Contractions: Are These the Real Thing?

December 2, 2010 By dena

During the third trimester, some women experience “false” contractions called Braxton-Hicks contractions. This is a normal occurrence, and like real labor contractions, they may increase in frequency and intensity, making you worry that you are going into premature labor. But unlike true labor, these contractions don’t grow consistently longer, stronger, and closer together.

image from Women Health Tips

How to tell if it’s preterm labor: True labor contractions show a definite pattern. Employ the 1-5-1 formula: if your contractions last at least one minute, are five minutes (or less) apart, and continue for at least one hour you are, most likely, in labor. (This would mean you should alert your health-care provider immediately.) Braxton-Hicks contractions come and go and don’t settle into a regular pattern. Don’t forget to practice relaxing and breathing with these trial-run contractions. (Dr. Sears)

If you are within a few weeks of your due date, but the Braxton Hicks contractions are making you uncomfortable, try these measures:

Change your activity or position. If you’ve been sitting or laying down, try walking around. If you’re been moving a lot, resting may provide relief. (On the other hand, true labor contractions will progress regardless of what you do.)
Take a warm bath to help your body relax.
Drink water; these contractions are sometimes brought on by dehydration.
Relaxation exercises and slow, deep breathing may help you cope with the discomfort.

Should I call the doctor?

If you haven’t reached 37 weeks yet, and are having more than four contractions in an hour, or contractions are becoming more frequent, rhythmic, or painful, call your caregiver immediately. In this case, it’s better to play it safe and don’t try to make the diagnosis yourself. Preterm labor is not something to take chances with. Other possible signs of preterm labor:

Abdominal pain, menstrual-like cramping, or more than four contractions in an hour (even if they don’t hurt)
Any vaginal bleeding or spotting
An increase in vaginal discharge or a change in the type of discharge — if it becomes watery, mucusy, or bloody (even if it’s only pink or blood-tinged)
Increased pelvic pressure (a feeling that your baby’s pushing down)
Low back pain, especially if it’s a new problem for you

Pregnant and Exhausted!

May 19, 2009 By dena

Being pregnant is exhausting, as I remember all too well! It’s particularly common during the first trimester… Making babies puts a strain on your entire body, which can make you awfully tired. Hormonal changes may be contributing to your sluggishness, and it doesn’t help that your sleep is interrupted by numerous trips to the bathroom! When you throw some morning sickness and daily vomiting into the picture, it’s no wonder you’re feeling drained of all energy. By the end of the day you probably feel like you’ve just finished running a marathon!

The good news is that you’ll probably start feeling like your old self during the second trimester. Unfortunately, you’ll probably start loosing steam again at around seven months. As you enter the thrid trimester, you’ll be carrying more weight and may be having trouble sleeping well for a variety of reasons… in addition to frequent urination there’s backache, heartburn, leg cramps, the baby kicking just as you’re drifting off to sleep!

This is all normal, but if you feel like there might be something wrong, see your doctor about ruling out any underlying causes, such as anemia or depression. If you’re having problems with depression or anxiety, your caregiver can help you find a mental health professional.

Here are some coping tips from baby center.com:

Heed your body’s signals. Start by going to bed earlier than usual, and try to take a nap during the day. Even a 15-minute catnap can make a difference, so if you work in an office and you’re lucky enough to have a door, shut it, put your head down on your desk, and rest. Or get creative: Look for an empty lounge or conference room or lie down in the back seat of your car.

Try to adjust your schedule. Cut out unnecessary social commitments and let the housework slide. If you work outside the home, see if you can cut back on your hours or arrange to take work home over the weekend so you can cut out early once in a while. Take an occasional vacation day in the middle of the week (or a sick day if you’re not feeling well). If you’re a stay-at-home mom, give yourself a break now and then and leave your children with someone else so you can catch up on your sleep.

Make sure you’re eating right. You need about 300 extra calories every day, but watch where these calories are coming from! A healthy diet made up of vegetables, fruits, whole grains, skim milk, and lean meats can be energizing. Junk food, by contrast, actually saps you of vim and vigor. Snack on healthy foods like fruit and yogurt. Cut back on caffeine and make sure you’re drinking plenty of water so you stay hydrated.

Get some moderate exercise every day. You may feel like you barely have the energy to make it through the day, let alone exercise. But moderate activity, such as a short walk, can actually make you feel better. Take frequent breaks throughout your day to stretch and breathe deeply.

Hang in there. If first-trimester fatigue is getting you down, take heart that soon enough you’ll be in your second trimester and raring to go again. You may even be up to taking in the late show or going on a weekend getaway. If you’re nearing the end of your pregnancy, you’ll be a new mom before you know it, looking back on this period of relatively undisturbed nights with bleary-eyed nostalgia. So consider stocking up on your zzz’s while you can.

* I LOVE THIS (found it here): *

The Ultimate New Baby Shopping List

November 13, 2008 By dena

I’m sure the new grandparents, aunts, and godmothers are already hitting the stores in sweet anticipation, and that your closets are starting to fill up with pretty little outfits, soft baby blankents, and sweet little knitted things. But with all the excitement and planning (not to mention the fatigue brought by the third trimester) it’s easy to forget some little things that might prove important when baby comes. You can always send Dad on midnight trips to Walgreen’s… or you can use this list from TheBump to make sure you’re prepared for Baby’s arrival!

The one thing you’ll need to know when planning baby’s wardrobe is that babies poop often and generously! Since baby poo is runny, it tends to get on EVERYTHING! You may find yourself changing baby’s outfit a few times a day… (and doing lots of poopy laundry, oh joy!)

Layette

10-15 bodysuits or onesies (wide head openings, snaps at bottom)

4-6 one-piece pajamas

2 blanket sleepers (for winter baby)

2-3 sweaters or jackets (for winter baby)

4-6 rompers or other outfits (preferrably with feet, as socks tend to get lost!)

4-7 socks or booties (shoes are cute but unnecessary until baby walks)

1-3 hats (broad-brimmed for summer baby, soft cap that covers ears for winter baby)

No-scratch mittens

Bunting bag or fleece suit (for winter baby)

Swimsuit for (summer baby)

Nursery

Crib, cradle or bassinet
• Slats no more than 2 3/8 inches apart
• Corner posts no more than 1/16 of an inch above frame
• Top rails at least 26 inches above mattress

Firm, flat mattress fit snugly in crib (less than two fingers should fit between mattress and crib)

2-3 washable crib mattress pads

Bumper pads covering inside perimeter (secured by at least six ties or snaps, with all extra length removed)

2-4 fitted crib sheets

4-6 soft, light receiving blankets

1-2 heavier blankets (for colder climates)

Rocking or arm chair

Music box, sound machine or CD player

Crib mobile with black and white images (remove when baby can support self on hands and knees)

Baby monitor

Nightlight (good for night-time feedings and diaper changes)

Dresser

Toy basket

Swing or bouncy chair

Changing

Changing table or cushioned changing pad for low dresser or bureau, with safety strap or railing

Changing table pad

4-6 washable changing table pad covers

Diaper pail & liners

Diaper cream

Unscented baby wipes (although for Baby’s sensitive skin, rinsing over the sink works best!)

Soft washcloths

2-3 boxes disposable newborn-size diapers {or}

6-10 dozen cloth diapers and 6-8 diaper covers

Bath

Baby bathtub

Baby soap/shampoo

2-4 soft towels or hooded baby towels

Baby hairbrush

Soft washcloths (use a different color or pattern than your diaper washcloths!)

Feeding

For nursing moms:

2-3 nursing bras (Breasts swell following birth, so start with one size larger than your maternity bra. Wait until size settles down — about two weeks after birth — to purchase additional bras.)

Nursing pads

Nipple cream (lanolin)

Nursing pillow

Pump (even if you plan only to nurse, a pump will allow you to leave milk for baby if you want or need to separate)

Milk storage bags

Breast milk is the healthiest as well as most convenient food for new babies: no bottles, nipples, warmers, or formula needed! However if you will be unable to nurse, here’s what you’ll need:

10-16 bottles and nipples, both four and eight ounce (if fed strictly by the bottle, baby will go through about ten in the four ounce size per day)

Liners, for disposable bottles

Formula

Bottle warmer (cuts down on nighttime trips to and from the kitchen)

Bottle sterilizer (if your dishwasher doesn’t have one)

Bottle brush

Dishwasher basket for small items

4-8 bibs

Burp cloths (or cloth diapers)

High chair

2-4 pacifiers

Medicine Cabinet

Baby nail clippers

Cotton balls (don’t use swabs to clean baby’s nose or ears)

Baby thermometer

Bulb syringe/nasal aspirator

Medicine dropper or spoon with measurements

Infant acetaminophen (Tylenol)

Antibiotic cream

Saline nasal drops

Baby gas drops

Travel

Infant or convertible car seat

Stroller (reclining to almost flat for infants)

Diaper bag

Changing pad

Baby carrier/sling

For Mom

Ice packs (in case of tearing during birth or swelling after)

2-3 week supply of ultra absorbent sanitary pads

Panty liners

Pregnancy check-ups: Stop whining and count your blessings

June 7, 2008 By dena

The Wall Street Journal has a forum called The Juggle: On choices and tradeoffs people make as they juggle work and family. In a recent post, one woman who just entered her third trimester complains about the hardships of juggling work and frequent doctor appointments (once every two weeks… is that really so frequent?). Apparently her doctor told her that these visits are probably not necessary, “but rules were rules.”

In addition to having to take off time from work in middle of the day, she has to commute for an hour to get to the doctor’s office, “hauling my pregnant self through public transit,” and coordinate schedules with her “incredibly supportive husband” who accompanies her to all her appointments. She realizes that soon she’ll be leaving work for an extended period of time and just wants to be able to “focus on my job” while she still can.

What I found interesting, though, were all the comments (47 so far). I tend to agree with those who’s sympathy levels are low for this unfortunate mom to be. I mean really, if the “excitement and anticipation of welcoming a new person into the world is building,” as she claims, then what is she kvetching about? Doctors visits are part of the program and she should try to be grateful for the care she’s receiving. She should also be glad that her husband can and does keep her company at her doctor visits. She should be happy that she’s experiencing a healthy normal pregnancy.

Here’s a sampling of what other women have to say:

…life does not revolve around work. When you got pregnant, your life already changed and you already lost the right to focus on your job first. This is what life is all about so relish these moments of anticipation that you have!

…This is when it really helps to have the doctor’s office near work… Annoying though the appointments are, it is a good thing for the health team to be able to catch any issues early.

…I go to a mixed midwife-OBGyn practice and am seen by the midwife group… the midwives don’t take call (don’t deliver babies, don’t assist on procedures, don’t do anything outside the practice) on the days they have scheduled appointments. So far, that has meant no waiting, an office that runs efficiently and professionally.

…the theme I see is essentially denial that Everything Is Going to Change. It’s understandable to feel a little desperation to preserve your professional identity. But bending over backwards is a disservice to everyone in the workplace. We need to stop apologizing for having lives… By choosing the pregnancy, you have already made the decision to alter your work availability. Own the decision, and be grateful that you’re a) fertile and b) not on bedrest.

And the most compelling reason for a woman with a natural, normal pregnancy to stop whining and get on with life:

For those of you who got pregnant naturally and now whine about how hard your juggle now is, how about juggling the following:
-dozens of appointments, many of which cannot be scheduled in advance because your body determines the timing
-injections of drugs that must be kept refrigerated
-two whole-day absences (egg retrieval and retransfer) scheduled mere hours in advance which are non-negotiable regardless of what’s happening at work or at home
-after that, more blood tests and ultrasounds and continued injections for ten weeks

-Followed, in many cases, by failure

…Imagine going through all this… while suffering the disappointment of not being a mommy, while still having to pick up the slack for your colleagues with children… That is my juggle, repeat fertility treatments, miscarriages, etc. without letting anyone at work find out. I have extreme flexible hours and even so, it’s a challenge. I would DEARLY LOVE to have the problem outlined by the original poster.