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Twenty to Twenty Four Weeks Pregnant

Twenty to Twenty-Four Weeks Pregnant

You are perhaps still enjoying the glowing middle months of pregnancy. Your little bump is growing bigger and your hair is thicker and you don’t feel sick anymore.

How you might feel between twenty weeks and twenty-four weeks of pregnancy:

  • As your baby and your uterus grow, they may take up some of the space your lungs are used to enjoying. This can contribute to a feeling of breathlessness. Let your care provider know if it happens a lot.
  • For some women, lying on their back as their uterus gets bigger is very uncomfortable and causes nausea or unease because it makes their blood pressure drop. This is why women are told to sleep on their side. For other women, sleeping on their side is difficult because they are not used to it, or they cannot make it comfortable. There is no evidence that it is necessary to avoid sleeping on your back. For a reassuring post on this click here.
  • You may experience changes in skin pigmentation. Your nipples and areolas may become darker. You may develop dark patches on the skin of your face and a dark stripe down your tummy. These are made darker by exposure to the sun. They will fade again after your baby is born.

Things you may do between twenty weeks and twenty-four weeks of pregnancy:

  • You might want to start thinking about baby names. This might be a good time to start a list. Baby name books are available in the shops or at the library. And there are lots of resources on-line. BC Vital Statistics provides a fun gadget here.
  • Your baby can hear now. Talk to her! Sing to him! Read stories out loud. Beat little rhythms on your belly. See if you can tell what kind of music or stories your baby likes best. You don’t have to sing lullabies or read kids stories, unless you want to. You baby is just as likely to enjoy opera or jazz or heavy metal. And if you or your baby’s other parent read the newspaper or a text book or a novel out loud, you will find that you can tell from your baby’s movements that he or she is listening.
  • Some women worry about their weight gain. In this middle trimester, you do tend to gain weight faster than in the first three months. About 0.2-0.5kg per week (1/2 a pound to a pound.) Remember, healthy eating is what you should focus on, not controlling your weight.
  • You might want to start finding places to have naps. The library? Your car? On the floor in your office? Sleeping for 15-20 minutes after lunch is wonderfully refreshing. Lie down, set an alarm and practice deep, slow breathing.

 Between twenty weeks and twenty-four weeks of pregnancy, your care-provider will probably:

  • be seeing you every month at this stage
  • weigh you at each visit and discuss healthy weight gain
  • palpate and measure your abdomen
  • listen to the baby’s heart beat using a hand held Doppler ultrasound device
  • offer you a detailed ultrasound around 18 weeks to check for baby’s growth and development

Your care provider is one of your best sources of information.  Keep a list of questions to ask at your monthly appointments.

Things you can do for your health and your baby’s health:

  • You may start to feel a lot hungrier. Make sure that you choose healthy, nutrient-dense snacks. It’s a good idea to carry a little package of raw almonds, or some whole-grain crackers and cheese to help get through the day.
  • Wear your seatbelt. The lap belt should be under your belly, low on your hips. The shoulder belt should go between your breasts. Your seatbelt will keep you and your baby safe in the case of an accident.
  • Keep up with regular physical activity. Prenatal yoga classes will take the needs of your growing and changing body into account. And they are a great place to meet other pregnant women.
  • If you have not yet joined the Pregnancy Happy Hour on Fridays evenings at the Mothering Touch Centre come and try it out!

Resources:

Healthy Eating: www.healthlinkbc.ca
Prenatal Yoga: www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week
Songs and Rhymes for Baby: www.wordsforlife.org.uk

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Is a Prenatal Class about Childbirth or about Babies?

Prenatal Childbirth Preparation for Doctors' Patients

This term we use – Prenatal Class – is confusing, isn’t it?

Some parents-to-be are fascinated by, or worried about labour and birth and are wanting to spend a lot of time talking about it. They come to our 12-hour, six-week Childbirth Preparation classes and are happy to spend most of the time on labour and birth, and practicing comfort measures and coping skills, and find that it’s great that we also spend two entire hours talking about babies and breastfeeding.

Other parents, who are more worried about how they are going to cope with the baby once it is out, feel they would like to spend more time talking about babies and breastfeeding.

It’s for this second group of parents that we have designed the Parenting the Newborn series. It’s a three-week, six-hour series in which a postpartum doula and breastfeeding educator takes you though two hours on baby care and two hours on breastfeeding, and then a First Aid Instructor comes and teaches two hours of Infant First Aid and CPR.

Many of our parents take both sets of classes. And we encourage this by giving parents a $15 discount if they sign up for both classes at the same time. (We also acknowledge that there will be a little overlap between the classes.) Some parents take only one, or only the other.

I would say, that if you take only one, the Childbirth Preparation Class is the one to take. Experiencing childbirth in a healthy and satisfying way takes knowledge and preparation. Labour and Birth happen all at once, in a big storm. There is little time to consider, or problem solve during labour. The learning and considering and deciding needs to happen before labour starts – even though you may change your mind during labour itself – in fact you probably will.

You can learn baby care and breastfeeding over several week and months. Babies are very patient with fumbly parents, and every parent figures out their own way through the challenges of of the first weeks. In fact, the hormones you make (yes, parents of all genders make hormones when they are around babies) will help you be more attentive and respond more sensitively to your baby.

At Mothering Touch, we believe in people’s basic ability to give birth and care for their babies. We want parents to feel well-prepared and well-supported, to feel satisfied with their birth experience and to be able to enjoy the first weeks with their baby. That is the goal of all our classes and groups.

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Sixteen to Twenty Weeks Pregnant

 

Sixteen Weeks to Twenty Weeks Pregnant

This is the best part of pregnancy for most women. The nausea and fatigue of the First Trimester are over. You may have gotten used to the idea that a baby is growing inside. You’ve made a few – maybe a very few – lifestyle changes and you feel good about that. You may have told others about the pregnancy and this helps you to adjust to this new identity.

How you might feel between sixteen weeks and twenty weeks of pregnancy:

  • You may be “showing” now. A little baby “bump” may be a source of pride. Some women feel it says “I’m pregnant – I’m not just gaining weight.” Other women feel shy about the pregnancy becoming obvious.
  • Most women start to feel the baby moving sometime in this period. At first you may just wonder if those are bubbles in your gut. Soon, you will recognize those flutters are the movements of your baby.
  • Some women may feel short of breath at this time. Your lungs are increasing in capacity, but your baby is also growing and taking up space. Shortness of breath and dizziness may also be caused by low blood pressure. These are a normal part of pregnancy, but if they distress you or prevent you from functioning well, do talk to you care provider about them.

Things you may do between sixteen weeks and twenty weeks of pregnancy:

  • Plan for your maternity leave. You will also want to look into Employment Insurance coverage for your maternity and parental leave.
  • Buy some maternity clothes. Your pre-pregnancy clothes may have reached the limit. And you may want something new that says “I’m pregnant.”
  • You may find yourself thinking about what kind of a parent you want to be. This is a good time to talk with your partner (if you have one) and or your friends and family about parenting styles and philosophies. Some good books include: Becoming The Parent You Want To Be: A Sourcebook Of Strategies For The First Five Years, by Laura Davis and Parenting From The Inside Out, by Daniel J. Siegel and Mary Hartzell.
  • You may find yourself having very vivid (sometime scary) dreams. As your sleep is disrupted by the discomfort caused by your growing belly and your (seemingly) shrinking bladder, you are waking more often in the night and recalling more vividly, dreams which you might otherwise have forgotten. These dreams are common to pregnant women and reflect how seriously we take the changes that are coming in our lives.
  • Mood disorders – depression and anxiety – are just as common in pregnancy as in the postpartum period. Some sadness about the changes in your life, some sense of loss or anxiety about the future, these are normal feelings for this time in your life. If these feelings distress you or prevent you from functioning, do talk to your doctor or midwife about them. It is best to get help and support early.

 Between sixteen weeks and twenty weeks of pregnancy, your care-provider will probably:

  • be seeing you every month
  • weigh you at each visit and discuss healthy weight gain
  • palpate and measure your abdomen
  • listen to the baby’s heart beat using a hand held Doppler ultrasound device
  • offer you the option of having an ultrasound scan around 18-20 weeks.
  • In BC, ultrasound technicians are forbidden by law to identify the baby’s sex. If the baby’s genitals were visible, the sex will have been included in the report sent to your doctor or midwife. If you want to know, you can ask your care provider.

Things you can do for your health and your baby’s health:

  • Continue to stay active. As you get bigger, take care of yourself before and during your workout.
  • Eat a small snack about an hour before your workout. The calorie boost will increase your energy.
  • Sip water throughout your workout. It’s especially important to stay hydrated while you’re pregnant.
  • Take extra care with exercises that require balance. Your body is changing rapidly, and you can feel especially off-kilter while running or doing step-aerobics.
  • Continue to experiment with nutritious food. As you become a family, you will find that cooking and eating together is an important part of taking care of the whole family. When you and your partner shop and cook together, you are practicing making a home for your baby.

Resources:

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Twelve to Sixteen Weeks Pregnant

Twelve Weeks to Sixteen Weeks Pregnant

You’ve come to the end of the First Trimester! You are now entering the Second Trimester – this is the time of the legendary glowing, energetic happy pregnant mama. Of course, that does not happen for everyone. For some, nausea and vomiting do not subside, and fatigue persists even after twelve weeks. This is very difficult.

How you might feel between twelve weeks and sixteen weeks of pregnancy:

  • Nausea and vomiting might start to get better.
  • Heartburn might start or get worse
  • Some women find their sex drive gets stronger at this time – estrogen from the placenta contributes to this.
  • Stuffy nose and nosebleeds
  • Sore back
  • Hair growth – all those growth hormones the placenta is making can make hair grow well on your head – and elsewhere.
  • Headaches. Acetaminophen may be ok (ask your care provider to make sure), but ibuprophen and aspirin are not safe for use in pregnancy. Try a cold compress on your forehead, taking a nap, or having a snack.

Things you may do between twelve weeks and sixteen weeks of pregnancy:

  • Because you are now passed the period of highest risk for miscarriage, this may be when you choose to tell friends and family about your pregnancy. This can be an exciting and happy thing. It can also create a lot of attention and make some women feel shy. Take your time, and tell your news at your own pace.
  • Pregnant women tend to spend a lot of time in the Second Trimester thinking about the baby (some call it daydreaming, or processing, or meditating), wondering what s/he will be like and how it will feel to be a parent.  Use that motivation to learn right now about baby care, and infant development. Some good books include, The Baby Book, by William & Martha Sears and Your Amazing Newborn, by Marshall and Phyllis Klaus.
  • This is alo a good time to learn more about breastfeeding. A good book would be Breastfeeding Made Simple: Seven Natural Laws for Nursing Mothers, by Kathleen Kendall-Tackett, Nancy Mohrbacher.
  • Consider having a doula at your birth.  A doula is a woman experienced in childbirth who provides physical, informational and emotional support and helps parents to have an easier and more positive childbirth experience.  You can learn more by clicking here.
  • Register for Prenatal Childbirth Preparation Classes.  It’s best to take these after 28 weeks, but you have to schedule them and register for them now or the class you want may not be available. 

 Between twelve weeks and sixteen weeks of pregnancy, your care-provider will probably:

  • be seeing you every month at this stage
  • weigh you at each visit and discuss healthy weight gain
  • palpate and measure your abdomen
  • at this stage, you and your care provider will be able to hear the baby’s heart beat using a hand held Doppler ultrasound device
  • if your prenatal screening tests have shown positive results, you may be offered amniocentesis. You can read about that here.

You’re getting to know your care-provider now, and developing a relationship with him or her.  Keep a list of questions to ask at your monthly appointments.  It’s so easy to forget.

Things you can do for your health and your baby’s health:

  • As the nausea starts to go away, experiment with new, nutritious foods.  You may feel hungry in a way you have not experienced before.
  • Keep up with regular physical activity.  As you get bigger around the middle, you may feel a little awkward in your regular classes and decide to join a pregnancy yoga, fitness or aquafit class.  Or not!  The best way to get exercise is to do what you love in an environment you feel comfortable with.  Don’t let anyone else tell you where that should be.
  • If you have not yet joined the Pregnancy Happy Hour on Fridays evenings at the Mothering Touch Centre come and try it out!

Resources:

Infant development: https://www.healthyfamiliesbc.ca/home/articles/babies-physical-development-0-6-months
Breastfeeding videos: https://www.healthyfamiliesbc.ca/home/articles/topic/feeding
Doulas: http://www.doulasofvictoria.ca/
Doulas: http://doulamatch.net/
Genetic testing: 
http://www.perinatalservicesbc.ca/ScreeningPrograms/PrenatalGeneticScreening/family-resources/default.htm

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Eight to Twelve Weeks Pregnant

 

Eight to Twelve Weeks Pregnant

This business of explaining to people how far along you are in your pregnancy! When you have COMPLETED Eight weeks of pregnancy, you are in your NINTH week, but you are not nine weeks pregnant – yet

How you might feel between eight and twelve weeks of pregnancy:

  • Bloating
  • Nausea, vomiting, food aversions or food cravings
  • Intense fatigue
  • Dizziness
  • Mood swings
  • Increased urination
  • Sensitive breasts and nipples
  • Breasts may grow and nipples and areola and sebaceous glands of the areola (little brown or pink bumps)get darker

Things you may do between eight and twelve weeks of pregnancy:

  • If nausea and vomiting are a problem, you may want to read up on remedies. Motherisk is a great resource and even has a forum where you can talk to other moms having trouble with this.
  • Your bra may start to feel tight. It may be time to get bras in a larger cup size. You don’t need a maternity bra – a well-fitted bra of any sort will do. If your bra’s cups still fit but the band it too tight around your ribs, ask for a bra extender.
  • You may feel that your pants are too tight, or that you don’t like anything tight around your middle – even though you are not “showing” a pregnancy bump yet. Bella Bands or other waist band extenders are available for that time before you actually need to buy new, maternity pants.
  • Some women have very few symptoms of pregnancy at this stage. They don’t have nausea, they aren’t showing yet and they sometimes worry: “Am I really pregnant?” This feeling will pass, with time, as your body start to grow to accommodate the baby.
  • Buy a pregnancy book or two. Our favourites include:
    • Pregnancy Childbirth and the Newborn by Penny Simkin
    • The New Pregnancy & Childbirth: Choices & Challenges by Sheila Kitzinger
    • Ina May’s Guide to Childbirth by Ina May Gaskin

 Between eight and twelve weeks of pregnancy, your care-provider will probably:

  • be seeing you every four weeks at this stage
  • weigh you at each visit and discuss healthy weight gain
  • check your blood pressure
  • check your urine for protein and infection
  • discuss nutrition and food safety
  • palpate and measure your abdomen
  • after 10 or 12 weeks of pregnancy, you and your care provider will be able to hear the baby’s heart beat using a hand held Doppler ultrasound device.
  • discuss work place safety with you
  • discuss genetic screening tests

Things you can do for your health and your baby’s health: (Note that all the tasks below are just as important for the non-childbearing parent (the father or other parent) to undertake. The health of a child is affected by the health of the whole family, not just the mother’s.)

  • Talk, talk, talk with your partner about your plans as co-parents. This is a good time to work on your relationship and make it as strong and harmonious as possible.
  • Continue your normal physical activity routine. Unless you have some special risk, there is no need to reduce your activity.
  • Try a prenatal yoga or fitness class – a good place to meet other pregnant women
  • Avoid hot-tubs, steam rooms, saunas and hot yoga. Anything that raises your body temperature above 102°F or 38.9°C may put your baby at risk.
  • If you find yourself worrying about whether the risks of taking medication, or herbs, or  environmental toxins, you should of course, consult your doctor or midwife. But if you need the answer right now, try Motherisk.
  • Join the Pregnancy Happy Hour on Fridays evenings at the Mothering Touch Centre – “You don’t have to be showing to show up!”

Resources:

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Eight Weeks Pregnant

 

(There are lots of places online to read about how big your baby is, whether he can hear yet, or how long her fingernails are. We thought we would provide you with a list of to-dos, for each month of pregnancy. Our culture’s convention is that pregnancy is 40 weeks long – which is 10 lunar months or 9 calendar months. Because most women seem to count their pregnancies in weeks, we will count in lunar – 28-day – months.)

Eight Weeks (the First Two Months)

The most confusing thing about being eight weeks pregnant is that you are only SIX weeks pregnant! Your pregnancy is counted from the first day of your last period, which can be confusing since that was probably two weeks before your egg and sperm met! But your doctor or midwife will count from there, so you might as well too.

How you might feel before Eight Weeks Pregnant:

You might think “Wow! It worked!” or “Oh no! What now?” or both. You might have some early symptoms of pregnancy – sore breasts, moodiness, cramping, a little spotting (implantation spotting around day 21-22 of your cycle is normal and nothing to worry about) – or you may have none of these.

Things you may do before Eight Weeks:

  • Tell people you’re pregnant – your partner? Your parents? Your friends? When do you tell them? How? It’s all up to you. There is no right way or right time to do it. Some women wait until the end of the First Trimester because of the small risk of miscarriage during this time.
  • Decide what kind of care-provider you would like – do you want a doctor or a midwife?
  • Find out about the family physicians in Victoria who provide maternity care with the Victoria Medical Society.
  • Find out about the midwives providing care in Victoria from the Midwives in Victoria, or from the BC Midwives Association. 
  • See your chosen care provider. If you can interview a couple or care-providers and decide who you like best, that is ideal. But often, given the demand in Victoria for midwives and maternity care doctors, there is not much choice.
  • If you live on Vancouver Island, you can register with Public Health online.

Before Eight Weeks of Pregnancy, your care-provider will probably:

  • ask about your medical history and get to know you a little
  • examine you and weigh you and measure your height
  • check your blood pressure
  • check your urine for protein and infection
  • provide useful information about your health and safety (and those of your baby) during pregnancy
  • order blood tests to determine your blood type and to screen for a variety of diseases which can harm the baby (STI’s, HIV, rubella, Hepatitis B)
  • offer prenatal screening for genetic abnormalities You can read about this at Perinatal Services BC.
  • Ask your care-provider about getting a Pregnancy Passport to keep track of appointments, tests and results.

Things you can do for your health and your baby’s health: (Note that all the tasks below are just as important for the non-childbearing parent (the father or other-mother) to undertake. The health of a child is affected by the health of the whole family, not just the mother’s.)

  • Start taking a pregnancy vitamin tablet with folic acid – ask your pharmacist for a recommendation.
  • See your dentist for a cleaning and a check-up. Make sure your teeth are healthy, it affects you own general health.
  • Stop smoking, drinking alcohol, or taking recreational drugs – if you do.
  • Evaluate your exposure to environmental toxins in your workplace or your home and reduce it as much as possible
  • Improve your nutrition. Eat nutrient-dense foods, emphasizing whole grains, vegetable and fruit, lean protein and high-quality fats
  • Limit your intake of salt and caffeine
  • Be physically active on a regular basis
  • Start or continue a physical activity you can pursue during your pregnancy (yoga, swimming, hiking)

Resources:

  • Subscribe to the Lamaze International Weekly Pregnancy email for information on healthy birth practices, from nutrition during pregnancy to measures that will help you feel more comfortable during labour.
  • Baby’s Best Chance
  • Healthy Pregnancy BC
  • Motherisk Women and their healthcare practitioners wanting to learn more about the risk or safety of prescription and over-the-counter drugs, herbal products, chemicals, x-rays, chronic disease and infections during pregnancy and while nursing can contact the Motherisk program at SickKids. Motherisk is a clinical, research and teaching program affiliated with the University of Toronto.
  • Ready to quit smoking? Quit Now! 
  • Nausea and vomiting in pregnancy 
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When should I take Prenatal Classes?

 

I’ve been teaching Childbirth preparation Classes since 1992 and my feeling is that it is best to take classes in the third trimester of pregnancy.  That means AFTER 28 weeks.

Before 28 weeks, women tend to be focused on other tasks of pregnancy (See The Second Trimester for more info about this).  Women tend to become MUCH more interested in the process of labour and birth once their bellies get bigger and they get closer to their due date.  Also, you want to have the information fresh in your mind when you go into labour.  It doesn’t make much sense to learn it months before you need it.

You also want to choose a class that will end by the time you get to 38 or 39 weeks.  This is not really because you are likely to have the baby early, first-time moms are more likely to have their babies late than early.  But by 38 or 39 weeks, women tend to be quite uncomfortable and tired and coming to class in the evening or for a whole day on the weekend is not so much fun.

When you choose to do your class depends also on which format you take.  If you are doing a two-Saturday class, the best time might be in your 35th and 36th weeks.  If you are going to take a 4-week series of Sunday afternoons, you probably want to start by week 33 or 34.  And if you are going to take a 6-week series of weekday evenings, you should probably start in week 31 or 32.

Is it okay to take the classes starting as early as 28 weeks or ending as late as 39 weeks??  Well, of course if scheduling is difficult, it’s better to do them early or late than never at all.  But remember that the other mothers in your class will all be due around the same time and if you are due much before or much after them, you miss out on the mutual support and the companionship through those last weeks of pregnancy and first weeks of being new parents together.  We had one mom who started her classes when she was only 26 weeks phone and ask us to move her into a later series because she felt “not really pregnant” when she compared herself to the others in her class.

Please feel free to call us and have a chat if you are finding it difficult to choose the rights dates.  We are here to help!

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Keeping the Love Alive: When Partners Become Parents

Randy and Eva

My husband Randy and I have been together for almost 35 years now. We were together for seven years before having our first child. In that time we completed a total of 5 post-secondary degrees, got married (and organized a wedding with 120 guests), moved three times (including one move abroad), spent several long periods living apart because of school and work, lived with my parents (for a year) and renovated a 1500 square-foot apartment. We had lots of stress. And lots of arguments. We also had lots of opportunities to grow as a couple and as a team.

But it wasn’t until Daniel was born that we realized how important it was for us to be a team. Because now, we were not the only ones who would be made unhappy if our team did not succeed; our son would be made unhappy too. We were really stuck now!

Not only did we suddenly recognize the permanence of this team, but we also were suddenly aware of all sorts of issues we had each taken for granted. We had never thought to discuss questions like:

Who will get up in the night with the baby?
Whose paid work is more important?
Who decides how often we bathe the baby, or change his sheets, or wipe his nose?
Who makes sure there will be food in the fridge, clean clothes, toilet paper?

Continue reading Keeping the Love Alive: When Partners Become Parents

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Twenty-Eight to Thirty-Two Weeks Pregnant

Twenty-Eight to Thirty-Two Weeks Pregnant

Twenty-Eight to Thirty Two Weeks Pregnant

You are officially in the Third Trimester now. The baby is bigger and movements are stronger. You may be starting to think of this baby as a separate person from you.

How you might feel between twenty-eight weeks and thirty-two weeks of pregnancy:

  • The baby is bigger and movements are stronger. You may be starting to think of this baby as a separate person from you. Some mothers find that they like this feeling of always having a loved one close, inside. Some mothers start to feel a little crowded.
  • Your softening ligaments and growing belly may cause sciatic pain which starts in your low back and goes down the back of one leg. Mention this to your care-provider who may recommend seeing a chiropractor or physiotherapist.
  • As you body slows down, your brain may feel like ti’s slowing down too, because the higher levels of endorphins you are producing. You may experience some absentmindedness or “baby brain.” Carry a notebook, make a to-do list.
  • Heartburn may become more severe. Small meals, pineapple, yogurt, kefir, sauerkraut are some remedies women have tried. Ask your care provider about what antacids you an safely use.

Things you may do between twenty-eight weeks and thirty-two weeks of pregnancy:

  • This is when you may start to attend childbirth classes. Make sure you talk to the other parents and make connections. This is the beginning of creating your group of mommy-friends.
  • You are probably thinking about getting your home ready for baby. Setting up the nursery, shopping, gathering hand-me-downs.
  • Where will your baby sleep? Have you thought about room-sharing? Bed-sharing? Bassinet? Crib?
  • Get your pets ready for baby. If you have not done obedience training, it miht be time. Expose them to other babies, decide where they will sleep when baby comes, take them to the vet for a check-up.

 Between twenty-eight weeks and thirty-two weeks of pregnancy, your care-provider will probably:

  • Be seeing you every two-three weeks at this stage.
  • Weigh you at each visit and discuss healthy weight gain.
  • Check your blood pressure.
  • Check your urine for protein and infection.
  • Palpate and measure your abdomen.
  • Listen to the baby’s heart beat using a hand held Doppler ultrasound device.
  • Discuss your emotional health and adaptation to your pregnancy.
  • Discuss postpartum depression and preparations for postpartum support.
  • Review test results.

Your care provider is one of your best sources of information.  Keep a list of questions to ask at your monthly appointments.

Things you can do for your health and your baby’s health:

  • Arrange to have a dental checkup – it will be more difficult to find time after baby comes and healthy teeth mean healthy mom.
  • Make sure you include lots of fiber in your diet to help with constipation, which gets worse as pregnancy continues.
  • Take an evening walk after supper. It can help with morning blood-sugar levels.
  • Essential fatty acids (Omega 3 fatty acids, fish oil) can help with depression and general health. Ask you care provider whether they are appropriate for you.
  • Start attending your childbirth preparation classes (prenatal classes).
  • Consider taking Baby Care classes.

Resources:

Depression in Pregnancy and the Postpartum Period: Here to Help BC

Eating Fish in Pregnancy: Health Canada

Dental Care in pregnancy: HealthLink BC

Pets and Babies: HealthLinkBC

Heartburn: HealthLinkBC

Childbirth Classes: Mothering Touch

Baby Care Classes: Parenting the Newborn

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Twenty-Four to Twenty-Eight Weeks Pregnant

Twenty-Four to Twenty-Eight Weeks PregnantTwenty-Four to Twenty-Eight Weeks Pregnant

You are coming to the end of the Second Trimester. Almost two-thirds of the way through your pregnancy!

How you might feel between Twenty-Four and Twenty-Eight Weeks of pregnancy:

  • The hormones of pregnancy soften everything up, your ligaments as well as your emotions. You may find that you are much more tender-hearted. You may feel weepier and more sensitive to negative events in your life. But you may also find that you feel much more loving and attached to your partner and your baby.
  • The softness in your joints may lead to increasing clumsiness. You may find yourself bumping into things as your tummy grows, and your extra weight shift you off balance.
  • Loosening ligaments may also cause you to experience a sharp pain in the middle of your pubic bone when you get in or out of bed, or the car, or when you are walking or rolling over.  This may be Pelvic Girdle Pain or Symphysis Pubis Dysfunction. Mention it to your care-provider. Keep your knees together when rolling over or getting out of bed or the car. Sleep on your side with a pillow between your legs. Things that may help: warm bath. ice pack on pubis, acupuncture, physiotherapy.

Things you may do between Twenty-Four and Twenty-Eight Weeks of pregnancy:

 Between Twenty-Four and Twenty-Eight Weeks of pregnancy, your care-provider will probably:

  • be seeing you every four weeks at this stage
  • weigh you at each visit and discuss healthy weight gain
  • check your urine for protein and infection
  • palpate and measure your abdomen
  • listen to the baby’s heart beat using a hand held Doppler ultrasound device
  • offer you RhoGAM at 28 weeks if your blood is rhesus negative
  • offer screening for gestational diabetes

Your care provider is one of your best sources of information.  Keep a list of questions to ask at your monthly appointments.

Things you can do for your health and your baby’s health:

  • Rub your tummy with coconut oil or a lovely-smelling lotion to relieve the itchiness caused the the stretching of your skin. Lotions of oils can feel nice, but they will not prevent stretch marks. Some kinds of skin just get them. It’s a genetic tendency. There are no miracle cures. Gaining weight more slowly and gradually may help lessen the effect. Remember, the marks start out purplish, but will fade with time to be much less noticeable.
  • Take care of your legs before bedtime to prevent cramps in your calves at night.  Stay hydrated, warm legs up before bed with a bath or heating pad, do stretches and ankle circles, massage calf muscles. If you get a cramp anyway, flex your foot in response, breathe out, stand up and walk around. Ask your care-provider about taking extra calcium and magnesium. If your leg is swollen, please tell your care-provider. It could be a blood clot.
  • Focus on sources of iron in your diet: red meat, eggs, leafy greens, legumes, beans and nuts. Remember that combining iron-rich foods with vitamin C helps absorption.
  • Keep up with regular physical activity. Prenatal yoga or exercise classes will take the needs of your growing and changing body into account. And they are a great place to meet other pregnant women.

Resources:

Rhesus Negative: Healthy Families BC and HealthLink BC

Pelvic Girdle Pain: HealthLink BC,  BC Women’s Hospital, www.nhs.uk

Leg Cramps: HealthLink BC

Symptoms in Third Trimester: Health Families BC

Stretch Marks: www.nhs.uk

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Breastfeeding Challenge!!

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Well, this year, one of my long-time dreams is coming true! The Quintessence Global Breastfeeding Challenge is taking place at the Mayfair Mall!

I worked on the organization of the Victoria site of the Quintessence Breastfeeding Challenge every year from 2001 to 2006 and each yar I would go around to the shopping malls and ask if they would host the event. Each year they would look at me with the same puzzled expression. Well, to be sure, my request was not a usual one. The Breastfeeding Challenge is an event to raise awareness of breastfeeding and to welcome and celebrate breastfeeding mothers and families. It involves gathering as many breastfeeding mothers and babies as possible into one place, and then getting all to latch-on at the same time – so that all over BC, moms and babies are latching on a participating in this event together. And all over the world (in 2014 there were 195 sites in 10 countries) moms and babies latched on at 11am local time on the first Saturday in October.

The first year Breastfeeding Matters hosted the Challenge, we did it in a high school gym. We got some media attention, but we felt hidden away. I so wanted the event to take place in public, where the visibility would be greater. But in 2002, none of the shopping malls would host us – they said we were not their “target market.” I wondered, if young women and families are not the target of shopping malls, who is? For a few years, we ran the event at the moss street Market, and then in Centennial Square. That was more visible and more public, but damp and foggy in the morning of the first Saturday of October. So we went back inside and ran the event at Silver City in a movie theater for a couple of years.

In recent years, the event has been de-centralized and run by the local libraries. And last year, we did it in an empty store-front at Uptown Mall. But this year!

This year, we are in the Centre Court of Mayfair Mall! I am so happy! And I invite all the breastfeeding mother and families and all the friends and supporters of breastfeeding to join us there on Saturday October 4 for Story Time at 10:30am and then for the Big Latch-On at 11am. See you there!

~Eva

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Chef Laura to Visit Pregnancy Happy Hour – January 24 – 5pm

Chef Laura MooreNothing focuses our attention on nutrition quite like being pregnant: we now have the growth and development of another brand new human being to think about, not just our own health! Join whole food personal chef and caterer, Chef Laura Moore of the Good For You Gourmet, for a 20 minute presentation on Whole Foods Nutrition and Snack Ideas for Pregnant Moms. A mother herself to a thriving, home-birthed 8 year old boy, Chef Laura will cover:

1) Maximize Nutrition during different stages of pregnancy: now more than ever, the nutrition that we take in and absorb is important for the development of our baby. Yet there are times when nausea makes eating difficult: hear some fresh ideas for how to cope. Make a point of picking highly nutritious foods, with the best possible nutrient density.

2) Non-nauseating Snack Ideas that offer maximum nutrition: minimize strong flavoured and greasy foods such as onions, garlic, sausage, fish especially salmon, possibly cruciferous vegetables, fermented foods and stinky cheeses. Everyone is unique: these are guidelines. See ‘Simple Snacks’ list, plus snack platter.

3) Coping With Cravings: what can we do instead of reaching for the nitrate loaded pepperoni when we are craving protein? great ideas for healthy options presented, using Macrobiotic balance chart as a guideline.

In addition to trying out some great snacks in class, participants will receive a handout ‘5 Great Snack Tips for Pregnant Moms’ together with ‘Simple Snacks’ to take home with them.

Find out more about the personal chef and catering services offered by Chef Laura, plus FREE cooking classes at Planet Organic each month, online at www.gfyg.ca