Primeras sensaciones del embarazo

Primeras sensaciones del embarazo

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Síntomas físicos

  • Dolores tipo cólicos leves y puede que algún sangrado, leve y marronoso, conocido como sangrado de implantación, que sucede cuando el óvulo fertilizado se implanta en el útero.
  • Sentirse muy cansada también es otro síntoma, tu cuerpo está trabajando muy duro para adaptarse a la nueva situación y crear una nueva vida. Para poder mitigar esta fatiga te recomiendo que duermas algunas siestas en el día y que te tomes más tiempo de sueño por las noches. En el segundo trimestre la energía volverá.
  • Las náuseas matutinas y los vómitos suelen ser un síntoma bastante claro. Están causadas por las hormonas del embarazo. Estas náuseas, aunque apodadas matutinas, pueden suceder en cualquier momento del día y suelen desaparecer en el final del primer trimestre. Aunque hay muchas mujeres que las tienen más tiempo e incluso durante todo el embarazo. Existen algunos olores o alimentos que pueden desencadenarlas, es muy personal.
  • La mayoría de mujeres notan que sus pechos crecen y se endurecen, tu cuerpo se está preparando ya para la lactancia materna. Puede que los notes doloridos, sensibles o inflamados e incluso pueden aparecer pequeñas protuberancias en el entorno de los pezones. ¡Pero amigas, no os preocupéis porque con el paso de los días todavía crecerán y cambiarán más!

¿Estás sintiendo alguno de esos síntomas? ¿Los sentisteis en el pasado?

Exercise During Pregnancy

Exercise During Pregnancy

In general, exercise during pregnancy does wonders. It boosts mood, improves sleep, and reduces aches and pains. It also prepares you for childbirth by strengthening muscles and building endurance, and makes it much easier to get back into shape after your baby is born.

Which exercises are best in pregnancy?

The ideal exercise in pregnancy will get your heart pumping and keep you supple, without causing physical stress. Many activities, such as running and weight training, are fine in the beginning, but you may need to modify your workout as you grow bigger. You’ll really feel the benefit if you do a combination of: aerobic exercise, which works your heart and lungs and muscle-strengthening exercise, which improves your strength, flexibility and posture.

To get the full benefits, you’ll need to exercise at least three times a week, ideally more. Try to find something that you enjoy, as you’ll be more likely to stick to it in the longer term. Build activity into your daily life, too. For example, taking the stairs instead of the lift, and doing housework or gardening, counts as exercise. Avoid doing sports where there’s a risk of hitting your bump, or of slipping and falling, such as squash, gymnastics, rollerblading, horse riding and skiing. The following types of exercise are safe in pregnancy, though some may not be suitable for the last few months, and you may need to lessen the activity as your pregnancy progresses. Talk to your doctor, midwife or a physiotherapist before starting any exercise that’s new to you.

You will probably want to avoid these types of exercises during pregnancy:

  • Activities where falling is more likely
  • Exercise that may cause any abdominal trauma, including activities with jarring motions, contact sports or rapid changes in direction
  • Activities that require extensive jumping, hopping, skipping, or bouncing
  • Bouncing while stretching
  • Waist twisting movements while standing
  • Intense bursts of exercise followed by long periods of no activity
  • Exercise in hot, humid weather
  • Do not hold your breath for an extended period of time
  • Do not exercise to the point of exhaustion
Birthing Pool Barcelona

Birthing Pool Barcelona

An increasing number of women are choosing to spend at least some of their labour immersed in water. Birthing pools are increasingly being more used in hospitals in Barcelona but just for dilation, and some women even choose to hire birthing pools for use at home, because is the only way you can give birth inside.

What different positions can I be in, in a birthing pool?

You could think about trying different positions before giving birth in water, such as:

  • Kneeling, leaning on the side of the pool.
  • Squatting, holding onto the sides of the pool.
  • Using floats under your arms for support.
  • Floating on your back with your hands holding the sides, while your head is supported on a waterproof pillow.
  • Floating on your tummy with your head turned sideways, resting on a pillow.

When might I need to get out of the pool?

Sometimes you may be asked to leave the pool during labour.

  • Changes in the baby’s heart rate
  • Meconium (baby’s poo) staining your waters;
  • Bleeding from your vagina during labour
  • If you develop a high temperature, pulse or blood pressure
  • You may also be asked to leave the pool for abdominal palpation and for vaginal examinations (to assess progress in labour).

If your labour slows down after about two hours, it may be wise to leave the pool – you can get in again later. You may choose to stay in to give birth, or find, as many women do, that dry land suits you better when the moment arrives. You will probably get out of the pool for the delivery of the placenta. When you get out, you need to be wrapped in a warm towel or a soft warm robe. If you are wearing a T-shirt in the water, it’s best to take it off while you are out so as not to cool down too much.

The advantages:

  • Warm water can provide relief from the discomfort of labour, and may even be used instead of medical pain relief.
  • It doesn’t prevent the use of other medicines, you would still be able to use certain forms of pain relief in the pool. Speak to your healthcare provider to find out more.
  • Water can have a calming effect, allowing you to relax during labour which can help labour to progress.
  • Water can support your weight, meaning that you may find yourself free from some aches and pains of late pregnancy.
  • Water can support your weight, leaving you better able to change position and stay upright.
  • The pool around you can help you to feel more private and protected.
  • Giving birth in water is thought to reduce the risk of vaginal tearing.

The disadvantages:

  • There are some forms of pain relief that are not compatible with the pool, so you may need to abandon the birthing pool if you want to use one of those pain relief options.
  • If you get into the pool before labour is underway, there are concerns that you could slow down the onset of labour.
  • Birthing pools are not available in all birthing units, you will need to check with your healthcare provider whether you will be able to have one on the day .
  • If you are planning a homebirth, you will need to hire a pool yourself which you will need to budget for.
  • Not all women experience the pain relieving benefits of water, some simply feel disappointed when they get into the pool.
¿Qué hospital elegir para dar a luz en Barcelona?

¿Qué hospital elegir para dar a luz en Barcelona?

Si estás eligiendo en qué hospital dar a luz en Barcelona, ¡enhorabuena! ¡Tu bebé está llegando!

Te dejo algunas reflexiones para que sea más fácil elegir un hospital para dar a luz.

Sistema público

Si vas al sistema público seguramente en tu CAP te habrán informado cuál es tu hospital de referencia y puede que te hagan el seguimiento del embarazo en ese hospital.

Seguramente tienen un formulario de plan de parto que puedes llevar rellenado el día del parto, y también podrás visitar las instalaciones antes del gran día.

Sino te convence no estás obligada a dar a luz allí, puedes hablar con tu matrona y pedir el cambio a otro hospital o simplemente le día que vayas a dar a luz ir a otro hospital: están obligados a atenderte.

Si quieres un parto respetado todos los hospitales están obligado a ofrecerte ese parto y esos cuidados pero existen dos hospitales en Barcelona especializados en partos respetados como son Sant Joan de Déu y la Maternitat.

Sistema privado

Si tienes seguro médico privado o eliges el sistema privado existen muchas opciones, ya sean hospitales grandes o pequeñas clínicas.

Infórmate sobre qué procedimientos tienen en los partos y si disponen de una UVI para neonatos por si tu bebé la necesita.

Parto en casa o casa de partos

Si decides dar a luz en casa o en una casa de partos tienes diversas opciones de matronas que ofrecen estos servicios.

How to manage labour fears

How to manage labour fears

It is totally normal to be scared of labour. Probably Hollywood didn’t make it easy for us, a lot of pain, blood and unexpected births appear in a lot of movies but… Don’t worry, your labour is not going to be like that!

Many women have anxiety around delivering a baby, they fear the prospect of pain or needing to have interventions. Others are simply scared of becoming a parent.

The good news is that you can handle that!!

  1. Information

Information is the key: read and take an antenatal course. Ask as many questions you have to your doctor and you will see how fears go away.

Look for an antenatal course that trains you to cope with pain and fears: breathing will be your best friend and there are some tips to be more relaxed during labour.

I can offer you a group antenatal course or private classes. You can write to me and I will give you more details : info@doulabarcelona.com.

  1. Talk about it

Don’t keep this fear only for you: talk about it!

Expressing your thoughts can help you understand them, which will give you insight into how to cope. And while it may be tempting to avoid thinking about labour, ignoring your worries can make the fear grow. In some cases, it can also affect your mental health during pregnancy.: if fear is not addressed, it can manifest as depression or anxiety.

  1. Go team

Picking the right people to be with you can help reassure you. A strong ally, like a doula or your partner, can advocate for you, especially if you go in with a birth plan that everybody is comfortable with.

Just remember, no matter how scared you are, you will get through it!

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.