Pregnancy

Pregnancy

Pregnancy is the most beautiful and exciting time for the mother to be as well as her partner, family and friends! The expectant mother may experience anxiety about the unknown about the pregnancy and potential complications. What is normal and what is not gets confusing when your family and friends tell you one thing and your practitioner tells you another. Then if she looks at the internet, things may get even more confusing!

We are here to help you navigate the unknown and answer the questions you may have and order the appropriate tests to assure that you have a healthy pregnancy. This site will only start with the basics of the do's and don'ts. On your right hand column you will find PDF files in pink which are handouts we give out in our office. The Prenatal policy handout is our most updated information booklet about our office policy and general prenatal information and warnings.

We also encourage you to read prenatal books, take classes and engage our office staff in dialogue with any questions you may have.

How to Have a Fit Pregnancy

Whatever you age, exercise and proper nutrition are the key elements to achieving a healthy and happy pregnancy. We recommend continuing with the exercise that you already are performing unless there is a risk of injuring yourself. If you are having complications, we may have you avoid exercise during that time period or change the type of exercise you are performing. Keeping your heart rate at or below 140 is recommended. If you find that your heart rate is higher than 140 decrease the intensity of your work out to bring it down.

Diet and Nutrition

Pregnancy is a time to make positive dietary choices. It can be tough to stop a food you may love or restrict an item, but it is imperative to avoid the foods we discuss with you at your appointment. For a list of what to avoid please open the Prenatal Policy Handout on the right hand column. Also, be aware that some foods may be pulled from the market from the CDC due to contamination issues. Please keep current on your news and follow the CDC recommendations. If you would like to have an update from our office you will need to join our practice Facebook page for dietary or other obstetrical alerts. You may "like" us at http://www.facebook.com/#!/MiamiOBGCenter to receive practice updates and news. We also appreciate our patients so much when you share your baby photos with us!

Other considerations

Your cat: It is not recommended to change the cat litter when pregnant, please have your partner do this activity. Cat feces may be contaminated with toxoplasmosis which is dangerous for the pregnancy. Please do not get rid of your loved pet!

Smoking and drinking: Most people are aware not to smoke or drink alcohol during pregnancy. If you have difficulty abstaining from either smoking or drinking then please let us know so we can get you the help you need.

Caffeine: Some studies on caffeine during pregnancy have led to the conclusion that the two do not mix well together, as caffeine may increase the possibility of miscarriage and low birth weight. An excessive amount of caffeine is generally regarded as 200 mgs or more per day. We recommend 100mg or less, but remember in one study consuming 200mg or more of caffeine during pregnancy increased the risk of miscarriage, so be careful.

Home safety: There are many hazards around the house for pregnant women, but almost all can be easily avoided. Try to stay clear of aerosol cans, industrial strength cleaners and fumes from paint, solvents and strippers. It also pays to take is a little easier around certain parts of the house such as the stair case.

What is perineal massage?

Prenatal perineal massage (olive and wheat germ oil) and warm baths start approximately 6 weeks before your due date. Perform daily or three times a week to increase your pelvic floor "awareness". It is not necessary for everyone to perform this, but this information is available for those patients interested. This exercise may decrease your chance of tearing during the birth.

  • Use warm olive oil; be sure to urinate before beginning.
  • Relax
  • Have your partner insert one clean, oiled finger into your vagina about 1-1 ½ inches
  • Do a Kegel so they can feel the muscles to be worked. Tighten and relax….
  • Now do a Kegel with 2 fingers in the vagina, tighten … then relax..
  • With 2 fingers in the vagina, apply downward pressure as in and ironing motion.
  • Repeat this motion while periodically doing Kegels to make sure this area is relaxed. Some people recommend doing this for no more than 5 minutes per day.
  • Others find it takes a good 10-15 minutes to get the muscles relaxed. Inform your partner if they are applying too much pressure or needs more lubrication, etc.
  • Gradually graduate to 3-4 fingers.
  • We can go over this with you are the time of your prenatal appointments if needed.