Hudson Valley Parent

20 Hudson Valley Parent Q 2012 Baby Guide By HIEDI SMITH LUEDTKE D o you have any questions?" As soon as the doctor prompts me for questions, I freeze up and forget what I wanted to ask. When you're pregnant, you're bound to have a million questions floating around in your head, it's hard to remember them all! But don't worry! We've compiled a list of the twenty most important questions every expecting mother should ask their doctor. 1. Is my weight healthy? Obesity may increase your risk of miscarriage, premature birth, diabetes and high blood pressure. Ask your doctor for personalized advice on your weight 2. How can I stop smoking? Use of cigarettes doubles your risk of miscarriage. Your provider can recommend behavior change strategies or local support groups to help you quit. 3. Do I need new medications? Some prescription drugs increase the risk of birth defects, says internist Marie Savard, MD, author of Ask Dr. Marie: What Women Need to Know about Hormones, Libido, and the Medical Problems No One Talks About. 4. Am I at risk for gestational diabetes? Moms who suffer gestational diabetes are seven times more likely to develop type-2 diabetes post-pregnancy. If you have family risk factors, ask for a hemoglobin A1c blood test, says Savard. Hormonal changes in pregnancy can trigger hidden diabetes. 5. Should I get immunized? Your physician may recommend shots for the flu, hepatitis B and tetanus, especially if you're at risk. Live-virus vaccines and those for measles, mumps and varicella (chicken pox) may be harmful during pregnancy. Speak up to make sure your vaccinations are safe. 6. Should I continue to see my general practitioner? "Someone has to take the lead on medical care during pregnancy," says Savard, "and it's usually the OB/GYN." But don't ignore other providers. A team approach gives you more comprehensive care. Jed Turk, MD at Health Quest in Fishkill, adds "Don't forget to ask how often you should come in for follow up visits." 7. Am I drinking enough? "Fluids transport nutrition to your baby, prevent preterm labor and minimize nausea, bloating and headaches," says women's health nurse practi- tioner Camilla Bicknell, RNC, MSN, co-author of The Pregnancy Power Workbook. Pale yellow urine is a sign you're drinking plenty. 8. Can I book longer appointments? The receptionist isn't just a gatekeeper, she's an ally. Let her know you have several concerns to discuss and would like more time with the doctor. Any questions? Questions every expecting mom should ask the doctor " "Doctors are willing to answer your questions, all you have to do is ask." JED TURK, MD Health Quest, Fishkill

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