Common Pregnancy Questions & Answers
1. How much weight should I expect to gain during pregnancy? Most women with a normal body mass index gain 25
to 35 pounds during pregnancy. Women who are obese are advised to gain less weight. On the other hand, women who are underweight may gain up to 40 pounds. Women who gain excessive weight during pregnancy should see a dietitian.
2. When do I first need to see a doctor? A first prenatal visit should take place within the first trimester. If a woman is uncertain about the date of her last menstrual period, it is especially important to schedule an ultrasound appointment to accurately determine gestational dates. At the first doctor visit, a comprehensive medical history will be taken to assess any obstetrical risks and special medical needs of a patient. Simple blood work that is usually done at the first office visit includes ABO and Rh blood typing, screening for anemia, immunity to rubella, and testing for viral hepatitis and HIV. A pelvic exam, pap smear, chlamydia and gonorrhea test is also usually performed at the first visit. Urinalysis, blood pressure and weight checks, fundal height measurement and fetal heart auscultation are performed routinely at each office
visit.
3. Should I seek care from a midwife or doctor? This is a personal decision. Typically, complicated pregnancies (i.e.,
women who have certain medical conditions, smoke, have a history of miscarriages, past c-section, or have other risk factors for a complicated pregnancy) require the care of a physician. Midwives are an option for normal, uncomplicated pregnancies that do not require advanced care. Either way, a woman should seek routine prenatal care by a qualified health care provider.
4. Can I consume caffeine during pregnancy? Caffeine in moderate amounts is probably safe in pregnancy.
5. Can I use artificial sweeteners? Saccharin containing products should be avoided during pregnancy. Saccharin can
cross the placenta and enter the fetal tissue.
6. Why have I been told to avoid cats during pregnancy? Cats can carry bacteria called Toxoplasma, which can be
harmful to the developing fetus. Women should avoid changing a cat’s litter box since Toxoplasma can be found in the cat’s feces. You should discuss with your health care provider specific precautions that you need to take to avoid infection caused by Toxoplasma. Poorly cooked meats, seafood and unpasteurized milk can also be contaminated with Toxoplasma.
7. What is gestational diabetes? Some women develop diabetes during pregnancy. Most of the time, it will resolve after
pregnancy. However, these women are at a higher risk of developing diabetes in later life.
8. How do I know if I have gestational diabetes? Late in the second trimester, a one hour glucola test is performed. If this
is number is elevated, a women will undergo another test called a three hour glucose tolerance test. A woman should discuss her risks of developing gestational diabetes and this test with her health care provider.
9. Are there any foods that I should avoid during pregnancy?Canned tuna fish and farmed salmon should be eaten in moderation. Tuna steaks, swordfish, shark and king mackerel should be avoided because they can contain high levels of mercury, which can harm the fetus. Raw fish and shellfish should be avoided because they can be infected with parasites and Norwalk-like viruses.
10. Is aspirin safe to use in pregnancy? Aspirin is not safe to use during pregnancy. Aspirin is a class D medication meaning that it may cause harm to the fetus.
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