Mount Auburn Hospital - Great Expectations

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Great Expectations: A guide for prenatal care	I
Congratulations on Your Pregnancy!	II
Your Guide to a Healthy Pregnancy	1
Digital Companion to Your Book	2
Table of Contents	3
Videos in This Book	3
Congratulations!	4
Prenatal Care Overview	5
Prenatal Appointments	5
Your First Visit	6
Medical History	6
Physical Exam	6
Lab Testing	6
Discussion Topics	6
Your Due Date	7
Follow-up Visits	7
Prenatal Testing	8
Ultrasound (Sonography)	8
Preterm Birth Assessment	9
Genetic Testing	10
Genetic Abnormalities: Questions to Ask	10
Types of Tests	11
Chromosomal Abnormalities	11
Carrier Disorders	12
Fragile X Syndrome	12
Neural Tube Defects	12
Screening for Neural Tube Defects	12
Fetal Anatomy Scan	13
Diagnostic Tests	13
Emotional Challenges During Pregnancy	14
Pregnancy Challenges	15
Causes and Risk Factors	15
When to Ask for Help	15
After the Baby Comes	15
Planning and Preparation	16
Childbirth Classes	16
Using a Doula	16
Your Birth Plan	16
Hospital or Birth Center?	17
Your Baby’s Health Care Provider	17
Cord Blood Banking	17
Making Good Choices	24
Alcohol	24
Artificial Sweeteners	24
Baths	24
Caffeine	25
Dental Care	25
Hot Tubs and Saunas	25
Interpersonal Violence	25
Household Chemicals	26
Marijuana (Cannabis)	26
Medications	26
Seat Belts and Airbags	26
Skin Cream	26
Smoking or Vaping	27
Travel	27
Work	27
X-Rays	27
Substance (Drug) Misuse	27
Partners and Families	28
Your Partner	28
Other Children	28
6 Steps to a Healthy Pregnancy	29
Step 1: Eat Healthy	30
Preventing Food Poisoning	30
Eating Fish During Pregnancy	31
Step 2: Track Your Weight	31
Step 3: Take Your Prenatal Vitamins	32
Step 4: Get Enough Rest	32
Easy Exercises	34
Squats	34
Kegel Exercises	34
Pelvic Rock	35
How Babies Grow and Change	36
Disease and Infection	38
Chickenpox (Varicella)	38
COVID-19	38
Cytomegalovirus (CMV)	39
Flu	39
Genital Herpes	39
Hepatitis B	39
Hepatitis C	39
Human Immunodeficiency Virus (HIV)	40
Listeriosis	40
Mumps	40
Rubella (German Measles)	40
Tetanus, Diphtheria, Pertussis	40
Toxoplasmosis	41
Zika Virus Disease (ZVD)	41
Possible Complications	42
Bleeding Early in Pregnancy	42
Bleeding Late in Pregnancy	42
Gestational Diabetes	43
Group B Streptococcus	43
High Blood Pressure	43
Preeclampsia	44
Preterm Labor	45
Rh Disease	45
High-Risk Pregnancy	46
The Final Weeks	47
Baby To-Do List	47
Rooming-In	48
Child Safety Seats	48
Labor and Birth	49
Braxton Hicks Contractions	49
Timing Contractions	49
Labor Contractions	50
How Long Does Labor Last?	50
What Happens During Labor?	51
Labor Induction	52
How induction is done	52
Pain Management	53
Nitrous Oxide	53
Narcotic Analgesics	53
Anesthesia	53
Comfort Measures	54
Cesarean Birth	55
Vaginal Birth After Cesarean (VBAC)	55
Is TOLAC/VBAC an Option?	55
Making the Decision	55
After the Birth	56
Cutting the Cord	56
Benefits of Skin-to-Skin	56
Your Baby’s Looks	57
The First Hour	57
Discharge and Cramps	57
Urination	57
Postpartum Checkup	57
Breastfeeding	58
Supply and Demand	59
Cue-Based Feeding	59
Position and Latch	60
Exclusive Breastfeeding	60
Postpartum Emotions	61
Baby Blues	61
Postpartum Depression and Anxiety	61
YOU DID IT!	63
Glossary	64
Important Phone Numbers and Locations	65
Directions	66

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