Health Pregnancy Guide
As an expectant mother, you want your baby to be healthy. Remember that much of what you eat, drink, and breathe is passed along to your baby. Some things are good, and others can be harmful. Your baby receives food and oxygen through the placenta (the special tissue that joins the mother and her baby). This is why you need to make healthy choices.
See your doctor
It is important to make an appointment with your doctor when you become pregnant. He or she will monitor your health and your baby’s health during your pregnancy. If you don’t have a doctor, choose one. He or she will want to see you regularly during your pregnancy. Be sure to make appointments as often as your doctor tells you. Keep all of these appointments. They are sometimes called pre-natal (pree-NAY-tul) appointments. “Pre-natal” means “before the birth.”
Your dental health also is important. Schedule an appointment with your dentist for a checkup during your pregnancy.
If this is your first pregnancy, it’s a good idea to attend pre-natal classes. Pre-natal classes include information on healthy behaviors during pregnancy, preparing for labor and delivery, breastfeeding, and caring for your baby. Refresher classes are offered to women who’ve been pregnant before. Call 1-800-533-UPMC (8762) to find UPMC class offerings near you.
Follow a healthy diet
During pregnancy, most women need to eat more healthy food to help the baby grow. After the first 3 months, most women must take in more calories than usual to reach the recommended amount of weight gain during pregnancy (usually 25 to 35 pounds). It is not a good idea to lose weight while you are pregnant. Your doctor or nurse will talk to you about how much weight you should gain. A healthy diet and careful weight gain can prevent high blood pressure and other problems during pregnancy.
Ask your doctor or nurse about using sugar substitutes like aspartame (NutraSweet) or saccharine, caffeine, and other foods with many additives. You may be told to avoid these foods or cut down on how much of them you have.
Try to drink 6 to 8 glasses of water each day. Limit the amount of soda you drink to 1 or 2 glasses each day. Caffeine-free drinks are best. For more information about nutrition, see the UPMC Nutrition During Pregnancy patient education page.
Talk to your doctor about prenatal vitamins and folic acid
Most doctors recommend that women begin taking a multi-vitamin supplement and at least 400 micrograms (mcg) of folic acid a day before getting pregnant. Taking folic acid is thought to reduce a baby's risk of developing birth defects of the spine, such as spina bifida. Ideally, you should start taking a multivitamin with 400-800 mcg of folic acid two months before you get pregnant.
Ask your doctor about traveling
For the most part, any kind of travel you feel comfortable with is allowed. However, some doctors advise against air travel. Discuss any travel plans with your doctor.
Wear a seat belt
A lot of women wonder if it is still safe to wear a seat belt during pregnancy. In fact, it is very important to buckle up during this time. You just need to make small adjustments in how you wear the seat belt. Sit tall and place the lap belt as low as possible on your hips, under the baby. Wear the shoulder harness, too. It gives you and the baby important added protection.
Most activities are OK
Pregnancy should be seen as a normal state, not as an illness. Almost any activity, done in moderation, is OK. You need to get about the same amount of exercise while you are pregnant as you did before your pregnancy. Ask your doctor if you are not sure if an activity is OK for you.
Exercise can help you feel better
Many pregnant women feel better and have more energy when they exercise. Walking, swimming, low-impact aerobics, and stretching are safe during pregnancy. But check with your doctor before you start any new activity. Some hospitals offer pre-natal exercise programs. Call 1-800-533-UPMC (8762) to find out about UPMC class offerings near you.
Smoking is a proven danger to your health, and it increases the chances of miscarriage and stillbirth. Babies of mothers who smoke have a higher chance of being born too early. Research shows that babies exposed to smoke are twice as likely to die from SIDS (sudden infant death syndrome).
Avoid second-hand smoke
Second-hand smoke is bad for you and your baby. Even if you don’t smoke, cigarette smoke from others increases your risk for pregnancy complications, lung problems, cancer, heart attack, and stroke. Babies and children exposed to second-hand smoke can suffer from colds, coughs, bronchitis, asthma, ear infections, colic, and even SIDS. Protect yourself and your baby from second-hand smoke. Don’t allow others to smoke around you.
Don’t drink alcohol
No amount of alcohol is known to be safe during pregnancy. Most doctors and nurses tell their patients not to drink any alcohol during pregnancy. Drinking alcohol during pregnancy can cause FAS (fetal alcohol syndrome). FAS is the term for a group of mental and physical defects, such as intellectual disability, heart problems, and cleft palate. Children with FAS can suffer lifelong illnesses because of their mother’s use of alcohol during her pregnancy.
Some medicines are dangerous
Any medicine you take can affect your baby. It is very important that your doctor know about every medicine (over-the-counter or prescribed) you take while you are pregnant. Some medicines can harm your baby. Do not take any medicines unless your doctor says it is OK.
If you do drugs, get help
If you abuse drugs, you are taking a chance with your health and your baby’s health. Babies born to mothers who use street drugs often are born too early. They can have many physical problems, as well as behavioral problems, such as hyperactivity. Help is available to you. Talk to your doctor about drug counseling.
If you have questions, ask your doctor
Like many expectant mothers, you will probably have many questions about your pregnancy. Read all of the materials your doctor gives you. If you have any questions, be sure to ask your doctor or nurse.
© UPMC 2012
Pittsburgh, PA, USA www.upmc.com
Magee-Womens Hospital of UPMC
For help in finding a doctor or health service that suits your needs, call the UPMC Referral Service at 412-647-UPMC (8762) or 1-800-533-UPMC (8762). Select option 1.
UPMC is an equal opportunity employer. UPMC policy prohibits discrimination or harassment on the basis of race, color, religion, ancestry, national origin, age, sex, genetics, sexual orientation, marital status, familial status, disability, veteran status, or any other legally protected group status. Further, UPMC will continue to support and promote equal employment opportunity, human dignity, and racial, ethnic, and cultural diversity. This policy applies to admissions, employment, and access to and treatment in UPMC programs and activities. This commitment is made by UPMC in accordance with federal, state, and/or local laws and regulations.
Medical information made available on UPMC.com is not intended to be used as a substitute for professional medical advice, diagnosis, or treatment. You should not rely entirely on this information for your health care needs. Ask your own doctor or health care provider any specific medical questions that you have. Further, UPMC.com is not a tool to be used in the case of an emergency. If an emergency arises, you should seek appropriate emergency medical services.
For UPMC Mercy Patients: As a Catholic hospital, UPMC Mercy abides by the Ethical and Religious Directives for Catholic Health Care Services, as determined by the United States Conference of Catholic Bishops. As such, UPMC Mercy neither endorses nor provides medical practices and/or procedures that contradict the moral teachings of the Roman Catholic Church.
© UPMC 2012
Pittsburgh, PA, USA www.upmc.com