Dr. Mark Gostine, Author at BabyQ - Page 2 of 10

What Changes Should I Expect During My Second Pregnancy?

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Do Second Pregnancies Have Medical Differences? There are a few medical statistics about second pregnancies, and your doctor or midwife will talk with you about those. If you had certain complications such as pre-eclampsia in your first pregnancy, your doctor will be closely watching for those the second time around. However, if your first pregnancy was relatively uncomplicated, the risk of complications overall tends to be lower during a second pregnancy. Additionally, the risk of an early miscarriage falls significantly during second and subsequent pregnancies. If you had a C-section the first time, then you will be discussing with your doctor which type of delivery is advisable for the second birth. Will I Feel Different During My Second Pregnancy? Probably. Each pregnancy is unique, but the majority of women find that second pregnancies have the following characteristics: You may feel more tired. This is most likely due to the fact…

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Darkened Areola

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One of the changes to your skin during pregnancy is that the tissue around your nipple, called the areola, will darken.  This is absolutely secondary to the hormonal and metabolic changes that occur during pregnancy.  While the areola lightens up after pregnancy, they never go back to the color they were before you became pregnant.

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Shortness of Breath

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Shortness of breath is not uncommon during pregnancy.  While walking up a flight of stair you suddenly feel like you ascended 10 flights instead of just one.  There are multiple reasons for this.   First, you will put on a significant amount of weight during your pregnancy, perhaps as much as 30-40 lbs.  Secondly, you become anemic.  Third, your legs may retain a lot of fluid.  This combination of anemia, extra weight and swollen legs makes it difficult just to move around.  You will find yourself panting doing what before had been a very easy task. Some things you can do to prevent shortness of breath are to stay in reasonable shape, exercise on a regular basis by walking 30 to 40 minutes a day. In your third trimester slow down and shorten your pace. Take your prenatal vitamins, as the iron will help prevent you from getting extremely anemic. …

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Fluid Retention

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Fluid retention typically comes late in pregnancy.  It is the way your body prepares for delivery.  A lot of fluid will leave your body at the time of delivery between the amniotic fluid, and the placenta separating from your uterus.  The body stores extra fluid in preparation for this.  After you deliver, your body gets rid of the fluid and you will experience frequent urination at that time.  It’s important to stay hydrated during pregnancy.  Drink extra water between meals, have a glass of milk with every meal.  Fluid retention may make you feel sluggish and you’ll notice that your ankles will swell.  This swelling will go down at night when your feet are up while you’re sleeping.  This leads to frequent night time urination.

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Sex Drive Changes

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Typically, women will experience a diminished sex drive during their first trimester.  In part they may feel a little bit ill with nausea.  Typically, the sex drive returns in the second trimester as you start to feel better.   Sex is certainly safe during pregnancy and it leads to increased feelings of self esteem and love.  Although the frequency of sex between partners may decrease between the second and third trimesters, it can still be enjoyed on a regular basis.  During the last trimester it is usually easier for the woman to be on top.

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Mood Changes

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There is no escaping the fact that our emotions are definitely influenced by our hormones.  There is no condition more hormonal than pregnancy.  Your estrogen and progesterone levels are going up at rapid rates.  You have more worries and excitement.  There is the wonderful expectation of a little baby coming soon to your family, but there are also the concerns of another mouth to feed and how that child will grow up.  These are very real reasons to be happy and concerned at the same time.  In combination with your skyrocketing hormones this leads to frequent changes in your emotions during pregnancy. Talk out these emotional changes with your friends and family.  Anyone who truly cares for you will understand how you’re feeling.

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Incontinence

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All your internal muscle tissues relax a little bit during pregnancy, including the muscle around your bladder.  This is nature’s way of getting your body prepared for delivery.  Your ligaments and pelvis expand so that baby can pass easier through the birth canal.  The hormone progesterone is responsible for making your smooth muscles that line your bladder and intestines more relaxed.  You also drink a lot more liquid during pregnancy because both you and the baby need them. By the third trimester, you have a large uterus and baby sitting on your bladder.  You are now drinking more liquids; you have pressure on your bladder, and the bladder is relaxed.  This combination results in unintentional urination, or what we call incontinence.  It may happen when you sneeze or laugh.  The best thing to do is simply wear a pad if you are suffering from incontinence.  If you’re going out somewhere…

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What if you drink during pregnancy?

I Drank Alcohol Before I Knew I Was Pregnant. Should I Be Worried?

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Should I Be Worried About My Baby’s Development Because I Drank Alcohol Before I Knew I Was Pregnant? This issue has caused a lot debate in the medical community. The position of the American College of Obstetricians and Gynecologists (ACOG) has been and continues to remain that “no amount of alcohol consumption can be considered safe during pregnancy” in spite of any research to the contrary. That’s because drinking while pregnant is a well known cause of mental retardation and birth defects. In addition, using alcohol during pregnancy increases the risk of miscarriage, low birth weight, and stillbirth. “The bottom line according to ACOG: Women should avoid alcohol entirely while pregnant or trying to conceive because damage can occur in the earliest weeks of pregnancy, even before a woman knows that she is pregnant.” Is There Any Medical Association That Believes That Having Used Alcohol Before Knowing You Were Pregnant…

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Missed Period

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For many women, the first symptom that they are pregnant is that they miss their period.  Every month when you are not pregnant, your uterus sheds its lining so that there is a healthy surface for the embryo to become implanted when you become pregnant.  During pregnancy, this monthly cycle stops as the baby and placenta grow in your uterus.  This results in the missed period. Typically you will notice the missed period about two weeks after becoming pregnant.  It’s very important to keep track of your last menstrual period because this will help your OB predict when you are ready to deliver.   Of course, women can miss periods for a variety of reasons, only one of which is pregnancy.  Sometimes travel and stress, not eating enough, or exercising too much can make you miss a period.

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