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Why Vaccines in Pregnancy?

I know many of the women I work with are opposed to vaccines.  So I have decided it is necessary for me to have the best understanding possible so I know when to definitely recommend a vaccine, when to definitely recommend against, and how to help the parents understand the risks and benefits. The first thing I [...]

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The Prenatal PAP

I had the opportunity to attend a women’s health conference last week.  Not much on pregnancy, mostly preventing cervical cancer.  But one important take home point for everyone working with pregnant women. The latest guidelines for pregnancy will be to perform a PAP test ONLY if the PAP is due.  It will not be a [...]

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Gestational Hypertension

I’ve had my first “traumatic” experience.  One of the clients I worked with was having difficulty managing her blood pressure and it of course spiked into dangerous territory. I knew this was a possibility, I knew it happened to some women.  But until recently, I never personally knew anyone it had happened to. Before nursing [...]

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Special Nutritional Needs in Pregnancy

Most dietary guidelines are very generic, but the Higgins Intervention Method has specific plans for meeting the special requirements of mothers with different nutritional needs. I like the ability this method gives to really personalize the recommendations and the ability it gives me to quantify the nutritional needs rather than just saying “eat more”. If you are working with [...]

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Vitamin and Mineral Supplementation in Pregnancy

Vitamins and minerals are referred to as micronutrients.  They do not contribute calories to the diet, but do play an important role in cellular function.  Remember cells?  They make up your entire body and are responsible for your body being able to stay healthy. I personally have never been a fan of vitamin and mineral supplementation.  I [...]

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Helping women change their diet

If you have done any work with pregnant women, you have probably seen that how a person eats is a VERY personal matter.  Families who seek advice and information on nearly every other topic can seem to drift off into space if you start talking nutrition. So, how do you help a woman get optimum nutrition? That [...]

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Caloric Intake During Pregnancy

Have you seen the latest weight gain recommendations from the IOM?  They are the same except an increase for the highest BMI levels. Low BMI gain 28-40 pounds; Normal BMI gain 25-35 pounds; High BMI gain 15-25 pounds and Obese BMI gain 11-20 pounds. I personally am a fan of increasing the weight gain for obese [...]

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Nutritional Needs During Pregnancy

When it comes to pregnancy nutrition, there seem to be two types of people. Those who feel it is of the utmost importance, and those who feel it doesn’t matter. Want to know which side of that fence I am on?  Here is some information straight out of Varney’s Midwifery  to help you figure that [...]

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Birth Grading Rubric

If you’ve ever been in school you probably have seen a grading rubric.  It is the list of things that must be included in your paper and how many points are possible to receive for each item. I’ve become quite fond of them, because they let me know exactly what the professor expects from me. Today I [...]

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Prenatal Home Visits

Moving from the idea of centering pregnancy, we explore another concept in prenatal care – home nurse visits. In one study, home visits were associated with decreased risk of preterm delivery for African-American women. These results were similar to the results of another study. In other studies, prenatal nurse visits demonstrate health effects beyond childbirth. [...]

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