Third Trimester | Fit Pregnancy

Third Trimester

Do I have preeclampsia?

Just when I thought we were in the clear, we’ve been thrown another curveball. At my last two prenatal appointments, my blood pressure has been "too high" (140/90 or above)--out of the acceptable range to deliver at the birth center.

Almost Due and Over Due

The longest weeks of my life were the ones right before my due dates. I was convinced with every pregnancy there was no way I'd go full term. I'd contract away for weeks in advance. I predicted undoubtedly 30-40 pound giants. So really, under those circumstances, what woman could go the full 40 weeks? Apparently, I could and they all turned out to be reasonably sized babies.

Sex After Birth


First, ask him how he feels about watching the birth and what he’s comfortable seeing. Explain your concern. Assure him it’s OK to stand at your head and focus on your face.

Count to 10


Fetal kick counts are a simple, noninvasive way to monitor your baby’s well-being. “Fetal movement is a reassuring sign,” explains William M. Gilbert, M.D., an OB-GYN specializing in maternal-fetal medicine at Sutter Memorial Hospital in Sacramento, Calif. “When babies are in trouble, they don’t move as much.”

12 Ways To Keep Both Of You Safe

Trimester 1
1. Enroll your dog in an obedience class so he’ll be on his best behavior when the baby comes home.
2. Avoid major renovations if you’re living in an older home with layers of paint or varnish that could release harmful lead dust. (This is true throughout your pregnancy.)
3. Nix hot tubs and saunas; high temperatures can affect your baby’s development during the early months.
4. Get a dental checkup (gum disease is linked to premature delivery), but skip the X-rays.

Labor Lite

The words “easy labor” may seem like an oxymoron, but there are steps you can take, both throughout pregnancy and during labor, to make your experience less stressful and more comfortable, less clinical and more joyful. And although the following tips won’t guarantee you’ll have a sweat-free, pang-free birth, they can help make your labor and delivery more manageable.

Perineal Massage and Episiotomy

Maite emailed and asked: Will perineal massage help me avoid a tear during delivery? Will the doctor do an episiotomy even if I don’t want one? Let me start with reassurance: While episiotomies are still performed, they’re not done routinely anymore.

What’s better: a tear or an episiotomy? The best choice is neither. Back in the olden days routine episiotomies were considered safer, cleaner and easier to repair. Nowadays, we know better.

Pregnancy Fun Facts

They call it “momnesia”: those times you put the milk in the cupboard instead of the refrigerator; or you walk into a room, only to forget why you’re there. But “mommy brain” is more than a punch line, says Shoshana Bennett, Ph.D., a clinical psychologist in San Ramon, Calif., who specializes in prenatal and postpartum counseling. Experts say it’s a very real neurological issue resulting from powerful endocrine and brain chemistry changes. Fortunately, Bennett says, you can take steps to minimize the impact of mommy brain:

Learn More About Birth


* The Birth That’s Right for You, by Amen Ness, Lisa Gould Rubin and Jackie Frederick Berner (McGraw-Hill, 2005)

* Easy Labor, by William Camann and Kathryn Alexander (Ballantine Books, 2006)

Doulas – Pros and Cons

I was e-chatting with Sarah, a colleague of mine who works for CARE. I’m preparing to go the National CARE Convention in Washington DC next week, where I’ll be moderating a panel discussion on global maternal health issues. We had a laundry list of details to discuss. All we really wanted to talk about though was “doulas.”