Third Trimester | Fit Pregnancy

Third Trimester

RH Disease

RH-Disease

Rh disease is a possibility only when a mothers blood is Rh-negative, the father is Rh-positive and their baby is Rh-positive. Under those circumstances, if a pregnant woman's circulating blood is exposed to fetal blood cells such as during a medical procedure, an abdominal trauma or, most likely, during delivery her immune system may respond by producing antibodies to destroy the Rh-positive cells. Without treatment, this could put a developing baby at risk for serious anemia and other complications.

Using Paint Primer

Using-Paint-Primer

From the description of the precautions you took--wearing gloves and painting in a well-ventilated room--your baby is likely to be just fine. Although no studies specifically confirm this, experts believe that a pregnant woman's limited exposure to household or hobbyist paint (particularly acrylic paint--which, along with tempera or watercolor, is recommended over oil-based paint) shouldn't be a problem. My greater concern relative to paint is twofold:

Swimming

Swimming

While your aunt undoubtedly is thinking only of your best interests, swimming daily is a real gift to you and your unborn baby that poses no danger even as you approach your due date. If your water breaks while you are in the pool--or the bathtub, for that matter--you will feel the fluid leaking and should contact your doctor immediately. My real concern is that you take every precaution to steady yourself getting into and out of the pool or tub.

Bedrest Exercises

Bedrest-Exercises

Yes, you can work with your doctor and a physical therapist to develop an exercise plan. Keep in mind, however, that this is not the time for aerobic workouts or muscle strengthening. The goal of exercise while on bed rest is to minimize the risk of developing blood clots in your extremities.

Preventing Constipation

Preventing-Constipation

Two factors contribute to constipation in pregnancy. The first is the body's increased production of progesterone, which relaxes not only the smooth muscle of the uterine wall but also of the intestinal wall and stomach, thereby making digestion sluggish. The second is the body's tendency to become underhydrated as it adjusts to an increasing blood volume. To help prevent constipation, drink at least eight glasses of water a day. Also exercise daily and eat more vegetables and dried fruits.

Exercising On Back

Exercising-On-Back

The weight of your uterus increases throughout pregnancy, so if you were to spend time lying flat on your back, that extra weight might compress the vena cava, the large blood vessel that runs along your spine and carries blood to the heart. Compression of this vein may cause you to become dizzy, lightheaded, nauseated or sweaty, and it may briefly reduce blood flow to your baby.

Ready for Sex?

Ready-for-Sex

No. "It takes at least three to six months for your genitals to get back to normal," says Laura Berman, Ph.D., director of the Berman Center in Chicago and co-author of For Women Only (Henry Holt & Co.). A perineal tear or episiotomy can cause a tight feeling in the vagina, which can persist even after the site has healed (usually four to six weeks after a vaginal birth). To help combat the tightness, you or your partner can gently stretch the area using fingers that have been well lubricated with K-Y Ultragel or Astroglide (available at drugstores).

Itching Belly

 Itching-Belly

Although you should check with your OB to rule out an allergic reaction or other problem, the itching you describe may be a symptom of intrahepatic cholestasis of pregnancy (ICP). This condition occurs when liver function becomes impaired, resulting in increased levels of bile salts in the bloodstream. As the blood circulates, these salts are deposited in the skin, causing intense itching, particularly at night. ICP typically occurs in the third trimester and will resolve on its own once the baby is delivered.

Swimming Harmful?

Swimming-Harmful

Rest assured that excessive fetal activity is not associated with any complications that could affect your baby's health. If, on the other hand, you were to perceive a decrease in fetal activity, you should immediately alert your doctor.

What to Pack for the Hospital

You've got the camera, toiletries and a nursing nightie. You also need:

Your birth plan/wish list
Prepaid calling card or cell phone and a list of phone numbers of family and friends
Your favorite pillow
A headband or hair tie

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