What to Expect When You're Expecting - Hardcover

Comforting answers to hundreds of questions:
• I'm so queasy I can't even eat for one. How can I eat for two?
• Can I get highlights in my hair? How about my monthly wax?
• I'm only in my second month—why am I showing already?
• Can I stick to my normal workout routine while I’m expecting?
• Why is my skin broken out and blotchy? And how can I cover it?
• What's safe when it comes to sex?
• I think I felt the baby kicking—but I’m not sure. How do I tell?
• Will my body ever be the same after I deliver?

Approximately 1 to 4 Weeks

Congratulations-and welcome to your pregnancy! Though you almost certainly don't look pregnant yet, chances are you're already starting to feel it. Whether it's just tender breasts and a little fatigue you're experiencing, or every early pregnancy symptom in the book (and then some), your body is gearing up for the months of baby-making to come. As the weeks pass, you'll notice changes in parts of your body you'd expect (like your belly), as well as places you wouldn't expect (your feet and your eyes). You'll also notice changes in the way you live-and look at-life. But try not to think (or read) too far ahead. For now, just sit back, relax, and enjoy the beginning of one of the most exciting and rewarding adventures of your life.

What You Can Expect at Your First Prenatal Visit

Your first prenatal visit will probably be the longest you'll have during your pregnancy, and definitely will be the most comprehensive one. Not only will there be more tests, procedures (including several that will be performed only at this visit), and data gathering (in the form of a complete medical history), but there will be more time spent on questions (questions you have for the practitioner, questions he or she will have for you) and answers. There will also be plenty of advice to take in-on everything from what you should be eating (and not eating) to what supplements you should be taking to whether (and how) you should be exercising. So be sure to come equipped with a list of the questions and concerns that have already come up, as well as with a pen and notebook (or What to Expect When You're Expecting Pregnancy Organizer) to take notes with.

One practitioner's routine may vary slightly from another's. In general, the examination will include:

Confirmation of your pregnancy. Your practitioner will want to check the following: the pregnancy symptoms you are experiencing; the date of your last normal menstrual period to determine your estimated date of delivery (EDD) or due date (see page 8); your cervix and uterus for signs and approximate age of the pregnancy. A pregnancy test (urine and blood) will most likely be ordered.

A complete history. To give you the best care possible, your practitioner will want to know a great deal about you. Come prepared by checking records at home or calling your primary care doctor to refresh your memory on the following: your personal medical history (chronic illness, previous major illness or surgery, known allergies, including drug allergies); nutritional supplements (vitamins, minerals, herbal, and so on) or medications (over-the-counter, prescription) you are presently taking or have taken since conception; your family medical history (genetic disorders, chronic diseases, unusual pregnancy outcomes); your personal gynecological history (age at first menstrual period, usual length of menstrual cycle, duration and regularity of menstrual periods); your personal obstetrical history (past live births, miscarriages, abortions2), as well as the course of past pregnancies, labors, and deliveries. Your practitioner will also ask questions about your social history (such as your age and occupation) and about your lifestyle habits (how you eat, whether or not you exercise, drink, smoke, or take recreational drugs) and other factors in your personal life that might affect your pregnancy (information about the baby's father, information on your ethnicity).

A complete physical examination. This may include assessment of your general health through examination of heart, lungs, breasts, abdomen; measurement of your blood pressure to serve as a baseline reading for comparison at subsequent visits; notation of your height and your weight (prepregnancy and present); inspection of arms and legs for varicose veins and edema (swelling from excess fluid in tissues) to serve as a baseline for comparison at subsequent visits; examination of external genitalia and of your vagina and cervix (with a speculum in place, as when you get a Pap smear); examination of your pelvic organs bimanually (with one hand in the vagina and one on the abdomen) and also possibly through the rectum and vagina; assessment of the size and shape of the bony pelvis (through which your baby will eventually try to exit).

A battery of tests. Some tests are routine for every pregnant woman; some are routine in some areas of the country or with some practitioners, and not others; some are performed only when circumstances warrant. The most common prenatal tests include: