1. A Healthy Pregnancy 17.Common indications of pregnancy: -a missed period -fullness or mild ache in the lower abdomen -feeling tired, drowsy, or faint…fatigue -tenderness in breasts -morning sickness 18.Obstetrician

2. 19. Initial visit to doctor -checks blood pressure, pulse, respiration, and weight -take a medical history -measures pelvis to determine if wide enough for a normal-sized baby to be born -analyzes urine -blood test for anemia, rh factor -checks for immunity to rubella -due date discussed

3. 20. Discomforts of pregnancy -nausea—morning sickness -sleepiness -heartburn -late in pregnancy, may feel shortness of breath -varicose (swollen) veins in legs due to pressure on the blood vessels there -muscle cramps -lower back pain in later pregnancy

4. 21. Possible complications of pregnancy -vaginal bleeding -persistent headaches -unusual weight gain -fever -excessive thirst -swelling of face, -abdominal pain hands, or ankles -severe vomiting -blurred vision -painful or reduced urination

5. 22.Nutrients for A Healthy Pregnancy Protein growth of baby meat repair of mother’s eggs body milk beans cheese nuts

6. Vitamins Vit. A promotes fresh fruits good eyesight vegetables Vit B assists in whole-grain overall dev of baby fortified milk Vit C promotes healthy teeth and gums and the material that holds the body together Vit D for making bones and teeth

7. Minerals sturdy bones meat,beans and teeth spinach, healthy blood raisins elimation of waste dates Iron is especially important –prevents anemia Calcium and phosphorous –healthy bones and teeth ---milk is a good source

8. Carbohydrates necessary for fruits Fats heat and energy veg whole grains Most people get more than enough fats from their diets----so fatty foods should be avoided.

9. 22. Typical weight gain? 24-30 lbs. 23. Where does the weight go? baby7-8 lbs increase breast 1 lb. placenta 1-2 lbs increase blood 1 ½ -3 amniotic fluid 1 ½ -2 lbs. Fat stores 5 increased size of body fluids 5-7 uterus and muscles 2 lbs.

10. Recommended servings: Bread, cereal, pasta, rice 3 oz. a day » 1 slice of bread is1 oz. » 1 cup of cereal is 1 oz. Fruit 2 cups each day Vegetable vary veggies Meat, poultry, fish eggs, nuts, dried beans go lean Milk yogurt cheese 3 cups a day Fats, oils, sweets use as little as possible

11. 25.When are maternity clothes needed? 4 th -5 th month 25. Mood swings? caused by hormonal changes

12. 26.Federal law and maternity leave… it requires employers with more than 50 workers to give 12 weeks of leave to workers for family reasons. It is probably without pay but the worker is guaranteed to have her job back when she returns

13. 27.When to discuss parenting methods and why? It is a good idea to discuss before Why? Can help avoid conflict later on.

14. 28.Read from p. 195 and choose 3 suggestions 29.Choose off chart on p. 196 reasons for breastfeeding 30.Choose off chart on p. 196 reasons for bottle feeding

15. 31.Major expenses: Medical expenses: health care for mother health care for baby after birth hospital costs Maternity clothes clothing, equipment, supplies for baby formula furnishings for baby room child care

16. 32. Reducing Costs… ---shopping carefully ---borrow items ---shop garage sales ---if you buy secondhand…make sure it meets the current safety standards.

17. Childbirth Choices 33.Benefits of childbirth classes ----learn what happens during labor ----see videos of birth ----tour the maternity area ----learn relaxation methods and patterned breathing

18. 34.Professionals who deliver… 1. obstetricians 2. family doctors 3. nurse-midwife 4. lay midwife

19. 35. Several services offered… 1. childbirth classes 2. sibling classes 3. birthing rooms 4. “father” classes 5. “different positions” for birth

20. 36.LDRP? This stands for: Labor Delivery Recovery Postpartum This means that the women stays in the same room to do all of the above. Usually, each of the above are in different rooms

21. 37. Alternative Birth Centers…screen mothers and want only low risk mothers because: It is not a “real” hospital and isn’t equipped to handle emergencies