What health conditions on my baby's father's side would my ob/gyn need to know about?

Q. I have my first prenatal visit today and I was wondering, they are going to ask me about my family history, will they ask about my boyfriend's? Does it even matter if there are family members on his side with diabetes ect.? And what health problems would my doctor need to know about on my boyfriend's side (if any)? Smoking, drug use, ect?

A. Your OB is mostly concerned with your health and your family's history. If your mom or sister has diabetes your doctor will want to monitor you for gestational diabetes more closely. Your boyfriend's mom having diabetes isn't going to effect your pregnancy in any way though. The main thing your OB will want to know about your boyfriend is if birth defects, excessive miscarriages, still births, etc, run in his family, and if he knows that hes a carrier for any rare diseases.

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Im on my 3rd baby is it normal to start gaining a little weight?

Q. Im already growing out of my bras and pants and im only 2 months pregnate today. Is it normal after 2 babies?
Im only 2 months pregnate now and i havent had it yet it will be my 3rd. and its been 3 years since i had my youngest son. Is it normal to start gaining weight right away? Ive been real active also and i went from 120 to 138 really fast. I also had gestational diabeties with my 2nd son too.

A. Yes, it is normal to gain weight after and during pregnancy but you have to watch it since it looks like you already have a history of gestational diabetes which would be a more serious problem than gaining weight. I suggest you to seek consult with your OB and always monitor your weight weekly.

Original Question

What concerns should I have if any about high blood pressure and pregnancy?

Q. My blood pressure is slightly elevated. I'm concerned that if I got pregnant that it would affect the baby negatively. If there are any health professionals out there who can give me sound advice on this please respond to how high blood pressure would affect a pregnancy and should I be concerned and what are the problems that could/would occur. I hav no knowledge so any information would be helpful Thanks.

A. That all really depends on exactly how high sightly elevated blood pressure you are talking about. Is this a diagnosis you got from the doctor, or just something you believe is a problem? The first thing you need to do, regardless of your pregnancy plans, is to get the blood pressure taken care of. Your doctor is the best one to advise you on that, but for starters, they usually begin with recommending a low salt diet, getting your weight to a normal level, and exercises. If those don't lower it, then you are talking medication, usually starting with a diuretic type medication. And if that still won't lower it enough, you look at stuff like beta blockers. As far as the effect on a pregnancy, that all depends again on how high you are talking, and what is controlling it. If you are controlled with diet and exercise, it should still maintain the control during pregnancy. They don't particularly like to have expectant ladies on medications, but with monitoring it can still be done safely for you and the baby. The first place to start is with your doctor though, for a full workup to determine if you actually have a problem. High blood pressure during pregancy does pose a few risks, yes. For you, the high blood pressure puts you at risk for pre-eclampsia, kidney failure, and gestational diabetes. It raises your later risk for kidney disease, diabetes and heart disease. High blood pressure puts stress on the placenta, and therefore the baby, because not enough oxygen and nutrients can be delivered. That may result in a low birth weight, premature delivery, and developmental problems. The high blood pressure also puts you at risk for a condition called placental abruption, where the placenta is separated from the uterine wall before delivery can occur. That condition causes you and the baby to bleed, sometimes it can be fatal for both of you. You are further at risk during delivery, when blood pressure naturally rises, for a stroke. Immediately following delivery, your chances for bleeding are increased as well. Although you can and would be monitored closely during the entire pregnancy, and likely would be delivered via c-section, it's worth your time to do what you can to lower your blood pressure before you actually get pregnant. Then of course, you would still want to advise your OB about your past history of hypertension, as you would still be considered higher risk because of it. How likely the complications would be is really dependant on how bad your hypertension is, and how well controlled it is, and how it is controlled. If it is only borderline, then it should be easy enough to control with diet and exercise- not actually a bad idea for anyone really- pregnant, hypertensive or not. And the diet would be good for pregnancy as well. So start with visiting your doctor for the workup, and then go from there once you have advice tailored to your particular situation and needs. Don't get scared by all the stuff I wrote, as I gave you the fullest picture and worst case scenarios. It doesn't mean it will happen to you, but you asked for the truth and I felt you deserved the fullest picture I could give you. Don't let it scare you out of motherhood, let it motivate you to get into control and be a healthy mother. Good luck, and may you be a healthy mom to one cute and healthy baby.

Original Question

What's the average timeframe that a stillborn can stay in the womb before she naturally goes into labor?

Q. I'm trying to write a report but I'm having a tough time finding some of the information I need. Such as when a baby is stillborn, how long can it stay in the mother before her body naturally goes into labor? and when she does go into labor, without being induced, does the labor happen normally as if the baby were alive? I need answers that don't involve modern medicines and practices.

A. When a baby dies in utero and is considered stillborn, it is often "missed" meaning a woman doesn't bleed, feel pain, or cramping. The only outward sign might be that she doesn't feel her baby move one day and wonders if something is wrong. It is almost always confirmed by a doctor with a fetal heart rate monitor or an ultrasound showing lack of a heartbeat. In early pregnancy, the body begins the motions of expelling a deceased fetus between 2days and 2 weeks, but as pregnancy continues, the woman's body is much less likely to go into labor once a baby has passed away. Between 10 and 15 or so weeks, the body might go into labor on it's own after a week or two, but often it does not. And after 16 or 17 weeks, the body often doesn't go into labor on it's own. A woman must be induced. History shows that before modern medicine, many babies that died late in utero stayed in their mother's bodies for months, years, and often indefinitely.

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