Delisa Skeete Henry, M.D., LLC.

Transcription

1 Dlsa Skt Hr, M.D., LLC S. E. 3 rd Avu, St # 502 Ft.Laudrdal, FL Ph # Fax # Apptmts All apptmts ar gv t mt th mdal ds f th patt. If u ar allg r hagg apptmts, frm us 24 hurs adva t avd allat f. Cm 10 muts arl fr th apptmts. W shdul patts vr 15 muts. If u ar mr tha 15 muts lat; ur apptmt wll b rshduld fr athr dat. If u mss a apptmt, plas mak athr mmdatl. Yur frst vst wll b wth Nurs Prattr / Mdwf. Subsqut vsts wll b wth th MD as wll as Nurs Prattr / Mdwf. Dlvr Dr. Skt wuld lk t dlvr all f hr patts; Hwvr, t s t humal pssbl; thrfr, rss vrag s wth Dr. C, Dr. Fah, Dr. Nl ad Dr. Pult. C-St: / Idut: Labr / dlvr dpartmt wll tat u wth th shduld tm ad struts. If u d t gt a all tml; plas tat thm at Callg th ff fr Mdats / Rflls Plas lst t th prmpt t slt th rght xts. Lav a brf mssag wth th fllwg frmat. Yur am Dat f brth # f wks prga Dsrb ur spf prblm Pharma ph umbr Yu tat ph umbr Aswrg Srv Our ph umbr s lkd t aftr hur aswrg srv. W hav a all phsa avalabl aftr hurs. O f ur -all phsas wll rtur ur all. If u d t gt a all bak frm a phsa wth tw hurs; plas all th umbr aga Dmgraph / sura frmat WELCOME TO OUR PRACTICE Yu wll b askd t sg ur suprbll t mak sur th frmat ur mputr s aurat Isura must b aurat fr lams t b pad. Ph umbrs ad addrss must b urrt. Chrprat Car Tak advatag f th Chrprat srvs prvdd at ur Brward ff fr all bsttr patts. Natural Chrprat Car has stat f th art qupmts as wll as a grup f frdl staff that wll mak u fl rght at hm. Chk wth ur prvdr hw u a bft frm ths srvs. Phsa Cmmtmt f Watr Brth $ VBAC $ Spal brth plas $ must b apprvd b th phsa. Plas Chk wth th frt dsk fr mr frmat. Hpbrthg lasss ar avalabl up rqust. Mdal Lav / shrt trm dsablt: FMLA s a b mpltd fr ur mdal lav. W rqur fv busss das t mplt th paprwrk. Patt Faal rspsblt Ctat ur sura mpa t bta ur matrt bft. Cpas ar lltd at th tm srv s rdrd: Ital Obsttral vst Sk /prblm vst Ultrasud. Ddutbl ad C-Isura: It s ur ff pl t llt patt rspsblt b th 28 th wk f prga. Patts wll b plad a pamt pla t pa twards patt rspsblt. All auts wll b rld aftr th dlvr, all th lams ar pad. Labs / jts Labs ad gt tstg s s basd th mdal d f th patt. Ddutbl ad -sura ma b appld. Patts a rfus stadard tst ad sg sts, prr t th tst bg prfrmd. Ijts: ddutbl / -sura ma b appld. Plas tat ur sura mpa f u hav a qusts. Crums: Cmmral Isura: Ddutbl s appld. Straght Mdad ds t vr rums. HMO Mdad wll pa wth bab s dtfat umbr. Wh t g t th hsptal GO TO THE EMERGENCY ROOM If u ar lss tha 20 wks prgat If u hav bldg / spttg Svr Cramps Svr Nausa / Vmtg Flg wak r uabl t at GO TO THE LABOR / DELIVERY If u ar vr 20 wks prgat If u ar bldg ad spttg If u ar havg trats If th bab s t mvg If ur watr brk Fvr r gratr 1

2 Yur Frst Vst Yur Pratal Vsts W hav a lt f frmat t gv u ths frst apptmt. Plas m prpard wth all ur mdal hstr th da f ur apptmt; Mdal Assstat wll llt ur frmat thrugh a trvw ad tr t t ur hart. Th phsa ad/r urs prattr wll dsuss ur prga ad addrss ur spf qusts. It hlps t wrt dw ur qusts ahad f tm. Yur du dat wll b alulatd. Yu wll als hav a phsal xam whr w wll tst fr fts ad prfrm a pap smar. Bld Wrk/Tst At ur apptmt, u wll b gv a rdr fr pratal labs whh wll tst ur bld tp, a bld ut ad fr fts suh as sphls, hpatts B, HIV, ad Rublla. W wll rvw th rsults at ur xt apptmt. Yu ma dl th HIV tstg, but rmmd all prgat wm hav th tst d t prvd th bst ar fr u ad ur bab. Optal Tstg Th Rh fatr Arud wks, w wll b prfrmg a dabts ad ama tst. At 36 wks w bta a vagal ultur fr grup B bta strp. Addtal tstg s luds but t lmtd t a hmglb ltrphrss, ad thr gt tstg. Cst fbrss srg- Ths s a swab prfrmd th ff whh dtrms f u ar a g arrr. Furthr tstg s th rqurd f th tst s pstv t fd ut f ur bab has th dsas. If ur bld tp s Rh gatv th u ma b at rsk fr Rh dsas. Abut 10% f ppl hav ths bld tp ad u wll b tstd fr t th bld wrk at ur frst vst. Rh dsas s prga mplat whh ur mmu sstm attaks th bab s bld ad a rsult a lf thratg stuat fr th bab. Frtuatl, w a prvt th prblm wth a sht alld Rhgam whh s gv at 28 wks r atm f a vagal bldg urs. If u ar Rh gatv, alwas all th dtr mmdatl f u dvlp bldg r trauma t ur bll. Yu ma d a xtra Rhgam sht. Frqu f Prga Vsts W wuld shdul ur vsts vr 4 wks fr th bgg f ur prga. Arud 28 wks, w wll ras th vsts t vr 2 wks ad th vr wk aftr 36 wks. If u ar hgh rsk r havg prblms, th w ma s u mr frqutl. 28 th wk f Prga O hur Glus tlra tst struts: Ultrasuds Kp th Glus drk rfrgratd. D t at r drk athg thr hurs prr t drkg th Glula. Drk ½ f th bttl hur bfr mg t th ff fr ur apptmt. D t at r drk athg ludg watr utl aftr ur bld has b draw th ff. Mmum f tw ultrasuds ar d durg ur prga. Addtal ultrasuds ar prfrmd basd mdal sst. Pratlgst: Hgh rsk prgas ar rfrrd t Pratlg phsas, wh lsl mtr th wll bg f th patt ad th ubr hld Brth Pla - ur brth prfrs ar uqu t ah dvdual. Plas spak wth ur prvdr rgardg ur brth prfrs. Ftal Mvmt Yu ma start flg th bab mv arud wks. Itall, mvmts wll b small ad frqut. As ur bab 2 grws, u wll fl hm r hr mv mr ft. Aftr 28 wks, w rmmd utg ur bab s mvmt dal utl u gt 10 wth 2 hurs. Yu shuld d ths a da ad all ur dtr f u t a dras mvmts. If u hav dffult flg ur bab, tr lg ur sd, prss ur hads ur bll ad at a sak. Ma babs ar mr atv th vg wh trd mms ar rstg ad hav at dr, makg ths a dal tm t hk ur bab. Pratal Vtams / Nutrts Pratal vtams W rmmd a dal pratal vtam t hlp prvd th bst bala f utrt fr u ad ur bab. Ethr vr th utr r prsrpt vtams s f. If u at tlrat a pratal vtam, w rmmd (2) hldr s hwabl vtams a da stad. If vtams ar ausg ausa, tr rakg thm at ghttm wth a sak. If stpat s a ssu, ras th fbr ur dt, drk mr fluds ad ras atvt. A vr th utr sftr ma b addd f dd. K Nutrt durg Prga Nutrt Calum (1000 mg) Ir (27 mg) Vtam A (770 mg) Vtam C (85 mg) Ras fr Imprta Hlps buld strg bs ad tth Hlps rat th rd bld lls that dlvr xg t th bab ad als prvts fatgu Frms halth sk ad hlps sght, hlps wth b grwth Prmts halth gums, tth, ad bs. Hlps Surs Mlk, Chs, Ygurt, Sards La Rd Mat, Drd Bas ad Pas, Ir- Frtfd Crals Carrts, Dark Laf Grs Swt Ptats

3 Vtam B6 Vtam B12 (2.6 mg) Flat (600 mg) ur bd absrb r. Hlps frm rd bld lls, hlps bd us prt, fat ad arbhdrats Mata rvus sstm dd t frm rd bld lls Ndd t prdu bld ad prt, hlps sm zms Bf, Lvr, Prk, Ham, Whl Gra Crals, Baaas Lvr, Mat, Fsh, Pultr, Mlk (l fud amal fds, vgtaras shuld tak a supplmt) Gr Laf Vgtabls, Lvr, Orag Ju, Lgums ad Nuts Rmmdats fr Wght Ga durg Prga Udrwght wm wth a lw wght ga durg prga appar t hav a rasd rsk f havg a lw brth wght fat ad prtrm brth. O th thr had, bs wm hav a rasd rsk fr havg a larg fr gstatal ag fat, pst trm brth, ad thr prga mplats. Thr s a rasd rsk f small fr gstatal ag brths wm wh ga lss tha th rmmdd wght, basd pr- prga wght. Wm wh xd th wght ga rmmdats dubl thr rsk f havg a vr larg fat. It ma als ras th rsk f hldhd bst ad maks wght lss mr dffult aftr dlvr. Rmmdats fr wght ga durg a sglt prga ar as fllws: Udrwght wm (BMI lss tha 20): lb Nrmal wght wm (BMI 20-25): lb Ovrwght wm (BMI 26-29): lb Obs wm (BMI>29): up t15 lb Halth Dt Th frst stp tward halth atg s t lk at th fds ur dal dt. Havg halth saks that u at durg th da s a gd wa t gt th utrts ad xtra alrs that u d. Yu ma fd t asr t at saks ad small mals thrughut th da rathr tha thr bg mals a da. Mal Plag Prgat wm d t at a addtal alrs pr da. Ths s t a lt f fd. It s quvalt t a small sak suh as half f a paut buttr ad jll sadwh ad a glass f lw fat mlk. Extra Nutrts Prgat wm d xtra r ad fl ad ad ths ar usuall prsrbd a pll frm as pratal vtams. Takg fl ad fr 1 mth prr t prga ad durg th frst thr mths f prga a rdu th rsk f rta brth dfts suh as spal bfda. Chk wth ur dtr bfr takg a vtams, hrbs r thr supplmts that ar t prsrbd fr u. Just baus a prdut s atural ds t ma t s saf t us durg prga. Fd Grups As muh as pssbl, u shuld rprat a bala f halth fds ur dt. Th bst wa t d ths s b fllwg th fd pramd lstd blw. Fd Grup Srvgs Exampls Gras 6 Ous 1 up f ral, 1 sl 3 f brad, r ½ a up f kd r r pasta a b sdrd as 1 u Vgtabls 2 ½ ups 1 up f raw r kd vgtabls r vgtabl ju, r 2 ups f raw laf grs a b sdrd as 1 up Fruts 1 ½-2 ups 1 up f frut r 100% frut ju, r ½ up f drd frut a b sdrd as 1 up Mat ad Bas 5-5 ½ us 2-3 us f mat, pultr, r fsh, ½ up kd drd bas, 1 gg, 2 tablsps paut buttr, r ½ up uts r sds quals 1 u Mlk 3 ups 1 up f mlk r gurt, 1 ½ z. f atural hs, r us f prssd hs a b sdrd as 1 up Yu a at whl prgat as lg as t s kd ad mdrat amut Shrmp Pllk Salm Crab Halbut Catfsh

4 Artfal Swtrs Ths ar ka t us but w wuld rmmd lmtg t t 1-2 srvgs pr da. If u hav dabts, th artfal swtrs ar bttr tha sugar t hlp trl ur bld sugars. Fds t Avd Prga Fsh that u shuld t at whl prgat Swrd Fsh Shark Tlfsh Makrl Albar Tua Raw Fsh f a kd Sush Raw Mat: Avd ukd safd ad udrkd bf r pultr du t rsk f batral tamat, txplasmss ad salmlla. Dl Mat: I rar ass, ma ta batra alld lstra that a lad t prga mplats ad msarrag. If atg dl mat, rhat utl stamg t kll a batra. Fsh wth mrur: Avd fsh wth hgh lvls f mrur ludg shark, swrdfsh, kg, makrl ad tlfsh. Fr thr fsh, lmt sumpt t tw srvgs pr wk. Smkd safd: Rfrgratd, smkd safd shuld b avdd du t rsk f lstra tamat. Raw shllfsh: ludg lams, strs, ad mussls a aus batral fts. Ckd shrmp s saf. Raw ggs: Raw ggs r a fds tag raw ggs a b tamatd wth salmlla. Ths luds sm hmmad Casar drssgs, maas, ad hmmad ram. Sft hss: mprtd sft hss ma ta lstra. Sft hss mad wth pasturzd mlk ar saf. Upasturzd mlk: Ma ta lstra whh a lad t msarrag. Pat: Rfrgratd pat r mat sprads shuld b avdd du t rsks f lstra. Caff: Avd aff durg th 1 st trmstr t rdu th rsk f msarrag. Aftr th frst trmstr lmt aff tak quvalt f 1 up f ff a da r lss. Exss aff ma b assatd wth msarrag, prmatur brth, lw brth wght, ad wthdrawal smptms fats. Alhl: Thr s NO amut f alhl that s kw t b saf durg prga ad thrfr t shuld b avdd. Ctu t avd alhl whl brastfdg. Uwashd vgtabls: Wash all vgtabls wll t avd xpsur t txplasmss whh ma tamat th sl whr vgtabls ar grw. Spal Crs Vgtara Dt B sur u ar gttg ugh prt. Yu wll prbabl d t tak supplmts, spall r, B12, ad vtam D. Lats Itlra Durg prga, smptms f lats tlra ft mprv. If u ar stll havg prblms aftr atg r drkg dar prduts, talk wth ur dtr. W ma prsrb alum supplmts f u at gt ugh alum frm thr fds. Rmmbr, alum a als b fud hs, gurt, sards, ad rta tps f salm, spah, ad frtfd rag ju. Smkg If u smk, SO DOES YOUR BABY!!! Ths s vr mprtat fat f prga. Th plata (aftrbrth) s th rga that ts th dvlpg bab t u. It ssts mstl f bld vssls ad s attahd t ur utrus sd ad t ur bab th thr sd b th wa th umblal rd. Its jb s t allw th passag f utrts, xg, vtams ad thr substas t pass frm ur bld t th bab allwg t t grw ad dvlp. It als arrs awa ur bab s wast prduts t ur kds, lvr, ad lugs at fr th bab utl hs/hr rgas ar matur ugh t d wll thr w utsd th wmb (37-42 wks f prga). Cgartt smk tas mr tha 2,500 hmals. It s t kw r rta whh f ths hmals ar harmful t dvlpg th bab. Hwvr, bth t ad arb mxd (th sam gas rlasd frm ar s xhaust) ar blvd t pla a rl ausg bad prga utms. Ths hmals ar tak drtl frm ur lugs, t ur bld, t ur bab s bld. Imag hw ths hmals afft th fragl tssus f ur dvlpg bab. Hr ar sm kw mplats frm smkg durg prga: 4

5 Lw brth wght bab: Lw brth wght a b ausd b prmaturt (brth lss tha 37 wks), pr grwth r mbat f bth. Prmaturt s rasd prga smkrs ad s th umbr aus f atal dath ad hr llss babs. Prblms suh as rbral pals, lf-lg lug, kd, r thr rga prblms, mtal rtardat ad larg dsablts ar muh mr mm prmatur ad lw brth wght babs. Plata prva: Lw-lg plata that vrs part r all f th pg t th utrus. Plata prva blks th xt f th bab frm th utrus ausg th bab ad mthr t bld. Platal abrupt: Th plata tars awa frm th utrus ausg th mthr ad bab t bld. Stllbrth Prtrm prmatur ruptur f mmbras: Th watr braks bfr 37 wks f prga, whh s assatd wth a ras f prtrm ad lw brth wght brths. Th ffts smkg has ur bab tu wh u tak hm/hr hm. Chldr xpsd t smk th hm hav hghr lvls f lug prblms suh as asthma, puma, r brhts. Th als suffr frm mr ar fts tha hldr t xpsd t smk. Ev mr trublg s th rasd d f Sudd Ifat Dath Sdrm (SIDS) fud hldr xpsd t smkg th hm. A hld xpsd t smkg th hm durg th frst fw ars f lf ar at a rasd rsk f dvlpg asthma. Th mr a prgat wma smk th gratr th rsk t hr bab. Hwvr, f a wma stps smkg b th d f hr frst trmstr (frst thr mths), sh s mr lkl t hav a lw brth wght bab tha a wma wh vr smkd. Ev f a wma s t abl t stp smkg durg hr frst r sd trmstr, stppg durg th thrd trmstr (th last thr mths) a mprv hr bab s grwth. Was t Qut Smkg Talk t ur dtr. N mattr what ur apprah t quttg, a vrsat wth ur dtr a mak th dffr btw suss ad falur. Quttg ld turk s a grat wa. If u wat t tr a quttg ad suh as a t path, gum, r th mdat Zba r Wllburt, u dtr a hlp u hs a mthd rght fr u. Th us f a t path ad/r gum has t b adquatl studd: thrfr, th shuld l b sdrd durg prga wh -mdal tratmts, suh as uslg, ar t sussful. Baus pttal bfts sm t utwgh pttal bfts sm t utwgh pttal rsks, rsarh t dtrm th saft ad ffa f mdats s udrwa. Sm tba trl xprts hav rprtd that f t rplamt thrap s usd durg prga, prduts wth trmttt dsags, suh as gum r halr, shuld b trd frst. If th t path s usd, t shuld b rmvd at ght t rdu ftal t xpsur. Grat Start ( START) s a atal prga spf smkr s qut l pratd b th Amra Lga fudat. Alhl Thr s saf amut f alhl s w rmmd avdg all alhl durg prga. Drkg alhl a aus brth dfts, mtal rtardat ad abrmal bra dvlpmt. Extraurrular Atvts 5 Exrs ad Sx I a umplatd prga, w rmmd 30 muts r mr f xrs dal whh luds arb atvts (walkg, jggg, bkg, arb lasss, ga, swmmg, ts, t ). Wght trag ad tg ar f. Yu a tu ur usual wrkuts but ma d t rdu tst r shrt thm. It s a gd da t lst t ur bd durg xrs ad drk plt f fluds. Aftr 20 wks u shuld avd lg flat ur bak durg xrs. Yur targt hart s alulatd b ur ag. Basall, f u r brathg hard, slw dw. Avd atvts wth hgh rsk f fallg r trauma t ur bll. Sx, u bt! Yu a hav sx durg prga ulss u ar havg mplats r u ar t umfrtabl. If thr s a r fr sxuall trasmttd dsass, th us dms r d t hav sx. Exrs ad sx shuld b avdd at tms. Ths luds: Slp Vagal bldg Lakg amt flud Prtrm Labr Chst pa Rgular utr trats Drasd ftal mvmt Grwth rstrtd bab Hadah/Dzzss/ Wakss It s rmal t fl mr trd wh u ar prgat. Yu ma als t u d mr slp tha usual. Tr t gt at last 8-10 hurs f slp pr ght. Smtms u wll rqur sgfatl mr s lst t ur bd ad pla xtra slp tm wh u ar trd.

6 It s saf fr wm xprg a rmal prga t l thr bak fr slp. Hwvr, smtms lg ur bak a aus ur bld prssur t drp. Ht r ld swats ad ausa ma ur. If ths happs, d t wrr, u dd t hurt th bab. Ma wm fd t hlpful t put a pllw bhd thm t supprt th bak ad hps. As ur prga prgrsss, t ma rqur mr pllws ad frqut pst hags durg th ght t kp mfrtabl. Saua ad Ht Tubs It s ka! Yu dsrv th musl sthg ad rlaxat f a warm tub r saua, but kp th thrmstat warmr tha 102 dgrs Fahrht. If u fl vrhatd, alwas lst t ur bd ad rmv urslf frm th sur. Tr t kp th uppr half f ur bd ut f th watr t hlp prvt vrhatg. Travl Travlg s saf durg prga fr mst wm. Th bst tm t travl s btw wks as mst mm mrgs usuall happ th frst ad thrd trmstr. If u ar plag a trp ut f th utr, dsuss ths wth ur dtr ad hk wth th CDC t s f a spf vas ar dd Fr flghts, r russ, fd ut whthr ur arl r rus l hav a travl rstrts durg prga. Hav a pratal hkup bfr u lav ur trp ad tak a p f ur halth rrds wth u. If lg trps ar plad, drk plt f fluds ad walk vr fw hurs. Ths a rdu th rsk f dvlpg bld lts th lgs. Wrkg/ Shl A wma usuall tus wrkg r attdg shl utl sh gs t labr. W ma wat t rstrt ur wrk f u ar havg prga mplats dpdg ur jb atvts. Als, wm wh hav struus jbs ma b at rsk fr arl dlvr r smallr babs. Plas dsuss ths wth ur dtr. Gttg Rad fr Dlvr Dlvr/Classs W dlvr babs xlusvl at Brward Gral Mdal Ctr. A dtr frm ur all grup; Dr. Skt, Dr. Nl, Dr. C, Dr. Fah ad Dr. Pult wll b avalabl at all tms. Th -all dtr wll tak ar f u labr, dlvr ad aftr dlvr f ur bab ad wll als rtur ur mrg alls aftr ff hurs. Yu wll b prvdd a rgstrat pakt fr Brward Gral Mdal Ctr. Mak sur u tak th tm ad rgstr bfr u ar labr as ths wll mak admttg u t th hsptal muh asr. Thr s als frmat brthg, brastfdg, ad bab ar lasss whh ar prvdd b th hsptal. Plas all th hsptal. W spall urag u t sdr ths f u ar a frst tm part! Pa Rlf Labr Thr ar ma pts t prvd pa rlf whl u ar labr. W ar supprtv f whatvr u hs. Cmm pts lud Nuba: Ths s a art gv wth a jt r IV ad hlps tak th dg ff th strg trats. It usuall maks u slp. It a b gv arl labr. W avd gvg ths ar dlvr tm as ur bab uld b br xtra slp ad t r wll. Epdural: Ths s a saf ad ppular pt avalabl a tm f da at Brward gral mdal Ctr. A spalst alld a urs asthtst stas th hsptal 24 hurs pr da t prvd ths 6 fr u. It rqurs a f, th athtr r tub t b plad ur bak wh u ar atv labr. Md slwl drps thrugh th tubg t prvd xllt pa rlf thrughut labr. It s rmvd aftr dlvr. Lal: Ma f ur patts dlvr wthut pa mdat. Smtms w d t gv u a small jt f umbg md fr stths alld lda. It fls lk a small pprk wh w jt th md. I gral, w urag u t s hw u d durg ur trats. Th pa rlvg pts ar avalabl t u at a tm. Epstm W pla t hlp u dlvr ur bab wth th last amut f trauma. Epstms ar t rutl dd ad ma f ur patts dlvr wthut th d fr a stths. Smtms w d t mak a small s at th vagal pg t hlp th bab dlvr. W mak sur u ar umb ad th wll stth th ara aftr dlvr. Th stths dsslv vr tm ad d t d t b rmvd. W prvd u wth md t kp u mfrtabl aftr dlvr. Frps/ Vauum Obsttrs s ur am ad bsttrs s ur gam. W ar hghl sklld th us f vauum ad frps fr dlvrs. W wll rmmd usg thm l f mdall datd. Our gal s t dlvr ur bab th safst mar. Thr ar dftl tms wh ths safst wa t hlp ur bab t ths wrld. Csara St W ar hghl sklld ths ara ad wll prfrm wh dd. Fr mr frmat th prdur.

7 Vagal Brth aftr Csara (VBAC) Our prat s dall st up fr ths trstd VBAC. A phsa -all wll alwas b prst th hsptal wth u mmdatl avalabl fr mrgs. Mr frmat s avalabl at: Ia.m? Brastfdg Huma mlk s a prftl dsgd utrt fr babs. Babs wh ar brastfd gt fwr fts ad ar hsptalzd lss. Mthrs that brast fd bur 500 alrs a da whh a hlp ls xtra wght. Brastfdg als rdus a wm s rsk f dvlpg brast ar. Brward Gral Mdal Ctr prvds lasss w rmmd spall fr frst tmrs. Aftr dlvr, th urss ad a latat spalst (up rqust) ar thr t hlp mms ad babs lar th art f brastfdg. Crums A rums s th rmval f xss frsk frm th ps bab bs. W a prfrm ths prdur fr u whl u ad ur bab ar stll th hsptal r th ff. All babs rv lal umbg mdat ad ar sthd b suklg durg th prdur. It taks a fw muts t prfrm ad babs hal 1-2 wks. W rmmd applg Vasl t th bab s ps wth ah dapr hag t prvt stkg t hs dapr whl h hals. Ths s a ptal prdur. It ma hlp rdu fts ad ps ar mals. Ma parts dd t t hav thr bab rumsd. W rspt ur h ths mattr. 1 wk aftr brth b hs/hr dtr. Thr ar ma xllt dtrs ur ara t hs frm. Yu wll d t tat th dtr s ff prr t dlvr ad mak sur th ar aptg ur sura ad ar takg w patts. W a prvd u wth a lst f dtrs f u hav trubl latg. Umblal Crd Bakg Yur bab s bld s valuabl sur f lls that uld b usd b ur bab r athr faml mmbr t trat arl 80 lf-thratg dsass. Nw tratmts wth rd bld fr dsass suh as rbral pals, dabts, ad hart dsas ar urrtl bg studd. Umblal rd bld a asl ad safl b btad mmdatl aftr dlvr. Parts a hs t hav thr bab s bld savd. Isura ds t grall vr ths. If u ar trstd savg ur bab s rd bld, u a rdr a kt ad brg t wth u t dlvr. Rmmdd wb st fr mr frmat: Sat Blts Plas war ur sat blts at all tms whl th ar r a pla. Th prpr plamt s rss ur lap blw th bll fr th lwr blt ad arss th hst btw th brasts fr th uppr blt. If u ar vlvd v a mr adt, ths ma sav th lf f u ad ur bab. If u ar vlvd a ar adt, all ur ff mmdatl. Yu ma d t b mtrd. Chsg a dtr fr Bab Yu wll d t dd a dtr fr ur bab s ar b th tm u dlvr. Ths s usuall a pdatra r a faml prat dtr. Th hsptal wll sd ur bab s frmat ad tst rsults t ur hs dtr. Yur bab s mml s wth 7 Frqutl Askd Qusts rgardg Mdat

8 A Bzl Prxd Cldam Tpal Erthrm Sall Ad Cstpat Cla,Mr alax,sa kt Dullax Suppstr Fbr, Mtmul Prdum Gas Gas-X Ml Phazm Atbts Clr Cphalspr s E-ms Kflx Marbd/Ma rdat Pll A Zthrmax V O I D : A u t a R t - A T t r a l M l Cugh Cugh Drps Phrga w/ Cd f prsrbd Rbtuss (pla & DM) Hadah s Cld Cmprss Clds/Allrg s Badrl, Clarat,Zrt Clart-D** Chlr- Trmt, Dmtapp Drxral-N Drws Mux A (guafas) V Sudafd**/Sud O afd 12-hr** I Sudafd D PE Psudphdr : ** C Tll Cld & Sus p Vks Vapr r Rub T **AVOID f prblms t wth ur bld r prssur. a l M l L v a q u Crab/L RID Avd: Kwll Hartbur (avd lg dw fr at last 1 hur Hmrrh ds Ausl/A usl H.C. (RX: Aalapra m 2.5%) Hdrrt s OTC Prparat H, Tuks Vasl lt appld t tssu Nasal Spra Sal Nasal Spra Rash Badrl 1% Hdrrt s Cram Tll (rgular r Extra Strgth) Atam ph Hrps Alvr Famr Valtrx Nausa Vtam B6 25 mg 3 tms dal Usm ¼ r ½ tablt at bdtm Vtam B6 ad Usm at bdtm Dramam, Emtrl Ggr Rt 250 mg 4 tms Dal Hgh Cmplx Bdtm S Bads- Auprssur Slp Ads Amb, Badrl Chamml Ta Usm, aftr mals) Aphx, Maalx,Mla ta, Ppd, Mlk f Magsa Ppd Cmplt Prvad,Prl s,rlads Zata Tums (lmt 4/da) Lg Cramps Badrl Pa Tll, Darvt** Lrtab**, Prt** Tramadl**, Tll 3** Ultram**. Vd** ** Nart mdats shuld l b usd wh prsrbd fr a lgtmat mdal prblm b a dtr fr a shrt prd f tm. Thrat Cpal Cpastat Salt watr gargl w/ warm watr Tth Pa Oragl Ifluza Va Tll PM Warm Mlkadd valla r sugar fr flavr Yast Ift G- Ltrm,M stat-3 Trazl-3 Avd 1 Da Crams Thrat Lzgs Sasal flu vas ar rmmdd durg prga t rdu th rsk f srus fts mms ad thr babs. Prga auss th mmu sstm t wak s prgat wm ar hghr rsk. Th bst wa t prtt ur wbr bab s t b vaatd ad brastfd. If u ar plag t bm prgat r ar urrtl prgat, talk wth ur dtr abut gttg vaatd. Dtal Car Cavts ad gum dsas ar mm durg prga du t th hrmal hags. Yu ma t ur gums bld asl. T prvt ths, w rmmd brushg ur tth tw a da ad flssg vr da. Als vst ur dtst a rgular bass fr hk-ups ad tth lag. Cavts ad dtal prblms shuld b tratd. Bad tth a lad t fts th utrus r prmatur dlvr f ur bab s tak ar f ur parl whts. 10 Tps fr Dad s 8

9 Thr ar ma thgs that dads a d buld thr w rlatshp wth thr bab (ad mm t): 1. Rmmbr that th l thg Dads a t d s brastfd. Dads a sth a rg bab, hag daprs, arr th bab ad plaall f whh a b vr rwardg fr th bab, fu ad satsfg fr dad, ad a grat hlp t mm. 2. Whvr pssbl, gt up wth th bab ad brg th bab t mm fr fdgs- spall ths th mddl f th ght! 3. Tak a walk wth th bab ad suggst ur partr rlax, ap r d smthg fr hrslf lk tak a rlaxg bath. 4. Aftr th bab has b fd, ffr t rk, burp r sg th bab bak t slp. 5. O f th bst was t kp bab happ s t kp mmm happ. Hlp pk up arud th hus r ru rrads s mm a trat brastfdg ad th bab. Ctu hlpg t kp ur rlatshp balad, t, s th brth f a bab a b vrwhlmg t ma upls. 6. Guard u partr agast wllmag but trusv vstrs wh m barg usltd adv. Ma frds ad rlatvs suddl bm xprts abut brastfdg ad partg wh a w bab arrvs. Althugh ths wrds f wsdm ma m wth gd tss, th a smtms b hurtful r v harmful. 7. Wh thr ar thr hldr vlvd, a w bab a shak thgs up a bt. If pssbl, tak a shrt lav t hlp wth th ldr hldr durg th frst fw wks th bab s br. G t th plagrud r shdul thr utsd atvts s ur partr a fus th bab ad rst. 8. It s mprtat t spd tm tgthr wth ur w bab, as wll as al as a upl wh th bab s slpg. 9. Kp a mm fr sgs f pstpartum dprss. Ths s th mst rtal jb dad taks aftr th w bab arrvs. If u t ur partr s rstlss r rrtabl, flg sad, r rg a lt, laks rg, s xprg hadahs, hst pas, hart palptats, umbss, r hprvtlat ( fast ad shallw brathg), talk wth hr ad sk adv f a mdal prfssal. 10. Whl fdg a b a spal tm t bd, t s mprtat t t prssur mm t xprss hr mlk r supplmt wth frmula s u a hlp fd th bab bfr sh s rad. It s mprtat fr hr ad th bab t hav brastfdg frml stablshd (4 wks r s) bfr trdug a bttl. Dg ths t arl uld afft hr suppl ad uld pssbl dral brastfdg suss. Addg a w bab t th mx s alwas gg t str ur lf up a bt, v f t s t ur frst bab. Gv urslf a brak f u d t ad alwas kp th ls f mmuat p wth ur partr. Fathrs f brastfd fats s lar th ma uqu ad magful was, apart frm fdg, that th a bd wth thr w bab ad partr. 9