What to expect when you're expecting (232 page)

Physical therapy, during labor,
305
–306

Physically strenuous work,
195
,
196

and premature birth,
46

Physician, see Practitioner

Phytochemicals,
97

Pica,
156

Piercing

belly,
160

nipple,
336

Pilates,
229
–230

Pill, the, see Oral contraceptives

Pimples,
146
,
149
,
158
–159;

see also Acne in stretch marks,
288

Pins and needles,
270
–271

Pipe smoking, see Smoking

Pitocin, see Oxytocin

Placenta

abruption,
553

accreta,
564

anterior,
246

anterior, and fetal movement,
209

delivery of,
396
–398

development of,
121
,
128

increta,
564

low-lying,
245
–246

percreta,
564

position of,
245
–246

previa,
245
–246,
552
–553

problems with, and multiples,
413

Pneumococcal vaccine,
50

Pollen, and allergies,
205

Pollution, see Air pollution

Polyhydramnios,
555

Polymorphic eruption of pregnancy (PEP),
288

Pools, see Swimming

Polyps, uterine, getting treated for prepregnancy,
4

Positions

breastfeeding,
438
–439

for delivery,
391

for labor,
376
–379

for sex, during pregnancy,
260

for sex, postpartum,
477

for sleeping,
246
–248

of multiples,
416

Position, of baby,
317
–320

breech,
317
–320

posterior,
318
,
367
–368

Posterior, position of baby,
318
,
367
–368

Postmature baby,
340
,
352
–353

Postnasal drip,
204

Postpartum,
420
–470

afterpains,
422

baby blues,
456
–458

backache,
455
–456

birth control,
452
,
464
–465

bleeding,
421
–422

bonding with baby,
430
–431

bowel movement,
427
–428

breast engorgement,
429
,
441
–442

breastfeeding, see Breastfeeding

breast infection,
446

breast milk, lack of,
429
–430

bruises,
424
–425

cesarean recovery,
432
–434,
462
–463

checkup,
451
–452

clogged milk duct,
446

colostrum,
429
–430

coming home with baby,
430
,
434
–435

complications,
569
–570

difficulty urinating,
425
–427

exercise,
465
–470

exhaustion,
452
–453

fecal incontinence,
455

fever,
428

gassiness,
455

getting started breastfeeding,
435
–449

hair loss,
453
–454,
460

hemorrhage,
569
–570

infection,
570

perineal hygiene,
423
–424

perineal pain,
422
–424

perineal pain, severe,
425

rooming-in,
431
–432

sex,
463
–464

sweating, excessive,
428

thyroiditis,
460

urinary incontinence,
426
–427,
454

urinating, difficulty,
425
–427

weight loss,
461
–462

when to call practitioner,
424
–425

Postpartum depression,
458
–461

Postpartum Depression Screening Scale,
459

Postpartum obsessive compulsive disorder,
461

Postpartum psychosis,
461

Postpartum thyroiditis,
460

Pot, see Marijuana

Poultry

cooking safety,
117

free-range/organic,
114
–115

Practice, medical, types of,
25
–27

Practitioner,
21
–31

and cesarean rates,
25

calling, with questions,
29
–30

choosing a pediatrician,
313

choosing one,
3
,
21
–31

choosing one, for multiples pregnancy,
404
–405

during cesarean,
398
–399

during labor,
385
,
393
–395,
396
–397

making first appointment with,
19
–20

when to call,
138
–139

when to call during labor,
354
,
360
–361,
365
,
383

when to call, postpartum,
424
–425

working with your,
29
–31

Preconception,
2
–13

prep for fathers,
12
–13

prep for mother,
2
–11

Preeclampsia,
548
–550

and aspirin,
510

and multiples,
413

diagnosing,
274

Prednisone,
527

Pregnancy

after age thirty-five,
54
–55

ambivalence about,
213

and beauty,
144
–149

and CAM, see Complementary and Alternative Medicine (CAM)

and working,
186
–197

anembryonic,
537

breaking news of,
126
,
186
–190

chemical,
17
–18,
537

chronic conditions during,
514
–533

close together,
42
–43

complications,
536
–564

depression during,
164
–165

diagnosing,
16
–17

diet, see Diet; Food

ectopic,
542
–545

exercise during, see Exercise

lifestyle during,
68
–87

loss, coping with,
576
–586

mask of,
240

medications during,
509
–513

molar,
560
–561

multiple,
402
–418

post-term,
350
–353

preparing for,
2
–13

profile,
32
–58

reality of,
213

reduction, coping with,
584

second or subsequent,
39
–44

sex during, see Sex

sick, if you get, during,
494
–513

signs of early,
14
–16

symptoms, see Physical symptoms

test, see Pregnancy test

timetable,
122

traveling during,
250
–255

tubal, see Ectopic pregnancy

weight gain, see Weight gain

Pregnancy associated plasma protein A,
60
,
63

Pregnancy Diet,
88
–103

Daily Dozen,
93
–103 see also Diet; Food

Pregnancy Discrimination Act,
187

Pregnancy induced hypertension (PIH), see Preeclampsia

Pregnancy loss, see also Miscarriage

coping with,
576
–586

Pregnancy test, home,
16

faint line on,
17

negative,
18

no longer positive,
17
–18

sensitivity of,
17

tips for taking a,
19

when periods are irregular,
17

Prelabor,
359

Premature birth,
44
–45,
46
–47

and multiples,
47
,
408
,
411
–412

Premature labor,
556
–558

signs of,
300

predicting,
44
–45,
558

see also Premature birth

Premature rupture of

membranes, see Membranes, rupturing before labor

Premilk, see Colostrum

Prenatal care,
19
–20

getting regular,
125

Prenatal checkup, see Checkups

Prenatal diagnosis,
58
–67

Prenatal vitamin, see Vitamin supplements

Prepregnancy, see Preconception

Prepregnancy weight, returning to,
161
,
461
–462

Presentation, of baby,
317
–320

Pressure

abdominal,
137

pelvic, and prelabor,
359

pelvic, and premature

labor,
300

rectal, during labor,
389
,
391

Preterm

birth, see Premature birth

labor, see Premature labor

Preterm premature rupture of the membranes (PPROM),
556

Prickly heat,
241

Probiotics,
499
,
500
–501

and constipation,
175

and IBS,
526

Produce, see Fruits; Vegetables

Progesterone

after in-vitro fertilization,
39

and corpus luteum,
177

and pregnancy symptoms,
153
,
173
,
236
,
312

and recurrent miscarriages,
543

in early pregancy,
177

to prevent premature labor,
44
,
557
–558

Prolapsed cord,
364
,
555
–556

Prostaglandins

as labor trigger,
360

in semen,
350

to ripen cervix,
368
–369,
386

Protein

food selection group,
95

in urine,
549

need for during pregnancy,
94
–95

vegetarian,
96
,
105

Protopic,
160

Prozac,
518

Pruritic urticarial papules and plaques of pregnancy (PUPPP),
288

Psychosis, postpartum,
461

Psychotherapy,
519
; see also Depression

Pudendal block,
304

Pulmonary embolus,
563
–564

PUPPP,
288

Pushing

baby out,
391
–396

placenta out,
396
–397

positions for,
391

Pyelectasia,
66

Pyogenic granuloma,
202

Quad screen,
63
–64

Quickening, see Fetal movement

Radiation,
203

on the job,
194
,
195

prepregnancy,
11

Rashes, see Skin

Raspberry leaf tea

safety of,
112

to induce labor,
351

Rectal bleeding,
272
,
273

Rectum, pressure in

as prelabor symptom,
359

during labor,
389
,
391

Red, palms and soles,
241

Reflexology,
86

during labor,
305

for back labor,
368

Reflux,
153
; see also Heartburn

Rehydration fluid,
501

Relationship, with your spouse,
329
–330

when trying to conceive,
6

see also Sex

Relaxation exercises,
86
,
142

Relaxer, hair,
145

Relaxin,
153
,
241

Rest, bed,
571
–575

Restaurants,
108
–109

Restless leg syndrome,
289
–290

Restylane,
146

Retin-A,
146

Retinoids,
146

Retrovir,
37

Rh

factor,
48
–49

incompatibility,
48
–49

test,
4

Rheumatoid arthritis,
529
–530

Rh-immune globulin,
49

RhoGAM,
49

after amniocentesis,
49
,
65

after CVS,
49

Rings, and swollen fingers,
287

Rocking, during labor,
378

Rolaids,
154
,
510

Rollerblading,
228

Rooming-in,
431
–432

Rooting reflex, in newborn,
439

Round ligament pain,
239

Rubella,
506

antibody level,
4
,
49

vaccine,
49
,
50
,
506

Rupture of membranes, see Membranes Saccharin,
111

while breastfeeding,
443

Saddle block,
303
–304

Safety

car, see Car food,
116
–117; see also Food safety

Salicylates,
511

Salicylic acid, in creams,
146

Saline sprays,
204
,
495
,
510

Saliva, excess,
134

Saliva test, for ovulation,
9

Salmonella,
115

Salmon patch birthmark, in newborn,
395

Salt

and swelling,
287

in diet,
102

SAM-e,
165

Saunas,
78
–79,
148

prepregnancy,
7

prepregnancy, father’s use of,
13

Scatterbrain syndrome,
214
–215,
269
–270