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Pregnancy Diet and Exercise

Pregnancy Diet and Exercise

Taking care of yourself with a healthy pregnancy diet and exercise routine is an important part of a healthy pregnancy overall. These tips can help you plan a balanced diet, exercise routine, and more.

Eat a Balanced Diet

While it’s normal to have crazy cravings while you’re pregnant, it’s also important to get plenty of vitamins, minerals, and nutrients. Together, you and your baby have different nutritional needs than you do separately.

It’s less like eating for 2, and more like eating for yourself and 1/8. You’ll need to get around an extra 300 calories a day. For example, if you’d normally drink a 10-oz. glass of juice, now you should drink an 11- or 12-oz. glass.

Most pregnant women need about:

  • 1,800 calories per day during the first trimester
  • 2,200 calories per day during the second trimester
  • 2,400 calories per day during the third trimester

ChooseMyPlate.gov can help you make the right food choices, and you can enter in your info to create customized daily food recommendations in a helpful checklist for each stage of your pregnancy.

You should also be careful when eating out because you’ll be more susceptible to foodborne illness while you’re pregnant.

Take a Prenatal Vitamin

Pregnant women need more folic acid, iron, and calcium. Folic acid, a B vitamin, can help prevent birth defects of the brain and spinal cord when taken early in your pregnancy.

Take a multivitamin with 400 micrograms of folic acid every day during early pregnancy as part of a healthy diet. Avoid any supplements that give you more than 100% of the daily value for any vitamin or mineral.

Keep Moving

While you may not always feel like it, moderate exercise for 30 minutes a day during pregnancy can benefit both you and your baby. It helps you prepare your body for labor, and it will help you feel better before and after birth.

Safe Exercises to Try

  • Walking
  • Riding a stationary bike
  • Yoga
  • Pilates
  • Swimming
  • Water aerobics

Activities to Avoid

  • Bouncing
  • Leaping
  • Too much up and down movement
  • Exercise that could make you lose your balance
  • Laying flat on your back after the first trimester
  • Anything where you could get hit in the stomach
  • Sitting in saunas, hot tubs, or steam rooms

Always talk to your doctor before starting an exercise routine, drink plenty of water, don’t get overheated, and be sure to listen to your body.

Handy Apps

Recognizing Early Labor

Recognizing Early Labor

Early labor begins before you’ve finished 37 weeks of pregnancy, and babies born this early can have lifelong or life-threatening health problems.

What Happens

If you go into early labor, you will likely be given meds to delay or stop it. In some cases, it can be delayed long enough to transport you to a hospital that has a . You may also be given medications that can improve the baby’s health if they come early.

Warning Signs

  • Contractions – Your abdomen will tighten like a fist every 10 minutes or more.
  • Change in Vaginal Discharge – You might leak fluid or bleed from your vagina.
  • Pelvic Pressure – This might feel like your baby is pushing down.
  • Cramps – These might feel like your period or like abdominal cramps with or without diarrhea.
  • Backache – You might feel a low, full backache.

What to Do

Call your doctor or go to the hospital right away if you’re going into labor or have any of the warning signs. They may tell you to:

  • Come into the office or go to the hospital for a checkup
  • Stop what you’re doing and rest on your side for an hour
  • Drink 2 to 3 glasses of water or juice

If your symptoms get worse or do not go away after an hour, call your doctor back or go to the hospital. If the symptoms improve, relax for the rest of the day.

Pregnancy Health Problems

Pregnancy Health Problems

If you have a preexisiting health problem or develop a new one during your pregnancy, you may need more care. Pregnancy health problems that can occur include:

Blood Pressure Related Conditions

While your blood pressure is always an important part of your overall health, when you’re pregnant, it becomes even more important to monitor it. High blood pressure can constrict the blood vessels in your uterus that supply your baby with oxygen and nutrients.

Chronic Hypertension

This is high blood pressure before you become pregnant. If you have it, it won’t go away after you deliver.

There are usually no signs, the only way to diagnose it is with blood pressure monitoring.

Your doctor may prescribe medication or liestyle changes. If you’re already on hypertension meds, talk to your doctor before trying to conceive. ACE inhibitors, a common kind of blood pressure meds, can be bad for your baby.

Pregnancy-Induced Hypertension (PIH)

Some women develop high blood pressure about 20 weeks into their pregnancy. PIH will usually go away after you deliver.

There are usually no signs, the only way to diagnose it is with blood pressure monitoring.

PIH can be controlled with meds during pregnancy.

Preeclampsia

This is high blood pressure and protein in your urine that usually develops after 30 weeks. 25% of women who have PIH develop this too.

There are usually no signs, the only way to diagnose it is with blood pressure monitoring.

Preeclampsia can be controlled with meds during pregnancy.

HELLP syndrome

This is a variation of preeclampsia that’s diagnosed by blood tests. It stands for the conditions you develop:

  • Hemolytic anemia
  • Elevated liver enzymes
  • Low platelets

Most women with HELLP have high blood pressure, and other symptoms include fatigue, severe headaches, nausea, vomiting, and swelling.

The only treatment is to deliver your baby. HELLP is very serious and requires care from a doctor.

Gestational Diabetes

Even if you don’t have diabetes before you get pregnant, you can develop gestational diabetes. It will go away after you have your baby, but during your pregnancy, you may be required to follow a special diet, exercise, or take insulin.

Environmental Risk

Certain substances can be harmful to your baby, raising the risk of birth defects and miscarriage. Chemicals to avoid include:

  • Cigarette smoke
  • Lead in water or paint
  • Some cleaners
  • Pesticides
  • Mercury in tuna and other fish
  • Cat litter boxes

Talk to your doctor about how to avoid these chemicals and what to do if you come in contact with any of them.

Chicken Pox

While most women are immune if they’ve had chicken pox or the vaccine before, it can be dangerous if you catch it while pregnant. Tell your doctor right away if you come in contact with someone who has it or if you believe you have it.

HIV/AIDS

You can pass HIV/AIDS to your baby during pregnancy, labor, or delivery if you already have it. You can take meds to protect your baby during your pregnancy, just talk to your doctor about it.

Sexually Transmitted Infections (STIs)

If you have an STI, it can cause your baby to be born blind, deaf, or even stillborn. Medication can usually help protect your baby during pregnancy and delivery. Tell your doctor right away if you have an STI or develop one while you are pregnant.

Children's Preventive Care

Your Children’s Preventive Care and Physicals

Getting your kids to their physicals and checkups, where they can get covered children’s preventive care and screenings, helps them be their healthiest. It’s important not only that you know what’s recommended for their ages and what they need to stay up to date, but also that you get them to the doctor for this on the right schedule.

What Happens at Their Physical

Your child needs to have regular wellness visits with their doctor to focus on their development, health, and wellness. At the appointment, some of the basics your doctor will cover are:

  • Checking that your child is developing at a healthy rate and tracking their health information and history
  • Getting a physical exam
  • Staying up to date with their preventive care
  • Getting education and counseling
  • If needed, setting health goals

Visit Schedule

Your baby needs to go to well-baby visits at:

  • 1 month old
  • 2 months old
  • 4 months old
  • 6 months old
  • 9 months old

Children need to visit their doctor at:

Adolescents and teens should visit the doctor at least once a year:

Choose a visit from the lists above to learn more about what will happen at that visit.

Children’s Preventive Care

Certain children’s preventive care and screenings are always covered, depending on timing and what your doctor recommends.

Newborns

  • Gonorrhea preventive medication
  • Hearing screening
  • Hemoglobinopathies or sickle cell screening
  • Hypothyroidism screening
  • Phenylketonuria (PKU) screening

Babies and Small Children

0 to 11 months
  • Behavioral assessment
  • Blood pressure screening
  • Height, weight, and body mass index (BMI) measurements
  • Medical history
  • Tuberculin testing
  • Oral health risk assessment
  • Iron supplements for children ages 6 to 12 months at risk for anemia

Children

1 to 4 years
  • Behavioral assessment
  • Blood pressure screening
  • BMI measurements
  • Medical history
  • Tuberculin testing
  • Oral health risk assessment
  • Iron supplements for children ages 6 to 12 months at risk for anemia
  • Autism screening for children at 18 and 24 months
  • Developmental screening for children under age 3
5 to 10
  • Behavioral assessment
  • Blood pressure screening
  • BMI measurements
  • Medical history
  • Tuberculin testing
  • Oral health risk assessment

Adolescents/Teenagers

11 to 14
  • Behavioral assessment
  • Blood pressure screening
  • BMI measurements
  • Medical history
  • Tuberculin testing
  • Hepatitis B screening for adolescents at high risk
  • Alcohol and drug use assessments
  • Cervical dysplasia screening for sexually active females
  • Depression screening
  • Sexually transmitted infection (STI) prevention
  • counseling and screening for adolescents at higher risk
15 to 17
  • Behavioral assessment
  • Blood pressure screening
  • BMI measurements
  • Medical history
  • Tuberculin testing
  • Hepatitis B screening for adolescents at high risk
  • Alcohol and drug use assessments
  • Cervical dysplasia screening for sexually active females
  • Depression screening
  • Sexually transmitted infection (STI) prevention
  • counseling and screening for adolescents at higher risk

General

  • Obesity screening and counseling
  • Hematocrit or hemoglobin screening
  • Lead screening for children at risk of exposure
Dental and Vision

Plans that meet the Affordable Care Act’s essential health benefits also include some vision and dental coverage:

  • Dental exam every 6 months
  • Cleanings, fluoride treatments, and X-rays
  • Fluoride chemoprevention supplements for children without fluoride in their water source
  • Yearly vision screening for all children
  • Most people can get help with their child’s glasses or contacts on their plan too

You can also buy extra dental coverage to add to your plan for a low monthly cost.

Immunizations

Vaccines, or shots, are an important part of your children’s preventive care. These should be delivered on a specific schedule to make sure your kids are protected at every age. Shots that are listed more than once at different ages include multiple doses to finish the vaccine.

Newborn
  • Hepatitis B
1 to 2 month
  • Hepatitis B
2, 4, and 6 months
  • Diphtheria, Tetanus, Pertussis (DTaP)
  • Haemophilus influenza type b (Hib)
  • Polio
  • Pneumococcal conjugate
  • Rotavirus
6 to 18 months
  • Hepatits B
  • Polio
  • 2 flu shots (6 months or older)
12 months and older
  • 12 to 15
    • Hib
    • Pneumococcal conjugate
    • Measles, Mumps, Rubella (MMR)
    • Varicella (Chickenpox)
  • 12 to 18
    • DTaP
  • 12 to 23
    • Hepatitis A
18 months and older
  • Hepatits A
  • Flu shot once a year
4 to 6 years
  • DTaP
  • Polio
  • MMR
  • Varicella
  • Flu shot once a year
11 to 12
  • Tdap (booster to DTaP)
  • Meningococcal A, C, W, and Y (MenACWY)
  • Human Papillomavirus (HPV) – 2 doses
  • Flu shot once a year
16 years
  • MenACWY
  • Flu shot once a year
18 years
  • Meningococcal B (MenB) – Talk to your child’s doctor to find out if they need this vaccine.
  • Flu shot once a year

Visit the Centers for Disease Control and Prevention (CDC) and enter your child’s birth date to get a customized shot schedule.

Know What’s Covered

Learn more about what immunizations are covered for your children. And log in to Your Health Alliance or search by your or your child’s member number to see what children’s preventive care your family’s plan covers.

You can use our general preventive care guidelines and prescription drugs to get an idea of what our plans cover.

If you’re not sure what’s covered and what you’ll need a preauthorization for, you can check your coverage and preauthorization lists at Your Health Alliance.

Now that you’re ready for your children’s physicals, log in to Your Health Alliance if you need to set a Primary Care Provider (PCP) for your child or start searching for doctors in our network.

Well-Baby Visits

Well-Baby Visits

Getting your babies to their well-baby visits helps them be their healthiest. These visits with your doctor are for a full checkup to make sure they’re healthy and developing normally. This is different from other visits for sickness or injury.

Your baby needs to go to these visits at:

  • 1 month old
  • 2 months old
  • 4 months old
  • 6 months old
  • 9 months old

What Happens at Well-Baby Visits

Your child needs to have regular well-baby visits with their doctor to focus on their development, health, and wellness. At the appointment, some of the basics your doctor will cover are:

  • Checking that your child is developing at a healthy rate and tracking their history
  • Getting a physical exam
  • Staying up to date with their preventive care
  • Getting education and counseling
  • If needed, setting health goals

Your Baby’s Development

Your baby’s doctor can help you keep track of your baby’s key developmental milestones, which can include physical, mental, social, and language skills.

At each visit, your doctor will ask you questions to help make sure your baby is reaching milestones on schedule. This can help them recognize signs of problems early on and put your mind at ease.

Each child grows differently. Some babies barely crawl and transition right to walking. Most of these situations aren’t a sign that something’s wrong. Your doctor can help you understand what differences could be because of something serious.

By 1 month, most babies:

  • Are growing and gaining weight
  • Move their arms and legs the same on both sides
  • React to sounds
  • Have the reflex to suck

By 2 months, most babies:

  • Lift their heads when lying on their stomachs
  • Look at faces and close objects
  • Smile at people
  • Touch their mouth with their hands
  • Make soft sounds, like cooing

See more milestones for 2-month-olds.

By 4 months, most babies:

  • Roll over from stomach to back
  • Reach for and grab toys
  • Have different cries for different feelings
  • Babble
  • Copy expressions and sounds
  • Recognize parents’ voices and touch

See more milestones for 4-month-olds.

By 6 months, most babies:

  • Start sitting without support
  • Roll over from both stomach to back and back to stomach
  • Sleep through 6 to 8 hours
  • Begin teething
  • Show interest in and reach for objects
  • Respond to their names and look at themselves in mirrors
  • Recognize if someone is a stranger

See more milestones for 6-month-olds.

By 9 months, most babies:

  • Crawl
  • Can sit for a long time
  • Feed themselves with their fingers
  • Have favorite toys they throw, shake, and play with
  • Play games like peek-a-boo
  • Understand “no” and wave goodbye

See more milestones for 9-month-olds.

Health Information & History

At well-baby visits, your doctor will ask you to answer some questions about your baby’s health, and maybe even your family history.

  • Health questions, like:

    • How many diapers do they go through each day?
    • Do they spend time around smokers?

  • Eating habit questions, like:

    • How are you feeding them, and how often do they eat?
    • How is breastfeeding going?

  • Activity questions, like:

    • How often do you read to them?
    • Do they copy your movements and sounds?

  • Safety questions, like:

    • Has your home been inspected for lead?
    • Does your water have fluoride?
    • Do you have a car seat?
    • Have you baby-proofed your home yet?

  • And family questions, like:

    • Who can you count on to help you with childcare?
    • Do you have a family history of any serious childhood illnesses?

Physical Exam

At your child’s appointments, you can expect their doctor to:

  • Measure their height, weight, and the size of their head
  • Check their body and limbs
  • Take their temperature
  • Check their eyes and hearing
  • Give them any shots or screenings they need

Education, Counseling & Health Goals

Your baby’s doctor can help you with important information about caring for your baby, managing any conditions or diseases they might have, and preventing future problems.

Their doctor might have valuable handouts, websites, and advice to help or might want to refer you to a specialist who can help with specific issues further.

Their doctor can also help you set health goals to maintain or improve your baby’s health, like maintaining a healthy weight.

Prepare for Well-Baby Visits

Preparing yourself with questions to ask and answers to your doctor’s questions can help you make the most of your well-baby visits.

Know Your Family and Baby’s History

Make sure you bring any medical records you have, especially to their first appointment, including a record of shots and newborn screening results.

You should also make a list of any important changes in your baby’s life, like being sick or hurt, changing caregivers, or starting daycare.

Your family’s history of health and wellness is also an important part of your baby’s health record. Histories of illness and disease can help doctors look out for issues that run in families and more.

This family health history tool can help you track your family’s health, so that you’re always organized to talk to your baby’s doctor. Not sure about your family history? Filling this out is the perfect time to talk to family members for firsthand details.

Talk to Your Doctor

Prepare for your well-baby visits by knowing any questions or issues you want to talk about ahead of time. Some things you might want to ask about:

  • Worries about your baby’s development
  • Growth and normal development
  • Sleep or activity schedule
  • Changes you can expect in the coming months
  • Breastfeeding and if they’re getting enough to eat
  • How and when to start solid foods
  • How to brush their teeth
  • Home safety
  • Preventive care they need
  • What to do if they get sick

Know What’s Covered

Learn more about what immunizations are covered for your children. And log in to Your Health Alliance or search by your or your child’s member number to see what children’s preventive care your family’s plan covers.

You can use our general preventive care guidelines and prescription drugs to get an idea of what our plans cover.

If you’re not sure what’s covered and what you’ll need a preauthorization for, you can check your coverage and preauthorization lists at Your Health Alliance.

Now that you’re ready for your children’s physicals, log in to Your Health Alliance if you need to set a Primary Care Provider (PCP) for your child or start searching for doctors in our network.

Happy, Healthy Babies for Baby Safety Month

Baby Safety Month

This week, we went over helpful tips for Baby Safety Month.

Make sure you know how to install your baby’s car seat before big road trips.

Sign up to make sure you get important recall info that will help keep your baby safe.

 

Babies grow so fast that it can be hard to get them the right thing for their age. This can help:

Ages and Stages Infographic
Image via Baby Safety Zone

 

Some hazards aren’t things that jump to mind. Play the Hidden Hazards Game to help know if your baby’s safe.

Protecting Babies From the Unseen Hazard

 

Make sure you’re using strollers safely with these handy tips:

Stroller Safety Tips
Image via Baby Safety Zone

 

Looking for products that keep your kids safe and make your life easier? These can help!

Protecting the Ones You Love

 

Get great safety tips, stay up to date on recalls, build a safe nursery, and more all year at Baby Safety Zone.

Building in Safety for Your Baby

 

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National Infant Immunization Week

National Infant Immunization Week 2016

National Infant Immunization Week ended this week, so we helped connect you to resources. Protect your baby from 14 serious diseases by age 2.

Protect Your Baby with Vaccines

 

Besides whooping cough and measles, what other diseases do vaccines protect against?

Protecting Against Serious Diseases

 

Did you know protection from vaccine-preventable diseases starts before birth?

Protecting Them Before Birth

 

Have you ever wondered how vaccines protect your child against diseases?

How Do They Work?

 

Have your kids missed one or more of their shots? This tool can help you catch up.

Catching Up on Shots

 

Quickly see when your child needs each vaccine with immunization schedules.

Shots can be stressful. Learn how to comfort your kids when they get one.

Sticking to a Schedule of Shots

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