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Sep 7, 2011

What should and shouldn't I eat while I'm pregnant?

While pregnant, you're eating for two, as the old saying goes -- but just what are you two supposed to be eating?
Get all essential vitamins and minerals daily. That means sticking with the prenatal vitamins you started prior to becoming pregnant, as well as eating a healthy diet.
Fill your plate with leafy greens, fruits, veggies, and whole grains (like wheat breads and cereals). Get plenty of calcium-rich foods like broccoli and low-fat milk and yogurt, to help build your baby's bones and teeth. Stick to lean meats like chicken and turkey.
Foods to avoid during pregnancy include:
Fish with lots of mercury. High levels of mercury can damage a baby's developing brain. But don't cut out fish completely -- they give you important omega-3 fatty acids. Cut out fish like swordfish, tilefish, and shark. If you love your tuna and snapper, you can still eat it -- just cut back to no more than one serving a week. You can eat up to two servings of fish like salmon, catfish, mahi mahi, and cod, along with shellfish like shrimp, crab, and scallops. For a more detailed list of fish and their mercury levels, go to
Raw fish. Sorry, sushi and sashimi lovers.

  Unpasteurized soft cheeses like brie, Camembert, feta, gorgonzola, and Roquefort. They may contain bacteria called listeria that can cross the placenta, potentially causing miscarriage or leading to a life-threatening infection.
Unpasteurized milk, which can also contain listeria.
Cold ready-to-eat meats, like hot dogs and luncheon meats; these can also contain listeria. Reheat these foods until they are steaming.
Uncooked or cured eggs and meats, like prosciutto, runny eggs, and sauces made with raw eggs (like some hollandaises).
Alcohol. There is no known safe level of exposure to alcohol for a fetus. Prenatal exposure to alcohol can interfere with healthy development and lead to fetal alcohol syndrome, one of the most common causes of mental retardation and the only one that is completely preventable.
Caffeine . While some studies show that moderate caffeine intake during pregnancy is OK, others have found a link to miscarriage, so it's particularly important to steer clear of caffeine during the first trimester. Large amounts of caffeine have been linked to premature birth and low birth weight, so do your best to switch to decaf. If you can't cut it out entirely, limit intake to 300 milligrams per day or less (1-2 cups of coffee).

Sep 6, 2011

  What should I do before I get pregnant to ensure a healthy pregnancy for me and my baby?

A typical pregnancy is nine months long, but to give your baby a healthy start, think of it as twelve months -- including the three months before you get pregnant. This means that when you start thinking about trying to conceive, you should:
See your doctor for a prepregnancy checkup. Don't forget to ask about things like family medical history, risk of birth defects, genetic conditions, and chronic illnesses. Discuss all the medications you take and make sure they're safe during pregnancy.
In addition to eating a healthy diet (lots of leafy greens, lean proteins, and fiber), boost your nutrients with a multivitamin specially formulated for pregnancy -- usually called a prenatal vitamin. It's particularly important to get sufficient folic acidbefore getting pregnant. This nutrient helps prevent birth defects like spina bifida; since many of these conditions arise very early in pregnancy, you need healthy levels of folic acid right from the start. Look for a multivitamin that contains 400 micrograms of calcium. Ask your doctor or midwife to recommend a vitamin for you.

  If you smoke, quit. Smoking poses a host of risks to a developing baby, including birth defects and low birth weight. It also doubles your risk of having an ectopic pregnancy. You may also find it more difficult to become pregnant in the first place if you smoke, as smoking is strongly linked with infertility in both women and men.
Get checked for hepatitis B and C, sexually transmitted infections, and HIV.
Get any health problems -- like diabetes and high blood pressure -- under control. If you are seriously overweight, talk to your doctor about how to maintain a healthy weight.

Sep 5, 2011

Is It Safe to Get Vaccinations?

Why Should Pregnant Women Be Vaccinated?
Many women may not realize that they are not up-to-date on their immunizations and are susceptible to diseases that can harm them or their unborn child. Pregnant women should talk to their doctors to figure out which vaccines they may need and whether they should get them during pregnancy or wait until after their child is born.
Are Vaccines Safe?
All vaccines are tested for safety under the supervision of the FDA. The vaccines are checked for purity, potency and safety, and the FDA and CDC monitor the safety of each vaccine for as long as it is in use.
Some people may be allergic to an ingredient in a vaccine, such as eggs in the influenza vaccine, and should not receive the vaccine until they have talked to their doctor.
Can a Vaccine Harm My Unborn Baby?

  A number of vaccines, especially live-virus vaccines, should not be given to pregnant women because they may be harmful to the baby. (A live-virus vaccine is made using the live strains of a virus.) Some vaccines can be given to the mother in the second or third trimester of pregnancy, while others should only be administered either at least three months before or immediately after the baby is born.
Which Vaccines Can I Receive While I am Pregnant?
The following vaccines are considered safe to give to women who may be at risk of infection:
Hepatitis B: Pregnant women who are at high risk for this disease and have tested negative for the virus can receive this vaccine. It is used to protect the mother and baby against infection both before and after delivery. A series of three doses is required to have immunity. The 2nd and 3rd doses are given 1 and 6 months after the first dose.
Influenza: This vaccine can prevent serious illness in the mother during pregnancy. All women who will be in the second and third trimesters of pregnancy during the flu season should be offered this vaccine. If you have a serious medical condition increases the risk of having flu-related complications, you can receive the vaccine at any stage of your pregnancy. Talk to your doctor to see if this applies to you.
Tetanus/Diphtheria: This combination of vaccines are routinely recommended for pregnant women, both those who have never been immunized and those who have not received a booster in 10 years.
Which Vaccines Should Pregnant Women Avoid?
The following vaccines can potentially be transmitted to the unborn child and may result in miscarriage, premature birth or birth defects.
Hepatitis A: The safety of this vaccine hasn't been determined and it should be avoided during pregnancy. Women at high risk for exposure to this virus should discuss the risks and benefits with their doctors.
Measles, Mumps, Rubella (MMR): Women should wait at least one month to become pregnant after receiving these live-virus vaccines. If the initial rubella test shows that you are not immune to rubella, then you will be given the vaccine after delivery.
Varicella: This vaccine, used to prevent chicken pox, should be given at least one month before pregnancy.
Pneumococcal: Because the safety of this vaccine is unknown, it should be avoided in pregnancy except for women who are at high risk or have a chronic illness.
Oral Polio Vaccine (OPV) and Inactivated Polio Vaccine (IPV): Neither the live-virus (OPV) nor the inactivated-virus (IPV) version of this vaccine is recommended for pregnant women.