Family Self-Care Handbook
Growing Fast, Growing Strong: Children, Birth to Age 12
Changing Bodies, Changing Needs: Teens, Ages 13 to 19
Woman to Woman: Women, Ages 20 to 45
Man to Man: Men, Ages 20 to 65
Pregnancy Primer: Tips for a Healthy Pregnancy
Wise and Wonderful: The Mature Woman
Staying Healthy, Staying Strong: Seniors, Age 65 and Beyond
Family Health: General Health Information
Resources: For More Information
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Pregnancy Primer: Tips for a Healthy Pregnancy
It's never too early to start to take care of yourself and your future child. Making healthy choices can help ensure a healthier pregnancy and a healthier baby. Follow these tips:
SAFETY
Continue to wear a seat belt (under your belly) anytime you ride in a motor vehicle throughout your pregnancy.
Avoid x-rays, hot tubs and saunas. Taking a bath or shower is safe as long as the water temperature is comfortable for you. Remember, check it before stepping in.
Sex during pregnancy is safe for most women right up until labor, unless your health care professional has advised against it.
NUTRITION AND EXERCISE
Eat a balanced diet and take a supplement that contains folic acid.
Thoroughly wash all raw fruits and vegetables before eating them.
Eat only well-cooked meats. Undercooked and raw meats can carry a parasite-borne infection that can cause miscarriage or brain damage in the fetus. This infection is also found in cat feces, so wear gloves when changing the cat litter or have someone else change it for you. Also, wear gloves when gardening outside, if cats frequent the garden.
Drink six to eight glasses of water daily.
Exercise regularly, with your health care professional's permission, to reduce backaches, constipation, bloating and swelling. Exercise also will give you more energy, improve your mood, increase your muscle strength and endurance and help you sleep.
Warm up before exercising and cool down afterward.
Avoid activities that could cause abdominal trauma.
Ask for instructions for how to do Kegel exercises to help maintain or regain bladder control weakened by pregnancy. Then, practice. Squeeze your pelvic-floor muscles; hold for three seconds, then relax for three seconds. Work up to 10 sets, three times daily.
WELLNESS
Don't miss your regular prenatal checkups or recommended tests.
Avoid cigarettes, alcohol and illegal drugs; seek help, if you need it.
Don't use any prescription drug, over-the-counter medicine, herbal supplement or topical ointment unless your health care professional tells you it's okay.
Get plenty of rest.
Limit caffeine to one or two cups of coffee, tea or other caffeinated drinks per day.
Eat smaller meals more often and more slowly and avoid spicy foods to reduce heartburn.
Wear sunscreen and a hat in the sun. Sunlight can aggravate the development of darkened skin patches on the face that some women experience during pregnancy.
  Sources: American College of Obstetricians and Gynecologists; National Women's Health Resource Center; March of Dimes; National Institute of Diabetes and Digestive and Kidney Diseases; and the Beth Israel Deaconess Medical Center
What You Need in Your Diet
While a balanced diet is a key to good health throughout your life, it is even more important during pregnancy. The chart below, from the American College of Obstetricians and Gynecologists, shows recommended food servings during pregnancy.
DAILY FOOD CHOICES DURING PREGNANCY
Food Group Minimun
Daily Servings
Example of Single Serving
Bread, Cereal, Rice, Pasta 9 1 slice bread; 1 cup cold cereal; or 1/2 cup cooked cereal, rice or pasta
Vegetables 4 1 cup salad greens, 1/2 cup other cooked vegetables, 1 cup raw vegetables, or 3/4 cup vegetable juice
Fruit 3 1 medium apple, banana or orange, 1/4 cup dried fruit, or 3/4 cup 100% juice
Poultry, Fish, Dry Beans, Meat, Eggs and Nuts 3 2-3 ounces cooked lean poultry, fish or meat; 1/2 cup dry beans, 2 eggs or 2 tbsp peanut butter
Milk, Yogurt and Cheese 3 1 cup milk or yogurt, or 11/2 oz low-fat cheese
NUTRIENTS YOU ALSO MAY NEED
Extra iron, vitamins B6 and B12 and calcium are especially important during pregnancy. Folic acid (600 mcg/day) is also recommended to help prevent spina bifida and other birth defects. Dark leafy greens, vegetables, whole-grain breads, cereals, citrus fruits, juices, dried peas and beans all contain folic acid.
Think You Might Be Pregnant?
For most women the first signs of pregnancy typically include:
Skipped periods
Fatigue
Swollen or tender breasts
Urinating more frequently
Nausea
ABOUT HOME PREGNANCY TESTS
Home pregnancy tests are easy to use and provide accurate results in two to five minutes, as early as the first day of a missed period. These urine tests detect the presence of human chorionic gonadotropin (hCG), a hormone produced only during pregnancy. If the hormone is present, a colored stripe, dot or other symbol appears in the test window.
If you suspect you're pregnant or if pregnancy symptoms persist despite a negative result, see your health care professional as soon as possible.
  Source: U.S. Food and Drug Administration
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