Frequently Asked Questions
Answers for First-Time Expectant Moms
The most important thing to remember is there are no “stupid questions”. Women who are experiencing their first pregnancy have many concerns and questions. One important caution: do not rely on your friends or the internet for information about your pregnancy. Often, folklore, or misinformation will frighten a first time mom. Ask your healthcare provider- he or she should be available, patient and open to answering all questions about your pregnancy.
What can I do for nausea and vomiting in the first trimester?
Small, frequent meals- 6 small meals a day, if possible. Do not go for long periods without eating. Concentrate on hydration- popsicles, small sips of water and ginger ale. Some women find wrist bands for motion sickness to be helpful. These can be purchased at any drugstore. If, however, you are vomiting all day, and unable to keep anything down, call your doctor. There are safe medications which can be used to control severe nausea and vomiting in pregnancy.
Why are there so many tests for fetal abnormalities? Do I have to have them all?
This is a very personal decision. These specific tests have been developed to identify various fetal abnormalities. Many parents are anxious to establish the well being of their infant. Others feel the tests themselves are anxiety provoking, and still others may be at higher risk of genetic problems and would benefit from Perinatal Counseling. It is the responsibility of your provider to make all of this information available to you, so you can make an informed decision. Speak to him/her so together you can make the best choice for you.
When can I find out the baby’s gender?
Most physicians and midwives schedule an ultrasound for fetal anatomy between 18 and 22 weeks. This ultrasound is ordered specifically to evaluate the fetus for growth, certain measurements, and heart and organ development. This ultrasound typically takes 30-40 minutes. If the ultrasonographer is permitted, you will be informed of the gender at the time of your scan. Otherwise, it will be included in the report and your provider will share this information with you.
Can I exercise? Are there limits?
Exercise during pregnancy is safe and encouraged. It helps with posture, blood flow, and sleep. Remember to hydrate before and after exercise. Stick to low impact exercise like swimming, biking or walking. Do not get overheated and stop if you feel dizzy or short of breath. Usually 140 beats per minute is the limit for heart rate.
Some women gain too much weight during pregnancy because they stop exercising. It is not necessary to do so (unless you are restricted for a medical reason). Small adjustments in your workout regimen are easy to do.
How can I keep from gaining too much weight?
The recommendation for weight gain in pregnancy is approximately 25 lbs. if you are of normal weight. A good rule of thumb is 5 lbs. In the first 20 weeks, then 1 lb. weekly thereafter. This is not a strict rule- individuals do vary. First, remain active. As mentioned, moderate exercise will keep you fit and help with weight gain. Next, avoid fast food, fried food, and soda. These particular foods have been shown to cause the most weight gain. Watch your portions! You are not eating for 2! You require approximately 300 calories a day more when pregnant. That could represent a small turkey sandwich and 6 oz. skim milk. Make 1 day a week a free day. Have that ice cream or burger you crave- just not every day. Increase protein, calcium and fiber. Drink low fat milk and increase fruits and vegetables. Be careful of sweet fruit juice-those calories add up quickly. Drink plenty of plain water.
Do I really need to take those childbirth classes?
Absolutely! There is a misconception that childbirth classes are only about breathing and natural childbirth. Although these are topics which will be addressed, there is much more valuable information to be gained from attending classes. Couples benefit from the education aspect of the classes. Childbirth educators can walk a new parent through the childbirth experience, discuss options for pain relief, and describe “what to expect” during labor and delivery. Usually a tour of the birthing facility is included. Having an idea of what to expect, discussing the terminology, and viewing the equipment is very important in reducing anxiety. It eliminates the “fear of the unknown”. The vast majority of first time parents will obtain important information from childbirth education classes. Plus, they are fun!
What are the most important factors I can control to have a healthy baby?
Remember to never put anything into your body which would be harmful to your baby. Do not smoke, drink alcohol, or use drugs not approved by your doctor/midwife. Take prenatal vitamins every day. Follow a healthy diet and lifestyle. (Everyone really knows what this means but there is no better motivation than pregnancy to make it work!) Relax! The odds of delivering a healthy, beautiful baby are overwhelmingly in your favor.