Pregnancy is a very special time in a woman's life when there is an added focus to take care of yourself and your unborn child. The adage'you are what you eat' takes on a whole new meaning during this period as it becomes the soon to be mother's responsibility to pack in extra nutrition to nourish her growing bump. Doctors often add in a dose of vitamins to ensure that the both mother and child are well nourished. But beyond that, the food choices you make will maintain a healthy weight gain for you and your baby and eventually even help when you want to shed the extra weight after your child is born.

Here are some tips to have a perfect diet during your pregnancy

Load up on the good stuff: even if you've always been eating healthy, it is time to crank things up a notch and include more proteins, vitamins, minerals especially folic acid and iron and some extra calories for energy and increase it as you progress in your pregnancy. But eating to get more nutrients doesn't have to mean eating more in general. If you are already at a healthy weight, then you don't need extra calories in the first trimester. In the second trimester, you need about 340 extra calories a day and about 450 extra calories a day in the third trimester. The numbers will change if you are underweight or overweight.

Say no to some: during pregnancy, give a skip to food items like raw seafood and undercooked meat and poultry. This could lead to potentially dangerous infections. Other foods to steer clear from include unpasteurized milk and soft cheese. All of these are possible sources of bacteria that can be harmful to an unborn child. It is always good to give your fruits and veggies a good extra wash, as always. Try to avoid the known culprits like popular local fruits that may be laden with artificial ripeners. Also avoid food with excess oil or preservatives. 

You will also have to say a complete no to alcohol or smoking during this period. While most sites suggest that you also ditch your caffeine fix, you can best keep it less than 200 mg or 12 ounces in a day. Stick to decaffeinated tea and sodas when possible. Some other foods that have to be avoided during pregnancy are packaged food, cold drinks, preserved food items as they contain preservatives, which are harmful. Also, chinese food should be avoided as it contains monosodium glutamate, which is again harmful due to teratogenic chemical.

Diet a big no: another big no during pregnancy is dieting or controlling the intake of food to lose weight. Pregnancy is the time you actually, for once, get to legally gain weight and be happy about. Don't mess up your natural system with forced diets.

Keep the food coming: pregnancy is the time for food craving at all odd hours and the time to give into them without an ounce of guilt! if you are dealing with nausea and food aversion, try to stick to small meals throughout the day. Replace the chips with carrot sticks and the pizza slice with soup. If that sweet tooth starts acting up, give it a frozen fruit dessert or shake.

Diet in Pregnancy

When you are pregnant, your body is at a very delicate stage as you are carrying another individual inside you. While you are pregnant, there are many restrictions and regulations you must follow to ensure the birth of a healthy child. Bad habits such as smoking and consuming alcohol are strictly prohibited. It is also advised that you should not be in any kind of stress.

When it comes to travelling, it depends on the stage of your pregnancy. You should consult your doctor before travelling and know well about the restrictions that would be imposed, even if you are allowed to travel. The ideal time for you to travel during pregnancy is after the second trimester, when you will be less fatigued.

Here are some tips you should follow if you choose to travel when you are pregnant.
Travelling by car, train
1. You should always put your seatbelt on while travelling in a car when you are pregnant. Wear both the lap belt and the shoulder belt to keep yourself and your baby inside, safe and static.
2. The airbags should always be turned on for safety purpose.
3. Buses are narrow and should be avoided when you are pregnant. If you are availing a bus, avoid getting up when the bus is moving. In case you have to move, take the support of the railings.
4. When you are travelling by train, always hold on to the railings and seats while moving about in motion.
5. Avoid long hour journeys in cars or trains. The maximum travel duration should be not more than six hours, when you are carrying a child.
6. Make it a point to halt at points to take a walk. This would enhance your blood circulation.

Travelling by air, sea
1. This mode of travel is safer than any other travel modes for pregnant women.
2. Pregnant women can fly until eight months or nine months, after consulting a doctor.
3. Moving about in an airplane, which is flying is a bad idea for pregnant women and should be avoided.
4. Always choose an aisle seat while travelling by air. It will make moving convenient in case you need to visit the restroom.
5. Choose to travel on trustworthy, major airlines with a pressurized cabin and avoid small airplanes or private jets. Do not travel above a height of 7000 ft.
6. Travelling by sea should be strictly avoided as it causes motion sickness and pregnant women might have nausea.

Travel for pregnant women is restricted in many ways, and all the instructions should be followed.

Is It Safe for Me to Travel During Pregnancy?

Once you have got the happy news of a little one coming soon in your life, you should start taking some special care so that you can enjoy the journey of pregnancy and get a healthy baby.
 These are some pointers you have to follow during pregnancy:
Maintain good hygiene during pregnancy.Take bath regularly. Warm shower or sponge bath is considered better than tub bath.
Brush your teeth regularly and have a regular dental check up. Caries tooth can be extracted after 12 weeks of pregnancy.
Avoid wearing tight clothes and shoes with high heels. Wear loose and light clothes.
Take lots of fluid, fresh fruits & vegetables.
Take a diet which is light, nutritious, easily digestible & rich in protein, less fat, minerals and vitamins.
Stop smoking and drinking alcohol. It can cause miscarriage, defect in the development and growth of the baby.
Avoid jerky travelling, especially in 1st 12 wks and last 6wks of pregnancy. Prolonged sitting in a car or plane should be avoided. Air travel is not advisable to women who have high blood pressure, less hemoglobin (anemia) and low lying placenta.
Avoid taking any unprescribed drugs, exposure to X-Ray & chemicals especially in the 1st 12 weeks of pregnancy.
Take adequate rest in the lateral position and relax 1-2 hrs in the afternoon & 8 hrs at night.
Start taking folic acid at least 3 months before planning pregnancy & continue it till the 1st 12 weeks of pregnancy.
Start taking iron & calcium after 12 wks of pregnancy and continue it throughout pregnancy and 6 months post delivery.
Exercise regularly during pregnancy. Walking is the best exercise, but long periods of walking should be avoided. Also avoid heavy weight lifting and prolonged standing. Diving, water sking, gymnastic, netball, hockey, horse riding, cycling, rock-climbing, & scuba diving exercises should be avoided during pregnancy.
If you have any of these symptoms - vaginal bleeding, persistent abdominal pain, persistent vomiting, watery discharge from vagina, less or no fetal movement, severe headache, swelling on hands, face & feet, fever, dizziness, blurring of vision, double vision, spots before eyes, painful urination and diarrhea, immediately consult your gynecologist.

Do's and Don'ts in Pregnancy

What skin differences can you expect when you're pregnant?

During pregnancy, quite a few changes occur inside a woman's body. It is quite common for some of these changes to surface outside. Skin changes are quite common in pregnant women, and pinkish streaks on the stomach and a sudden glow on the face are commonly observed. Although not all women experience the same skin changes, there are some changes which are quite common during pregnancy. Some of them are:

1. Stretch Marks

Stretch marks are the most common and usual skin changes that occur during pregnancy. Nearly 90% of all pregnant women are likely to experience stretch marks. Stretch marks are the reddish streaks that run down the abdomen or breasts of a pregnant woman. Exercising and applying lotions rich in the vitamin can help in preventing such marks.

2. Mask of pregnancy

Melasma, commonly known as the mask of pregnancy, causes dark splotchy spots to appear on your face. Fluctuations in hormonal activities during those nine months can lead to an increase in pigmentation. These spots usually occur on the forehead and cheeks. Nearly 50% of all pregnant women encounter signs of melasma.

3. Pregnancy Glow

During pregnancy, the body produces 50% more blood; hence, there is a greater circulation of blood in the body, and the increased blood flow causes the face to appear brighter. The body also produces a lot of hormones that cause the glands to overwork, which renders the face shiny.

4. Acne

Hormonal fluctuations in the body can cause the oil glands to secrete more oil, which can cause a breakout. In case of pre-existing acne, the condition may heighten and, thus, get more inflamed.

5. Spider and Varicose veins

Increased blood circulation can cause minute, reddish blood vessels to protrude outwards. These veins usually appear on the face, neck, upper chest and arms. Varicose veins refer to the thick, bluish veins that appear on the legs. This happens because the body compensates for the extra blood that flows to your baby.



What skin differences can you expect when you're pregnant?

Reasons for spotting during pregnancy and what you can do about it

Seeing spots of blood during pregnancy is usually a cause for concern. However, it is not uncommon. The light bleeding, which is known as spotting may occur for a number of reasons.

Bleeding during the first trimester

Spotting is most likely to happen during early pregnancy and the reasons could be many, such as:

- implantation bleeding occurs during the first month of pregnancy when the fertilised egg gets attached to the wall of the uterus.

- cervical polyps ( a tumour that form on the surface of the cervix) or yeast infection may also cause episodes of spotting.

- miscarriage may be another possible reason for spotting

- ectopic pregnancy is another cause. It is the condition in which the embryo plants itself in either of the fallopian tubes instead of the uterus.

- molar pregnancy is a rare condition associated with spotting during pregnancy. When this is the case, instead of your baby, an abnormal tissue grows inside the uterus. Sometimes it can be cancerous too.

Bleeding during the second or third trimesters

Spotting may also occur during late pregnancy and the possible reasons are listed below.

- problems related to placenta like placenta previa placental abruption can also result in spotting. These are serious conditions when the placenta either covers the cervix or it gets detached from the uterine wall respectively.

- uterine rupture is the rare and unfortunate event when a scar from a previous surgery (like the removal of fibroid or previous caesarean scar bursts open and the baby slips into the pregnant woman's abdomen.

- premature labour occurs when your body is too eager to deliver the baby, usually one month before the due date of delivery.

- vasa Previa is another rare condition when a baby who is still developing has his blood vessels entangled in the umbilical cord or placenta-crossing the cervix. It is extremely dangerous because the blood vessels may burst open thus causing the baby to bleed and lose oxygen.

Here's what you can do about spotting

It is strongly recommended that you should immediately see your doctor as soon as you detect any spotting during your pregnancy. Only a well-qualified medical expert can suggest the appropriate steps to be taken, depending on your individual reasons and symptoms related to spotting.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Changes You Can Expect During the 2nd Trimester of Pregnancy

Reasons for Spotting During Pregnancy

For an expecting mother, nothing is more important than the safety and well-being of her unborn child. With due care, a mom-to-be can prevent complications that may arise in pregnancy by avoiding certain potential risks. Read on to find out the 5 things pregnant women must avoid at all costs in order to have a safe pregnancy.

1. Abdominal x-rays: abdominal x-rays during pregnancy are a big no. This kind of x-ray exposes the abdomen of the mother, and the baby as a consequence, to high levels of radiation, which can cause changes in the baby's rapidly growing cells. As a result, the baby's chances of suffering from birth defects or certain cancers, such as leukaemia later on in life, increase rapidly. It is best to avoid x-rays until absolutely necessary. X-rays of area other than abdomen if considered essential by your doctor can be performed after wearing an abdominal lead shield.

2. Alcohol: all types of alcohol must be avoided during pregnancy. Consumption of alcohol during these 9 months has been associated with several birth defects such as poor growth, learning disabilities and mental retardation. In worst case scenarios, excessive alcohol consumption during pregnancy can lead to what is known as foetal alcohol syndrome or fas, which severely affects the mental development and physical growth of the unborn child, particularly of the face and skull. Also, you must quit smoking.

3. Illicit or recreational drugs: drugs like marijuana, cocaine and other recreational drugs are again absolutely forbidden in pregnancy. These result in birth defects in the unborn child, poor growth and even withdrawal symptoms in the newborn after birth.

4. Medicines: as the metabolism of a growing baby is very different from that of an adult, it is very important to be sure of the medicines that you take while pregnant. This is especially true in the first trimester or the first 3 months of pregnancy when the foetus is most vulnerable. Certain medicines are deemed safe for the baby, while some are potentially harmful. Hence one must make sure to consult your doctor before taking any medicine when pregnant.

5. Stress: stress can trigger various health problems, which can be bad for both the baby and the mother. Studies have revealed the emotional environment of the mother is experienced by the baby as well. In fact, a particular study has shown that any kind of stress, whether it be work related or stress caused by strain in relationships, can affect the mental development of the child. This as result can lead to the child developing certain behavioural disorders such as fears and phobias, which remain way into his adulthood.

5 Dangerous Things to Avoid When You're Pregnant

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