Five Questions New Moms-To-Be Should Ask Their OBs

If you're an expectant mom, you know that good prenatal care involves having a practitioner who can answer questions, provide guidance, and offer reassurance. The more you know about your new baby, the better prepared you’ll be to have a healthy pregnancy. Read on for the top five questions any expectant mom should ask her obstetrician.

OB question #1: Is my pregnancy considered to be an at-risk pregnancy?

Many factors -- from being overweight to having high blood pressure to being over age -- can set you up for a riskier pregnancy. Make sure to discuss any current and previous health conditions, as well as your family’s health history, with your OB. If you are an at-risk pregnancy, your doctor will work with you to ensure that your new baby is as safe and as healthy as possible.

OB question #2: What symptoms should I call you about?

It can be unsettling to wake up with cramps or another condition, and not know whether you should call your doctor or go back to bed. Ask your OB to give you a rundown on what symptoms could indicate an emergency. And keep in mind that the reasons to call your OB can vary by trimester, so bring this question up again every few months.

OB question #3: How much weight should I gain during pregnancy?

While there are weight gain recommendations, every pregnancy is unique. Your doctor will be able to work with you to figure out what weight gain is safe for you and your new baby. Overweight women may need to gain less than recommended, while underweight women and new moms of multiples may need to gain more. While you’re at it, ask your OB about ways to gain weight wisely, such as what foods and exercises you can work into your lifestyle.

OB  question #4: What prenatal tests should I get and when will they be done?

Certain tests, such as an ultrasound exam and glucose screening, are routine during prenatal visits. But other tests, such as genetic testing and testing for Down syndrome, will be done if the expectant mom makes that choice. Ask your OB what tests she thinks are right for you, and have her weigh the pros and cons of each test, as you may decide they are not wanted or necessary.

OB question #5: When should I schedule my next appointment?

It’s important to keep up with prenatal appointments throughout your pregnancy, so make sure you don’t leave without discussing when you should next return. If your OB asks you to come back earlier than you had expected, know that the extra trips are to ensure the health of your new baby.

Of course, don’t let the questions end here! If anything else is on your mind, ask away. An educated new mom-to-be will be able to make the best decisions for herself and for her new baby.

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Nine Pregnancy Tips for Moms of Multiples

If you’re expecting multiples, t there are also some extra steps you’ll need to take while you’re pregnant to ensure that your little ones are healthy. Whether you’re having twins, triplets, or more, keep these nine pregnancy tips in mind.  

Pregnancy tip #1: Find out if you’re having fraternal or identical twins. If it’s the latter, your doctor will want to keep a closer eye on their development.

Pregnancy tip #2: Eat wisely. A healthy diet is a must to ensure a healthy birth weight, especially when you’re having multiples. Load up on fruits and veggies, since your growing babies need micronutrients like folic acid, iron, and vitamins, as well as lean proteins.

Pregnancy tip #3: Watch your weight. You may gain more weight when carrying twins as opposed to if you had a single pregnancy, but you’ll still need to monitor your weight and aim for a healthy mark. Talk to your doctor about what's appropriate for your situation.  

Pregnancy  tip #4: Drink up! For moms carrying multiples, dehydration can lead to preterm labor. Aim to drink a minimum of eight glasses of water a day.

Pregnancy tip #5: Don’t skip the supplements. If your health care provider recommends or prescribes prenatal vitamins and/or supplements, be sure to take them. Many women may need extra folic acid to help prevent birth defects.

Pregnancy tip #6: Spend time with the doctor. You’ll need a good amount of monitoring throughout your pregnancy if you’re carrying multiples, so be sure to stay on track with your doctor appointments.

Pregnancy tip #7: Know your risks. The chance of conditions such as gestational diabetes and preeclampsia are higher if you’re carrying multiples. Talk to your doctor about what you can do to minimize your risk.

Pregnancy tip #8: Be ready for an early labor. Women carrying twins tend to go into labor earlier (usually around the 35th to 37th week) than those carrying a single baby. Have your overnight bag packed and ready in case you need to head to the hospital earlier than expected.

Pregnancy tip #9: Talk to your doctor about your delivery plan. The chance of a cesarean is higher with multiples. Discuss your preferred birthing plan with your doctor, but be ready in case you need a cesarean for safety reasons.

While a multiples pregnancy may be a little trickier to navigate, just remember that more new babies means even more love and attention. All that care during pregnancy will help ensure a healthy and happy family.

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Five Solutions for Top Pregnancy Sleep Issues

If you’re tossing and turning at night, unable to get the rest you need, take comfort in the fact that you’re not alone. Many new moms-to-be have trouble getting a good night’s sleep, especially as their pregnancy progresses. It’s important to try to resolve your bedtime battles sooner rather than later, as good sleep during pregnancy is linked to a healthier baby and an easier delivery. Read on for some common pregnancy sleep problems and how to solve them.

Trouble getting comfortable: Use a pregnancy pillow to wrap around your tummy, elevate your legs, or assist you when lying on your side. If you have pain in your lower back, experiment with extra pillows to relieve any muscle tension. Try one pillow under your abdomen, one between your legs, a firm one behind your back, and an extra one under your head, for example.

Headaches and nausea: If headaches are disturbing your sleep, you may be suffering from low blood sugar. Try eating a light snack with protein and carbohydrates such as scrambled eggs and toast, which will help to keep blood sugar levels stable throughout the night. If you find yourself feeling nauseous when you lie down for the night, you may want to start eating small, bland snacks throughout the day, like crackers or toast.

Hot flashes or night sweats: Make sure the bedroom stays cool by cracking open a window, using a fan, or turning down the thermostat. Also, close the curtains or blinds before you turn in for the night. You’ll find it much easier to fall asleep and stay asleep if the room is cool and dark.

Frequent trips to the bathroom: Cut off your consumption of liquids a few hours before bedtime to reduce the number of times you have to get up during the night. However, with your growing new baby putting constant pressure on your bladder, some nighttime trips to the bathroom may be unavoidable. A nightlight or a dimmer switch is a better choice than turning on a bright overhead light, which can make it difficult to fall back asleep.

Heartburn: Avoid spicy, acidic, or fried foods, especially a few hours before bedtime, and make sure not to recline for at least an hour or two after eating. If the problem persists, try sleeping with your head elevated on a pillow or speak with your doctor.

You may need to follow more than one or even all of these tips in order to solve your sleep problems. But don’t give up! A proper night’s rest will give your body the energy it needs to have a healthy pregnancy.

Oral Hygiene: What New Moms Need to Know

It wasn’t long ago that pregnant women were advised to steer clear of the dentist out of concern over how various procedures might affect their unborn child. Turns out that routine cleanings and dental work are considered safe for most expectant moms and  may play an important role in a baby’s safety and health, too. Because of hormones, expectant mothers are more prone to oral infections and gum sensitivity, which can lead to early labor. Here are some easy-to-follow pregnancy tips for keeping your mouth (and your new baby) healthy.

Oral hygiene pregnancy tip #1: Keep your appointments. Regular cleanings and checkups are an essential part of anyone's oral hygiene regimen, but are especially crucial for pregnant women, whose hormonal changes put them at risk for a number of dental problems.  While these routine visits are safe for most women, it’s still important to let your dentist know you’re having a baby and to discuss any medical issues related to the pregnancy. Occasionally, women with high-risk pregnancies are advised to postpone certain treatments until after the new baby has arrived.

Oral hygiene pregnancy tip #2: Don’t fear simple procedures or X-rays. Although it’s always better to save elective procedures for after your due date, cavities and other common dental problems can and should be treated in order to avoid infection. Second trimester is the ideal time to take care of such issues, as the dentist’s chair can be quite uncomfortable by your third trimester!

While routine X-rays are commonly delayed for pregnant women, advancements in technology have greatly reduced the threat of radiation exposure. Should an X-ray be needed for an emergency procedure, your dentist will take extra precautions to ensure your baby’s safety.

Oral hygiene pregnancy tip #3: Watch your gums. Don’t focus only on your pearly whites: The hormonal surges that come with having a baby can also wreak havoc on your gums. Pregnancy gingivitis -- which results in inflamed and sore gums  -- and “pregnancy tumors” -- benign but sometimes painful lumps along the gum line  -- are particularly common. If you notice anything abnormal going on with your gums, call your dentist.

Oral hygiene pregnancy tip #4: Make oral hygiene part of your daily routine. As helpful as your dentist may be, oral health begins and ends at home. If you have morning sickness, try a more mild or bland toothpaste (ask your dentist or mommy-friends for suggestions). On the other hand, avoid brushing your teeth immediately after vomiting, as the still-present stomach acids can eventually cause teeth erosion and wear away at your enamel. Instead, rinse out with a combination of baking soda and water, which will leave your mouth fresh until it’s safe to brush.

You have a lot on your plate during pregnancy, but making the time for proper oral hygiene will go far to boost both your and your new baby’s health.

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Four Off-Limit Foods for New Moms-to-Be

Meals should be a pleasure during pregnancy, not a problem. But certain foods can be risky when you’re eating for two. For your baby’s safety, steer clear of the following foods when expecting, and always ask your doctor if you have any questions on what you should -- and shouldn’t -- eat .

Fish high in mercury. Eating fish is an important part of your pregnancy diet because much of it is packed with omega-3 fatty acids, which are super nutrients for your new baby’s brain development. But not every kind of fish is recommended. Some larger ones contain too much mercury, which can affect your baby’s nervous system. Steer clear of shark, king mackerel, swordfish, and tilefish. And limit safer varieties of fish to 12 ounces a week.

Some raw and undercooked foods. The risk with anything raw is that you may contract a case of food poisoning. While it’s rare for this illness to affect your new baby, it’s not pleasant to deal with, whether you’re pregnant or not. To be on the safe side, cook eggs, seafood, shellfish, meat, and chicken fully. Skip raw fish and shellfish, smoked fish, refrigerated pate, and raw sprouts like radish, mung bean, and alfalfa.

Unpasteurized cheese, milk, and juice. Unpasteurized products are off the menu when you’re expecting. Read labels carefully to be sure all milk and juice you drink has been pasteurized and the cheese you consume (especially soft varieties like Brie,  Camembert, and goat cheese,) is made with pasteurized, not raw, milk.

Deli meats. Listeriosis, a rather serious foodborne illness, is the concern for this category. It’s a good idea to avoid deli meats and hot dogs anyway as they aren’t a healthy choice (many are high in sodium). If you do indulge in deli items during pregnancy, be sure to heat all meats and franks until they are steaming.

Remember to practice good hygiene in the kitchen -- it’s smart whether you’re having a baby or not. Always wash your hands before preparing food or eating a meal, and wash produce well under running water, using a brush to scrub the outer layer of tough-skinned fruits and veggies. Knowing your diet is safe for your new baby will put any expectant mom at ease. Happy eating!

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