Being ready to have a baby and facing infertility struggles can be a frustrating, challenging time in a couple’s relationships. Infertility is a challenge people face in different ways. No way is necessarily right or wrong. The important thing I tell my patients is to understand and respect your partner’s way — his or her needs, coping mechanisms and communication style — and work together to support each other.
Women are often pulled in multiple directions throughout their week — children, work, parents, home…our To Do lists seem never-ending. It’s no surprise that women often complain of fatigue. So what’s normal fatigue and when is it something that needs medical attention?
Here are some red flags that should prompt you to discuss your fatigue with your doctor:
- Fatigue is accompanied by feeling down and depressed
- You are not rested even after a good night’s sleep
- You are dizzy or lightheaded
- Your skin is exceptionally dry or you’re losing hair
In addition to the obvious physical changes as your belly grows during pregnancy, what other surprises may your body have in store for you? Pregnancy is an exciting time, but often one filled with many questions — is my baby healthy, can I do this/eat that, and what the heck is happening to my body?
During your first trimester, you’ll probably feel tired, perhaps more tired than you’ve ever felt before. Get as much rest as you can. About 70 percent of women will also experience nausea or vomiting during their first trimester. Eating a balanced diet of bland foods can help. A great over-the-counter combination that has proven effective and safe in controlling nausea and vomiting is taking Unisom (or a generic version) and vitamin B6 before you go to sleep at night.
Start right. Bring your babies to your breasts as soon as possible after they are born. If the babies are in the NICU or for some other reason unable to nurse immediately, start pumping and saving your breast milk. If your babies are born at under 34 weeks, they will need fortified milk. A mineral-rich supplement can be mixed with your breast milk and given with a bottle for two or three feedings each day, depending on what your doctor recommends.
Being a faculty member in the Division of the Maternal Fetal Medicine (MFM) at the University of Michigan means I have had the privilege of working with many amazing families and playing a part in this very important time in their lives. My colleagues and I have spent our careers caring for women with pregnancies that for any number of reasons qualify them as being high risk.
Several months ago, we had the extraordinary honor of meeting Mr. and Mrs. Robert and Jessica Hicks and their family. Mrs. Hicks had learned she was pregnant with higher order multiples and was referred to our institution for the special level of care we provide for high risk pregnancies. Upon our initial consultation, we learned that Mrs. Hicks was not just pregnant with four babies, as they had previously been counseled, but rather five babies – quintuplets! Numerous ultrasounds, consultations, appointments, and eventually an inpatient hospitalization for Mrs. Hicks allowed our team to optimize the care that both she and her babies needed.
You’ve made the healthiest choice for your baby and are breastfeeding, but maternity leave is almost over and it’s time to get ready to go back to work. With a little planning and support, you can continue to breastfeed your baby. The earlier you can start planning the better, but it’s never too late to set up a good plan.
During Your Pregnancy
Talk with your manager/supervisor about your goal to continue breastfeeding when you return to work. The Affordable Care Act mandates that all employers with more than 50 employees provide mothers with babies younger than 12 months a reasonable break time and private place (other than a bathroom) to pump.
Do your homework on breast pumps. Some insurance companies cover the cost of purchasing a quality electric pump. If yours does not, investigate renting a pump. Quality, electric pumps are best. Less expensive, battery-operated pumps are not as effective and have been shown to diminish a mother’s milk supply.