1. HEALTHY PREGNANCY Chapter 5-1

2. Early Signs of Pregnancy A. Missed Period B. Full feeling or mild ache in lower abdomen C. Feeling tired or light headed D. Frequent need to urinate E. Swollen breasts F. Nausea or vomiting

3. A doctor will perform tests to confirm. If you think you are pregnant - try a home pregnancy test and SEE A DOCTOR !!!!!!!

4. Medical Care During Pregnancy Doctors - Obstetrician - a medical doctor who specializes in the care of pregnant women and delivering babies. Gynecologist - a medical doctor who specializes in diseases and routine physical care of the reproductive systems of women. OB-GYN - a medical doctor who is both an obstetrician and a gynecologist - specializes in delivering babies and women’s health.

5. Certified Nurse-Midwife (CNM) - a medical nurse who is certified and trained to care for women with low-risk pregnancies and to deliver babies. In most states, they work under the supervision of an obstetrician. They are preferred by some women because of their respect for the natural process of childbirth - they are less likely to suggest pain-relieving drugs and other medical interventions unless they are truly necessary.

6. Discomforts of Pregnancy A. Nausea/Vomiting - usually stops by 4th month - can happen any time of day. B. Sleepiness - Hormones during early preg. and at end. C. Heartburn - has nothing to do with your heart, indigestion - tell doctor for safe relief. D. Shortness of breath - pressure on the lungs - later in pregnancy. E. Varicose veins - swollen, twisted enlarged veins - get exercise - rest with legs elevated, wear support stockings. F. Muscle Cramps in Legs - gentle stretches, rest, diet rich in calcium and potassium. G. Lower Back Pain - Wear low heeled shoes, lift correctly (with legs), exercise.

7. Serious Complications - If these occur - call your doctor! 1. Vaginal bleeding 2. Unusual weight gain or loss 3. Thirsty a lot 4. Problems urinating 5. Severe abdominal pain 6. Headaches

8. 7. Severe vomiting 8. Fever 9. Increased vaginal mucus 10. Swelling of face, hands, or ankles 11. Blurred vision or dizziness 12. Prolonged backache

9. Nutrition During Pregnancy

10. Nutrients  Protein  Vitamins  Minerals  Carbohydrates & Fats

11. Proteins  Meat, fish, poultry, dried beans, nuts, eggs, milk and cheese.  Growth and development of bones and teeth in baby  Keeps mothers body in good condition  Need more protein than before they were pregnant

12. Vitamins  Supplements only with doctors approval  Deficiencies can lead to birth defects  Not enough folic acid can lead to spina bifida  Vitamin A – eye development  Vitamin B – general fetal development  Vitamin C – builds healthy teeth and gums  Vitamin D – aids in creation of bones and teeth  Fresh fruits and veggies, whole grain bread, cereal, fortified milk and dairy products

13. Minerals  Produce strong bones and teeth  Ensures regular elimination of waste  Iron – Prevents anemia  Helps baby develop its own blood supply  Extra stored in baby’s liver  Sources – dried beans, raisins, dates, meat, leafy green veggies  Calcium & Phosphorus  Work together – mom’s bones and teeth strong. Build baby.  Sources – milk and dairy products

14. Carbohydrates and Fats  Provide energy  Sources – Whole grain bread, cereal, fruit, starchy veggies, and sugar in moderation  Foods high in fat should be avoided

15. Making Wise Food Choices

16. Guidelines for Healthy Eating  Focus on fruits  Fresh, canned, frozen, etc.  Vary your veggies  Dark greens – broccoli, kale, leafy greens  Orange – carrots, sweet potatoes, pumpkin, squash  Beans and peas – pinto, kidney, black beans, garbanzo, split peas and lentils  Get calcium rich foods  Low fat or fat free milk  Yogurt  Cheese  Make half of your grains whole  “Whole” should be listed in ingredients  Go lean with protein  Lean meat and poultry – Bake, broil, or grill  Vary your choices!

17. Pregnant Mothers  300 extra calories/day  6-11 servings of whole grains  5 servings fruits & veggies  Orange and leafy green veggies – folic acid  3-4 servings of proteins  6-8 glasses of water  AVOID  Supplements  Raw eggs, unpasteurized milk and cheese  Alcohol  Smoke

18. Nutrition and Pregnant Teens  Teens bodies are still developing  Pregnancy adds additional drain  Many teens eat high calorie, low nutrient foods

19. Special Diets  Mom is lactose intolerant  Sugar in milk causes upset stomach  Lactase – found in yogurt, helps body digest lactose  Vegetarians  Be sure you get protein  Tofu  Soybean products  Dried beans, nuts, peanut butter

20. Weight gain  Typically 24-30 pounds  Month 1-3  Little gain, sometimes a little loss  Month 4-6  About ½ pound per week  See chart pg. 156

21. Personal Care & Activities  Get plenty of rest, exercise, and practice good hygiene  Continue with normal activities – use moderation  Maternity Clothes  4 th or 5 th month  Looser clothes  Pants – stretch panel  Tops – looser  Choose clothes that will fit in 9 th month

22. Emotional Health  Stress Reduction Techniques  Avoid sugary foods and caffeine  Exercise – stretching & moderate physical activity  Taking a break – relax & enjoy a favorite activity  Practice Relaxing Techniques – breathing and visualization  Talking to supportive friends and family  Taking a class for expectant mothers

23. Missing Journals?  Monday 11/24 – 11/26  Write 5 things you are thankful for each day!   Monday 12/01 – What are ways you have seen pregnant women take care of themselves?