Top Baby Names

Choosing your baby’s name is the first official difficult decision you are faced with as a new parent (OK maybe not the first, but its high up there)!!! Understandably so….your kid is stuck with that name forever (no pressure :-))! There is not much advice I can give in regards to this topic because people have so many different traditions behind name picking that it makes it hard to generalize. The only thing that I will say is try not to stress! Play around with the different names you like. The right one will feel right. Be prepared for your friends and family to give “their advice” and make comments. Do not take it personally. In the end this is your child!!!

Well here is a list of 2012 most popular baby names. Looks like Aiden and Sophia are back at the top again! Happy baby name picking!

Top 10 Boy Names

  1. Aiden
  2. Jackson
  3. Ethan
  4. Liam
  5. Mason
  6. Noah
  7. Lucas
  8. Jacob
  9. Jayden
  10. Jack

Top 10 Girl Names

  1. Sophia
  2. Emma
  3. Olivia
  4. Isabella
  5. Ava
  6. Lily
  7. Zoe
  8. Chloe
  9. Mia
  10. Madison
Signature

Kate Middleton’s Pregnancy

I may be a little late to congratulate the Duchess of Cambridge and Prince William on the news of their first pregnancy, but I thought this is a great opportunity to discuss hyperemesis gravidarum, the condition which had the Duchess hospitalized ultimately leading to the early leak of their pregnancy news. Unfortunately or fortunately, pregnancy and its possible complications does not differentiate between royalty or a normal gal… it can hit anyone hard! Kate was (can potentially still be) suffering from a condition called hyperemesis gravidarum, aka uncontrolled vomiting during the early months of pregnancy. Most moms-to-be experience “morning sickness” which is basically nausea and sometimes vomiting generally in the morning and during the first few months of pregnancy. Those suffering from from hyperemesis gravidarum have non-stop nausea and vomiting during the earlier months of pregnancy. There is no “cure” for this, rather only supportive treatments such as vitamin B6, antiemetics such as Zofran (ask your physician) or most importantly staying hydrated, whether that is by increasing your oral intake or having to get get admitted to the hospital for IV (intravenous) fluid hydration. Unfortunately the most common and dangerous side effect of hyperemesis gravidarum is severe dehydration. If you are pregnant and have excessive nausea accompanied with vomiting, it is extremely important to get medical attention immediately. With uncontrolled vomiting, you lose a lot of the hydration and nutrition in your body. Severe dehydration can have serious consequences both for you as the mommy and for your unborn child; in severe cases that are not treated, you or your baby can die secondary to dehydration. I am very happy that Kate got the medical attention she needed. I hope that she is feeling better and the rest of her pregnancy continues with ease!

(Photo credit: People.com)

Signature

Breastfeeding

The first few days after your baby is born, do not expect to make much milk…in fact you only make about one ounce per day. Yup, that’s less than a shot of your favorite espresso or tequila (of course when your not breastfeeding ;-))…however you chose to measure it by! You’re probably thinking how is my baby supposed to get his/her nutrients to grow and better yet not starve on just one ounce of milk, but that’s all your little one needs the first few days of life!  Your initial milk, also known as colostrum, has all the nutrients your baby needs but in a very concentrated low volume form. Colostrum is more viscous (thick) and yellowish in color than you would expect milk to be. That’s because it is full of proteins, growth factors and antibodies that your baby needs. A newborn has immature immune and digestive systems. The antibodies in colostrum are passively passed on to your baby through your breast milk and helps protect him/her in the early state when their immune systems are not fully developed. Your colostrum also has important components for your baby’s immature digestive system including a laxative component that helps your baby pass their first stool, aka meconium…that black, sticky, tarry like poop! 

Put your worries aside. The best thing you can give your baby in the first few days of life is that measly one ounce of colostrum each day. Don’t give up on breast feeding even if you feel like nothing is coming out…don’t forget all of that trying only adds up to about one ounce for the first five days or so anyways. As the days go by, you will produce more milk, it will become more white and fluid like. Thats when it will start leaking and you will be wishing it was back to those colostrum days! Good luck!

Signature

Happy Thanksgiving

Wishing everyone a happy and healthy Thanksgiving!!! I came across this creative way to get the kiddos to have some fruit in between all the mashed potatoes and pumpkin pie ;-)!!!

Signature

Stretch Marks!!!

Whether you are pregnant and rapidly stretching or simply experiencing a growth spurt (:-)), most of us have some stretch marks we wish would just disappear. Generally, stretch marks, called striae in the medical world, are really only of cosmetic concern. In rare cases it is an indication of an underlying disease. From a cosmetic standpoint, stretch marks happen when your skin stretches (obviously). The extent of your stretch marks can also be dependent on the color of your skin and even your genetic make-up…if your mom has lots of stretch marks, you may get them as well. On that note, even if your mom didn’t have them, you still might get some! Stretch marks come in different colors and depends on the base color of your skin. On some they initially start out pink or reddish while others have browner marks. The good news is, in general stretch marks tend to fade with time. The bad news is, as they fade, they may get lighter but can also get more deep into your skin.

The best way to get rid of those unwantly marks is to attack them as soon as they begin to appear. You are more likely to get rid of them if you begin to treat them while they are still fresh and in their reddish pink phase. Once they begin to fade and become more silvery, they also become more deep and are harder to treat. The best way to prevent developing stretch marks in the first place is to moisturize your skin. Skin moisturizers aka lotion acts to hydrate the skin so that it has more elasticity and stretches easier. Try using a lotion with cocoa or shea butter and lube up two to four times a day while you are in your actively expanding state (for most that starts in the 4th month of pregnancy until delivery)!

If your stretch marks are old and deep, you can take to more aggressive action, ranging from lotion and body peels, to microdermabrassion and even laser treatments.

In the earlier phase, while the stretch marks are first appearing, aside from lotion, you can also try wheat germ oil and/or vitamin C (500mg three times daily). Glycolic acid helps to increase collagen production, but you will need a dermatologist to get your hands on this one. Also, tretinoin cream helps to increase collagen and elastic production during the early stages, but you should AVOID them if you’re pregnant or nursing. Same holds true for glycolic acid plus retinoid creams. Anything with retinoic acid in pregnancy and lactation is bad.
If you have marks that will just not go away, you can consider microdermabrassion and laser treatment, but for these treatments you need a dermatologist.

Signature

Prevent those germs

washhandsWith flu season officially here, the best way to prevent transmission of germs is by washing your hands. Whether you’re pregnant, have a newborn, toddler or even a teen in the house, the easiest barrier to germs is hand washing. If you have a newborn in the house, don’t forget your newborn’s immune system is immature at birth and unfortunately that is the time that all of your family and friends want to meet your new bundle of joy. Make it routine for each new visitor to wash his/her hands before handling your baby. In fact, you should make it a habit in your household regardless of what age your family members are. Our hands touch hundreds of surfaces per day and with each interaction, we pick up thousands of germs. Those germs hang out on your hands and underneath your nails, then get spread to your face, mouth, and your kids when you touch them. The best way to prevent this is to wash your hands frequently. Ten seconds of washing your hands outweighs a week in bed with the flu or cold!

Note: if you have a newborn in the house, talk to your doctor about getting members of your family vaccinated against the flu. This can further help prevent transmission to your newborn.

Signature

Staying hydrated during pregnancy

Last weekend, while laying poolside in the 104 degree Las Vegas heat, from the corner of my eye I saw a glowing preggers. She was probably a good 7 months, laying in her gold studded tankini soaking up the rays like the rest of us. After thinking, “wow she looks great”, quickly my overprotective mama bear doc personality kicked in and I had to physically hold myself back from walking up to her to hand her a cup of ice cold water!
Keeping hydrated is extremely important during pregnancy, especially in the later months when you are at risk of preterm labor. Normally one should drink 6-8 glasses of water per day, but a pregnant women should try to have anywhere from 8-12 glasses daily, if not more while in the heat. Keeping hydrated is extremely important not only during your pregnancy, but also during the postpartum period. Adequate hydration helps the liver and kidney function both in mom and baby; it helps the cells of the liver flush all the toxins out. Also, during pregnancy, the body’s blood volume increases, therefore you need to keep hydrated to help your body in as its fluid volume expands. Poor hydration can lead to the obvious like constipation, thirst and fatigue, but it can also increase your risk of preterm labor, worsening braxton hicks contractions and even miscarriage.

Don’t wait until you’re thirsty to drink water. More chances than not, by the time your body signals your thirst, you are already dehydrated. I always recommend filing a large water bottle and sipping it throughout the day. I personally love my bobble. I fill it in the morning and sip it throughout the day. When it runs out I can easily refill it from the sink at work because it has a filter attached to it so it does not matter what water source you use (now don’t go using river water or anything ;-)). Whatever your reservoir for water is, find one that fits your lifestyle. Try to stay away from beverages with high amounts of sugar or caffeine. These drinks not only do not count towards your daily total hydration, they actually subtract from it because they do just the opposite and dehydrate you. Remember, water, water, and more water! What’s your favorite way to stay hydrated?!?!

 

Signature

Can I get a brazilian wax while pregnant?

I’ve had a lot of friends tell me “I’m too embarrassed to ask my doc but can I get a Brazilian wax while pregnant”? I figured this is an important topic for all…whether you want to just trim up your bikini line or go for the full Brazilian, it does not mean you cannot be a sexy preggers gal! Thanks to all those hormones and vitamins that are making your nails grow longer than ever and your hair thicker and more beautiful, unfortunately it is probably doing the same down South. The good news is it is generally considered safe for pregnant women to get waxed. How else are you expected to keep the trimming in control when you can barely see over that bump!?!?

If you decide to wax during your pregnancy, remember a few things. During pregnancy, your skin tends to be more sensitive because you have increased blood flowing, including to your pubic area, so this may cause extra sensitivity and even maybe a few extra broken blood vessels…meaning you may have a few extra specs of blood after the tugging to your hair or a little bit of bruising, which are both harmless. With that being said, try to stay away from topical products that help numb the area or prevent ingrown hairs (and those bumps after waxing) that contain salicylic acid. Unfortunately while you are pregnant you also should stay clear of pain relievers that are categorized as anti-inflammatory medications (NSAID’s) like Ibuprofen aka Motrin aka Advil etc. These medications can lead to complications in your pregnancy. However don’t let the fear of pain scare you away from being the trimmed gal you once were.  Some tips to help; One patient that told me she applies orajel (yup “that stuff you put on your babys gums to numb them”) to that area about 10 minutes before her appointment and it helps to take the edge away. You figure if you can put it in your baby’s mouth, it’s probably safe to use on your skin while pregnant ;-). Also you can simply use a warm compress or even the good old baby powder to tune down the irritation or aftermath you may experience after waxing. With all that being said, some may prefer to turn to the good old razor. Whatever method you prefer, don’t forget pregnancy is 40 weeks long! As those weeks pass, your bump will grow only larger and it will get more difficult to tame the area yourself. If you opt for waxing, just do not forget to tell your esthetician you are pregnant!

Signature

Preggers Timeline

maternity

This is the first post! I figured a good way to start off a pregnancy blog is with a quick overview of what to expect when you’re expecting (I know, it’s overused, but it’s such a catchy phrase!). Don’t forget, this is just a vague overview to familiarize you. Your own doctor will give you specific details pertaining to your pregnancy.

First Trimester: Conception to 12 Weeks

Be prepared to visit your doctor about once per month during your first trimester. On your first visit (generally when you are 4-8 weeks along), your doc will do a full physical exam, including a pap smear, (depending on how recently your last one was), STD screening for chlamydia and gonorrhea, and also some blood work. Also, your baby’s gestational age (aka how far along you are and your due date) will be determined. Depending on how far along you are (generally if you are over 12 weeks), your doctor will listen for fetal heart tones, that’s your baby’s heart rate. Nuchal translucency screening will be done around week 10-12 and your first chromosomal disorder screening is done between week 10-14 (these tests are optional depending on your wishes. Please discuss the risks and benefits with your physician). Also, your doctor will arrange for a formal ultrasound around this time. If you are older than 35 years old or have any risk factors that may make your pregnancy more high risk/complicated, your physician may refer you to a Maternal Fetal Medicine specialist at the start of your pregnancy.

Second Trimester: 12 to 24 Weeks

You’ll still be visiting your doc about once per month. Between 15 to 18 weeks you will be offered a triple screen for chromosomal abnormalities. Around 16 weeks, you will start to really show your bump, if you already haven’t done so! Most people wait until around this time to tell their friends and family! Also, between 16 to 20 weeks you will start to feel your baby kick. You may want to start considering registering for some prenatal classes at this point.

Third Trimester: 24 Weeks to Delivery

Your doctor visits will increase to about every two to three weeks. At around 26 weeks, you will be tested for gestational diabetes. At around 28 weeks, your doctor will likely suggest to do fetal counts and discuss signs of preterm labor with you. By 32 weeks, your baby is taking it’s final position in your belly and pelvis so your doctor will determine your baby’s position. Between 35 to 37 weeks, you will have a vaginal culture for group B strep (this is done on everyone and is not a sexually transmitted disease that you are being tested for).

At around 36 weeks, you will usually start to visit your doctor every week or even more if you have a high risk pregnancy. At about 37-38 weeks, your doctor will do weekly cervical checks to see if you are dilating yet. At around 39 weeks, depending on your doctors preference of practice, you may be induced if your cervix is ready. Once you hit 40 weeks, you’re officially full term and your baby should be coming out ASAP if he/she hasn’t done so yet! After this point, you will have close surveillance for post-dates. If your baby decides to hang out until 42 weeks, most doctors will induce you at this point for post-dates.

Signature