Pregnancy Q & A
Answers to Common Questions
Obstetrician/gynecologists hear every question imaginable from their pregnant patients. Here are some of the more common questions and answers:
Should I stop taking medications?
Many prescription and over-the-counter medications are safe during pregnancy, but it can get confusing. For example, pregnant women being treated for thyroid disease or high blood pressure need medications to protect their and their baby’s health. While all thyroid medications are safe during pregnancy, some blood pressure medications aren’t. If you can’t stay on your current prescriptions, your doctor might be able to find alternatives. Remember, before you start or stop any medication, talk to your doctor!
How much weight should I gain?
It depends on your height, pre-pregnancy weight and other factors. The American College of Obstetricians and Gynecologists recommends an average, gradual weight gain of 25 to 30 pounds for one baby. Physicians usually look for a 10-pound gain in the first 20 weeks and 15 to 20 pounds in the second 20 weeks. While weight gain is a concern for many, dieting during pregnancy can rob you and your baby of important nutrients. The American Dietetic Association recommends pregnant women consume 2,500 to 2,700 calories daily from a variety of healthy foods, including lean protein, whole grains, fruits and vegetables. Women who are (or planning to become) pregnant should also take 1 gram of folic acid daily.
Is it OK to eat fish?
Fish are an excellent source of protein and omega-3 fatty acids, but women who are (or planning to become) pregnant should limit consumption due to mercury and other contaminants. In general, pregnant women should have no more than two meals a week of fish from supermarkets or restaurants (including canned tuna). Certain fish caught in Connecticut waters should be limited to once a month. High-mercury fish to avoid altogether include swordfish, shark, tilefish, king mackerel and striped bass. For state Department of Public Health guidelines on fish consumption, visit www.dph.state.ct.us or call 860-509-7742.
Do I have to give up caffeine?
While a recent study found that even one daily cup of coffee can increase miscarriage risk, numerous previous studies found no increased risk. Moderation is key; one cup of coffee a day is probably okay. Unfortunately, herbal teas might not be the best substitute for caffeinated tea. Unlike regular black or green tea, made from tea leaves, herbal teas are made from the roots, berries, flowers, seeds, and leaves of different plants. There isn’t a lot of data on how some of these affect a developing fetus. The problem with herbal teas and supplements is you don’t always know what’s in them. The best thing to drink: plain old water.
Does bleeding mean miscarriage?
Not necessarily. About 30 percent of pregnant women have bleeding throughout their pregnancy, especially the first trimester. If you have spotting that goes away within a day, tell your doctor at your next visit. If bleeding lasts more than a day, contact your doctor within 24 hours.
Should I be on bed rest?
Some conditions, including preeclampsia (pregnancy-induced high blood pressure), may require bed rest. But in most normal pregnancies, it’s good to stay active, and you can usually keep working if your job isn’t too strenuous. Sometimes, even in a normal pregnancy, bed rest may be ordered to alleviate uncomfortable symptoms.
So, it’s OK to exercise?
Absolutely, unless your doctor advises otherwise, though you may need to modify activities. During pregnancy, the body produces relaxin, a hormone that helps lubricate joints to make labor easier but can make you more susceptible to straining shoulders, knees, and other joints. Your center of balance also changes during pregnancy, so be careful about exercises like skiing and biking. Prenatal yoga and other classes specifically designed for pregnant women can alleviate discomfort during pregnancy and help during labor and delivery.
