Pregnancy Sourcebook Book

	Preface to the Third Edition
	The Fluff-Free Pregnancy Book	xiii
Chapter 1	Your Pregnancy Management Team	1
	The Pregnant Patient: In Search of Excellence	5
	Using Your Family Physician as a Basic OB-Gyn
	When Do I Need an OB-Gyn?
	The Midwife
	The Doula
	The Fundamentals of Obstetrical Care	18
	For Planned Pregnancies . . .
	For Unplanned Pregnancies . . .
	What About My First Prenatal Exam?
	Finding the Right Hospital
	Other Birthing Facility Options
	Home Birth
	The Pregnant Patient's Bill of Rights	38
	The Pregnant Patient's Obligations	41
Chapter 2	Everything You Need to Know About the "High-Risk" Pregnancy	45
	Your Obstetrical Credit Rating	46
	The Red Flags
	If You Have Diabetes
	Occupational Hazards	68
	Stress
	Domestic Violence During Pregnancy
	From "Routine" to "High Risk"	74
	"Red Flag" Viruses
	Common Health Problems in Pregnancy
	What Is Bed Rest?
Chapter 3	T1 Health (Trimester 1)	89
	How Does It Feel?	90
	The ABCs of Pregnancy (an alphabetical list of symptoms)
	Morning Sickness
	Multiple-Pregnancy Symptoms
	Nutrition Concerns	106
	The General Guidelines
	A Word About Weight
	Fitness and Exercise
	Things that Can Go Wrong	123
	Bleeding
	Miscarriage
	Repeated Miscarriage
	Ectopic Pregnancy (Tubal Pregnancy)
Chapter 4	T2 Health (Trimester 2)	137
	How Does It Feel?	139
	The ABCs (an alphabetical list of symptoms)
	Twice the Size, Double the Discomfort
	The Prenatal Exam	147
	King-Size or Twins?
	The Second-Trimester Lab Package
	Sex and the Pregnant Woman	150
	In the Beginning
	Let There Be Light
	As You Get Larger (Weeks 13-24)
	Things that Can Go Wrong	152
	Bleeding
	Late Miscarriage
	Premature Labor
	Flooding or Drought: Amniotic Fluid Problems
	Common Second-Trimester Health Problems
	Pregnancy-Related Tumors
	Problems with Multiple Pregnancies
	Vanishing Twin Syndrome
Chapter 5	Prenatal Testing	163
	Why All the Tests?	164
	The "Industry Standard" Tests
	Glucose Screening
	Ultrasound	166
	What Ultrasound Can Detect
	When to Have Your First Ultrasound
	Alpha Fetoprotein (AFP) Screening	170
	High AFP Levels
	Low AFP Levels
	False Negatives
	Normal Levels
	Amniocentesis	172
	What the Test Can Detect
	Deciding to Have the Test
	Other Available Tests	176
	Chorionic Villus Sampling (CVS)
	Cordocentesis
	MRI
	Too Much Information: Questioning Prenatal Testing	178
	The Anecdote
	Informed Consent and Prenatal Testing
	The Pregnancy Police
	Carrier Screening
	Sex Selection
	Privacy Issues
	To Test or Nor to Test?
	Terminating the Pregnancy
	Terminating the Pregnancy	190
	The Therapeutic Abortion
Chapter 6	T3 Health (Trimester 3)	197
	How Does It Feel?	199
	Five Easy Symptoms that Spell H-E-A-L-T-H-Y
	The Multiple Waiting Game
	Your Last Minute Tune-Up
	How to Tell a "Lie"
	What About Sex?
	Childbirth 101: Starting Classes	207
	General Curriculum Guidelines
	Things that Can Go Wrong	210
	Premature Labor and Delivery
	Placental Problems
	False Labor
	Still Waiting: The Postmature Baby
	Absence of Fetal Movement
	A Compassionate Delivery
	Antepartum Fetal Testing: Is the Baby Stressed Out?	220
	The Non-Stress Test
	The Contraction Stress Test
	The Biophysical Profile
Chapter 7	All About Labor and Delivery	223
	Your "To Do" List	224
	The Right Stuff
	The Birth Plan
	Special Circumstances
	When You're Induced	228
	Methods of Induction
	Natural Labor	230
	Pre-labor
	Early Labor
	Active Labor
	A Word About Pain Management
	Transition Phase
	Delivery: Bearing Down	237
	Twin Delivery
	The Afterbirth: Birth of the Placenta
	Storing Cord Blood: Biological Insurance
	When Something Goes Wrong	243
	Fetal Distress
	The Episiotomy
	Forceps Delivery
	Vacuum Extraction
	The Cesarean Birth	247
	A Dozen Good Reasons to Have a C-Section
	Unnecessary versus Necessary Cesareans
	Knowing Your Baby's Health "Score"	250
	Childbirth 911: Emergency Childbirth Procedures	251
Chapter 8	Health After Childbirth	257
	The Incredible Shrinking Woman	259
	Your Postpartum ABCs (an alphabetical list of symptoms)
	If You've Had an Episiotomy
	If You've Had a Cesarean Section
	If You've Had a High-Risk Pregnancy
	Going Home So Soon?
	Postpartum Sex	270
	Contraception
	When Something Goes Wrong	273
	Postpartum Hemorrhage
	Bacterial Infections
Chapter 9	Breasts, Feeding, and Other Milk "Beefs"	277
	Breasts 101	278
	The Pregnant and Postpartum Breast
	Your Milk Delivery System	280
	The Breast Rehearsal
	The Milkman Cometh: Engorgement
	More Than a Mouthful: Twin Feeding
	Breast Milk Ingredients
	The Breastfeeding Decision	289
	Special Circumstances
	Feeding Frenzy
	The Benefits of Breastfeeding
	The Benefits of Bottle-feeding
	Common Breast Infections	295
	Nipple Problems
Chapter 10	Postpartum Depression	299
	What's Going On?	300
	Maternal Blues
	Postpartum Depression (PPD)
	Postpartum Psychosis
	Postpartum Thyroiditis	307
	Why Does Postpartum Thyroiditis Occur?
	Symptoms
	Diagnosing Postpartum Thyroiditis
	Treating Postpartum Thyroiditis
	What About Dad?	211
	So What's a Fella to Do?
	The No ZZZs Issue
	Sympathy Pains
Appendix	Where to Go for More Information	315
	Glossary	321
	Bibliography	329
	Index	343