So you're pregnant, now what?! OB/GYN Advice for a safe and healthy pregnancy

hi everyone welcome to episode four in case you missed it last week we shared some pretty big news we are pregnant so without further ado we're going to continue bringing you our week by week pregnancy updates and information along with our in real life experiences as we live it along the way so this week we're going to be talking all about things that you can do to try to help your pregnancy be as healthy as possible and some lifestyle changes you should consider after that positive pregnancy test so if this is your first time meeting us i'm sarah and i'm an ob gyn i'm kurt and i'm a pediatrician and we are the doctors bjorkman so as we mentioned this is week four in our 40 week pregnancy journey and this episode is all about things you can do to help have a healthy pregnancy and some day-to-day changes you can make in your lifestyle to help your developing baby be as healthy as possible so first let's talk about some of the early signs and symptoms of pregnancy some women aren't going to start to notice this until one to two weeks after they're missed period but some women are really sensitive and start to notice them right away some of the earliest common symptoms are breast tenderness fatigue nausea frequent urination moodiness and maybe some bloating and that's all from those increasing hormones your body's starting to make one of the most frequent is that breast tenderness that usually tends to resolve as your body gets used to those hormones and the other one that really sometimes surprises women is how extreme the first trimester fatigue can be and so make sure you're really listening to your body during this time go to bed earlier take a nap most of the time that energy really starts to rebound around the second trimester so hang in there another symptom you've probably heard about is nausea and nausea in the first trimester usually comes between weeks four and week nine with actually 70 to 80 percent of women experiencing some degree of morning sickness during pregnancy a lot so a lot um because it's so common and sometimes so debilitating we're gonna make sure to spend more time dedicated to this topic in a future episode but since we've talked about nausea it's really important that we talk about diet so one diet and pregnancy myth that we need to debunk is that as a mom now you are eating for two unfortunately that mindset can get you into trouble with excess weight gain and in all actuality a normal weight woman only needs 300 to 400 extra calories per day during pregnancy and that increase isn't needed until the second trimester you're definitely going to gain weight during pregnancy and a normal weight woman the recommendation is that that you gain 25 to 35 pounds during the whole pregnancy that usually starts to be about almost a half a pound to a pound per week during the second trimester and it is common that you do not have any weight gain in the first trimester if you are an underweight woman and your bmi is 18.5 or less it is recommended that you gain between 28 and 40 pounds during pregnancy if you are overweight so your bmi is 25 to 29.9 it's recommended that you gain 15 to 25 pounds during pregnancy and if you are obese with a bmi over 30 the recommended weight gain is 11 to 20 pounds so where does all that weight actually come from in a normal healthy pregnancy over the course of forty weeks about seven and a half pounds comes from baby about two pounds comes from amniotic fluid there's about one and a half pounds coming from the placenta two pounds from increased uterus size two pounds from increased breast tissue there's about four pounds that comes from increased bodily fluids and four pounds from increased blood volume only about seven pounds comes from increased stores in mom of fat nutrients and protein regardless of weight however there's some other nutrients that you want to make sure you're getting in your diet these are things like folic acid iron calcium and vitamin d if you started taking a prenatal vitamin it's great to continue that that's the easiest way to make sure you're getting these extra nutrients you need if you aren't taking one already it's a great time to start in addition to a well-rounded balanced diet so you're pregnant and you're looking for more information where are you going to go other than this youtube channel there's a couple of books that we actually have ourselves there's the classic what to expect when you're expecting maybe your mom read it i know my mom read it during pregnancy there's also this amazing book from the american college of obstetrics and gynecologists just a great month by month guide to pregnancy as well ask at your ob gyn they may actually have free copies that they give away to patients um really outstanding information stuff that we're going to ourselves for information in our pregnancy and then the 2002 sorry 2020 release the motherly's guide to becoming mama this is a contemporary book redefining the journey through pregnancy and postpartum we love it there's a lot of great information in this book and actually sarah was the medical advisor and editor for this book um so we're a little bit biased we know it's filled with a lot of great information covered to cover so in terms of diet there are a couple foods you want to be aware of that could potentially put your baby at risk so the foods you want to try to avoid in pregnancy are seafood that's high in mercury these are like big fish that eat other fish think like swordfish mackerel king marlin tilefish shark you want to avoid any raw or undercooked seafood meat and eggs sorry sushi lovers you want to avoid soft cheeses like brie gorgonzola feta you want to avoid unpasteurized dairy and fruit juice and deli meats too unless you're going to cook them to steaming exactly and the other thing you want to make sure you're doing is washing all of your fruits and vegetables really well keep in mind all these are fairly new recommendations in the last 50 years and so there are women across the world who have eaten these foods in pregnancy and had healthy pregnancies there is just very small but potential risk that you should be aware of and decide what you are comfortable with in your pregnancy overall the goal is to have a healthy and well-balanced diet rich in things like vegetables fruits whole grains and lean protein sources if you're able to it's a good idea to vary your protein sources as well so you can think about consuming things like low mercury containing seafood this is like shrimp salmon tilapia it's also okay to have caffeine in pregnancy as long as it's in moderation so think about 200 milligrams a day that's about one cup of coffee so if you need that to get your day started or after your lunch break go ahead and have the coffee guilt-free for sure um one of the next things we're going to transition to talking about is exercise in pregnancy yeah so this is one of our favorite topics and something that is incredibly important because it can do so many good things for both mom and baby the goal here is about 30 minutes of exercise three to five times a week you know if you're already active you can stay active if you aren't active it's a great time to get active the thing is just to do pregnancy safe activity if you have questions about that you can definitely talk to your provider some things that are generally safe thing safe for like hiking gentle bike riding swimming aerobics zumba strength training all totally fine just make sure that you are able to carry on a conversation while you're doing your exercise so week four of pregnancy and so far feeling fine none of those early signs or symptoms of pregnancy yet knock on wood they certainly could be coming i did have to give out my nightly glass of wine but i would say that being pregnant has definitely motivated us to eat really healthy and nutritious things and has also motivated us to get our butts working out again and exercising so that's been really nice another quick list we want to share with you are some of the non-food things that you should avoid in pregnancy the number one thing on that list is smoking it's a great idea to quit smoking before you get pregnant but if you are pregnant and find that you are still smoking now is a great time to stop smoking has been linked to vaginal bleeding pre-term birth small for gestational age infants as well as stillbirth and sudden infant death syndrome smoke quitting smoking is the number one thing you could do for your health and your baby's health another really important thing to avoid is alcohol unfortunately there's no known safe amount of alcohol consumption in pregnancy and we know that alcohol is related to fetal alcohol syndrome which has related deficits in developmental learning and behavioral issues later in life finally you want to avoid things like cocaine methamphetamines marijuana and other illegal substances as these have been linked to birth defects learning issues and other a spectrum of other things in kiddos down the road absolutely and if you're having struggles quitting any of these things you can call 1-800-662-help or for specific help in quitting smoking 1-800 quit now some other things that maybe aren't on your list of things to avoid could be things like cleaning your cat litter box unfortunately cat feces carry a bacteria called toxoplasmosis that can have some pretty serious effects on a developing baby you may have also heard that you need to avoid things like hot tubs hot baths and saunas but actually we know that as long as you limit your exposure to 10 minutes these things are all probably safe for a baby one last thing to think about is medications you're going to want to talk to your ob provider about any prescription medications that you're taking to ensure that they're safe to keep taking during pregnancy but what about the over-the-counter stuff you are likely to experience some aches and pains or a headache during your pregnancy tylenol or acetaminophen is going to be your go-to pain reliever and you can use it as directed on the bottle nsaids or things like ibuprofen motrin or advil are not good for babies developing kidneys so you want to avoid those during pregnancy and then finally we've talked about progesterone that hormone that's starting to increase in your body and it tends to slow everything down in your system so i want you to be prepared for some heartburn or constipation for heartburn you can use malax or tums you want to avoid pepto-bismol and for your constipation have your favorite stool softener on hand like colace muralax or metamucil you also might get a cough during pregnancy and robitussin's gonna be okay if you have any other questions about meds that are safe in pregnancy talk with your ob provider so despite all of these lists of things to avoid pregnancy is overall a state of wellness and you can kind of live your life with a few modifications and things to keep in mind to avoid as many risks as possible for your pregnancy so with that that's a wrap for us this week come back next week for week 5 updates on what's going on with mom baby and some great educational information for you if you have any questions please leave them below um come check us out over on our instagram at thedoctorsbjorkman and if you like what you're seeing click subscribe and follow along on this journey with us see you next week we're doctors but not your doctors anything we've said in this video is for education or entertainment purposes only it is not medical advice any specific medical questions you have should be directed to your provider

Channel: The Doctors Bjorkman

Views: 1,454,546

Keywords: pregnancy, trying to conceive, medical education, pregnancy test, get pregnant fast, fit pregnancy, healthy pregnancy, pregnancy tips, fertility, pregnancy journey, nutrition in pregnancy, exercise in pregnancy, week 4 of pregnancy, coffee in pregnancy, pregnancy weight gain, sushi in pregnancy, pregnancy symptoms, pregnancy week by week, early pregnancy symptoms, pregnancy nutrition, foods to avoid during pregnancy, caffeine and pregnancy, pregnancy vlog, pregnancy update

Id: 9o_Kxcss1u8

Length: 11min 56sec (716 seconds)

Published: Wed Sep 30 2020