1. Reflection # 5 Book: Giraffes Can’t Dance By Giles Andreae Illustrator: Guy Parekr-Rees

2. Fun FACTs!

3. When the Due Date? A.Determine the 1 st day of the mothers last period. B.Count back 3 months C.Add 7 days

4. What is the due date? May 11 th February 18 th January 5th October 12 th

5. Weight Gain you should gain about 2 to 4 pounds during the first three months you're pregnant and 1 pound a week during the rest of your pregnancy. Total normal weight gain: 24-30 lbs

6. Baby: 8 pounds Placenta: 2-3 pounds Amniotic fluid: 2-3 pounds Breast tissue: 2-3 pounds Blood supply: 4 pounds Stored fat for delivery and breastfeeding: 5-9 pounds Larger uterus: 2-5 pounds Total: 25-35 pounds Where does the extra weight go? Source: WebMD

7. Pregnancy Complications

8. Complications Rh Factor occurs when mom has Rh – and baby has Rh + blood (attacks blood cells) Toxemia/preclampsia Sudden weight gain & high blood pressure May be caused by undernourishment Prevents oxygen & food from placenta  low birthweight baby

9. Complications Gestational Diabetes Pregnancy hormones block insulin from doing it’s job Causes high blood sugar  health & size of fetus Usually returns to normal after delivery Placenta Previa Placenta lies next to or on the cervix If happens later in pregnancy  bleeding May require a C-section

10. Baby Complications Low Birth Weight: baby weighs < 5.5 lbs at birth Premature: more than 3 weeks before due date (before 37 weeks) Miscarriage/Spontaneous Abortion: pregnancy loss before 20 th week (5 th month) Stillbirth: baby dies after surviving at least 20 weeks in the womb

11. Prenatal Care Seek early (by the 13 th week of pregnancy) and continual prenatal care (at least 13 total visits over the course of 40 weeks of pregnancy) Maintain proper diet Exercise Swimming Walking

12. Vaccines Receive proper immunizations before becoming pregnant Rubella (German Measels), mumps, or measels should be given at least a month before pregnancy (avoid during pregnancy Get Tdap (whooping cough) and Flu vaccine during pregnancy

13. Diseases that affect Birth Defects Toxoplasmosis Hepatitis C HIV & AIDS Fifth Disease Chickenpox Cytomegalovirus Group B streptococcus Rubella Influenza