Health Notes

A pregnancy checklist for all you Dads out there

by Dr. Rebecca Jacobi on April 25, 2013

The mark on the stick was positive. You’ve been to the doctor, and it’s been confirmed.

You are pregnant! Now it’s time to tell friends and family.

The ladies will shed a few tears, give warm hugs and shower love and joy over the news. With the guys there will be fist-bumping, clanging of drink glasses and overall elation of the new dad’s manhood.

Through the course of the pregnancy, mom is going to get a lot of attention, and rightly so. She has a big job. But don’t forget guys, you have a huge role in the pregnancy as well.

Here is my be all, end all advice for dads to be – and also sure fire ways to earn major brownie points during the next nine months.

  • Focus on your relationship. Your wife may feel insecure about the changes in her body. Make sure she knows how beautiful you think she is each and every day.
  • Schedule as much one-on-one time as possible. Enjoy meals sans high chairs, and use cloth napkins. This is important because once baby comes, life will change.
  • Women in stressful relationships are more likely to have postpartum depression. Don’t be the cause of that stress. Understand pregnancy can result in a roller coaster of emotions – be patient with your partner.
  • Attend childbirth education classes together. Just because you’ve seen it on TV doesn’t make you an expert. These classes help dads understand what’s happening and become more educated about their wife’s body and the amazing accomplishment of delivery.
  • Listen up on this one – sex is okay during pregnancy as long as there are no complications or reasons that it might not be appropriate. Be respectful of your partner’s comfort level. After delivery, give her time to heal – we always recommend to wait six weeks.
  • During labor and delivery you are and should be her biggest supporter. Delivery is a difficult, challenging and physical event. Be her champion.
  • Also during labor and delivery, you are her advocate. Be educated on her birth plan, her wishes regarding medication, etc. This is important stuff to know because your partner may have trouble communicating her needs.

Through the years, I have seen guys who take their role very seriously and others who just want to cross the finish line so they can pop champagne and celebrate. Both types are perfectly okay because everyone is different.

But guys, get involved, whatever your comfort level may be. This is just the first step in the journey known as parenthood. Being an active participant reaps great benefits along the way.

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VBAC requires careful consultation with your physician

by Dr. Rebecca Jacobi on March 28, 2013

Recent reports on C-section rates (they vary across the country) have lead to more conversations about VBAC (Vaginal Birth After C-section) and the growing number of women who are considering this as a birthing option.

While this choice is available at Methodist Women’s Hospital and other select hospital settings, it’s not a decision that should be taken likely without a serious consultation.

A woman considering VBAC must weigh numerous factors, fully understand the risks and benefits, and be in close communication with their physician from the start of the pregnancy.

VBAC is exactly what it sounds like, however, we refer to the process as “trial of labor” until the vaginal birth actually occurs.

Approximately, 60-80 percent of women who attempt to have a vaginal birth after a cesarean are successful. Benefits include a quicker recovery, and many women take pride in delivering a baby vaginally. By avoiding major surgery, a woman will also likely have less bleeding and risk for infection.

Some women are definitely better candidates than others, like those who have had a previous vaginal birth and those that go into spontaneous labor. Increased age of the mother, obesity, large babies and delivering past 40 weeks decrease the chance of having a successful VBAC.

At the Women’s Hospital, we have an OB physician in the hospital 24 hours a day, as well as anesthesiology and surgical availability. Facilities that don’t may choose not to offer VBACs. These things are important in having a safe trial of labor just in case a cesarean is necessary or there is an emergency.

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Are you pregnant? Get moving!

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