Third Trimester | Fit Pregnancy

Third Trimester

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.”  

Leaking Breasts in Pregnancy

So many experts…so many opinions. Yet, women are individuals and every pregnancy is unique. So many women write in with concerns that their bodies are doing something the experts say they're not supposed to yet or ought to happen later. Women feel what they feel. Who says those flutters you feel at 12 weeks can’t be baby kicks yet? Oh right, experts. How about those cravings? Experts say there’s nothing to them, they’re just excuses to overeat. Yeah, right. Tell that to any pregnant woman who knows she’ll just die if she doesn’t have a Haagen Dazs Bar.

Exercise Guidelines

The following is a summary of the American College of Obstetricians and Gynecologists’ guidelines for exercising while pregnant:

1. In the absence of contraindications (see below), pregnant women are encouraged to engage in 30 minutes or more of moderate exercise a day on most, if not all, days of the week. (See “Don’t Exercise If ...” below.) As always, check with your doctor before beginning an exercise program.

The Waiting Game

I've spent the last several days scouring the internet for various ways to get labor started. I can't help it. I want this baby out. I don't recall feeling quite so impatient with the girls. This time around, however, I'm driving myself a bit insane obsessing over ways to get labor started.