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




ISBN 9780415919722
Published April 23, 1999 by Routledge
256 Pages

 
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Book Description

This book offers helpful tips, case studies, and question and answer features about sexual activity, getting pregnant, being pregnant, delivering a baby, and keeping sex alive before, during, and after pregnancy. It focuses on maintaining a healthy relationship and sex life during pregnancy.

Table of Contents

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

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Author(s)

Biography

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