North Central District Health Department



Trimester Guides

How much weight should I gain?

Your doctor will tell you how much weight you should gain while pregnant. Many doctors today say that 25 to 30 pounds is a good weight gain. When you gain weight is just as important as how much you gain. A slow, steady weight gain is usually a sign of a normal, healthy pregnancy. For the first three months, normal weight gain is 2 to 4 pounds. You should gain less that 1 pound each week during the last six months. If you think you have gained too much in any one week see your doctor. Do not try to lose weight while you are pregnant. Diets which limit nutrients and calories can slow down the physical or mental growth of the baby inside you. Use the Basic Daily Menu Plan as the stating point for you meal planning. add extra servings from the Basic Food Groups or from the group called Other Foods. Remember, foods listed as Other Foods- butter, margarine, sugars - add calories but few important nutrients. So, if your doctor wants to slow down your weight gain, try to limit the use if other Foods.

Safe Medication while pregnant 

Doctors (MDs), nurse midwives (CNMs), and nurse practitioners (NPs) do not want you totake medicines during your pregnancy unless it is needed. There are times whenthat cannot be avoided. There are over the-counter medicines that are safe for use in pregnancy. 
 

Stuffy Nose 
Pregnant moms often have a stuffy nose. Pregnancy hormones make your nose and sinus tissues swell, making it hard to breathe. It is better to use natural remedies for stuffy nose before trying medicine. Natural remedies are a cool mist vaporizer or a pan of water on the furnace register. Another remedy for stuffy nose is Vicks Vaporub. Some put it on your chest; some put it on the skin under the nose. If neither helps, then consider taking a pill like Sudafed. The generic name for Sudafed is pseudo- ephedrine hydrochloride. The safe dose Is 30 to 60 milligrams, usually taken ever 4 -6 hours.

Cough 
Many times when you have a cold you have a cough. For cough, a safe remedy is cough syrup that contains guaifenesin. It makes mucus easier to cough up. Two gualfenesin cough syrups are Robltussin or Waltuss, but there are others. Avoid taking cough syrups for cough, runny nose and fever. Those cough syrups may contain aspirin or other drugs that are not safe for pregnant moms. However, you may use cough syrups that contain Dextromethorphan. It controls the cough. The safe dose is 1 to 2 teaspoons every four hours. 

Aches and Pains 
For minor aches and pains like headaches, backache or round ligament pain you can safely take Tylenol or generic acetaminophen. The safe dose is 2 tablets every 4 to 6 hours.AllergiesFor runny nose from hay fever or allergies you can take Chlor-Trimeton. The generic name is for this drug is chlorphenlramlne maleate. The dose is 4 milligrams every 4 To 6 hours. Do not take more than six pills in one day. Sinus Headaches For sinus headaches, try the remedies for stuffy nose first. If those do not help, you may take Tylenol Sinus tablets. Tylenol sinus contains Sudafed; so do not take plain Sudafed, too. The usual dose is 1 or 2 tablets every 4 to 6 hours. 

Diarrhea 
Sometimes pregnant moms get the flu and have diarrhea. What a change from being constipated!! But diarrhea is not pleasant. If you have two or more bowel movements in an hour, you can use any of the following remedies safely. First, eat bland foods like cooked cereal, toast, applesauce, noodle soup and bananas while you have diarrhea. Also, drink at least 6 to 8 cups of Juice and water. If the diarrhea continues for more than 24 hours, call your doctor or nurse- midwife or health department. Imodium and Imodium A-D are safe to use when pregnancy. The generic name for Imodium is loperamlde hydrochloride. The dose is two 2-milligram pills or capsules for the first dose then 2 milligrams after each BM. Do not take more than a total of 8 tablets/capsules in one day. Pepto-Bismol another medicine that may be used for diarrhea, but only if you are less than 26 weeks pregnant. The dose is two tablespoons up to 8 times a day. Kaopectate may be used any time during pregnancy. The dose is 2 to 4 tablespoons after each bowel movement. 

Vomiting 
The best remedy for vomiting that accompanies flu is a clear liquid, then a full liquid diet followed by a bland diet and 8-10 cups of water or juice a day. A clear liquid diet includes any liquid you can see through like apple juice or sprite. A full liquid diet includes milk and juices that have pulp (orange juice). A bland diet includes bread, cereal, milk, pudding, soups that are not spice, bananas, and applesauce. When you have had no nausea for two days, gradually add spicy foods like chili or pizza. 

Other Medicines if you have symptoms that are not listed here and need to take a medicine please call your doctor and ask.

10 Reasons not to smoke while pregnant

Are you pregnant or planning to be? You have a special reason to quit smoking- your baby. If you quit now, you can improve your health and protect your baby. So do it for yourself. Do it for you baby. Here are some good reasons to quit smoking. 

  • 1. You Can Do It!Many women quit smoking before they become pregnant or while they are pregnant. You can be one of them. 
  • 2. If You Quit, Your Baby Does Too!When you smoke, the cigarette chemicals reach your baby. They keep your baby from getting the food and oxygen it needs to grow. It's best to quit before you get pregnant, but quitting anytime while you are pregnant will help. 
  • 3. You'll Have a Healthier PregnancyWomen who smoke have a higher risk of bleeding and miscarriage (pregnancy loss). Their babies may also be born too soon. If you quit, your baby is more likely to be born at the right time. 
  • 4. Your Pregnancy May Be EasierQuitting will help you to breathe easier and cough less. You will have more energy (to carry your baby's extra weight) Food will taste better. So you may enjoy a healthier diet. 
  • 5. Your Baby Will Be a Healthier WeightBabies born to smokers weigh less than other babies. Smaller babies get sick more often. They are more likely to die during the first year. If you quit, your baby is more likely to be a healthy weight.. 
  • 6. Your Baby Will Live LongerIf you quit, your baby is less likely to be still-born (born with no signs of life). It is also less likely to die of SIDS (Sudden Infant Death Syndrome). 
  • 7. Your Breast Milk Will Be Free of Cigarette ChemicalsThe chemicals in cigarettes also enter you breast milk. This can cause colic, vomiting, diarrhea and fast heartbeats. It may also increase your baby's risk of SIDS. Smoking may also reduce your supply of breast milk. 
  • 8. You'll Protect Your Baby from Secondhand SmokeInfants are more likely to get sick if their parents smoke. If you quit, your baby will be less likely to have colds, bronchitis, ear infections, allergies and asthma. 
  • 9. You'll Live to See Your Child GrowYou'll reduce your own risk of lung cancer, heart disease and other illnesses. You'll feel better and live linger to help your baby grow. 
  •  10. Try These Quit TipsPick a day to quit and stick to it. Throw out all your cigarettes. Drink 6 to 8 glasses of water a day. Chew gum, carrots or celery. Keep you hands busy. Knit a baby blanket. Make a baby album. Ask for support from your family, friends and health care provider. If you can't stop, try to cut back. Think about your growing baby!