What to Expect When You're Expecting

by Murkoff, Heidi Eisenberg; Eisenberg, Arlene; Hathaway, Sandee E.

• ISBN13: 9780761125495
• ISBN10: 0761125493
• Edition: 3rd
• Format: Hardcover
• Copyright: 2002-02-01
• Publisher: Workman Pub Co

Summary

Introducing a completely Revised & Updated Third Edition of America's bestselling pregnancy book, What to Expect When You're Expecting. Two years in the making, it's a cover-to-cover, chapter-by-chapter, line-by-line revision and update.Incorporating the most recent developments in medicine, and responding to the many queries and letters received from readers, the book contains both the most accurate information available, and the most reader-friendly. The Third Edition includes more information on working while pregnant. It offers more in-depth coverage of complementary and alternative birthing. Greater attention is paid to pre-conception, alternative families, second pregnancies, HMOs, the role of the father, and lifestyle. There's a completely new look at the Best-Odds diet, which is better suited to the needs of busier women with less time. An updated cover and all-new black-and-white illustrations give the classic a fresher look.

Author Biography

Heidi Murkoff, Arlene Eisenberg, and Sandee Hathaway, B.S.N., are the authors of the bestselling What to ExpectR series, which also includes What to Eat When You're Expecting, What to ExpectR the First Year, and What to ExpectR the Toddler Years. The reassuring, accurate, reader-friendly approach of these comprehensive books has earned them the respect of parents and medical professionals all over the world.

Table of Contents

Foreword to the Third Edition	xix
Richard Aubry
Foreword: A Word from the Doctor	xx
Introduction to the Third Edition: Why This Book Was Born Again...and Again	xxii
Introduction: How This Book Was Born	xxiv
Part 1 IN THE BEGINNING
Are You Pregnant?	2	(18)
What You May Be Concerned About	2	(7)
Vitamin Reminder
Diagnosing Pregnancy
Testing Smart
Possible Signs of Pregnancy
Probable Signs of Pregnancy
Positive Signs of Pregnancy
Making the First Appointment
If You're Not Pregnant...
Pregnancy Timetable
Due Date
What It's Important to Know: Choosing (and Working With) Your Practitioner	9	(11)
A Look Back
What Kind of Patient Are You?
Obstetrician? Family Practitioner? Nurse-Midwife?
Types of Practice
Finding a Candidate
Birthing Alternatives
Making Your Selection
Making the Most of the Patient-Practitioner Partnership
So You Won't Forget
Now That You're Pregnant	20	(36)
What You May Be Concerned About	20	(27)
Your Gynecological History
This Book's for You
Previous Abortions
Your Obstetrical History Repeating Itself
Pregnancies Too Close Together
The Second Time Around
Having a Big Family
Repeat Cesareans
Vaginal Birth
After Cesarean (VBAC)
Obesity
Rh Incompatibility
Being a Single Mother
Having a Baby After Thirty-Five
Age and Testing for Down Syndrome
The Father's Age
Fibroids
Endometriosis
Incompetent Cervix
In Vitro Fertilization (IVF)
Herpes
Signs and Symptoms of Genital Herpes
Other STDs (Sexually Transmitted Diseases)
Fear of AIDS
Rubella
Antibody Levels (Titer)
Immunizations in Pregnancy
Hepatitis B
An IUD Still in Place
Birth Control Pills in Pregnancy
Spermicides
Provera
DES
Living at a High Altitude
Lack of Insurance
Religious Objections to Medical Care
Your Family History
Genetic Counseling
Your Opposition to Abortion
What It's Important to Know: About Prenatal Diagnosis	47	(1)
Screening Tests	48	(3)
First-Trimester Screening
Second-Trimester Screening
Ultrasound
Diagnostic Tests	51	(5)
Chorionic Villus Sampling (CVS)
Amniocentesis
An Amnio Complication
When a Problem Is Found
Other Types of Prenatal Diagnosis
Throughout Your Pregnancy	56	(27)
What You May Be Concerned About	56	(23)
Alcohol
Cigarette Smoking
An Early Baby Present
Weight Gain and Smoking
When Other People Smoke
Breaking the Smoking Habit
Marijuana Use
Cocaine and Other Drug Use
Caffeine
Herbal Tea
Sugar Substitutes
Fruit Juice
Concentrates
The Family Cat
Sports
Hot Tubs and Saunas
Microwave Exposure
Electric Blankets and Heating Pads
Cell Phones
X Rays
Household Hazards
Let Your Home Breathe
The Green Solution
Air Pollution v Occupational Hazards
All Work and No Play?
Getting All the Facts
Quiet, Please
What It's Important to Know: Putting Risk in Perspective	79	(4)
Weighing Risk Versus Benefit
The Pregnancy Diet	83	(23)
Nine Basic Principles for Nine Months of Healthy Eating
Double Up on Nutrition, Not on Calories
Guilt-Free Cheating
The Pregnancy Daily Dozen
Playing Protein Catch-up
The Good Fat Facts
What's in a Pill?
The Food Selection Groups	94	(5)
Protein Foods
Calcium-Rich Foods
Vegetarian Proteins
Vitamin C Foods
Green Leafy and Yellow Vegetables and Yellow Fruits
Other Fruits and Vegetables
Whole Grains and Legumes
Iron-Rich Foods v Fats and High-Fat Foods
The Recipes	99	(7)
Cream of Tomato Soup
Baked Fries
Power-Packed Oatmeal
Bran Muffins
Whole-Wheat Buttermilk Pancakes
Double-the- Milk Shake
Fig Bars
Fruity Oatmeal Cookies
Fruited Yogurt
Fruit Smoothie
Mock Strawberry Daiquiri
Virgin Sangria
Part 2 NINE MONTHS AND COUNTING From Conception to Delivery
The First Month (Approximately 1 to 4 Weeks)	106	(27)
What You Can Expect at Your First Prenatal Visit	106	(2)
What You May Be Feeling	108	(1)
A Look Inside
What You May Be Concerned About	109	(21)
Breaking the News
Telling the Boss
The Pregnant Worker's Rights
On-the Job Comfort and Safety
Fatigue
Morning Sickness
Excess Saliva
Frequent Urination
Breast Changes
Vitamin Supplements
Lower Abdominal Pressure
Miscarriage
Possible Signs of Miscarriage
The Condition of Your Baby
Ectopic Pregnancy
Stress in Your Life
The Bright Side of Optimism
Relaxation Made Easy
Overwhelming Fear About the Baby's Health
Depression
For the Other Pregnant Half
Picking Up Older Children
When to Call the Practitioner
What It's Important to Know: Getting Regular Medical Care	130	(3)
A Schedule of Prenatal Visits
Taking Care of the Rest of You
When in Doubt
The Second Month (Approximately 5 to 8 Weeks)	133	(21)
What You Can Expect at This Month's Checkup	133	(1)
What You May Be Feeling	134	(1)
A Look Inside
What You May Be Concerned About	135	(18)
Venous Changes
Complexion Problems
Waistline Expansion
Losing Your Figure
Measuring Too Small (or Too Big)
A Tilted Uterus
Heartburn and Indigestion
Food Aversions and Cravings
Milk Aversion or Intolerance
Pasteurized, Please
Are You Really Lactose-Intolerant?
Cholesterol
A Meatless Diet
A Vegetarian Diet
Low-Carbohydrate Diets
Junk-Food Junkie
Additives Assessed
Fast Food
Chemicals in Foods
Sushi Safety
Hot Stuff
Eating Safe
Spoiled Food
Reading Labels
You Can't Tell a Fruit by Its Cover
What It's Important to Know: Playing It Safe	153	(1)
The Third Month (Approximately 9 to 13 Weeks)	154	(18)
What You Can Expect at This Month's Checkup	154	(1)
What You May Be Feeling	155	(1)
A Look Inside
What You May Be Concerned About	156	(13)
Constipation
Another Reason for Being Tired, Moody, and Constipated
Flatulence (Gas)
Weight Gain
Headaches
Stretch Marks
Baby's Heartbeat
Sexual Desire
Oral Sex
Cramp After Orgasm
Twins and More
Twins
Corpus Luteum Cyst
Inability to Urinate
Strep Throat
What It's Important to Know: Weight Gain During Pregnancy	169	(3)
More Weighty Issues
Weight Insurance
Breakdown of Your Weight Gain
The Fourth Month (Approximately 14 to 17 Weeks)	172	(32)
What You Can Expect at This Month's Checkup	172	(1)
What You May Be Feeling	173	(1)
A Look Inside
What You May Be Concerned About	174	(16)
Fetal Movement
Appearance
A Pregnant Pose
Maternity Clothes
Hair Dyes, Relaxers, and Permanents
Reality of Pregnancy
Unwanted Advice
Forgetfulness
Breathlessness
Dental Problems
Trouble Sleeping
Snoring
Vaginal Discharge
Elevated Blood Pressure
Sugar in the Urine
Anemia
Nosebleeds and Nasal Stuffiness
Allergies
No Peanuts for Your Little Peanut?
Get Your Flu Shots
What It's Important to Know: Exercise During Pregnancy	190	(14)
The Benefits of Exercise
Leg and Shoulder Stretches
Staying Fit and Healthy
Basic Position (Through Fourth Month) and Kegel Exercises
Developing a Good Exercise Program
Pelvic Tilt
Neck Relaxer
Choosing the Right Pregnancy Exercise
Dromedary Droop
Playing It Safe
Leg Lifts
Exercise Red Flags in Pregnancy
Tailor Sit, Tailor Stretch
Do Try These at Home
If You Don't Exercise
The Fifth Month (Approximately 18 to 22 weeks)	204	(35)
What You Can Expect at This Month's Checkup	204	(1)
What You May Be Feeling	205	(1)
A Look Inside
What You May Be Concerned About	206	(27)
Fatigue
Faintness and Dizziness
Hot and Cold: Handling
Temperature Extremes When You're Expecting
Fetal Movement Patterns
Sleeping Position
Backache
Carrying Older
Children
Foot Problems
Fast-Growing Hair and Nails
A Spa Treat
Getting Rubbed the Right Way
Skin Discoloration
Other Strange Skin Symptoms
Vision
Routine Ultrasound
A Low-Lying Placenta
Wearing a Seat Belt
Outside Influences on the Womb
Carrying Baby, Fifth Month
Parenthood
Pregnant Women Are Delicious
Abdominal Pain
Late Miscarriage
Jettisoning Jet Lag
Travel
Traveler's Tummy
Eating Out
Best Bets in Restaurants
What It's Important to Know: Making Love During Pregnancy	233	(6)
Understanding Sexuality During Pregnancy
When Sexual
Relations May Be Limited
Exercise That's Actually a Pleasure
Enjoying It More, Even if You're Doing It Less
Getting Comfortable
The Sixth Month (Approximately 23 to 27 Weeks)	239	(21)
What You Can Expect at This Month's Checkup	239	(1)
What You May Be Feeling	240	(1)
A Look Inside
What You May Be Concerned About	241	(12)
Pain and Numbness in the Hands
Pins and Needles
Clumsiness
Baby Kicking
Leg Cramps
A Stretching Exercise to Ward off Leg Cramps
Rectal Bleeding and Hemorrhoids
Itchy Abdomen
Protruding Navel
Complementary and Alternative Medicine (CAM)
Clogged Milk Duct
Preeclampsia, or Toxemia
Staying on the Job
The Pain of Childbirth
Labor and Delivery
Hospital Tours
Classes for Second Timers
When Something Just Doesn't Feel Right
What It's Important to Know: Childbirth Education	253	(7)
Benefits of Taking a Childbirth Class
Choosing a Childbirth Class
Childbirth Education Options
For Information on Pregnancy/Childbirth Classes
The Seventh Month (Approximately 28 to 31 Weeks)	260	(24)
What You Can Expect at This Month's Checkup	260	(1)
What You May Be Feeling	261	(1)
A Look Inside
What You May Be Concerned About	262	(14)
Increasing Fatigue
Edema (Swelling) of the Ankles and Feet
Overheating
Fetal Hiccups
Don't Forget to Count Those Kicks
Skin Eruptions
Accidents
Lower Back and Leg Pain (Sciatica)
Orgasm and the Baby
Glucose Screening Test
Another Reason to Eat Your vegetables
Restless Leg Syndrome
Dreams and Fantasies
Approaching Responsibility
To Work or Not to Work?
Premature Labor
Don't Hold It In
A Low- Birthweight Baby
A Birthing Plan
A Backup Plan
What It's Important to Know: About Childbirth Medication	276	(8)
Kinds of Pain Relief Most Commonly Used
Making the Decision
The Eighth Month (Approximately 32 to 35 Weeks)	284	(31)
What You Can Expect at This Month's Checkups	284	(1)
What You May Be Feeling	285	(1)
A Look Inside
What You May Be Concerned About	286	(22)
Shortness of Breath
Braxton Hicks Contractions
Not-So- Funny Rib Tickling
Stress Incontinence Bathing
Life-Saving Tests for Newborns
Driving
Group B Strep
Your Weight Gain and the Baby's Size
Your Size and Your Delivery
Carrying Baby, Eighth Month
How You're Carrying
Presentation and Position of the Baby
How Does Your Baby Lie?
Best Medicine for Labor?
Twin Labor and Delivery
Triplet Delivery
Cesarean Section
Hospitals and Cesarean Rates
Making the Cesarean Birth a Family Affair
Cesarean Questions to Discuss with Your Doctor
Your Safety During Childbirth
Banking Your own Blood
Travel Safety
Relationship with Your Spouse
Making Love Now
What It's Important to Know: About Breastfeeding	308	(7)
Why Breast Is Best
Why Some Prefer the Bottle
The Breast: Sexual or Practical?
Making the Choice to Breastfeed
Smoking and Breastfeeding?
Mixing Breast and Bottle
When You Can't or Shouldn't Breastfeed
A Little Support Goes a Long Way
Bottle-Feeding with Love
The Ninth Month (Approximately 36 to 40 Weeks)	315	(22)
What You Can Expect at This Month's Checkups	315	(1)
What You May Be Feeling	316	(2)
A Look Inside
What You May Be Concerned About	318	(16)
Changes in Fetal Movements
Urinary Frequency-Again
Choosing a Pediatrician
Nesting Instinct
Bleeding or Spotting
Membranes Rupturing in Public
Lightening and Engagement
Be Prepared
When You Will Deliver
Do-It-Yourself Labor Induction?
How Is Baby Doing?
The Overdue Baby
Some Reassurance about an Unreassuring Test Result
Planned Induction of Labor
What to Take to the Hospital or Birthing Center
Plan-Ahead Pain Relief
Massage Your Way to an Easier Labor
Fear of Another Long Labor
Advance Planning
Breastfeeding
Breast Surgery and Nursing
Considering Cord Blood Banking
Mothering
What It's Important to Know: About Prelabor, False Labor, Real Labor	334	(3)
Prelabor Symptoms
False Labor Symptoms
Real Labor Symptoms
When to Call the Practitioner
Labor and Delivery	337	(45)
What You May Be Concerned About	337	(20)
Mucous Plug and Bloody Show
Rupture of Membranes
Darkened Amniotic Fluid (Meconium Staining)
Inadequate Amniotic Fluid
Labor Induction
Giving Mother Nature a Boost
Calling Your Practitioner During Labor
Irregular Contractions
Back Labor
Having a Short Labor
Not Getting to the Hospital on Time
Enemas
Emergency Delivery if You're Alone
Shaving the Pubic Area
Eating and Drinking During Labor
Routine IVs
Fetal Monitoring
Emergency Delivery: Tips for the Coach
Artificial Rupture of Membranes
The Sight of Blood
An Episiotomy
Being Stretched by Childbirth
Stirrups During
Delivery
Forceps and Vacuum Extraction
Outlet Forceps and Vacuum Extractor
Apgar Score
Apgar Table
Labor Positions
What It's Important to Know: The Stages and Phases of Childbirth	357	(2)
Labor Positions
Stages and Phases of Labor
The First Stage of Childbirth: Labor	359	(11)
The First Phase: Early, or Latent, Labor
Pain Perception in Perspective
On to the Hospital or Birthing Center
The Second Phase: Active Labor
The Third Phase: Advanced Active or Transitional Labor
If You Aren't Making Progress
The Second Stage of Childbirth: Pushing and Delivery	370	(6)
A Baby Is Born
A First Look at Baby
The Third Stage of Childbirth: Delivery of the Placenta, Or afterbirth	376	(2)
Breech Delivery	378	(1)
Cesarean Section: Surgical Delivery	378	(4)
Is There a Pediatrician in the Room?
Part 3 LAST BUT NOT LEAST
Postpartum: The First Week	382	(27)
What You May Be Feeling	382	(1)
What You May Be Concerned About	383	(15)
Bleeding
Your Postpartum Condition
Afterpains
Pain in the Perineal Area
Difficulty Urinating
That First Bowel Movement
Excessive Perspiration
Adequacy of Your Milk Supply
Engorged Breasts
When to Call Your Practitioner
Engorgement if You're Not Breastfeeding
Fever
Bonding
Rooming-In
Hospital Stays
Recovery from a Cesarean Section
Backache
What It's Important to Know: Getting Started Breastfeeding	398	(11)
Breastfeeding Basics
Engorgement: When the Milk Comes In
The Breastfeeding Diet
Sore Nipples
Occasional Complications
Medication and Lactation
Breastfeeding Twins
Breastfeeding After a Cesarean
Breastfeeding Twins
Postpartum: The First Six Weeks	409	(22)
What You May Be Feeling	409	(1)
What You Can Expect at Your Postpartum Checkup	410	(1)
What You May Be Concerned About	411	(15)
Baby Blues and Depression
Getting Help for Postpartum Depression
Returning to Prepregnancy Weight and Shape
Thyroiditis Got You Down?
Breast Milk
Leaking Milk
Long- Term Cesarean Recovery
Resuming Sexual Relations
Lack of Interest in Making Love
Easing Back into Sex
Becoming Pregnant Again
Hair Loss
Taking Tub Baths
Exhaustion
What It's Important to Know: Getting Back Into Shape	426	(5)
Ground Rules for the First Six Weeks
Phase One: Twenty-Four
Hours After Delivery
The Basic Position
The Pelvic Tilt
Phase Two: Three Days After Delivery
Leg Slides
Head/Shoulder Lifts
Phase Three: After Your Postpartum Checkup
Fathers Are Expectant, Too	431	(19)
What You May Be Concerned About	431	(19)
Feeling Left Out
Get Ready, Get Set Then Go
Changes in Attitudes Toward Sex
A Partner in Parenting by Any Name
Resources for Dads
Safety of Sex in Pregnancy
Pregnancy Dreams
Impatience with Your Wife's Mood Swings
Moodiness-His and Hers
Sympathy Symptoms
Anxiety over Your Wife's Health
Anxiety over the Baby's Health
Anxiety over Life Changes
Being There
Falling Apart During Labor
Fathering Fears
The Grandparent Issue
Exclusion During
Breastfeeding
Bonding
Your Baby Blues
Feeling Unsexy After Delivery
Part 4 OF SPECIAL CONCERN
If You Get Sick	450	(20)
What You May Be Concerned About	450	(18)
The Common Cold
Sinusitis
Is It the Flu or a Cold?
Influenza, or ``Flu''
Urinary Tract Infection
Fever
Taking
I Aspirin and Nonaspirin
Taking Medications
On-line Drug Shopping
Keeping Moist
Herbal Cures
Gastrointestinal Ills
Listeriosis
Toxoplasmosis
Cytomegalovirus (CMV)
Fifth Disease
Chicken Pox (Varicella)
Lyme Disease
Measles
Mumps
German Measles (Rubella)
Hepatitis
What It's Important to Know: Staying Well	468	(2)
Coping with a Chronic Condition	470	(21)
What You May Be Concerned About	470	(17)
Asthma
Diabetes
Safe Exercise Heart Rate for Diabetic Pregnancies
Chronic Hypertension
Coronary Artery Disease (CAD)
Thyroid Disease
An Eating Disorder
Systemic Lupus Erythematosus (SLE)
Rheumatoid Arthritis
Multiple Sclerosis (MS)
Physical Disability
Epilepsy
Phenylketonuria (PKU)
Sickle-Cell Anemia
Cystic Fibrosis
What It's Important to Know: Living With The High-Risk or Problem Pregnancy	487	(4)
Moms Helping Moms
When There's a Problem	491	(45)
Pregnancy Complications	491	(20)
Early Miscarriage
Bleeding in Early Pregnancy
When a Miscarriage Is Inevitable
Bleeding in Mid- or Late Pregnancy
Late Miscarriage
If You've Had a Miscarriage
Ectopic Pregnancy
Ectopic Pregnancy
Gestational Diabetes
pregnancy-Induced Hypertension or Preeclampsia
Intrauterine Growth Restriction (IUGR)
Repeat Low-Birthweight Babies
Lowering the Risks for the Baby at Risk
Placenta Previa
Placenta Previa
Chorioamnionitis
Preterm Premature Rupture of the Membranes (PPROM)
Preterm or Premature Labor
Predicting Preterm Labor
Venous Thrombosis
Uncommon Pregnancy Complications	511	(10)
Hyperemesis Gravidarum
Molar Pregnancy
When a Serious Fetal Defect Is Detected
Partial Molar Pregnancy
Choriocarcinoma
Eclampsia
HELLP Syndrome
Abruptio Placenta
Placenta Accreta
Oligohydramnios
When Multiple Fetuses aren't Thriving
Hydramnios (or Polyhydramnios)
Knots and Tangles in the Cord
First Aid for the Fetus
Cord Prolapse
Childbirth and Postpartum Complications	521	(5)
Fetal Distress
Shoulder Dystocia
Uterine Rupture
Uterine Inversion and Cervical Lacerations
Inversion (Inverted Uterus)
Postpartum Hemorrhage
Postpartum Infection
Coping with Pregnancy Loss	526	(10)
Loss of One Twin
Stages of Grief
Why?
Part 5 THE NEXT BABY
Preparing for the Next Baby	536	(9)
Preconception Prep for Mothers
Preconception Prep for Dads
Now That You've Read the Ending
Appendix	545	(10)
Common Tests During Pregnancy
Non-Drug Treatments During Pregnancy
Pregnancy Calorie and Fat Requirements
Sources and Resources
Pregnancy Notes	555	(23)
Index	578

Excerpts

Chapter 5 - The First MonthApproximately 1 to 4 Weeks Congratulations-and welcome to your pregnancy! Though you almost certainly don't look pregnant yet, chances are you're already starting to feel it. Whether it's just tender breasts and a little fatigue you're experiencing, or every early pregnancy symptom in the book (and then some), your body is gearing up for the months of baby-making to come. As the weeks pass, you'll notice changes in parts of your body you'd expect (like your belly), as well as places you wouldn't expect (your feet and your eyes). You'll also notice changes in the way you live-and look at-life. But try not to think (or read) too far ahead. For now, just sit back, relax, and enjoy the beginning of one of the most exciting and rewarding adventures of your life.What You Can Expect at Your First Prenatal Visit Your first prenatal visit will probably be the longest you'll have during your pregnancy, and definitely will be the most comprehensive one. Not only will there be more tests, procedures (including several that will be performed only at this visit), and data gathering (in the form of a complete medical history), but there will be more time spent on questions (questions you have for the practitioner, questions he or she will have for you) and answers. There will also be plenty of advice to take in-on everything from what you should be eating (and not eating) to what supplements you should be taking to whether (and how) you should be exercising. So be sure to come equipped with a list of the questions and concerns that have already come up, as well as with a pen and notebook (or What to Expect When You're Expecting Pregnancy Organizer) to take notes with. One practitioner's routine may vary slightly from another's. In general, the examination will include:Confirmation of your pregnancy. Your practitioner will want to check the following: the pregnancy symptoms you are experiencing; the date of your last normal menstrual period to determine your estimated date of delivery (EDD) or due date (see page 8); your cervix and uterus for signs and approximate age of the pregnancy. A pregnancy test (urine and blood) will most likely be ordered.A complete history. To give you the best care possible, your practitioner will want to know a great deal about you. Come prepared by checking records at home or calling your primary care doctor to refresh your memory on the following: your personal medical history (chronic illness, previous major illness or surgery, known allergies, including drug allergies); nutritional supplements (vitamins, minerals, herbal, and so on) or medications (over-the-counter, prescription) you are presently taking or have taken since conception; your family medical history (genetic disorders, chronic diseases, unusual pregnancy outcomes); your personal gynecological history (age at first menstrual period, usual length of menstrual cycle, duration and regularity of menstrual periods); your personal

---

Excerpted from What to Expect When You're Expecting by Arlene Eisenberg, Heidi Murkoff, Sandee E. Hathaway
All rights reserved by the original copyright owners. Excerpts are provided for display purposes only and may not be reproduced, reprinted or distributed without the written permission of the publisher.