Pregnancy Care

Information

Getting good care before, during, and after your pregnancy can help your baby grow and develop and keep you both healthy. It is the best way to be sure your little one gets a head start on a healthy life.

PRENATAL CARE

Good prenatal care includes good nutrition and health habits before and during pregnancy. Ideally, you should talk with your health care provider before you start trying to become pregnant. Here are some things you will need to do:

Choose a provider: You will want to choose a provider for your pregnancy and childbirth. This provider will provide prenatal care, delivery, and postpartum services.

Take folic acid: If you are considering becoming pregnant, or are pregnant, you should take a supplement with at least 400 micrograms of folic acid every day. Taking folic acid will decrease the risk of certain birth defects.

You should also:

Talk with your provider about any medicines you take. This includes over-the-counter medicines. You should only take medicines your provider says are safe to take while you are pregnant.
Avoid all alcohol and drug use and limit caffeine.
Quit smoking, if you smoke.

Go for prenatal visits and tests: You will see your provider many times during your pregnancy for prenatal care. The number of visits and types of exams you receive will change, depending on where you are in your pregnancy:

Talk with your provider about the different tests you may receive during your pregnancy. These tests can help your provider see how your baby is developing and if there are any problems with your pregnancy. These tests may include:

Ultrasound tests to see how your baby is growing and help establish a due date
Glucose tests to check for gestational diabetes
Fetal echocardiography to check the baby's heart
Amniocentesis to check for birth defects and genetic problems
Nuchal translucency test to check for problems with the baby's genes
Tests to check for sexually transmitted disease
Blood type testing such as Rh and ABO

Depending on your family history, you may choose to screen for genetic problems. There are many things to think about before doing genetic testing. Your provider can help you decide if this is right for you.

If you have a high-risk pregnancy, you may need to see your provider more often and have additional tests.

WHAT TO EXPECT DURING PREGNANCY

Your provider will talk with you about how to manage common pregnancy complaints such as:

Morning sickness
Backaches, leg pain, and other aches and pains during pregnancy
Problems sleeping
Skin and hair changes
Vaginal bleeding in early pregnancy

No 2 pregnancies are the same. Some women have few or mild symptoms during pregnancy. Many women work their full term and travel while they are pregnant. Others may have to cut back on their hours or stop working. Some women require bed rest for a few days or possibly weeks to continue with a healthy pregnancy.

POSSIBLE PREGNANCY COMPLICATIONS

Pregnancy is a complex process. While many women have normal pregnancies, complications can occur. However, having a complication does not mean you will not have a healthy baby. It means your provider will monitor you closely and take special care of you and your baby during the remainder of your term.

Common complications include:

Diabetes during pregnancy (gestational diabetes).
High blood pressure during pregnancy (preeclampsia). Your provider will talk with you about how to care for yourself if you have preeclampsia.
Premature or preterm changes in the cervix.
Problems with the placenta. It may cover the cervix, pull away from the womb, or not work as well as it should.
Vaginal bleeding.
Early labor.
Your baby is not growing well.
Your baby has medical problems .

It can be scary to think about possible problems. But it is important to be aware so you can tell your provider if you notice unusual symptoms.

LABOR AND DELIVERY

Talk with your provider about what to expect during labor and delivery. You can make your wishes known by creating a birth plan. Talk with your provider about what to include in your birth plan. You may want to include things like:

How you want to manage pain during labor, including whether to have an epidural block
How you feel about episiotomy
What would happen if you need a C-section
How you feel about forceps delivery or vacuum-assisted delivery
Who you want with you during delivery

It is also a good idea to make a list of things to bring to the hospital. Pack a bag ahead of time so you have it ready to go when you go into labor.

As you get close to your due date, you will notice certain changes. It is not always easy to tell when you will go into labor. Your provider can tell you when it is time to come in for an exam or go to the hospital for delivery.

Talk with your provider about what happens if you pass your due date. Depending on your age and risk factors, your provider may need to induce labor around 39 to 42 weeks.

Once labor begins, you can use a number of strategies to get through labor.

WHAT TO EXPECT AFTER YOUR CHILD IS BORN

Having a baby is an exciting and wonderful event. It is also hard work for the mother. You will need to take care of yourself in the first few weeks after delivery. The type of care you need depends on how you delivered your baby.

If you had a vaginal delivery, you will likely spend 1 to 2 days in the hospital before you go home.

If you had a C-section, you will stay in the hospital for 2 to 3 days before going home. Your provider will explain how to care for yourself at home as you heal.

If you are able to breastfeed, there are many benefits to breastfeeding. It can also help you lose your pregnancy weight.

Be patient with yourself as you learn to breastfeed. It can take 2 to 3 weeks to get the hang of it. There is a lot to learn, such as:

If you need help, there are many resources for new moms.

WHEN TO CALL YOUR HEALTH CARE PROVIDER

Call your provider if you are pregnant or think you are pregnant and:

You take medicines for diabetes, thyroid disease, seizures, or high blood pressure
You are not getting prenatal care
You cannot manage common pregnancy complaints without medicines
You might have been exposed to a sexually transmitted infection, chemicals, radiation, or unusual pollutants

Call your provider immediately if you are pregnant and you:

Have a fever, chills, or painful urination
Vaginal bleeding
Severe belly pain
Physical or severe emotional trauma
Have your water break (membranes rupture)
Are in the last half of your pregnancy and notice the baby is moving less or not at all