How do I know so much about cervical checks? — many people know me as The Pregnancy Nurse . I have been a nurse since 1997 and I have 20 years of OB nursing experience, I am also the curly head behind this website Pulling Curls and The Online Prenatal Class for Couples. ​ I’ve performed thousands of vaginal exams (and stopped many doctors as well). A lot of women have this issue, and I’m excited to share some great info with you today!

Vaginal checks may be part of your third trimester testing — so grab my free lesson about that right here:

Looking for advice on just how to make them less painful? Click here and jump to just that part (skip the part on why they hurt).

Do Cervical Checks Hurt?

Most people find them uncomfortable, but some people find them downright painful. The way our bodies are made down there (and every person is different, I can testify to that) really changes how we feel them.

Combine that with history of sexual assault or other issues and it can be really bad.

If you haven’t had an exam yet (I have a post here on when they start) you should just plan that you’ll do fine with it (and some of the coping skills in here might help as well). If you go in expecting it to be miserable it likely will be — so go in with a neutral mindset and I think you’ll be glad you did.

But why are they painful?

Can You Refuse a Cervical Exam?

Pro Tip: At ANY point in time you can refuse a vaginal exam (and we’re going to talk about that in this post). However, at some point, you will likely need one. You can certainly lessen the number of them and make sure they are only doing them when necessary.

FYI, you can really refuse pretty much anything at the hospital, but there are consequences.

I have a whole video about them:

I also have a post on my sister site about when cervical exams start.

When you are wondering if you NEED a cervix ask you & your provider these questions:

• Will this change my plan of care (for example if they think you’re in preterm labor and need to stop if it if you are, or if you’re planning on an induction they need to know how to start it)
• Am I curious to know the results? (I’ll never shame you for wanting to know what’s going on with your body)

If it won’t change your plan of care, and you don’t really care as to what the results are you may consider refusing.

We talk about pro tip questions like this a lot in here so you can get in the driver’s seat of your birth!

Why do providers do vaginal exams During Pregnancy?

There are several reasons why providers do internal checks

Pap Smear/STD Testing — It is standard of care to do an internal exam at your first appointment, as well as doing a pap test (checking for cervical cancer) and STD testing. This is done as a speculum exam. Your medical provider will also likely check for any issues with your uterus, ovaries and fallopian tubes with their hands (called a bimanual exam).

Most often they do this smear test to check for cervical irregularities at your first appointment.

As STD’s can affect your baby as you progress in your pregnancy, this is important to be done (and treated if they find one). However, those are just the Q-tips and you can ask you provider to just check for those. Many providers do these as a urine screen as well.

Assess for Preterm Labor — With my last baby, I had an internal exam from 28 weeks on. They said they were checking for any signs of preterm labor. I have heard that in Europe this is the standard of care as your provider will be able to tell if your cervix is shortening (aka, preterm labor).

There is a condition where your cervix just can’t keep closed called cervical insufficiency where they can place a cerclage that basically sews it shut until closer to your due date.

In retrospect, I have ZERO history of preterm labor (nor did my mom) and I wish I would have said no. But, even labor nurses get caught up in the white coat…

Assess for Labor Progress — As you get closer to your due date (often around your 36-38 week appointment) your health care provider might assess how open your cervix is (called cervical dilation). However, these are pretty fruitless. Just because your cervix is closed today, doesn’t mean you won’t go into labor tomorrow.

If you aren’t interested to know what it is, these are easy to refuse at the end of your pregnancy.

If you are in labor for a long time they will likely need to do one to check for labor progress and decide if a cesarean section is necessary. While they do it, they’re also checking baby’s head and baby’s position to possibly rotate you to aid in baby moving down the birth canal.

Beta Strep Testing — Beta Strep is a bacteria that they have found can be harmful if the baby is born through it in the birth canal. So, they test for it around 36 weeks. It is just a Q-tip that is inserted into the opening of your vagina and rectum. It should not be painful and is very quick (some doctors let patients do this themselves).

Stripping Membranes — (also called a membrane sweep) this is a procedure that can be done to bring on labor (although the studies are pretty low for it). This is considered the most painful exam as they use their finger to separate the cervix from the bag of waters and many people find it quite painful (myself included). Read more about stripping membranes << in that article.

Absolutely ALL of these exams should include an informed consent. Providers are bad about saying “now I’m going to check your cervix” but it 100% in your right (and it should be done) to ask why they’re doing and what they’ll do when they are in there.

Assess for Your Stage of Labor — When you present to your provider thinking you are in labor they will need to do an exam to see how far along you are.

For instance, we have women in a LOT of pain who are only one centimeter — and would be much better to go home rather than to stay in the hospital. So, as nurses, we do need to assess where you are at when you first present to the hospital.

Or women who are in preterm labor might need an exam to see what their cervix is doing — if it’s opening they might need bed rest.

Some providers do routine pelvic exams your last week of pregnancy, but you can 100% refuse them (but some pregnant women really like knowing what their cervix is — and both choices are OK).

Assess for Vaginal Bleeding — If you present bleeding, they may want to do an exam to learn more about what is causing it (“bloody show” is not unusual when you are in labor). I have a whole post on bleeding at 20 weeks.

I will say a lot of women find the unknown the most scary — and that can even add to your pain! The Online Prenatal Class for Couples is the easy way to get prepared (just 3 hours my friends)!

Some people find they are in pain even after a vaginal exam << and I explain why in that post.

How do medical professionals perform a vaginal exam?

They can either use their gloved hands (usually two fingers) or they can use a speculum (that’s the duckbill shaped implement they put inside).

The speculum is most often used when they need to visualize your cervix (most often needed for STD exams and a pap smear, although we sometimes use them in pregnancy as well for other reasons — including telling if your water is broken).

During pregnancy, we use a sterile glove in the hospital to be extra cautious about extra bacteria in the vaginal canal.

Most often the doctor uses a small amount of a lubricant (like KY jelly) to make it easier on your tissues. Some tests can’t have a lubricant, they can sometimes use water though.

** Some delivery centers do them every hour (or in some time of regular stages) to make sure a patient is progressing. This isn’t the recommended standard of care (and also not how I routinely practice). If you find that your nurse is doing frequent exams just because it’s policy — that is a time to opt-out of that policy (which is fine).

Pro Tip: A lot of people think you can do your own cervical exam in labor. Reaching your own cervix can be hard when you don’t have a baby, and it’s even harder if you don’t know what you’re looking for. I never tried it as I didn’t want to pull a muscle reaching back there.

BTW if you’re wondering about exams, be SURE you’re doing your kick counts — grab my cheat sheet here:

When not to have a Cervical Exam

There are times that your healthcare providers will NOT do a cervical exam. Most often it is due to a risk of infection once your water is broken. Once your water breaks the bottom line is that your uterus is open to any bacteria in your vagina which can be problematic.

If you bag of waters (or amniotic sac) is intact, there isn’t to much of a medical risk reason to not do an exam.

I actually have a whole post on cervical exams at 36 weeks that explains more about this.

What do they learn from a Pregnancy Internal Exam?

I have a whole post on what the numbers from a vaginal exam in labor mean.

Mostly they are learning the position of the baby (is it head down?), how far your cervix is opened or if it is shortened (called cervical effacement)

Also the position of the baby in relation to your pelvis (or how low the baby is).

I think of your cervix is a thick tight-necked sweater that must stretch over your head.

I will say that vaginal exams have gotten a bad rap on social media in the past. A well-performed exam by an expert provider can actually tell us a lot about your labor progress and any interventions you may need during labor. It’s not just a few numbers, it’s a total picture of your pelvic vault/birth canal for your provider.

We combine all this information into something call the Bishop score that is an easy well to tell each other how ripe your cervix is.

Informed Consent for Vaginal Exams

Your provider will have a reason to perform a vaginal exam, and you should feel free to ask as many questions as you’d like before they do it.

You should also feel comfortable that the exam is necessary (I find that helps me feel better about any discomfort I feel during the exam).

Doctors SHOULD Be asking permission before they do something with your body. The end. It’s up to us to set this expectation with them.

Procedural Tip: Most often your provider will have a “chaperone” who comes in the room when they perform a vaginal exam. Often, if your spouse/partner is in the room, they can forego this (that just protects the doctor if you were to say that something inappropriate happened during the exam).

Related: If you’re thinking about exams, be sure to get that hospital bag packed too:

Why are vaginal exams painful?

I see several places online that say a vaginal exam should not be painful.

And guys — after 20 years in labor rooms (as well as having my own 3 children), I have to say that for most women this just isn’t true (especially with your first baby).

They can be very uncomfortable. They are intrusive, some women find them humiliating (but they shouldn’t). AND, for a lot of women they bring up powerfully bad memories.

I would think this is fairly self-explanatory. Your vagina is a fairly small opening, and while you do use it during intercourse, that has a lot of different feelings and emotions involved vs a check-up.

A lot of people have pain during their first few times with sex, so it isn’t unusual or different for you to have issues with the vaginal exam as well.

You may feel that the doctor is being unfairly rough but most providers are doing it with the utmost respect, but they do have a “job” to do. Sometimes in order to do that “job” it is uncomfortable for you. We do know that prolonging it excessively only makes it worse most often.

Frankly, slowing down the process doesn’t really make it less painful — it just makes it last longer. That’s something to keep in mind.

However, you can 100% stop them at any time if you feel too much pain. Always keep that in mind! It’s just a fine line between being an adult to get the information that you need vs managing your pain with it.

Vaginal infections (including yeast or bacteria) can make exams painful as well. You can always ask your provider if they think you have one of those if you find them intolerable — that could be an issue!

Vaginal Exam Anatomy Lesson:

As a note, women have three “holes” in their bottom/perineum area. There is:

• Urethra: The hole you pee out of.
• Vagina: The hole the baby will come out of.
• Rectum: The hole poop comes out of.

It is not unusual for women to not understand/know those 3 holes before — so I just wanted to clear it up. And yes, I talk about it in here in much more depth.

And I also have a whole post on avoiding pooping at delivery that talks a bit more about how these 3 holes interact at the end.

Something else to keep in mind is that first time moms tend to find the exams more painful than women who have had a baby. So, that’s good news for next time!

I love writing stuff like that down to remember next time. Which is why I made this pregnancy planner for you!

A quick soapbox moment: You don’t see men saying that their prostate exam wasn’t painful? No! They all dread and hate them, so when women say they hate exams we can support them by saying that they can be pretty miserable. No reason to chime in and say you love them!

Reminder: You CAN refuse

At ANY point in time, you can refuse a vaginal exam.

And, I am sad to say that many doctors don’t make this apparent. They just pull back the sheet and say they are going to check you (which is not informed consent).

I have a WHOLE (wonderful) podcast on how to say no in labor — but here are a few times it’s smart to say no to a vaginal exam:

• If you don’t see a reason for it — informed consent should make it clear why they are recommending it.
• You are waiting for your partner to come back to provide support.
• You would prefer they wait an hour.
• They are too painful and you simply don’t want to.

I also have a whole podcast just on refusing vaginal exams.

Keep in mind this can have consequences — and that there are times when you are in labor that you will likely need it done.

However, there are times that I see it done when it isn’t necessary, so I would encourage you to make informed choices with your team. Be sure to weigh the information you could get against the discomfort you might feel.

How to Make Vaginal Exams Less Painful

There are a few things you can do (and we’ll talk more about them below the list):

1. Learn some breathing techniques to help you relax
2. Push your bottom into the table rather than lifting up
3. Wiggle your toes (read on to find out more about that one)

If you love little tips like wiggling your toes to make it easier, there are tons more tips for labor, birth and postpartum in here.

Relax to make vaginal exams less painful

Sure, it seems totally impossible, but the more you tense-up the more painful it will be during your vaginal exam. It just makes the “hole” smaller and that is harder on you.

Try to breathe and try to think about all the positive things about being pregnant including that cute baby (and yes, I go over that type of breathing in one of the bonus videos in this class).

Press down to make vaginal exams less painful

A lot of women lift their hips UP during a vaginal exam (one doctor I followed during nursing school called it the chandelier reflex). This makes it harder and more painful for you.

If you push your hips down, it helps you to relax.

Raise hips to make vaginal exams easier

Sometimes, if you have a tilted cervix (and most people do in early labor) we will ask you to put your hips on your fists (or we will put a bedpan under you) This different position raises your pelvis. BUT you are still able to relax as you are putting weight on your fists, vs tightening your thighs/butt to raise your hips up.

Wiggle your Toes

I had a lot of people comment they wiggle their toes during the exam (I think it makes it easier to relax your pelvic floor).

Find a midwife

I do not recommend lay midwives, I do recommend a CNM (Certified Nurse Midwife)– one that can deliver in the hospital and has a load of training.

However, midwives are often more gentle and explanatory with exams. If you find that your doctor is too rough, consider finding a midwife to work with.

Discuss feelings/issues with your provider to make vaginal exams easier

Women who had forms of sexual abuse often find vaginal exams very painful. Besides the physical pain, it can also bring up emotional pain that they maybe haven’t processed.

Discussing these issues with your provider can be helpful for both of you. Sometimes, by them being specific about what they are doing and why they need to do it, it might help your brain be more at ease with the process.

**Moms of previous stillborns or even miscarriages often have feelings “swept” up during vaginal exams and that can be really hard too.

In all of those cases, we can’t help you unless you let us know — so be sure to talk to us!

Get some support to make vaginal exams less painful

By bringing in your partner, your mom or a good friend, they can help distract you some during a painful time. Some women find a doula very helpful in this case.

I have a podcast episode on what a good doula can do for you:

Some women just feel very awkward with a physician in this experience. I can assure you that it is not awkward for the provider and that it is just their “job” to do that day. Sometimes support can help you in that awkward time.

As you get towards the end of pregnancy, talk with other friends to see if they found it painful. Maybe you’ll realize you’re not alone.

And remember to go in with an open might. Will no one loves exams, many people find them to be very tolerable, and something to get over with (including myself).

What to do if vaginal exams are too painful?

While you can limit the number of vaginal exams (you are free to refuse them at any time) it is important that they occur:

• In the beginning to do a pap smear and std testing.
• In labor, to see how you are progressing (but this is limited, no need to check every hour or so).

Other times, you can talk to your doctor to find out if the procedure is very necessary. Refuse it, if you feel you can live with the consequences of not doing it.

BUT….

You need to remember that your baby’s head is much larger than the speculum or your providers’ fingers.

You are going to need to work on your personal coping skills to get through it.

Even if you plan to get an epidural, you will need to learn how to cope with pain before an epidural.

You will also need a vaginal exam after delivery to make sure that things are healing well. Along with your recommended pap smear.

I can’t recommend taking a prenatal class any more. This one will give you the tools to:

• Decide if you NEED an exam
• How to cope with pain (with it’s natural pain mangement bonus video)
• Know what to expect so things just aren’t as scary!

The good news about vaginal exams

The further along you get in labor, and life — vaginal exams hurt less.

• As your baby progresses down the vaginal canal, it makes it easier for us to reach your cervix, and makes it less painful — your cervix moves forward as labor progresses (remember as they progress into the canal you dilate more too)
• Your baby will stretch those tissues and with subsequent babies it hurts less.
• You learn to cope with the pain better — and contraction pain gets more intense (so the exam feels less painful)

So, that’s good news. It is rare that a second-time mom finds them as painful as they did the first time they had a baby.

Ok, time to get that prenatal class in. There’s SO much about pregnancy and labor that I can help you with if you just take the time to take the class. The meat of it takes just 3 hours, so you can do it! Come join me!

Not sure we’re a good fit check out my free class — It’s your first step towards being your own birth boss.

The post Painful Cervical Checks During Pregnancy: What to do if you’re scared. appeared first on Pulling Curls.

But, how do I know so much about protein in urine?

Hello! I’m Hilary — many people know me as The Pregnancy Nurse . I have been a nurse since 1997 and I have 20 years of labor and delivery nursing experience, I am also the curly head behind this website Pulling Curls and The Online Prenatal Class for Couples. ​ I have done a TON of urine tests on pregnant women in my time, so I’m a good resource on this one!

Why would you have protein in your urine while pregnant?

When you’re pregnant, your body has a much larger blood volume than normal. Your kidneys have to sort of “open up” a bit to let all that blood volume through.  A little isn’t a problem, but too much protein slipping through your kidneys may be a sign of preeclampsia.

Want to know more about your kidneys in pregnancy, this is a good concise paragraph.

If you have questions about your pregnancy and your care during it — your first step is this. It’s really going to help simplify pregnancy to make it easy to understand and participate in your care.

Trace protein in your urine during pregnancy

This isn’t unusual and isn’t a symptom of any problems.

Protein in your urine before 20 weeks or so (or, when you’re NOT pregnant) is usually indicative of a urinary tract infection (UTI) or some other issue, not preeclampsia. That is a pretty minor infection and not as problematic.

As you head into your third trimester (around 27 weeks) it begins to be more problematic.

How do they test for protein in your urine during pregnancy?

It can be done a few ways:

• Regular urine checks at your prenatal appointments (they check for a few other things as well — that’s why you have to pee in a cup at each appointment) — this is done quickly at the doctor’s office as a routine test.
• Another urine test that has to be sent to the lab called a protein creatinine clearance/ratio
• They can also send you home to collect your urine for 24 hours for a 24-hour protein test (you also have to keep it cold, so this is a pain).  BTW, if you’re wondering about testing that happens in your 3rd trimester, this free course explains a lot.
• Women often will say their urine looks “frothy” if they are losing protein, so something else to keep an eye on.

Around your 20th week of pregnancy, your healthcare provider will start to be more alert to your blood pressure, and any protein in your urine.

While the 24-hour urine protein test has been the “gold standard” for a number of years, they seem to be finding that the protein creatinine ratio test is just about as good and MUCH more convenient (and fast) vs a 24-hour urine.

With the 24-hour urine collection you most often have to stay at home most of the day as you have to collect all your urine and keep it cold (usually either in your fridge or on ice at home).  That makes it hard to leave much longer than an hour, and most women prefer not going into work when they’re collecting their urine all day long.

**In the Call the Midwife book, they put women’s urine on the heater to see if the protein would congeal — a pretty cool old school method, like cooking eggs!

What does it mean if I have protein in levels in my urine?

I want to be clear that it’s not the actual PROTEIN that’s a problem.  It’s what’s happening in your kidneys as a result of possible preeclampsia that’s the problem. If we let it continue long term you could get serious kidney damage or chronic kidney disease. They can check your kidney function by running a BUN or a serum creatinine (those are blood tests).

Preeclampsia (or hellp syndrome) makes your blood vessels leak even more than usual.  That’s why you would get swelling (again, SOME swelling isn’t unusual — it’s an excessive amount) and also your kidneys leak fluid and don’t filter your urine as well as it did before you became pregnant/had preeclampsia. About 15% of women in the united states get PIH or preeclampisa (also called HELLP syndrome). But, most pregnant women do NOT have this issue — and have a totally normal pregnancy.

Signs of Preeclampsia include:

• Headaches
• Swelling (although most often it’s nothing — sudden facial swelling is a bigger “sign”)
• Vision issues (where things go fuzzy)
• Right sided pain pain below your braline.

I know it’s annoying to be weighed in during pregnancy, but sudden weight gain can be a sign of preeclampisa due to the swelling in your body, so those weigh-ins are important.

What does HELLP Syndrome stand for?

• Hemolysis
• Elevated Liver enzymes — showing changes in liver function
• Low Platelet count

They will take other lab tests to check for these things, usually called a PIH Panel. These can be ordered from your regular antenatal appointments, or sometimes they send you to the hospital for monitoring.

How to reduce protein in urine during pregnancy?

There really isn’t a way to get rid of protein in your urine durig pregnancy, as it is caused by something entirely not your fault.  Preeclampsia starts the minute your fetus implants in the womb, and while you don’t see symptoms until later in your pregnancy, it is due to something that science isn’t quite sure of yet (that post I linked to has a TON of information on preeclampsia, I highly recommend it).

AND, just because you have preeclampsia during this pregnancy, doesn’t mean you’ll have it next pregnancy. The best thing you can do is try to live as healthy a lifestyle as you can (but to be aware that sometimes that doesn’t help much either).

Higher risk factors or for preeclampsia include:

• Obesity
• Multiple gestations (twins or more)
• Being over 35 at the time of conception (advanced maternal age)
• Previous issues with high blood pressure (hypertension)
• Previous kidney disease
• Gestational or other types of diabetes

You’ll notice it doesn’t really matter if it’s your third or your first pregnancy (beyond the fact that you get older the more babies you have). Protein in your urine can show up at any time.

So, by losing weight, lowering your risk of diabetes, and watching other health conditions — you can help prevent it — but not all women with preeclampsia have any of those high risk factors — we just know that they’re more likely to have it with those.

+1 Protein in Urine During Pregnancy

This is when your healthcare provider may start to get concerned — that is too much protein in you urine.  They may double check your blood pressure, or refer you for more labs.  They may also watch you until your next appointment if you don’t have other signs and symptoms of preeclampsia.

This is NOT a definitive test for preeclampsia, there are other factors they consider.

On the scale of the amount of protein it goes:

• Trace (being just a tiny bit — and each # increases)
• +1
• +2
• +3
• +4 (this one would cause your doctor to be very concerned and you would likely head to the hospital for more testing — it shows high levels of protein)

These numbers are associated with a quick urine dipstick — the other tests (the ratio and the 24-hour urine have different numbers)

Keep in mind there are a lot of other reasons they test your urine, including gestational diabetes (but that’s a different test on the urine dipstick). They also test for white blood cells — which could show a kidney infection. Or red blood cells which could show kidney stones or an infection.

What is a high level of protein in your urine?

4+ protein in the urine is as high as a urine dipstick testing goes — they see that in a lot of severe cases of preeclampsia.  They have more definitive numbers in the 24-hour urine or the ratio test I mentioned above, and as a pregnant woman, you may end up taking that as well.

Treatment for protein in the urine/Preeclampsia Treatments

Hopefully, I’ve made it clear that it’s not the PROTEIN we’re treating, but preeclampsia. You can learn more about preeclampsia here.

Preeclampsia is a serious condition, so it’s an a big reason reason why prenatal checks are so important.

Keep in mind that high blood pressure ALONE would be just be more of a chronic hypertension (it also could just be around during pregnancy — which is called gestational hypertension) — so that would be treated DIFFERENT than preeclampsia. The protein creatinine ratio is really important in determining that.

If you are diagnosed with preeclampsia you may be induced early and have an early delivery — but all of that will be decided under a team of healthcare professionals, who most often consult a perinatologist (a high risk pregnancy doctor).

FAQ’s about Protein in Urine

Does protein in urine always mean preeclampsia?

Not always, but it is probably the most-often test used for diagnosis.

Is Protien in urine dangerous?

Nope, it’s what is CAUSING the protein in the urine that is dangerous (preeclampsia).

What is the first sign of preeclampsia?

Since doctors check your urine at checkups.  Often trace protein in the urine is the first sign.  But, severe headaches are often the first sign as well.

Keep in mind, it’s not unusual to have headaches during pregnancy — but a preeclampsia headache sticks around, even with Tylenol or water.

Tests need to be done with accurate results to give you a diagnosis of preeclampsia.

How does preeclampsia affect baby?

It can restrict blood flow to the baby (even if you have higher blood pressure, less is getting through the placenta) but mostly the problem is due to MOM’S health so that she doesn’t seize, etc.

Ultimately, if there is so much pulsating blood flow (shown by the high blood pressure) you could be at risk for a placental abruption where the placenta starts to peel from the uterine wall — a serious complication. Also, because your heart is working so hard with all of this it can cause heart disease, or pulmonary edema.

If you have more questions about preeclampsia, don’t miss my whole other post about preeclampsia that will give more info on the treatments and more symptoms to keep an eye out for.

But, it’s important to understand the whole thing — bump to bassinet, so come join me in The Online Prenatal Class for Couples where we simplify things and easily get you prepared!

Or, if you’re not quite ready for the full class, check out my free prenatal class — It’s your first step towards being your own birth boss.

The post Protein in Urine During Pregnancy appeared first on Pulling Curls.

When to Call Labor and Delivery

Being pregnant is such an exciting time. However, there are times that an emergency situation can arise and pregnant women need to know when to call their providers or head into labor and delivery.

How do I know all of this?

Hi, I’m Hilary — many people know me as The Pregnancy Nurse . I have been a nurse since 1997 and I have 20 years of OB nursing experience, I am also the curly head behind this website Pulling Curls and The Online Prenatal Class for Couples. ​ I have also triaged thousands of pregnant families with concerns that bring them into labor and delivery.

Fun fact: Almost everyone who is pregnant (and past a certain # of weeks) comes to labor and delivery first. From there, we help decide what’s wrong and if you need further help from other areas in the hospital, or if you are safe to go home.

So, in a sense labor nurses not only deliver babies, but we also basically run an ER for pregnant women.

And if you’re wondering how ALL of this works (like getting seen by a nurse and then admitted)… do yourself a favor and join me in here. In just a few minutes I can get you prepared on what to watch for, and what you can do in early labor to keep things going (plus, when to know when you should call or go into the hospital).

Reminder:  Please don’t take the advice on this website over the advice of your physician or a professional — Patient safety is our #1!

Also because everyone is an individual — please ask your doctor these questions for your specific circumstances.

Can you call labor and delivery for questions?

The per-policy answer:  no.

You have to remember that labor and delivery nurses are concerned with one thing (besides your health and safety) — liability.

We aren’t really supposed to answer questions on the phone. We also don’t know anything about you or your health history when you call, so in general it’s not safe for us to give advice.

Hence, we mostly tell you to call your doctor, or to come in if you are concerned.

OB doctors should have someone on for them 24/7.  It might not be YOUR doctor who replies to your call, but it should be someone.

This is something you should ask your OB at your first visit.  Ask them if there is a number you can use to get ahold of them 24/7.

Normally, you’d call the number and the answering service will give your number to the on call OB, who will return your call.  Now, keep in mind that in the evenings and nights that return call may take a while to get back to you.

That doctor may be in surgery or delivering babies consecutively, so don’t freak out if you don’t get a call right back.

ALSO, use that line very sparingly.  That isn’t the place to call if you need a refill or have a question that can easily wait til’ the next appointment with your OB.

Your provider or your health care team may have different ways to get in touch with them when it is urgent, so be sure to find out what they recommend.

Do you need to call labor and delivery before going in?

Absolutely not. We take everyone that is pregnant. If you feel like what you have going on is an emergency that can’t wait for a phone call with your provider please head on in. We are required to call your provider when you get there anyway (and they are required to call us back faster).

But you totally can. I prefer the heads-up as the triage nurse, it’s just a good idea to give them a heads up if you can’t (but clearly not required). You can also give this job to a family member, we don’t need much more info than the fact you’re coming in.

I have a whole post on when to go into labor and delivery that you might find helpful too!

Reasons to go to labor and delivery

Make sure to have your support person read through these as well (which is why I recommend a couples prenatal class, so one of you can remember them when you’re feeling crazy).

As your due date approaches, a LOT of things are going to seem concerning, so be sure to stay in touch with your provider (and, of course, this list is NOT exhaustive).

If your baby isn’t moving

Make sure you’re doing kick counts — and if you aren’t making the 10 movements in 2 hours (or if it’s off a LOT from what it is normally) call your doctor, and if they’re not back to in a few minutes, I’d call L&D — or go in.

We take decreased fetal movement very seriously, and we want you to as well.

Severe Vomiting

If you really can’t keep anything down for a full day I’d call your doctor.  This is different than morning sickness.

However, even with morning sickness, you should ask your doctor at what point you should be concerned, based on what he/she has you on.

Regular vomiting/stomach flu/food poisoning can still be helped with the info in this post.

A headache that won’t go away

This can be an indicator of preeclampsia.  It can also be dehydration or the hot dog you ate, so before you freak out:

• Take a Tylenol
• Drink 3 GIANT glasses of water
• Eat something
• Try to take a nap

If none of those work, I’d call your doctor (and if a headache is REALLY bad, I’d just go to L&D).

BTW, I have a whole post about if it’s OK to drink Gatorade during pregnancy.

Contractions

You don’t want to call your doctor for any little contraction.

But, if you’re less than 36 weeks of pregnancy, MD’s like to see less than 6 contractions in an hour.  Most often you need that many contractions to really push the baby into the birth canal. If you’re having more than that, I’d call your MD.

If you’re feeling contractions — make sure you:

• Drink two GIANT glasses of water (often, they are caused by dehydration)
• Eat something with a good balance of protein and carbs
• Take it easy — don’t over-do it!

If you’re still feeling them, call your doctor! Also, be sure to ask your provider what they recommend for YOU in this area. Every person/body/baby/hospital is different, and it may different if it’s your first baby or a subsequent pregnancy.

Painful contractions are definitely a reason to go in though (and probably our most-often heard complaint).

Remember, this is a very SURFACE review of what to call L&D or your provider for. I have seen pregnant couples SO much happier when they get a prenatal class so they really understand all these things. This one can be done in just three hours (so, even if you’re due soon — there’s TIME!!!!!).

Facial swelling

If you suddenly wake up and your face is REALLY swollen.  I’d call your doctor.  This can be another sign of preeclampsia.

I probably wouldn’t go racing into L&D for this, but it’s worth a call and likely a follow-up appointment with your doctor.

** Gradual facial swelling is normal — I’m talking you wake-up and your face is suddenly very swollen.

If you think your water broke.

I have a whole post on a few ways to tell if your water broke.  When in doubt, we have a test to see if it really is amniotic fluid.

Depending where on your amniotic sac your water breaks you can have a GUSH or just a trickle of fluid, so it can definitely be confusing.

If anything falls into your vaginal (like an umbilical cord) after your water breaks, get your bottom in the air (get on all 4’s and put your head on the floor) and call 911.

Problems with your pee

These include:

• You can’t pee
• You feel like you need to pee all the time
• Lower abdominal cramping
• Flank pain

This can be an indicator of a bladder infection.  Often you can just drop off a urine sample, and they can see if there are issues.

If you have a fever over 100.4

Having a high fever when you’re pregnant can be extra problematic, so give them a ring — see what they recommend! Illnesses like the flu or Covid can be extra problematic during pregnancy.

Bright red bleeding

Some vaginal bleeding can be normal — especially after:

• an internal exam (done by your doctor)
• sex

But, if you’re getting bright red bleeding that is much larger than the size of a quarter, I’d call your doctor.  If you’re soaking a pad — just go right into L&D.

Some bloody show (some bleeding as you’re in labor) isn’t unusual if you’re in labor, but if it’s a lot be sure to call. I have a whole post on spotting at 38 week’ish.

Pro tip:  Brown bleeding isn’t as worrisome, and may be part of losing your mucus plug. Changes in discharge aren’t unusual during pregnancy either.

Crazy Itchy

Now, mosquito bites are one thing, but itchy palms and feet can often be an indicator of an issue with your bile ducts, which can be problematic.  Call your MD.  If you just feel REALLY itchy and benedryl isn’t doing anything, call your MD.

In general this can be handled by your health care provider vs coming into labor and delivery (they just need to order some lab tests).

You have alarms going off in your head

Now, this is one that’s kind of hard to write about — but if you really feel like SOMETHING IS WRONG, call your doctor or head to L&D.

Now, on your way in — you need to be able to articulate what it is that is causing this.  Is it pain, lack of movement, anything like that?

Pregnancy can be full of anxiety, so I really wouldn’t recommend coming to L&D for any little thing, but sometimes mamma hearts just know.  And we want you to have a safe baby.

In this type of situation we will quickly monitor baby’s heart rate and make sure everything is OK there, and then move on to any other issues.

Whatever else your doctor says to watch for.

Pregnancy is full of complications, and everyone’s situation is very different.  Your doctor may have specific things that YOU need to watch for — so watch for those, and take action if need be.

** I think this is a good point to mention that pregnancy is not the same for everyone, so even if you have a friend who was told to come in at ANY sign of bleeding, doesn’t mean that your health care provider feels the same about you. Just FYI.

When to call labor and delivery if you’re high risk.

If you have something going on during your pregnancy — you need to have some clear guidelines as to when you should call him/her or when you should go into labor and delivery.

Medical conditions like this can be:

• Diabetes
• Placenta Previa
• Breech Baby
• High blood pressure
• And the list goes on….

So, make SURE to talk to your doctor about all of these things!

If you’re planning on delivering in the operating room rather than a vaginal delivery you may have other things to watch for, so be sure to stay in close contact with your healthcare provider.

When to go to the hospital in labor

I wish there were hard and fast rules on this, but I would 100% make sure you ask your doctor about this once you hit about 23 weeks or so.  It will be based on:

• How far you are from the hospital
• What number baby it is for you (first babies are often slower)
• If you’re preparing for a cesarean delivery or a vaginal birth
• Your past history (like if you’ve had previous cesarean deliveries)
• Your current obstetrical history, and if there is anything you need to be watching out for.
• Doctor preference

They should give you an idea of how long and how fast regular contractions are happening before you come in.

Most often you want to show up after you’re in active labor. Early labor is best managed at home where you can have the comforts of home, move more and enjoy your own things, but definitely talk with your provider.

Many women show up when they aren’t tolerating labor at home, and would like some pain medication. Keep in mind that we don’t usually offer epidural anesthesia until you are in active labor (and your cervix is opening).

Once your water breaks, you’ll want to call your provider to see when they recommend you head into the delivery room.

And yes, this issue is gone into detail in this prenatal class if you want more info — but since every situation is different, I’d recommend asking your doctor at your OB visit.

Not sure the signs of early labor? >> check out this post on signs of labor — but early labor can feel like pain in your lower back and then progress from there (if you’re actually going into labor).

The main difference between braxton hicks contractions vs “true labor contractions” (or the real thing) is that one goes away (false labor), and one progresses into active labor. So, sometimes you just have to be patient to find out.

What to Do When Your Labor at Home:

Some ideas of things to do if you’re laboring at home and not quite ready to go to the hospital.

• Clean – -get the house ready for baby
• Take a warm shower (or a bath if you like baths and can do it safely this far into pregnancy)
• Pack your hospital bag
• Use your breathing techniques to help you relax into the contractions (and let your cervix open)

I have a whole post on what to do in natural labor that might help, and I go into this in depth in my prenatal class.

I also have a whole bonus video where I share breathing and relaxation techniques in here.

What to Expect When You Go to the Labor and Delivery Unit

You will likely hit the admitting desk. Unless you are there for a scheduled procedure they should take you back to a room or a triage area. Sometimes patients are triaged in a private room, and sometimes they are in a curtained area.

The nurse will start fetal monitoring, take your vital signs, and will proceed to ask a lot of questions about what brought you in as well as your health history.

Then, she will call your provider and make a plan of care after that.

I talk ALL about what to expect when you get admitted in this class.

When do you go to Labor and Delivery Instead of the Emergency Department During Pregnancy

Every hospital I have worked at had differing rules. Some take moms past their first trimester, some not until 20 weeks, so as your provider what you should do depending on what hospital you’re going to.

When in doubt show up at the ER — and they can direct you (and get you help if you need it from the minute you walk in the door).

How to get admitted to labor and delivery

This one gets googled a lot. I’m guessing there are a lot of people that want to know how to get admitted to labor and delivery.

Yup, you can come in and lie, but we like mammas to go the full 40 anymore.  SO it really is hard to cheat the system of L&D at this point.

You can’t fake contractions, you can’t fake preeclampsia, you can’t fake a lot of stuff.  Usually, the nurse that runs triage is one of the most experienced nurses (and is also a delivery nurse).  Don’t undervalue that experience and be thoughtful to show up only when their care is necessary.

I’d love to know what kind of questions you have in the comments (I can’t answer individual questions, sadly — but it might make others feel better). Pregnancy is ALL so weird, sometimes it is hard to know what’s OK and what is not.

Ok, this was just surface information, now is the time to start your birth class so you can get TOTALLY prepared.

Remember it…

• Only takes a few hours
• Was created for couples to take it (and get prepared) together!
• Really SIMPLIFIES birth to make it easy to understand

I can’t wait to see you inside with me!

I love what Sarah M had to say:

“Hilary was great about explaining terms and not assuming everyone is familiar with medical/OB vocabulary. Her very approachable, down to earth personality made the course feel personal and easy to watch.”

Read more reviews here!

Or, if you’re not quite sure you’re ready for that full class, grab my Free Beginning Prenatal Class, where I talk about your birth plan, 3rd trimester testing and labor movement. It’s a good way to see if we are a good fit for each other.

The post Top 12 Reasons to Call or Go To Labor & Delivery During Your Pregnancy appeared first on Pulling Curls.

First off, hello! I’m Hilary — many people know me as The Pregnancy Nurse . I have been a nurse since 1997 and I have 20 years of OB nursing experience, I am also the curly head behind this website Pulling Curls and The Online Prenatal Class for Couples. ​ I’ve talked to thousands of people women about the aches and pains of pregnancy — and I’m a good resource on using heat to help with it.

If you’re looking for tips and tricks for making pregnancy (and labor) easier, check this out.

Heating Pad While Pregnant

This is part of my Labor Pain Management series — and the great thing about heating pads is you can use them during your pregnancy, as long as you follow some guidelines…

Pregnancy certainly has a lot of aches and pains associated with it.  The big question here is — CAN you use a heating pad while you’re pregnant and what can it help?

How Does Heat Help Normally?

Heat treatments allows tight muscles to relax. It is a side-effect-free (normally) way to ease those aches and pains and help your body re-align itself.

While it doesn’t always take the pain away entirely, it does help “take the edge off”. It is just a temporary relief from pain, but welcome nonetheless.

As always, please take the advice of your provider over my advice, as they know more about you and your individual circumstances.

What type of heating pad to use while pregnant?

Because pregnancy has its own set of issues, I prefer to use a microwaveable heating pad. You can also use a hot water bottle. These are safer alternatives (don’t worry, we’re going to talk about why).

You are in a bit more control of the temperature vs an electronic one and a microwavable one cools with time, which makes it a bit safer (because often you’ll fall asleep once it helps you relax).

Keep in mind, appropriately used heating treatments can often be safer than medication. It’s a very simple solution to many pains pregnant women have — just be sure to know where you’re using it is with your provider’s OK.

And yes, there have been studies that raising the heat of the unborn baby can cause neural tube defects & other birth defects, which is why they don’t recommend very hot baths, use of hot tubs or saunas during pregnancy. Long periods of using a heating pad can cause your core temperature to rise to a problematic state. The good news is there are other good alternatives that won’t cause a high temperature.

However, heat applied to one part of your body (especially when not directly near your baby — or draped across your abdomen) won’t raise your whole body temperature to unsafe levels.

However, if you use a water bottle or a microwavable heat pack — you can use them for a long time (aka, if you fall asleep) as they will cool with time.

ACOG which is the OB’s professional practice organization recommends heat for back pain, but says you should limit the time heat is placed (which is why I prefer the microwaveable vs electric ones). You may want to consider using the heating pad on the lowest setting.

The big thing is to not raise your core body temperature (so just a small area, for short periods of time), and you don’t it touching areas where the baby is — so across your belly.

Most manufactures don’t recommend long time use of a heating pad at the highest setting and there have been documented skin burns from using it that way.

Also, make SURE you’re staying hydrated during your pregnancy. I even have a related post about if you can drink Gatorade during pregnancy. I also have a post if you have belly button pain.

Can you use a heating pad on your belly when pregnant?

I don’t recommend using a heating pad over your belly while you are pregnant. 

We’ll talk a bit more where about where you CAN use it on your belly, but draping it over your belly isn’t a great option for a few reasons:

• If you’re really cramping like you need a heating pad and you’re before 36 weeks, you should talk to your doctor — if you aren’t sure where the abdominal pain is coming from, you need to talk to your provider.
• It will heat up the baby as they really aren’t far from the surface and don’t have too much protection between them and the heating pad.

If you want to use a heating pad on your belly, I would certainly talk to your health care provider before doing so.

Where can you use a heating pad during pregnancy?

I am a big fan of using it (and by it, I mean a microwaveable one vs an electric one) a few places:

• In your ligament area (that’s more in “corners” of your belly vs. directly on top of your belly — you can read more about round ligament pain in this post on normal pregnancy symptoms).
• Back pain, you can lay on the heating pad (or use it behind you in a chair).
• Sometimes leg cramps can be really annoying and heating pads can help relax those muscles in specific areas (although being mindful of your hydration as well as vitamin intake can be important in those as well — talk to your provider!)

Keep in mind that the vast majority of pregnant women do experience back pain during pregnancy, so you aren’t alone in trying something to help!

How can a heating pad help during pregnancy?

You’re using the heat to help relax tense muscles — which is a good idea!

Using a heating pad for ligament pain in pregnancy

• Use light heat — you don’t want to use your microwaveable pad to be too hot. It should just feel warm to the touch.
• Tuck it into the corner that hurts — as little as possible should be touching your belly.
• Do NOT use an electric heating pad — use a microwaveable one — as it gets less hot with time and is easier to “tuck” into spots.

Pro Tip: Since microwaveable heat packs don’t have a heat source they slowly cool and can be safer vs one that the heat is constantly being “fed’ to it.

The graphic above shows where your ligaments are that usually hurt (they’re actually called your “round ligaments” — and they hold your uterus onto your body, and they are stretched a LOT as your uterus grows.  They can also hurt more:

• When you stand quickly.
• When you lay down quickly.
• Cough or sneeze.

One thing that can help ligament pain is making sure your belly is supported when you sleep on your side (use a pillow underneath it).  I talk more about ligament pain in my normal in pregnancy post.

Also, pregnancy belly straps may help this issue as well!

Make a pregnancy heat pack

• Get a dishtowel (buy one or use an old one).
• Sew up the majority of the sides, leaving an opening to add the beans/wheat/rice — which you add now.
• You can also add essential oils if you like those smells and they relax you.
• Then sew up that hole.

Start with 1 minute in the microwave to see how warm it gets, then add 30-second increments to see how long your pack will tolerate. I wish I could give you a good rule of thumb for how long to heat it but it really depends on what is in the pack and how your microwave heats.

You want it warm, but not too warm so that the towel/rice burns (done that!) or is too hot for you to pick up and handle.

I talk about the best ways to use a microwavable heating pack for labor pains in here (the natural pain management bonus video).

Heating Pad During Labor

Some women find heat comforting during labor. Remember:

• Still don’t use it draped across your belly.
• Don’t use it for extended time periods.
• Consider a hot water bottle too if a microwave isn’t convenient.

Heating pads are one of the most common tools doulas use and they can help a lot as you labor at home.

You may also be hot due to increased blood flow — just use it if it feels good.

Common Questions About Heating Pads During Pregnancy

Can you use an heating pad during your first trimester?

Again, I would not use it across your belly, but ligaments can ache as your uterus grows.  You can also use it on your back (especially your lower back pain), or another affected area for pain relief.

However, if you’ve already done it — keep in mind in early pregnancy you have a thick uterine wall, as well as muscles and fat to cushion your baby against any heat. While I wouldn’t do it, if you’ve already done it it isn’t too concerning.

The main thing, especially in the first trimester — is not raising your core body temperature with an electric heating pad. Baby does best when they grow at your regular body temperature (which is part of why they don’t like fevers in the first trimester when baby is growing important parts).

I also have a whole post on when your belly will start to get hard in pregnancy.

Can you use a heat pad during your third trimester?

Your baby REALLY doesn’t have much protection from a warm pack across your belly at this point — so be sure NOT to use it across your belly as it will heat your baby and stress them out.  But I recommend it frequently for back or ligament pain when placed appropriately.

Is it ok to use a heating pad on lower abdomen while pregnant?

You don’t want to lay it directly across your abdomen, but I usually recommend you tuck it below the uterus. Often one side will hurt due to ligaments and heat can help those relax. I like one like this that you can use OFF your actual belly or where the baby is.

How long can I use a heating pad on my back while pregnant?

You definitely don’t want to increase your core temperature due to it. You’re wanting to use it in specific areas for 20-30 minutes and then let the area “air” out — but the good news with a microwaveable heating pad it slowly cools, because you often will fall asleep if it’s helping you relax while it’s on.

Can you fall asleep with a heating pad while pregnant?

I never recommend falling asleep with a heating pad during any point of your life, unless it is microwaveable (one of the big perks to using a microwaveable heat pack — as it cools with time).  It can over-heat your body and can be problematic (including fires).

Heating pad for pregnancy back pain

Heat therapy can be AWESOME for that.  I would be more willing to use an electric one on my back vs near my belly but I would still be cautious (and don’t fall asleep on it). I would limit it to under 20 minutes at a time.

Also consider your body mechanics and work on your posture during the day, it might help. Consider ditching the high heels, and wear something that gives good arch support.

You can also consider using heat packs for joint pain, sore muscles (not your abdomen) or muscle spasms, as well if you have an injury, etc.

Other things to consider for pain during pregnancy

A lot of the aches and pains you experience during pregnancy are totally normal, but I would certainly discuss them with your provider to make sure you’re still good to go.

Other things you can do (under the care of your provider):

• Prenatal Yoga (there are some poses you shouldn’t do while pregnant, so be thoughtful of that).
• Regular mild exercise can help.
• Mild stretching.
• Pregnancy support bands (like this).
• Pain medications (like Tylenol) — there are options depending on how far along you are in your pregnancy — talk to your provider.
• Warm bath (not hot) or shower — remember avoid high temperatures.
• If heat isn’t working for joints, you can always consider an ice pack (but again, I wouldn’t place it over your belly — your baby will notice).
• Using a body pillow to support you during pregnancy sleep — like this. Or if you just have an extra small pillow, put it under your belly or between your legs when laying on your side.
• If pain is really an issue, consider seeing a physical therapist or a chiropractor, there are things they can do to help!

I am a big believer in giving your baby the most neutral environment to grow during your pregnancy, so the less you can use medications and even heat, the better.  Before you know it, your body will be back to being your own and you’ll be able to do what you please — but during those nine months, be thoughtful of what you can tolerate.

Obviously — there is a lot to think about when considering both your’s and your baby’s health. That’s why I really recommend a prenatal class. Things can feel really complicated, but this one really simplifies things for you!

Or, if you’re not quite ready for the full class, check out my free prenatal class — It’s your first step towards being your own birth boss.

The post Using a Heating Pad While Pregnant: Can you use it on your stomach? appeared first on Pulling Curls.

Before we jump into this, please make sure that you are in general good health before a Disneyland Trip. If there is ANYTHING unusual or problematic with you pregnancy (or if you’re past the first trimester), be sure to discuss your trip with your provider before you go! There is no way I can give you everything you need to know without you talking to your doctor.

Disneyland Pregnant

Disneyland is amazing, right?  But being PREGNANT at Disneyland, no matter WHAT trimester you’re in, leaves a lot of questions in the air!

Hi, I’m Hilary — many people know me as The Pregnancy Nurse . I have been a nurse since 1997 and I have 20 years of OB nursing experience, I am also the curly head behind this website Pulling Curls and The Online Prenatal Class for Couples. ​ I’m both a Disneyland resource AND a mastermind of pregnancy education — so this article is a natural fit! I love seeing pregnant mamas at Disneyland, but I’m always worried that they’re taking care of themselves. Today I want to outline how expectant mothers should take care of themselves.

But I still want some pregnancy experience on this particular blog.  I absolutely LOVE Disneyland, but I have never been while I’m pregnant.  However, my good friend Kim HAS — a number of times.  I thought it might be fun to explore going to an amusement park while you’re pregnant.

In reality, Disneyland is probably the best park to go to while you are pregnant (better than Knotts Berry, in my opinion).  But, other parks can also be fun.  No reason to send your family and miss out.  Kim is from my absolute favorite Disney team — Get Away Today.

I currently have 3 Disney trips booked with them!  They DO Disney.  They get it, they know everything about the hotels and which would best suit your needs.  Call them, you’ll save money, you’ll be happy AND with the coupon code CURLS10, you’ll save $10 on your next trip! If you’re hoping to go to Disney World fill out this form here (going there soon, can’t wait!) so they can customize a FREE trip quote super easily for you!

Here’s the first question many want to know…

Can You Ride Rides at Disneyland While Pregnant?

Yes. The cast members aren’t going to ask you if you’re pregnant, and they won’t question you. Many people look pregnant without being pregnant — and that isn’t a good look.

So, it’s really up to you! And the risk is on you, because most rides say you shouldn’t ride pregnant (due to liability reasons, less so for safety reasons on some of them).

Disneyland Pregnancy Pass?

Before Kim takes over, let’s squash a couple of rumors. No, there is no pregnancy pass (we will talk more about that below). And no, you will not get a lifetime pass if you have your baby while at Disneyland. Considering the ER nurses have terror in their eyes when a delivery happens, I am sure that Disneyland ships pregnant women via ambulance as fast as their little Mickey legs will take them.

OK, without further adieu — take it away Kim! {I’ll pipe in now and then with my nurse-ly advice}

Pregnant at Disneyland:

Hi, I’m Kimberly with Get Away Today and I am so excited to share my tips for going to Disneyland while pregnant. I have been to Disneyland while pregnant four times in the last four years.

Yes, you read that right. I’ve visited Disneyland in almost every stage from as early as that yucky early first trimester complete with food aversions and morning sickness, clear up until four weeks before delivering with numerous people asking when I was due as politely as possible. I did my best to assure them I wasn’t going to in fact have the baby inside Disneyland, although it would have made a great story.

**Note from Hilary:  Kim isn’t all tiny when she’s pregnant.  I saw her before this last trip and she gets big — so don’t think she’s hiding the baby in her spleen like some people seem to be able to**

First thing first, before you go to Disneyland while pregnant, you’ll want to make sure that you can travel safely. But I’ll leave more of that up to Hilary since that is her specialty. Assuming you are healthy enough to travel, I would never let pregnancy discourage you from taking a Disneyland vacation with your family. You may need to make a few adjustments to how you’d normally conquer Disneyland, but I really feel it is for everyone. I have a whole post on traveling during pregnancy.

**Reasons to not do Disney:  Any issues with your placenta, preterm labor issues, high blood pressure, or your doctor recommends you don’t — be sure to talk to your provider before you consider traveling!!!!

One of the BEST ways to enjoy Disney while pregnant is to wait less -- check out my Disneyland Day Planner for LESS time in line:

Interested in more about pregnancy, these might interest you:

• Placenta Power: 7 facts about this amazing organ!
• Best Ways to Shave While Pregnant: Answers from a labor nurse
• 20+ Easy Pregnancy Hacks You NEED
• The EASIEST (and best) Labor and Delivery Nurse Gift Ideas!
• What Does the -2 Mean When They Do a Cervical Check?

Disneyland Rides While Pregnant

I have a whole post on my sister site about the best rides for pregnant people at Disneyland.

Everyone wants to know what you “can” ride at Disneyland. You should know that Disney won’t stop you from riding anything, but there are definitely attractions you’ll want to avoid depending on how far along you are and how your pregnancy is going. Cast members at the Disneyland Resort definitely don’t want to make the mistake of thinking someone is a pregnant lady that actually isn’t.

On my “most” pregnant visit, I had a great time because I just rode everything that my toddler could and wanted to ride.

BTW, I have a whole post on the scary ride at Disneyland, and I must admit toddler and pregnancy rides line-up nicely!

You’d be surprised at how many attractions really are completely safe for everyone. If you have been to Disneyland before, you’ll already have a pretty good idea of what you may or may not feel comfortable riding. If you haven’t, you’ll want to do some research beforehand to make sure you don’t get too surprised.

**Seems like other amusement parks have “don’t ride if you’re pregnant” on every ride, Disneyland is awesome!  Also, Disneyland is a great place for those with tiny babies, put them in the front pack and enjoy the day!**

As far as totally no question rides:

• any of the Fantasyland rides (except Matterhorn, of course)
• Jungle Cruise
• Pirates of the Caribbean
• Haunted Mansion, etc.

are all green lights in my book.

As far as some rides that may be borderline depending on your pregnancy, you’ll want to come up with your own personal guidelines.

If it was a faster attraction and had lap bars, like Big Thunder Mountain Railroad or Space Mountain, I wouldn’t do it.

I felt fine with Splash Mountain when I was just starting my third trimester, mostly because there are no lap bars and there are no jerky movements. I also felt completely comfortable on Soarin’ Around the World.

However, I rode Toy Story Mania while super pregnant and was shocked by how jerky it was! It’s one of my favorite rides, but I had never noticed that about it before and it’s now on my “not while pregnant” list of rides.

**What you need to be mindful of is jerky motions that might hurt your abdomen (and might then cause a bleed on your placenta).  I would definitely ask your doctor their recommendations before you go, keeping in mind they will be super conservative to protect themselves.**

When to go to Disneyland Pregnant?

Hilary here… before we talk about health & safety as to when to go, I think you’ll find that going at a less crowded time will be more enjoyable. I talked about the BEST time to go to Disneyland in a recent podcast.

Going at a less-busy time of year can also help you save on your Disneyland Budget. And, if you’re wondering how much it is GOING to cost, I have a Disneyland trip calculator!

Disneyland while pregnant first trimester

Notes from Hilary:  While this might be the “safest” time to go to Disneyland as there is no large baby bump to get in the way — you do need to be extra cautious about 

• Hydration — make sure you drink plenty
• Not over-exerting you — take time to rest
• I would still not recommend rides that have a tight belt around your “baby” area – and each person is going to have to decide what works best for them.

With any trip to Disneyland, but especially while pregnant, you’ll need to take the time to rest. Schedule it and don’t get too focused on cramming in every moment. At Disneyland, there are so many ways to rest your body.

One of my favorite ways is to book a long, leisurely restaurant reservation — Hilary has her favorite places to eat at Disneyland.

The other is taking advantage of the many entertainment opportunities. Watch a show like Frozen – Live at the Hyperion, which is almost an hour-long with comfortable seats and A/C. Turtle Talk with Crush, Mickey and the Magical Map, the Royal Theater at the Fantasy Faire, and the Disney Jr. Live on Stage are all other great resting options.

Remember, a Disney vacation isn’t all about rides.

I LOVE a good amount of people watching on main street with my water bottle at my side.

Of course, you can even go back to your hotel for a midday nap or a nice float in the pool. No matter how far along you are, you’ll want to listen to your body so that you don’t overdo it.

**This is good advice for all of us, why do you think I love Small World so much? — that ride is long, cold and the rocking motion helps me have a little nap on it.  Want to know what hotels are walkable and that I liked/didn’t like — check out my post on Disneyland Family Vacation Packages**

The best news here is that if you have small children that yuo’re going to Disneyland with, you can likely ride all the things they love! I also have a whole post on Disneyland rides for infants!

Can Going on Rides Cause a Miscarriage?

If you were to bump your abdomen hard enough to cause a bleed, it is possible.

However, that baby is protected by your enlarged uterus (with thick walls, as it hasn’t grown much yet), amniotic fluid & sac, your abdominal muscles and fat.

In general, we only are concerned about abdominal “trauma”– but as far as what that is, seems to be subjective.

However, riding in your car can also be dangerous in case you were to get in an accident.  Just some things to think about.

Interested in early pregnancy topics, check these out:

• Pregnancy Calendar by Week: Your calculator to your pregnancy progress
• Printable Pregnancy Calendar
• Nosebleeds during Pregnancy: And other early pregnancy symptoms
• The Best Soups for Pregnancy: 21 Soup recipes for prenatal nutrition!
• Is it OK to Sleep on Your Stomach When Pregnant? What’s the best sleep position during pregnancy?

disneyland while pregnant second trimester

Disneyland While Pregnant Second Trimester

This point your abdomen will start to get in the way — I would recommend not riding rides that have a belt that goes across your waist.  You can ask at the beginning of the line, what type of restraint is used. 

Most rides are still easily done even with a larger belly — as I talk about in my post about being overweight at Disneyland.

You likely feel the best right now — but make SURE you’re still drinking a TON of water.  Rest as much as you can, or you’ll hate life the next day.

If you’re going in the heat of the summer, make sure to find some cool, shady spots to rest in now and then.  no shame in some good people watching!

Pregnant at Disneyland Third Trimester

By now, you’re well aware that you shouldn’t be riding anything crazy — and you’ll probably get the side-eye from employees and people in line if you try it (but as Kim said, they’re not going to ask you if you’re pregnant or prevent you from riding).

There are still PLENTY of rides that can be fun this far in your pregnancy, but if ANY bar comes down to your abdomen — that’s a no. This means most roller coasters, Star Tours and Guardians of the Galaxy (used to be Tower of Terror) are out. Save the thrill rides til’ after baby is out!

The best part of Disneyland is that there are still a TON of rides that you can go on.  Favorites like Pirates, Haunted Mansion can still be very fun — just like Kim said.

And, because I can’t say it enough:

• Stay hydrated (a dole whip in the back row of the Enchanged Tiki Room is a great way to stay hydrated and enjoy some Air Conditioning).
• Pee frequently (this can help prevent bladder infections, but also you can contract if your bladder is too full).
• Be mindful of what you’re eating.  Don’t go too hard on sugar without balancing it with some protein, you’re more likely to have sugar lows when you’re pregnant.
• Don’t spend a TON of time on your feet.  Try to alternate standing periods with resting periods. Tkae a break!

Also, as you’re in your third trimester, make sure you’re still doing your kick counts! A great excuse to sit down for a bit! Grab my cheat sheet here:

Looking for later pregnancy tips check these out:

• 5 Important & Easy Things to Do Before Birth
• Can You Use a Microwave Heat Pack While Pregnant
• Free Birth Class with Insurance
• Top “Boy” Names for 2024
• Painful Cervical Checks During Pregnancy: What to do if you’re scared.

If you’d love to get prepared for birth & postpartum life just as fun and easy as Disneyland makes it — come join me in here!

Disneyland Expectant Mothers Advisory

Along with taking care of your body, you’ll need to stay hydrated and snack often. Any quick-service restaurant will give you an ice water with or without a purchase. You can also bring in your own food and drinks as well. You can refill your water at any water fountain, or at Rancho del Zocalo or Redd Rocket’s Pizza Port.

Pro tip: Set an alarm for every hour to remind you to drink if you get distracted. It’s easy to do at Disneyland! If you need a quick bit of protein or a healthy snack,

Adventureland is a great place to go. There are multiple fruit stands and the Bengal Barbeque has meat and veggie skewers for a quick and affordable pick-me-up. Of course, it’s always a great idea to bring trail mix, granola bars or whatever you’re craving to have on hand as well.

** SUPER good advice.  I love the idea of setting an alarm to remind yourself to drink.   Hydration is key to a great pregnancy, I know you’ve all heard me say it before, but it’s true.  You’ll feel SO much better if you drink a lot (and see every glorious restroom Disney has given you).  Maybe even ask your other kids (if you have them) to remind you to drink every time you’re in line — make it a game! **

Pro Tip: Not sure where to get water? Ask a cast member — and I bet looking extra pregnant makes them help yuo out even more!

Where to stay at Disneyland When Pregnant

If possible, I recommend staying as close to the park so you can get to and from your hotel easily. In my opinion, there’s nothing worse than standing around waiting for a shuttle after a full day and you Just. Want. To. Sit. The three Disneyland hotels are my first choice, but I’ve also stayed across the street and great experiences. Just keep that in mind while choosing a hotel.

**If you’re making a reservation at Get Away Today be sure to ask them on the phone what they would recommend — I promise, they’re smart peeps.**

Some to check-out would be:

• Budget Option:  Tropicana Inn & Suites — nothing fancy, but SO close! I have stayed here, and it was fine.
• Mid-Range Option:  Courtyard Anaheim Theme Park Entrance — a BIT of a nicer walk, but lovely rooms with plenty of room for larger families.
• High-end (aka, amazing) option: Grand California — this park actually ENTERS California Adventure, pretty great! I have a post that oulines the benefits of staying on property.

This post shows you all the hotels close to Disneyland. And I have some of my best Disneyland Hotel Tips in that post.

And finally, enjoy! If you go with the idea of being able to soak in the magic, you’re bound to find it.

If you’d like help planning your Disneyland vacation, check on getawaytoday.com or call Get Away Today at 855-GET-AWAY. Our agents tour all of the Disneyland area hotels regularly and can help guide you to the perfect hotel for your vacation. Be sure to mention CURL10 to get an extra $10 off a trip with hotel & tickets.

Pro Tip from Hilary — CALL them. That’s really where the benefit of all their knowledge comes in. Get Away Today agents know their stuff. Tell them what you want, and they’ll tell you where to book! Be sure to also tell them CURLS10 to save an extra $10 on your trip! There are even larger rooms that they have limited availability for that they can see if it would be a good option for you (and you can only get those if you call).

We are constantly negotiating the very best deals and guarantee the lowest price on your Disneyland vacation.

As an added bonus, use promo code: CURLS10 to save an extra $10 off your package!

What to wear pregnant at Disneyland?

I’d recommend wearing layers (as I always do). You can see my recent subscription box for Disneyland. Comfort is key ladies, comfort.

You might also want to consider compression stockings as it can help with swelling, aching legs and possibly blood clots (more important if you’re flying). I have a whole post on taking care of your feet at Disneyland.

First Aid at Disneyland & California Adventure

There is a first aid center at both Disneyland and California adventure. I actually have a friend who works there. You can get free bandaids and tylenol (and a few other over the counter medications) there.

However, I bet with a pregnancy they just wheelchair you to the curb and tell you to see a physician. They will probably give you some water on your way.

Disneyland Pregnant Disability Pass (DAS pass)

In researching for this I noticed a lot of people wondering about pregnancy passes.  Here’s the low-down from Kim:

Disneyland doesn’t offer a pregnancy pass. Supposedly Disneyland Paris used to, but I’ve heard rumors it was discontinued as well. If someone is so pregnant and miserable that they need to rent a wheelchair, they could try wheelchair access

Pregnancy nurse’s note: if you are this miserable, I really would recommend staying home — I think your body is telling you something.

There’s also a newly updated Disability Access Service (DAS) Pass that someone could try, but I don’t love looking at pregnancy as a “disability.” Also, Disney’s revision to the policy was because of abuse, so I don’t think it would be helpful in most pregnancy cases.

If someone wants to try, they go to City Hall in Disneyland or the Chamber of Commerce in California Adventure (you can also address any questions with guest relations as well — although they don’t issue the passes) and they talk to the rep on a case by case basis. You can also do this online prior to heading to Disneyland (more info here).

If it’s determined that they qualify, they’ll get a pass that they can use at attractions. It basically holds a place in line, so they come back in whatever the current wait time is. So if the wait is 45 minutes, they come back in 45 minutes and then they can go to the front. I wouldn’t recommend it as a guarantee at all, but there is a possibility.

I was talking to one of the plaids the other day and asked them if they usually approve pregnancy as a “disability” and they said that Disneyland considers Pregnancy a blessing, not a disability. So, take that for what it’s worth!

I actually have a whole post on my site about the pregnancy disability pass.

The Disney Genie may also be helpful, and it includes the Disney photopass which is a fun addition as well.

Disneyland Pregnancy Discount

There is no discount if you’re pregnant — your best bet is just to get your tickets from Get Away Today. I actually have an exclusive discount through that link — so grab that for sure!

I love Kim.  This is great, sound advice for you and your next pregnant visit to an amusement park.  I hope you found this helpful.  My personal 3 tips for pregnant moms at Disneyland (or pregnant people):

1.  It is totally possible to do Disneyland and have a great time while pregnant. It can still TOTALLY be your Happiest Place on Earth!
2.  You’ll need to allow for extra rest, don’t push yourself like you did when you were 18
3.  Hydration is key.  Make sure you take a long sip in every line you’re at and you should be good to go (and keep alert of restroom locations).

What Rides Can Pregnant Ladies Ride at Disneyland?

Of course, please consider your own agility and concerns when picking out a ride. When possible try to see the ride carts or talk with a cast member about what the ride is like before getting in line. Pregnant moms shouldn’t be afraid to get out of line even right before they board if they feel uncertain.

The list for what is ok or not ok to ride at Disneyland while pregnant will really vary person to person, but here’s my stab at it (I actually also have a whole post on the best Disneyland rides while pregnant on my Pregnancy Nurse site that goes into more detail).

Best rides for pregnant women at Disneyland

• Pirates of the Caribbean
• Haunted Mansion
• Winnie the Pooh
• Buzz Lightyear
• Dumbo the flying elephant
• King Arthur Carousel
• Jungle Cruise
• Small World
• Disneyland Railroad
• Storybook land canal boats

Nurse’s Note: Be mindful of how agile you are as some of these require stepping down (mostly into boats) — that may make some of those “no-no’s” for you.

Kim mentions the Fantasyland rides, but I find that many of them are kind of tight (and can be jerky) — so they didn’t make my list. I also see a lot of people talking about the Finding Nemo Submarine Voyage, but that sub is SO tight. I’m not a fan if your belly is big at all. You may also end up claustrophobic from a lack of air return as well.

2020 Update: I’d stick to walking through Star Wars Galaxy’s Edge… neither of their rides seem great for pregnancy.

Other Disneyland Attractions to visit while pregnant

• Pirate’s Lair (formerly Tom Sawyer’s Island) — a fair amount of walking, but it’s shaded
• Golden Horsehoe Review
• Parades (even sit down early to get a great seat!)
• Disneylad Story Presenting: Great moments with Mr. Lincoln
• Monorail
• Frontierland shooting gallery
• Mark Twain Riverboat
• Mickey’s House
• Enchanted Tiki Room
• Find a favorite Disney character to get your picture with (a fun one for baby to look at when they’re older)

Best Rides at Disney California Adventure Park to do while pregnant

• Monsters Inc
• Pixar Pal Around
• Inside Out Emotional Whirlwind (it CAN be tight depending on your size)
• Jessie’s Critter Carousel
• Little Mermaid

Other California Adventure Attractions to visit while pregnant:

• Animation Academy (HUGE favorite of mine)
• Disney Jr
• Turtle Talk with Crush (honestly, anything inside the animation building is great!)
• Mickey’s Philharmagic
• Redwood Creek Challenge trail
• Frozen at the Hyperion

Another option is to go walk through Downtown Disney. It has a lot of fun things to look at (and can often be more clear for strollers if you have a sleeping little one). And don’t forget that there are so many fun things to look at (and people watch) around the park. Lots to see and do rides or no ride.

Wheelchair Rentals In/Near Disneyland

While there are a LOT of wheelchair rentals around Disneyland (you can also rent them at the park). HOWEVER, if you are feeling like you need a wheelchair, I might talk to your doctor about if you should go or not. I might be your body telling you something.

Maybe save Disneyland til’ after the baby!

Either way, I hope you have a great safe visit & Pregnancy! I love Disneyland, and even if you decide to delay it until after the baby I bet you’ll have a GREAT trip!

I LOVE that you’re excited for a Disneyland trip — but have you thought about how you’re getting prepared for birth? The Online Prenatal Class for Couples is truly the Disneyland of prenatal classes. It’s fun, it’s easy (and available 365 days/year) — so come join me!

This post was originally written in 2016 and has been updated.

Don’t miss my list of Best Affordable Disneyland hotels — a list of 30+ of my favorite hotels (plus my own current top 10 hotel list).

The post Going to Disneyland while pregnant: The guide for pregnant mamas appeared first on Pulling Curls.

So much anxiety and worry right now. What should you be doing about Covid if you’re pregnant. Let’s untangle it.

Today’s episode is inspired by my VERY popular Corona in pregnancy post. People are looking for answers, and what to do — today, I hope to provide that!

Big thanks to today’s sponsor, The Online Prenatal Class for Couples. You NEED to be educated right now, don’t go in concerned about all the worries about what to expect ALONG with having no clue about delivery. Jump into a class today!

Please note, this episode was recorded on April 17th and is just a snapshot of how things are right now, keep that mind (although many of the things mentioned are important no matter where you are in your pregnancy).

In this episode we’re talking about:

• What birth in hospitals looks like right now
• When to start to be concerned about new policies at the hospital
• Should you call the hospital?
• Masks in the hospital
• 7 things to do right now if you’re pregnant and concerned
  • Keep your prenatal appointments
  • Take a prenatal class
  • Get sunshine daily
  • Deep breathing & positive affirmations
  • Hydration & kick counts
  • Physical distancing, but remain social
  • Great handwashing is a great habit for new moms!

Things mentioned:

• A great tutorial (she has a few of them) on how to make a mask, I love these no-sew options too!
• My Pregnancy Facebook Group

Other things you might find helpful:

• Positive Self Care during Corona
• Preventing a Poor Birth Experience
• What to do if your prenatal class got cancelled
• Printable Birth Plan
• Online Breastfeeding Classes

Producer: Drew Erickson

Check out my other pregnancy podcasts:

Check out all my podcasts:

Transcript:

0:00
Hey guys welcome back to the pulling curls podcast today is our first bonus episode. Can you even believe it? I mean if anytime deserves a bonus, it’s right now so today we’re going to talk a little bit about Coronavirus in pregnancy. I can’t wait to talk to you guys about it. Let’s untangle it. Welcome to the pulling curls podcast where we untangle everything from pregnancy parenting Homer, teens, even some family travel because heavens knows our lives are tangled. I’m your host, Hilary Erickson.

Okay, so I have gotten another email somebody who’s nervous I see it on Instagram. I see it in my patience right now is a nerve wracking time to be pregnant and I 100% get that and I wanted to talk to you guys a little bit about it. So in case you’re not listening today, the day that it launches, but for me, I am recording this on April 17 2020. And we’re in the middle of the Coronavirus. So I’m hopeful that someday I listen to this podcast and it’s just a vague memory of how things used to be. That being said, this is just a snapshot of the way things are today and the most important thing to know Is that things are changing constantly. The shift I had last week is completely different than the shift I had this week. They’re changing policies, they’re changing the way they do things. They’re finding new treatments, there’s just all sorts of things going on in healthcare.

So don’t feel like just because things are one way right now that they’re not going to be totally different in another week. The main thing I want you guys to know is that births are still amazing. I was just at the hospital yesterday. And I took a little bit of time to just think about this new baby and this new family, and how things are very much the same. The baby’s still adorable, that family loves the baby. And even though we’re all behind mass, it is still amazing. I do not want you to think that you cannot still have an amazing delivery at this point in time. So I think that was really nice for me to just sit back and think things are still great. And I think things are great and they will continue to be great. So I think that’s so important to remember.

However, things are just a little bit different. So we’re going to talk about those. Okay, if you are not due in the next three weeks or so. I was just kind have let go of understanding how things are working in the hospital right now, I would definitely talk with your doctor at your next appointment about what you should probably expect. But as I said before, things are totally changing. So even though they tell you one thing now, that doesn’t mean that it’s going to be the same thing when you go into the hospital. If you are due in the next three weeks, you may want to directly call into the hospital. Now most doctors are pretty plugged in to the labor and delivery unit so they’ll know what to tell you.

But I would definitely call the unit because sometimes we have websites or things that we can share with you that help you to know a little bit more what to expect that maybe your doctor will we 100% get it there is no one at the hospital that’s going to be annoyed that you called us to see kind of what to expect. We want you to know what to expect right now. Our partners are really we would prefer that they leave as little as possible. And so we’re trying to communicate that ahead of time. We really want you to be prepared for your delivery. So definitely give your labor and delivery unit a call. If you can’t find the number Ask your doctor how you can call directly into the unit.

One thing that’s going on right now is that We are married wearing masks. Now the nurses going to wear a mask and you are going to wear a mask that does two things that protects you against me somewhat, but it mostly protects me from you and me from your partner. So that’s why we wear masks. That’s why we wear them at the grocery store. It’s just really being considerate of other people in case we have symptoms. And we aren’t aware and we do not want to transmit that to our friends here on Earth. So that’s why we wear masks. If you want to bring a mask from home, that is fine, we do give you a mask in the hospital, but they are not my favorite masks.

So that’s just something to consider if you see an opportunity to buy a mask or if a friend is making them or if you want to make them. I would totally jump in on that. And I will actually leave my favorite tutorial on how to make masks in the show notes. And you can grab one of those if you so or if you have a friend that says they are not that difficult. You can use elastic or ribbon. There’s lots of different ways to make the ties. And I do think that those are a little bit more comfortable than the masks that we normally give you in the hospital. Again, the mask is really to protect me so you’re just trying to filter any drops contaminations if you were to be sick, which again, most people aren’t sick but we kind of treat everyone like they are sick in our community right now one other thing to note, which is kind of weird, but we are not doing yoga balls or birthing balls in the hospital right now.

I guess studies have shown that they have pores and things that it is difficult to clean the virus from so that’s just something to know. So if you’ve learned a lot about yoga balls or peanut balls, we are not using them the hospital you’re more than welcome to use your yoga ball at home. I’m not saying that yoga balls are bad. I’m just saying that that’s something kind of different and to expect again here and our snapshot in mid April. Okay, so what should you be doing if you are pregnant and concerned keep your prenatal appointments. I know some doctors are switching to telemedicine which is awesome. But sometimes you do have to go in and see your physician wear a mask when you go or talk to them about what they would recommend that you do try and socially distance and all those kind of things but it is important that you do see your physician for the appointments that they recommend.

I would still especially recommend taking a prenatal class things are going to be different in the hospital. It’s hard to know what to expect. If you Don’t want to take my class. There’s plenty of classes out there. I know hospitals have canceled classes. But I think it’s really important to still try and get one and try and get some sunshine. I noticed on the days that when I get out and get some sun in my body, it really helps me to stay positive, and just helpful to my whole body. They have shown that vitamin D is helpful in finding the disease. And I just think it’s really important.

So I would try and get some sunshine however you can. So when I’m feeling especially negative, and I think those times are going to come, I think it’s important to realize that every pregnant woman is going to have overwhelming feelings of anxiety about what’s going to happen to them and their baby. And when those times come, I recommend that you take a nice deep breath and say to yourself positive affirmations. Now Hillary from two years ago would have said That’s insane. I think positive affirmations are a bunch of hooey but things like I’m going to have an awesome birth, my baby is going to come out safely.

I’m excited for myself and my birth team. The hospital has my best intentions at heart positive things, things that are the antithesis of what you’re feeling. You Feeling like things are just going to be a mess, but things are really most likely in a turnout just fine. And I want you guys to know that the hospital is really aware of how nervous you are. And we want you to have a positive birth experience. And of course, hydrate and do your kid counts. I can’t ever say that enough, but it’s so important to drink enough water. Make sure baby’s moving. Those are the biggest parts of pregnancy for me. It really helps us stay positive and healthy and make sure that your baby’s moving well make sure that you are doing physical distancing, but stay social. I have actually have a free Facebook group for pregnant moms.

So you guys will be welcome to join. If you have any questions or just to talk about your feelings. I will drop that link in the show notes as well make sure that you are doing proper hand washing. We can’t say that enough during this whole virus thing but honestly it is such a good habit to get into because you’re going to want to have positive hand washing skills when you have your baby as well. So now’s a great time to get in the 20 seconds and just make that a habit. Okay, so that’s it for Coronavirus in pregnancy. Yes, there will be changes at the hospital. Yes if you are in a peak at environment there could be even more changes. But the reality is I think we’re tend to trending off the peak right now.

And hopefully things change and improve and we realize you know what helps them what hurts and we just try and stabilize things as much as possible. If you’re six months of pregnancy, just do those things that I said take a prenatal class, keep your prenatal visits, get sunshine, take some deep breaths, say positive affirmations. Stay hydrated and do your counts. Those are my big ones. Just know that I am sprinkling all my good labor nurse karma down on you guys. Things are going to be okay. I’m excited for you and your baby and your journey towards motherhood. Things are going to be good.

If you like today’s episode, we’d love it if you would share, subscribe and review it really makes a difference. We drop an episode every Monday and until then, I hope you have a tangle free day.

Transcribed by https://otter.ai

The post BONUS EPISODE: Corona Virus In Pregnancy appeared first on Pulling Curls.

Hi, I’m Hilary — I’ve been an L&D nurse for 20 years and honestly I am just now (in the last year or so) seeing stuff about birth trauma. I think it’s important to address these issues and talk about ways to prevent them (because nurses are all about prevention — yes, I’m looking at you vaccines). Come join me so we can talk about your pregnancy as you progress towards delivery:

I also discussed this in a recent podcast episode:

Preventing Birth Trauma

Foster Good Communication With Your Providers

This is the #1. If you go into your labor trusting your provider, you are going to trust the choices they make as your labor and experience advances.

However, if you go into labor not trusting your clinician, you will not trust the choices they make. You’re making yourself both the provider and the patient. That’s just hard, and that’s not your job!

What to do if you don’t trust your provider?

If you are before 20 weeks, you will likely be able to switch to another one.

However, I realize that insurance makes it hard to pick who you’d prefer. It does always seem like the grass is greener for doctors that aren’t on your plan. Keep in mind that a lot of that is in your mind. I do believe that you will be able to find a competent physician on your plan.

Ask friends at work, at church and in other areas you socialize in. See who they used. I’d take reviews online with a grain of salt — most are written by one or two angry or very happy people… it’s hard to get medical reviews.

Call around, as you’re doing so — feel free to ask specific questions you have when your schedule an appointment. For instance, if you want to VBAC or something specific like that, they should be able to answer before you move to them.

How to Communicate with Your Doctor

No one wants to be met with aggression, especially a doctor who has spent years training for your case and thousands of others. Be respectful of that, they’ve earned that.

Train yourself to have positive feelings about him/her. When you find yourself having negative feelings about them, curb them back to positive and remind yourself that your doctor went into this profession for a reason.

Make a list of the questions you have (I always kept mine in the note app on my phone), and make sure you’re able to ask them at your appointment.

If your doctor is rushing you through your questions, tell them you have questions that you expect to have answered. Perhaps he has a nurse that can answer them if you have an extended list (or some informational pamphlets). I also recommend….

Learn The Truth About Labor

Doctors, in reality, just don’t have the time to go through the entire labor process — what you will experience and feel. That’s why a high quality prenatal class is important.

Yes, there are some small free ones that can give you a nibble of what you need… I recommend you start at about 20 weeks or so (but don’t worry if you’re later, there is still plenty of time to get prepared now!)

BUT, you really need to take a full class to learn the in’s and outs.

Why do you need a prenatal class?

1. It puts all the information in one spot, where you and your partner can review it all at once (instead of small nuggets of truth throughout your pregnancy)
2. It allows you to learn the “language” of the new place you’re at (the hospital) so that you understand. Just like if you were going to a foreign country
3. A lot of people call totally normal things birth trauma in the hospital (and I’m not saying that there aren’t things in the hospital that are scary all on their own). But, by knowing they are going to happen and what to expect — it just makes things easier.
4. It weeds out the lies, more on that coming-up…

I have to say, even before we went to Disneyland, I helped my kids learn the stories and even watched some rides on YouTube so they’d know what to expect.

That way, they weren’t taken off guard by how dark some of the rides were, or how some used flashing lights. They knew to expect it — and it truly was the happiest place on earth.

Yes, I’ve taught prenatal classes for my hospital (which I LOVED), and I now have an online class which I 100% believe is my best class yet.

It is created to simplify the birth process for busy couples so they can get prepared together. If that sounds good — I encourage you to check it out.

There are also hospital options (although, as I write this a lot are getting cancelled), some doulas offer them — but please be aware of your doula’s qualifications and mindset before you take their class. Try to find some reviews before you start.

Don’t Read Lies

Internet, I am looking at you.

I spend a lot of time on Pinterest, looking for great things to pin for my readers.

And I. see. a LOT. of lies.

Things like:

• Home Birth is Safer
• Things your physician is hiding from you
• You can prevent all tears
• How to go into labor on your own
• How Pitocin is the enemy (this one really gets me)
• How the epidural will ruin your body

Stop. Stop it! I mean, some of these might be amusing — but do. not. take these as knowledge.

Most of these are written by women who had a few births with no tears, or had a bad experience with physician communication. The internet somehow makes everyone an expert (which I whole-heartedly disagree with).

Most are not written by professionals (hello, 20 years) – and most are not written with huge, broad experience over many (even thousands) of births.

Many have people’s own bias about having or not having an epidural, or how it’s stronger to birth at home.

Stop it. At the very least, read these articles with your own bias that they are opinion pieces until proven otherwise.

Staying Open and Flexible

My #1 tip for labor and delivery (besides asking questions) is to stay open and flexible.

A lot of birth trauma is caused by wanting X, Y and Z — and then you being awe-struck that your birth team wasn’t able to provide you with those.

The reality is just true that things happen. X, Y and Z weren’t right for you or your baby. Maybe you didn’t want an epidural, but you got one — and you feel disappointment in yourself.

Maybe you didn’t want to use a vacuum, but the doctor decided it was in your baby’s best interest (along with your informed consent, I hope).

By telling yourself that sure, you’d prefer X, Y and Z (turns out most women have the same hopes, as does your labor team — I have a whole post on birth plans) — but you’re open to take things as they come and you’re ready to be flexible, you’ll flex.

And you most likely will have an amazing experience.

I am also a fan of positive birth affirmations — both about yourself and your team. Things like:

• My body was created to make this baby
• My birth team has the best of intentions for my birth
• I will make the right choices at my delivery
• My partner and I make a great team
• I am so excited to meet my baby

Whatever it is that you find yourself concerned about, turn it around as a postive and write it on a post-it that you see frequently, repeat it to yourself. By focusing on the positive I find that things just tend to work out. It might be woo-woo, but it seems to work in every area of my life.

Postpartum Tip: Talk About it Afterwards

Something I have put into my own practice is talking to patients about their birth, and opening communication about it afterwards.

Explaining why we performed any particular interventions.

Telling them how normal it is to have a tear, and how they can take care of it to heal.

Asking them if they have questions — this is especially important if something “out of the norm” (like an emergency cesarean ) happens.

I remind them that they can always talk to their postpartum nurse about it, and they can always ask a labor nurse why something happened, so you can get answers instead of letting questions linger or fester in your mind.

Ask questions. I feel like a lot of birth trauma happens when you don’t ask questions and you let things grow big in your mind…

It’s like a kid who thinks they have monsters in their room. Once they turn on the light, they realize it was just a shadow, or very explainable. I bet that could be true for you as well.

And nurses are always happy to answer questions. It’s our job (and we love it)!

The Truth About Birth Trauma

I am 100% not saying that birth trauma can be prevented.

There are crazy things that happen (I’v had severe anxiety after some devlieries), and the hospital can be a very scary space.

But I also feel like patients can do things to prevent it in many cases, and by doing that they can start their family on a happier foot.

The post How to Prevent a Poor Birth Experience: Prenatal prevention of birth trauma appeared first on Pulling Curls.

Hi, I’m Hilary — The Pregnancy Nurse . I have been a nurse since 1997 and I have 20 years of OB nursing experience, I am also the curly head behind Pulling Curls and The Online Prenatal Class for Couples. ​ I’ve been a nurse through the swine flu, and a couple of decades of cold & flu season. Follow me for more positive pregnancy & labor tips! ⁣

Because I am getting SO many questions I did a whole podcast on Corona in Pregnancy, to tell you what I think you should be doing right now:

I also have a brand new post on my professional site all about what we know now about the Covid Vaccine for pregnant or breastfeeding women that I think you will find helpful.

A note on terminology: Corona Virus is the “common” name, but scientifically they call it COVID-19… just so you know. I will refer to it in both ways

Also, with birthing classes getting cancelled left and right (I did a whole post on what to do if your class got cancelled) — please use code PC10 to save 10% on my Online Prenatal Class for Couples. It’s always a great way to get prepared from the comfort of your home!

What we know about Pregnancy & the Corona Virus (COVID-19)

As a note: I would 100% talk to your provider about your particular circumstance and the Corona virus at your next appointment. Ask them things to watch for & if you’re more susceptible than others. Since they know you — and your health history, they are your best ally.

What we know: It seems to be very little, but from everything I read it seems like Corona Virus and the Flu are very similar (the Corona Virus being more problematic).

Meaning:

• Pregnant woman, if they were to get the Covid-19 virus would be more susceptible to problems — just as they are with the flu. However, studies are showing that maybe you’re not… (again, the science is very “young”)
• Personally, we’ve seen some bleeding issues and blood pressure issues (including preeclampisa) for moms who are positive at delivery.
• However, most people will get it — have something very similar to the flu and move on (which I have seen in the hospital recently).

We are STARTING to get some information on it. This ABC News article is interesting. I do think that pregnant moms should quarantine as much as possible, and wear a mask when they can (and use great handwashing).

The most common complication with COVID-19 is that you would get pneumonia and have issues with that and getting oxygen to your body. Which again, is pretty rare!

What to do to prevent the Corona Virus if you’re pregnant:

It is really similar to what you’d normally do during cold & flu season. The CDC has a great page on prevention.

Mask Up!

We’re going to talk more about this further into the article, but masks have proven effect to both stop you from sharing it, should you have it — and to also stop you from getting it. They’re a win-win!

WASH. YOUR. HANDS

Honestly guys — this is what keeps transmission down. Go to a public place, don’t touch your face with your hands and then wash your hands when you’re home.

You don’t need antibacterial soap, but you do need an adequate amount of time of washing. I like to sing to “happy birthday” twice.

Tips for hand washing:

• Yes, get those large surfaces… but don’t forget:
• In between fingers
• Nailbeds (I just scratch mine in the palm of my hand for a refrain of “Happy Birthday”)

It would also be a time to increase your handwashing more frequently while at work (and increase the time — because I have to say most of us don’t do it long enough — myself included).

You can also use sanitizer if you so desire. It just uses alcohol to kill germs vs the manual action of washing your hands. I find it very drying if I use it frequently enough though. I have also found there have been shortages of sanitizer — so I just want to remind you that the manual washing with soap is just as good (actually, it’s better).

LIMIT GOING OUT!

You, as a soon to be mother, know how important each human is, which means you need to practice social distancing. Try to only leave if necessary.

• Limit playdates — socially distanced park visits might be a good option
• No lunch dates
• I would send other family members to the grocery store, and limit times that people leave your house as much as you can (which means it’s better to eat home vs door dash, but you do what you can do)
• Limit working outside the home where possible (but clearly, you also have to take care of yourself and you family — so balance the two).

Stay Healthy

Continue doing important things like:

• Getting fresh air outside (just keeping social distancing rules of 6 ft from those who don’t live with you)
• Working out (don’t go crazy now, but move your body in ways that are healthy)
• Getting enough sleep
• Drinking enough water
• “Eating the Rainbow” — getting good nutrition is awesome during pregnancy & during cold/flu/corona season
• Take your prenatal vitamins as instructed

Quarantine the Sick

What do you do if someone in your household gets the Corona Virus? Same as you would with a regular flu. Quarantine them as much as possible. Increase your hand washing and healthy practices.

Encourage them to wash their hands, cough into their arm (some people call it a vampire cough, as you cough into the crook of your arm), and use kleenex which they throw away after use.

Consider using an antibacterial spray or wipe on heavily used items (remotes, doorknobs, light switches).

I would also call your provider to let them know. See if there is anything you should do based on your specific circumstances.

What to do if a Pregnant Woman Gets the Corona Virus

First off, quarantine yourself. That may mean that husband has to stay home from work to take care of the other kids.

I am grateful to see that testing is back much sooner, and we are wanting to test more pregnant moms — so if you have symptoms, call your doctor. FYI, do NOT go into the emergency room, there are a places to get tested drive-up!

I have a whole post on what pregnant woman should do with a cold, and the tips there are valuable and very similar to what you’d do in this situation.

Cliff notes: Stay hydrated, if you can safely take Tylenol (Acetaminophen) that can help with a fever (check with your provider on if Tylenol is safe for you)

Treatment of the Corona Virus in Pregnant Women

Some interventions are proving fruitful if the virus becomes advanced and you are have difficulty oxygenating yourself.

But, prior to that you would treat it just like you any other cold or flu. Ask your provider if there is anything else you could be taking.

One of my favorite methods of treatment for a cough is a honey/lemon tea. Just squeeze in a half a lemon’s juice, and add a good amount of honey (to taste, I like a lot) to hot water. All aspects of this are good. Warm water can help ease throat pain/congestion. Honey and Lemon both can help with coughs and congestion as well!

You can read the symptoms of the Corona Virus here.

The #1 thing would be to STAY HYDRATED. If you’ve read my articles before, you know I’m a huge fan of hydration.

Some people have diarrhea with the virus and if that is the case, I would drink EVEN MORE. It’s SO important!

I have also seen articles talking about positioning as well as deep breathing, so you might want to talk to your doctor about those options.

Hospital Delivery During Covid-19

Your hospital delivery will look a bit different:

Staff will wear masks — to both protect you and them. Most often they will be surgical masks vs an N-95. However, if you are pushing or in the OR they do recommend RN’s wear an N-95 because of our close proximity

You will have a covid test upon admission If you have a scheduled procedure (induction or cesarean) they may ask you to get tested a couple of days prior to admission. This can be quite annoying, but it is quick and will make your hospital stay more enjoyable for all involved.

No Nitrous Both Nitrous and oxygen administration are limited since Covid started as it can aeresolize the virus. They have fuond the benefits do not outweigh the risks. You can learn more about Nitrous here.

No Labor Balls They have found that labor balls can’t be adequately disinfected. Some hospitals have single-use balls, or you can consider getting your own. They are fairly cheap on Amazon. They are great to promote movement if you have an epidural. Call your hospital to check on their policy before purchasing your own (I’ve seen some putting them in garbage bags that can be disposed of after each patient). My friend Mandy and I talk about this in my labor movement podcast:

Limiting Visitors While some hospitals have prevented any visitors most policies allow one to two people in the room. Sometimes that person has to stay your entire visit (or just come back to pick you up). So, I would call your hospital to see what their policy is at the time (and be aware it is changing frequently as cases abate or surge). Most especially some hospitals are making exceptions for doulas — so be sure to ask.

Otherwise, deliveries are AMAZING. It’s so exciting to have something so fun and exciting times during these miserable times.

I want to stress that. The sheer joy of something like this during a time where everyone is feeling so low is absolutely phenomenal. Revel in that, that YOUR baby is a bright spot in the world.

Also, a lot of families have really enjoyed special time with no visitors at the hospital. So, even though people were initially disappointed, it may change who comes to the labor room forever.

Risks to the Baby

If you were to have a very high fever during your first trimester it can be problematic for the baby — as it can with any fever or illness.

Make sure to stay VERY hydrated. Honestly, water is almost as good as anything else you could take at this point. It will flush the virus out of your system, and keep your lungs as healthy as possible. Have I harped on that point enough?

They are finding that risks to the baby are somewhat minimal — and more research is going on, so stay tuned.

Risks to Mom

They are finding that pregnant women are at a higher risk of complications from Covid. That’s why the conversation around the Covid Vaccine for pregnant women is so important.

The main risk is that a respiratory issue could progress to problematic. If you find yourself with shortness of breath, wheezing that isn’t cleared with a cough, or breathing is hard/painful. Please seek assistance. Those with a previous health history of respiratory issues can be more susceptible to problems (things like vaping, smoking, asthma or other lung issues).

As far as risks to the baby after birth, I would make sure I wore a mask when breastfeeding until I was feeling better. I would also have someone who is COVID negative do any other care for the baby.

A lot of places have Corona Virus hotlines or offer teledoc appointments to keep people out of the hospital, so be sure to use that early if you’re pregnant (and let your regular provider know too).

Remember to not stress out. It is still most likely that you have something that is NOT Corona Virus!

Should Pregnant Women Stock Up on Masks?

April Update: The CDC has recommended masks for going into the public. I have sewn a few of my own masks, and they’re obviously at stores.

I 100% recommend people wear masks in public places. And I 100% understand it is WORSE to wear a mask when you are pregnant, which would likely limit your visits to public places.

N-95 Respirators for Pregnant Women.

STOP. Have you guys ever worn one of these? First-off, you have to be fitted to get a tight enough fit (nurses are tested yearly). Also they are HARD to deal with. As it does filter your breath you are inhaling and exhaling harder with the mask on. It’s TIGHT on your face and we — as healthcare workers — ONLY use them when we are in DIRECT contact with someone we must be protected against.

Summary: They are a huge pain, stop wearing them unless directed to by a provider.

Breastfeeding Moms and the Corona Virus

If you’re healthy, that’s awesome. I would recommend keeping your baby home as much as possible (it’s cold/flu/RSV season so that’s recommended anyway).

However, the good news is that most of the information I have seen shows that babies and young children don’t have much of an issue with the Corona Virus. However, we are always learning more.

If you were to have the Corona Virus continue to wash hands VERY frequently, keep breastfeeding as that will help your baby’s immunity and try not to get in their face as much as possible.

I have seen recommendations of wearing a mask while feeding (if you are Covid positive) You can always cover the baby with a blanket (a clean one) as you feed so if you were to cough or sneeze it wouldn’t get on them.

My friend Katie also has a super helpful article on the Corona Virus and Breastfeeding.

The worst thing to do with the Corona Virus

Panic.

While day to day stressful events (that come and go) are good for your baby, prolonged stress is not. And this, is not a reason to be stressed out.

I repeat: it is not a reason to stress-out.

If you find yourself devouring many articles, consider saying some positive statements like:

• I and my baby are healthy
• I am grateful for my healthy body

Then, get up and do something else. Don’t read all the media attention this is getting it will only make things worse in your mind.

And that, my friends, is my take on the Corona Virus.

Drink more water, wash your hands.

Be positive and happy.

If you found this helpful, I’d love it if you stuck with me for the rest of your pregnancy:

The post Corona Virus & Pregnancy appeared first on Pulling Curls.

Why ARE kick counts so important, and what can they do for you? Today I’m talking about how to do kick counts, when to do them, and the benefits you’ll find from them (not the least of those benefits being getting out of cleaning up dinner dishes). Let’s untangle this one.

This episode is inspired by my decreased fetal movement post.

Big thanks to our sponsor, The Online Prenatal Class for Couples — if you like things simplified, just like I did kick counts today, this is the course for you. Don’t forget the coupon code mentioned in the episode.

Other information:

• Great app for kick counts.
• Weeks of Pregnancy

Producer: Drew Erickson

Check out my other pregnancy podcasts:

Transcription:

Hilary Erickson 0:00
Welcome back to The Pulling Curls Podcast. Today on Episode 23 we’re talking about fetal movement. That’s right, your baby moving inside your body because you are creating a human inside of you. Isn’t that insane? Did you guys know that sometimes when you go to check somebody, the hand comes out and grabs you? So, like, I’m checking your cervix and I feel something come out and grab me. The first time I did it, I was like, “Oh my gosh! Something’s alive in there!” But, turns out something is alive in there. Today we’re going to talk about a way to get out of cooking dinner and we’re going to talk about something that can save one in four stillbirths. Let’s untangle it.

Welcome to the Pulling Curls Podcast. Where we untangle everything from pregnancy, parenting, home routines, even some family travel because, heavens knows, our lives are tangled. I’m your host, Hilary Erickson.

Yes, we have tons of tests in the hospital. There’s all these sorts of different kinds of ultrasounds. But did you guys know that the main indicator of fetal well being is fetal movement? My manager a few years ago (shout out to my friend Lottie) sent me to a place that shared that one in four stillborn babies can be saved by doing kick counts. There was a state that really made a push towards kick counts. And you know, after a period of time, they noticed that 25% less stillborns by really pushing moms to do kick counts, and ever since I read that, I pushed it. If you’re on my newsletter, I push kick counts constantly. They are such an easy thing to do, such an important thing, and and I’m surprised by how many doctors don’t even talk about them. So today, we’re going to talk about kick counts and I’m super excited to share this information with you.

This episode of The Pulling Curls Podcast is sponsored by the Online Prenatal Class for Couples. It simplifies understanding labor so you can have a more relaxed pregnancy and birth, taught by a highly experienced labor and delivery nurse, and can be done wherever you are, whenever you want. No more arranging busy schedules to fit in a prenatal class. Save 15% with the coupon code UNTANGLED. You can find out more at pullingcurls.com and the menu under ”Courses” or in this episode’s show notes.

As a reminder, I am a nurse, but I’m not your nurse. So please talk with your physician about kick counts. Find out how they’re important to you, anything extra you should be watching for. It’s also such a great time to bond with your baby. Okay, so kick counts and fetal movement, actually in general, is different for everyone. Now, there are a few reasons why it is different. If your placenta is in the area where your baby most often kicks, which isn’t a problem. It sounds like it could be bad right? But you will feel the baby move less because the placenta is kind of shielding your body from feeling those movements and so sometimes that happens.

How the baby is lying can often affect how you feel kick counts. And also, your musculature in your abdominal area can also affect kick counts. So, often overweight women (like myself) often feel baby move a little bit less than skinny women. But also if you’re skinny and your placenta is in the wrong spot, then (not the wrong spot but in the spot that’s blocking the kicks from you), then you will also feel fetal movement less. So, all that is normal. I know a lot of people get really nervous when they’re at 20 weeks and they haven’t felt baby move and all their friends said that they felt their baby move at 16 weeks. Yeah, it can be disconcerting. And of course, you want to feel that, that’s such an exciting part of pregnancy, but just hold on. It’ll come.

So starting in about 28 weeks, that’s your third trimester, you’re going to want to start to do kick counts. Now, they’re pretty simple, but there are some procedures that you need to go through. So first off, you want to have just eaten and hydrated yourself. So for me, that was always done right after dinner, which had the added benefit of my husband cleaning up dinner because you have to just kind of lay around and see what happens. You’re just going to lay there and you’re going to feel for fetal movement. Now this is any fetal movement except for hiccups. Hiccups do not count towards kick counts. Hiccups are, you’ll feel it you know, every second just kind of a little bounce in your uterus. That’s a hiccup. You can ask your doctor if you have questions because we can… we can actually hear it on the fetal monitor because the baby’s moving with the hiccups but you’re just feeling for any fetal movement.

Now when you start at 28 weeks your baby is like a karate ninja in your womb. Right? They’re all over the place. It’s like War of the Worlds. But as you progress in your pregnancy, those fetal movements are going to get smaller because they simply don’t have as much room to be a ninja anymore. And so you’re going to notice as you do kick counts that those movements change, and that’s okay. It’s just any fetal movement. You’re going to count how long it takes to feel 10 movements. So when I was like old school, I just used my fingers. So I would just, like, put down a finger every time I felt fetal movement. I’d note what time I started, and then I’d note what time I finished and I would just see how long it took me to do it. It’s great if you can do it at a similar time of day, every day. But if you miss that time, it’s still important that you get it done.

So for me again, I did it right after dinner just because I didn’t want to clean up, I don’t think there’s anything wrong with that. And then I would recommend writing it down. Now I had my last babies at Kaiser and they had like, a fancy book for you to write everything in which is awesome because they really push kick counts again because it saves them money. That’s why Kaiser does everything. To have you do kick counts. So, most doctors don’t do that anymore. You can just write it on an app in your phone. There are fetal movement apps that you can do. I have some of those noted in the post that goes with this. So you can check those out as well.

Now, it is normal for that amount of time, so let’s say it takes you 20 minutes, normally, for the baby to move 10 times. It is normal for that to, you know, vary by 10 to 20 minutes. So if some days, it only takes 10 minutes and some days it takes 30, 35 minutes, that’s okay. You know, baby may be going through a sleep cycle, although usually right after you’ve eaten and drank, they’re less likely to be in a sleep cycle. That’s why it’s awesome to do it then. But those kind of things are normal.

And, as you get further in your pregnancy, you may not notice those tiny little movements as much because the baby doesn’t have much room to move. So, it may take a little bit longer as you get further in your pregnancy, but you’re going to want to see gradual changes. Now, if it’s been 20 minutes fairly consistently, and then all the sudden, you’re into 90 minutes and you’re still not feeling it, you want to call your doctor. And, just let them know that the kick counts are really off. They’re very different. See what they want to do. Most doctors have someone on call for them 24 hours a day, if your doctor doesn’t and you’re really not feeling baby move that would be a reason to go into labor and delivery. And we actually see decreased fetal movement quite a lot in labor and delivery. And it’s awesome if you’re saying, “I do kick counts daily, and normally it’s done in 20 minutes, and I’m in an hour and a half right now, and I’m still not feeling baby move.”That helps us know that you are really in tune with how your baby is moving and growing. And so that’s awesome.

But, usually, I would call your doctor first to let them know, and then, you know, if they don’t call you back or nobody’s on then you could just go into labor and delivery. So that’s the procedure. It really doesn’t take that long. But you do kind of just need to lay there and feel for the baby. You of course, could listen to your favorite podcast… If you’re not too distracted by a TV show, you could probably watch something like that. You can’t really play with your kids. It’s just kind of just laying there and loving and feeling for your baby. It can also be a really great time to bond with your baby. They’re really just such a beautiful thing to do, but they do take time.

So, kick counts, what’s the biggest deal about all of them, you need to do them. So many people get distracted and they don’t end up doing it, they think it’s a great idea, They read Hilary’s article or they listen to her podcast, and they think, “Yes, I am going to do these.” I want you to sit down right now on your phone and set a reminder to do them every day at whatever time works for you. So if it’s after work, if it’s before work, if it is, after you eat breakfast, if it’s after you eat dinner, if it’s after you put the kids to bed. Again, I would recommend having eaten something and make sure you drink some water. A great way to make kick counts take less time is to have some ice water with you because, as your stomach gets cold, it’s right next to the uterus, and it kind of wakes the baby up and they move. And that’s something we actually use in labor and delivery with NST’s which I talk about in my free prenatal class (if you guys haven’t taken it.) So an NST is obvious… is actually very similar to kick counts when I do them in the hospital. So just something to think about. Your kick counts are free. My NST is not so. Kick counts, so important! Please, do them. Please, set a reminder in your phone, get an app, I think the apps will remind you also, so it’s just awesome. Do them, do them, do them. That’s all I have to say about that.

Thank you so much for joining me on today’s episode. Kick counts aren’t really the most glamorous part of pregnancy, but I’m telling you, they are just so important. I push it on all my patients, I push it in my blog, and now I’m pushing it in the podcast. Please, do kick counts.

If you’d like to learn more about kick counts, why they work, what you’re learning about them, I have some awesome links in the post that inspired this podcast and that’s going to be in today’s show notes. You can also find them at pullingcurls.com/podcast. Today’s episode is number 23.

Big thanks to our sponsor, the Online Prenatal Class for Couples. I bet kick counts might have mystified you or somebody just said, “Do kick counts.” And you were like, “Okay, I’ll feel for the baby to move.” And honestly guys, that’s how I did kick counts when I was pregnant. I didn’t think they were that important. But as I’ve read all the information and all these kind of things, they are important. Do them. Anyway, if you feel like other parts of pregnancy are kind of mystifying, come join me in the Online Prenatal Class for Couples. I think I can really help simplify it, make things easier, make it easy to understand. I’d love to have you in there. Remember, you can save 15% with coupon code UNTANGLED.

And of course, if you like today’s episode, I would love it if you would review it. It really means a lot to me and those reviews help me get seen by more people and hopefully I can share kick counts with more people like you. We drop an episode every Monday and until then, I hope you have a tangle-free day!

Transcribed by https://otter.ai

The post Fetal Movement & Kick Counts — PCP 023 appeared first on Pulling Curls.