull
New photography Ruth Jenkinson
Picture Researchers Lucy Claxton, Martin Copeland
Managing Editor Lisa Dyer
Managing Art Editor Marianne Markham
Art Director Maxine Pedliham
Publishing Director Mary-Clare Jerram
Every effort has been made to ensure that the information in this book is
complete and accurate. However, neither the publisher nor the author is
engaged in rendering professional advice or services to the individual reader.
The ideas, procedures, and suggestions contained in this book are not
intended as a substitute for consulting with your healthcare provider. All
matters regarding the health of you and your baby require medical supervision.
Neither the publishers nor the author shall be liable or responsible for any loss
or damage allegedly arising from any information or suggestion in this book.
First American Edition, 2016
Published in the United States by DK Publishing
345 Hudson Street, New York, New York 10014
Copyright © 2016 Dorling Kindersley Limited
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Contents
PRACTICAL PREPARATIONS 172
Foreword 6
How to use this book 8 Practical tips for Mom 174
Preparing for your baby 184
WELCOME TO YOUR PREGNANCY 10 LABOR AND BIRTH 196
Your pregnancy time line 12 Before labor begins 198
First trimester 14 Being in labor 204
Second trimester 18 Pain relief in labor 226
Third trimester 22 Cesarean section 232
Right after birth 236
CONCEPTION 26
Trying to conceive 28 THE POSTPARTUM PERIOD 240
Pregnant! 38 The first 12 weeks 242
Birth recovery 258
NUTRITION, EXERCISE, AND WELL-BEING 46
Breast-feeding 266
Nutrition 48
Bottle-feeding your baby 278
Exercise and well-being 62
Taking care of your baby 282
PRENATAL CARE 76
Planning for the future 296
Your care explained 78
SPECIAL SITUATIONS 302
Ultrasounds and tests 92
Miscarriage 304
ALL ABOUT YOU 104
Special-care babies 310
Lifestyle changes 106
Issues at birth 320
Physical and emotional changes 118
Special needs 326
Common complaints 128
Complications 138
Glossary 334
YOUR GROWING BABY 148 Useful resources 338
From cell to baby 150 Index 340
My baby is unique 166 Acknowledgments 352
Foreword
Your pregnancy journey, the first time and each time you embark on it, is incredible
and unique to you. From my professional working life in obstetrics, and seeing
patients from all sorts of backgrounds, I have found there are as many different
pregnancies and birth experiences as there are individual women.
Finding out you are pregnant for the first time, or indeed that are unusually good or unusually disappointing.
the second, third, or fourth times, can bring on a myriad Sometimes search results are informative but too
of emotions—joy, excitement, reticence, fear, awe, curiosity, often they can be confusing and lead to further
and, of course, anxiety. These feelings are entirely natural, anxiety about our own experience.
as is the need for advice. In the past, societies with large
families and different social structures created a network Your questions answered
of sisterly support to help and inform women about all On the following pages, we have aimed to provide the
matters pregnancy related. By contrast, today we may balanced advice and support you need at one of the most
talk about our pregnancy to only a handful of family important times of your life. We have covered every stage:
members and girlfriends; and to our obstetrician or pre-conception, the pregnancy, labor, birth, and even the
midwife every couple of weeks. first three monthst of your baby’s life. We have arranged
Often, our first step is to perform an Internet the chapters by theme, and question, helping you to find
search. Here there is an abundance of information (and the answers you are seeking, as well as other related
misinformation), and anecdotes of the pregnancy and subjects you might want to know about. A timetable of
childbirth experiences of other parents—including those prenatal care is outlined and expert advice is given on
Q
Who are the consultants?
Editor-in-chief Consultant Consultant
Dr. Chandrima Biswas Dr. Anastasia Alcock Dr. Jenny Hall
MRCOG MBBS MRCPCH MBBS DTM&H EdD RM ADM MSc PGDip(HE)
DPID DRCOG
Dr. Chandrima Biswas is clinical director at the Dr. Anastasia Alcock is a pediatrician specializing in Dr. Jenny Hall has been involved with the British
Whittington Hospital in London, and is also emergency medicine and infectious diseases. She is National Health Service for more than 35 years, as a
the obstetric lead for the North Central London currently working at the John Radcliffe Hospital in nurse and midwife and then as an educator. She is
Maternity Network. She is a fellow of the Royal Oxford, having graduated from Imperial College currently senior lecturer at Bournemouth University
College of Obstetrics and Gynaecology, and a former School of Medicine, London. Anastasia is the founder and researches particularly spirituality and dignity in
president of the Maternity and Newborn Forum of of The Prenatal Classroom, which provides prenatal care. She was the editor for The Practising Midwife
the Royal Society of Medicine. She specializes in and postpartum advice. She is the author of Your Journal for ten years and is currently associate editor
high-risk obstetrics, in particular the problems Baby’s First Year, which guides parents through the for Women & Birth journal. She is the author and
associated with maternal obesity. ups and downs of the first year. coauthor of a variety of midwifery articles and books.
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what is likely to occur during your pregnancy, from accurate account. Throughout, in-depth medical
procedures and ultrasounds to birth plans and labor information and authoritative advice will enable you
techniques. You will learn about nutrition and exercise, to feel confident about what to expect before, during,
and how to keep healthy, as well as the biological and after the birth, while information on lifestyle,
changes taking place in your body and your baby’s. There working, and well-being will help you have a balanced
are also sections on clothes to buy to accommodate your and joyful pregnancy, and look forward to meeting
increasingly large belly, and also what to buy to prepare the newest member of your family.
for your new arrival. You’ll find guidance on all concerns To all those contemplating pregnancy, or who
from common complaints during the first trimester to taking are already pregnant, I hope you will find that this
care of your newborn. When the time comes to seek advice fascinating book helps you understand and enjoy
from your own obstetrician, we have asked you to do so. the very beginning of your baby’s life.
Your journey to birth and beyond
The story of the beginnings of your baby’s life is told
in a visually beautiful, easy-to-read, and factually Dr. Chandrima Biswas
Consultant Consultant US Consultant Editor
Dr. Su Laurent Professor Lesley Page CBE Paula Amato
MRCP, FRCPCH PhD MSc BA RM RN M.D.
Honorary DSc HFRCM
Dr. Su Laurent has been a consulting pediatrician Professor Lesley Page is president of the Royal Dr. Paula Amato is a reproductive endocrinologist and
at Barnet Hospital, London since 1993. Her special College of Midwives. She was the first professor of is an associate professor at the Oregon Health and
interests include asthma, and the interaction between midwifery in the UK at Thames Valley University Science University (OHSU) in Oregon. She received her
the mind and body and how this affects physical and Queen Charlotte’s Hospital. She is a renowned degree from the University of Toronto, where she also
health. She has written several books on parenting international academic, advocate, and activist for completed her residency in obstetrics and gynecology.
and child health. She is the medical advisor to the midwives, mothers, and babies. She has contributed She was subsequently a fellow in reproductive
charity Child Bereavement UK and was the expert to the development of woman centered maternity care. endocrinology and infertility at the University of
pediatrician for Mother and Baby magazine for She has practiced midwifery in the community, hospital, California. She is board certified in obstetrics,
many years. and home-birth settings for more than 32 years. gynecology, reproductive endocrinology, and infertility.
How do I use this book?
The Pregnancy Encyclopedia is a one-stop reference that will guide and inform you throughout these special
nine months. Presented in an easy-to-navigate question-and-answer format, the book covers all aspects of
pregnancy and labor, and looks ahead to life with your brand-new baby and the first few weeks of family life.
HOW EACH CHAPTER IS ARRANGED
Chapters are arranged thematically, allowing you Introduction An overview
Navigation A mini contents list tells you gives some background to
to find the answers to all your questions on a topic
where to find the section you’re looking for questions you might have
in one place. Whether you want to learn all about
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Questions Informative Visual explanations Single question Key Side headings Steps Processes are
answers from trusted Tricky concepts are made topics are given a At-a-glance guide to the explained through Fun facts Lists of amazing
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mrnhrr thhal errirroootip?t ea tbiaaboyonbuso oecer nta eerudtolanOibofsltyle o nnl yrapa?sh hol ics ekr nso ioa iebplomidmtaBv. brccdbe) ypner eue l ?nfwn . treeiay t en e/lio u os t ai aIhye s l s atr i tefrl n,.’.nsk t s lt QTbprytit(oIauWobvnsrwfeofolasnei adfifalpwybui eeocgc unsetl’ior epaeloheocsolemienurt tn,smper hdsdlita s oe dphaaa aon,eastpnO v(oahuerrdsinna NlBves nea)nen i m cfEiO 3eecttc tlae ee hTe lTlg8aao 3 lepIbsHansR setnar ta7cs .twAcdsesheC rmtvn h bNs; Etiowieed Fovdi hrePeSt sneprwfe op VeoHedcgppi akg Etoep AutiaCusprbstRinnnkmL rloc- .SaeithIe p2sgds eCaaEphnaebd gel2 pp urh ii lnr.,ctlnne4ee l lsee htuaWosga – iiasetnofoste tnr2shoafu cnl hni fa5yerorwtybe o tnrs fh)efre,driIuCa. o cfi v m iYyi-tsimmrbs’mcteceest owhueoiaie msrhoeopueloiu ct ninutai rr strsibrwcnaeoprtiemi oroeo.eamacsl i , eu Fnn nnbha,lro puao l c i dloe dafefcatsrorof rlu b tetboietitravhrwownhr i ieeeaeengnpet i ld grnyi-gssnsclo,s le,oie rB, Oy na ao ONsyy ia ndTEnc hHl oa BcepsopCahbt“i 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aan ai t l fvtrmysodsooaslhsamnala nmsrirarlo ycailivitbb cbeeteddred aod u bat.ecpb l wnweco is(io ias be vepr lranzonstnriesbfihcrrseebmedtarbtaciciho st r hsgtnhasstitenhsa.rnirhuoi tbb re ieih neayeeae osna csas ttnchoIt,ydtwbt ose rvfdih net tsiafd, wc leoafean enk a) uaf l. eiccoehtsa iona n ,amrtgbsihoe hsle crnennu r)ud.nn)t i e . s hue aa e h rs e a ydss ae. l YOUR CARE EXPLAINED CARRYING TWINS OR MORE85❯❯ hsthlrofiwTyahWWnTws1GahooohfeentdeehwiiAo oorlarriighgphdhlltf tmue ehpetehhe Q tiuph olevarrrtftr eeed Si f yiuursbl gnaato tm oreeb PwHmh eo rlddgTrlo c ne,eok oe a es iyboa tOaastb saEreurihr ibthurh msinel noatlutsmgeL iht koPh dia lhpns, osgtueraDfuyt. on he ueahosne r- glsYbeuris dh r nop ipr chot tetBu Yy ts odntoptriheaubtpyyoaaaruo O iopt l,ro leyuooY sial co tlbssgif dnopl. rptUadreao by lbngh -ueouhBtenebtr lsat Rr ro Ssrnryy ara o-cHlasc gegeieplal nubnl ik ff,Tf heo/nnwpabB si yatg ituepe nsesosaey s cE ireyplprfpAsttyt smiiornna slhdegrplioncmPyo ceto cuB o 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MbbbtibYsyAoyipbISnnhmSooofaarrro Idtaeoe eluuubctGo iaakitaapt kS yr c atocemsts efaNwal Hknrhehmet s rtesa;iiraeuelo eSn puyohE dyhr cdusjg pr edlyai ke asiOlesh.ltanWt,dwsi rec h henWs tg nwyoF no ahmaics’o,aElmh ttoien aryhtnuAb i Les ln;hfoycfsydrt ueeon Lw oh uh s thhbe Pr oeuel i uistaedsealtsLnarr hcOh l rnbirp li rkfsAe bl iost’ysraoucs Oith aew nnTh ’iw cppwsnsebleogoRiorp Cihn. eybn oir-m noeslom H rAsogdloriikr Lwusepe tl mu a iEcnnltlAsptcspciadollhpo’ ootD iel tlnoTcmaeical.ivm ndo sk’ftloC .teStafeg wi O vpl wtnh tsHpis thaecrpoh geh eNhepsehar ne er sise awn ensss ? b snytcod bdhmieitecsao li r eeutydlsgoloenu i, reor.spi nnar nrlnae eu e s ua.nnt rtdrlotH i,dssl n feoeELme goa r so or. v kae nfmodre jntahtwse icmno oShrrpveneearoc mctfse atmerc iuentlushn.ts a dactler eesr h ctehle ecaa rnn oo IcboDsTfbsf ouyfer Aot etcnh ynhpYatKeto’ioeituto nuhIb u tnrluNertrrae ie e nsbtbmeGac igaafanshoeb b stc yvHe iyydesloedy’’o ossEu.t i e hhnrRms eigSleclsnai roo.uf t’ tOwfitutmGwccl ctehfceiFfihlieet olneFfi,o he sptrn annolltsu tTyangu rfll eiyHbduletbg n l orlrhbaesE sNmso entirntf ounn aei,afe od pB ryo tkardseetuo potr hkhwoRtst d lueaihehtyne niihEry g oel’ ni gcntlpoesnaAu o ginsfo uipit.vcenup’S hsrpteoAe.cp i eTl brtrste lls ni iecu ao.o moec.tbnn hkrroy reiH ens itegacs r tr f oe enodllya snqTTtsiptSoIbAniflMsiintuthaorurusn aeois o pcsemim ETs zigwdw blrttHSSSSSkcuuzt ykleivuehuhhhhheiAHiyylseesisnneo escolleeeee rh,s rfllagwlgss otihnu r seR kEs teo tmopc t mombta roekadsoueolwyupoitw e enecsmna ronLlfebr tewtpynn Ltaonokl iMpnsdhcl inYaeer gmcsirrsTow eayeuesdroE dhs tnhibaahogrInshsolhl sd nf edul ektpa ehayurTs steee fujuHi r fls ynnhere cone ga y rd arcoi mrDsoihuhdre edndn hhsosesun hlkUttuat l a n e iu c dattoeyatncwytlrhtmnrOachhretkrihel oa hir toNpds asslhrpber rfieanositedu orete s neperpW aBlsad estiirg reu“indcpd seonGbgl tarlsyls rlgsekbsseieeup.ea e yheded ahmsh y uraaclfNhn t otrtEneeehlt o oaesdit osce dtehiisud ap.etsrtuolreohrktR r kt a ssoea foesamr newdtam site mR. iuhos rr na t b n siemldTnot sebfwceoil oagai roShekhsudf.kEtdytrus ” uba t ie hi ecoui m e pgtriItamc nytyrfFtstadeh Tof nrhdnrhshh G otgoatehloi sn aLu engea ohu nvatstimyqghloasnhg lraesNrde noEuloam uet sudne.r e mcdrborisetet“rurX cat mo sl Sa emner .cdeaekmyrhn m onbi.sudo lneo p aoaoyebyauchiwtpe,upny l.tn rcsy rkpu.osresl dwk.n e ee s”a,x:anmb,i ua, nssywhrt roigcseaea.stgteirk eho r kfl tc.a ia y sics,ehsiec ,ti t h nx . BREAST-FEEDING LATCHING ON269❯❯ ❯❯40WHEN SPERM MEETS EGG PREGNANT!WTtatbAha rhmkeoie tsa2 hn ti0Ces u0tr rhts–1eheh 5L howte e0otta igh i0mnpnvOeg neemyro inTtasen t omfbs ehihgbal tpoiSrl aeirsliseunelao tnpaestd trnp eEcotenn 2m htr e no oc0im rbt ltfo 0.mayht R ynhpt–r e hs3eohutt eueh e0saus ghns 0reunmgsL ev dbr d sswfiieiepa nv rta5ecraO heattes–ryprhescm o2oesn liefun0 fi omfmOd g: atram hhealwi l l 2ed oelstiii h4hneponiKene ienug iah ttggsnetn ho t,elg orheeubtagsfui u’r s,esvbso st afj ieitl.atamatnhn .h aTryceOg.di leusrhT nl sr relmhels aay e sctoj oepesu e.tp rroenmfn2me aat ieyhftccrtse rrrohoo asmssaptoosTclee ammo hrsyrmeeee eo — rs nwcspapaa ri ewo lcnslrrpAw aa eismef tpidlhulmhosl iesni ia tktstedghtho e, aa ew wew tw bss aatihphhlrntredeiehepud rsltnt –mcp aohlz it ek nt uoooehe dernnfn deetg aoaitef gtjeeiu osTno.lp brrhnezbetl ete yia l ihl ileti mmsutzesagh c ee gdeziheicm osdogitkegsn hbna aigtaenrer ed’ an sap ,n.icne e tseaTsgslo gsplhucg ea ace.dTrwlielh d ebchneahdyet. r stophmeethrrmom aDysitootN hompuAecrr—Tehoa bh ovditaenin hdcb cdamoelyrutns i idio wdtstains hniaie—lengl c g s idtstt iiehp’troshltee neeto r hXrm rhmme obo wiauporn lsoyieeYet.w hse earn hseopruigrsaye.l cLeallyse sfrous rrormofp urctnohotdereo tconhtuaievt4 erencnmear hguudmcagoriccaoko allttseeetmoat.uu u oFstsshppe. s we oSert tirmihenitmlehgciez g esDrta he3(teNtttthaeiahohoAc ecef anh bhu fst eoolt l,p olcsaort ea c4hAspk ctrakup6hiyeesms selsne t a lsece f ru elpoahuislm)cnw nl orsoaiatno didnh tnpcobemha iedunaesrae, mso gs bwirfocht sgu ytr oushoe htse.cpstr esmeeaeotie ngs ttrnehpre hg mwttsleaseraha arotri yieattfhnsduhe r oas goar 2oitfih m ntf o3 rs geftt h lheaetneich st te zieo oreningn agg . 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THE CHAPTERS IN THIS BOOK
16Dhtruuim0mrienasgnt etbhr1a,i bsa yltl. i tmDh2eeev ymeolaouj3pro mrb aoebrngyt4a iinsss re aavpn5oidldv ,bi naognd6 dyin bstoyy s at7th ereme ceson ga8drn eoi zfi antbh 9pleyl a ficres1.t 011121314151617181920 2122232425262728293031323334353637383940 17
WELCOME TO YOUR PREGNANCY Ilbluasbtyr agtrioownss Saet ee ahcohw w yeoeukr 7fseeeeln tW hbee aEbtaEinbKgy Soinn s Tiadhneo u uylogtruha, s ytoohuuen shdte inlalo rcwta c.nanno bt e 8tmhaey h WgoermtE souEndaKdl eScnh aAmnsog oyedosu sorwf bpionrdeggys n.aadnacpyt,s y toou ta9ob lme otWov ef eEaerElo tKuhniSsd , e Ytxhocouituri gnthign yyao cbtuia owbnyo. nis’ ts ytaertt bineg ty1oo uo0rt hbeor dsWy, yiosE ubE emKgainyS ns itTnahgrot t utoog l hon oonktoi cpt eroe btghvnaioat unst. bu1latbr1ays foou rWn tdh.eE I tfiE’srK stth Stei msYteoa urot n mo yfa oyyuo sure rfie lr osyvto eu ar ffair!1fmatoirg2eu ien v faWigdoinrEagEt aeKwd.Sa y ,W yoituh anraeu lsikeeal ya ntod feel
throughout your pregnancy
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journey in “Mom matters.” Read about the incredible changes that take place within
Welcome chapter Your baby’s size and weight
each week of the three trimesters. Helpful hints and reminders are given for each are listed for each week, along with possible
week, such as when to arrange childbirth classes. symptoms you might be experiencing