The process of conceiving a small life is also the happiest moment for pregnant mothers, but there will always be a variety of problems during pregnancy, in addition to the monthly obstetric examination, I really don't know who to ask.
Toot Mom made a compilation of the frequently asked questions about pregnancy received in the background. Invite an obstetrician to answer the questions. Very dry goods, recommended collection! It can also be forwarded to female friends in the family who are trying to conceive, which is really very useful!
01
How is gestational age calculated? Is it really October pregnancy?
The full gestation period is 280 days or 40 weeks, calculated from the first day of the last period.
Calculating gestational age in months is confusing, and doctors generally calculate your due date based on your earliest B ultrasound results. Because about 1 in 3 women have irregular menstrual cycles, the expected date of delivery calculated with the last menstrual period is less accurate than the early ultrasound calculations.
Pregnancy is generally divided into three stages: the first trimester (less than 14 weeks of pregnancy), the second trimester (14th to 27+ 6th weeks), and the third trimester (28th week to thereafter).
02
Do you not know if you are pregnant and take some medicine?
The administration of the drug within one month after fertilization of the fertilized egg produces a "total or no" effect.
In general, embryos affected by the drug will be aborted naturally, otherwise the fetus will be safe and sound. Because the fetal organ formation stage is within 12 weeks of pregnancy, in order to further ensure the safety of the fetus, it is recommended to consult a eugenic genetic clinic.
03
I'm pregnant, should I eat two meals for the health of my baby?
No, you don't.
Although there is a small life in your body, in fact, in the early stages of pregnancy you only need to maintain the same dietary intake as before pregnancy, in the middle and third trimester you only need to add 200 to 300 kcal of food per day than before pregnancy, equivalent to a slice of whole wheat bread, an egg and a small cup of yogurt, you and your baby's nutritional needs.
Therefore, you don't need to add too much extra diet and nutrition after pregnancy, otherwise it will cause you to gain too much weight during pregnancy, fetal obesity, etc.
04
How much should I gain during pregnancy?
In general, it is best not to exceed 15 kg from pregnancy to delivery. However, since the height of each pregnant woman is different, the weight calculation should also take into account the factor of height.
We generally use the BMI to determine if your weight is normal: Body Mass Index (BMI) = Body Weight (kg) / Height (m).
In order to prevent excessive weight gain during pregnancy, it is recommended that you eat and exercise appropriately. If the weight gain is too fast, the fetus is too large, the gestational diabetes, etc., you can go to the nutrition clinic for consultation to reasonably control your weight.
5
How much calcium is appropriate per day during pregnancy?
Pregnant women consume 1000 mg of calcium per day during pregnancy. Below 600 mg reduces the bone density of the fetus.
But there is no need to overdose calcium, because the bone density of the fetus does not increase as a result, as long as it is consumed daily according to normal needs.
6
Does too much stress have an effect on the fetus?
Research from the Prenatal and Postnatal Stress Centre in London, UK, has shown that excessive stress during pregnancy can hinder fetal growth. Early studies also found that stress can cause prenatal seizures or cause children to develop ADHD as they grow up.
It's normal to be worried during pregnancy, but excessive anxiety and stress can have a negative impact on your fetus, so it's recommended that you stay relaxed and happy during pregnancy.
7
Does it have to be left lying down during pregnancy?
Many pregnant women report that the left side of the position is not comfortable. So why is it recommended that you lie on your left side?
Because there is a very thick blood vessel on the right side of the human spine called the inferior vena cava, it is responsible for transporting blood from the lower limbs of your body back to the heart. Theoretically, the weight of the fetus and uterus when lying flat may compress into the inferior vena cava, causing blood to flow back to the heart to be blocked. However, in the early pregnancy and the middle pregnancy, the fetus is still small, and any kind of sleeping position can be. As the gestational age increases, lying flat can make you feel uncomfortable and short of breath, so pregnant women prefer to sleep on their sides.
We certainly recommend that you sleep on the left side as much as possible, but if you find that you wake up in the middle of the night sleeping on your right side or lying flat, don't worry, your body will tell you what kind of sleeping position is best for you. So, don't cling to the left recumbent position.
08
Can I travel by plane during pregnancy?
It is safe to fly in the air throughout pregnancy. Many airlines don't allow pregnant women to fly in the last weeks of pregnancy because they don't want pregnant women to give birth on the plane, and this fear is not unreasonable.
Pregnant women traveling by air need to pay attention to the formation of venous thrombosis in the lower extremities if they are traveling long distances. Therefore, you need to get up and move your legs and feet from time to time, walk back and forth, or prepare maternity stockings in advance to prevent blood clots.
09
Can I have sex during pregnancy?
We often encounter pregnant women shyly asking this question. Overall, it is safe for most normal and healthy pregnant women to have sex during pregnancy.
However, if a pregnant woman has unexplained vaginal bleeding, placenta previa, prematurity, cervical insufficiency, or other pregnancy complications, your doctor will recommend that you stop having sex during pregnancy.
What is the regularity of obstetric examination during pregnancy?
Standardized prenatal examination can prevent pregnancy complications or comorbidities as soon as possible, timely detect fetal abnormalities, assess the safety of pregnant women and fetuses, determine the timing and mode of delivery, and ensure the safety of mothers and children.
The World Health Organization recommends at least 8 obstetric examinations, and the current recommended gestational weeks are 6 to 13+ 6 weeks of pregnancy, 14 to 19 + 6 weeks, 20 to 24 weeks, 25 to 28 weeks, 29 to 32 weeks, 33 to 36 weeks, and 37 to 41 weeks (once a week). If there are high-risk factors, the number of times may be increased as appropriate.
11
How do I know if my fetus is developing in normal size?
After 20 weeks of pregnancy, the doctor will measure your uterine height (that is, the length from the pubic joint to the highest part of the uterus) at each obstetric examination to estimate the size of the fetus, and regular ultrasound is also an important means of assessing the growth of the fetus.
If there are developmental abnormalities, the doctor will definitely tell you. A high belly bulge does not necessarily mean that the fetus is too large, and a flattened stomach does not necessarily mean that the fetus is small. Therefore, if a pregnant woman complains that her belly is too big or too small, we will advise her to listen to the doctor.
12
Pregnant, why do you always have to go to the toilet to urinate?
During pregnancy, you often get up several times at night, but not much urine is released each time, and some pregnant women feel that urine leaks out when they cough or increase their abdominal pressure, which is the result of bladder compression and pelvic floor muscle relaxation, so there is no need to worry.
But we should be careful not to hold urine for too long, which can lead to urinary tract infections. If you have frequent urination, urgency, pain, fever and other symptoms, you need to go to the hospital.
13
I often feel flustered after pregnancy, is there a heart problem?
Your blood volume increases by 50% during pregnancy, and your heart needs to work harder to meet the requirements of your and your baby's blood circulation. Such physiological changes can cause pregnant women to have different symptoms: some pregnant women will feel that their hearts are beating faster and harder, and some will feel as if the heart will occasionally stop beating. This feeling can make you uncomfortable and worried, but these symptoms tend to last only a few seconds or a little longer and won't cause you harmful results.
However, if these symptoms become more frequent and more severe, you should see a doctor as soon as possible.
14
In the middle and late pregnancy, I will often feel pain in the groin on both sides, is it normal?
Pregnancy due to enlargement of the baby and uterus. The elongation of the round ligaments that support and protect the uterus in its normal position can cause the pregnant woman to feel different degrees of pain. Some pregnant women feel pain, some feel pain when changing positions or when walking, or discomfort in the groin on both sides.
Unfortunately, there is no medication that can alleviate this discomfort. Usually you need to rest or a light massage to alleviate the symptoms, if it does not relieve for a long time and it is getting worse, you need to go to the doctor to rule out other complications.
15
I often feel a stiffness in my uterus, is it going to be premature?
The uterus begins to have painless contractions in the first trimester, and after the second trimester, this contraction may be touched from the abdomen, giving people a hard feeling. This type of contractions is called pseudo-contractions and is physiological, normal and harmless. If you feel that your uterus is stiffening more than 5 times per hour, you should drink more water and try to lie down and rest for a while.
How do you distinguish between pseudo-contractions and real in-labor contractions? True contractions will make you feel more and more painful, and there is an increase in regularity, which does not disappear after rest. At this time, you need to go to the obstetrician and ask the doctor to determine whether to give birth.
16
It's getting closer and closer to my due date, but lately I've had trouble sleeping, and I'm often exhausted.
We often say that the bigger the belly, the more you worry. This is true. The closer to the expected date of delivery, the more difficult it is to fall asleep, common reasons are a lot of fetal movements, painless contractions, frequent urination caused by fetal head compression of the bladder, heartburn, and inability to find a comfortable position to sleep. We recommend that expectant mothers who are about to give birth don't complain too much about it, as pregnancy and childbirth will cost you some discomfort.
Maybe you can think of it this way: your chances of having a full sleep after your baby is born are basically slim, and you have to wake up several times at night to change your diapers and breastfeed, which is a drill before your baby is born to help you establish a new life routine. Sedative sleeping pills are only used in cases of extremely severe symptoms, as the safety of these drugs for the fetus has yet to be studied.
17
Can the umbilical cord wrap around the neck be smoothly delivered?
Don't panic when the umbilical cord wraps around your neck. This is a very common intrauterine state of the fetus.
It was noted that the umbilical cord wrapped around the neck for one or two weeks had no effect on perinatal outcomes and did not affect normal childbirth. During pregnancy, pay attention to the number of fetal movements. If fetal movement is reduced, see a doctor at any time. Fetal hypoxia may occur during delivery only if the umbilical cord is too short.
18
What should I do if the fetal position is not correct?
Generally, when the fetus is more than 20 weeks pregnant, the position of the fetus is very variable, and the fetal position is not very important, because during this period, the fetus has a lot of space in the amniotic fluid. After 30 weeks, it is relatively fixed, and if the fetal position is found to be incorrect at 30 weeks, the fetus's head can be turned by gravity by walking, etc., and it is natural. At present, it is not recommended to reverse the fetal position in the knee-thoracic recumbent position.
19
How do you know when you are in labor, is it a childbirth?
Studies have shown that the vast majority of pregnant women generally give birth at 38 to 40 weeks. Deliveries after 37 weeks are full term. The time of labor is different for each pregnant woman, depending on many factors, such as the degree of head entry into the pelvis, the maturity of the cervix, whether there is regular contractions (abdominal pain), and so on.
When you have regular abdominal pain, 3 to 5 minutes 1 time, no relief after rest, water breakage, vaginal bleeding more than menstrual volume, you need to go to the hospital, the doctor will examine you in detail, and then decide whether to admit to the hospital.
20
When will I know if I can have a smooth birth?
Generally, during the obstetric examination, the doctor will make a comprehensive evaluation according to your and the fetus's situation, and if the pregnant woman has a situation that is not suitable for vaginal delivery, the doctor will inform you, which is commonly referred to as the indication for caesarean section. If you do not have these conditions, be brave enough to have a vaginal trial. And we encourage you to try to have a healthy baby on your own.
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