Exercise During Pregnancy

Exercise is good for you.  It is good for the baby.  Most experts recommend 20 minutes of moderate exercise through out your pregnancy.

In the first part of pregnancy you may be tired, or nauseated.  As soon as you feel capable, make exercise a priority.  Exercise during pregnancy may decrease your risk of excessive weight gain, diabetes, hypertension and cesarean sections.  

If you feel to sore or tired, how about YOGA?  Here are some videos to get you started.

If you feel unstable or short of breath; don’t do it..  You are responsible for your own health and safety.

 

Back pain

Almost everyone has some back pain in pregnancy. Sometimes back pain is worse than other times. The good news is it usually goes away after delivery. In the meantime here are some things to do.
-Heat- Can help relax sore muscles, this can be done with rice packs, heating pads, tubs, or showers.
-Massage- you, your partner, or a professional can help massage some of the pain.
-Maternity belts- Following is some information on maternity belts. It is helpful to reposition the baby.
-Physical Therapy- we have a great physical therapist for back pain at Adventist Health Tillamook. If your back pain is really bad, do some physical therapy.
-It is OK to use bengay/ icy-hot/lotion to help sore muscles.
-Stretching/Yoga is very helpful. The following are some links for stretching in pregnancy and also some stretching.
https://www.youtube.com/watch?v=Sja4az8lnvc

Back pain during pregnancy isn’t surprising, but it still deserves attention. Consider seven ways to relieve back pain during pregnancy — from good posture and physical activity to complementary therapies.
By Mayo Clinic Staff
Back pain during pregnancy is a common complaint — and it’s no wonder. You’re gaining weight, your center of gravity changes, and your hormones are relaxing the ligaments in the joints of your pelvis. Often, however, you can prevent or ease back pain during pregnancy. Consider seven ways to give pregnancy back pain the boot.
As your baby grows, your center of gravity shifts forward. To avoid falling forward, you might compensate by leaning back — which can strain the muscles in your lower back and contribute to back pain during pregnancy. Keep these principles of good posture in mind:
• Stand up straight and tall.
• Hold your chest high.
• Keep your shoulders back and relaxed.
• Don’t lock your knees.
When you stand, use a comfortably wide stance for the best support. If you must stand for long periods of time, rest one foot on a low step stool — and take time for frequent breaks.
Good posture also means sitting with care. Choose a chair that supports your back, or place a small pillow behind your lower back.
Wear low-heeled — not flat — shoes with good arch support. Avoid high heels, which can further shift your balance forward and cause you to fall.
You might also consider wearing a maternity support belt. Although research on the effectiveness of maternity support belts is limited, some women find the additional support helpful.
When lifting a small object, squat down and lift with your legs. Don’t bend at the waist or lift with your back. It’s also important to know your limits. Ask for help if you need it.
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Sleep on your side, not your back. Keep one or both knees bent. Consider using pregnancy or support pillows between your bent knees, under your abdomen and behind your back.
While evidence to support their effectiveness is limited, massage or the application of a heating pad or ice pack to your back might help.
Regular physical activity can keep your back strong and might relieve back pain during pregnancy. With your health care provider’s OK, try gentle activities — such as walking or water exercise. A physical therapist also can show you stretches and exercises that might help.
You might also stretch your lower back. Rest on your hands and knees with your head in line with your back. Pull in your stomach, rounding your back slightly. Hold for several seconds, then relax your stomach and back — keeping your back as flat as possible. Gradually work up to 10 repetitions. Ask your health care provider about other stretching exercises, too.
Some research suggests that acupuncture might relieve back pain during pregnancy. Chiropractic treatment might provide comfort for some women as well. However, further research is needed. If you’re considering a complementary therapy, discuss it with your health care provider. Be sure to tell the chiropractor or acupuncturist that you are pregnant.
If you have severe back pain during pregnancy or back pain that lasts more than two weeks, talk to your health care provider. He or she might recommend medication such as acetaminophen (Tylenol, others) or other treatments.
Keep in mind that back pain during pregnancy might be a sign of preterm labor or a urinary tract infection. If you have back pain during pregnancy that’s accompanied by vaginal bleeding, fever or burning during urination, contact your health care provider right away.

Corona Virus and Adventist Health Tillamook

  1. This document is up to date as of October, 2021
  2. You can have only one person with you in labor as of 10/1/21.  We hope this will increase in the near future.  
  3. You can have one support person in the hospital, and you can bring one with you to clinic.  
  4. You do not need to wear a mask while you are in labor. 
  5. Your partner can not come with you if they have a fever.
  6. You will be tested for Corona-Virus when you arrive at the hospital, your partner will not.  
  7. Your partner (s) must be over the age of 18.  We still are not allowing children into the hospital unless they have medical needs.  

Prevention for Pregnant Women

you might have heard this before…….

  1. Wash your hands
  2. Wear a mask
  3. Stay 6 feet away from people you don’t live with
  4. Do not go to group activities more than is needed for your mental and economic wellbeing

Common questions

If I am positive for Corona virus when I am in labor what happens?

Most experts are recommending that the baby is kept in another room.  If you are breast feeding it is done with a shield, mask and gloves.  

In the end this is your choice and it depend on how sick you are. 

What if my husband/Partner has a fever?  

Any visitor with a fever can not enter the hospital.  Have a back up in mind. 

What are common symptoms of covid and what do I do if I have those symptoms?  

Common symptoms in pregnancy are fevers, Stomach upsets, generally not feeling good, many people are asymptomatic.  If you have symptoms and are worried you were exposed, give us a call.   If you have a primary exposure the health department will call you.  

How many people can come with me to the hospital?

We are now allowing everyone to have two visitors when you are delivering a baby and after the baby is here.  

It can be any two people.  However, they can’t  be under 18 yo, and if they have a fever, they can not come in.  

First things first

I'm Pregnant!! Now what?

  1.  Don’t panic  you’ve got this, or panic, but know that it it will not help.
  2. Take a prenatal vitamin if you don’t want to get prenatal vitamins any womans one a day vitamin will do.  
  3. If you live in the Pacific Northwest make sure your Vitamin has Vitamin D in it, or take an additional Vitamin D
  4. Check to see if your vitamin has DHA  (Omega-3/ fish oils are the same).  If it does not, add that into your daily vitamin regime too
  5. Exercise 20 minutes every day, this decreases your risk of obesity, diabetes, hypertension and the risk of C-section.  -fast walking counts, chasing kids, or doing shopping, does not
  6. Eat more vegetables
  7. Know that you have at least a 15% chance of a misarrange.  Our bodies are amazing; please remember that there are thing worse than loosing a baby in the first 12 weeks
  8. If you have questions, have had a miscarriage, if you want early conformation,  if you have medical problems or have questions about medications you can come in and talk to us now.  Otherwise your first appointment should be after you are 9 weeks along.   In Tillamook call 503-815-2100 to schedule. 

Fun Pregnancy Sites Below

C-Section

At Adventist Health in Tillamook, our c-section rate is lower than the national average.  If you are a first-time mom with a baby that is head down your risk of a cesarean section is ~15%, which is a lot lower than the national average of 25%

I find it interesting when people talk about cesarean sections. I hear things like “too many, correct rate, always delivered vaginally in the past”. I want to remind everyone that in 1900 1 in 200 moms died in childbirth and 1 in 10 babies died in their first year of life. In addition to high death rates, deliveries left some mothers or babies deformed for the rest of their life.

C-sections are the most wonderful thing to happen to mankind. We have come so far, it is easy to lose perspective.

I have had mothers who have had a C-section and a vaginal delivery tell me that their C-section was an easier/quicker recovery*

ADTRH8 Cesarean Delivery

Risks

  1.  Increase risk of infection
  2. Increase time to recover
  3. More discomfort as you are recovering
  4. Increase risk for serious injury to internal organs, especially if you have more than 2 cesarean sections.

Benefits

  1. Decrease risk of serious bleeding
  2. Decrease risks of urine or fecal leakage as you get older
  3. Decrease risk of prolapse of your uterus or bladder as you get older
  4. Can be safer for the baby
  5. More predictable, a cesarean section can be planned and is relatively fast. 

Recovery

No sex or tampons for the first six weeks

No lifting more than 10 lbs (your baby and a light bag) for the first week

You will be in the hospital for ~2 nights after your delivery

When you go home you will be able to move around comfortably

You will not be able to do general household chores

 You will be tired and sore

We will send you home with pain medications

*most people would say a vaginal delivery is easier to recover from, but most people that have C-sections need them and the surgery is easier on their body or their baby. There is always a reason we do C-sections.