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Thinking of Becoming Pregnant?, The Green Guide

Check your Due Date and find out when the first trimester ends, Medical College of Wisconsin

Pregnant? 

Congratulations!

picture courtesy Tribal Connections Health News

Now you are eating for two.  That doesn't mean double the food, but rather to be more particular about WHAT we eat.  Everything we eat, and everything we don't eat, has an effect upon our health and the healthy development of the baby inside.  Eating is something to do thoughtfully and not just to fill (the growing) belly.

You may eat more food, at least at first.  I was always famished at the beginning of my pregnancies but as my belly grew, even though I might have felt hungry, I also felt FULL - full of baby.  As the baby takes up space, smaller meals or grazing throughout the day is best for most of us.  Trust your body and how you feel and listen to your cravings carefully.  If you're craving a milkshake, for example, it's probably that you need calcium instead of an empty calorie milkshake from a fast food place.  And there is a good reason pregnant women crave pickles!

When I'm pregnant I feel the most beautiful, the most important, and quite powerful!  It is an incredible experience!  You glow from within out and everyone can see it and feel it.  Enjoy this special time for you and your impending bundle of joy.  Now is the time (if not already doing so) to start eating right and set an example of how your family will eat.  There are extra cautions when pregnant since anything that may make a grown person a little sick, can actually end the life of an unborn.
  While pregnant, it's just safer to avoid eating:  
     
 
  • Most Fish, except that the baby needs Omega 3s for proper brain development and we need it for our health.  The problem is that there is mercury in fish due to the toxins put in our waters. 

Mercury can cause nerve damage to the baby in the belly so just be careful and cautious when and if eating fish.  Babies exposed to high levels of mercury during pregnancy have exhibited delayed walking, talking, inability to speak, brain damage, mental retardation, blindness, seizures, cerebral palsy, altered muscle tone, or deep tendon reflexes.  There is also a link with mercury and adverse effects on the developing reproductive organs and spontaneous abortions and even still births.  Low level exposures could cause learning disabilities.

To understand which fish is "safe" to eat, we must look at the lists for fish that have the least amount of mercury and then compare that to the list of fish that is not overfished.  Even "safe" fish have some levels of mercury.  And if you are comforted by the notion of "farm-raised," or the latest spin on words "ocean-raised" fish, please learn about it because these fish tend to be higher in PCBs and Mercuy and LOWER in Omega 3s!

It is best to avoid most fish and get the omega 3 essential fatty acids from DHA or High Omega eggs (from hens fed a high omega diet) and safer fish including Wild (NOT farm-raised) Alaskan or Pacific (NOT Atlantic) Salmon.  You can also get these EFAs through fish oil or supplemental pills, but I'm not a big fan of additional pills and you have to be careful that the fish oil or pills do not have high levels of mercury too.

Most suggest pregnant and nursing women avoid:

  • Lake Trout
  • Largemouth Bass
  • Lobster
  • Mackerel
  • Mahi-Mahi
  • Marlin
  • Mussels, Blue
  • Northern Pike
  • Orange Roughy
  • Oysters
  • Perch
  • Pollock
  • Porgy
  • Red Snapper
  • Rockfish
  • Salmon, Great Lakes
  • Salmon, Farmed
  • Sea Bass
  • Shark
  • Snapper
  • Swordfish
  • Tilefish
  • Tuna Steaks
  • Tuna, Canned
  • Walleye
  • White Croaker
  • Whitefish, Lake
  • Yellow Tail
 

Absolutely avoid Tuna (canned and fresh).  Although, if you MUST have Tuna, I'd highly recommend very sparingly and avoid all commercial brands (which have far less Omega 3s and high mercury levels) and instead stick with brands that only catch (not in nets, but individually catch) the youngest Tuna (because those have the least amount of mercury) and brands that only cook the tuna once thereby preserving the valuable Omega 3s. 

A good rule of thumb is to avoid bottom feeding fish and predatory fish including swordfish, tuna, salmon, crab because they eat other fish with mercury and therefore the mercury levels are compounded in these fish.  

Wild is safer and better than farm- or ocean-raised for our bodies and our environment.  Fish is an important part of a pregnant woman's diet so it's important to learn which are safer to eat.

 
 
  • Ready-to-eat seafood such as smoked fish and smoked mussels, and oysters.  Actually, it's probably a good idea to pass on the shellfish altogether.  However, I felt safe eating the nitrate-free Nova from Vital Choice.
 
 
  • Raw seafood such as sashimi or sushi.  Don't eat it raw.  The only thing you should be eating raw is your generous servings of fruit and vegetables. 
 
 
  • Pre-prepared and store-made salads, including coleslaw because these things can carry the bacteria listeria
 
 
  • Alfalfa sprouts are dangerous because they can carry e-coli bacteria and listeria.  Alfalfa sprouts also contain the amino acid canavanine which is an anti-nutrient that can inhibit the natural immune system so they are best avoided anyway.
 
 
  • Leftovers - save those for the husband; if you're like me, you'll probably get grossed out thinking about eating leftovers anyway.  It's just safer to skip those unless they are from something you made and you know that you got them into the refrigerator promptly after it cooled down.
 
 
  • Of course avoid raw or undercooked eggs for fear of salmonella.  However, many suggest raw egg yellows too and in that case make sure they are fresh and splurge on the High Omega Eggs.  And remember that all studies indicate that the real salmonella danger is in fast food and breakfast restaurants where they may not keep eggs at the proper temperature and therefore allow bacteria to grow.  Therefore, you are probably safe at home, especially if you know your supplier and are getting fresh eggs (I feel safe eating and feeding our kids eggs with soft yolks because we get the eggs fresh each week with Delicious Organics) however, this is such a big risk for such a little benefit, that you may want to play it safe and cook them through.
 
 
  • Same goes for meat, make sure it is cooked and not rare. 
 
 
  • Avoid processed meats like sliced deli meats which can contain nitrates and bacteria.
 
 
  • Pre-cooked meat products which are eaten without further cooking or heating, such as pâté, sliced deli meat, hot dogs, and cooked diced chicken (as used in sandwich shops) can carry unsafe bacteria.  Only eat these if they are steaming hot when you get it.  And most deli meats have nitrates which should be avoided anyway.
 
   
 
  • Don't drink conventional milk because it contains rBGH; choose organic milk instead. 
 
 
  • Dioxins and other toxins build up in the fat of animals so it's best to use nonfat dairy products.  But there is a lot of debate on the need for fat in one's diet and in particular once your toddler is growing, the fat is critical to brain development and their good health.  Organic dairy is always a safer option.
 
 
  • Some calcium supplements are made from ground oyster shells, bone meal or dolomite and therefore can be high in lead so don't supplement with calcium pills and check your prenatal to make sure it doesn't have calcium in it.  Instead get your calcium, which you need, from leafy greens, almonds, sesame seeds, and dairy.
 
 
  • Pass on the soft serve ice-creams and instead opt for the scooped ice cream on occasion. The soft serve machines do not get cleaned out regularly and can be a breeding ground for bacteria like listeria which can linger there.  Listeria can cause you a stomach ache but can actually kill the unborn baby so it's a frightening bacteria.  Hard ice creams and yogurts are fine as well as regular yogurt
 
 
  • Avoid soft cheeses, such as Brie, Feta, Camembert, Blue Cheeses, Ricotta, Mexican cheeses including Queso Blanco Fresco, and Asadero.  These are safe if cooked and served hot, but I suggest avoiding brie and camembert since those are just usually warmed not really cooked.  Hard and semi-soft cheeses from pasteurized organic non-rBGH milk are safe.
 
 
  • There is controversy surrounding soy in the pregnant diet so it's best to avoid that too, except for fermented soy products like Miso and Tempeh.  Read labels as many products contain soy oil.
 
 
  • Avoid caffeine and even decaf coffee.   Coffee has been associated with early miscarriage, even decaf.  If you must have coffee, it's said that a cup a day won't do harm, but I'd encourage you to drink only organic coffee as regular coffee contains a lot of pesticides or better to move to Green Tea but ask your midwife or doctor about that first.  If you want decaf, make sure it is organic too and Swiss Water Decaf only to avoid unnecessary added chemicals.
 
 
  • Avoid Guarana because it contains caffeine and Kola Nut. 
 
   
 
  • Alcoholic beverages - I know they say a glass on occasion is fine, but is the risk really worth it?  Best to avoid all alcohol, and we're not just talking hard liquor, this includes beer.
 
   
 
  • Be cautious of essential oils, especially stronger scents including: bitter almond, basil, clary sage, clove bud, hyssop, sweet fennel, juniper berry, marjoram, myrrh, peppermint, rose, rosemary, senna, cascara sarada, sage, thyme, goldenseal, barberry, oregon grape root and wintergreen.
 
 
  • Avoid some herbs including Fenugreek, Red Clover, Aloe, Don Quai, and Rue which can cause hormone actions or uterine stimulation.
 
 
  • And obviously stop smoking and avoid second-hand smoke.
 
     
  Okay, so what CAN I eat?

What you eat is actually as important as what you don't eat.  What you eat may have a long term effect on the overall health of your baby even into adulthood.
 
     
 
  • Fat - It's important to get enough fat in your diet as the baby needs this for proper brain development. Brain growth is at it's peak in the last trimester and first year of life. That's another reason why nursing is so important, it's about 1/2 fat!  But not Trans Fats like hydrogenated oils.  We're talking about healthy Omega 3s and fat from fish.  Essential Fatty Acids (EFA) are needed for brain growth.
     
  • For a smarter baby, eat your Wild Alaskan Salmon.  I ate this myself when I was pregnant and I feel strongly that this is critical to our health normally and especially when we are feeding our babies.  Canned salmon is also a good source of these nutrients and is quick and convenient.  Vital Choice offers pop-tops that make it easy to take to work.  Latest studies show that those who eat fish regularly, particularly in the last trimester, have a brighter, heavier and healthier baby.
     
  • You can also get your DHA and Omega 3s from the Eggs of Hens Fed a High Omega Diet.
     
  • It's important to get your Omega 3s for a smart healthy baby!  Choose sardines, salmon, and DHA or Omega-eggs.

 
 
  • Calories - Eat a healthy and varied diet of vegetables, fruit, fish, meats, dairy, whole grains.  Eat meals and snacks.  Gain the proper amount of weight by eating good healthful whole foods over processed snacks.
 
 
  • Fermented foods support a healthy digestive tract and a healthy birth canal.  This can help you avoid Group B Strep.  There's a reason pregnant women crave pickles!
 
 
  • Protein - Make sure you have enough protein in your diet.  Many woman have this urge to eat red meat when pregnant.  This is because of the need for iron and protein.  Choose Grassland Beef and you'll also get valuable Omega 3s!
     
  • If you don't eat that many vegetables, start.  They are a vital source of nutrients.  Now is a good time to learn how to cook them and set an example of healthful eating that will last your child's lifetime and improve your family's health.  Juice greens and carrots to make sure you get your 9 a day from a variety of colorful vegetables.
 
 
  • Dairy - If you normally drink milk and eat dairy, keep eating it.  Semi-soft and hard cheeses are good sources of protein and calcium. 
     
  • Yogurt and Kefir are especially good, if you don't get heartburn from it like I did, but when I tried another brand I was fine.  Personally, I like the Brown Cow and Seven Stars brands.
     
  • Lowfat and nonfat milk are better options generally since dioxins and other toxins build up in the fat of dairy cows, meat, and fish. 
     
  • Calcium - your baby needs calcium to grow and if you don't get it into your body regularly with food or supplements, the baby will still get it but it will be at your expense since the baby will take it out of your bones, teeth and body.  Milk and dairy are a great source of calcium.  You can also get Orange Juice with added calcium, though Orange Juice has a lot of natural sugar in it too.  Get calcium from Green vegetables like Broccoli and leafy greens, and from almonds, almond nut butter, tahini, and sesame seeds.
 
 
  • Folate and Folic Acid are critical during pregnancy.  Low levels have been associated with birth defects like spina bifida.  Most prenatal vitamins contain enough folic acid but be sure and eat healthy vegetables like Broccoli, Spinach, and Citrus Fruit like Oranges.  Other good sources of folate include dried beans and peas.
 
 
  • Zinc - low levels are associated with long labor and small babies who may have health problems.
 
 
  • Iron - pregnant women need iron for the developing babies.  Prenatal vitamins have iron.  Red meat, some fortified whole grain breads, and green vegetables are good sources of iron.
 
 
  • Fiber - 30 grams of dietary fiber will help you be regular and is important for your health.
 
 
  • Fresh Water - 8 - 10 glasses a day.
 
 
  • Salt to taste - don't be afraid, yes, you can use salt, don't go overboard because you don't want to have swelling, lord knows you may have enough of that, so be cautious, but for heaven's sake, don't be bland and choose a healthful salt over the processed table salt to get minerals.
     
  • A note on carbohydrates - studies show that a lower carb diet might set the baby up for a healthier adulthood.  And it can even have a positive affect on your grandchildren's insulin levels.  That doesn't mean no carbs.  Just a balance of healthful fruits, vegetables, whole grains, fats, and protein.  Avoid empty carbs like white flour, sugar, and processed foods.
     
  • Heartburn?  Celery can help relieve some of that.  Papaya is also good.  Pure coconut juice is good for electrolytes, rehydrating, and helping rid heartburn from your body.
     
  • Nauseous? - Papaya can help as can those simple wristbands based upon acupuncture.  And a little bit of ginger in hot water can help sooth nausea but you don't want to eat too much ginger.
     
  • Eating Healthier Now and why a Delivery Service is especially geared toward Pregnant Women and New Moms
 
  Reducing your exposure to chemicals:

Other Tips:

Your Health:

Staying Healthy:

You may find it frustrating if you get sick while pregnant.  The ob/gyn may treat you or may tell you to go see your primary care physician.  You will wait to see her for hours and finally be told that she cannot treat you because you are pregnant.  You'll sit in the car crying because no one will take care of you now that you are carrying this precious cargo.  Do I sound a little bitter?  It's a real experience I had over and over again, especially with my third child, as I got upper respiratory problems continuously while pregnant with her - awful!  What to do, try homeopathy as a safe and effective solution.

Homeopathy for
Pregnancy, Birth, and
Your Baby's First Year

Miranda Castro

   

Staying Fit:

Nutrition and Lifestyle News: Yoga During Pregnancy Can Benefit Mom, Baby

Practicing yoga while pregnant can help mothers-to-be relax but, better than that, it may also reduce complications of childbirth and improve the birth weight of babies, according to results of a new study from India. A team of researchers recruited 169 pregnant women trained in yoga and 166 other expectant women who got routine prenatal care and served as controls. The group that did yoga spent an hour a day doing various loosening exercises and practicing yoga postures, relaxation, deep breathing exercises and meditation. The yoga group had only 14 percent premature deliveries compared to 29 percent in the control group; women in the yoga group also had lower rates of pregnancy-related high blood pressure. Yoga may improve pregnancy outcome by increasing blood flow to the placenta, lowering transfer of maternal stress hormones and delaying the signals that trigger the onset of labor. The study was reported in the April 2005 issue of the Journal of Alternative and Complementary Medicine. As long as women have no medical or obstetric complications, daily exercise is recommended during pregnancy – just don’t get overheated and make sure you’re well hydrated. Pregnant women should stop exercising if they become dizzy or develop a headache, chest pain or pain or swelling in the calves.

Source: Journal of Alternative and Complementary Medicine, April 2005

Yoga can help you prepare for the birthing process.  The stretches and poses will make you stronger and more flexible which will help you have a healthy pregnancy as well as make the birthing process easier.  Even if you've never done yoga or don't exercise much, good yoga instructors are trained on how to help the growing, changing, pregnant body. 

There are good prenatal classes from which to choose.  If you can't get out to a class, there are also some good prenatal yoga videos.  Here is a link to Yoga for Pregnancy video:

 
  Get Ready for the Birth and Parenthood:
 
 
   
 
 
The Pregnancy Book
by William and Martha Sears

Dr Sears, a pediatrician and professor, and his wife Martha, a nurse, are avid attachment parent advocates and are a great resource on children, especially since they had 8 of their own!  The month-by-month guide was one of my favorites when I was first pregnant.

 
Mothering Magazine's
Having a Baby, Naturally

by Peggy O'Mara

Covers the range from pregnancy to giving birth and beyond.  A great resource and very well written .

 
 
  • Birth - prepare for childbirth

The Painless Childbirth Course, a course that really works

Having a baby is miraculous!  When you want to go it naturally, it is sometimes met with resistance by caregivers and even loved ones.  This course will help you have your baby naturally without pain, fear or discomfort.  Contact Israel Maya, CMHt at 305-655-2451 or painlessbirth@aol.com so that you can have the labor and delivery you want for you and your baby.

Although every birth is unique and nothing ever goes exactly as planned, a good BOOK can help you understand what you might expect so you can make clearer decisions (your support system will also help you make the right decisions for you) in the moment:

  Natural Childbirth the Bradley Way
by Susan McCutcheon

Though I don't personally like everything in this book, I think it's a wonderful resource and helped me understand what was happening so that I could help the birth process move along naturally.  Good for the dad to read too.

 

The Birth Book

by William and Martha Sears

Dr Sears, a pediatrician and professor, and his wife Martha, a nurse, are avid attachment parent supporters and are a great resource on children, especially since they had 8 of their own! 

Ina May's Guide to Childbirth 

Ina May's Guide to Childbirth

by Ina May Gaskin

Thoughtful, helpful, insightful, empowering book on childbirth.

 

Mothering Magazine's Having a Baby, Naturally

by Peggy O'Mara

A great book that covers the range from book that covers the range from pregnancy to giving birth and beyond.  A great resource written very well.

Where to give birth?  There are plenty of hospitals that are good.  A hospital is of course an option.  Be sure to come with a birth plan (you know, low lights so as not to startle the baby, time with the baby after birth, when to cut the cord or whether someone will do it so the doctor doesn't do it automatically, if you want a mirror to see the birth, positions that may be more comfortable for you, music, hooking up to the fetal monitor or not, epidural and drugs, episiotomy, etc.) and a doula or husband who will help implement it since many nurses do not read them.  Memorial Hospital has one of the best neo-natal units  in South Florida.  If you're looking for a more "natural" birth, you can plan a home birth (but remember that anything can happen and be prepared for it so you are not disappointed.  We are just lucky to have so many great options available to us!)  These sources come recommended:

  • A Loving Start
    3001 West Hallandale Beach Boulevard
    Hallandale,  FL 
    954-456-0850 or 305-215-8763
    meharris5@hotmail.com
    Licensed
    Midwives Deborah DiGiacomo and Mary Harris are dedicated to providing you with a customized birth experience in your home or in their new birth center right off of I-95! Medical Ob/Gyn Dr. DiGiacomo available as well.  Child birth classes, breastfeeding education and newborn care classes offered.  Free Initial Consultation.

     
  • Hollywood Birth Center
    2316 Hollywood Blvd.
    Hollywood, FL 33020
    (954) 925-4499 or hollywoodbirthcenter@earthlink.net

     
  • Miami Maternity Center - formerly Miami Beach Maternity Center
    Most Experienced Midwife Shari Daniels and Dr. Cesare Di Rocco, Board Certified Obstetrician-Gynecologist and a staff of qualified caring midwives, birth assistants, and labor coaches are available for the comfort, health and well-being of their "mommies and babies" and to make sure you have the best birth experience possible in their new birth center right off of I-95!  Free classes available. 
    140 NE 119 Street, Miami , FL 33161
    305-754-BABY (2229)  |  Fax: 305-754-2212
    Or contact them via:  http://www.miamibirth.com/-contact or info@miamibirth.com
     
  • Loving Hands

    Hollywood, FL

    Adriana Algieri

    954-274-7667
     

  • Holistic Maternity Center
    North Miami, FL
    Miriam Pearson-Martinez
    contact:  305-249-2229 or 786-554-5603 or via the web:  www.h2obirth.com
    Miriam is a skilled practitioner who provides amazing care throughout pregnancy, labor and deliver and postpartum.  She is trained in hypnobirthing.  Her husband is currently doing a pediatric cardiology fellowship at Jackson - a pediatrician supportive of home birth and midwifery care - they make a nice team.

Links:

 
 

And remember:

  • Have a Birth Plan but remember that Mother Nature may not follow your plans and don't be upset or mad at yourself, go with the alternate plans.  Have a doula, husband, friend, or all three help support the essence of your plans with the nurses, doctors, midwives or whoever you have helping you deliver your baby.
  • Skin-to-skin contact right after birth for at least 10 minutes will make a difference in your child's life and in your bond with that child.  It's an incredible feeling.  Breastfeed immediately after giving birth and hold your child as long as you can; don't let the nurse take your baby to the nursery so quickly if delivering in a hospital.  You can say no.  You have a right to make decisions about you and your child.
  • You leave the birth as 3 (baby, husband or significant other, and you) so have a Pediatrician picked out!
  • Bring presents from the baby for older siblings and have some stashed away when friends visit.  They will inevitably bring gifts for you and the new bundle of joy and you don't want the big brother(s) or sister(s) to feel left out.  My kids still remember the gifts their little sibling brought to them!
 
  How to choose What to Buy for Baby:  
 

all you really need to start is:

  • your breasts for nursing

  • your arms for holding

  • a blanket and couple things to wear (for you and the baby)

  • time (together) and patience

  • diapers - cloth or disposable (and wipes)

Baby Bargains

by Alan Fields

 
 
 
   
 
 

The Successful Child

by William and Martha Sears

 

The Fussy Baby Book

by William and Martha Sears

 

Nighttime Parenting

by Dr. William Sears

 
 
 

The Baby Book

by William and Martha Sears

 

The Discipline Book 

by William and Martha Sears

 

The Attachment Parenting Book

by William and Martha Sears

 
   
  Resources:  
   
   
   
   
   
 

 
  Disclaimer:  I am a mom and this information is based upon my personal research and is what I did while I was pregnant.  As I learn more things, I add them to the site.  I am not a doctor and make no medical suggestions; please discuss concerns with your doctor and follow up on our resources and links and with your own research for further information so you can make your own decision about these important issues.

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