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Pregnancy Day By Pregnancy An illustrated DAY BY DAY daily countdown to motherhood, from conception to childbirth and beyond Consultant Editor Paula Amato, MD Adjunct Associate Professor Department of Obstetrics & Gynecology Oregon Health & Science University Editor-In-Chief Maggie Blott, MB BS PregnancyDAY BY DAY An illustrated daily countdown to motherhood, from conception to childbirth and beyond PregnancyDAY BY DAY Consultant Editor Paula Amato, MD Adjunct Associate Professor, Department of Obstetrics & Gynecology, Oregon Health & Science University Editor-In-Chief Maggie Blott, MB BS LONDON, NEW YORK, MUNICH, MELBOURNE, DELHI Project Editors Dawn Bates, Claire Cross Project Designers Emma Forge, Tom Forge, Peggy Sadler Senior Editors Andrea Bagg, Anne Yelland, Emma Woolf US Editors Shannon Beatty, Jane Perlmutter US Consultant Editors Lisa Fields, Patricia Bontekoe Senior Art Editors Sarah Ponder, Nicola Rodway, Liz Sephton Production Editor Ben Marcus Production Controller Alice Holloway Creative Technical Support Sonia Charbonnier Illustrators Debbie Maizels, Medi-Mation New Photography Ruth Jenkinson Art Direction for Photography Emma Forge Picture Researcher Sarah Smithies Managing Editors Esther Ripley, Penny Warren Managing Art Editors Glenda Fisher, Marianne Markham Publisher Peggy Vance Every effort has been made to ensure that the information in this book is complete and accurate. However, neither the publisher nor the author is engaged in rendering professional advice or services to the individual reader. The ideas, procedures, and suggestions contained in this book are not intended as a substitute for consultng with your health-care provider. All matters regarding the health of you and your baby require medical supervision. Neither the publishers nor the author shall be liable or responsible for any loss or damage allegedly arising from any information or suggestion in this book. First American Edition, 2009 Published in the United States by DK Publishing 375 Hudson Street New York, New York 10014 09 10 11 10 9 8 7 6 5 4 3 2 1 Copyright © 2009 Dorling Kindersley Limited All rights reserved Without limiting the rights under copyright reserved above, no part of this publication may be reproduced, stored in or introduced into a retrieval system, or transmitted, in any form, or by any means (electronic, mechanical, photocopying, recording, or otherwise), without the prior written permission of both the copyright owner and the above publisher of this book. Published in Great Britain by Dorling Kindersley Limited A catalog record for this book is available from the Library of Congress. ISBN: 978-0-7566-5041-4 DK books are available at special discounts when purchased in bulk for sales promotions, premiums, fund-raising, or educational use. For details, contact: DK Publishing Special Markets, 375 Hudson Street, New York, New York 10014 or [email protected]. Color reproduction by MDP, Bath, UK Printed and bound by Star Standard, Singapore Discover more at www.dk.com US consultant editor Dr. Paula Amato is a fertility consultant and an adjunct associate professor at the Oregon Health and Science University in Portland, Oregon. She received her medical degree from the University of Toronto in 1989, where she also completed her residency in obstetrics and gynecology. She subsequently completed a fellowship in reproductive endocrinology and infertility at the University of California, San Diego. Dr. Amato was awarded an American Obstetricians and Gynecologists Foundation Fellowship (1997–2000) and was a recipient of the Berlex Scholar Award in Basic Science Research in 2001. She is board certified in both obstetrics and gynecology and reproductive endocrinology and infertility. As an academician, she has held faculty appointments at the University of California, San Diego, and at Baylor College of Medicine. Dr. Amato is a former associate editor of Sexuality, Reproduction, & Menopause, a vice chair of the American Society of Reproductive Medicine (ASRM) Sexuality Special Interest Group, and a member of the ASRM Ethics Committee. She was the US medical consultant for DK’s bestselling title, I’m Pregnant! Editor-in-chief Dr. Maggie Blott MB BS, FRCOG is Consultant Obstetrician at University College Hospital, London, where she jointly manages a multidisciplinary high-risk prenatal clinic and runs the labor ward. She is also spokesperson for The Royal College of Obstetricians and Gynaecologists, London. Dr. Blott is a regular columnist for Top Santé magazine and writes for a number of other pregnancy-related publications. Contributors Dr. Carol Cooper MA, MB, BChir (Cantab), MRCP General Practitioner, London; Tutor at Imperial College School of Medicine, London O Ms. Friedericke Eben FRCOG Consultant Obstetrician and Gynaecologist, Whittington NHS Trust and Portland Hospitals, London O Dr. Katrina Erskine MD, MRCP, MRCOG Consultant Obstetrician and Gynaecologist, The Homerton Hospital, London O Dr. Laura Goetzl MD, MPH Associate Professor, Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Medical University of South Carolina, Charleston, South Carolina O Dr. Belinda Green PhD Midwife, University College London Hospitals, NHS Foundation Trust, London O Dr. Deirdre Guerin MB BCh, BAO, LRCP and SI, FFA, or CSI Medical Director of Resident Obstetric Services and Consultant Anesthetist, The Portland Hospital for Women and Children, London O Amanda Hutcherson DipHeMid, RM, PGCert Ed, MA Midwife Practitioner, London O Dr. Philippa Kaye MD, MB BS Hons, MA Hons (Cantab), DCH, DRCOG, DFSRH Works in general practice O Dr. Su Laurent MRCP, FRCPCH Consultant Paediatrician, Barnet Hospital, London O Mr. Andrew Loughney PhD, MRCOG Consultant Obstetrician, Royal Victoria Infirmary, Newcastle upon TyneO Dr. Paul Moran MD, MRCOG Consultant Obstetrician, Head of Fetal Medicine, Royal Victoria Infirmary, Newcastle upon Tyne O Melinda Nicci BA (Psych), HDipEd Fitness and lifestyle coach and founder of baby2body: pregnancy and post pregnancy health and fitness O Catharine Parker-Littler SRN, RSCN, SCM, DPSM (Advanced midwifery), BScMid (Hons) Practicing midwife; founder and midwifery director of midwivesonline.com, a website for midwives, health-care professionals, and parents-to-be O Dr. Hope Ricciotti MD Associate Professor of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachussetts O Dr. Vincent M. Reid PhD Lecturer in Developmental Psychology, Durham University O Dr. Mary Steen RGN, RM, BHSc PGCRM, PGDipHE, MCGI, PhD Reader in Midwifery and Reproductive Health, University of Chester O Karen Sullivan ASET, VTCT, BSc Developmental Psychology; Child-care expert and author O Sally Watkin Pregnancy and parenting author Contents Introduction 8 Labor and birth Pain relief options 396 Coping with pain 397 Natural A healthy pregnancy pain relief 398 Drugs for pain relief 402 1st stage of Your pregnancy diet 14 Exercising safely 18 Sex and labor 408 Approaching labor 409 How labor progresses relationships 19 Illnesses and medications 20 Lifestyle 412 Monitoring during labor 418 Positions for 1st stage hazards 24 Skin, hair, and teeth 26 Traveling in of labor 420 2nd and 3rd stages 422 Delivering your pregnancy 28 baby 423 After your baby is born 428 Special cases 430 Premature birth 431 Induction of labor 432 Breech baby 433 Multiple births 434 Assisted birth 436 Pregnancy day by day Cesarean section 438 Welcome to your first trimester Your 1st week 34 Your 2nd week 42 Conception 50 Life with your new baby Your 3rd week 52 Genes and inheritance 54 Your 4th week 62 Your 5th week 70 Your 6th week 78 The first 12 hours442 Day 1: Getting acquainted 444 A changing world 82 Your 7th week 88 Strengthening Day 2: Settling in 445 Day 3: Going home 446 and toning exercises 90 Miscarriage 94 Your 8th Day 4: First outing 447 Feeding your baby 448 week 98 Prenatal care options 102 Your 9th Day 5: Baby blues 450 Day 6: Finding your week 108 Your baby’s life support system 112 Your way 451 Neonatal intensive care babies 452 Day 7: 10th week 118 Your first prenatal visit 122 Your Tuning in 454 Day 8: Healthy living 455 Day 9: Focus 11th week 128 Your 12th week 136 First ultrasound on you 456 Day 10: Getting checked 457 Day 11: 138 Screening tests 142 Taking stock 458 Day 12: Looking back 459 Day 13: Feeling close 460 Day 14: New beginnings 461 Welcome to your second trimester Your six-week checkup 462 Your 13th week 150 Diagnostic tests 152 Your 14th week 160 Your 15th week 168 Your 16th week 176 Your 17th week 184 Your 18th week 192 A safe Concerns and complications workout 196 Your 19th week 202 Your 20th week 210 Common concerns in pregnancy 466 General Your 20-week ultrasound 214 Your 21st week 220 Your symptoms 466 Skin changes 467 Breast problems 467 22nd week 228 Your 23rd week 236 Your 24th week 244 Digestive problems 467 Heart and circulation Abdominal exercises 250 Your 25th week 254 problems 468 Aches and pains 469 Urinary and Welcome to your third trimester vaginal problems 471 Complications of pregnancy Your 26th week 264 Your 27th week 272 Your 28th and labor 472 Complications in pregnancy 472 Labor week 280 Assessing fetal growth and well-being 284 complications 474 Concerns after the birth 475 Your 29th week 290 Your 30th week 298 Planning Maternal problems 475 Congenital problems in the for your birth 302 Your 31st week 308 Twins 312 baby 476 Problems in the baby from birth 477 Your 32nd week 318 Your 33rd week 326 Your 34th week 334 Your 35th week 342 Your rights and Glossary 478 benefits 348 Your 36th week 352 Your 37th week 360 Resources 480 Your 38th week 368 Your 39th week 376 Your 40th Index 482 week 384 Overdue baby 393 Acknowledgments 494 Introduction Pregnancy is an exceptional time when you enter one of your most significant life stages and need to quickly assimilate knowledge and understanding of the process of pregnancy and birth. In the past, when women traditionally gave birth at home, cared for by midwives and female relatives, pregnancy and birth was a familiar event.
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