7 Mayıs 2008 Çarşamba

Pregnancy



If you've recently found out that you're pregnant, you should learn as much as possible about what it takes to have a healthy pregnancy and how to best care for yourself and your baby during this time of incredible physical and emotional change. Finding a health care professional with whom you're comfortable to care for you throughout your pregnancy is the first step in a healthy pregnancy.

In 2002, 4,021,726 babies were born in the United States. Of these, 2,958,423 were delivered vaginally, and 1,043,846 (26.1 percent) were delivered via cesarean section. (634,426 were first-time cesareans s, and 409,420 were repeat cesareans). And the procedure is becoming more common. In 2003, the CDC reports the number of cesareans rose to 27.6 percent.

For most women, pregnancy lasts about 40 weeks or 280 days. This time frame is calculated from the first day of your last menstrual period. After you've missed a menstrual period and confirmed with a home pregnancy you're pregnant, make an appointment with your health care professional.

Meeting with a health care professional early on (even before you get pregnant if you are planning to conceive) is important for all women, but especially important if you have any medical conditions or family health problems that could put you or your baby at risk.

Certain conditions, such as diabetes or high blood pressure, can affect the health of the fetus if you don't have them under control before you get pregnant, or in the early stages of your pregnancy.

The sooner you can plan ahead for pregnancy, the better. For example, you should start taking a prenatal vitamin at least two to three months before you become pregnant. Make sure they include at least 0.4 mg of folic acid (4 mg per day for one month before conception and the first three months of pregnancy if you are at high risk for spina bifida, also known as meningomyelocele or neural tube defect). Spina bifida, a type of birth defect in which the baby's spine doesn't close all the way is a common birth defect in babies of women who don't get enough folic acid either from the food they eat or from supplements.

One study found that getting enough of this valuable B vitamin could prevent neural tube defects in 72 percent of babies born to women who had previously had a child with the condition.

You should also be tested to make sure you have antibodies against rubella (German measles) and varicella zoster virus (chicken pox). If you don't have sufficient antibodies against either of theses conditions and you're not yet pregnant, you should get vaccinated. Most providers and the Center for Disease Control recommend that you delay getting pregnant for at least four weeks after receiving the vaccines.

If you're already pregnant and don't have enough antibodies against these conditions, however, you shouldn't get vaccinated because the vaccines contain weakened forms of the viruses which could, in some cases, trigger an infection. Instead, if your health care provider will monitor you, and you should avoid contact with anyone exhibiting symptoms of rubella.

When it comes to chicken pox, if you've been exposed treatments are available that can prevent or minimize the illness in pregnant women. Contracting either during pregnancy could harm your fetus.

Aside from the physical changes you'll face throughout your pregnancy, you will also face many emotional issues, and may find yourself on an emotional roller coaster. If it's any consolation, you should know that most pregnant women take a similar ride; it doesn't last forever, however, and there are many things you can do to keep the ride as smooth as possible.

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