MODULE 1

A Healthy Beginning

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2. Travelling by Plane

Most airline companies require an authorization letter from a doctor before allowing a pregnant woman to travel during the last month of pregnancy. To avoid problems, check with the airline company before buying your tickets.

Here are a few tips for traveling by plane.

  • Wear wide and comfortable shoes in case your feet swell.
  • Drink plenty of liquids to prevent dehydration.
  • Walk up and down the aisle at least once every hour. If not, move your legs in order to help blood circulation. Support stockings could be useful.
  • Avoid crossing your legs.

1. Travelling by Car

As long as you are at ease at the wheel, you can continue driving. Don't forget that you must always wear your seat belt. If you cannot adjust your seat belt appropriately, extensions are available.

Here is the best way to wear your seat belt.

Here are a few tips when travelling by car.

 

j. Travels and Trips

Your decision to travel depends on your health and the length of the trip. If in doubt, consult your health care provider.

i. Infection and Illness

Avoiding sick people while pregnant makes sense. Stay away from people who have a cold, a cough, a sore throat, or the flu.

If you are ill during your pregnancy or have flu symptoms, consult your health care provider. Do not take any medication without first consulting your health care provider. If you have a cold or a minor illness, rest, drink a lot of liquid and use a humidifier.

If you have been exposed to a serious illness including Sexually Transmitted Infections (STI), consult your health care provider.

h. Caffeine

Many people take caffeine without knowing it. Did you know that there is caffeine in coffee, tea, colas, chocolate, and many medicines?

Example of caffeine

Nobody really knows the effects of caffeine on the fetus. We do know that caffeine is a stimulant and it makes people nervous. It is a good idea to reduce the quantity of caffeine.

To what level should you reduce the amount of caffeine? The following suggestions will help you remain within the acceptable limits:

  • Drink no more than one or two cups of coffee or tea daily.
  • Read the labels on foods, beverages and medicines.
  • Select the products with less caffeine.

 

g. Drugs

If you take drugs such as marijuana, cocaine, heroin, or speed, your baby also takes these drugs. All drugs affect your baby who could develop a dependency to these drugs. Drugs are dangerous for you and your baby.

When a woman smokes, drinks, or takes drugs, the baby is subjected to the same effects. 

If you take drugs, you may need help to stop. For your health and the health of your baby call a support service agency for help. You can contact a local addiction service or ask your health care provider or a public health nurse about the programs available in your area.

Here is a list of the most common drugs. You may consult this table to find out more about the risks these drugs represent for your baby during pregnancy.

 

f. Medication

As soon as you find out that you are pregnant, tell your health care provider about the medications you are taking. These include the medications prescribed by a health care provider and all the products you can purchase in a drugstore such as aspirin, pain killers, cough and cold preparations and even vitamins.

For safety measures, take only medication prescribed by your health care provider and follow the directions carefully.

If you consult with more than one health care provider, be sure that they are all aware of your condition. They should be informed if you are taking medication.

All the medications that you take can affect your baby. Therefore, before taking any type of medication, ask your health care provider, pharmacist, or dentist the following questions.

Here is a list of the most common medicines. You may consult this table to find out more about the risks these medicines represent for your baby during pregnancy.

e. Alcohol

When you drink, so does your baby. If you consume alcohol, your baby may be born with FASD (Fetal Alcohol Spectrum Disorder).

FASD includes the abnormalities caused by the consumption of alcohol during pregnancy. FASD is the main known cause of congenital malformations in Canada.

This is what can happen to the baby if the mother drinks alcohol.

Certain damages are not visible at birth but their long-term consequences are serious.

The following table summarizes harm done by alcohol consumption during pregnancy as well as the long-term consequences. Food for thought...

Alcohol, even the smallest quantity, is dangerous during pregnancy. The best thing to do is avoid alcohol during pregnancy.

If you drink alcohol, note that all types are dangerous and that there is as much alcohol in a bottle of beer as in a glass of wine or an ounce of liquor.

If you are a heavy drinker, you may need help to stop. For your health and the health of your baby call the support service agencies for help. You can contact a local addiction service, ask your health care provider or a public health nurse about the programs available in your area.

New Brunswick Addiction Centres: http://www.gnb.ca/0378/centers-e.asp

Public Health Agency of Canada: http://www.phac-aspc.gc.ca/fasd-etcaf/index-eng.php

 

2. How to Avoid Smoke

Maybe you think that quitting smoking during pregnancy will increase your stress. However, remember that smoking is a stress for your body. If you smoke, your baby's heart and yours beat faster and your blood pressure is higher. If you quit smoking now, you will protect your baby from the most harmful effects of tobacco. In addition, once at home, your baby will not be exposed to cigarette smoke.

If you live with smokers, explain to them that their smoke can harm your baby. Even when they are not ready to quit, you can set certain rules to decrease the amount of cigarette smoke in your home.

Here is what you can do to reduce cigarette smoke in your environment.

Smoking is an addiction. Everyone knows that it is very difficult to quit smoking but millions of people have succeeded. When you are pregnant, the most important thing you can do for your baby is quit smoking. Talk to your health care provider before using a nicotine patch or nicotine gum.

If you need help to quit smoking, contact Addiction Services, Public Health Offices, Canadian Lung Association, Canadian Cancer Society, your health care provider, the New Brunswick Anti-tobacco Coalition or the Smoker’s Helpline.

Smoker’s Helpline: 1-877-513-5333 or www.smokershelpline.ca/

 

Test Your Knowledge

 
 

The following exercise will help you understand why cigarette smoke is dangerous during pregnancy and after the birth of the baby.

Click on the option button that matches the correct answer and validate your answer by clicking on the «Check» button.

1

Smoking increases the risk of miscarriage.

a) True
b) False
Right answer! A woman who smokes doubles her risk of having a miscarriage when compared to a woman that doesn't smoke.Wrong answer! A woman who smokes doubles her risk of having a miscarriage when compared to a woman that doesn't smoke.

Check your answer

2

Smoking increases the risk of premature birth.

a) True
b) False
Right answer! When the mother smokes, the risk that her baby will be born too early is much higher. Premature babies are hospitalized more often and have more long-term health problems and die more often than the full term babies.Wrong answer! When the mother smokes, the risk that her baby will be born too early is much higher. Premature babies are hospitalized more often and have more long-term health problems and die more often than the full term babies.

Check your answer

3

Smoking can have an effect on the baby's weight at birth.

a) True
b) False
Right answer! Your baby has a chance of being smaller at birth if you smoke. Small babies are more at risk of being sick.Wrong answer! Your baby has a chance of being smaller at birth if you smoke. Small babies are more at risk of being sick.

Check your answer

4

Smoking can have an effect on labour and delivery.

a) True
b) False
Right answer! If you smoke, you may have problems during labour and delivery.Wrong answer! If you smoke, you may have problems during labour and delivery.

Check your answer

5

Smoking increases the risk of death in newborns.

a) True
b) False
Right answer! The risk of death before birth or sudden death during the first weeks of life is greater if you smoke. The use of tobacco by the parents could be the first risk factor for Sudden Infant Death Syndrome (SIDS). Wrong answer! The risk of death before birth or sudden death during the first weeks of life is greater if you smoke. The use of tobacco by the parents could be the first risk factor for Sudden Infant Death Syndrome (SIDS).

Check your answer

6

Nicotine found in a cigarette enters the breast milk.

a) True
b) False
Right answer! A baby who is breastfed by a mother who smokes cries more and is more difficult to calm because of the nicotine. It is proven that breastfeeding reduces the negative effects of tobacco on the baby's lungs and can protect against respiratory illness. Breastfeeding is good for the baby and the mother. It is better if the mother does not smoke but if she can't stop or reduce her consumption, it is better to smoke and breastfeed then to smoke and not breastfeed. Smoking should be done outside and after the breastfeeding to limit the amount of nicotine in the breastmilk. Nicotine replacement therapy is safe while breastfeeding (ie Nicorette gum, the patch). Wrong answer! A baby who is breastfed by a mother who smokes cries more and is more difficult to calm because of the nicotine. It is proven that breastfeeding reduces the negative effects of tobacco on the baby's lungs and can protect against respiratory illness. Breastfeeding is good for the baby and the mother. It is better if the mother does not smoke but if she can't stop or reduce her consumption, it is better to smoke and breastfeed then to smoke and not breastfeed. Smoking should be done outside and after the breastfeeding to limit the amount of nicotine in the breastmilk. Nicotine replacement therapy is safe while breastfeeding (ie Nicorette gum, the patch).

Check your answer

7

After the birth, the presence of cigarette smoke in the baby's environment causes less damage.

a) True
b) False
Right answer! Children living with smokers run a higher risk of having breathing problems such as asthma, bronchitis, colds, and throat and ear infections. Wrong answer! Children living with smokers run a higher risk of having breathing problems such as asthma, bronchitis, colds, and throat and ear infections.

Check your answer

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