U.S.

Pregnancy Tips: The Homestretch

By CBSNews.com staff CBSNews.com staff

September 7, 2000 / 1:52 PM EDT / CBS

You're pregnant and just weeks away from delivery and the moment you'll see your baby's face for the very first time.

It's a one-of-a-kind feeling, and there's nothing else quite like it.

For many moms-to-be, it's also a time filled with questions.

Interviewed by CBS News Early Show Co-Anchor Jane Clayson, CBS News Health and Medical Correspondent Dr. Emily Senay offers some valuable advice for moms in the final three months of pregnancy.

Many women in the homestretch of pregnancy's amazing physical transformations are filled with questions about whether everything's on track for a healthy delivery.

A big question is often worry over whether the amount of weight gained during pregnancy is the right amount.

"If you start out at a normal weight, between 25 and 35 pounds is okay," says Senay. "If you're underweight, maybe more. If you're overweight, maybe less."

Women who were overweight to begin with, however, are advised not to use pregnancy as a time to try to lose weight.

"It's important for a woman to increase her caloric intake during the final months," Senay explains. "It's never considered wise to lose weight during pregnancy. The fetus needs a constant supply of energy. It's best to consume enough food to gain weight at a slow and gradual pace."

Then there's the challenge many women find in trying to get comfortable and get some sleep.

"During the last weeks of pregnancy, sleep can be very sporadic," acknowledges Senay.

"It gets hard to find a comfortable position. Pillows can be very helpful. You can sleep on your side with a pillow propped under your knee and leg for support. It also improves circulation," says Senay.

Sometimes shortness of breath can disrupt sleep. In those cases, Senay recommends sleeping "on one side, with your head and shoulders propped up on a pillow. Or, try sleeping while sitting up in a recliner (chair)."

When is it time to stop exercising?

"Exercising can bring lots of benefits and you can exercise right to the end," says Senay. "Walking, water sports and stretching are great. There are even special classes for expectant mothers. Women should avoid activities that can hurt the fetus, such as Rollerblading or anything that requires balance, or involves (the potential for) mild abdominal trauma."

"The American College of Obstetricians and Gynecologists recommends no exercises after the fourth month in the 'lying down' position, to prevent the risk of reduction in blood pressure," adds Senay.

How about sex? Should that be part of pregnancy in the last trimester?

That depends on the individual and her medical condition.

"Unless there is premature rupture of membranes, premature labor, bleeding or spotting, or a history of miscarriage, sex during pregnancy is probably fine," says Senay. She adds that hormonal and physical chanes can affect a woman's desire to engage in sexual activity.

No matter what the issue is in late pregnancy, the important thing is to pay attention to your own body, your own situation and your own doctor's advice.

"If you have a history of premature labor or have a history of miscarriages," says Senay, "sexual activity may not be a good idea late in a pregnancy. Consult your doctor if you have any questions."

What are some of the signs to watch for, that should prompt you to call the doctor immediately?

Bleeding or spotting. Up to 10 percent of women have vaginal bleeding in late pregnancy. It can be a sign that the placenta is in an abnormal location. It could also be a symptom of a miscarriage.
Contractions, or, cramps accompanied by diarrhea, nausea and indigestion. These can be symptoms of premature labor.
Blood in urine or swelling, sudden or gradual. These can be symptoms of pre-eclampsia or toxemia.
Blurred vision. This can be a symptom of diabetes.
A feeling that the baby isn't kicking or moving around as much as before.