Pregnancy Journal (Deluxe, Cloth-bound edition): A Week-By-Week Guide to a Happy, Healthy Pregnancy

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Australian Institute of Health and Welfare. Australia’s mothers and babies 2015. Canberra: AIHW; 2017. Montgomery SM, Ekbom A. Smoking during pregnancy and diabetes mellitus in a British longitudinal birth cohort. Br Med J. 2002;324(7328):26–7. https://doi.org/10.1136/bmj.324.7328.26. Popular things people like to include in pregnancy journals are prenatal doctor appointment details, how their pregnancy went, and birth stats (date of birth, weight, height). Many moms also like to include their thoughts and wishes for their baby. Some pregnancy journals work well for documenting milestones and memories after baby is born, too, such as when baby first rolled over, crawled, etc. What’s the best way to document a pregnancy? This is assuming weight gain of 0.5-2 kg in the first trimester. When do I need to consider higher energy intake?

Flenady V, Koopmans L, Middleton P, Froen J, Smith GC, Gibbons K, et al. Major risk factors for stillbirth in high-income countries: a systematic review and meta-analysis. Lancet. 2011;377(9774):1331–40. https://doi.org/10.1016/S0140-6736(10)62233-7. Wang M, Wang ZP, Zhang M, Zhao ZT. Maternal passive smoking during pregnancy and neural tube defects in offspring: a meta-analysis. Arch Gynecol Obstet. 2014;289(3):513–21. https://doi.org/10.1007/s00404-013-2997-3. Ankum WM, Mol BWJ, Van der Veen F, Bossuyt PMM. Risk factors for ectopic pregnancy: a meta-analysis. Fertil Steril. 1996;65(6):1093–9. https://doi.org/10.1016/S0015-0282(16)58320-4. Niemela S, Raisanen A, Koskela J, Taanila A, Miettunen J, Ramsay H, et al. The effect of prenatal smoking exposure on daily smoking among teenage offspring. Addiction. 2016;112(1):134–43. https://doi.org/10.1111/add.13533.CMACE/RCOG Joint Guideline https://www.rcog.org.uk/globalassets/documents/guidelines/cmacercogjointguidelinemanag ementwomenobesitypregnancya.pdf Advise her of the risks of smoking and of alcohol and cannabis use during pregnancy. The biggest risk for her pregnancy at present is her smoking. Benzodiazepine use is often comorbid with other substance use 49 and may exacerbate the neonatal abstinence syndrome associated with opioid use during pregnancy. However, consider and ask about benzodiazepine use (including prescribed benzodiazepines) in all pregnant women. This umbrella review provides a comprehensive analysis of the overall health impacts of SDP. The study findings indicate that while estimating health and cost outcomes of SDP, long-term health impacts should be considered as well as short-term effects since studies not including the long-term outcomes would underestimate the magnitude of the issue. Also, interventions for pregnant women who smoke should consider the impact of reducing smoking due to health benefits on mothers and infants, and not solely cessation. Clarify with her how much cannabis and alcohol she is using. Brief intervention may be sufficient, but regular or heavy use of either substance may warrant referral to specialist drug and alcohol services.

Walsh RA, Redman S, Brinsmead MW, Byrne JM, Melmeth A. A smoking cessation program at a public antenatal clinic. Am J Public Health. 1997;87(7):1201–4. https://doi.org/10.2105/AJPH.87.7.1201. British Association for Psychopharmacology. Evidence-based guidelines for the pharmacological management of substance abuse, harmful use, addiction and comorbidity. 2012. https://www.bap.org.uk/pdfs/BAP_Guidelines-Addiction.pdf If your BMI is 35 or over, you and your healthcare team may aim for lower than 5kg weight gain to reduce adverse risks to you and your baby.There’s no perfect way to document a pregnancy, so that means that you can be creative! In addition to writing down little notes and milestone dates, you can also include photographs, cards, and other significant things you want to remember and hold onto in a pregnancy journal. What are the benefits of keeping a pregnancy journal? Tetrahydrocannabinol, the main psychoactive component of cannabis, readily crosses the placental barrier. 39 Synthetic cannabinoid receptor agonists (SCRAs) such as “spice” are also potent stimulators of the endocannabinoid system, and their safety during pregnancy is unknown. Some observational studies have found an association between cannabis use and a range of adverse obstetric and neonatal outcomes and longer term adverse child neurobehavioural outcomes, but other studies have failed to confirm such an association. 40 41 42 43 Given this uncertainty, encourage women using cannabis in pregnancy to achieve complete abstinence. 30 44 Be aware of the potential for cannabis, when smoked with tobacco, to potentiate the adverse effects of both substances. 45

Chilled food should be stored at the correct temperature (below 5°C). Foods should not be eaten after the ‘use by’ date. Wash soil from fruit, vegetables and salad. Alcohol in pregnancy If a child of an opioid using mother has been taken into care after birth, the woman may be at increased risk of suicide. 48Nicoletti D, Appel LD, Siedersberger Neto P, Guimaraes GW, Zhang L. Maternal smoking during pregnancy and birth defects in children: a systematic review with meta-analysis. Cadernos de saude publica. 2014;30(12):2491–529. https://doi.org/10.1590/0102-311x00115813. Delpisheh A, Brabin L, Brabin BJ. Pregnancy, smoking and birth outcomes. Women Health. 2006;2(3):389–403. https://doi.org/10.2217/17455057.2.3.389.