Oct 22, 2017
AP:Well Maria....last time we spoke about
preparing for pregnancy....now what about when you actually are
MK: Well that is what we are talking about today...just after
this quick reminder!
MK: So....where to start....mmm Iove food...what can we eat...and
what should we avoid during pregnancy?
AP: Well in Canada we have pretty good food safety laws but if you
want to be really safe we generally recommend fish and meats being
properly cooked, avoiding deli meats (cured meats are fine if
properly cooked) and making sure cheese is pasteurized.
MK: now i need a bit of pep in my step in the mornings...what about
AP: a bit of caffeine is fine...1-2 coffee or tea a day is just
fine, and also helps to keep those bowels moving...which can get a
bit sluggish in pregnancy. But we should avoid pop or
juice...try to stick to water and milk for your beverages.
You want to try to keep weight gain to a reasonable amount....
MK: 15-25 lbs if you start at a healthy weight is what we are
AP: now developmentally...as a pediatrician...what is your
recommendation for alcohol, smoking and drugs?
MK: well we certainly emphasize risk reduction...and unfortunately
we can not be 100% sure on all the answers but we certainly do know
What about prescription medications in pregnancy???
AP: certainly prescription medications need to be reviewed on an
individual basis, and you should certainly review these with your
care provider prior to becoming pregnant if possible, or as early
as possible during the pregnancy. If you do not need a
medication it is probably best to not take it during pregnancy, but
if a medication keeps you or your disease stable, then certainly
have a discussion with your care provider sooner rather than
MK: we both like to exercise, what are the recommendations during
AP: anything you have been doing fine to keep doing. may need
to modify as time goes on. Aim for at least 3-4 days a week
for 30-45 min. Certain conditions which health care provider
may want you to modify your activity.
Maria...when did you first see your prenatal care provider...
MK: well I was under the impression that you should reach out to
your care provider as soon as you find out you are pregnant...the
earlier you see them the better. It is great if you can touch
base with them somewhere between 6-10 weeks pregnant.
Generally they will order some screening bloodwork, get a dating
ultrasound, and review options for prenatal screening - which is
testing, that a couple can choose to do, to look at the risk of
having a baby with a chromosomal abnormality such as down
syndrome. Not every woman decides to do this, but the testing
is started around 10 weeks so it is nice to have the discussion
before this point should you with to!
Breast Tenderness: this is a positive sign of pregnancy, but can be
more than annoying! make sure you have a good supportive bra,
and you may want to sleep with a sports bra. Make sure to
tell your partner what you are experiencing...as you may not want
them to go near that area for a bit!!
Nausea: another good sign that you are pregnant...but
annoying....some things you can try at home include eating small
bits throughout the day...we tend to crave carbohydrates, but
proteins are a good choice. There is an organic Gravol Ginger
lozenge that can help, Sea Bandz are also a good option.
Vitamin B6 10 mg three times a day is part of one of the
medications (Diclectin) that we often prescribe to help.
Bloating is caused by increased progesterone, which is important in
the support of early pregnancy. This pregnancy also causes
loosening of our sphincters leading to more gas!! so watch
out! not much to do about this....
Fatigue: the first trimester can be pretty tiring, your body is
going through a lot of changes to help support the growing
fetus. Give yourself a break! you will get some more
energy in the second trimester. Take some time to rest when
you are able, go to bed early and allow your cute little baby to
grow! Dont' be too hard on yourself...these first few weeks
can be pretty tough!