Improving your nutrition while you're pregnant helps you and your baby stay healthy. Your OB/GYNs at Capital Women's Care in Rockville, MD, can help you make the best nutritional choices and offer support, advice, and treatment for all of your pregnancy needs.
Eating for two in Rockville, MD?
Although you'll definitely need to increase the number of calories you eat every day, you won't need to double your usual intake of food. In fact, the American College of Obstetricians and Gynecologists (ACOG) recommends adding 340 calories during the second trimester and a little more during the third trimester. Twin pregnancies require an additional 600 calories daily, while you'll need 900 more calories if you're having triplets, according to the ACOG.
What good nutrition during pregnancy looks like
Avoiding or limiting sugary treats, caffeine, alcohol, tobacco, fried and processed foods is a good start if you're pregnant. Focus on:
- Fruits and Vegetables: Fresh or frozen fruits and a selection of healthy vegetables, such as broccoli, carrots, beans, asparagus, cauliflower, spinach, greens, peppers, and tomatoes, offer tasty, healthy meal choices.
- Healthy Carbohydrates: When you visit a Rockville, MD, grocery store, purchase healthier carbohydrates, like potatoes, peas, winter squash, and corn. Choose whole-grain bread, pasta, bagels, and muffins, and substitute brown rice for white rice.
- Lean Protein: Skinless poultry, lean beef, fish, lentils, peanut butter, hummus, tofu, low-fat yogurt, and cheese are good sources of protein.
At mealtime, fill half of your plate with vegetables and fruit, 1/4 with carbohydrates, and 1/4 with protein. Cook with healthier fats, like olive oil, canola oil, or grapeseed oil.
While you're pregnant, avoid undercooked fish and uncooked sushi, hot dogs, luncheon meats (unless they're heated), raw eggs or meat, unpasteurized milk, and fish that's high in mercury, including swordfish, shark, king mackerel, and tilefish. If you like tuna, eat no more than six ounces per week.
What about vitamins?
During pregnancy, you'll need extra minerals and vitamins. Although eating a healthy diet is important, you may not get all of the nutrients you need through your diet alone. Taking prenatal vitamins that include B vitamins, folic acid, vitamin C, vitamin D, calcium, iron, omega-3 fatty acids, and choline, is a simple way to give your baby the best possible start.
A healthy pregnancy starts with regular visits to your Rockville, MD, OB/GYNs at Capital Women's Care. Call them at (301) 569-6301 to schedule an appointment.
Menopause is a natural process that occurs later in life when a woman’s body stops producing reproductive hormones. Several symptoms can occur in conjunction with menopause, such as hot flashes and night sweats. These symptoms are normal but can cause some women discomfort. The experienced gynecologists at Capital Women’s Care in Rockville, MD, can help with your menopause by recommending specific treatment options for managing symptoms.
Symptoms of Menopause
Menopause can occur anywhere between the 30s and late 60s, but 51 years is the average age of onset for most women. Menopause is considered to officially have begun when 12 months have elapsed since a woman’s last menstrual cycle.
Menopause can be associated with a wide range of symptoms, many of which are due to a decrease in the body’s hormone levels.
Common menopause symptoms include:
- Cessation of menstruation
- Irregular menstruation
- Vaginal dryness
- Night sweats
- Hot flashes
- Weight gain
The decrease in hormone levels can also lead to diminished sex drive. Additionally, the lower hormone levels can increase a woman’s risk of developing osteoporosis after menopause. Osteoporosis is a condition associated with a loss in bone density. This can lead to brittle bones that are more prone to injury. Other symptoms of menopause include feelings of anxiety, depression, and irritability.
Treatments for Menopause Symptoms
Several treatment options are available at our office in Rockville, MD, for managing menopause symptoms. Some methods for managing menopause symptoms include lifestyle changes, over-the-counter supplements, prescription medications, and topical lubricants for vaginal dryness and discomfort. Hormone replacement therapy is another treatment option, but should not be used by women with a history of certain types of cancers. Our knowledgeable gynecologists can discuss the different treatment methods with you and help you make an informed decision.
Experiencing menopause is a natural process, but the symptoms can affect the overall quality of life for some women. Various treatments are available that can reduce symptoms and help you feel more like yourself again. Schedule an appointment with one of our skilled gynecologists to learn about the different treatments for menopause by calling Capital Women’s Care in Rockville, MD, at (301) 569-6301.
Pregnancy includes three trimesters or three time periods. The majority of pregnant women feel differently, both emotionally and physically; depending on which trimester of pregnancy they’re in. Besides body shape and weight, other adjustments in body function and chemistry likewise take place.
In general, your body temperature is usually higher, your heart functions harder, your ligaments and joint might be more flexible, body secretions increase, and your hormones will be all over the place. Getting regular checkups with your ob-gyn here at Capital Women’s Care in Rockville, MD, all throughout your pregnancy will help you prepare for the big day. Meanwhile, here’s what you can generally expect during each pregnancy trimester.
The First Trimester of Pregnancy: Weeks 0 to 13
This is the most critical trimester for your little bean’s development because your baby’s organ systems and body structure develop during this time. Depending on your specific case, you may need to be extra careful because most birth defects and miscarriages also happen during this time. Expect your body to undergo some major changes as well.
These changes usually cause various symptoms like breast tenderness, nausea, frequent urination, and fatigue. Do note though that while these symptoms are common in lots of women, symptoms will still vary from one woman to another. For instance, whiles some women might feel overly emotional and tired, others may feel more energized and calm.
The Second Trimester: Weeks 14 to 26
This period known as the easiest trimester since plenty of the unpleasant symptoms of early pregnancy has passed. You’ll likely feel less nauseated, more energized, and can sleep much better. On the other hand, you may start experiencing new symptoms like heartburn, back pain, constipation, abdominal pain, and leg cramps. But here’s some exciting news. Somewhere around the 16th or 20th week, you might feel the first fluttering movements of your baby.
The Third Trimester: Weeks 27 to 40
This is the home stretch. You’re probably feeling equal parts anxious, excited, and ready to pop. You may also be dealing with sleeping issues, varicose veins, hemorrhoids, shortness of breath, urinary incontinence, and more pronounced back pain. Most of these symptoms occur due to your rapidly increasing uterus and growing baby.
Red Flags to Watch Out For
While there a plenty of symptoms considered normal throughout pregnancy, you must inform your ob-gyn in Rockville, MD, as soon as possible if any of these symptoms occur:
- Fever or chills
- Persistent vomiting
- Blurred vision
- Continuous pain
- Continuous headache
- A burning sensation when urinating
- Decreased fetal movements
- Swollen hands or face
- Five or more contractions every hour
- Leaking fluid from your vagina, which could be water or blood
- Bleeding, regardless of which trimester you’re currently in
Reach Out to Us For Questions, Advice, or Concerns About Your Pregnancy
Get in touch with us here at Capital Women’s Care in Rockville, MD, by calling (301) 569-6301. You can also reach us at (240) 790-1725 for after-hours and emergency concerns.
What to Know About a Hysterectomy
A hysterectomy is a surgical procedure to remove the cervix and entire uterus. After the surgery, you will no longer menstruate and will be unable to become pregnant. Because of this, a hysterectomy is only an option if other treatments have been unsuccessful. In some cases, you will only need a partial hysterectomy. In this case, the entire uterus is removed, but the cervix is left intact. The team at Capital Women’s Care in Rockville, MD can provide you with everything you need to know about a hysterectomy.
When is a Hysterectomy Recommended?
Women may need a hysterectomy to resolve cases of:
- Unusual or heavy vaginal bleeding
- Uterine fibroids
- Uterine prolapse
- Cervical or uterine cancer
Hysterectomy: The Procedure
Often a hysterectomy can be performed using a minimally invasive procedure such as robotic surgery or laparoscopy. In some cases, depending on the size of the uterus, open surgery may be needed.
Your recovery time will depend on the type of surgery. If you have a minimally invasive procedure, you can usually return home on the same day and resume your normal daily activities within two weeks. If you have open surgery, you will usually stay in the hospital for 2-3 days and your recovery can take between 4-6 weeks. In either case, you should refrain from sexual intercourse until you are cleared by your physician.
Will a Hysterectomy Affect my Menopause?
If you retain your ovaries, you will not experience menopause. However, if you are already in the stages of perimenopause when you have your hysterectomy, this could speed up the onset of your menopause by up to twelve months.
If you live in or around Rockville, MD and you would like to find out more about having a hysterectomy, contact Capital Women’s Care on (301) 569-6301 to schedule a consultation.
At Capital Women's Care in Rockville, MD, our physicians and their support staff provide counseling and treatment options for a very important part of life: menopause. From the management of symptoms to providing the psycho-social support you need to navigate this change, your four gynecologists stay with you every step of the way for a better quality of life.
Menopause and its changes
Often referred to as "the change," menopause typically occurs in a women's early fifties. She becomes infertile due to aging ovaries and very limited production of estrogen and testosterone. Ovulation and menstruation cease, and pregnancy is no longer possible.
Other signs and symptoms of menopause include:
- Hot flashes and sweats, particularly at night
- Vaginal thinning and dryness
- Decreased libido
- Increased body weight
- Mood swings
- Slower metabolic rate
- Dry skin
- Lost volume in breast tissue
- Minor urinary incontinence
- Spotty, irregular menstruation, followed by total lack of monthly periods
Some women sail through menopause with minimal to moderate discomfort. Others, however, experience significant struggle and benefit from close monitoring, treatment and counseling from the team at Capital Women's Care in Rockville. Our doctors fully customize care plans to reduce symptoms, manage emotional effects and increase sexual and overall wellness.
Counseling and treatment options
The American Counseling Association states that for many women, menopausal symptoms may begin as early as age 40. Along with the physical changes, women experience a sense that they are not themselves.
As such, your gynecologist may recommend counseling with a mental health professional. Additional recommended treatments may include:
- Daily exercise
- Adequate hydration
- HRT (hormone replacement therapy) for severe symptoms only for a limited time
- Wearing cool clothing at night and keeping the bedroom cool and well-ventilated
- Exploring the use of natural supplements for night sweats and hot flashes (ask your doctor what's best)
- Eating plenty of fruits and vegetables
- Moisturizing the skin, hair and vagina (use of a lubricant for sex)
- Keeping watch on your weight, blood sugar and cholesterol
- Getting your cancer check-ups at the proper intervals--colonoscopy, pap smear and mammogram
Feel more like you
Menopause really is a big change. However, it's a natural and sometimes, much-anticipated one. For medical and emotional help through this season of your life, contact Capital Women's Care in Rockville for a consultation with one of our four experienced and caring gynecologists. Call our office at (301) 569-6301.
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