Tips for your last days of pregnancy

Tips for your last days of pregnancy

You’re almost there!! Congratulations!! Your baby is coming in few days!

Probably you feel tired, you can’t sleep a lot during the night, you feel heavy and you cannot move comfortably. I know it can be exhausting (I’ve been there 3 times!) but don’t worry! You will be with your baby in few days, so enjoy your lasts days as a pregnant lady!

Well, as a doula I’ve been with women in your situation a lot times, so there is a list with everything I recommend them.

  1. REST

Rest a lot, anyway you feel tired! So take a nap, enjoy of long moments of doing nothing in front of the TV or read a book… You will feel good and you never know when you go into labour.

  1. PREPARE YOUR FRIDGE

I you feel good, it is time to cook! Prepare healthy and good food for the postpartum and freeze it, so when your baby is here and you will be really busy with her you will have your food ready!

  1. LISTEN YOUR NESTING INSTINCT

It will feel so good to come back home with the baby into a tidy home.

Furthermore, exercise can induce labor, so… listen to your nesting instinct!

  1. TAKE CARE OF YOURSELF

As your baby is going to be here soon probably you will not have a lot of time to visit your hairdresser or to have a good massage! So the time is now!

  1. COUPLE TIME

A baby it is not the end of a relationship, rather it is a new beginning: during few months you will not have a lot of time to enjoy each other, for example before the baby is here you may want to have a last dinner as a couple.

  1. READY, STEADY…

And of course, prepare the bags you will need for the hospital!

Las contracciones de Braxton Hicks

Las contracciones de Braxton Hicks

Las contracciones de Braxton Hicks (BH) son “contracciones de práctica” que tonifican el útero en preparación para el trabajo de parto.

Sin embargo, no causan ningún cambio en el cuello uterino, por lo que no causarán trabajo de parto prematuro y son totalmente normales y seguras.

De hecho, en realidad es bueno que las sientas y las tengas, ya que significa que tu útero es fuerte y está poniendo en práctica ponerse de parto. Puede ser que nunca sientas las contracciones Braxton Hicks, particularmente en su primer embarazo, así que no te preocupes si parece que no las tengas.

Los movimientos de Braxton suelen suceder en cualquier momento, sin ninguna razón, pero también pueden ser causadas por un exceso de ejercicio, el sexo, el orgasmo o la deshidratación.

Las contracciones de Braxton Hicks comienzan como un leve contracción o empequeñecimiento en la parte frontal del útero. Se sienten más arriba del estómgo y pueden parecerse al dolor de regla. Algunas mujeres sienten que la barriga se endurece o se deforma, incluso puedes sentir que te cuesta respirar.

Estas contracciones uterinas leves son irregulares y duran aproximadamente 30 segundos a la vez. La mayoría de las mujeres no experimentarán más de 1-2 por hora varias veces al día. Más adelante en el embarazo, la frecuencia puede aumentar.

¿Cómo diferenciarlas de las contracciones de parto?

Las verdaderas contracciones del parto no desaparecen, sino que se intensitican en fuerza y ​​se harán más largas y se van acercando en el tiempo.

Muchas veces digo que cuando tengas contracciones reales lo sabras porque lo notarás ya que se van hacienda regulares y cada vez más dolorosas.

Como comentamos más arriba, las contracciones de Braxton Hicks son la forma natural de practicar de su cuerpo para el gran día. Además estas contracciones no son dañinas para la madre o el bebé

¿Qué hacer si tienes contracciones Braxton Hicks?

¡Práctica! Así como tu cuerpo está practicando para el trabajo de parto, puedes usar este tiempo para practicar el trabajo mental para sobrellevar major el parto: respira, relájate y sigue la contracción de principio a fin.

Where to give birth in Barcelona

Where to give birth in Barcelona?

Are you pregnant and do you live in Barcelona or its sourroudings? Congratulations! Probably you are excited with this new life growing inside you!

How is the prenatal care in Barcelona?

You have 2 options: you can choose the public healthy systme or you can go to a private clinic or hospital. If you have a private health insurance , everything will probably be covered. In both systems, the medical contact with pregnant women is frequent, you will have scans every 3 months and several visits and tests during each trimester.

Which hospitals do I have available?

In Spain and Barcelona the most common option to give birth is a hospital but you can find some midwifes that offer you the option of giving birth at home or you can find houses of birth. Depending on where you live you will have nearby some hospitals and your midwife or gynecologist will let you know which one is your reference one, having said that, in the moment of giving birth you can choose any hospital, you are not obligated to go to an specific one. Epidural is quite common and you will have the option to ask for it almost until the last minute. If you want to have available a hot tub for dilation, there are some in Hospital Maternitat o Hospital Sant Joan de Deu. If you have more questions, don’t hesitate to ask me: info@doulabarcelona.com

What will you feel when you get pregnant?

What will you feel when you get pregnant?

 

You may already know that you’re pregnant, otherwise there are signs to look out for. The first sign of pregnancy tends to be missing a period, probably around two weeks after you’ve conceived.

 

There’s very little research on this topic, and early symptoms of pregnancy are different for everyone. Some women feel the first twinges of pregnancy a week or two after conceiving, while others don’t feel any different for a few months.

 

Beside missing first sign of pregnancy. You may have some other physical signs as well. These include mild cramping and a little bleeding when the fertilized egg implants itself in your uterus.

 

Feeling very tired is another common symptom of early pregnancy. Your body is working hard to adjust to all the new physical changes. This can cause extreme fatigue. You may need to sleep longer than usual at night. Whenever possible, take short naps during the day. Your energy will most likely return in the second trimester of pregnancy.

 

Morning sickness consists of nausea and vomiting. It is caused by pregnancy hormones. Many pregnant women have it to some degree in their first trimester. Regardless of its name morning sickness can occur at any time of day. Certain foods or smells might trigger queasiness or sickness. Some women seem to feel sicker on an empty stomach. Morning sickness usually goes away by the second trimester.

 

Most women notice changes in their breasts early in pregnancy. The hormones in your body change to prepare for breastfeeding. As this occurs, your breasts may feel tender and swollen. You might notice small bumps forming in the area around your nipples. Your breasts will continue to grow and change throughout your pregnancy. They may feel even bigger and fuller later on.

 

Preguntas frecuentes de una embarazada

Preguntas frecuentes de una embarazada II

¿Tengo que cambiar mi alimentación?

Depende de los hábitos alimenticios que tengas. El objetivo es que ni a ti ni a tu bebé os falte ni os sobre ningún nutriente, que el aumento de peso sea el correcto en cada trimestre y prevenir enfermedades como la toxoplasmosis o la listeriosis. La dieta mediterránea es la ideal.

¿Tengo que tomar vitaminas en el embarazo?

Además de una dieta sana y equilibrada, todas las embarazadas necesitan un suplemento de ácido fólico y de yodo durante toda la gestación. Lo ideal es comenzar tres meses antes del embarazo y continuar después del parto dependiendo del tipo de lactancia que hayas elegido para tu bebé.

¿Cuándo voy a notar a mi bebé?

Si es tu primer embarazo, empezarás a sentir como se mueve tu bebé sobre la semana 20-22 de gestación. En los embarazos posteriores se suelen notar sus movimientos antes, sobre la semana 18-20 aproximadamente. Al principio puede que no sea todos los días, pero según vaya avanzando la gestación los movimientos serán más evidentes. En cualquier caso, no te agobies si otra embarazada de las mismas semanas nota a su bebé y tú no. Cada embarazo y cada bebé son distintos.

¿Cuándo debo ir a urgencias?

Además de las consultas programadas con tu ginecólogo, debes acudir al hospital:

- Si tienes pérdida de sangre y/o líquido por la vagina.

- Si comienzas con dolor abdominal intenso que va aumentando progresivamente.

- Si notas contracciones uterinas regulares antes de la semana 37 de gestación.

- Si has tenido un golpe o caída sobre tu abdomen aunque te encuentres en perfecto estado.

- Si tienes fiebre elevada.

- En caso de molestias urinarias

- Si tienes dolor de cabeza intenso.

- Si dejas de notar los movimientos de tú bebé a partir del quinto mes.

- En caso de vómitos o diarreas intensas.

¿Cuánto peso es recomendable aumentar durante el embarazo?

Entre nueve y doce kilos es la medida que se maneja como aumento de peso máximo durante el embarazo. Es el aumento de peso para evitar enfermedades como la diabetes gestacional, la obesidad y la hipertensión durante el embarazo.

¿Una mujer embarazada debe vacunarse?

Sí, pues algunas enfermedades pueden afectar seriamente la salud de una mujer y su hijo, y, por eso, es mejor vacunarse contra ellas. Consulta con tu médico cuáles son las vacunas que puedes ponerte y cuáles no, y en qué momento del embarazo es seguro ponértelas.

Preguntas frecuentes de una embarazada

Preguntas frecuentes de una embarazada I

¿Hay algo que pueda hacerse para evitar las náuseas?

A las náuseas del embarazo se les llama “náuseas matutinas” porque suelen producirse sobretodo por la mañana, aunque pueden suceder en cualquier momento del día.

One cuando más aparecen es por la mañana puedes probar tomando algo sólido antes de levantarte (una tostada, una galleta,…). Si suceden durante el resto del día se recomienda comer y beber pocas cantidades siempre, pero aumentando la frecuencia, y evitar alimentos grasos y bebidas lácteas que no suelen digerirse demasiado bien.

Me siento tan cansada que apenas puedo hacer nada, ¿cómo puedo luchar contra esta fatiga?

De ninguna manera, porque no debes luchar contra ella. Si te sientes cansada, tanto que apenas puedes hacer nada, no hagas nada. Tu cuerpo te está diciendo que necesita que descanses y que necesita que te muevas poco. Escúchale, hazle caso y poco a poco, a medida que el embarazo progrese, empezarás a notar más energía.

¿Puedo tomar medicamentos en el embarazo?

Por lo general, las embarazadas deben evitar cualquier medicación a menos que tu médico te indique lo contrario. Lo primero que debes tener en cuenta es que los fármacos pueden pasar al feto y afectar a su desarrollo, así que evita toda automedicación. Si te sientes enferma consulta con tu médico de cabecera

¿Puedo viajar en avión estando embarazada?

Otra de las dudas habituales que se plantean las madres es la de los viajes en avión. Los vuelos comerciales permiten viajar a las futuras mamás libremente hasta la semana 28 de embarazo, este es el límite que marcan muchas compañías para plantea

¿Y cuando llegue el bebé seré capaz de cuidarle?

¡Claro que sí! El miedo a no estar preparada es muy frecuente entre las madres primerizas, pero no te preocupes. La mayoría de cuidados que necesita un bebé son de sentido común y, además, hay que tener claro que la madre perfecta no existe. Para tu hijo siempre serás alguien maravilloso, con tus virtudes y tus defectos, así que no te agobies y disfruta de la experiencia de la maternidad.

pregnant woman travel by plane

Can I travel during my pregnancy?

Wherever you go, find out what healthcare facilities are at your destination in case you require urgent medical attention. It’s a good idea to take your medical records with you so you can give doctors the relevant information if necessary.

Make sure your travel insurance covers you for any eventuality, such as pregnancy-related medical care during labour, premature birth, care of the baby and the cost of changing the date of your return trip if you go into labour.

Can I travel during my pregnancy?

Some women prefer not to travel in the first 12 weeks of pregnancy because of nausea and feeling very tired during these early stages.

Whether you’re travelling or not, the risk of miscarriage is higher in the first three months. While there’s no reason why you can’t travel at this time, if you have any worries discuss them with your midwife or doctor.

Travel within Australia by bus, car, train, or boat is usually not a problem as long as the woman is comfortable. When travelling long distances or overseas, it is wise to consult with your doctor, especially if your pregnancy is considered high-risk.

Air travel

Flying is usually not harmful to you or your baby, but discuss any health issues or pregnancy complications with your midwife or doctor before you fly.

The likelihood of going into labour is naturally higher after 37 weeks (around 34 weeks if you’re carrying twins), and some airlines will not let you fly towards the end of your pregnancy. Check with the airline for their policy on this.

After week 28 of pregnancy, the airline may ask for a letter from your doctor or midwife confirming your due date, and that you aren’t at risk of complications.

Long-distance travel (longer than five hours) carries a small risk of blood clots (deep vein thrombosis, or DVT). If you fly, drink plenty of water and move about regularly – every 30 minutes or so. You can buy a pair of support stockings in the pharmacy over the counter, which will reduce leg swelling.

Vaccinations

Vaccines are not recommended because of concerns that the virus or bacteria in the jab could harm the baby in the womb.

However, it is safe for pregnant women to have influenza vaccine, which is strongly recommended for all pregnant women, as influenza in pregnancy can be a very serious illness.

You are generally advised to avoid travelling to countries where immunisation is required.

However, if you must travel to areas requiring vaccinations, you should discuss this with your doctor, as the risk of catching an infectious disease often outweighs the risk from vaccination.

Find out more about travelling to countries effected by the Zika virus.

Malaria Prevention

If travelling to a country or reigion that has a risk of malaria the usual advice is to take some anti malarial protection via a medication. Some anti-malaria tablets aren’t safe to take in pregnancy. You should consult your doctor for advice.

Car travel

Fatigue and dizziness are common during pregnancy so it’s important to drink regularly, eat natural, energy-giving foods (such as fruit and nuts) and stop regularly for a break. Keep the air circulating in the car and wear your seatbelt with the cross strap between your breasts and the lap strap across your pelvis under your bump, not across your bump.

Road accidents are among the most common causes of injury in pregnant women. Avoid making long trips on your own and share the driving with your companion.

Wearing a seatbelt

You need to wear a seatbelt when you are pregnant. Research shows that when you wear a seatbelt there is much less risk of injury to you and your unborn baby.

The law in Australia says that you have to use a seatbelt when you are pregnant – at every stage of your pregnancy.

You may worry that a seatbelt will hurt the baby or you may find it uncomfortable. However, a seatbelt that is worn properly does not put much pressure on your abdomen or your unborn baby.

There is a penalty for not wearing a seatbelt and you can be fined.

Food and drink

Take care to avoid food- and water-borne conditions, such as stomach upsets and diarrhoea. Some medicines for treating stomach upsets and diarrhoea aren’t suitable during pregnancy.

Always check if tap water is safe. If in doubt, drink bottled water. If you get ill, keep hydrated and continue eating for the health of your baby, even if you may not be hungry.

contraction Braxton hicks

What Do Braxton Hicks Contractions Feel Like?

Braxton Hicks (BH) contractions are “practice contractions” that tone the uterus in preparation for real labor. They don’t cause any changes to the cervix however, so they won’t cause premature labor and are totally normal and safe. In fact it’s actually a good thing if you’re having them, as it means your uterus is strong and practicing hard. Some women never notice Braxton Hicks contractions, particularly in their first pregnancy, so don’t be worried if you don’t feel them. Braxton Hicks occur randomly, but may also be caused by strenuous exercise, sex, orgasm, and dehydration.

Braxton Hicks contractions start out as mild tightening in the front of the uterus. They are felt higher in the stomach in contrast to something like menstrual cramps. Some women notice a contorted belly shape during a Braxton Hicks contraction. Others have noticed a tightening, and some difficulty breathing during a Braxton Hicks contraction.

These mild uterine contractions are irregular and last for about 30 seconds at a time. Most women won’t experience more than 1-2 per hour a few times each day. Later in pregnancy, the frequency may increase. If you’re experiencing Braxton Hicks contractions, you may notice: a tightening or hardening of the uterus light, dull cramping higher in your abdomen quick contractions, not longer than 30 seconds at a time, that don’t escalate any pain decreases in intensity with rest, fluids, or time.

In many cases, Braxton Hicks contractions are simply just another symptom of pregnancy, but there are some things that can increase the likelihood of experiencing Braxton Hicks: Dehydration Stress Urinary Tract Infection (UTI) Strenuous Exercise. There is usually no low or deep pelvic aching or pain like in true labor and with menstrual cramps. If there is low pain associated with Braxton Hicks, it is not likely to wrap around the body like true labor contractions do. Braxton hicks contractions will slow down and disappear, especially with drinking water, changing position, and movement. True labor contractions won’t go away, will intensify in strength, and will become longer and closer together. Longer, stronger, and closer together usually suggests actual labor contractions.

Braxton Hicks vs. Real Contractions
Occur in the upper belly Occur lower and may wrap around the body
Don’t get longer Get longer
Don’t get stronger Get stronger
Don’t get closer together Get closer together
Subside with activity Do not subside with activity
Does not affect the cervix Affects the cervix

As noted, Braxton Hicks contractions are your body’s natural way of practicing for the big day. Even women who experience frequent Braxton Hicks contractions do not need to worry—these contractions are not harmful to mama or baby. If you’re uncomfortable, see below for some ideas to relieve some of the discomfort. And always call your doctor if you are concerned or experience what you think are real contractions.

What to Do if You’re Having Braxton Hicks Contractions? Practice! Just as your body is practicing for labor, you can use this time to practice tuning into your body, breathing, relaxing, and following the contraction from start to finish.

food to avoid during pregnancy

Foods To Avoid During Pregnancy

Eating well-balanced meals is important at all times, but it is even more essential when you are pregnant. There are essential nutrients, vitamins, and minerals that your developing baby needs. Most foods are safe; however, there are some foods that you should avoid during pregnancy.

Cravings are quite normal during pregnancy, thanks to the hormonal surge. But you cannot indulge in everything as you must have a balanced diet. While most foods could be safe to include in your daily menu, there are many that should not be had.Certain foods should only be consumed rarely, while others should be avoided completely.

Here a small list with the most important foods you should avoid meanwhile you are pregnant!

Foods To Avoid During Pregnancy

High mercury fish

Fish such as shark, swordfish, king mackerel, and tilefish have high mercury levels and must be shunned. Mercury, an element found in oceans, streams, and lakes, converts into methylmercury in the human body. It is a neurotoxin and is linked to brain damage and developmental delays in babies. You could choose fish such as salmon, catfish, cod, and canned light tuna, which have low mercury levels. According to the US FDA, you can eat up to eight to 12 ounces of fish per week, which is two to three servings. Consumption of white tuna (albacore) should be limited to six ounces per week

Undercook fish or raw fish or meat

Raw fish, especially shellfish, can cause several infections. These include norovirus, Vibrio, Salmonella, Listeria and parasites. Some of these infections only affect the mother, leaving her dehydrated and weak. Other infections may be passed on to the unborn baby with serious, or even fatal, consequences. Pregnant women are especially susceptible to Listeria infections. In fact, pregnant women are up to 20 times more likely to get infected by Listeria than the general population. This bacteria can be found in soil and contaminated water or plants. Raw fish can become infected during processing, including smoking or drying. Listeria can be passed to an unborn baby through the placenta, even if the mother is not showing any signs of illness. This can lead to premature delivery, miscarriage, stillbirth and other serious health problems . Pregnant women are therefore advised to avoid raw fish and shellfish. This includes many sushi dishes!

Caffeine

Higher amounts of caffeine could increase your chances of miscarriage and low birth weight babies.You should limit your intake to 200mg a day. Caffeine is also found in tea, chocolate, and many energy drinks. Some research studies reveal that caffeine is associated with premature birth and withdrawal symptoms in infants (18). Other drinks to avoid during pregnancy are soft drinks, diet soda, alcohol, and iced tea.

 

Unwashed Vegetables

The surface of unwashed or unpeeled fruits and vegetables may be contaminated with several bacteria and parasites . These include Toxoplasma, E. coli, Salmonella and Listeria, which can be acquired from the soil or through handling. Contamination can actually occur at any time during production, harvest, processing, storage, transportation or retail . Bacteria can harm both the mother and her unborn baby. One very dangerous parasite that may linger on fruits and vegetables is called Toxoplasma. The majority of people who get Toxoplasmosis have no symptoms, while others may feel as if they have the flu that lasts for a month or more. Most infants who are infected with Toxoplasma while still in the womb have no symptoms at birth. However, symptoms such as blindness or intellectual disabilities may develop later in life. What’s more, a small percentage of infected newborns have serious eye or brain damage at birth. While you’re pregnant, it’s very important to minimize the risk of infection by thoroughly rinsing, peeling or cooking fruits and vegetables.

Pain relieve for birth available in Barcelona Hospitals

Pain relieve for birth available in Barcelona Hospitals

Labour can be a really intense experience, strong and painful in some moments… Today we have several options for pain relive during birth. So today I will explain you want kind of pain relieve you have available in Barcelona Hospitals!

1. Self-help in labour

You’re likely to feel more relaxed in labour and better placed to cope with the pain if you: learn about labour, to know what is going to happen can make you feel more in control and less frightened about what’s going to happen. Also you can talk to your midwife or doctor, ask them questions, and go to antenatal classes learn how to relax, stay calm, and breathe deeply keep moving.

In my antenatal classes you will learn how your position can make a difference, so try kneeling, walking around, or rocking backwards and forwards bring a partner, friend or relative to support you during labour.

2. Gas and air (Entonox) for labour

It is available in some hospitals of the public system in Barcelona.

This is a mixture of oxygen and nitrous oxide gas. Gas and air won’t remove all the pain, but it can help reduce it and make it more bearable. Many women like it because it’s easy to use and they control it themselves. You breathe in the gas and air through a mask or mouthpiece, which you hold yourself. The gas takes about 15-20 seconds to work, so you breathe it in just as a contraction begins. It works best if you take slow, deep breaths. Side effects there are no harmful side effects for you or the baby it can make you feel light-headed some women find that it makes them feel sick, sleepy or unable to concentrate – if this happens, you can stop using it If gas and air doesn’t give you enough pain relief, you can ask for a painkilling injection as well.

3. Epidural

It is really common in Spain. An epidural is a special type of local anaesthetic. It numbs the nerves that carry the pain impulses from the birth canal to the brain. It shouldn’t make you sick or drowsy.

For most women, an epidural gives complete pain relief. It can be helpful for women who are having a long or particularly painful labour. An anaesthetist is the only person who can give an epidural, so it won’t be available at home.

How much you can move your legs after en epidural depends on the local anaesthetic used. Some units offer “mobile” epidurals, which means you can walk around. However, this also requires the baby’s heart rate to be monitored remotely (by telemetry) and many units don’t have the equipment to do this. Ask your midwife if mobile epidural is available in your local unit. An epidural can provide very good pain relief, but it’s not always 100% effective in labour.

4. Water during labour

Being in water can help you relax and make the contractions seem less painful. Ask if you can have a bath or use a birth pool. You can find a birth pool in Maternitat and Sant Joan de Deu. The water will be kept at a comfortable temperature, but not above 37.5C, and your temperature will be monitored.