Where to start as a new mom-to-be?
You probably have a ton of questions right now as a new mom-to-be! Use this page as a guideline to get all the answers to your questions.
I also offer a comprehensive Antenatal Course on Udemy that you can work through on your own.
Our comprehensive pregnancy, birth and newborn FAQ’s booklet will be available soon!
Early pregnancy with questions such as:
- When do I go see a Doctor/Midwife for the first time?
- What signs and symptoms can I expect in early pregnancy?
Late Pregnancy with questions such as:
- What signs and symptoms can I expect later in my pregnancy?
- Is sex safe during pregnancy?
Labour questions such as:
- What is a birth plan and how do I make one?
- How do I monitor my contractions?
- How to know if you are in labour?
Vaginal Birth questions such as:
- What typically happens in the labour and delivery room?
- How does the epidural work?
C-Section Birth questions such as:
- What typically happens in theatre?
- How will my pain be managed?
Warning Signs in pregnancy
EARLY PREGNANCY
You can book a visit as soon as you know you are pregnant. This can be from a home pregnancy test or you can go request a blood test from any lab or visit your GP to do a test. You can the schedule a visit with your midwife/doctor right away. Call their rooms and ask how they want you to proceed, healthcare providers often have their own way of doing things.
The normal Antenatal Schedule for a low-risk pregnancy is as follows
- 6 – 9 weeks (Depends when you find out that you are pregnant)
- 12 Weeks (11 – 13) NT Scan
- 20 Weeks (20 – 22) Fetal Anatomy Scan
- 28 Weeks Visit (also GTT & 4D Scan)
- 32 Weeks Visit
- 36 Weeks Visit
- 38 Weeks Visit (depends on your healthcare provider)
- 40 Weeks Visit (Due date)
- Weekly thereafter (No longer than 42 weeks)
High-risk pregnancy – more frequent visits (See question below on high risk factors)
- Urine Test
- Blood Pressure
- Q&A about your general wellbeing
- Physical examination (abdominal palpation)
- Ultrasound (Transvaginal or Abdominal depending how far you are pregnant)
- Potential Speculum
- Potential blood tests
- Potential medication
- Potential Fetal Monitoring
- Under the age of 20 years
- Diabetic
- High Blood Pressure
- Multiples pregnancy (Twins or more)
- Pre-existing heart condition
- Overweight
- Over the age of 38 years
- Previous blood clots
- Epilepsy
- Pre-existing medical conditions (kidneys, autoimmune)
- Previous miscarriage or preterm births
- RH Sensitisation
- Structural issues with placenta
- Genetic conditions or family history
- Smoking or alcohol abuse in pregnancy
There are many reasons to indicate blood work to be done, but the most common blood tests in pregnancy are:
- To confirm the pregnancy
- Blood Tests during the first visit
- – Full Blood Count (indicates your general health)
- – HIV
- – Syphilis
- – Haemoglobin (indicator of anaemia)
- Blood Tests Later in Pregnancy
- – At 12 week scan: chromosomal risk factor, usually done before you have the scan
- Other possible blood tests
- – Glucose Tolerance Test (GTT) to test for Diabetes
- – Haemoglobin
- – Antibodies and Anti-D injections if your Blood Group is negative
- – Other ailments your helathcare provider wants to investigate
If you are still very early in your pregnancy:
- Transvaginal Ultrasound (the probe goes into the vagina to scan the baby)
Later on in your pregnancy (usually after 12 weeks)
- Abdominal Ultrasound
- Speculum examination if bleeding or leaking water
- Internal Examinations, especially if you are close to your due date and also during labour
- External Monitoring, this is picking up the fetus’ heart rate through a probe placed on your abdomen
- IV lines (drip) if any medication is needed
- Injections for various reasons
The highest risk of miscarriage is before 12 weeks of gestation. It is normally advised to wait until after this milestone before you start telling people that you are expecting.
However, the flip side is that if you do suffer a miscarriage and your closest friends or family knew about the pregnancy, you can lean on them for support during this time instead of telling them about the pregancy and loss in one sitting, or not telling anyone at all and suffer on your own with no support structure.
The choice is still yours and when you feel comfortable to share your news with others.
From a personal point of view, it depends a lot on your personal preference, your relationship with your manager and the work that you do.
Legally, you are obliged to inform your employer that you will be taking maternity leave and you need to get your leave approved. Obviously by this time you have informed your manager. And obviously you do this before it is clear to everyone that you are pregnant 🙂
The bottomline is to do it anyway you want, but bear in mind that all choices have consequences. Telling your manager very early might be necessary if the pregnancy is making you very sick and you need time off from work. Telling your manager about early maternity leave is also a possibility if you have a high risk pregnancy. For that matter, a high-risk pregnancy might influence your ability to do your work for numerous reasons and you might have to inform your boss sooner rather than later.
If you have a lot of responsibilities at work, it is advisable to inform your manager in time so that they can make arrangements to find substitutes during your maternity leave.
These are the most commonly experienced symptoms:
- Your breasts feel tender (similar to when you are having your period)
- You might feel slight abdominal cramping
- The obvious one is that your period is late (although in some instances women can menstruate throughout their pregnancy)
- You might have light spotting from implantation bleeding
- You might experience nausea and/or vomiting
- You might have an increased sense of smell or sensitivity to certain smells
A little later on in pregnancy there are definite body changes to take note of:
- You might experience nausea and/or vomiting
- Your breasts will become bigger and the areola (area around the nipple) will become darker and might also become bigger
- You might develop a dark line over your pregnant belly, running from the top of your tummy to the bottom of your tummy called the linea nigra
Morning sickness is actually such a misleading term. Nausea and vomiting in pregnancy occurs at any time of the day! It is often more common in the mornings as women wake up hungry which can exacerbate the nausea and vomiting, but it occur certain times of the day or can be a 24/7 feeling.
Each women experiences it differently and find different ways of coping with it. If you are lucky, you might get away with certain foods to combat the nausea but sometimes that is not enough and you might feel miserable for most of your pregnancy. It can be a debilitating feeling if you experience chronic nausea and if it is affecting your daily fluid intake and functioning, then check in with your healthcare provider to discuss your options.
Hyperemesis Gravidarum is a severe form of nausea and vomiting in pregnancy and should not be ignored. This is where women cannot hold back and food or fluids which is affecting her health. There are medications available but this should always be discussed with your healthcare provider first.
Start at first by trying to not get too hungry. Keep crackers or whatever you can tolerate next to your bed to eat as soo as you wake up. Have some snacks with your to get through the day. If this is not cutting it and no at-home remedies are helping, get some professional advice but it is important to keep taking fluid because not only will you become dehydrated if you vomit constantly, you will suffer from constipation too. Fetuses are quite resilient so don’t fret too much if you don’t eat large healthy meals, pregnancy often requires to make changes, eat small portions and stick to food that you can tolerate.
If you are one of the unlucky ones that suffer 24/7 from nausea and vomiting, just know that it is really not forever, it WILL end at some point and it WILL be worth the pain and suffering if you hold your little miracle in your arms. Think of the long-term goal and just take it ONE day at a time.
LATE PREGNANCY
Don’t worry, you will most probably not go experience all of these, but many of the signs and symptoms mentioned below might come as a surprise:
- Your hair might become a lot thicker and grow quicker. On your head but also … on your legs and under your arms. Pretty much everywhere.
- You might experience a very dry vagina at first and finding that you need additional lubrication. It might even become too painful to have sex.
- Your labia majora (lips of the vagina) might become very swollen. It can be uncomfortable for instance to sit in the bath because of the swelling and pressure down there
- An unusual low or high libido (sex drive)
- Bleeding or spotting after having intercourse
- Your feet and ankles can start to swell (you might need a bigger shoe size for a while)
- Your hands might feel swollen in the morning (if this happened just report to your healthcare provider so they can check for Carpal Tunnel syndrome which often happens in pregnancy. (Remove any rings if this happens)
- Back Ache
- Heart Burn
- Abdominal cramping (braxton hicks)
- Your abdomen might feel itchy at times (stretching skin can cause this if your baby is going through a growth spurt in the uterus
- Stretch marks along the abdomen and also thighs!
- You buttocks and thighs can increase in size … yes for real!
- Swelling in the face is not considered normal and you should go for a check-up if you are also experiencing other symptoms. A fuller face from pregnancy weight gain is fine, but obvious swelling, especially around the eyes is not.
- Towards the end of the pregnancy you might have excess vaginal discharge, necessitating wearing a sanitary pad all the time. Vaginal thrush is also very common and should be treated.
- Spotting of blood can sometimes occur but should always be checked out by your healthcare provider
- You can get out of breath easily and cannot eat a lot of food in one sitting
- You might pee yourself when sneezing/laughing
You will get different answers if you ask different people. As a midwife I would always advocate for antenatal classes to ensure that you are prepared for the expected and the unexpected. Would you go and write your final exam without studying for it? If your answer is no, then it is a good start.
Antenatal classes are so much more than showing you how to change a nappy or burp your baby. It is about informing you of the latest evidence-based practices and how you can become part of the decision-making process. Until recently and still for some, mothers believed that they did not have much of a say and should follow the guidance of their healthcare provider. While it is good practice to consider the advice, no one can force you to make decisions you don’t feel comfortable with.
The more you know, the better decisions you can make for yourself and your baby. The more you know, the more prepared you are if things don’t go according to plan. The more you know, the better you can look after your own health and the baby’s because you will not ignore early warning signs. The more you know, the better the birth experience and outcome you can have. Knowledge is power and it gives you a great head start.
It is best to start attending antenatal classes anywhere from 28 weeks onwards. If you are expecting multiples, you can even start sooner so that you are prepared for any possible preterm birth. But no one is stopping you from starting earlier than that, if it helps you then why not?
So when asked how far you are pregnant …You tell your friend 15 weeks and she goes “HUH?” so you convert to tell her about 4 months.
Then you get to the doctor or midwife and tell them you are 4 months and they say, “No, in weeks?”and you don’t know so they ask for the date of your last menstrual period or your due date and then they tell you “Okay 15 weeks and 3 days actually”
Why though?
So in actual fact you are about 10 months pregnant and not 9 ….
You probably by now know that a full-term pregnancy is considered 40 weeks. So if you divide 40 weeks by the average of 4 weeks in a month you get to 10 months! Except that every month differs and some months have 5 weeks … so what now?
This is exactly why we use weeks, because 7 days in a week is consistent whereas one month to the next is not. Some have 30 days, some 31 and then some 28 … so in real terms a pregnant month would be around 4.3 weeks which is very inaccurate for many reasons. Certain scans and tests can only be done at a certain point (often a 2 week period) so all accuracy is lost when we measure by months.
Did you Know?
That you are considered pregnant BEFORE you fall pregnant? Due to the ovulation cycles being vastly different from one woman to the next, it is impossible to know when exactly you fell pregnant.
What are the facts?
Remember that the moment you fall pregnant is not immediately after having sex. You also don’t fall pregnant when a sperm fertilises an egg to form an embryo. (You need to ovulate to release an egg. Then that egg needs to travel down the fallopian tube to the uterus.) And somewhere within this period the egg can be fertilised and the embryo implants in the uterus – this is when you are considered pregnant. So can you see that pinpointing the moment you fall pregnant is virtually impossible?
So if you do a pregnancy test a week after you missed your period, you are roughly 5 weeks pregnant!
There are a few ways to work out your due date:
- Method 1 Take a calendar and circle the first day that your last menstrual period started (LNMP). Now minus 3 months. Now add 7 days
- Method 2: Count 40 weeks from the first day of your last menstrual period (LNMP) (full period, not spotting)
- Method 3: If you tracked ovulation: add 266 days to your ovulation date. If you had IVF, add 261 – 263 days after fertilisation
- Method 4: Ultrasound. The most accurate estimation up to 12 weeks because menstruation dates can get mixed up!
Disclaimer: Your date date is an ESTIMATE only (therefore abbreviated EDD) and 37 weeks is considered full-term in most instances and many don’t make it to 40 weeks and many go beyond this date.
TEST YOURSELF: LNMP = 2nd Nov 2021. Do you get 9th of Aug 2022 as your due date? Then you are 14 weeks now.
Short answer is NO 🙂
The shape and size of your abdomen depends on a number of things
- How many pregnancies you have had before
- If you are carrying more than one baby
- The position of the baby in the uterus
- The strength of your abdominal muscles (muscle tone)
- Your weigh
- Your height
- Your body shape/posture
- and NOT the gender of the baby 🙂
A question moms always ask. Again, you will find different answers from different mothers.
Facts on the table? Baby clothing and accessories are expensive. So plan your budget accordingly. Start looking at prices and perhaps set aside savings every month and go buy everything at a later stage. Perhaps you are waiting for your baby shower and hoping to only buy whatever you didn’t get? But what if the baby comes before the baby shower?
There are lots of factors to consider. You can also start buying some things every month, but it is easy to waste money on bottles, bum creams, nappies, wipes etc. in case it doesn’t work for your baby. So keep your receipts. At the end of the day, you have to decide what works for you. There is no right or wrong way of doing this.
Also, see our nappy discussion below to determine how many nappies you will need.
From other moms: never say no to hand-me-downs!
As much as you might prefer brand names only, babies and toddlers will destroy the prettiest clothes and blankets with vomit sessions, poop explosions, teething drool, eating solids, crawling and then running around outside, potty training etc. You will want some old clothes at some point to protect your branded ones! Send the kids to school in used clothing so that the mud, paint and other dirt from school does not affect your nice outfits.
If they take forever to start walking, like mine did, you are going to go through pants and leggings at an alarming speed. This is where second-hand clothing comes in very handy!
Good resources for information:
Visit BloemMomDoc here:
- Website www.bloemmomdoc.co.za
- Facebook Page @BloemMomDoc
- Instagram @bloemmomdoc
There is lots of information available out there for new moms and all parents but the best one-stop shop for all the information you need from pregnancy to way beyond when your kids go to school, is @BloemMomDoc. Everything you need to know from pregnancy weight gain, neonatal conditions, teething necklaces, feeding schedules and much much more.
International resources
If others tell you to stay away from Google, they mean it – it can get really scary and completely freak out a new mom-to-be. The sources below are trusted information sites you can visit.
- www.nhs.uk
- www.kellymom.com
- Office on Women’s Health
- Medical News Today
- www.drugs.com (Safety of medications in pregnancy)
- Drugwatch (An easy to follow website with very useful information. Disclaimer: amniocentesis and pelvic/rectal exams are not routinely done. Only in certain instances)
- Driving during Pregnancy (Pregnancy can bring about all sorts of questions and uncertainties. One thing a lot of expecting mothers wonder is is how will their pregnancy affect driving. Driving while pregnant is generally safe, but there are things that pregnant mothers should be aware of and that’s why we made a guide about driving while pregnant. In in we cover topics like when should moms stop driving, what are some tips for longer trips, information on driving after birth, and more.)
- Asbestos Exposure and Risks to Mother and Fetus The most important measure pregnant women can take to protect themselves and their unborn children is to avoid asbestos exposure. This can prove challenging because most people who are exposed to asbestos do not experience symptoms and may be unaware when such exposure occurs.
Pack for Mom
This is a basic list to get you through the hospital stay as a new mom. Friends or family might have extra ideas of what to pack that really helped them such as specific snacks or pj’s. Ask around!
Pack for Baby
Although as a new mom you might think that you need tons of items for your baby bag, the most important items are nappies and clothes. And of course bottles and formula if you are not breastfeeding.
How many nappies do I need to buy?
A question every new mom has! This is a general guide you can use to work out how many nappies you will need when you bring your baby home. Remember, this guide uses averages but babies are also individuals and might do things differently!
Whether you want to buy as you need or stockpile while pregnant, is up to you. There are pro’s and con’s to both. As a new mom, you will have to figure this one out by yourself but keep in mind the following when you are thinking about buying nappies in bulk:
- Your baby might leak more with one brand than another (especially with boys, moms will often have very specific preferences)
- Don’t rely on all shops being willing to swap out nappies without a receipt
- Your baby might be allergic to a specific brand
- Your baby might very quickly outgrow a size
So should I not buy nappies in bulk?
Of course you can.
But if you have a baby shower or nappy ‘braai’ ask your friends to leave the receipts for the nappies with you. It might feel awkward, but you will be grateful later. Nappies are expensive and no one wants to waste money on nappies you cannot use. Whether you prefer only one brand or want to try different ones is up to you, but sometimes you might try a few different ones before you find one that works for you.
How long you will be using size 0 before changing to size 1 depends on your baby’s birth weight and how quickly they grow.
i.e An average 3.4kg baby might be out of size 0 within 2 weeks while a 2.5kg smaller baby might be in size 0 for 2 months.
So how many nappies do I need to buy?
This is for the first 6 weeks. Thereafter you find your own pattern that works for you and we included a guideline for this too. It is not recommended to leave a baby (or toddler) during the day in a nappy for longer than 4 – 5 hours for hygiene reasons (obviously sooner if it is a poo nappy). At night it can stay on once they don’t poo at night anymore.
A newborn baby will need to be changed every 2 -3 hours in the beginning. Day and night as they might be passing stools throughout the night as well. Occasionally you will need to change a nappy again within a few minutes as your baby might decide to poop into the nice clean nappy!
- This means 8 nappies in 24 hours but you can add a few extra for the occasional mishaps and extra changes.
- In one week this amounts to about 84 nappies.
- In one month this will add up to roughly 360 nappies.
Normal nappy packs come in any size from 30 – 96 nappies in a pack, to 144 in jumbo packs.
