Your Pregnancy Diary

your pregnancy diary
Health Tips
Prenatal Screening
Month-by-Month Diary
Birth Plan
Preface
Every child deserves a healthy
and all others who use our products and
start in life. For almost a decade, the
services, JJPI was established in 1998.
Johnson & Johnson Pediatric Institute,
Its mission is to save babies lives and
L.L.C. (JJPI) has been devoted to
contribute to a healthy environment
improving the lives of children and
for children.
their families. From their first breaths
Collaborating with worldwide
through their early years, children are
leaders from government, medicine,
challenged to survive and thrive in the
nongovernmental organizations and
world. Every country, every family
industry, JJPI addresses the local needs
and every child face unique obstacles
of children and their families. With
to the promise of a healthy life. At
our partners, we develop high-impact
the forefront is JJPI continually
educational programs to:
addressing the challenges and priorities
in childrens health.
Ensure mothers have safe and

healthy pregnancies
A commitment to mothers and
their babies has been at the heart of
Improve care for babies from

birth through the early years
Johnson & Johnson for over 100 years.
Resources for professionals and parents
Reinforced by the Johnson & Johnson
are a vital part of the Johnson & Johnson
Credo that states, We believe our first
Pediatric Institutes programming. We
responsibility is to the doctors, nurses
hope you find the following educational
and patients, to mothers and fathers
material a valuable resource.
2006, 1998, Johnson & Johnson Pediatric Institute, L.L.C.

Contents
Introduction............................................. 1
Y
our Personal Details.............................. 3
Prepregnancy Planning........................... 6
Health Tips for Pregnant Women........... 7
Sex During Pregnancy........................... 10
Pregnancy Massage............................... 11
Prenatal Screening................................ 11
Prematurity/Preterm Birth...................... 15
First Trimester....................................... 17
Second Trimester.................................. 31
Third Trimester...................................... 45
Until the Birth...................................... 59
Breastfeeding........................................ 59
The Birth Plan....................................... 61
Checklist for Your Hospital Bag............. 63
Postpartum Plans.................................. 65
Your
Baby............................................. 66
Glossary............................................... 70
Acknowledgement
The Johnson & Johnson Pediatric Institute, L.L.C.
wishes to acknowledge Ann Haberman and
Dr. Jasmin Moshirpur for their contribution and
expertise in making this diary a must have for
all expectant parents.
f oreword
Congratulations on your pregnancy.
Overall, pregnancy, labor, delivery
The Johnson & Johnson Pediatric
and nurturing of your newborn baby
Institute, L.L.C. is pleased to take you
are the happy events you dreamed
on a guided tour of your pregnancy.
of and hoped for. By consulting
Our hope is that better understanding
with mothers and maternity care
will increase your acceptance and
specialists, we hope this booklet
tolerance of the many physical,
will be a special information resource
mental and emotional changes
that will meet your expectations. A
that accompany pregnancy. Your
healthy, happy mother and a healthy,
obstetrician and healthcare team
contented baby are the goals for
will undoubtedly answer many of
which we all strive. Best wishes to
your questions, but this booklet will
you, your family and a host of friends
supplement their information, prompt
who wait with eager expectation for
some questions and may eliminate
the glorious event that is to come.
the need for some others. The

events, possible occurrences, tests,
procedures and delivery environment
are briefly reviewed.
Jasmin Moshirpur, MD, FACOG
There are many books, videotapes

and computerized material about
pregnancy and what to expect when
you are expecting. Sometimes the
amount of information can seem a
little overwhelming. To help put this
information in a small, easy-to-use
package, we have gathered the most
important things you may want to
know about pregnancy and put them
into this diary for easy reference.
This diary provides a lot of
introduction
information about pregnancy, but

every pregnancy (and every baby) is
unique. If you have any questions
or concerns, contact your healthcare
professional whenever they arise.
Please do not wait until a time
recommended in this diary.
In the beginning pages of this diary
At the end of this diary, you can
are 2 charts, one on Health Tips for
write down a birth plan that covers
Pregnant Women and another on
your expectations for the actual
Prenatal Screening. The Health Tips
birth of your baby. While plans can
chart discusses nutrition and how
change, this will help organize your
to cope with morning sickness. The
priorities and feelings about the
Prenatal Screening chart covers many
big day.
of the tests you may be asked to

consider during your pregnancy.
Following this section is a month-
It is important to try to get a

reasonable amount of rest during your
pregnancy. Even half an hours rest
by-month diary with spaces for
a day, just sitting with your feet up,
you to record your weight, any
can make a difference. Although this
sensations you feel, details of your
can be hard to do, especially if you
next appointment and any questions
are working or have a young family
you have. Dont forget to take your
to care for, your new baby and you
diary with you when you go see your
deserve a little rest.
healthcare professional. That way one

of you can write down the answers to
your questions, as well as any other
instructions or advice.
Your Personal Details

Date of last menstrual period:___________________________________________
Expected delivery date: ________________________________________________
If you carry your baby to full term you will be pregnant for about 40 weeks.
However, only 4% of babies arrive on the day they are due. This is mainly
because due dates are calculated as 40 weeks from the first day of your last
period. This is 2 weeks before you ovulated and is still only an estimate.
A baby may be born 3 weeks before or after this date and still be on time.
Your blood type: ________________ Rh: __________________________________
The fathers blood type: __________ Rh: __________________________________
(If you are Rh minus and the babys father is Rh plus, you will need special
medication to protect your baby at approximately 28 weeks [7 months] and .
after delivery.)
Current medical conditions: ____________________________________________
____________________________________________________________________
____________________________________________________________________
Current medications: __________________________________________________
____________________________________________________________________
____________________________________________________________________
Allergies (include allergies to medicines): _________________________________
____________________________________________________________________
____________________________________________________________________

Number of previous pregnancies: _______________________________________

Complications of previous pregnancies (if any):____________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Person to contact in case of an emergency:_ ______________________________
____________________________________________________________________
____________________________________________________________________
Relationship to you: ___________________________________________________
____________________________________________________________________
Phone number (day): __________________________________________________
(evening): _ __________________________________________________________
Pager: _______________________________________________________________
Cellular phone number: _______________________________________________
Person to contact in case of an emergency: _______________________________
____________________________________________________________________
____________________________________________________________________
Relationship to you: ___________________________________________________
____________________________________________________________________
Phone number (day): __________________________________________________
(evening): _ __________________________________________________________
Pager: _______________________________________________________________
Cellular phone number: _______________________________________________

Tests performed:

TESTS
results
TESTS
results
Important people and phone numbers:

Doctor
Midwife
Nurse practitioner
Childbirth educator
Doula (Labor coach)
Hospital
Birthing center
Lactation consultant
Pharmacy
Other important people
NAME
PH. NUMBER
Prepregnancy Planning
Prepregnancy planning is becoming
eat more folate-enriched

foods and/or take folic acid
increasingly important. There are
supplements or vitamins. The
many things you can do to help your
recommended daily intake of
baby develop in a healthy way. Some
folic acid is 400 g (micrograms).
of these are described in the following

section. All of these will also help
you become more physically fit and
healthy too.
If you plan to become pregnant, it
is important to ask your healthcare
professional about rubella (German
measles). If you have never had
German measles or if you were never
immunized against it, you should get
a rubella shot before you become
pregnant. This will help lower the risk
of complications, such as hearing loss,
heart disease or mental retardation,
in your new baby. You cannot be
immunized when you are pregnant.
Before you become pregnant, you
should also:
During Pregnancy
Before and during your pregnancy
it is important to take care of yourself
by eating a well-balanced diet. Your
intake of vitamins and minerals is
important for you and your baby.
Weight gain during pregnancy
is unavoidable and depends upon
your height and weight at the time of
your babys conception, how much
you exercise and your calorie intake
during pregnancy. The average weight
gain during pregnancy is about 25
to 35 pounds or 10 to 16 kilograms.
Your weight gain each week should
be around 3/4 of a pound or about
340 grams.
There are some foods that pregnant
stop smoking
women should avoid. The table on
stop drinking alcoholic beverages
diet recommendations (page 7)

gives some guidance in these areas,
along with other health tips for
pregnant women.
Health Tips for Pregnant

Women
Eat a well-balanced diet of fruits,

vegetables, whole grains and
increased protein.
Your babys major organs develop

during the first 8 weeks of pregnancy.
You should drink 10 cups
It is never too soon to take care of
(8 ounces/250 ml each) of liquids
yourself, eat the right foods and avoid
daily, including 3 cups of milk.
substances that can hurt your baby.

n
What foods should you avoid?
It is best to eat a variety of
Raw and slightly cooked eggs,
nutritious foods from different food
because there is a risk of food
groups.
contamination with salmonella
Wash or peel fruits and vegetables
bacteria.
before eating to avoid chemicals.
Your diet should include:
Carbohydrates
Proteins
Iron-Rich Foods
Bread
Milk
Green leafy vegetables
Potatoes
Cheese
Lentils
Rice
Yogurt
Eggs
Pasta
Lean meat
Dried fruit
Oats
Fish
Red meat
Tofu
Some types of fish
Nuts
Soybeans
Vitamin C-Rich Foods Folate-Rich Foods
Zinc-Rich Foods
Citrus fruit
Dark green leafy
Seafood
Tomatoes
vegetables
(especially fresh oysters)
Berries
Fruits
Meat
Cantaloupe
Yeast extract
Whole grains
Nuts
Soy linseed bread
Soft cheeses, such as Camembert,

feta, goat and brie; pat, sliced
meats or chopped chicken; raw
fish and any premade salads
that have been standing for a
while, because there is a risk of
food contamination with listeria
bacteria. This form of food
poisoning sometimes occurs
with these types of refrigerated
foods.
While you are pregnant it is best
should be avoided in the first

trimester, because vitamin A is stored
to eat only freshly prepared foods.
by the body and has been linked with
Can you take vitamins?
birth defects.
Most healthcare professionals

recommend a prenatal vitamin for
What is folate?
Folate or folic acid is one of the
the entire pregnancy. Many also
B vitamins. It is very important for
recommend you begin taking a folate
the normal development of a babys
(or folic acid) supplement before
central nervous system. It helps
you become pregnant and continue
protect against neural tube defects,
throughout your pregnancy. Even
such as spina bifida.
with vitamins, a healthy diet is an

important source for most of your
vitamins and minerals.
Why zinc?
Zinc is a mineral that helps the
immune system function properly.
Iron supplementation was once

considered necessary during
pregnancy but is usually no longer
required. Vitamin A supplements
treatments and solvents can have
Before you become pregnant
harmful fumes you may inhale.
Before you become pregnant, and if

possible throughout your pregnancy,
If you are in an area where there
you should avoid:
are fumes, ensure your exposure
X-rays.
Unnecessary medication do
is minimal and keep the area

well-ventilated. You should
also avoid places where strong
not take any medications (even
pesticides or weed killers are
ones you usually take) without
sprayed.
checking with your doctor,

pharmacist or midwife.
n
Heavy alcohol consumption
Tips for morning sickness

n
blood sugar level.
Illicit mood-altering drugs

such as heroin, marijuana,
go to bed.
Contact with soiled cat litter

and dog feces. These can infect
carbohydrate meals more
that can cause miscarriage.
frequently. Even simply eating a
Digging in the garden can also
banana will help maintain your
expose you to feces and should
blood sugar level.
be avoided.
Exposure to chemicals it is not
a good time to renovate. Old
paint may contain high levels
of lead. Even new paint, wood
Instead of eating 3 main

meals, try eating smaller, high-
you with toxoplasma bacteria
On the other hand, you could try

having a light snack before you
cocaine, ecstasy.
n
Eat some dry toast BEFORE you

get out of bed. This raises your
none is best.
n
Heavy lifting 20 pounds

(9 kilograms) or more.
Smoking and second-hand

smoke.
Try reducing the amount of

fat in your diet while you are
experiencing morning sickness.
The amount of whole milk,
cheeses or eggs may affect your

nausea, so try to cut back.
n
Consume solids and liquids at

separate times.
Avoid spicy foods, strong odors,

stuffy rooms and smoky places.
Keep your stomach partially full

all day by snacking on dry crackers
between meals. Ask your mother or
friends what they did for morning
sickness and see if their ideas work
about having sex during pregnancy,
for you. If you are vomiting frequently
dont hesitate to ask your healthcare
and find it difficult to keep anything
professional.
in your stomach, you should consult
Sexual positions may need to
your healthcare professional. There
change as your body changes. Many
are treatments, such as vitamin B6
women find that lying on their side
and anti-emetics that your healthcare
is the most comfortable position for
professional may prescribe.
sex later in pregnancy. Fortunately,
Sex During Pregnancy
muscular contractions in the vagina
Many women wonder if it is

safe to have sex during pregnancy.
The answer is almost always yes.
and uterus during orgasm are not

likely to cause problems.
With all the hormonal changes
However, there are circumstances
going on, you may not feel like having
when healthcare professionals may
sex. Your partners libido may also be
advise against sexual intercourse, such
affected. Having a baby is a big life
as when there is vaginal bleeding or
event and affects people in different
when going into early labor is very
ways. The most important thing is to
likely. If you have any questions
talk to one another about how you
10
feel. You may become less focused

on sexual intercourse and enjoy being
Prenatal screening includes all the
intimate in other ways.
scans, tests and checks that are done
Pregnancy Massage
while you are pregnant. Some of
Pregnancy should be a wonderful

and memorable experience. But it
can be a demanding time both
physically and emotionally. Pay
attention to your body and take the
time to care for yourself.
One way to care for yourself is
to receive a massage. Massage is a
wonderful way to relax and become
comfortable with the amazing
changes in your body. Your partner
can give you a gentle massage with
light strokes and no deep kneading
movements.
The special attention an expectant
mother receives from touch and
massage has important benefits for
herself and her baby. Women who
are treated well while pregnant and
during delivery feel better about
themselves and are closer to their
infants. Massage is not recommended
in the first trimester.
11
Prenatal Screening
these are necessary and others may

be optional during your pregnancy.
Always ask your healthcare
professional if you are not sure
what your test results mean. Please
remember that no currently used test
can guarantee a healthy baby.
Blood tests
Blood will be taken for a number
of reasons. A blood work-up will be
performed that tells your doctor about
your blood type, the number of red
and white blood cells and several
other blood-related items.
Your blood will be tested to see if
important because they may reveal
you are immune to rubella (German
the presence of infection, protein or
measles). If you are not immune, you
sugar in your urine. Protein in your
will be advised to avoid contact with
urine may be a sign of pre-eclampsia,
people (mostly children) who may
and sugar may be a sign of gestational
have German measles.
diabetes.
Your blood will be tested for

hepatitis B, gonorrhea, syphilis
Pap smear
All women between the ages of
and often hepatitis C. All of these
20 and 70 should have a Pap smear
infections affect your health and may
every 1 to 2 years, depending on their
affect your babys health even after
history. A Pap smear is a screening
birth. Testing for HIV antibodies
test for cervical cancer. It is a
may be an optional test; this may be
relatively quick procedure that is not
valuable if treatment is available to
painful but may be uncomfortable. In
prevent transmission to the baby for
a Pap smear, your cervix is examined
women with HIV.
and a small sample of cells is taken.
Blood pressure
This sample is tested for the presence
Your blood pressure will be taken
of pre-cancerous cells. You may
each time you visit your clinic or
also request that your doctor test for
doctor. An increasing blood pressure
bacterial infections, such as gonorrhea
may be a sign of pre-eclampsia, a
or chlamydia, during your Pap smear.
dangerous condition for both pregnant

mothers and their unborn infants.
Urine test
Urine tests are done routinely
at each visit with your healthcare
professional. A urine test may be
performed to confirm an at-home
If you are due for your regular Pap

smear when you become pregnant,
your healthcare professional will
perform one at your first prenatal
visit. Check with your healthcare
professional to see if you need to
have one.
pregnancy test. Urine samples are

12
First trimester screening
This test, usually done at 12 weeks of
CVS (chorionic villi sampling)
pregnancy, involves 2 parts: the first
The chorionic villi are a part of the

placenta made by the growing fetus
clear area behind the fetal neck and
that look like small roots or fingers.
the second is a sample of your blood
They are important in the exchange
to measure 2 proteins: free beta human
of nutrients between the mothers
chorionic gonadotropin (BhCG) and
body and her unborn baby. A sample
pregnancy-associated plasma protein
of villi can provide information
A (PAPP-A). This test will tell you if
about your babys genetic make-up
you are at risk for carrying a baby with
and can diagnose cystic fibrosis,
Down syndrome or other chromosome
muscular dystrophy, hemophilia and
abnormalities.
other genetic conditions. This test
Second trimester screening
is usually done between 9 and 12

weeks of pregnancy. It involves taking
a villi sample with a needle through
either your vagina or abdomen.
Many people prefer CVS because
it can provide answers sooner than
amniocentesis, which is usually done
at week 16 or 17 of pregnancy.
There are risks associated with this
Quad test (maternal serum

alpha-fetoprotein screening [MSAFP])
The quad test is a blood test
performed at 16 to 18 weeks of
pregnancy. This is a screening test to
detect if you are at a higher risk than
other women your age of carrying a
fetus with chromosomal abnormalities
or open neural tube defects. The test
procedure discuss them with your
measures the levels of 4 hormones
healthcare professional.
produced by the fetus and passed
Nuchal translucency
This first trimester screening
test may provide you with useful
information early in your pregnancy
without risking loss of pregnancy.
13
is an ultrasound measurement of the
into your blood. The hormones are

alpha-fetoprotein (AFP), estriol, human
chorionic gonadotropin (hCG) and
inhibin A. High levels of AFP can
indicate a defect in the nervous system
such as spina bifida. Abnormally low
can also provide useful information if
levels of AFP and estriol together with
bleeding occurs or if your doctor
high levels of hCG suggest an increased
suspects a miscarriage.
risk of Down syndrome.

The results of this test are not
Ultrasound is helpful in checking

pregnancy in a different way. A trained
conclusive and there have been many
technician should do a basic ultrasound
cases of false positives. Your healthcare
examination. This will help to find out
professional will perform additional
the age of the fetus. The ultrasound will
tests to follow up any abnormal results.
also let your doctor see if there are any
Ultrasound
Using sound waves, ultrasound
enables your healthcare professional
to see your baby before birth.
Ultrasound is not painful and is
perfectly safe for your unborn child.
It is a fairly routine procedure and is
usually performed at 18 to 20 weeks of
your pregnancy to allow your doctor
to check on your babys development,
confirm your due date and possibly
problems with the fetus. Problems can

be found as early as 16 to 18 weeks into
the pregnancy. Pregnant women may
have several sonograms to check fetal
growth, to see if there is more than one
fetus, as a guide during amniocentesis
(a test your doctor may recommend to
check the genetics of the fetus), to locate
the placenta if there is vaginal bleeding
during pregnancy and to see how the
fetus is positioned.
determine the sex of your baby.

Ultrasound can also be done closer
to birth to determine where the baby
is lying and how the birth should be
managed. For example, it can indicate
that the placenta is lying in the lower
part of the uterus and that a cesarean
For some women pregnancy may be

difficult. Their age, their family medical
history or a concern about genetic defects
in their baby may mean undergoing more
invasive tests to ascertain the health status
of their baby. If you are considering (or
have been asked to consider) any of these
types of tests, you should discuss seriously
with your partner what you would do if .
the tests came back abnormal.
may be needed. An ultrasound
14
Amniocentesis
When recommended, amniocentesis
have blood drawn either 2 or more
is performed at 16 or 17 weeks of
hours after a meal, or 1 hour after
pregnancy. It can determine the
drinking a special very sweet liquid
babys sex as well as chromosome
called Glucola. If the initial screening
abnormalities which might indicate
test is positive, then a 3-hour glucose
problems such as Down syndrome and
challenge test is necessary to diagnose
spina bifida. Women over 35 are often
gestational diabetes.
encouraged to have this test because
Prematurity/Preterm Birth
they have an increased risk for having

infants with Down syndrome. There is a
risk of miscarriage with this procedure.
During the procedure, ultrasound
A premature or preterm infant is

an infant who is born prior to the
completion of 37 weeks gestation.
Among the risk factors associated with
is used to help guide a long needle
premature or preterm birth, maternal
through the abdominal wall and into
history of previously delivering a
the uterus. A sample of amniotic fluid
premature baby is the single most
containing some fetal cells is obtained
important risk factor. Other risk
with a syringe. The cells are then grown
factors include smoking, vaginal
in a laboratory and examined.
bleeding in more than one trimester
Third trimester screening
and, in some studies, excessively
Glucose tolerance test

This test is performed at 26 to 28
weeks of pregnancy and is used to
determine whether or not you have
gestational diabetes. Gestational
diabetes affects 2% to 3% of women,
including mothers with a strong family
history of diabetes and older mothers
having a greater risk.
15
The initial test requires that you
physically stressful jobs with long

periods of standing. Warning signs
of preterm labor may include regular
and painful uterine contractions
more than 5 in an hour, vaginal
bleeding and leaking of amniotic
fluid. If you experience any of these
symptoms, you should call your
doctor immediately. Your healthcare
professional has ways to monitor and
baby will spend time in the neonatal
treat preterm labor. In the event that
intensive care unit at your hospital.
you deliver a preterm infant, your
16
17
18
Most women do not

even realize that they are
pregnant at this stage.
Within 2 to 3 hours of fertilization the egg divides into 2 cells. In 3 days it will
split into 32 cells, and by the end of the fifth day it will have become 90 cells. The
cells travel as a cluster down the fallopian tubes towards your uterus. A week after
fertilization the cluster of cells has embedded itself into the lining of your uterus.
Weight:______________________ Blood Pressure:___________________________
Urine: Protein________________ Sugar_ ____________ Ketones_______________
New sensations Ive experienced (date and description):
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Discomforts Ive experienced (date and description):
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
19
Appointments date/time:_ ______________________________________________

____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
This question and answer section is included with each month. Many women have
questions about diet, exercise, sex, weight gain, permissible activities, discomforts,
medications, travel, nursing, labor and delivery. Dont be shy to ask.
Questions for my healthcare professional:_________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Answers: ____________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Advice/Instructions:____________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
20
The 1st Month
Week 3 (Week 1 from conception)
Week 4*
Babys
Development
The ovum becomes

fertilized, divides and
burrows into the uterus.
The embryo (ectoderm, endoderm,

mesoderm) is formed. These 3
primitive cell layers
will generate
every organ and
tissue in your
babys body.
maternal
Events
Ovaries increase production of

pregnancy-maintaining hormone,
progesterone.
First missed period. If you suspect

that you are pregnant, contact your
healthcare professional. He/she will
let you know when to schedule
your first appointment.
common
Discomforts
remedies
Do not take any medications (even ones you usually take) without checking with your healthcare professional first.
* By convention, doctors call this week 4 weeks because they determine the date from the last normal menstrual period.
21
Week 5
Week 6
The first body segments appear, which

will eventually form the primitive
spine, brain and spinal cord.
Heart, blood circulation and digestive tract take

shape. The embryo is now about 3/8 inch
(0.5 cm) long; the head is one-third of its
total length.
Placenta grows to cover onefifteenth of the uterine interior.

Breasts may feel tender.
Morning sickness occurs

because increased hormone
activity slows down your
digestive system, apparently
to enhance the absorption of
nutrients for your baby.
Fatigue is thought to be caused by a change in the

ovarian hormones.
Eat a few dry crackers before

getting up in the morning.
Frequent, small, low-fat
meals during the day should
also help.
Exercise regularly and get plenty of sleep

with frequent naps during the day.
22
It is during this month that

most women start to suspect
they may be pregnant.
By 3 to 5 weeks after conception a pregnancy test will show positive.

The pregnancy is usually indicated by a urine test that can be done at home
and confirmed with a blood test carried out by your healthcare professional.
By the second month you will be noticing changes to your body as outlined on
the following pages. You may have already noticed that you are less sensitive to the
cold and that you are off coffee and tea.
Weight:______________________
Weight gain since 1st month:_ __________________________________________
Blood Pressure:_______________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
23

____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Answers: ____________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
24
The 2nd Month
Week 7
Week 8
Babys
Development
The heart starts to pump blood;

limb buds appear. Major divisions of
the brain can now
be discerned.
Eyes begin to take shape; external

ears develop from skin folds.
maternal
Events
Exchange of nutrients and waste matter

begins through the placenta the 2
circulations are completely separate.
Your first prenatal appointment

with a healthcare professional
should be around your 8th week
of pregnancy.
common
Discomforts
Urinary frequency may be

increased as the bladder is
compressed against your pelvic
bones, reducing its capacity.
remedies
You can decrease pressure on

the bladder at night by sleeping
on your side.
25
Week 9
Development is proceeding rapidly.
The face is now complete with eyes,
nose, lips and tongue
even primitive milk teeth.
Tiny bones and muscles
appear beneath the
thin skin.
Week 10
Once the organs are formed the baby is
called a fetus. Weighing around 5/100 ounce
or 1.5 gm and about 1 inch
or 2.5 cm long, its tiny
heart is beating at about
100 beats a minute.
The placenta now covers about one-third of the

uterus lining.
Breast heaviness / feeling

flushed / reddened palms due
to an increase in blood supply.
Constipation as a result of the increase of

progesterone in your system. This hormone
softens muscles in your womb and intestine to
accommodate the embryo becoming a fetus.
Rest.
Increase the amount of fiber in your diet.

Increase fluid consumption to ten 8-ounce
(250 ml) glasses daily.
If a chorionic villi sampling test (page 13) is
recommended it will take place this month.
26
If you havent seen your

healthcare professional by
your 12th week of pregnancy,
then now is the time.
During a normal pregnancy from this time on, most women see their healthcare
professional once a month until 28 weeks and then every 2 weeks until 36 weeks.
The visits then become weekly until birth.
You need to increase your intake of protein, vitamins and minerals from
12 weeks on to support the growth of the baby.
At this stage of the pregnancy you will need to start thinking about the type
of care you want while you are pregnant and for the birth. There are a number
of options including hospitals or birthing centers. Home birth is also an option
for some people. Your healthcare professional will be able to help you with any
information required or provide you with contacts for the option you prefer.
Weight:______________________
Weight gain since 1st month:___________________________________________
Blood Pressure:_______________________________________________________
27

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Answers: ____________________________________________________________
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28
The 3rd Month
Week 11
Week 12
Babys
Development
Genitals are now well defined.

Eyelids finish forming and seal shut.
The fetus assumes a more

human shape, as the lower
body rapidly develops.
Blood and bone cells
form. The first
movements begin.
maternal
Events
Maternal blood volume has increased by

30% to 40%.
The sensation of these first

movements has been described
by some women as if something
were blowing bubbles through a
straw in their stomachs. Many
mothers do not feel any
movement yet.
common
Discomforts
Sleeplessness may result from

the discomfort or anxieties of
pregnancy.
remedies
A glass of warm milk before bed

can work wonders. Its also good
for your baby!
expected
procedures/
tests
Schedule an ultrasound for the

18th week to confirm the due
date and check on your babys
development.
29
Week 13
Week 14
Organs begin to function.

The pancreas is producing insulin;
the kidneys are
producing urine.
The lungs have taken shape; primitive breathing

motions begin. The swallowing reflex has been
mastered as the fetus sucks its
thumb while floating weightlessly
in the amniotic fluid.
The fetus will weigh about
2/10 ounce or 6 gms and
measure about 1.5 inches or 4 cm.
2 to 3 lbs or 1 to 1.5 kg weight

gain over the past month on
average 3/4 lb or 340 gm a week.
The placenta has reached complete functional

maturity, acting as your babys lungs, kidneys, liver,
digestive and immune system.
Gum problems may result from an

increase in blood flow.
Possible increase in perspiration.
Visit your dentist now remember

to tell him you are pregnant.
Blood tests; Pap smear to check for

the presence of precancerous cells
or infections which could harm
you or your baby.
30
31
32
If youve been having morning

sickness its more than likely
to end this month.
You will start to feel better and healthier. It will be more visibly obvious that
you are pregnant now.
Weight:______________________
Weight gain since 1st month:___________________________________________
Blood Pressure:_______________________________________________________
____________________________________________________________________
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33

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Answers: ____________________________________________________________
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34
The 4th Month
Week 15
Week 16
Babys
Development
The musculoskeletal system has

matured. The nervous
system begins to
exercise some control
over the body, blood
vessels rapidly develop.
maternal
Events
Pregnancy becoming more visibly

evident. You may develop linea
nigra, a dark line down the center
of your abdomen. This line will take
up to 6 months to fade after delivery.
common
Discomforts
Vaginal secretions are the result

of an increased supply of blood
and glucose to the vaginal mucosa.
remedies
If you are experiencing severe

itching/irritation, an infection
may be present. See your doctor.
expected
procedures/
tests
Urine test to check for the

presence of proteins and sugars
which can indicate diabetes.
35
Week 17
Week 18
With hands ready to grasp, the fetus,

now weighing about
7 ounces or 200 gm, kicks
against the amniotic sac.
You will not feel this
movement, however.
All organs and structures have been formed and a

period of simple growth begins. The fetus is now
about 6 inches or 16 cm long and
is developing bones.
2 to 3 lbs or 1 to 1.5 kg weight gain

over the past month on average 3/4 lb
or 340 gm a week.
The fetal heartbeat can now be heard with a

fetoscope. Placenta begins producing the fetal
estrogen. Some feel the baby move for the first time.
Massage is a wonderful way to relax and

become comfortable with the amazing
changes happening to your body.
Vaginal secretions are likely to
continue.
Headaches may occur while your body becomes

adjusted to changes in blood volume and vascular
tone. Stress/emotional tension may also be a
contributing factor.
The use of panty liners is recommended

from now until the end of your pregnancy.
Change body positions slowly. Resting with a

damp cloth on the forehead helps some women.
Drinking milk and/or eating a small snack can also
provide relief.
The quad screen and amniocentesis may

be performed during the 16th to 18th
weeks, if needed (pages 13 and 15).
36
If this is your first baby, you

may feel it moving now.
This movement is called Quickening. If this is not your first baby, you will
probably have been feeling your babys kicks for a few weeks.
Weight: _____________________
Weight gain since 1st month: ___________________________________________
Blood Pressure:_______________________________________________________
_______________________________________________________________________
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37

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Answers:_____________________________________________________________
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38
The 5th Month
Week 19
Babys
Development
maternal
Events
Week 20
An oily coating develops to protect
the fetus. Fine hair
covers the body and
keeps the oil
on the skin.
If you have not signed up for childbirth

classes, now is a good time to schedule
them. The classes begin around month 7
but often fill quickly.
common
Discomforts
Faintness or dizziness when

standing suddenly. This is caused
by reduced blood flow to the brain
as your body adjusts to new
circulatory patterns. You may also
feel a little short of breath.
remedies
Try to sit down with your feet up

whenever possible; rise slowly
and support yourself. Gentle exercise
such as walking, cycling, or swimming
are very helpful in stimulating your
blood flow. Remember, your heartbeat
should not exceed 140 beats a minute.
expected
procedures/
tests
Ultrasound this usually takes

place in the 18th to 20th weeks
(page 14).
39
Week 21
Week 22
Eyebrows, eyelashes and head hair

develop.
The fetus is now following a regular

schedule of sleeping, turning,
sucking and kicking and has
settled upon a favorite position
with the uterus.
Breasts may begin secreting

colostrum in preparation for nursing.
The placenta reaches its largest size relative to

the fetus, covering one-half of the uterine lining.
There are 13 ounces or 40 ml of fluid now
present in the amniotic sac.
2 to 3 lb or 1 to 1.5 kg weight gain

over the past month on average
3/4 lb or 340 gm a week.
Varicose veins are often the result
of rising blood pressure in the lower
extremities. This is caused by the
enlarged uterus interfering with blood
flow between the legs and the heart.
Allergies, such as hay fever, are a common

problem for some people.
n When you sit down, rest your legs on
Air conditioning (with a clean filter) often helps.

There are also pollen masks you can wear to
screen out allergens.
a footstool with your feet elevated.

n Avoid pressure on lower thighs.
n Try not to cross your legs.
nS
upport or compression stockings
may help.
You should sleep on your left side until

the baby is born. This helps provide an
adequate blood supply for the fetus.
40
Your tummy is growing, it

is easy to see that you are
pregnant now.
As a lot of your clothes wont fit anymore, you may need to consider maternity
wear. You will probably have more energy now than you had in the past few
months.
It is a good time to look further into the different options for the birth of your
baby. Begin to draw up your own birth plan in the space provided at the end of
this diary discuss this plan with your healthcare professional.
Weight:______________________
Blood Pressure:_______________________________________________________
____________________________________________________________________
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____________________________________________________________________
41

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Answers:_____________________________________________________________
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42
The 6th Month
Week 23
Week 24
Babys
Development
The skeleton is developing rapidly

as the bone-forming cells increase
their activity.
maternal
Events
Skin changes such as darkened

nipples, stretch marks, splotches
on cheeks and forehead, acne,
redness on palms of hands and
soles of feet are mainly due to
increased hormone levels in
your blood.
common
Discomforts
Swollen feet are extremely common,

especially as pregnancy progresses.
This is primarily due to increased plasma
blood volumes that naturally occur with
pregnancy. Swelling is typically worse in
the evening, after a long day of standing.
Dizziness is more common during

your first trimester, but it may
occur at any time during your
pregnancy. Feeling dizzy is due
to rapid changes in your blood
pressure, especially going from a
lying down to an upright position.
remedies
You can minimize swelling by elevating

your feet, wearing compression
stockings and limiting your sodium
(or salt) intake.
This is a normal occurrence and

can be avoided by plenty of
hydration and moving slowly
from lying to standing positions.
43
Week 25
Eyelids begin to open and close.
Week 26
The fetus now weighs about 27 ounces
or 765 gm.

3/4 lb or 340 gm a weeks.
The placenta becomes thicker rather

than wider. You will now be able to
sense when your baby is awake.
You may have trouble sleeping and

have vivid dreams.
Nosebleeds can sometimes occur

because of increased blood volume
and nasal congestion.
Apply a little petroleum jelly in each

nostril; a humidifier may also help.
Do not irritate the nasal mucosa.
44
45
45
46
46
Your baby will be growing

quite rapidly at this stage.
You may have what is commonly referred to as the nesting instinct. This is
a description for preparing yourself, your family and your home for the arrival of
your baby. Remember that babies do sometimes arrive early, so it is a good idea
to have a bag packed and ready from this time onwards. To help you, we have a
checklist at the back of this booklet.
You should start childbirth education classes in the seventh month. Check with
your hospital about scheduling a tour of the labor and delivery unit. You should
also check to see how much your baby is moving on a daily basis. Choose a time
in the day when your baby is most active and count each movement of the baby.
If the baby does not move 10 times in an hour, call your healthcare professional.
Weight:______________________
Blood Pressure:_______________________________________________________
_______________________________________________________________________
_______________________________________________________________________
47

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Answers:_____________________________________________________________
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48
The 7th Month
Week 27
Babys
Development
To a certain extent, the baby can

now breathe, swallow, and regulate
its body temperature, but still
depends greatly upon maternal support.
maternal
Events
You may experience Braxton Hicks

(rehearsal/mock) contractions which
are not painful but the abdomen
may feel quite hard at these times.
Week 28
common
Discomforts
Leg and muscle cramps may be

caused by fatigue, by pressure
exerted on the nerves by the uterus
or by too little calcium or too much
phosphorous in your diet.
remedies
Exercise regularly, especially walking.

Elevate legs and flex toes when
resting. Increase your hydration,
especially with milk, sport-aid
beverages and water. Get plenty
of sunshine.
49
Week 29
Week 30
A substance called surfactant forms

in the lungs, so they can function
independently at birth.
Your baby is now two-thirds of its birth size.

Your babys skin is changing from being
quite transparent to opaque. It is very
wrinkled.
Respiratory movements can be

detected by ultrasound. You may feel
your babys breathing as hiccups.
The volume of amniotic fluid decreases to make

room for the growing fetus.

Heartburn often occurs as the stomach emptying

time is delayed, causing a burning sensation in
the throat.
Drink milk between small, frequent meals.

This problem will disappear soon after your
babys birth.
50
You are nearly there!

By this month, you can actually see the baby move from the outside. Sometimes
you can even tell if a little foot or elbow is pushing outward. You may feel that
your baby is crowding your internal organs and even making it difficult to breathe.
Your baby is growing substantially at this stage, gaining about one-half pound
(0.2 kg) per week. Some babies dont change position to have their head down
until 36 weeks and even then, 3% of babies are born in the breech, meaning feet
first, position. You should continue to check daily for the babys movements.
Weight:______________________
Blood Pressure:_______________________________________________________
_______________________________________________________________________
_______________________________________________________________________
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51

____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Fundal height:________________________________________________________
Presentation & position:________________________________________________
____________________________________________________________________
Estimated due date:____________________________________________________
Babys approximate weight (if you had a sonogram):________________________
____________________________________________________________________
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Answers: ____________________________________________________________
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52
The 8th Month
Week 31
Babys
Development
Fat deposits are building up

underneath the skin to insulate
the baby against the abrupt
changes in temperature at birth.
maternal
Events
Week 32
Your joints and spine are softer

than usual, so you will need to
take extra care when moving
things around. Get someone
to help where possible. Avoid
heavy lifting.
common
Discomforts
Swollen ankles may be caused by

the pressure of the uterus on the
large veins returning blood to the
heart, inducing water retention.
remedies
Elevate legs so they are level with

your hips once or twice a day
for an hour. Sleep on your left side.
Also, compression stockings may
be helpful to reduce the swelling
in your feet and ankles.
53
Week 33
Week 34
The digestive tract and the lungs are

now nearly fully matured. The skin
becomes less red and wrinkled.
The baby has grown to about 14 inches or 36 cm.

The lungs are starting to mature.
The ligaments in your pelvic area

will be loosening and stretching, to
accommodate the baby. This may
result in backache or pelvic pain.
Constipation is another result of
the decelerated digestive process.
As food moves slowly through your
intestines, more water is extracted,
leaving the stool drier and harder.
Eat food that is high in fiber, such

as fruit, vegetables and cereals
with bran. Drink liquids and
exercise regularly at a comfortable
pace. Strenuous exercise is not
recommended.
Fatigue You may begin to feel tired and

uncomfortable and your sleeping may be disturbed
because of your babys activity.
Hemorrhoids may also develop. These are
congested or swollen veins around your rectum.
They might feel uncomfortable or itchy.
Soaking in a warm bath or sitting on soft pillows

should soothe the symptoms of hemorrhoids.
54
You will probably feel your

babys movements as prods
during this month rather than
as swooping movements.
Your baby now takes up more space and there is less amniotic fluid. Babys
movements will feel different because he has less room to move around.
Your visits to your healthcare professional should now be weekly. Your blood
pressure will be checked, a urine sample taken and your general health and your
babys health will be monitored.
Continue checking fetal movements daily and contact your healthcare
professional immediately if you notice any changes.
Your baby will put on weight as it matures. You may still have to schedule a few
things for your new baby or organize child care for your other children. These
need to be in place before your baby arrives. Try to get as much rest as you can.
Weight:______________________
Blood Pressure:_______________________________________________________
55

_______________________________________________________________________
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_______________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Fundal height:________________________________________________________
Presentation & position:________________________________________________
____________________________________________________________________
Calculated gestation: __________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Answers:_____________________________________________________________
____________________________________________________________________
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56
The 9th Month
Week 35
Week 36
Babys
Development
Virtually the entire uterus is now occupied

by the baby and its activity is restricted.
Maternal antibodies against measles,

mumps, rubella, whooping cough
and scarlet fever are transferred to
the baby, providing protection for
about 6 months until the infants
own immune system can take over.
maternal
Events
Keep in mind the warning signs of preterm

labor, including regular and painful
uterine contractions (>5 per hour), vaginal
bleeding and leaking amniotic fluid. If
you experience these, contact your doctor
immediately.
The placenta is nearly 4 times as

thick as it was 20 weeks ago, and
weighs about 20 ounces or 570 gm.
common
Discomforts
Backaches are often caused by

muscles and ligaments relaxing
in preparation for the stretching
required in delivery, and also by
the added off-center weight of the
enlarged uterus.
remedies
Back exercise such as pelvic tilt

can help strengthen back and
abdomen muscles. Wear
comfortable low-heeled shoes
or flats. Always avoid heavy lifting.
57
Week 37
to term
At birth the average baby weighs about
7 pounds 8 ounces (3.4 kg) and
is 18-21 inches (51 cm) long.
Preparing for birth, the baby descends

deeper into the mothers pelvis.
3 to 4 lb or 1.3 to 1.8 kg weight gain
Urinary frequency is increased for

the second time in your pregnancy
by the uterus compressing the
bladder against the pelvic bones,
thus reducing its capacity.
In 9 short months, the miracle is complete: you

have transformed a single, microscopic fertilized
cell into a six-thousand-billion-celled human being.
Uterine contractions become perceptible as

the cervix and lower uterine segment prepare
for labor.
You can decrease pressure on the

bladder at night by sleeping on
your left side.
58
Until the Birth

You are probably tired of being
ways. The show may appear as
pregnant now. If your baby has
long as a week before the start of
turned head-down, the head will
labor. Your waters may break a few
usually become engaged and your
hours before labor begins. Contact
fundal height will drop to just below
your healthcare professional or the
your rib cage. This will probably help
hospital, and your partner and/or
with your breathing. If this is your
other birthing support person when
first pregnancy, this often happens 1 to
your waters break, so that they
2 weeks before delivery; if you have
know your baby is coming. Your
given birth before, this can happen
contractions may not be regular for a
after labor starts.
number of hours yet. Once they do
If your baby is lying in a breech

position, it may be possible for your
doctor to turn the baby before labor.
If this is not possible, it may mean
become regular at 5 minutes apart for

an hour, you know it is time.
Breastfeeding
As the birth of your baby is
that you will have to prepare for a
imminent, you might need to start
cesarean delivery. Discuss this with
really thinking about the days after
your healthcare professional.
your babys birth. Breastfeeding is
If you are overdue, an ultrasound

may be suggested. Biweekly nonstress
tests or biophysical profiles will be
performed. Sometimes induced
labor is recommended. The baby
will be delivered no later than 41 to
42 weeks.
59
Labor may start in a number of
encouraged in most hospitals and
around the world. The World Health

Organization recommends that babies
About the Birth Plan

Birth plans are a good idea even if
should be breastfed exclusively
it all changes at the last moment. By
for about 6 months because it has
thinking through the steps you wish
important benefits for your babys
to take during the birth, you prepare
health.
yourself, your healthcare professional
More and more mothers are

breastfeeding worldwide. Each year,
more studies show that breastfeeding
and your birthing partner(s) for the

big day.
It is a good idea to talk to your
is important for both women and
healthcare professional about what is
their babies. Human milk helps
best for you and your baby because
babies develop, gives them nutrition
each womans needs and preferences
and keeps them from becoming ill.
are different. Once you have worked
Formula feeding does not do this as
out what options you want to take,
well as breastfeeding does.
share your plan with your healthcare
You should discuss breastfeeding

with your spouse and a healthcare
professional or lactation consultant
professional and discuss it with her

step by step.
Give some thought to whether you
before you give birth. There are many
would like pain relief or a natural
books available on breastfeeding; your
labor and discuss the options with
healthcare professional can guide you
your healthcare professional.
in the right direction. It will also be

helpful to talk to other women who
have breastfed to find out what it was
like for them.
You should find out all you would

like to know about birth by cesarean
delivery, even if you are not expecting
to have one, as sometimes mothers
need to have one unexpectedly.
60
the birth plan

Your name:___________________________________________________________
Name of your healthcare professional:____________________________________
____________________________________________________________________
Expected birth date of your baby:________________________________________
preparation for birth

Childbirth education classes taken:
Hospital tour:
Yes No
Yes No
Books about pregnancy and birth you have found the most helpful:
____________________________________________________________________
____________________________________________________________________
Names of those who will be with you during your labor and birth: partner,
relative and/or friend. Most hospitals allow your partner and at least one other
birthing partner.
____________________________________________________________________
____________________________________________________________________
Do you wish to have photos taken, have music to listen to, or do you have any
special requests that should be noted?
____________________________________________________________________
____________________________________________________________________
Names of those you wish to contact after your baby is born:
____________________________________________________________________
____________________________________________________________________
61
If all goes as expected Write down anything that is important to you. You may
wish to include your plans for relief of discomfort or positions you might like to
try for labor or birth.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Contingency plans Write down your thoughts about what you may want done
if things dont go as expected. For example, if you have a long or difficult labor:
____________________________________________________________________
____________________________________________________________________
n
more pain relief than you anticipated___________________________________
____________________________________________________________________
n
a blood transfusion__________________________________________________
____________________________________________________________________
n
a forceps delivery_ __________________________________________________
____________________________________________________________________
n
an episiotomy_______________________________________________________
____________________________________________________________________
n
a cesarean delivery__________________________________________________
____________________________________________________________________
n
if your baby is born prematurely and needs special care
____________________________________________________________________
____________________________________________________________________
It is valuable to think about these issues ahead of time.
62
Checklist for Your Hospital Bag

Remember that babies do sometimes arrive early,
so have your bag packed for the hospital. You may
want to have 2 bags: 1 for labor and 1 for
your stay in the hospital.
Labor bag
To assist you during labor: baby oil or

moisturizer for gentle back massage
Relaxation tapes or CDs

Lollipops and/or ice pops to suck on during labor
Camera or video camera (most healthcare facilities
will not allow you to videotape the actual birth)
Coins for telephone or a telephone card (you may not be able to use
a cellular telephone in the hospital)
An up-to-date address book with telephone numbers of family and friends
An object to focus your attention on during labor
Postnatal bag
Nursing nightgowns
Robe
2 breastfeeding bras
Nursing pads
Underpants for a week (early discharge from hospital is common in many
hospitals; however, you may need to change underpants frequently or be
required to stay in the hospital longer)
Sanitary napkins
63
Slippers or comfortable slip-on shoes

Your own toiletries
Hairbrush and shampoo
Your prenatal record card
Your birth and postnatal plan
Health insurance details
Comfortable clothes to come home in
Newborn diapers
Baby care products
Baby blanket
Baby sleeper or jumpsuit
Baby Onesies or singlets
THIS DIARY which is a record of your pregnancy
Anything else your healthcare professional may advise.
You can check with the hospital or clinic to find out what they recommend
A newborn car seat when you are ready to go home

Other items to remember:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Try a practice run to the hospital to find the quickest route!
64
postpartum plans
Baby care Please write down:
How you wish to feed your baby:________________________________________
____________________________________________________________________
Do you want or need assistance with breastfeeding?
If you have a boy, do you want him to be circumcised?
Is your car equipped with approved infant safety seating?
Have you planned for help at home during your first weeks?
Yes No
Yes No
Yes No
Yes No
What help would you like in the first month and how will you arrange for this
support?_ ____________________________________________________________
____________________________________________________________________
Write down any concerns you would like to discuss about caring for your baby.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Before you leave the hospital, have you filled out the papers needed for your
babys identification such as birth certificate and Social Security card?
They take approximately 4-6 weeks to receive by mail.
65
Yes No
your baby
Your babys picture
Babys name:_________________________________________________________
Birthdate:____________________________________________________________
Time:___________________________ Weight:_ _____________________________
Length:_________________________ Head Circumference:___________________
Apgar score: at 1 minute_________________ at 5 minutes___________________
Healthcare professional who assisted in the delivery________________________
Tests baby received:___________________________________________________
____________________________________________________________________
____________________________________________________________________
Medications baby received:_____________________________________________
____________________________________________________________________
66
about the birth
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67
about the birth
____________________________________________________________________
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68
about the birth
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69
Glossary of terms used in this diary

Amniocentesis - a long thin needle, guided by ultrasound, is inserted through the
abdominal wall and into the uterus. A sample of amniotic fluid is taken and cells
from the fluid are grown in a laboratory. This test determines the chromosomal
count of the baby and is used to determine whether the fetus has genetic disorders
such as Down syndrome.
Prenatal Screening - routine tests undertaken for a number of reasons during
pregnancy. (See Prenatal Screening section of this diary.)
Blood Pressure - the pressure your blood exerts against all the blood vessels in
your body. If blood pressure becomes very high during pregnancy it needs to be
followed closely and controlled.
Braxton Hicks Contractions - these are contractions that occur late in pregnancy
almost as a rehearsal for the real thing.
Cesarean Delivery - a surgical incision of the walls of the abdomen and uterus
for delivery of an infant.
Chlamydia - a common sexually transmitted disease that can damage a womans
reproductive organs. Although symptoms are often mild, serious complications
including infertility can occur.
CVS (Chorionic Villi Sampling) - a prenatal screening procedure to test for some
abnormalities. It involves taking a small sample of villi cells from an area near the
placenta with a needle.
Down Syndrome - a chromosomal disorder that leads to intellectual impairment.
Testing for this occurs mainly in older women who are pregnant because the older
you are (over 35 years) the more likely you are to have a child with this disorder.
Epidural - an anesthetic given during labor which numbs your spine, usually
from the waist down. It is injected into the spine. This allows you to be awake
during labor without feeling pain.
70
Episiotomy - an incision to your perineum (area between vagina and anus) to

provide more space for the babys head during birth. A local anesthetic is given
into the perineum prior to the incision and is sewn after the birth. It is done to
avoid irregular tearing of your perineum.
Folate - a B group vitamin. A healthy intake of folate can protect against some
birth defects, particularly spina bifida.
Fundal Height - the height of your fundus; that is, the height of the uterus as the
baby develops.
Gestational Diabetes - this type of diabetes occurs while you are pregnant and
results from an increase in your blood sugar level. It does need to be managed but
usually disappears after the birth.
Gonorrhea - a sexually transmitted disease that can be harmful to babies.
Routine tests are carried out at your first visit to see if you have the infection.
Hepatitis B - a form of hepatitis which, although not directly harmful to your
baby during pregnancy, will require your baby being vaccinated postnatally.
Today, all children are vaccinated against hepatitis B.
Hepatitis C - a form of hepatitis that is particularly contagious. In some centers
testing for hepatitis C is routine and in others optional. If you are at risk of this
disease, it is important that you find out early in your pregnancy.
HIV (Human Immunodeficiency Virus) - a virus that affects your immune system.
It can travel across the placenta. If you are at risk for the disease you will be
offered a test early in your pregnancy. Some states require that all mothers be
tested during pregnancy.
Linea Nigra - a dark line that can appear down the middle of your stomach at
about week 14. It will usually fade after the birth.
Listeriosis - a serious form of food poisoning caused by a bacteria found in some
types of refrigerated foods.
Ovum - your unfertilized egg.
71
Pre-eclampsia - a condition that can be quite dangerous for both mother and
baby. It is caused by high blood pressure, protein in your urine and/or lower
extremity edema and, if not managed, may develop into eclampsia or toxemia.
Premature Birth or Prematurity - delivery of an infant before the completion of
37 weeks of gestation.
Protein - is required as a part of your diet and for the development of your baby.
Too much protein in your blood can be an indicator of pre-eclampsia and can be
detected via urine samples.
Quickening - the movements of your baby in the womb.
Swelling - of the ankles and feet is common in pregnancy, particularly in hot
weather. Sudden swelling or excessive swelling can be an indicator of high blood
pressure and you need to notify your healthcare professional.
Syphilis - a sexually transmitted disease that can be harmful to babies. Routine
tests are carried out at your first visit to see if you have the infection.
The Show - the bloody mucous cap of the uterus that may appear as soon as
1 week before labor.
Toxemia - an abnormal condition of pregnancy characterized by high blood
pressure, swelling and/or protein in the urine. Toxemia of pregnancy is another
term for pre-eclampsia, also called blood poisoning.
Twins - occur in about 1 in 80 pregnancies. Only 1 in 5 sets are identical.
Identical twins are formed when the fertilized egg splits soon after conception.
The babies have the same genetic material. Non-identical twins are the result of
2 eggs being fertilized by 2 different sperm and implanting in the uterus at the
same time.
Ultrasound - a scan usually used at 18 weeks to determine the development of
the baby and estimate the date of your babys birth.
Vitamins - supplements to your diet. Some may be dangerous for your babys
development, particularly in the first trimester; others are beneficial. See your
healthcare professional for advice.
72
for more information

VISIT www.jjpi.com
to access a full range of educational material that
can be ordered or downloaded to your computer.
pregnancy program: Other Resources
You and Your Body

After Childbirth
A Guide for
New Mothers
Your Wondrous
Journey
CD-ROM
Step-by-Step Cesarean
Birth of a Baby
First Impressions
Miracle of Life
Breast is Best
Teaching Posters
The materials available in our Pregnancy Care
Program provide information for parents, from
conception through the weeks following delivery,
and for the professionals who care for them.
This unique program is supported by research that
is reviewed in these materials and translated for
practical application. For downloadable versions,
visit www.JJPI.com.
Pregnancy Massage:
A Step-by-Step Guide
DVD
PP06-B1
www.jjpi.com

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your pregnancy diary

and all others who use our products and

start in life. For almost a decade, the

services, JJPI was established in 1998.

Johnson & Johnson Pediatric Institute,

Its mission is to save babies lives and

L.L.C. (JJPI) has been devoted to

contribute to a healthy environment 

improving the lives of children and

their families. From their first breaths

Collaborating with worldwide

through their early years, children are

leaders from government, medicine,

challenged to survive and thrive in the

nongovernmental organizations and

world. Every country, every family

industry, JJPI addresses the local needs 

and every child face unique obstacles

of children and their families. With

to the promise of a healthy life. At

our partners, we develop high-impact

the forefront is JJPI continually

educational programs to:

addressing the challenges and priorities

Ensure mothers have safe and 

A commitment to mothers and

their babies has been at the heart of

Improve care for babies from 

Johnson & Johnson for over 100 years.

Resources for professionals and parents

Reinforced by the Johnson & Johnson

are a vital part of the Johnson & Johnson

Credo that states, We believe our first

Pediatric Institutes programming. We

responsibility is to the doctors, nurses

hope you find the following educational

and patients, to mothers and fathers

material a valuable resource.

2006, 1998, Johnson & Johnson Pediatric Institute, L.L.C.

your pregnancy diary

Health Tips for Pregnant Women........... 7

Sex During Pregnancy........................... 10

Until the Birth...................................... 59

The Birth Plan....................................... 61

Checklist for Your Hospital Bag............. 63

your pregnancy diary

Overall, pregnancy, labor, delivery

The Johnson & Johnson Pediatric

and nurturing of your newborn baby

Institute, L.L.C. is pleased to take you

are the happy events you dreamed

on a guided tour of your pregnancy.

of and hoped for. By consulting

Our hope is that better understanding

with mothers and maternity care

will increase your acceptance and

specialists, we hope this booklet 

tolerance of the many physical,

will be a special information resource

mental and emotional changes

that will meet your expectations. A

that accompany pregnancy. Your

healthy, happy mother and a healthy,

contribute to a healthy environment

industry, JJPI addresses the local needs

Ensure mothers have safe and

Improve care for babies from

Health Tips for Pregnant Women........... 7

Sex During Pregnancy........................... 10

Until the Birth...................................... 59

The Birth Plan....................................... 61

Checklist for Your Hospital Bag............. 63

specialists, we hope this booklet

priorities and feelings about the

eat more folate-enriched

stop drinking alcoholic beverages

diet recommendations (page 7)

Eat a well-balanced diet of fruits,

You should drink 10 cups

It is best to eat a variety of

Raw and slightly cooked eggs,