Patient Care Portal

YOUR FIRST 12 WEEKS

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HELP WITH FIRST TRIMESTER PROBLEMS

 

YOUR FIRST 12 WEEKS

HELP WITH FIRST TRIMESTER PROBLEMS


Your first visit

During your pregnancy a number of lab tests are recommended for all women. Some of these tests are done to diagnose certain problems and other tests are done to see if you or your baby are at risk of certain problems or birth defects. Certain diagnostic tests are performed based on your medical history, family background, or previous test results. Sometimes your ethnicity may require you to be tested for problems that occur most often with your ethnic group. Your first visit will include a full health history, family history, and genetic history to help determine if any of the special diagnostic tests are necessary. You will also have a full physical exam (blood pressure, urine sample, and weight check included), pelvic exam, Pap smear, and gonorrhea and Chlamydia cultures. An ultrasound will be done, if possible, the same day to confirm the dates of your pregnancy. You will be given a prescription for prenatal vitamins with enough refills to last throughout the pregnancy. You are to take one every day with a small amount of juice to enhance the absorption of the iron. Do not take the vitamins with milk or tea.


How your pregnancy is dated

Your due date is based upon the start of your last menstrual period. Forty (40) weeks from this date estimates your date of delivery. An ultrasound is done during your initial exam to help confirm this estimate. An ultrasound is a test done by using a device placed either on top of the abdomen or inside your vagina. The device will help generate a picture of the fetus that allows measurements to be taken to help determine how far along you are. This process does not pose any harm to you or the fetus. Please note, we use weeks and days instead of months to be more precise when making decisions regarding your pregnancy. It is helpful if you keep track of how far along you are in weeks as well. If you need help or have questions throughout your pregnancy knowing your gestational age in weeks will improve our efficiency in treating you.

 


Routine Monthly Visits

Every visit the nurse will check your urine, blood pressure, and weight. Your urine is checked for sugar, protein, and infection. High levels of sugar could be a sign of diabetes. Protein in the urine could be a sign of high blood pressure, kidney disease, or dehydration. An infection of the bladder or kidneys can show up in the urine check also. If any of these problems occur, they can be treated. The provider will do a “tummy check” to measure the uterine growth, check the baby’s position, and listen to the baby’s heart tones. You will come every four weeks until your 28th week. Between 28 and 36 weeks, you will have a visit every 2 weeks. From 36 to 40 weeks, you will be seen every week. At 36 weeks and beyond you will have a cervical check with your tummy checks. Should you go beyond 40 weeks, you will be seen twice a week.

 


Prenatal Vitamins

Prenatal vitamins are to be taken once a day. If you notice nausea from the vitamins, try taking the vitamin after a meal or change the time of day (i.e. after dinner, instead of after breakfast). If you still cannot tolerate the vitamins, try taking two Flintstone chewable vitamins until you are feeling better. If this still does not help with nausea, discuss further options with your provider.

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What to take for headaches, congestion, body aches, trouble sleeping, diarrhea.


  • Headaches and Body Aches

Acetaminophin (Tylenol)

Acetaminophin Extra Strength (Tylenol ES)

  • Colds, Coughs, Congestion, and Allergies

Actifed

Actifed Sinus

Alka-Seltzer Plus Cold&Cough, Alka-Seltzer Cold, or Alka-Seltzer Night Time Cold

Allerest

Benadryl

Cheracol, Cheracol D, Cheracol Plus, or Cheracol Sinus

Chlor-Trimeton

Comtrex Allergy/Sinus

Contac

Coricidin

Drixoral

Novahistine

Robitussin, Robitussin CF, or Robitussin DM

Sinarest or Sinarest No Drowsiness

Sinutab

Sudafed, Sudafed Plus, Sudafed Sinus, or Sudafed Severe Cold Formula

Teldrin

Theraflu

Triaminic, Triaminic Allergy, Triaminic Cold, or Triaminic Cough and Decongestant

Tylenol, Tylenol Allergy, Tylenol Cold, Tylenol Flu, Tylenol PM, or Tylenol Sinus

Vicks nasal sprays??

  • Natural remedies to relieve congestion include the use of steam (with or without eucalyptus oil added) and saline nasal spray.

  • Trouble Sleeping

Benadryl

Tylenol PM

Unisom

  • Diarrhea

Imodium AD

Kaopectate

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Nausea and Vomiting

Nausea and vomiting can occur as your body goes through many changes throughout your pregnancy, especially during the first 13 weeks. This is often referred to as “morning sickness”, although it can occur at any time of the day. Most often, these symptoms are mild and will go away after the middle part of your pregnancy.Although most cases of nausea and vomiting are not harmful, you should call the office if you experience the following:

  • Have a small amount of urine

  • Your urine is dark in color

  • Feel dizzy or faint on standing

  • Cannot keep any liquids down

  • Heart is racing or pounding

  • Vomit blood


Until the nausea and vomiting go away, there are some things you can do that might help you feel better. Follow the tips given here while your body adjusts to pregnancy.

Lifestyle changes :

  • Rest when nausea and vomiting occur

  • Avoid sights and smells that may trigger nausea

  • Avoid tight and constricting clothing

  • Reduce your workload and life stressors

  • Avoid sudden movements when getting out of bed

  • Try a form of acupressure: Seabands or ReliefBand. These bands apply pressure to the inside of your wrist and have been shown to provide relief

  • Cold compress to the throat

  • Fresh air might help

  • Relaxation techniques, meditation, visual imagery, touch/massage therapy–The nurse midwife can discuss these techniques with you

  • Practice good oral hygiene


Dietary changes:

  • Avoid large meals and eat small, frequent meals. This avoids the stomach becoming too empty or too full. Have your usual three meals a day, but smaller in amount, and include a mid-morning, mid-afternoon, and bedtime snack

  • Try sipping on carbonated decaffeinated beverages, such as Ginger Ale or Sprite.

  • Chamomile, mint, raspberry leaf, or ginger teas, and lemonade may be helpful

Recipe for Ginger Lemon tea

½ cup fresh ginger root, peeled and finely grated; 3 lemons; ½ cup honey; 2 quarts water

Bring water to a boil, add ginger and the juice of 3 lemons. Steep 20 minutes off the heat. Add honey and stir well. Strain through a cloth. Serve hot or over ice.

  • Try drinking fluids between meals, instead of with meals

  • Sit upright after eating, for at least 30 minutes

  • Include protein first thing in the morning and before bedtime to help prevent a drop in your blood sugar

  • Avoid high fat foods, foods that may cause gas, and highly seasoned foods.

  • Some foods help neutralize stomach acids. Examples of these foods include: apples, apple sauce, lowfat milk, potatoes, dry cereal, and crackers

  • Other examples of “stomach friendly” foods include: ginger snap cookies, lemon drops, sucking on or sniffing lemons, potatoes (chips, mashed, baked, and boiled), salty foods (sunflower seeds, almonds, rice cakes, pickles), and carbohydrates (oatmeal, sorbet, sherbert, pears, bananas, tomatoes, avocado, papaya juice, pasta, and bagels)

  • Another way to remember easy to digest foods is the BRATT diet: bananas, rice, applesauce, toast, and tea

  • Dehydration is a big concern with nausea/vomiting. Foods with high water content are helpful in preventing dehydration, are easy to digest, and help prevent constipation as well. These foods include: melons, grapes, frozen fruits bars, apples, lettuce, pears, celery, and rhubarb

  • Prenatal vitamins might be the cause of your nausea. Try taking them with the largest meal of the day or at bedtime. There is a specific prescription prenatal vitamin that can help with nausea, ask about it if interested. If all else fails, try chewable Flintstones vitamins until your nausea dissipates. If your vitamin continues to cause nausea, they may be discontinued until nausea has subsided, but this will be determined by the provider



Medical:

  • Vitamin B-6 25mg tablets, take three times a day for three days

  • Antacids such as Tums, Rolaids, Mylanta, Maalox, etc

  • Emetrol, 1 - 2 tablespoons every 15 minutes until the distress subsides. Do not take more than 5 doses in one hour. Discuss with the provider if you are diabetic. An alternative to Emetrol is the syrup from canned fruits such as pears and peaches.

  • Dramamine, 1 - 2 tablets every 4 - 6 hours. Do not take more than 8 tablets in a 24 hour period. Caution: may cause drowsiness

  • Powdered ginger capsules, 1 gram a day

  • Unisom 25mg before bedtime. (According to Contemporary OB/GYN 3-2000, this when combined with B6 is the same as Bendectin.)

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Heartburn: How to prevent and treat


Heartburn (also called acid indigestion or acid reflux) is a burning sensation that often extends from the bottom of the breastbone to the lower throat. It's caused by some of the hormonal and physical changes in your body. Later in pregnancy, your growing baby crowds your abdominal cavity, pushing the stomach acids back up into the esophagus.

  • Eat small, frequent meals

  • Avoid caffeine; chocolate; acidic foods like citrus fruits and juices, tomatoes, mustard, and vinegar; processed meats; mint products; and spicy, highly seasoned, fried, or fatty foods.

  • Avoid drinking large quantities of fluids during meals — you don't want to distend your stomach. (It's important to drink eight to ten glasses of water daily during pregnancy, but sip it between meals.)

  • Try chewing gum after eating. This stimulates your salivary glands, which help to neutralize acid.

  • Do not eat close to bedtime; give yourself 3 hours to digest before you lie down.

  • Sleep propped up on pillows. Elevating your upper body will help keep your stomach acids where they belong.

  • Eat slowly

  • Avoid tight clothing

  • Avoid lying down after eating

  • Use antacids such as Tums, Rolaids, Mylanta, or Maalox, as needed

  • If heartburn persists or causes significant discomfort, prescription medications are available from your provider

 

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Constipation: How to prevent and treat


Constipation occurs when there is abdominal pain or discomfort, difficult and infrequent bowel movements, and the passage of hard stools. Constipation in pregnant women is thought to occur due to hormones that relax the intestinal muscle and by the pressure of the expanding uterus on the intestines. Relaxation of the intestinal muscle causes food and waste to move slower through your system.

  • Drink at least 8 glasses of water a day

  • Eat high-fiber foods, such as bran, whole grains, fresh fruits, raw vegetables, beans, and peas. Best sources of soluble fiber: Oats, especially oat bran, barley, dried beans, soybeans, apples, nuts, flax seeds and other fruits and vegetables. Best sources of insoluble fiber: Wheat bran and whole grain products.

  • Aim for at least 25-35 grams of fiber per day. Most people only get about 11 grams per day. Read food packaging carefully.

  • Eat prunes or drink prune juice. They contain a natural laxative.

  • Exercise daily

  • Take stool softeners, such as Metamucil and Colace, at bedtime, or try a glycerin suppository.

  • A prescription stool softener can be given if the over-the-counter ones do not help

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Your diet


Eating a well balanced diet is a basic part of good health, but is even more important during pregnancy. This means eating a variety of foods each day to give yourself the right amount of nutrients and vitamins and avoiding things that may be harmful not only to yourself, but to your baby. These harmful things include beer, wine, mixed drinks, illegal drugs, and smoking. These are associated with fetal alcohol syndrome, preterm labor, mental retardation, dangerous pregnancy conditions and birth defects, and in some cases even stillbirth.


Recommended weight gain during pregnancy varies depending on your pre-pregnancy weight.


pregnancy weight

Recommended weight gain

Underweight

28 to 40 pounds

Normal weight

25 to 35 pounds

Overweight

15 to 25 pounds

Obese

15 pounds

Pica

Some pregnant women feel an urge to eat nonfood items, such as dirt, clay, laundry detergent, tissue, or even corn starch. This behavior is called Pica. If you experience Pica, you should discuss this with your provider. This act can be harmful to yourself and your baby. It can interfere with your intake of nutrients, cause constipation, and lead to anemia. Your provider will be able to offer suggestions of other things you can do to calm your urge.

Daily Food Choices

The goal for your diet should be optimum health for you and your baby, a normal weight gain for you and your baby and a steady blood sugar level.

In general, you should eat a diet that is full of fresh fruits, vegetables, fiber and lots of lean protein and dairy. Try to avoid the simple carbohydrates, or “fluffy white” foods such as breads, potatoes, pasta and rice. Carbohydrates are also found in fruits, dairy foods, vegetables, sugar, and sweets. Look for a high fiber alternative such as whole grain bread and brown rice. Avoid milk, soda or juice; instead reach for water when you are thirsty. The recommended intake of water is 8-10 glasses per day. You may substitute certain artificial sweeteners for sugar. FDA-approved sweeteners include aspartame and acesulfame-K. The use of saccharin is strongly discouraged during pregnancy because it can cross the placenta and may remain in fetal tissues. If you drink something with caffeine you will have to drink an extra glass of water. Examples of drinks with caffeine are Coca Cola, Pepsi, Mountain Dew, Dr. Pepper, coffee, tea, chocolate milk, Tab.

An easy way to remember to eat all the foods you need are to combine mostly protein, a little carbohydrate and fresh food in every meal. A snack might be cheese and an apple with a few high fiber crackers. A dinner might include chicken, brown rice and vegetables. In fast food restaurants try to order something without a bun or French fries. Salad with chicken or meat would be an excellent choice. Plain fried chicken is a better choice than a hamburger. Chicken, fish, or steak without French fries or potatoes, with vegetables substituted, is another example.

You may find it easier to have small meals with snacks in between. This will also help to avoid heartburn and nausea.

Foods to Choose during Pregnancy

Breads and Grains
6-11 servings/day

Fruits and Vegetables
2-4 servings/day

Dairy
4 servings/day

1 slice of whole grain bread
1/2 bagel or English muffin
1 plain rice cake
6 crackers (such as matzo, bread sticks, rye crisps, wheat saltines)
3 graham crackers
3/4 cup oatmeal

1/2 cup whole grain pasta or rice




1 piece of fresh fruit
1 melon wedge
1/2 cup chopped, cooked, frozen or unsweetened canned fruits

3-5 or more vegetable servings/day

1/2 cup cooked or canned vegetables
1 cup chopped, uncooked or frozen vegetables

1 cup low-fat milk
1 cup soy milk
1 cup low-fat unsweetened yogurt
1 1/2 ounces of cheese
1/2 cup low-fat cottage cheese

Meat, Fish, Poultry
2-3 servings/day

Fats and Oils
In limited amounts
(approximately 5-8 tsp/day)

Sweets and Snacks
In limited amounts

2 ounces cooked lean meat, fish or poultry
2 ounces of cheese
2 eggs or the equivalent in egg substitutes
1 cup cooked dried beans or peas
2 tbsp peanut butter
1/4 cup tofu (bean curd)

Vegetable oil (olive, canola or peanut oils)
Tub margarine 
Fat-free or low-fat salad dressing

Peanut butter and crackers
Cheese and crackers
Vanilla wafers
Plain popcorn, pretzels

"Free" foods

Raw vegetables
Diet soda
Sugar-free gelatin
Sugar-free syrup
Low-sugar jelly
Sugar-free candy and gum
Unsweetened popsicles

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Anemia in pregnancy, why your vitamins are so important:


Anemia is a common problem in pregnancy due to your growing fetus’ needs. When you are anemic you do not have enough hemoglobin, the protein that carries oxygen to other blood cells and your baby, in your body. Most women start pregnancy a little anemic anyway, and when you are pregnant you need even more iron than before. If you are still anemic at time of delivery you will be at much greater risk for a blood transfusion and we may be unable to tie your tubes afterwards if you requested that we do so. If you remain anemic during the first two trimesters, you're at a higher risk for having a preterm delivery or a low-birthweight baby, so it is something to take seriously. If you're severely deficient, it could affect your baby's iron stores at birth, increasing his risk for anemia later in infancy. Iron-deficiency anemia affects your health as well. It can sap your energy and make it harder for your body to fight infection. You will have blood work drawn around 16 and 28 weeks to check your hemoglobin, which reflects your iron level. Your prenatal vitamins contain some iron, but if you are anemic, you will be advised to take an iron supplement as well. In some cases we may have to inject or transfuse iron directly into your blood. The iron supplement is often better absorbed if taken before bedtime with water or a small amount of fruit juice, preferably on an empty stomach. Do not take your iron supplement with milk products, sodas, coffee, or tea. Many women complain of nausea and constipation related to iron, and we can help with that. There are several prenatal preparations that reduce those complaints.

Natural food forms of iron are better absorbed by the body than are the forms of iron found in the supplements especially when these foods are eaten with a vitamin rich source of C (such as citrus fruit, tomatoes, melons, and strawberries). We advise that you include varieties of iron rich foods in your diet daily, along with your iron pills.

Do not take your iron rich foods with bran, tea, coffee, milk products, spinach, Swiss chard, or egg yolks. These inhibit the absorption of iron in the foods.

Food Sources of Iron

Best sources:

Meats, organ meats, seafood, fish, legumes, dried beans, iron fortified cereals.
Fair Sources:

Dark green vegetables, dried fruits, juices, enriched bread and pasta

Others: eggs, sunflower seeds, nuts, watermelon, Jerusalem artichokes, pumpkin, Blackstrap molasses, luncheon meats, or hotdogs. Cooking with a Cast Iron skillet.


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Exercise

Pregnancy is a normal condition and should not prevent you from enjoying activities beneficial to you and your baby. Benefits of exercising during your pregnancy include an increase in energy, it improves your mood, improves posture, improves balance, helps you sleep better and has additional benefits such as helping you improve your ability to cope with labor and childbirth, reduces back pain, constipation, bloating and swelling. Exercise can help control gestational diabetes and helps you get back in shape after your baby is born

Most women can continue the exercise regime they practiced before they got pregnant. Before beginning an exercise routine, ask your provider if your current health conditions limit your activity. We can advise you if and when exercise would be beneficial to your pregnancy. If you have one of the following conditions, you will most likely be advised not to exercise, but ask first:

Risk factors for preterm labor; Vaginal bleeding; Premature rupture of membranes; High blood pressure.

Some exercises are considered safe during pregnancy while others are not. Always make sure you do not overdo it. If you can talk normally while exercising, your heart rate is at an acceptable level. Try to exercise moderately so you don’t get tired quickly. Exercise should not be used as a method of weight loss during pregnancy. Activities that involve jumping, jarring motions, or quick changes in direction may strain your joints and muscles and cause injury. Even if the exercise is considered safe, you should stop if you experience pelvic or back pain, vaginal bleeding, chest pain, muscle weakness, contractions, decreased fetal movement, shortness of breath, or fluid leaking from the vagina.

Choosing safe exercises:

Walking, Swimming, Cycling, Aerobics, Yoga, Pilates.

I f you are experienced in the following exercises, it is considered safe when done in moderation, but always discuss with your provider first:

Running, Racquet sports, Strength training

Unsafe activities:

Downhill skiing

Ice hockey

Soccer

Basketball

Scuba diving

Water skiing

Gymnastics

Horseback riding

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Frequently asked questions and common concerns



Fish: Fish is a wonderful source of protein and nutrients and can be consumed on a regular basis in moderation during pregnancy. Avoid shark, swordfish, king mackerel, and tilefish due to high levels of mercury found in these species.

Tanning beds: There are no studies that provide conclusive evidence that tanning beds directly harm your baby. However, tanning beds can cause you to overheat. Overheating is associated with spinal malformations in the baby. Some studies also link UV rays and folic acid deficiency. Folic acid prevents neural tube defects, such as spina bifida, and is especially important in the first trimester. During pregnancy, your skin is more susceptible to burning and chloasma, the dark splotches that appear on the face during pregnancy. If you are out in the sun, drink plenty of water, use a sunscreen with SPF 30 or more, and wear a hat. If you feel dizzy, nauseated or tired go to an air conditioned area. Avoid overheating. Long hours in the sun that result in burning should be avoided.

Nails: Acrylic nails are safe during pregnancy.

Hair color and perms: Hair color does not appear to pose a significant risk to your baby during pregnancy. Some hair color does absorb through your scalp, so one option is to wait until after your fist trimester, or get highlights or lowlights instead of all over hair color. While an occasional perm or straightening is not harmful during pregnancy, most hairdressers do not recommend perming or straightening hair during pregnancy.

Saunas and hottubs ; When your body overheats, so does your baby, and this can cause problems in the developing fetus. Your body temperature should never be higher than 102.2 degrees F (39° C) for more than 10 minutes. Very hot baths, hot tubs and saunas probably will be at least this hot, if not several degrees hotter. Check the water temperature with a thermometer before getting in. Pay attention to the warning signs of overheating: feeling hot, dizzy, faint, clammy, chills, dry mouth, thirst or nausea. If you do feel warning signs of overheating, leave the tub or sauna, and call your health care provider right away.  Another problem associated with heat is a sudden drop in blood pressure, which can affect you as well as blood flow to your baby.

Unpasteurized products and rare meat: Any unpasteurized product may be contaminated with Listeria, a bacteria that may be dangerous to a pregnant woman and cause illness. The bacteria that causes Listeria is sensitive to heat. By cooking food well, you are able to destroy it. Another problem with raw food is the parasite that causes toxoplasmosis. When cooking meats ensure that the meat is cooked right through. Rare meat is not recommended. If you use the microwave to reheat, ensure that the food is steaming hot right through to the centre. While heat destroys Listeria, refrigeration does not. Listeria is one of the few bacteria that are able to grow on food in the refrigerator. If food has been stored for longer than twelve hours after cooking - it is recommended that you do not eat it. Also avoid chilled ready to eat foods, soft Mexican cheeses, raw and smoked seafood, and soft cheeses such as brie and camembert.

Cats and dirt : Toxoplasmosis, a parasitic infection, is a very rare condition pregnant women can acquire from handling cat feces and dirt. It is recommended that a pregnant woman does not change cat litter, particularly during the first trimester. If you must do it yourself, wear rubber gloves and wash your hands and gloves afterwards. Happily, the odds of contracting toxoplasmosis during pregnancy are low, and if you've had it once, you can't catch it again. What's more, it's rare for a woman to be infected for the first time during pregnancy and some experts argue that you're much more likely to catch it from eating raw, undercooked or cured meat than from your cat. Plus, if you live with cats, the likelihood is even higher that you've already contracted the disease and developed an immunity to it.

Sexual relations Sexual relations should be a normal part of your life and your pregnancy. Many women enjoy sexual relations more than usual at this time in their life. Some women, however, have a low sex drive during pregnancy. Both extremes are normal, and most women fall somewhere in the middle. Sexual relations cannot harm your baby. If you have multiple partners or your partner has other partners, safe sex practices, including condom use, are even more important than when you aren't pregnant. Sexually transmitted infections, like gonorrhea, chlamydia, herpes, HIV, and syphilis are not only dangerous to the mom, but can trigger preterm labor, or in rare cases be deadly for the baby. If you may be at risk for a sexually transmitted infection, be sure that your doctor or midwife is aware, so you can be retested later in pregnancy and treated, if necessary, to prevent transmission to your little one. Blowing air in the vagina has been associated with maternal death from air entering the bloodstream, and should be avoided. Preterm labor, vaginal bleeding, placenta previa, and some other high-risk conditions can make it unsafe to have intercourse or orgasm during pregnancy. Ask your provider if you are concerned about any of these conditions.

Vaginal bleeding Vaginal bleeding is a common complaint during pregnancy. It's not always possible to determine the cause of prenatal spotting or bleeding. Because the blood supply to your cervix and pelvis has increased, it's not unusual to notice spotting after a Pap smear, an internal exam, or sexual intercourse. Some other culprits include: bleeding around the time of implantation; infection such as yeast or a sexually transmitted disease; a cervical polyp or other minor growth. More serious conditions include miscarriage, ectopic pregnancy, preterm labor and placental problems. If you spot a small amount ( like the last day of your period) which stops right away, have no abdominal or other pain, have no risk factors such as placental problems or preterm labor, and can attribute the spotting to intercourse, a vaginal exam or a Pap smear, you may tell your provider at your next visit. If you are continuously spotting or bleeding, or have pain along with the bleeding, call your provider for advice or proceed to the hospital if bleeding is severe (soaking a pad).

Body changes, breast and skin Common skin changes during pregnancy include stretch marks and chloasma. Stretch marks happen from the inside out and are caused by rapid stretching, such as a growing pregnant abdomen or rapid weight gain. Drinking lots of water and eating nutritious foods has been shown to help reduce or minimize the incidence of stretch marks. A slow weight gain within the recommended range helps your skin keep up with stretching as well. Lotions such as cocoa butter and vitamin E appear to be helpful as well. Chloasma is also called pregnancy mask, and appears as a dark skin pigmentation on the face. Linea nigra is a dark line on the belly. Both will go away after pregnancy. A more unusual skin condition during pregnancy is PUPPP, which is a rash that starts on the stretch marks and can spread over the entire body. It normally occurs in first pregnancies during the third trimester with an average onset of 35 weeks, and is more likely with male babies. In fact, 70% of women with PUPPP will deliver male infants. It is thought to be associated with male infant DNA sparking an inflammatory process in the mother. It does not recur in future pregnancies. The rash is very itchy. This condition is harmless to mother and baby, but can be very annoying. It lasts an average of 6 weeks and resolves spontaneously 1 to 2 weeks after delivery. The most severe itching normally lasts for no more than 1 week. Benadryl may help, as will Sarna lotion, available in most drug stores.

Your breast will feel full and often tender during pregnancy, though not always. Some women begin leaking colostrums, or the first milk, before delivery. Disposable nursing pads can be worn in the bra if this occurs. A good supportive bra will help minimize discomfort.

Can I sleep on my back/stomach? During the first trimester you may sleep any way you like. As you pregnancy progresses, the growing baby will put pressure on important blood vessels if you sleep on your back, which compromise blood flow to your baby. It is recommended that you sleep on your side, and the left side is preferable.

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belly

 

2240 Coliseum Dr. Suite. B Hampton, VA 23666 ∙ Phone 757 838-7277 ∙ Fax 757 838-8246 ∙ E-mail: hrogyn@aol.com