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baby basic care of, 235-249 development of

(see gestational age) newborn

(see newborns) premature

(see premature babies) unborn

(see fetus) "baby blues," 263 baby carriers, 240 baby clothes, 243-244 baby lotion, 245 baby powder, 246 backaches, 97, 107, 116, 422-423

"back labor," 170, 335 bacterial food poisoning, 14-15, 16 barbiturates, 328 basketball, 18

bassinet safety precautions, 241-242

bathing newborns, 247-248

Beconase (beclomethasone), 419

bed rest, 536

beer. see alcohol use bending and lifting, 31

benzene, 33

beta-thalassemias, 275

bikini incision, 198

bilirubin, 216

biophysical profile scoring, 314 biotinidase deficiency, 214 birth canal, 66, 146, 179 birth control contraceptives, 389-395 emergency methods of, 399-400 natural methods of, 395-397 permanent methods of, 397-399 birth defects age of mother and, 41 alcohol use and, 21 calendar of risk, 46-47 cat litter boxes and, 24 family history and, 5 genetic carrier screening for, 269-276 infections and, 60 maternal obesity and, 8 nutrition and, 60 prenatal testing for, 289-314 radiation and, 60 smoking and, 21 spina bifida, 11-12, 49 teratogens and, 60 birthing ball, 341 birthing bed, 173 birth plans, 158, 287-288 bladder, injury to, 193 bladder infections, 495-496, 588 after Caesarean, 193 circumcision and, 356 blastocyst, 47-48 bleach and ammonia, 24 bleeding gums, 424 blindness and prematurity, 224 and shaking, 229 bloating, 447-448 post-Caesarean, 193 in premature infants, 223 blocked milk ducts, 253, 378

blood cells, fetal, 103

blood cells, maternal, 81, 105-106

blood clots post-Caesarean, 193, 203 travel and, 322-323 blood loss, 352

blood pressure, 24, 81, 115. see also high blood pressure blood pressure monitor, 173 blood tests, fetal, 308-311, 578 blood tests, maternal, 67- 68, 292 blood transfusions, 572 blood type, 67

bloody show, 162, 169, 424-425 blue lines under skin, 425 body image in early pregnancy, 75-76 postpartum, 261, 266 body mass index (BMI), 6, 7-8 bonding with newborns, 263-265 bones, development of, 48, 80, 93-94 bottle-feeding, 382-388 of breast milk, 380-381 deciding on, 363-368 equipment and supplies for, 385 newborn eating habits and, 217, 229-230 position for, 387-388 preparing formula, 386 water quality and, 386-387 bowel function of, after Caesarean, 193 infections in, 223 injury to, 193 bowel movements after episiotomy, 253 during labor, 156 of newborns, 211, 231-233 bradycardia, 222 brain bleeding in, 223 in newborns, 264

prenatal development of, 48, 58, 59, 72, 94, 145

Braxton-Hicks contractions, 106-107, 116,

161, 165, 435-436 breaking of water, 149, 165, 503, 569 breast cancer, 510 breast-feeding, 368-376 after Caesarean birth, 200, 203-204 alcohol use and, 21, 365 alternating breasts in, 371 benefits to mother of, 365 contraindications for, 366 convenience of, 365 deciding on, 363-368 during delivery of placenta, 184

frequency of, 372 getting started, 369 introducing bottles in, 380-381 inverted nipples and, 379 latching on properly for, 370-371 mastitis and, 378

newborn eating habits and, 21 7, 229-230 newborn's stools and, 232 nipple care and, 377-378 positions for, 204, 372-374 postpartum diet and, 258, 375-376 preparing for, 370 SIDS and, 242, 364 sleepy babies and, 230-231 work and, 381 breast milk alcohol use and, 21 benefits to baby of, 364 birth control pills and, 390 colostrum in, 106, 126, 368 digestibility of, 364 drug use and, 22 expressing of, 379-380 foremilk vs. hindmilk, 372 leakage of, postpartum, 252 medications and, 366 for premature babies, 220 production of, 126, 252, 368-369 pumping of, 379 storage of, 380 breasts blocked ducts in, 253, 378 discharge from, 426 engorgement of, 251-252, 377 enlargement of, 51, 62, 83, 96, 115,

126, 426-427 human placental lactogen and, 61 inverted nipples, 148, 379 mastitis and, 378, 581-582 postpartum care of, 251-253 soreness of, 51, 62, 74, 427 breast self-examinations, 253 breast shields, 252

breath, shortness of, 91, 125, 427-428 breathing in premature babies, 221-222 breathing techniques labor and, 174-175, 178, 337-339 Lamaze, 338-339 for relaxation, 32 breech position, 575-576 age of mother and, 39-40 Caesarean section and, 188, 199 early diagnosis of, 118 external version and, 142, 576 breech presentation, 161 bronchopulmonary dysplasia, 221-222

budesonide, 419 bumper pads, 241 buproprion, 466 butorphanol, 328

Caesarean birth, 187-205

activity restrictions after, 204-205 age of mother and, 39-40 anesthesia for, 195-196 complications after, 205 elective, 351-354 emergency, 196, 198, 199 emotions about, 194-195, 205 incision care after, 203 incisions for, 198-199 maternal obesity and, 8 multiple gestations and, 92 partner involvement in, 201 preparations for, 196-197 reasons for, 187-191 recovery from, 200-203 risks of, to baby, 194, 353 risks of, to mother, 192-194, 352-353 vaginal birth after, 198, 345-349 wound infection after, 582 caffeinated beverages, 429 calcium dietary sources, 14 lactose intolerance and, 460-461 supplements, during pregnancy, 13 vegan diet and, 14 calcium carbonate, 13 calcium citrate, 13

calories, recommended daily, 6-7, 9, 91, 455

Canavan disease, 275

cancer, maternal, 508-510

caput succedaneum, 209

carbamazepine, 466

carbon dioxide, 82

carbon monoxide, 22

cardiac monitor, 196

carpal tunnel syndrome, 128, 429-430

car seats, 236-238

cat litter boxes, 24

Celebrex, 423

cell division, 44-45

Centers for Disease Control and Prevention,

cephalhematoma, 209 cephalopelvic disproportion (CPD), 187 cervical incompetence, 316, 544-545 Cervidil (dinoprostone), 568

cervix changes, early in pregnancy, 52, 63 conception and, 44

dilation of, 136, 148-149, 164, 167-168, 172

effacement of, 63, 152, 163, 172 incompetence of, 316, 544-545 pelvic exam and, 66 tearing of, 583 cesarean birth. see Caesarean birth chairs, 30

changing table, 245 chemotherapy, 509 chicken. see poultry chickenpox (varicella) blood test for, 68 breast-feeding and, 366 exposure to, 60, 430-431 managing, during pregnancy, 561-562 vaccination for, 5, 26 childbirth birthing center setting for, 286-287 birth plan for, 158, 287-288 by Caesarean birth, 187-205 doulas in, 334-335 emotional changes after, 260-261 home setting for, 287 hospital setting for, 285-286 Lamaze method, 338-339 medical intervention in, 570-571 natural, 155-156, 177, 326, 332-342 pain management in, 325-343 partner's role in, 180-182, 201 recovery from, 251-266 by vaginal birth, 155-185 childbirth education classes, 108, 155-156 child care, 35, 403-405 Child Care Aware, 404 ChildHelp USA, 229 childhood diseases, 5, 60. see also chickenpox; German measles (rubella) children, spacing of, 407-412 child safety seats, 236-238 chlamydia, 66, 529 chloasma, 85, 463 chloroprocaine, 329, 332 chorionic villi, 48

chorionic villus sampling (CVS), 304-308 chromosomal abnormalities age of father and, 37 age of mother and, 37, 39, 41 prenatal testing for, 289-295, 300-301 recurrent miscarriage and, 539

chromosome rearrangements, 274, 295 chromosomes, 45 Cimetidine, 465

circulatory system, prenatal, 48, 57-58 circumcision, 215, 355-358 clams, 16

classical incision, 198, 199, 347

cleaning products, 24

clumsiness, 431-432

cocaine, 22

cocoa, 23

coffee, 23

Colace, 255

cold medicines, 466

colds (while pregnant), 432-434

colic, 228-229

cologne, 29

colostrum, 106, 126, 368 commuting to work, 28, 32 computer work, 34 conception, 36, 44-45 condoms, 395

congenital adrenal hyperplasia (CAH), 214 congenital disorders, defined, 270 congenital hypothyroidism, 214 conjoined twins, 92 conjunctivitis, 477-478 constipation in newborns, 232 postpartum, 255-256 during pregnancy, 434-435 contact lenses, 159, 425 continuous positive airway pressure

(CPAP), 221 contraceptives, 389-400 birth control patch, 390-391 birth control pills, 5, 389-390, 423-424 birth control shots, 391-392 diaphragm with spermicide, 392 female condoms, 393 hormonal vaginal ring, 393-394 intrauterine devices (lUDs), 394-395 male condoms, 395 contractions, uterine in active phase, 172 afterbirth pains (afterpains), 202, 256 artificial stimulation of, 171, 184, 312,

535, 569 Braxton-Hicks, 106-107, 116, 165, 435-436

breast-feeding and, 184, 202, 256, 365 delivery of placenta and, 183-184 in early labor, 167-168 fetal blood supply and, 147 monitoring peaks of, 178 and nipple stimulation, 162

prostaglandins and, 163 signs of labor, 165 signs of preterm labor, 119 in third trimester, 435-437 in transition phase, 175 when to go to the hospital, 152-153 contraction stress test, 312-313 cooking and food safety, 14-17 cornstarch powder, 246 corona radiata, 45 corpus luteum, 49, 61 Coumadin (warfarin), 465 cradle cap, 248 cradle hold, 373

crib safety precautions, 241-242 Crohn's disease, 525-526 cromolyn, 419 cross-cradle hold, 372-373 crying as colic, 228-229 frustration over, 228, 229 reasons for, 226 responding to, 226-228 when to call the doctor, 229 cycling (stationary), 18 cystic fibrosis (CF), 215, 275 cytomegalovirus (CMV), 33, 60, 562 Cytotec (misoprostol), 568

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