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

Do you know that the future health of your baby is decided  before you even conceive? Your preconception health is very important. Planning a baby is a demanding task, but if you plan it well you will have a healthier and easier pregnancy. 

These are a few tips which can do wonders

1. Relaxation at Work and Household Backup - Plan out your work schedule. You might need to change your work hours or may be change the job profile. You will also need someone to help you out with the household chores around this time.

2. Finances - Get your finances settled and insurance plan changed accordingly.

3. Lifestyle Modification - Eat healthy. Stop the intake of alcohol and stop smoking. Set aside a time for regular exercise if possible. Try to lose that extra flab and stay very active.

4. Reduce Stress - Create a support system for yourself. Engage in activities that uplift your mood.

5. Take Folic Acid -Take 400 mcg of folic acid tablet daily. It helps prevent birth defects of brain and spine in the baby.

6. Avoid Exposure to - Harmful chemicals, metals and toxic substances at workplace and home. Protect yourself from infections. Stay away from cats.

7. Up-to-Date Vaccination - Make sure your vaccination is complete. Vaccination against rubella and flu are very important. It is also important to maintain a gap of at least one month between your rubella shot and pregnancy planning.

8. Optimize your Medical Condition - If you have Hypertension, Diabetes, Asthma, Epilepsy or any other medical condition you must take complete advice from the physician. Blood pressure and sugar levels have to be under full control. The type and dose of the drug may need modifications.

9. Check Family History - Ask your parents, grandparents, brothers, sisters, aunts and cousins about any health problems in the family like genetic problems, mental retardation or malformations in babies. This can help your Gynaecologist to determine which problems to look for and how to prevent it. 

10. Visit your Doctor - Carry a record of your medical conditions, family history and a checklist of your queries. Get tested for Li Blood Group, Thalassemia, HIV, Thyroid Levels, and Blood Sugars.



Why Your Baby's Health is Decided Much Before You Even Conceive

One of the most common queries faced by doctors dealing with pregnancies are risks associated with having sexduring the gestation and post-partum periods. Such doubts arise from both genuine concern and also from several superstitions and myths.

As a matter of fact, having sex during pregnancy is perfectly normal and safe. However, keeping in mind the changes the woman is going through, there are a few specific do's and don'ts you need to follow while having sexduring pregnancy.

Do's
1. Be aware: Pay attention to the doctor's evaluation of the expecting mother's condition. Many pregnancy risks can be predicted at an early stage. Abstain in case of predictions pointing to a risky gestation period and/ or delivery. Get yourself tested regularly, so that there is no possibility of transmitting infections to the expecting mother.

2. Enjoy foreplay: Pregnancy normally results in increased sensation in the erotogenic zones. Foreplay is a great way to relieve a woman's tension and she will enjoy your touch more than ever.

3. Pay attention to your partner's needs and reactions: Women have to go through a lot during pregnancy like fatigue all the time, along with sudden nausea and extreme mood swings. So, paying more attention to your partner's needs and reactions will help make the act more enjoyable for both of you.

Don'ts
1. Don't go for multiple partners: Multiple partners increase the risk of infections. It is not advisable to have sex with multiple partners during this time.

2. Don't Use sex toys: Use of sex toys during pregnancy is discouraged as it increases the risk of infections.

3. Don't Try risky positions and maneuvers: Please keep your desires for exotic positions in check. Risque behavior can lead to injuries.

4. Don't Keep yourself ahead of her: It is perfect idiocy to keep your desires ahead of the needs and desires of the love of your life. By putting yourself ahead of her you will not only negatively affect her mental health, but her physical health as well.

5 Do not mix drugs with intimacy: Use of intoxicants during her pregnancy to enhance your senses will put the healthy growth and delivery of the child in jeopardy. A number of birth defects in children are the result of using intoxicating substance use during pregnancy.

Dos and Don'ts of Sex During Pregnancy

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

How to know if you're pregnant

There are two main ways of finding out if you are pregnant - getting your blood tested, and doing home pregnancy urine test. In order for these tests to give you a clear picture, you need to wait until the right time i.e. until you've missed your period. However, there are several early signs of pregnancy that can give you an indication that you might be expecting.

1. Shortness of breath - Do you find yourself losing your breath on the stairs or when you walk for a long period of time, more than you usually do? This could be a sign of pregnancy since the fetus needs oxygen, leaving you feeling a little breathless even when you mildly exert yourself.

2. Sore breasts - If your breasts suddenly start feeling a little heavy or you feel like they have grown and your areolas seem slightly darker, it could be one of the first signs that you are pregnant.

3. Fatigue - The increase in hormones in your body during a pregnancy could lead to you feeling a lot more tired. If you end up exhausted after a normal day this could be because women tend to feel extreme tiredness during their first trimester of pregnancy.

4. Nausea - Around 6 weeks into a pregnancy (sometimes earlier), women tend to feel nauseous. This usually subsides as you enter into your second trimester. Feeling nauseous could be a sign of pregnancy. You can treat it by eating things that help settle your stomach like crackers and soda.

5. Frequent Urination - If you notice yourself needing to urinate more than usual, it could be a sign of pregnancy. This happens because your body is now producing extra fluids that cause your bladder to work extra.

6. Headaches - An early sign of pregnancy is experiencing frequent headaches. This happens because your body is now suddenly dealing with a lot of excessive hormones. To deal with the headaches make sure you take a pregnancy safe painkiller instead of a normal one.

Everybody has a way of expressing itself if only we take the time out to listen. If we really pay attention to these tiny reactions, detecting a pregnancy early, that is even before you skip that period is possible



How to know if you're pregnant

4 Exercises That'll Help You During Labour

There are technical ways in which you can get your body all set for labour. Although you may not know how your labour will progress, you can ease the pain that you experience during childbirth to a significant extent by doing these four exercises:

1. Kegel exercises: These exercises target the muscles that provide support to your bladder, uterus, urethra and rectum. By strengthening the muscles of the pelvic floor, these exercises help in improving the flow of blood to your vaginal and rectal area. Kegel exercises involve contracting of the muscles of your pelvic floor as you would do if you had to prevent passing urine or stool. It is also known to reduce the duration of the pushing stage of childbirth, which is the second stage. You can do the exercises sitting or standing and in either of the two ways-

Slow Kegels: For this, contract the muscles of your pelvic floor and hold them for 3-10 seconds. Release and repeat the exercise for ten times.

Fast Kegels: To be able to do this, you need to contract and loosen up your pelvic muscles 25-50 times. Do the set for about 4 times with 5 seconds interval between each set.


2. Squatting: Practising squatting during your pregnancy can help in preparing your pelvic muscles for labour. While strengthening your thighs, it opens up your pelvis for an easy descent of the baby. So, here's what you should do:

1. Begin by standing behind a chair for support with your feet wide apart

2. While contracting your abdominal muscles, relax your shoulders and chest before lowering your tailbone towards the floor

3. While inhaling and exhaling deeply, push into your legs and go back into a standing position


3. Pelvic Tilt: This exercise helps in strengthening the muscles of your back, pelvis and thigh regions while improving posture. Ensuring your pelvic joints remain flexible, it eases the pain experienced during delivery. 

Here's how it's done:

1. Get down on both your hands and knees while keeping your head in a parallel position with your back

2. While arching your back, pull in your stomach

3. Hold this position for a few seconds before releasing

The exercise needs to be repeated 3-5 times - all the while maintaining a strong hold on your back and stomach.


4. Tailor pose: The tailor pose is designed to help relax your hip joints as well as open up the pelvis. It also helps in improving your body posture while easing the aches that occur in the lower part of your back. For this, you need to perform the following steps:

1. While keeping your back straight, sit comfortably on the floor

2. Placing the soles of both the feet together, press your knees gently towards the floor

3. Keep the position for 10-15 seconds
You can repeat the exercise for 5-10 times.





4 Exercises That'll Help You During Labour

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