Dr. Ruth's Pregnancy Guide for Couples: Love, Sex, and Medical Facts

ISBN-13: 9780415919722 / Angielski / Miękka / 1999 / 256 str.

Ruth K. Westheimer; Amos Grunebaum

Opis

The world's best known sex therapist joins her brand of advice with the expertise of an obstetrician/gynecologist. Here they bring expectant couples a combination of medical information and advice on intimacy and sex throughout pregnancy and after. In this book Drs. Westheimer and Grunebaum offer suggestions on how to make conception fun and stress-free, and offer advice on maintaining a good emotional and sexual relationship throughout the pregnancy. They cover: issues such as pre-conception health tips for both parents; sexual positions for optimal comfort in each trimester; problem pregnancies; creating a birth plan; and choosing a hospital. This book aims to help new families adjust to the enormous changes a new baby can bring, and allow parents the chance to enjoy each other, as well as their children, for years to come.

Spis treści

CHAPTER 1 Get Ready, Get Set, Before You Get Pregnant -- INTRODUCTION -- Thinking Ahead about Parenthood -- Taking an Emotional Inventory -- Ask Dr. Ruth -- From Our Files -- Preparing Your Body -- Preconception Care -- From Our Files -- Preexisting Conditions -- Inherited Diseases -- Maternal Age -- Sexually Transmitted Diseases -- Other Infections -- Chronic Medical Conditions -- Rh Disease -- Medications to Avoid -- Prescription Medications -- Over-the-Counter Medications -- Substances to Avoid -- Alcohol -- Tobacco -- Tip -- Caffeine -- Tip -- Cocaine, Marijuana, and Other Illegal Drugs -- You're Ready, You're Set -- CHAPTER 2 Go! Making the Most Out of Making a Baby -- Tip -- Taking the Plunge-Putting Away Your -- Contraceptives -- Ask Dr. Ruth -- Having Second Th oughts? -- From Our Files -- Experiencing Sex in a Ne w Way -- D on't Worry, Be Happy -- Tip -- Ask Dr. Ruth -- When Timing ls Everything: Determining -- When You Ovulate -- Tip -- Your Menstrual Cycle -- Your Cervical Mucus -- Basal Body Temperature -- Ovulation Detection Kits -- It Takes Two -- From Our Files -- The Ejaculate -- Producing Quality Sperm -- The Youth Factor -- Quantity as Well as Quality -- The Final Step: Fertilizing the Egg -- From Our Files -- Getting Ready for the Big Day -- Tip -- The Best Positions for Conception -- Missionary Position -- From our Files -- Rear-Entry Position -- What to Avoid If You Want to Get Pregnant -- Lubricational Foreplay -- Oral Sex and Pregnancy -- Fellatio -- Cunnilingus -- Pregnancy -- Orgasms -- Determining the Baby's Sex -- A Short Lesson in Genetics -- Helping Nature Choose the Sex -- Female Orgasms -- Male and Female Sperm -- Positions and the Sex of the Baby -- Sperm Filtration -- What about Twins? -- Superfecundation and Superfetation -- Infertility and Treatment -- When It's Ttme to See an Expert -- Inducing Ovulation -- Removing Tubal Obstructions -- Advanced Techniques for Becoming Pregnant -- Obtaining the Ejaculate and Sperm -- The Next Step -- CHAPTER 3 Now That You're Pregnant -- From Our Files -- Taking the Pregnancy Test -- Planned Pregnancies -- Doing the Test on Your Own -- Tip -- Doing the Test Together -- Unplanned Pregnancies -- Ask Dr. Ruth -- Miscarriages -- The Announcement -- Sharing the News with Your Children -- Sharing the News at Work -- First Things First -- Choosing a Hospital -- Tip -- Birthing Rooms -- Anesthesia -- Neonatal Intensive Care Units -- Birthing Centers -- Childbirth at Home -- Choosing a Health Care Provider -- Tip -- Tip -- Your Medical Insurance -- Tip -- The Other Health Care Provider-You -- Weight Gain -- From Our Files -- A Healthy Diet -- Tip -- Exercise -- Tip -- Kegel Exercises -- Tip -- You're All Set -- CHAPTER 4 The First Trimester: The New You -- Strengthening the Bond -- From Our Files -- From Embryo to Fetus -- Beginning a Healthy Pregnancy -- Tip -- Exercise -- From Our Files -- What to Avoid -- Toxic Substances -- Hair Grooming Aids -- Emissions from Household and Office Equipment -- X-rays -- Your First Visit and Physical Exam -- Estimating Your Due Date -- The New Pregnant You -- Tip -- Making Love -- Talking to Your Health Care Provider -- about Sex -- Sex: What's Safe, What's Not -- Orgasms -- T he Clitoris -- Oral Sex -- Anal Sex -- Condoms -- From Our Files -- Vibrators -- Vigorous Sex, Vigorous Exercise -- Breasts -- Keeping a Positive Attitude -- CHAPTER 5 The Second Trimester: Feeling Like Yourself Again -- Keeping the Bond Strong -- From Our Files -- The Growth of Your Baby -- Maintaining a Healthy Pregnancy -- Welcome Changes -- Reduction in Nausea -- Increased Energy -- Increased Hair Growth -- Quickening -- Tip -- Continuing Adjustments -- Frequent Urination -- From Our Files -- Heartburn and Indigestion -- Constipation -- Backaches -- Tip -- Varicose Veins -- Leg and Foot Cramps -- Dizziness -- Itchiness -- Stretch Marks -- Headaches -- Your Physical Exams -- Routine Procedures -- Special Procedures -- Sonogram -- Maternal-Serum Alphafetoprotein (MSAFP) Test -- Glucose Screen -- Amniocentesis -- Ethical Considerations -- The Pregnant You -- The Clothes You Wear -- Tip -- Sharing the News with Your Children -- Making Love 1 -- Sex: What's Safe, What's Not -- Ask Dr. Ruth -- Dr. Ruth and Dr. Amos Position -- Changes During Sex -- Enjoy the Best Sex of Your Life -- Get Ready for the Third Trimester -- CHAPTER 6 The Third Trimester: Ready and Waiting -- Keeping the Bond Strong -- The Home Stretch -- From Our Files -- Making Ttme for Each Other -- Maintaining a Healthy Pregnancy -- Continuing Changes -- Swelling Hands, Ankles, and Feet -- Incontinence -- Tip -- Continuing Adjustments -- Shortness of Breath -- Sleep and Pregnancy -- Tip -- Hemorrhoids -- Breast Secretions -- Clumsiness -- Braxton-Hicks Contractions -- The Growth of Your Baby -- Your Physical Exams -- Routine Procedures -- Special Procedures -- Fetal Kick Count -- N onstress Test -- Contraction Stress Test -- Biophysical Profile -- The Pregnant You -- Ask Dr. Ruth -- Making Love -- Ask Dr. Ruth -- Tip -- It Won't Be the Same -- Finding the Best Positions -- Contractions from Orgasms -- The Effect of Semen -- Declining Interest -- Getting Ready for the Big Day -- The Birth Plan -- Childbirth Classes -- From Our Files -- The Father-to-Be -- The Big Event -- CHAPTER 7 Complications of Pregnancy -- Complications That May Preclude -- Sexual Intercourse -- From Our Files -- Keeping Your Relationship Strong -- Specific Conditions -- Placenta Previa -- Early Effacement and Dilation of the Cervix -- History of Premature Labor or Miscarriages -- Incompetent Cervix -- Multiple Fetuses -- Vaginal Bleeding in Pregnancy -- From Our Files -- Leaking Amniotic Fluid or Ruptured Membranes -- Sexually Transmitted Disease -- Alternatives to Intercourse -- Ask Dr. Ruth -- Additional Complications of Pregnancy -- Ectopic Pregnancy -- Ask Dr. Ruth -- Abruptio Placentae -- Preeclampsia and Eclampsia -- Diabetes -- Miscarriages, Fetal Death, and Stillbirth -- Miscarriages -- Signs of Miscarriage -- Stillbirth -- The Psychological Impact of Losing -- a Pregnancy -- Tip -- Keep Yourself Informed -- CHAPTER 8 Labor: The Time Has Come -- The Waiting Game -- Ask Dr. Ruth -- Your Due Date -- Tip -- What Are the Signs? -- Ripening of the Cervix -- Spotting and Increased Vaginal Discharge -- Increased Braxton-Hicks Contractions -- False Labor -- From Our Files -- Engagement -- Loss of Weight (or No Weight Gain) -- Loose Bowels -- Increase in Energy -- Making Final Plans -- Going into Labor -- The Stages of Labor -- When to Contact Your Health -- Care Provider -- Timing of Contractions -- Intensity of Contractions -- When Your Water Breaks -- Sex After Your Water Has Broken -- Going to the Hospital -- Tip -- CHAPTER 9 Delivery: The Big Day -- Know What to Expect -- Your Health Care Provider -- Labor /Birthing Rooms -- Monitoring the Expectant Mother -- Monitoring the Fetus -- Ask Dr. Ruth -- If It's Not Ttme Yet -- Your Partner's Role -- From Our Files -- Pain Relief During Labor and Delivery -- Pain Relief Without Medication -- Pain Relief with Medication -- Regional Anesthetics -- Epidurals -- Combined Spinal-Epidural Anesthesia -- Spinal Anesthesia -- General Anesthesia -- Narcotic Pain Relief -- Inducing or Stimulating Labor -- Stripping the Fetal Membranes -- Amniotomy -- Prostaglandins -- Oxytocin or Pitocin -- The Delivery -- From Our Files -- Positions for Pushing -- Birthing Beds -- Back Labor -- Crowning -- Episiotomy -- The Birth of Your Baby -- Premature Delivery -- Tip -- Postterm Delivery -- From Our Files -- When Nature Needs Help -- Forceps Delivery -- Vacuum Delivery -- Cesarean Delivery -- Your Baby Has Arrived -- CHAPTER 10 Life after Childbirth -- Recovery : A Ttme of Healing and Adjustment -- From Our Files -- Recovering at the Hospital -- Tip -- Recovering at Home -- When to Call Your Doctor -- At Home with the Baby -- Tip -- Sleeplessness -- Breastfeeding -- Tip -- Tip -- Breastfeeding and Weight Loss -- Tip -- If You Cannot Breastfeed -- Breastfeeding and Sex -- From Our Files -- Tip -- Breastfeeding and Contraception -- Postpartum Blues and Anxiety -- Postpartum Blues -- Postpartum Depression -- Anxiety -- Ask Dr. Ruth -- Keeping the Family Bonds Strong -- Dad Feels Neglected and -- Mom Overwhelmed -- Take Time Off -- Tip -- How Do Your Older Children Feel? -- Your Extended Family -- Enjoy! Enjoy! Enjoy! -- CHAPTER 11 Keeping the Romance Alive: Sex after Children -- Physiological Considerations -- Tip -- Psychological Considerations -- Ask Dr. Ruth -- Postpartum Blues and Sex -- Planning for Sex -- The Overnight Vacation -- Setting the Mood -- From Our Files -- Tip -- Using Babysitters -- Contents -- Family Planning -- Tip -- Barrier Methods -- Male Condoms -- Female Condoms -- Diaphragm and Cervical Caps -- Vaginal Spermicides -- Intrauterine Devices -- Hormonal Birth Control -- Birth Control Pills -- Emergency Contraception -- Hormonal Implants -- Injectable Contraceptives -- Natural Family Planning -- Permanent Birth Control -- Tubal Ligation -- Vasectomy -- Birth Control after Delivery -- Myths about Birth Control -- From Our Files -- You've Come Full Circle -- INDEX.

O autorze

Dr. Ruth Westheimer, world-renowned psychosexual therapist, is the author of fifteen books, including Grandparenthood (Routledge 1998). She lives in New York City. Amos Grunebaum, M.D. is Director of Maternal-Fetal Medicine at St. Luke's Roosevelt Hospital Center in New York and Assistant Professor at Columbia University College of Physicians and Surgeons.