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Dad's D-Day Duties

3/28/2014

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When D (delivery) day finally rolls around, Papa's main goals are to stay calm and help Mama.

We all know what a mom’s job is during labor and delivery, but a dad plays a crucial role as well. So how can you prepare for what’s bound to be a physically exhausting day for your partner and an emotional one for both of you? Check out these tips so you can proceed with patience and confidence.

Know your facts. If you know going in that this might be a really long day, you’ll be better able to manage your (and your partner’s) expectations. So keep in mind that spending ten to 20-plus hours in labor is not unusual for first-time moms (though a recent study found that six and a half hours is typical). Here’s where you come in: Break out the board games, feed her as many ice chips as she wants, and walk with her if she’s up for it. Gently massage her head, back, or feet if she’ll let you, and hold her hand during those really rough contractions.

Keep smiling. Prolonged intense pain can make even the sweetest woman swear like a sailor and the toughest woman come undone. Be prepared for either or both and try to ignore any negative comments your honey may hurl your way. She (probably) doesn't mean what she says.

Expect the unexpected. No one — not even the most experienced obstetrician — can predict how your wife’s labor and delivery will go, so keep an open mind in case you need to adjust your birth plan. For example, you two may have discussed a delivery without medication, but things can change as labor progresses. For many women, the transition phase of labor (when dilation is around 8 cm) is the most painful part and an epidural may suddenly seem like a good idea.

Be her advocate. During labor, your normally take-charge partner may not be able to speak up for herself, so be ready to be assertive on her behalf. Insist on speaking with the doctor if you or your wife is uneasy about what’s happening. Be a squeaky wheel if the anesthesiologist is AWOL. Be firm but respectful: Even in a critical medical situation (an emergency C-section, for example), you have the right to ask for at least a brief explanation of why an intervention is being made.

Capture the moment, but don’t miss it. When it comes to documenting your baby’s grand entrance, technology can be a blessing and a curse. If you get too caught up in filming or tweeting about the birth, you may not experience it for the incredible moment that it is. And one more word of caution about your delivery movie: Just because it’s possible to share it with everyone doesn't mean you have to.

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5 Post-Pregnancy Body Changes You Didn't Expect.

3/1/2014

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The top 5 post-pregnancy body changes that you never saw coming.

By Heather Hatfield
WebMD Feature
Reviewed by Jennifer Shu, MD

When you found out you were pregnant , you knew your life was going to change forever! So much to look forward to: bringing your baby home, seeing his first smile, hearing his first coo. 

And you knew your body was in for some changes, too -- gaining weight during pregnancy, bigger breasts, maybe swollen ankles if you stayed on your feet too long. 

But there are some changes that might surprise you. Here are five of them.

1. Sex Drive Dive

If you're not in the mood, you're not alone -- many new mothers see a drop in their sex drives.

"It can take up to a year to feel like you are really back in the mood for sex," says Hope Ricciotti, MD, an associate professor of obstetrics and gynecology at Harvard Medical School and a practicing obstetrician at Beth Israel Deaconess Hospital in Boston. "You are so focused on your child and your family that you have little to no time for yourself, and that includes sex."

You’re also tired and may not have any romantic moments for the first few months after baby is born to even think about the act that conceived your child, she says.

Mix these with estrogen levels that bottom back to normal post-childbirth, and sex drops to the tail end of your priority list. The good news: It will move back up.

"Estrogen levels rise during pregnancy, and fall abruptly after you give birth," says Silvana Ribaudo, MD, an obstetrician at Columbia Medical Center in New York. "The change in estrogen levels means a woman’s sex drive is probably pretty low. It rebounds, but it does take time."

2. Belly Bulge

You give birth, you lose your belly, right? Well, not that fast.

“After you give birth, lots of women expect that their belly will return to its normal size almost immediately,” Ribaudo says. “It takes about 6-8 weeks before the uterus is back to its prepregnancy size.”

Amanda Ezman of Oneida, N.Y. was among the new moms surprised by the size of her belly after she gave birth.

“I used the bathroom the day after my daughter was born, and looked in the mirror,” Ezman says. “I thought I would look a little different, but I still looked almost nine months pregnant.”

During pregnancy and after delivery, exercise and a healthy diet are key to getting your body back in shape (under the direction of your ob-gyn, of course).

“It takes time,” Ricciotti says. “Core exercises that focus on your belly do help in toning your baby bulge.”

3. Shoe Surprise

Think the changes you experience from pregnancy happen mostly in your mid-section? You forgot about your feet.

"Yes, a woman’s feet swell during pregnancy,” Ricciotti says. “But after her baby is born, she may have a permanently different shoe size.”

he American College of Obstetrics and Gynecologists (ACOG) recommends that average-sized women gain between 25-35 pounds during pregnancy. That extraweight puts your feet under pressure.

"The additional weight you carry may flatten the arch of your foot,” Ricciotti says. “With the arch flattened you might find that you need an extra half-inch larger shoe size to be comfortable.”

Hormones play a role here, too -- in particular, one called relaxin.

"It does just what it sounds like,” Ribaudo says. “It relaxes the muscle ligaments in your body to help prepare you for childbirth, but it’s not exclusive to your pelvic area. It also affects the rest of your body, including your feet.”

With loosened ligaments in your feet and an increase in body weight pushing down on your arch, your feet are primed to flatten and lengthen. 

On the bright side? It's a great excuse to go shoe shopping.

4. Cup Size

A lot of women expect their breasts to get bigger before and after birth, especially if they continue breastfeeding. But just remember: what goes up…

"After you give birth and stop breastfeeding... that can leave your breasts looking not only saggy, as most women expect, but smaller as well," Ricciotti says.

It’s not uncommon for women to drop a cup size after pregnancy and breastfeeding, and it’s not over yet.

"The more children you have, the more your breasts tend to sag," Ricciotti says.

Don’t blame breastfeeding, though. A 2008 study of 93 women found that history of breastfeeding was not linked to their odds of having sagging breasts. Instead, the risk factors for sagging breasts were higher BMI, greater number of pregnancies, larger bra size before pregnancy, history of smoking, and older age.

5. Hair Loss

Most women have fuller, shinier locks during pregnancy. After delivery, your hair goes back to normal -- and that may mean it looks like you're losing more hair than normal. But don't worry -- it all evens out.

To read more please click on the link: http://www.webmd.com/parenting/baby/features/post-pregnancy-body-changes?page=2




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