General Health During Pregnancy
Thyroid disease, high blood pressure, diabetes, anemia, and other chronic conditions or medical problems can affect your pregnancy. To best care for your unborn baby, we may involve other medical specialists, such as perinatologists, cardiologists, endocrinologists, and kidney specialists in your care.
If you develop a cold, ear infection, or other problem unrelated to your pregnancy, we ask that you make an appointment with your regular medical doctor’s office for evaluation and treatment.
Women with certain medical conditions such as poorly controlled hypertension, lung problems, or heart disease may be advised not to exercise. Should you develop complications during your pregnancy, such as preterm labor, bleeding, high blood pressure, or if your baby is not growing well, we may advise you to reduce your activity.
Avoid the Following
- Smoking or spending time around people who smoke
- Alcoholic beverages
- Recreational drugs
- Any vitamins or herbal supplements you have not first cleared with us
- Hot tubs and whirlpool baths. Indoor and outdoor swimming pools are fine, as are warm tub baths and showers
- Exercising in extreme heat or humidity – stop exercising if you become short of breath, overheated, dizzy, dehydrated, or uncomfortable
- Sports that could cause a fall or abdominal trauma (e.g., soccer, basketball, hockey, gymnastics, cycling, water or snow skiing, snowboarding, rock climbing, vigorous racquet sports, and horseback riding. Do NOT scuba dive)
Dental hygiene is very important during pregnancy and there is no reason to discontinue regular dental checkups. However, if you need any dental procedures, be sure to tell your dentist you are pregnant.
- After 13 weeks, X-rays are fine when your stomach is shielded with a lead apron
- Local anesthesia, such as Novocain, is okay. We ask that your dentist use local anesthesia without epinephrine
- Fillings, root canals, and tooth repairs may be done during pregnancy
- If you need antibiotics for a dental procedure or problem, please have your dentist call our office so we can recommend an antibiotic that is safe in pregnancy. Many antibiotics, such as penicillin, erythromycin, and cephalosporin are safe to use during pregnancy
Physically active women with uncomplicated pregnancies should be able to remain active during pregnancy. Don’t overdo it – pregnancy is no time to take up a new sport that demands significant coordination such as rollerblading or step aerobics. Safe ways to stay active during pregnancy include yoga, brisk walking, hiking, backpacking, jogging, swimming, and using fitness equipment such as elliptical machines, treadmill, stationary bike, or Nordic Track. If you didn’t work out before you got pregnant and would like to start, walking is a great beginning exercise that you and your baby can continue after delivery.
As your pregnancy progresses, you will need to adjust your exercise routine and your pace. Avoid prolonged periods of exercise on your back after your fourth month. You will notice your center of gravity changes as your pregnancy progresses because the weight you gain is not evenly distributed. In addition, pregnancy hormones loosen and soften the ligaments that support your joints. As a result, your balance becomes less stable and you are more prone to falls. Low-impact activities are generally safer in pregnancy.
- Thoroughly cook all meat such as beef, pork, and poultry
- Wash raw fruits and vegetables before eating
- Keep uncooked meats separate from vegetables, cooked foods, and ready-to-eat food
- Avoid unpasteurized (raw) milk or foods made from unpasteurized milk
- Wash hands, knives, and cutting boards after handling uncooked meats
- Consume perishable and ready-to-eat foods as soon as possible
- Limit solid white tuna to six ounces (one average meal) per week maximum
For more food safety information, visit the FDA site.
Weight gain recommendations during pregnancy are based upon your Body Mass Index (BMI), a measurement that is calculated from your pre-pregnant weight and height. It is recommended that women of average weight for their height only gain 25-35 pounds, depending on their individual needs. Women who are overweight pre-pregnancy are encouraged to gain less weight while those who are underweight should gain more. Most women need an extra 300 calories per day plus additional iron, protein, and folic acid. A balanced diet and a vitamin and mineral supplement will help you meet those needs.
The principles of a good diet in pregnancy are similar to those of an everyday healthy diet. Choose foods that are low in fat and sugar, and high in fiber and protein. Fruits, vegetables, and whole grains should be staples. Here are a few suggestions of lower calorie food choices that provide good nutrition:
- Drink skim milk or 1% instead of whole or 2% milk
- Choose nonfat or skim milk dairy products such as cheese, cottage cheese, and yogurt
- Eat fresh fruit instead of drinking fruit juice
- Drink six to eight glasses of water per day instead of fruit juice, juice drinks, sweetened ice tea, and soda
- Choose low-fat salad dressings and replace mayonnaise with low- fat yogurt
- Purchase leaner cuts of meat and poultry and cut off all visible fat and skin before cooking
Be sure to take your prenatal vitamin every day, preferably on a full stomach or at night. If one brand of vitamin is not agreeing with you, we can try another brand. Products with NutraSweet, Splenda, and caffeine are fine if you use them sparingly. One to two cups of coffee (150-300 mg of caffeine) per day is considered safe in pregnancy.
As long as you are comfortable, sexual intercourse during pregnancy is perfectly fine until your baby is born. He or she is safely cushioned in the amniotic fluid within your uterus. Avoid intercourse if your pregnancy is complicated by preterm labor, bleeding, or an abnormal location of your placenta. We will counsel you if you develop a condition that calls for sexual abstinence. If you think your water has broken or is leaking, avoid intercourse and go to the hospital for evaluation.
Please tell us if you plan to travel out of the country so we can give you any necessary special recommendations. The best time to enjoy a trip is during the middle months of pregnancy, when most women are past the morning sickness stage but labor is still a few months away. Most airlines generally do not allow travel after 36 weeks and some require a medical provider’s note for travel during pregnancy at any time. Metal detectors at security checkpoints are safe.
While you are traveling be sure to stay well hydrated and allow for plenty of stops to walk around or use the bathroom. On an airplane, get up and walk up and down the aisle as much as you can. Flex your feet, stretch your calf muscles, rotate your ankles, and wiggle your toes while you are in your seat to stimulate your circulation.
If you are traveling by car, wear your seatbelt and shoulder harness. Risks to the mother and her baby who are not protected by the seatbelt during an accident are usually far more serious than those caused by a seatbelt – studies show that babies almost always recover from seat belt pressure sustained during an accident. Keep the lap belt low, under your abdomen, and adjust the shoulder harness between your breasts and keep it as snug as possible. We discourage motorcycle travel during pregnancy.
Good to Know
- You can continue to color and perm your hair while you are pregnant
- It is okay to paint with latex paints while you are pregnant if you work in a well-ventilated room and leave the area if you don’t feel well while you are working
Family Health by Wildflower Mobile App
As a reflection of our commitment to help care for you, your baby, and others in your family we are excited to offer our patients a FREE download of Marin General Hospital’s Family Health by Wildflower app! Organizing your family’s health can be challenging, but this app provides personalized health content and health management tools – all from the convenience of your smart phone. To download, just search “Family Health Wildflower” in the App Store or Google Play. You can also text “health” to 1-415-212-4328 to receive a direct link to download. The app’s secure, easy-to-use interface allows you to organize your entire family’s healthcare information. From planning your first birth to new baby care and everything beyond – Family Health by Wildflower has it all! Click here to learn more…