First Trimester Pregnancy and Women’s Health pptx

First Trimester Pregnancy and Women’s Health do’s and don’ts, Nutrition, Harmful Prescription drugs, Birth defects Contents What happens during the first trimester week by week?. FiRST

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First Trimester Pregnancy and Women’s Health

do’s and don’ts, Nutrition, Harmful Prescription drugs, Birth defects

Contents

What happens during the first trimester week by week? 2

How to effectively handle some first trimester symptoms? 3

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FiRST TRiMESTER PREGNANCy ANd WOMEN’S HEAlTH

Read more information online at www.anapolschwartz.com

discuss all your medications, vitamins, and supplements with

• your doctor

Stop tanning treatments and don’t dye/perm/straighten your

• hair with chemical solutions

Avoid x-rays and MRis

• Avoid eating sushi, partially cooked meat or fish, deli meats,

•

or soft cheeses (because of the possibility for bacteria)

Tell your doctor, nurse, or dentist that you are pregnant

•

do get prenatal care, practice good nutrition, and get

• adequate rest as soon as possible

What happens during the first trimester Week by Week?

Weeks 1 & 2 are calculated as the first two weeks of

• pregnancy even though the pregnancy does not actually exist Weeks 1 & 2 are before conception and include the woman’s last period

Week 3—fertilization occurs

• Week 4—implantation happens

• Week 5—embryonic period; the baby’s brain, spinal cord,

• heart and other organs begin to form; a baby is between 1/8 and 1/16 inches long

Week 6 & 7—baby develops basic facial features; arms and

• legs start to grow; at week 7 baby weighs less than half an ounce

Week 8—the baby starts moving but you won’t feel it

• Week 9, 10, 11 & 12—the baby’s toes, neck, and genitals

• develop

According to the American Pregnancy Association, by the end 12 weeks, the fetus will be about 3 inches

you’re going to have a baby you’re going to be a mother you’re going to start a family or extend your family and couldn’t be happier and more excited or more stressed and conflicted Every woman will experience pregnancy differently

you’re pregnant do’s and don’ts

Stop smoking cigarettes, if you do

•

Stop using drugs, if you do

•

Stop drinking beer, wine, and cocktails

•

[ultrasound at 9 weeks]

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What are first trimester

symptoms?

Nausea—morning (morning sickness), noon,

•

and night (hang in there!)

Nipples and areolas darken due to a

•

temporary increase in hormones

Cramping is normal; spotting and bleeding is

•

not; contact your doctor if this happens

Weight gain

•

Frequent urination

•

Breast tenderness

•

Headaches & dizziness

•

Tired all the time or increased energy

•

Overly emotional or an incredible sense of

•

well-being

hoW to effeCtively handle some first trimester symptoms?

Nausea—An empty stomach or too full stomach creates

• problems; eat smaller meals more frequently and drink less liquids with meals; avoid unpleasant smells or odors; get more rest

Weight gain—you will probably gain about 3 or 4 pounds;

• that’s a good thing

Frequent urination—do not restrict liquids during the

• day because you need to stay hydrated but avoid drinking anything prior to bedtime Frequent urination should diminish around the fourth month

Breast tenderness—Buy a good support bra that is

• comfortable and possible to sleep in at night

Headaches—learn breathing exercises and meditation which

• can help relieve stress and provide relaxation; avoid taking pain killers if possible or ask your doctor about safe options Never take any over-the-counter herbs or drugs without consulting a health professional

dizziness—Keep your blood sugar level (healthy snacking

• helps in that respect); avoid getting up from the chair or bed too quickly

Tired all the time or increased energy—indulge in plenty of

• rest

Overly emotional or an incredible sense of well-being—it’s a

• hormonal thing

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prenatal nutrition

A balanced diet is very important for healthy pregnancy Eat

• carbohydrates, fat, and proteins, and a variety of fruits and vegetables

Folic acid, folate or vitamin B9 (all the same) has been proven

•

to limit a serious birth defect, spina bifida

Calcium, vitamins, other micronutrients like iron

• Consume adequate amounts of dHA omega-3, a major

• structural fatty acid that supports a mother’s well-being and the health of her infant.in a study of nearly 9,000 pregnant women, researchers found women who ate fish once a week during their first trimester, had 3.6 times less risk of low birth weight and premature birth than those who ate no fish low consumption of fish was a strong risk factor for preterm delivery and low birth weight Fish should be low in mercury Note: Other studies do not have the same conclusion

avoid tuna, swordfish, shark, king mackerel and tilefish

Now is not the time to pig out on junk food

• Always ask your doctor or nurse practitioner for nutrition

• advice

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A wide range of different drugs, chemicals, and environmental fac-tors are known to be teratogenic in humans and in animals Here is a smattering:

dRuGS ANd MEdiCATiONS:

androgenic hormones, lithium, tetracyclines, dilantin, coumarin, methoxyethyl ethers, busulfan, valproic acid, enalaprin A single dose of Roaccutane for acne may result in serious birth defects

ENViRONMENTAl CHEMiCAlS:

hexachlorobenzene hexachlorophene, organic mercury, ethidium bromide

iONiziNG RAdiATiON:

radiation, diagnostic x-rays, radiation therapy iNFECTiONS:

syphilis, toxoplasmosis, CMV, HSV METABOliC iMBAlANCE:

diabetes, folic acid deficiency, iodine deficiency, hyperthermia

Additional agents include Agent Orange, nicotine, other NSAids, and aspirin This list is under debate mainly because pregnant women can-not be subject to the above agents so there is very little documented data as to cause and effect

Teratogenic effects also help to determine the FdA (Food & drug Ad-ministration) pregnancy category for drug safety A pregnancy cat-egory of C, d, or X may be assigned if teratogenic effects are docu-mented or cannot be excluded

The period from the 8th day to the end of 8th week (second month)

is the period during which the organs are formed in the fetus This

is the most crucial time with regard to structural malformations and concerns from dangerous drugs

teratogeniCity

What is teratogenicity (ter·a·to·ge·nic·i·ty)?

Sub-stances with teratogenic effects can damage the

dNA of a developing fetus it is estimated that

10% of all birth defects are caused by prenatal

exposure to a teratogenic agent including but not

limited to—medication or drug exposures,

ma-ternal infections and diseases, and environmental

and occupational exposures Teratogen-caused

birth defects are potentially preventable Studies

have shown that nearly 50% of pregnant women

have been exposed to at least one medication

during gestation

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birth defeCts

Birth defects are known to occur in 3–5% of all newborns They are the leading cause of infant mortality in the united States, account-ing for more than 20% of all infant deaths Seven to ten percent of all children will require extensive medical care to diagnose or treat a birth defect

A congenital disorder, or congenital disease, is a condition existing at birth and often before birth, or that develops during the first month of life regardless of the cause

Exposure to teratogens can result in a wide range of birth defects such

as cleft palate, cleft lip, ventricular septal defect, dysmelia (congenital limb disorder), anencephaly disorder (a rare birth defect in which the baby has a malformed skull and little or no brain)

Warning: topamax birth defeCt risk

The North American Antiepileptic drug Pregnancy Registry (NAAEd) has shared data with the FdA showing an increased risk of cleft

topi-ramate during the first trimester of pregnancy Topamax is prescribed for anti seizures and to prevent migraine headaches

the relative risk for developing cleft palate

in infants of mothers who take topamax

or its generic equivalent, compared to infants of mothers not taking anti-seizure medication, is more than double the risk.

if you want to discuss your child’s legal rights for a cleft palate injury that you suspect was caused by Topamax (topiramate), please contact the lawyers at Anapol Schwartz at 866.735.2792 or visit our web site

presCription drugs

The FdA has developed a rating system to

pro-vide therapeutic guidance based on potential

benefits and fetal risks drugs have been

clas-sified into categories A, B, C, d and X

Multi-vitamins that have demonstrated no fetal risks

after controlled studies in humans are classified

as Category A

Category B includes (not inclusive) penicillin,

cephalosporins, azithromycin, erythromycin,

acetaminophen (Tylenol), and caffeine

Category C includes (not inclusive) fluconizole,

heparin, aspirin, Vioxx

Category d includes (not inclusive) valproic

acid, valium, lithium, Topamax*

ACE inhibitors, ARBs, coumarins, and central

nervous system drugs

Category X includes (not inclusive) thalidomide

*Topamax moved from Category C after the

birth defect risk of cleft palates and cleft lips

almost doubled in newborns

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resourCes

American Pregnancy Association

FdA Pregnancy drug Categories & Teratogens

Net Wellness

Pregnancy Support Groups

WebMd

Topamax Birth defects lawsuit

The Cleft lip and Palate Foundation of Smiles

Network for people to join to get support, meet families, build relationships, ask questions and get answers!

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