Posts for category: Pregnancy Healthcare
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.
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.
Infertility is more common than you may think. In fact, more than 12 percent of women in the U.S. have difficulty getting or staying pregnant according to the Centers for Disease Control and Prevention. Luckily, your Rockville, MD, gynecologists at Capital Women's Care diagnose and treat infertility, and they can offer suggestions and treatments that may increase your chances of a successful pregnancy!
Your infertility evaluation
Determining why you haven't gotten pregnant is the first step in increasing your chances of pregnancy. During your infertility evaluation, your gynecologist will discuss issues that may affect you or your partner, ask questions about your medical, surgical, and sexual history, and order various tests. Common fertility-related problems include:
- Hormonal Issues
- Irregular Ovulation
- Low Sperm Count
- Problems with Sperm Quality or Motility
- Blocked or Damage Fallopian Tubes
- Fibroids or Polyps in the Uterus
- Scar Tissue in the Uterus
During your evaluation, your Rockville gynecologist will also discuss other issues that may affect fertility, such as weight, medications and supplements, smoking, recreational drugs, alcohol consumption, sexually transmitted diseases, and exposure to toxins or chemicals.
In some cases, it may not be possible to determine why you haven't gotten pregnant. Even if the cause of your infertility is undetermined, you may still benefit from fertility treatment.
Your gynecologist can offer fertility treatments or make a referral to an infertility specialist if necessary. Your treatment plan will depend on the results of the infertility evaluations of both you and your partner. Infertility treatments may include:
- Drugs that help your ovaries release eggs
- Medications that improve sperm count
- Intrauterine insemination using the couple's eggs and sperm or donor eggs or sperm
- Surgery to repair damaged fallopian tubes, treat endometriosis, treat a uterine septum (divided uterus), or remove blockages, fibroids, or polyps in women
- Surgery to treat varicoceles (enlarged veins in the scrotum) in men
- Assisted reproductive technology, such as in vitro fertilization or sperm injection
Give us a call!
Are you having trouble becoming pregnant? Your gynecologists at Capital Women's Care offer pregnancy care and infertility treatments in Rockville, MD. Schedule an appointment with them by calling (301) 569-6301.
Planning your pregnancy before conception could greatly benefit you and your baby’s health.
Just as the name suggests, preconception counseling refers to an office visit with our Rockville, MD, OBGYNs to discuss any health problems or issues that could put you or your unborn baby at risk once you become pregnant. Preconception counseling takes the surprise out of potential concerns or issues so that you can have a healthier and well-planned pregnancy.
What is involved in a preconception counseling visit?
There are several components to this visit, including:
Your Medical History
We will need to go through your detailed medical history to determine if there are certain conditions that could impact your ability to get pregnant or could cause a high-risk pregnancy. Be as upfront as possible about any preexisting conditions, as well as any medications or supplements that you are taking.
Your family history is important for us to know because there could be certain hereditary health problems or disorders. For example, knowing that you have a family history of diabetes or hypertension is helpful, as this may require additional checkups to reduce your risk of developing high blood pressure or gestational diabetes during your pregnancy.
If you’ve been a patient with us then we will have all of your information regarding STD testing, birth control, infections, and Pap smear results. Of course, if you are coming from another OBGYN then we can have this information forwarded to us. You’ll want to keep up with Pap smears, annual exams, and STD testing to make sure that everything is healthy and that there are no problems that could affect your ability to conceive.
Lifestyle & Environment
Your lifestyle is a major factor for a healthy pregnancy. We will discuss everything from your stress levels and caffeine and alcohol consumption to your diet and exercise routine. Certain work environments can also impact your pregnancy, so be open to discussing your work life in order for us to come up with ways to help reduce possible issues.
Based on your preconception counseling visit, our Rockville, MD, gynecologist may also recommend,
- A physical exam
- Additional blood tests
- Taking prenatal vitamins
- Charting your cycle and using a fertility kit
As you and our OBGYN go through your history and current lifestyle, we may make certain suggestions or recommendations which could ensure that you have a healthy pregnancy and delivery. Certain recommendations may include losing weight, quitting smoking, or getting certain immunizations.
If you are an athlete or someone who follows a certain workout plan, we can also work with you to help determine which exercises are safe throughout the course of your pregnancy.
Contact Us Today!
If you are interested in scheduling a preconception counseling visit with one of our physicians, call Capital Women’s Care in Rockville, MD, today at (301) 569-6301.
Pregnancy can significantly alter your diet; foods you would normally avoid sound irresistible, while a mere mention of your favorite foods might turn your stomach. But since what you eat has a direct affect on your baby, the OB-GYN staff at Capital Women's Care in Rockville, Maryland, encourage all expectant mothers to maintain a healthy diet. Below, Dr. Eric Ashkin, Dr. Aliya Poshni, and Dr. Leslie Masiky explain what women should eat - and what they should avoid - during their pregnancies.
During your pregnancy, it may be tempting to "eat for two," as the saying goes. But your Rockville doctors advise against this method, as unnecessary weight gain and calories can have an impact on your baby's health as well as yours. Instead, maintain a healthful diet with lots of protein from sources like lean meats, nuts, and low-mercury fish. Combining iron with vitamin C helps absorption and compensates for the increased blood supply in your body. Folic acid is also extremely important, as it can help prevent the fetus from developing neurological problems. Prenatal supplements can help boost these vital nutrients.
For gestational diabetes
Some pregnant women develop a condition called gestational diabetes, a condition in which the body stops metabolizing glucose, or blood sugar, properly. This causes elevated levels of blood glucose which can be passed along to their unborn baby, potentially resulting in unnecessarily large birth weight, respiratory problems and other complications following birth. Women who are gestationally diabetic should work closely with their Rockville OB-GYN throughout their pregnancy to maintain a diet that allows the body to compensate for higher blood sugar levels; eating several small meals throughout the day that are high in fiber but low in carbohydrates, especially simple sugars, is highly recommended.
During pregnancy, some foods and drinks should be eaten only in moderation or avoided completely. You can still enjoy your morning coffee, for example, but your Rockville obstetrician recommends limiting your caffeine intake to 200 milligrams a day, which is equal to about two 6-ounce cups of coffee. Lunchmeat, unpasteurized cheese or undercooked seafood (such as raw sushi) puts you at risk for serious bacterial infections, which can be passed along to your unborn baby.
If you're pregnant or trying to conceive, we can give you more information about the best choices you can make for yourself and your unborn baby during pregnancy. Contact Capital Women's Care in Rockville, Maryland, to make an appointment with one of our caring, skilled providers: Dr. Eric Ashkin, Dr. Aliya Poshni, or Dr. Leslie Masiky.