Get away from it. Combat stress with any activity you find relaxing. Lose it in reading; a good movie; listening to music (take your iPod to coffee breaks and lunch, or even use it while you work, if you can); knitting (you can relax while you get a head start on those booties); window-shopping for baby clothes; lunching with a fun friend; keeping a journal (another good way to vent your feelings); browsing baby sites online; scrapbooking. Or walk away from it (even a quick stroll can be relaxing and rejuvenating). Combat stress with any activity you find relaxing. Lose it in reading; a good movie; listening to music (take your iPod to coffee breaks and lunch, or even use it while you work, if you can); knitting (you can relax while you get a head start on those booties); window-shopping for baby clothes; lunching with a fun friend; keeping a journal (another good way to vent your feelings); browsing baby sites online; scrapbooking. Or walk away from it (even a quick stroll can be relaxing and rejuvenating).

Cut it back. Maybe what's causing the stress just isn't worth it. If it's your job that's got you too wired, consider taking early maternity leave or cutting back to part-time (if either of these options is financially feasible), or delegating at least part of your workload to reduce stress to a load that doesn't weigh you down. A change of jobs or careers might be impractical to pull off now that you're expecting, but it might be something to consider once your baby arrives. Maybe what's causing the stress just isn't worth it. If it's your job that's got you too wired, consider taking early maternity leave or cutting back to part-time (if either of these options is financially feasible), or delegating at least part of your workload to reduce stress to a load that doesn't weigh you down. A change of jobs or careers might be impractical to pull off now that you're expecting, but it might be something to consider once your baby arrives.

Remember, your stress quotient is only going to increase once the baby is born; it makes sense to try to find ways of handling it better (or bringing it down to a manageable level) now.

Your Pampered Pregnancy Talk about extreme makeovers. Pregnancy is a radical full-body transformation that may have you feeling your most beautiful (you glow, girl!), your least attractive (those zits! those chin hairs!), or both (in the same day). But it's also a time when your usual beauty regimen might need a makeover, too. Before you reach into your medicine cabinet for the acne cream you've been using since junior high or head to your favorite spa for a bikini wax and a facial, you'll need to know what's a beauty do-and what's a beauty don't-when you're expecting. Here's the lowdown from tip (highlights) to toes (pedicure) on how you can pamper your pregnant self beautifully-and safely.

Your Hair When you're expecting, your hair can take a turn for the better (when lackluster hair suddenly sports a brilliant shine) or for the worse (when once-bouncy hair goes limp). One thing's for sure: Thanks to hormones, you'll have more of it than ever before (and sadly, not just on your head). Here's the heads-up on hair treatments: Coloring. Here's the root of the problem when it comes to hiding your roots during pregnancy. Even though no evidence suggests the small amount of chemicals absorbed through the skin during hair coloring is harmful when you're expecting, some experts still advise waiting out the first trimester before heading back to the salon for retouching. Others maintain that it's safe to dye throughout pregnancy. Check with your practitioner-you'll likely get the green light on color. If you're uncomfortable with a full dye job, consider highlights instead of single-process color. This way the chemicals don't touch your scalp at all, plus highlights tend to last longer than all-over color, enabling you to revisit the salon fewer times during your pregnancy. You can also ask your colorist about less harsh processing (an ammonia-free base or an all-vegetable dye, for instance). Just keep in mind that hormonal changes can make your hair react strangely-so you might not get what you expect, even from your regular formula. Before you do your whole head, try a test strand so you don't wind up with punk purple instead of that ravishing red you were hoping for. Here's the root of the problem when it comes to hiding your roots during pregnancy. Even though no evidence suggests the small amount of chemicals absorbed through the skin during hair coloring is harmful when you're expecting, some experts still advise waiting out the first trimester before heading back to the salon for retouching. Others maintain that it's safe to dye throughout pregnancy. Check with your practitioner-you'll likely get the green light on color. If you're uncomfortable with a full dye job, consider highlights instead of single-process color. This way the chemicals don't touch your scalp at all, plus highlights tend to last longer than all-over color, enabling you to revisit the salon fewer times during your pregnancy. You can also ask your colorist about less harsh processing (an ammonia-free base or an all-vegetable dye, for instance). Just keep in mind that hormonal changes can make your hair react strangely-so you might not get what you expect, even from your regular formula. Before you do your whole head, try a test strand so you don't wind up with punk purple instead of that ravishing red you were hoping for.

Straightening treatments or relaxers. Thinking about a straightening treatment to calm those curls? Though there's no evidence that hair relaxers are dangerous during pregnancy (the amount of chemicals that enter the body through the scalp is probably minimal), there's no proof they're completely safe, either. So check with your practitioner; you may hear that it's safest to let your hair do what comes naturally, especially during the first trimester. If you do decide to go straight, keep in mind that there's a possibility that your hormone-infused locks may respond oddly to the chemicals (you might end up with a helmet of frizz instead of ramrod-straight tresses). Plus, your hair will grow faster during pregnancy, making those curls reappear at your roots sooner than you'd like. Thermal reconditioning processes that involve different-and often gentler-chemicals to tame your frizz may be a safer option (again, ask first). Or just buy a flat iron of your own, and coax your hair into smooth submission. Thinking about a straightening treatment to calm those curls? Though there's no evidence that hair relaxers are dangerous during pregnancy (the amount of chemicals that enter the body through the scalp is probably minimal), there's no proof they're completely safe, either. So check with your practitioner; you may hear that it's safest to let your hair do what comes naturally, especially during the first trimester. If you do decide to go straight, keep in mind that there's a possibility that your hormone-infused locks may respond oddly to the chemicals (you might end up with a helmet of frizz instead of ramrod-straight tresses). Plus, your hair will grow faster during pregnancy, making those curls reappear at your roots sooner than you'd like. Thermal reconditioning processes that involve different-and often gentler-chemicals to tame your frizz may be a safer option (again, ask first). Or just buy a flat iron of your own, and coax your hair into smooth submission.

Permanents or body waves. So your hair's not as full as your figure's becoming? Ordinarily, a permanent or a body wave might be the answer for hair that's limping, but it probably isn't during pregnancy. Not because it isn't safe (it probably is, though check with your practitioner), but because hair responds unpredictably under the influence of pregnancy hormones. A permanent might not take at all-or might result in frizz instead of waves. So your hair's not as full as your figure's becoming? Ordinarily, a permanent or a body wave might be the answer for hair that's limping, but it probably isn't during pregnancy. Not because it isn't safe (it probably is, though check with your practitioner), but because hair responds unpredictably under the influence of pregnancy hormones. A permanent might not take at all-or might result in frizz instead of waves.

Hair removal. If pregnancy has you looking like a Planet of the Apes resident, stay calm-this hairy situation is only temporary. Your armpits, bikini line, upper lip, even your belly may be fuzzier than usual due to those raging hormones. Rather not wear fur? Your options for hair removal are somewhat limited during pregnancy. Like most cosmetic procedures and products, lasers, electrolysis, depilatories, and bleaching haven't been studied enough in pregnancy to prove safety (or risks). Many practitioners advise moms-to-be to skip them; others give some of them the okay after month three. Which leaves you with either unwanted hair-or reliance on lower-tech options. Those old reliables-shaving, plucking, and waxing-are perfectly safe. Even a full-on Brazilian is fine, but proceed with caution-pregnancy skin can be extra-sensitive and easily irritated. If you're heading to the salon, let the aesthetician know you're expecting so she can be extra gentle. If pregnancy has you looking like a Planet of the Apes resident, stay calm-this hairy situation is only temporary. Your armpits, bikini line, upper lip, even your belly may be fuzzier than usual due to those raging hormones. Rather not wear fur? Your options for hair removal are somewhat limited during pregnancy. Like most cosmetic procedures and products, lasers, electrolysis, depilatories, and bleaching haven't been studied enough in pregnancy to prove safety (or risks). Many practitioners advise moms-to-be to skip them; others give some of them the okay after month three. Which leaves you with either unwanted hair-or reliance on lower-tech options. Those old reliables-shaving, plucking, and waxing-are perfectly safe. Even a full-on Brazilian is fine, but proceed with caution-pregnancy skin can be extra-sensitive and easily irritated. If you're heading to the salon, let the aesthetician know you're expecting so she can be extra gentle.

Eyelash treatments. As for the hair that no one can get enough of-you'll have to make do with the eyelashes you've got for now. The prescription eyelash growing treatment, Latisse, as well as many of the OTC products touted to lengthen lashes, aren't recommended for expectant and breastfeeding moms because (you guessed it) they haven't been studied in pregnancy. It's probably also smart to avoid dying your eyelashes or brows. As for the hair that no one can get enough of-you'll have to make do with the eyelashes you've got for now. The prescription eyelash growing treatment, Latisse, as well as many of the OTC products touted to lengthen lashes, aren't recommended for expectant and breastfeeding moms because (you guessed it) they haven't been studied in pregnancy. It's probably also smart to avoid dying your eyelashes or brows.

Your Face Your pregnancy may not be showing in your belly yet, but it's almost certainly showing on your face. Here's the good, bad, and the ugly about face care when you're expecting.

Facials. Face facts: Not every mom-to-be is blessed with that expectant radiance you've always read about. If your glow decides not to show, a facial might be just the ticket, working wonders when it comes to clearing pores clogged by extra oil (thanks to extra hormones). Most facials are absolutely safe during pregnancy, though some abrasive treatments (like microdermabrasion or glycolic peels) may do more harm than good, as they might be especially irritating to skin made supersensitive by pregnancy hormones. Facials that use an electrical microcurrent are off limits during pregnancy. Discuss with the esthetician which preparations might be most soothing and least likely to provoke a reaction. If you're unsure about a particular treatment's safety, check with your practitioner before signing up. Face facts: Not every mom-to-be is blessed with that expectant radiance you've always read about. If your glow decides not to show, a facial might be just the ticket, working wonders when it comes to clearing pores clogged by extra oil (thanks to extra hormones). Most facials are absolutely safe during pregnancy, though some abrasive treatments (like microdermabrasion or glycolic peels) may do more harm than good, as they might be especially irritating to skin made supersensitive by pregnancy hormones. Facials that use an electrical microcurrent are off limits during pregnancy. Discuss with the esthetician which preparations might be most soothing and least likely to provoke a reaction. If you're unsure about a particular treatment's safety, check with your practitioner before signing up.

Antiwrinkle treatments. A wrinkly baby is cute; a wrinkly mommy, not so much. But before you stop by your dermatologist's office to treat those fine lines (or fill those lips), consider this: The safety of injectable fillers (such as collagen, Restylane, or Juvederm) during pregnancy hasn't been established through studies yet. The same goes for Botox, which means you're better off staying unfilled (and uninjected) for now. As for antiwrinkle creams, it's best to read the fine print (and check with your practitioner). You'll likely be advised to bid a temporary farewell to products that contain vitamin A (in any of its many retinoid forms), vitamin K, or BHA (beta-hydroxy acid or salicylic acid). Check with your practitioner about other ingredients you're unsure about, too. Most practitioners will green-light products containing AHA (alpha-hydroxy acid) or fruit acids, but get the all-clear first. On the bright side, you may find that normal pregnancy fluid retention plumps up your face nicely, leaving your wrinkles less noticeable without the help of cosmetic procedures. A wrinkly baby is cute; a wrinkly mommy, not so much. But before you stop by your dermatologist's office to treat those fine lines (or fill those lips), consider this: The safety of injectable fillers (such as collagen, Restylane, or Juvederm) during pregnancy hasn't been established through studies yet. The same goes for Botox, which means you're better off staying unfilled (and uninjected) for now. As for antiwrinkle creams, it's best to read the fine print (and check with your practitioner). You'll likely be advised to bid a temporary farewell to products that contain vitamin A (in any of its many retinoid forms), vitamin K, or BHA (beta-hydroxy acid or salicylic acid). Check with your practitioner about other ingredients you're unsure about, too. Most practitioners will green-light products containing AHA (alpha-hydroxy acid) or fruit acids, but get the all-clear first. On the bright side, you may find that normal pregnancy fluid retention plumps up your face nicely, leaving your wrinkles less noticeable without the help of cosmetic procedures.

Acne treatments. Got more pimples than a high school marching band? You can blame pregnancy hormones for that. But before you march to the medicine cabinet for your usual zit zappers, check them out with your practitioner. Accutane (which causes serious birth defects) is definitely off-limits. So is Retin-A (ask your practitioner and dermatologist about over-the-counter products that contain retinol). Laser treatments and chemical peels for acne should also probably wait until after the baby is born. Two common topical acne medications, beta-hydroxy acid (BHA) and salicylic acid, have not been studied in pregnant women and may be absorbed through the skin. Ask your practitioner about the safety of products that contain these medications and those that contain benzoyl peroxide, another ingredient that's often not green-lighted. Glycolic acid and exfoliating scrubs, as well as azelaic and topical antibiotics like erythromycin, are probably safe to use (check first), though watch out for irritation. You can also try to tame eruptions naturally by drinking plenty of water, eating well, and keeping your face clean. And no popping or picking. Got more pimples than a high school marching band? You can blame pregnancy hormones for that. But before you march to the medicine cabinet for your usual zit zappers, check them out with your practitioner. Accutane (which causes serious birth defects) is definitely off-limits. So is Retin-A (ask your practitioner and dermatologist about over-the-counter products that contain retinol). Laser treatments and chemical peels for acne should also probably wait until after the baby is born. Two common topical acne medications, beta-hydroxy acid (BHA) and salicylic acid, have not been studied in pregnant women and may be absorbed through the skin. Ask your practitioner about the safety of products that contain these medications and those that contain benzoyl peroxide, another ingredient that's often not green-lighted. Glycolic acid and exfoliating scrubs, as well as azelaic and topical antibiotics like erythromycin, are probably safe to use (check first), though watch out for irritation. You can also try to tame eruptions naturally by drinking plenty of water, eating well, and keeping your face clean. And no popping or picking.

Your Teeth You've got plenty to smile about now that you're expecting, but will your teeth be up to the task? Cosmetic dentistry's popular, but not always pregnancy approved.

Whitening products. Eager to flash your pearly whites? While there are no proven risks to tooth whitening during pregnancy, it's a procedure that probably falls into the better-safe-than-sorry category (so you'll be wise to wait a few months to debut that new million-dollar smile). Be sure to keep your teeth clean and well flossed, though. Your pregnancy-sensitive gums will thank you for the attention. Eager to flash your pearly whites? While there are no proven risks to tooth whitening during pregnancy, it's a procedure that probably falls into the better-safe-than-sorry category (so you'll be wise to wait a few months to debut that new million-dollar smile). Be sure to keep your teeth clean and well flossed, though. Your pregnancy-sensitive gums will thank you for the attention.

Veneers. Here's one more for the better-safe-than-sorry side, even though there are no proven risks to adding veneers to your teeth during pregnancy. There's another reason why you might consider waiting until you're postpartum before you veneer your teeth. Your gums might be extra-sensitive when you've got a baby on board, making any dental procedure-including veneers and whitening-more uncomfortable than usual. Here's one more for the better-safe-than-sorry side, even though there are no proven risks to adding veneers to your teeth during pregnancy. There's another reason why you might consider waiting until you're postpartum before you veneer your teeth. Your gums might be extra-sensitive when you've got a baby on board, making any dental procedure-including veneers and whitening-more uncomfortable than usual.

Your Body Your body definitely pays for the privilege of pregnancy-in ways you probably never imagined. So more than any body, it deserves some pampering. Here's how to give it what it needs-safely.

Massage. Aching for some relief from that nagging backache-or from that nagging anxiety that's keeping you up at night? There's nothing like a massage to rub away the aches and pains of pregnancy, as well as the stress and strain. But though a massage may be just what the feel-good doctor ordered, you'll need to follow some guidelines to ensure your pregnancy massages are not only relaxing but also safe: Aching for some relief from that nagging backache-or from that nagging anxiety that's keeping you up at night? There's nothing like a massage to rub away the aches and pains of pregnancy, as well as the stress and strain. But though a massage may be just what the feel-good doctor ordered, you'll need to follow some guidelines to ensure your pregnancy massages are not only relaxing but also safe: [image] Get rubbed by the right hands. Make sure your massage therapist is licensed and well versed in the do's and don'ts of prenatal massage. Get rubbed by the right hands. Make sure your massage therapist is licensed and well versed in the do's and don'ts of prenatal massage.[image] Wait for your rub. Avoid massage during the first three months of pregnancy because it may trigger dizziness and add to morning sickness early on. But don't worry if you've already had a massage during your first trimester. There's no danger, just the potential for being uncomfortable. Wait for your rub. Avoid massage during the first three months of pregnancy because it may trigger dizziness and add to morning sickness early on. But don't worry if you've already had a massage during your first trimester. There's no danger, just the potential for being uncomfortable.[image] Relax in the right position. It's best to avoid spending a lot of time on your back after the fourth month, so ask your massage therapist to use a table that's equipped with a cutout for your belly, special pillows designed for pregnancy use, or a cushioned foam padding that conforms to your body, or to position you on your side. Relax in the right position. It's best to avoid spending a lot of time on your back after the fourth month, so ask your massage therapist to use a table that's equipped with a cutout for your belly, special pillows designed for pregnancy use, or a cushioned foam padding that conforms to your body, or to position you on your side.[image] Try some nonscents. Ask for an unscented lotion or oil, not only because your pregnancy-sharpened sniffer might be offended by strong fragrances, but also because some aromatherapy oils can stimulate contractions; see below. Try some nonscents. Ask for an unscented lotion or oil, not only because your pregnancy-sharpened sniffer might be offended by strong fragrances, but also because some aromatherapy oils can stimulate contractions; see below.[image] Rub the right spots (and stay away from the wrong ones). Direct pressure on the area between the anklebone and heel can trigger contractions, so be sure your therapist stays away from there (another good reason to choose a massage therapist with prenatal training). He or she should also probably stay away from the abdomen area for comfort's sake. And if your therapist is working too deeply or if the massage is too intense, speak up. This is about you feeling good, after all. Rub the right spots (and stay away from the wrong ones). Direct pressure on the area between the anklebone and heel can trigger contractions, so be sure your therapist stays away from there (another good reason to choose a massage therapist with prenatal training). He or she should also probably stay away from the abdomen area for comfort's sake. And if your therapist is working too deeply or if the massage is too intense, speak up. This is about you feeling good, after all.

Aromatherapy. When it comes to scents during pregnancy, it's good to use some common sense. Because the effects of many plant oils in pregnancy are unknown and some may be harmful, approach any kind of aromatherapy with caution. The following essential oils are considered safe for prenatal massage, though experts recommend that the oils be mixed at a concentration that's half the standard usage. rose, lavender, chamomile, jasmine, tangerine, neroli, and ylang-ylang. Pregnant women should particularly avoid the following oils because some of them can trigger uterine contractions: basil, juniper, rosemary, sage, peppermint, pennyroyal, oregano, and thyme. (Midwives often use these oils during labor precisely because they trigger contractions.) If you've had an aromatherapy massage with these oils (or used them in home baths or treatments), don't worry. The absorption of the oil is very low, especially because the skin on your back is pretty thick. Just steer clear of them in future treatments. Scented lotions or beauty products sold at bath and beauty shops (like peppermint foot lotion, for instance) are fine since the scents aren't concentrated. When it comes to scents during pregnancy, it's good to use some common sense. Because the effects of many plant oils in pregnancy are unknown and some may be harmful, approach any kind of aromatherapy with caution. The following essential oils are considered safe for prenatal massage, though experts recommend that the oils be mixed at a concentration that's half the standard usage. rose, lavender, chamomile, jasmine, tangerine, neroli, and ylang-ylang. Pregnant women should particularly avoid the following oils because some of them can trigger uterine contractions: basil, juniper, rosemary, sage, peppermint, pennyroyal, oregano, and thyme. (Midwives often use these oils during labor precisely because they trigger contractions.) If you've had an aromatherapy massage with these oils (or used them in home baths or treatments), don't worry. The absorption of the oil is very low, especially because the skin on your back is pretty thick. Just steer clear of them in future treatments. Scented lotions or beauty products sold at bath and beauty shops (like peppermint foot lotion, for instance) are fine since the scents aren't concentrated.

Body treatments, scrubs, wraps, hydrotherapy. Body scrubs are generally safe, as long as they're gentle (some scrubs can be too vigorous for sensitive pregnant skin). Some herbal wraps can be safe, but most are off-limits because they might raise your body temperature excessively. A short warm bath (no hotter than 100F) as part of hydrotherapy is safe and relaxing, but stay out of the sauna, steam room, and hot tub. Body scrubs are generally safe, as long as they're gentle (some scrubs can be too vigorous for sensitive pregnant skin). Some herbal wraps can be safe, but most are off-limits because they might raise your body temperature excessively. A short warm bath (no hotter than 100F) as part of hydrotherapy is safe and relaxing, but stay out of the sauna, steam room, and hot tub.

A Day at the Spa Ahhhh, the spa. No one deservesand needsa day of pampering more than an expectant mother. And happily, more and more spas are offering treatments specifically catering to the pregnant set. But before you head off for your day of pampering, check out this chapter and ask your practitioner for any specific caveats for your situation. Then, when you call to make your appointment, tell the receptionist that you're expecting. Discuss any restrictions you may have so the spa can tailor treatments to fit your needs. Also be sure to inform any esthetician or therapist who will be working on you that you're pregnant.

Tanning beds, sprays, lotions. Looking for a way to go beyond the pale (pale skin, that is) during your pregnancy? Sorry, but tanning beds are out. Not only are they bad for your skin, they up your chances of getting chloasma (the skin discoloration called the "mask of pregnancy"). Worse, tanning beds can raise your body temperature to a level that could be harmful to your developing baby. Still a fan of the tan? Before you fake it with sunless tanning lotions and sprays, talk to your practitioner. And even if you get the go-ahead, consider that your hormones can cause your skin to play games with the color (and take a turn for the terra-cotta). Plus, as your belly expands, applying a sunless tanner evenly might get tricky (especially once you can no longer see your legs, and even if you're getting a spray-on tan). Looking for a way to go beyond the pale (pale skin, that is) during your pregnancy? Sorry, but tanning beds are out. Not only are they bad for your skin, they up your chances of getting chloasma (the skin discoloration called the "mask of pregnancy"). Worse, tanning beds can raise your body temperature to a level that could be harmful to your developing baby. Still a fan of the tan? Before you fake it with sunless tanning lotions and sprays, talk to your practitioner. And even if you get the go-ahead, consider that your hormones can cause your skin to play games with the color (and take a turn for the terra-cotta). Plus, as your belly expands, applying a sunless tanner evenly might get tricky (especially once you can no longer see your legs, and even if you're getting a spray-on tan).

For information on the safety of tattoos, henna, and piercings during pregnancy, check out pages 160 pages 160 and and 180 180.

Your Hands and Feet Yes, even your hands and feet will show the effects of pregnancy (though you won't be able to see the effects on your feet once you reach the third trimester). But even when you're feeling swell-as in fingers and ankles that are puffy with fluids-your hands and feet can still look their best.

Making Up for Pregnancy Between breakouts, funky skin discolorations, and normal pregnancy swelling, your face will be facing some challenges over the next nine months. Luckily, you'll be able to make up for them with the right makeup: [image] Go under cover. Corrective concealer and foundation can cover a multitude of pregnancy skin issues, including chloasma and other discolorations (see Go under cover. Corrective concealer and foundation can cover a multitude of pregnancy skin issues, including chloasma and other discolorations (see page 240 page 240). For those dark spots, look for brands that are designed to cover hyperpigmentation, but make sure all makeup is non-comedogenic and hypoallergenic. Match both to your skin tone, but select a concealerthat's a shade lighter than your natural complexion. Apply the concealer only to the dark spots, stippling the edges to blend. Then lightly blend the foundation over the area. Less is defi nitely more when it comes to heavy coverage products, so use the least you can get away with you can always top it off. Set with powder.Keep coverage lighter when it comes to pregnancy pimples to avoid calling attention to them (they'll likely call enough attention to themselves). Start with foundation, thenapply a concealer that matches your skin directly to the zit, blending with your finger. If you're going to prespot before you cover up, use a pregnancyapproved topical that's clear.[image] Play with shadows. Chip away at those chipmunk cheeks you'll likely be growing: After you've applied your all-over foundation, apply a highlighting shade (one shade lighter) to the center of your forehead, under your eyes, on the tops of your cheekbones, and on the tip of your chin. Then brush a contouring shade (one shade darker) down the sides of your face, starting at the temples. Blend, and presto instant cheekbones! Play with shadows. Chip away at those chipmunk cheeks you'll likely be growing: After you've applied your all-over foundation, apply a highlighting shade (one shade lighter) to the center of your forehead, under your eyes, on the tops of your cheekbones, and on the tip of your chin. Then brush a contouring shade (one shade darker) down the sides of your face, starting at the temples. Blend, and presto instant cheekbones![image] Stop the spread. Sure, you expect your belly to plump up, and maybe even your hips but your nose? Don't worry any widening is temporary, the result of pregnancy swelling. Slim a swollen sniffer by applying a highlighting shade (one shade lighter than your overall foundation) down the center of your nose; then contour the vertical edges of the sides of your nose with a darker shade. Make sureyou blend well. Stop the spread. Sure, you expect your belly to plump up, and maybe even your hips but your nose? Don't worry any widening is temporary, the result of pregnancy swelling. Slim a swollen sniffer by applying a highlighting shade (one shade lighter than your overall foundation) down the center of your nose; then contour the vertical edges of the sides of your nose with a darker shade. Make sureyou blend well.

Manicure and pedicure. It's perfectly safe to polish while pregnant (and take advantage now because it's likely that your nails are growing faster and stronger than ever). If you get your nails done in a salon, make sure it's a well-ventilated one. Inhaling those strong chemical smells is never a good idea but especially not when you're breathing for two (and at the very least, the fumes might make you queasy). Do be sure the manicurist doesn't massage the area between your anklebone and heel when you're getting your pedicure (it could theoretically trigger contractions). As for acrylics, there's no proof that the chemicals are harmful, but you might want to err on the cautious side and forgo those tips until postbaby-not only because the application smell can be extremely strong, but because they can become a nail bed for infection, something you might be more prone to while you're pregnant. And remember, you may not need the extra length or strength of acrylics anyway because your nails will be growing at warp speed. It's perfectly safe to polish while pregnant (and take advantage now because it's likely that your nails are growing faster and stronger than ever). If you get your nails done in a salon, make sure it's a well-ventilated one. Inhaling those strong chemical smells is never a good idea but especially not when you're breathing for two (and at the very least, the fumes might make you queasy). Do be sure the manicurist doesn't massage the area between your anklebone and heel when you're getting your pedicure (it could theoretically trigger contractions). As for acrylics, there's no proof that the chemicals are harmful, but you might want to err on the cautious side and forgo those tips until postbaby-not only because the application smell can be extremely strong, but because they can become a nail bed for infection, something you might be more prone to while you're pregnant. And remember, you may not need the extra length or strength of acrylics anyway because your nails will be growing at warp speed.

CHAPTER 7.

The Second Month Approximately 5 to 8 Weeks EVEN IF YOU'RE NOT TELLING anyone you're expecting yet, and though no one around you could possibly know (unless you've already blabbed the big news), your baby's certainly spilling the beans to you. Not in so many words, but in so many symptoms. Like that nagging nausea that follows you wherever you go, or all that excess saliva pooling in your mouth (am I anyone you're expecting yet, and though no one around you could possibly know (unless you've already blabbed the big news), your baby's certainly spilling the beans to you. Not in so many words, but in so many symptoms. Like that nagging nausea that follows you wherever you go, or all that excess saliva pooling in your mouth (am I drooling drooling?). Like the gotta-go feeling you're getting all day (and all night), and that 24/7 bloat you just can't seem to deflate. Even with all this evidence you're pregnant, you're probably still getting used to the idea that a new life is developing inside you (after all, you've just found out for sure you've got a baby-and not a stomach bug-on board). You're also probably just getting used to the demands of pregnancy, from the physical (so that's why I'm tired!) to the logistical (the shortest route to the bathroom is ...) to the dietary (make my Sea Breeze a virgin). It's a wild ride, and it's only just beginning. Hold on tight!

Your Baby This Month Week 5 Your little embryo, which at this point resembles a tadpole more than a baby (complete with teeny tail), is growing fast and furious and is now about the size of an orange seed-still small, but a lot bigger than it's been. This week, the heart is starting to take shape. In fact, the circulatory system, along with the heart, is the first system to be operational. Your baby's heart(about the size of a poppy seed) is made up of two tiny channels called heart tubes-and though it's still far from fully functional, it's already beating-something you might be able to see on an early ultrasound. Also in the works is the neural tube, which will eventually become your baby's brain and spinal cord. Right now the neural tube is open, but it will close by next week. Your little embryo, which at this point resembles a tadpole more than a baby (complete with teeny tail), is growing fast and furious and is now about the size of an orange seed-still small, but a lot bigger than it's been. This week, the heart is starting to take shape. In fact, the circulatory system, along with the heart, is the first system to be operational. Your baby's heart(about the size of a poppy seed) is made up of two tiny channels called heart tubes-and though it's still far from fully functional, it's already beating-something you might be able to see on an early ultrasound. Also in the works is the neural tube, which will eventually become your baby's brain and spinal cord. Right now the neural tube is open, but it will close by next week.

Your Baby, Month 2 Week 6 Crown (head) to rump (bottom) measurements are used for babies in utero because their tiny, newly forming legs are bent, making it difficult to measure the full length of the body. How's baby measuring up this week? That crown to rump measurement has reached somewhere between a fifth and a quarter of an inch (no bigger than a nail head). This week also sees the beginning of the development of your baby's jaws, cheeks, and chin. Little indentations on both sides of the head will form into ear canals. Small black dots on the face will form the eyes, and a small bump on the front of the head will turn into a button nose in a few weeks' time. Also taking shape this week: your baby's kidneys, liver, and lungs. Your baby's tiny heart is beating 80 times per minute and getting faster each day-a stat that's probably got your heart racing. Crown (head) to rump (bottom) measurements are used for babies in utero because their tiny, newly forming legs are bent, making it difficult to measure the full length of the body. How's baby measuring up this week? That crown to rump measurement has reached somewhere between a fifth and a quarter of an inch (no bigger than a nail head). This week also sees the beginning of the development of your baby's jaws, cheeks, and chin. Little indentations on both sides of the head will form into ear canals. Small black dots on the face will form the eyes, and a small bump on the front of the head will turn into a button nose in a few weeks' time. Also taking shape this week: your baby's kidneys, liver, and lungs. Your baby's tiny heart is beating 80 times per minute and getting faster each day-a stat that's probably got your heart racing.

Week 7 Here's an amazing fact about your baby right now: He or she is 10,000 times bigger now than at conception-about the size of a blueberry. A lot of that growth is concentrated on the head (new brain cells are being generated at the rate of 10. cells per minute). Your baby's mouth and tongue are forming this week and so are his or her arm and leg buds, which are beginning to sprout into paddle-like appendages and to divide into hand, arm, and shoulder segments-and leg, knee, and foot segments. Also in place now are your baby's kidneys, and they're poised to begin their important work of waste management (i.e., urine production and excretion). At least you don't have to worry about dirty diapers yet! Here's an amazing fact about your baby right now: He or she is 10,000 times bigger now than at conception-about the size of a blueberry. A lot of that growth is concentrated on the head (new brain cells are being generated at the rate of 10. cells per minute). Your baby's mouth and tongue are forming this week and so are his or her arm and leg buds, which are beginning to sprout into paddle-like appendages and to divide into hand, arm, and shoulder segments-and leg, knee, and foot segments. Also in place now are your baby's kidneys, and they're poised to begin their important work of waste management (i.e., urine production and excretion). At least you don't have to worry about dirty diapers yet!

Week 8 Your baby is growing up a storm, this week measuring about half an inch in length, or about the size of a large raspberry. And that sweet little raspberry of yours is looking less reptilian and more human (happily), as his or her lips, nose, eyelids, legs, and back continue to take shape. And though it's still too early to hear from the outside, your baby's heart is beating at the incredible rate of 150 times per minute (that's twice as fast as your heart beats). Something else new this week: Your baby is making spontaneous movements (twitches of the trunk and limb buds too tiny for you to feel). Your baby is growing up a storm, this week measuring about half an inch in length, or about the size of a large raspberry. And that sweet little raspberry of yours is looking less reptilian and more human (happily), as his or her lips, nose, eyelids, legs, and back continue to take shape. And though it's still too early to hear from the outside, your baby's heart is beating at the incredible rate of 150 times per minute (that's twice as fast as your heart beats). Something else new this week: Your baby is making spontaneous movements (twitches of the trunk and limb buds too tiny for you to feel).

What You May Be Feeling As always, remember that every pregnancy and every woman is different. You may experience all of these symptoms at one time or another, or only one or two. Some may have continued from last month, others may be new. You may also have other, less common, symptoms. Don't be surprised, no matter what your symptoms (or lack thereof), if you don't "feel" pregnant yet. Here's what you might experience this month:

A Look Inside Even though you still won't look like you're pregnant to those around you, you might notice your clothes are getting a little tighter around the waist. You might also need a bigger bra now. By the end of this month, your uterus, usually the size of a fist, has grown to the size of a large grapefruit.

Physically [image] Fatigue, lack of energy, sleepiness Fatigue, lack of energy, sleepiness[image] Frequent urination Frequent urination[image] Nausea, with or without vomiting Nausea, with or without vomiting[image] Excess saliva Excess saliva[image] Constipation Constipation[image] Heartburn, indigestion, flatulence, bloating Heartburn, indigestion, flatulence, bloating[image] Food aversions and cravings Food aversions and cravings[image] Breast changes: fullness, heaviness, tenderness, tingling; darkening of the areolas (the pigmented area around your nipples). lubrication glands in the areolas becoming prominent, like large goose bumps; a network of bluish lines that appear under your skin as the blood supply to your breasts increases Breast changes: fullness, heaviness, tenderness, tingling; darkening of the areolas (the pigmented area around your nipples). lubrication glands in the areolas becoming prominent, like large goose bumps; a network of bluish lines that appear under your skin as the blood supply to your breasts increases[image] Slight whitish vaginal discharge Slight whitish vaginal discharge[image] Occasional headaches Occasional headaches[image] Occasional faintness or dizziness Occasional faintness or dizziness[image] A little rounding of your belly; your clothes feeling a little snugger A little rounding of your belly; your clothes feeling a little snugger Emotionally [image] Emotional ups and downs (like amped-up PMS), which may include mood swings, irritability, irrationality, inexplicable weepiness Emotional ups and downs (like amped-up PMS), which may include mood swings, irritability, irrationality, inexplicable weepiness[image] Misgivings, fear, joy, elation-any or all of these Misgivings, fear, joy, elation-any or all of these[image] A sense of unreality about the pregnancy ("Is there really a baby in there?") A sense of unreality about the pregnancy ("Is there really a baby in there?") What You Can Expect at This Month's Checkup If this is your first prenatal visit, see page 124 page 124. If this is your second exam, you'll find it will be a much shorter visit. And if those initial tests have already been taken care of, you probably won't be subjected to much poking and prodding this time. You can expect your practitioner to check the following, though there may be variations depending on your particular needs and your practitioner's style of practice.

[image] Weight and blood pressure Weight and blood pressure[image] Urine, for sugar and protein Urine, for sugar and protein[image] Hands and feet for swelling, and legs for varicose veins Hands and feet for swelling, and legs for varicose veins[image] Symptoms you've been experiencing, especially unusual ones Symptoms you've been experiencing, especially unusual ones[image] Questions or problems you want to discuss-have a list ready Questions or problems you want to discuss-have a list ready What You May Be Wondering About Heartburn and Indigestion "I have indigestion and heartburn all the time. Why, and what can I do about it?"

No one does heartburn like a pregnant woman does heartburn. Not only that, but you're likely to keep doing it-and doing it at least as well-throughout your whole pregnancy (unlike many early pregnancy symptoms, this one's a keeper).

So why does it feel like you have a flamethrower stationed in your chest? Early in pregnancy, your body produces large amounts of the hormones progesterone and relaxin, which tend to relax smooth muscle tissue everywhere in the body, including the gastrointestinal (GI) tract. As a result, food sometimes moves more slowly through your system, resulting in indigestion (a feeling of fullness and bloating in the upper abdomen and chest; heartburn is a symptom of indigestion). This may be uncomfortable for you, but it's actually beneficial for your baby. The alimentary slowdown allows better absorption of nutrients into your bloodstream and subsequently through the placenta and into your baby.

Heartburn results when the ring of muscle that separates the esophagus from the stomach relaxes (like all the other smooth muscle in the GI tract), allowing food and harsh digestive juices to back up from the stomach to the esophagus. These stomach acids irritate the sensitive esophageal lining, causing a burning sensation right around where the heart is-thus the term heartburn-though the problem has nothing to do with your heart. During the last two trimesters, the problem can be compounded by your blossoming uterus as it presses up on your stomach.

It's nearly impossible to have an indigestion-free nine months; it's just one of the less pleasant realities of pregnancy. There are, however, some pretty effective ways of avoiding heartburn and indigestion most of the time, and of minimizing the discomfort when it strikes:

Bringing up Reflux If you have GERD (gastroesophageal reflux disease), heartburn's nothing new, but treating it during pregnancy might be. Now that you're expecting, ask your practitioner about whether the prescription meds you're used to taking are still okay to take. Some are not recommended for use during pregnancy, but most are safe. Many of the tips for fighting heartburn can also help with your reflux.

[image]Don't pull the triggers. If a food or drink brings on the burn (or other tummy troubles), take it off the menu for now. The most common offenders (and you're sure to know those that offend you) are spicy and highly seasoned foods, fried or fatty foods, processed meats, chocolate, coffee, carbonated beverages, and mint.[image] Take it small. To avoid digestive system overload (and backup of gastric juices), opt for frequent mini meals over three large squares. The Six-Meal Solution is ideal for heartburn and indigestion sufferers (see Take it small. To avoid digestive system overload (and backup of gastric juices), opt for frequent mini meals over three large squares. The Six-Meal Solution is ideal for heartburn and indigestion sufferers (see page 91 page 91).[image] Take it slow. When you eat too quickly, you tend to swallow air, which can form gas pockets in your belly. And rushing through meals means you're not chewing thoroughly, which makes your stomach work harder digesting your food-and makes heartburn more likely to happen. So even when you're starving or in a hurry, make an effort to eat slowly, taking small bites and chewing well (your mother would be proud). Take it slow. When you eat too quickly, you tend to swallow air, which can form gas pockets in your belly. And rushing through meals means you're not chewing thoroughly, which makes your stomach work harder digesting your food-and makes heartburn more likely to happen. So even when you're starving or in a hurry, make an effort to eat slowly, taking small bites and chewing well (your mother would be proud).

Heartburn Today, Hair Tomorrow?

Feeling the burn bad? You may want to stock up on baby shampoo. New research has actually backed up what old wives have maintained for generations: The more heartburn you have during pregnancy, the more likely your baby will be born with a full head of hair. Implausible as it sounds, seems the hormones responsible for heartburn are the same ones that cause fetal hair to sprout. So pass the Tums, and the detangler.

[image]Don't drink and eat. Too much fluid mixed with your food distends the stomach, aggravating indigestion. So try to take most of your fluids in between meals.[image] Keep it up. It's harder for gastric juices to back up when you're vertical than when you're horizontal. To keep them where they belong (down in your stomach), avoid eating while lying down. Or lying down after eating-or eating a big meal before bed. Sleeping with your head and shoulders elevated about 6 inches can also fight the gastric backup with gravity. Another way: Bend at the knees, not at the waist. Anytime your head dips, you're more likely to experience burn. Keep it up. It's harder for gastric juices to back up when you're vertical than when you're horizontal. To keep them where they belong (down in your stomach), avoid eating while lying down. Or lying down after eating-or eating a big meal before bed. Sleeping with your head and shoulders elevated about 6 inches can also fight the gastric backup with gravity. Another way: Bend at the knees, not at the waist. Anytime your head dips, you're more likely to experience burn.[image] Keep it down. Your weight gain, that is. A gradual and moderate gain will minimize the amount of pressure on your digestive tract. Keep it down. Your weight gain, that is. A gradual and moderate gain will minimize the amount of pressure on your digestive tract.[image] Keep it loose. Don't wear clothing that's tight around your belly or waist. A constricted tummy can add to the pressure, and the burn. Keep it loose. Don't wear clothing that's tight around your belly or waist. A constricted tummy can add to the pressure, and the burn.[image] Pop some relief. Always keep a supply of Tums or Rolaids at popping distance (they'll also give you a healthy dose of calcium while they ease the burn), but avoid other heartburn medicines unless they've been cleared by your practitioner. Sick of antacids already? Try one of these burn-banishing folk remedies: a tablespoon of honey in warm milk, a handful of almonds, or some fresh or dried papaya. Pop some relief. Always keep a supply of Tums or Rolaids at popping distance (they'll also give you a healthy dose of calcium while they ease the burn), but avoid other heartburn medicines unless they've been cleared by your practitioner. Sick of antacids already? Try one of these burn-banishing folk remedies: a tablespoon of honey in warm milk, a handful of almonds, or some fresh or dried papaya.[image] Chew on it. Chewing sugarless gum for a half hour after meals can reduce excess acid (increased saliva can neutralize the acid in your esophagus). Some people find that mint-flavored gum exacerbates heartburn; if so, choose a non-minty gum. Chew on it. Chewing sugarless gum for a half hour after meals can reduce excess acid (increased saliva can neutralize the acid in your esophagus). Some people find that mint-flavored gum exacerbates heartburn; if so, choose a non-minty gum.[image] Don't smoke (yet another reason to quit today, if you haven't already). Don't smoke (yet another reason to quit today, if you haven't already).[image] Relax for relief. Stress compounds all gastric upset, especially heartburn, so learn to relax (see Relax for relief. Stress compounds all gastric upset, especially heartburn, so learn to relax (see page 142 page 142). Also try some complementary and alternative medical (CAM) approaches, such as meditation, visualization, biofeedback, or hypnosis (see page 85 page 85).

Food Aversions and Cravings "Certain foods that I've always loved taste strange now. Instead, I'm having cravings for foods that I never liked. What's going on?"

The pregnancy cliche of a harried husband running out in the middle of the night, raincoat over his pajamas, for a pint of ice cream and a jar of pickles to satisfy his wife's cravings has definitely played out more often in the heads of old-school sitcom writers than in real life. Not many pregnant women's cravings carry them-or their spouses-that far.

Still, most expectant moms find their tastes in food change somewhat in pregnancy. Most experience a craving for at least one food (most often ice cream, though usually without the pickles), and more than half will have at least one food aversion (poultry ranks right up there, along with vegetables of all varieties). To a certain extent, these suddenly eccentric (and sometimes borderline bizarre) eating habits can be blamed on hormonal havoc, which probably explains why they're most common in the first trimester of first pregnancies, when that havoc is at its height.

Hormones, however, may not tell the whole story. The long-held theory that cravings and aversions are sensible signals from our bodies-that when we develop a distaste for something, it's usually bad for us, and when we lust after something, it's usually something we need-often does seem to stand up. Like when you suddenly can't face the morning coffee you once couldn't face your morning without. Or when a glass of your favorite wine sips like vinegar. Or when you can't gobble down enough grapefruit. On the other hand, when you call "fowl" at the sight of chicken, or your beloved broccoli becomes bitter, or your cravings launch you into a full-fledged fudge frenzy-well, it's hard to credit your body with sending the smartest signals.

The problem is that body signals relating to food are always hard to read when hormones are involved-and may be especially tough to call now that humans have departed so far from the food chain (and now that so many food chains sell fast food). Before candy bars were invented, for instance, a craving for something sweet might have sent a pregnant woman foraging for berries. Now it's more likely to send her foraging for M&M's.

Do you have to ignore your cravings and aversions in the name of healthy pregnancy eating? Even if that were possible (hormone-induced food quirks are a powerful force), it wouldn't be fair. Still, it's possible to respond to them while also paying attention to your baby's nutritional needs. If you crave something healthy-cottage cheese by the crateful or peaches by the pile-don't feel like you have to hold back. Go for the nutritious gusto, even if it means your diet's a little unbalanced for a while (you'll make up for the variety later on in pregnancy when the cravings calm down).

If you crave something that you know you'd probably be better off without, then try to seek a substitute that satisfies the craving (at least somewhat) but also satisfies a nutritional requirement (and doesn't fill you up with too many empty calories). chocolate frozen yogurt instead of a frozen chocolate bar; a bag of trail mix instead of a bag of jelly beans; baked cheese puffs instead of the kind that turn your fingers orange. If substitutes don't fully satisfy, adding sublimation to the mix may be helpful. When MoonPies at the 7-Eleven howl your name, try doing something that takes your mind off them: taking a brisk walk, chatting with friends on a pregnancy message board, checking out maternity jeans online. And, of course, completely giving in to less nutritious cravings is fine (as is enjoying them, so leave that side of guilt off the menu when you indulge), as long as they don't include something risky (such as an alcoholic beverage) and as long as your indulgences don't take the place of nutritious foods in your diet on a regular basis.

Most cravings and aversions disappear or weaken by the fourth month. Cravings that hang in there longer may be triggered by emotional needs-the need for a little extra attention, for example. If both you and your spouse are aware of this need, it should be easy to satisfy. Instead of requesting a middle-of-the-night pint of Chunky Monkey (with or without the sour dills), you might settle for an oatmeal cookie or two and some quiet cuddling or a romantic bath.

Some women find themselves craving, even eating, such peculiar non-food substances as clay, ashes, and paper. Because this habit, known as pica, can be dangerous and may be a sign of nutritional deficiency, particularly of iron, report it to your practitioner. Craving ice may also mean you're iron deficient, so also report any compulsion to chew ice.

Visible Veins "I have unsightly blue lines all over my breasts and belly. Is that normal?"

Not only are these veins (which can make your entire chest and belly look like a road map) normal and nothing to worry about, they are a sign that your body is doing what it should. They're part of the network of veins that has expanded to carry the increased blood supply of pregnancy, which will be nourishing your baby. They may show up earliest and be much more prominent in very slim or fair-skinned women. In some women, particularly those who are overweight or dark-skinned, the veins may be less visible or not noticeable at all, or they may not become obvious until later in pregnancy.

Spider Veins "Since I became pregnant I've got awful-looking spidery purplish red lines on my thighs. Are they varicose veins?"

They aren't pretty, but they aren't varicose veins. They are probably spider nevi, commonly dubbed "spider veins," for obvious reasons. There are a few reasons why spider veins might choose to spin their web across your legs. First, the increased volume of blood you're carrying can create significant pressure on blood vessels, causing even tiny veins to swell and become visible. Second, pregnancy hormones can do a number on all your blood vessels, big and small. And third, genetics can predispose you to spider veins (thanks, Mom).

If you're destined to have spider veins, there's not much you can do to avoid them altogether, but there are ways to minimize their spread. Since your veins are as healthy as your diet is, try eating enough vitamin C foods (the body uses it to manufacture collagen and elastin, two important connective tissues that help repair and maintain blood vessels). Exercising regularly (to improve circulation and leg strength) and getting into the habit of not crossing your legs (which restricts blood flow. will also help keep spider veins at bay.

Prevention didn't do the trick? Some, though far from all, spider veins fade and disappear after delivery; if they don't, they can be treated by a dermatologist-either with the injection of saline (sclerotherapy) or glycerin, or with the use of a laser. These treatments destroy the blood vessels, causing them to collapse and eventually disappear-but they aren't recommended during pregnancy. In the meantime, you can try camouflaging your spider veins with flesh-toned concealers specifically designed for that purpose.

Varicose Veins "My mother and grandmother both had varicose veins during pregnancy. Is there anything I can do to prevent them in my own pregnancy?"

Varicose veins run in families-and they definitely sound like they have legs in yours. But being genetically predisposed to varicose veins doesn't mean you have to be resigned to them, which is why you're wise to be thinking now about bucking your family tradition with prevention.

Varicose veins often surface for the first time during pregnancy, and they tend to worsen in subsequent pregnancies. That's because the extra volume of blood you produce during pregnancy puts extra pressure on your blood vessels, especially the veins in your legs, which have to work against gravity to push all that extra blood back up to your heart. Add to that the pressure your burgeoning uterus puts on your pelvic blood vessels and the vessel-relaxing effects of the extra hormones your body is producing, and you have the perfect recipe for varicose veins.

The symptoms of varicose veins aren't difficult to recognize, but they vary in severity. There may be a mild achiness or severe pain in the legs, or a sensation of heaviness, or swelling, or none of these. A faint outline of bluish veins may be visible, or serpentine veins may bulge from ankle to upper thigh. In severe cases, the skin overlying the veins becomes swollen, dry, and irritated (ask your practitioner about moisturizers that can help). Occasionally, superficial thrombophlebitis (inflammation of a surface vein due to a blood clot) may develop at the site of a varicosity, so always check with your practitioner about varicose vein symptoms.

To give your legs a leg up against varicose veins: [image] Keep the blood flowing. Too much sitting or standing can compromise blood flow, so avoid long periods of either when you can-and when you can't, periodically flex your ankles. When sitting, avoid crossing your legs and elevate them if possible. When lying down, raise your legs by placing a pillow under your feet. When resting or sleeping, try to lie on your left side, the best one for optimum circulation (though either side will do). Keep the blood flowing. Too much sitting or standing can compromise blood flow, so avoid long periods of either when you can-and when you can't, periodically flex your ankles. When sitting, avoid crossing your legs and elevate them if possible. When lying down, raise your legs by placing a pillow under your feet. When resting or sleeping, try to lie on your left side, the best one for optimum circulation (though either side will do).[image] Watch your weight. Excess poundage increases the demands on your already overworked circulatory system, so keep your weight gain within the recommended guidelines. Watch your weight. Excess poundage increases the demands on your already overworked circulatory system, so keep your weight gain within the recommended guidelines.[image] Avoid heavy lifting, which can make those veins bulge. Avoid heavy lifting, which can make those veins bulge.[image] Push gently during bowel movements. Straining can be a strain on thoseveins. Staying regular (see Push gently during bowel movements. Straining can be a strain on thoseveins. Staying regular (see page 173 page 173) will help keep things moving.[image] Wear support panty hose (light support hose seem to work well without being uncomfortable) or elastic stockings, putting them on before getting out of bed in the morning (before blood pools in your legs) and taking them off at night before getting into bed. While neither will contribute to your sexiest pregnancy moment, they help by counteracting the downward pressure of your belly and giving the veins in your legs a little extra upward push. Wear support panty hose (light support hose seem to work well without being uncomfortable) or elastic stockings, putting them on before getting out of bed in the morning (before blood pools in your legs) and taking them off at night before getting into bed. While neither will contribute to your sexiest pregnancy moment, they help by counteracting the downward pressure of your belly and giving the veins in your legs a little extra upward push.[image] Stay away from clothes that might restrict your circulation: tight belts or pants, panty hose and socks with elastic tops, and snug shoes. Also skip high heels, favoring flats or medium chunky heels instead. Stay away from clothes that might restrict your circulation: tight belts or pants, panty hose and socks with elastic tops, and snug shoes. Also skip high heels, favoring flats or medium chunky heels instead.[image] Get some exercise, such as a brisk 20- to 30-minute walk or swim every day. But if you're experiencing pain, avoid high-impact aerobics, jogging, cycling, and weight training. Get some exercise, such as a brisk 20- to 30-minute walk or swim every day. But if you're experiencing pain, avoid high-impact aerobics, jogging, cycling, and weight training.[image] Be sure your diet includes plenty of foods rich in vitamin C, which helps keep blood vessels healthy and elastic. Be sure your diet includes plenty of foods rich in vitamin C, which helps keep blood vessels healthy and elastic.

Surgical removal of varicose veins isn't recommended during pregnancy, though it can certainly be considered a few months after delivery. In most cases, however, the problem will improve after delivery, usually by the time prepregnancy weight is reached.

An Achy, Swollen Pelvis "My whole pelvic area feels achy and swollen, and really uncomfortable-and I think I felt an actual bulge in my vulva. What is that all about?"

Legs may have the market share of varicose veins, but they definitely don't have a monopoly. Varicose veins can also appear in the genital area (and in the rectum, where they're called hemorrhoids), for the same reason you might get them in your legs-and it sounds like they've made that appearance in you. Called pelvic congestion syndrome, or PCS, the symptoms (aside from bulging in the vulva) include chronic pelvic pain and/or abdominal pain, an achy, swollen, "full" feeling in the pelvic area and the genitals, and sometimes pain with intercourse. The tips for minimizing varicose veins in the legs will also help you (see previous question), but do be sure to check with your practitioner, both for the diagnosis and for possible treatment options (usually after delivery).

Breakouts "My skin is breaking out the way it did when I was a teenager."

The glow of pregnancy that some women are lucky enough to radiate isn't just a result of joy, but of the stepped-up secretion of oils brought on by hormonal changes. And so, alas, are the less-than-glowing breakouts of pregnancy that some not-so-lucky expectant women experience (particularly those whose skin ordinarily breaks out like clockwork before their periods). Though such eruptions are hard to eliminate entirely, the following suggestions may help keep them at a minimum-and keep you from resembling your eighth-grade yearbook picture: [image] Wash your face two or three times a day with a gentle cleanser. But don't get overaggressive with scrubs-not only because your skin is extra- sensitive during pregnancy, but because overstripped skin is actually more susceptible to breakouts. Wash your face two or three times a day with a gentle cleanser. But don't get overaggressive with scrubs-not only because your skin is extra- sensitive during pregnancy, but because overstripped skin is actually more susceptible to breakouts.[image] Get the all clear on any acne medications (topical or oral) before you use them. Some are considered safe to slather on. others aren't. Check with your practitioner, and see Get the all clear on any acne medications (topical or oral) before you use them. Some are considered safe to slather on. others aren't. Check with your practitioner, and see page 146 page 146.[image] Use an oil-free moisturizer to keep skin hydrated. Sometimes skin that is overly dried by harsh acne soaps and other products is more pimple prone. Use an oil-free moisturizer to keep skin hydrated. Sometimes skin that is overly dried by harsh acne soaps and other products is more pimple prone.[image] Choose skin-care products and cosmetics that are oil free and labeled "non-comedogenic," which means they won't clog pores. Choose skin-care products and cosmetics that are oil free and labeled "non-comedogenic," which means they won't clog pores.[image] Keep everything that touches your face clean, including those blush brushes at the bottom of your makeup bag. Keep everything that touches your face clean, including those blush brushes at the bottom of your makeup bag.[image] Pop (and pick) not. Just like your mother always told you, popping or picking at pimples won't make them go away-and can actually make them stick around longer by pushing bacteria back down into the zit. Plus, when you're pregnant, you're more prone to infections. Poked-at pimples can also leave scars. Pop (and pick) not. Just like your mother always told you, popping or picking at pimples won't make them go away-and can actually make them stick around longer by pushing bacteria back down into the zit. Plus, when you're pregnant, you're more prone to infections. Poked-at pimples can also leave scars.[image] Eat well by following the Pregnancy Diet. It's good for your skin as well as for your baby. Eat well by following the Pregnancy Diet. It's good for your skin as well as for your baby.[image] Don't pass a tap without filling your glass. Drinking water helps keep your skin moist and clear. Don't pass a tap without filling your glass. Drinking water helps keep your skin moist and clear.

Dry Skin "My skin is terribly dry. Is that pregnancy related, too?"

Feeling a tad reptilian these days? You can blame your hormones for your dry, often itchy, skin. Hormonal changes rob your skin of oil and elasticity, leaving you with that oh-so-sexy alligator look. To keep your skin as soft as your baby-to-be's bottom: [image] Switch to a nonsoap cleanser such as Cetaphil or Aquanil, and use it no more than once a day (at night if you're taking off makeup). Wash with just water the rest of the time. Switch to a nonsoap cleanser such as Cetaphil or Aquanil, and use it no more than once a day (at night if you're taking off makeup). Wash with just water the rest of the time.[image] Slather on moisturizer while your skin is still damp (after a bath or shower), and use the moisturizer as often as you can-and certainly before you turn in for the night. Slather on moisturizer while your skin is still damp (after a bath or shower), and use the moisturizer as often as you can-and certainly before you turn in for the night.[image] Cut down on bathing and keep your showers short (5 minutes instead of 15). Too much washing can dry out your skin. Make sure, too, that the water is lukewarm and not hot. Hot water removes natural oil from the skin, making it dry and itchy. Cut down on bathing and keep your showers short (5 minutes instead of 15). Too much washing can dry out your skin. Make sure, too, that the water is lukewarm and not hot. Hot water removes natural oil from the skin, making it dry and itchy.[image] Add unscented bath oils to your tub, but be careful with the slippery surface you've created. (Remember, as your belly grows, so will your klutz factor.) Add unscented bath oils to your tub, but be careful with the slippery surface you've created. (Remember, as your belly grows, so will your klutz factor.)[image] Drink plenty of fluids throughout the day to stay hydrated, and be sure to include good fats in your diet (those omega-3's that are so baby friendly are also skin friendly). Drink plenty of fluids throughout the day to stay hydrated, and be sure to include good fats in your diet (those omega-3's that are so baby friendly are also skin friendly).[image] Keep your rooms well humidified. Keep your rooms well humidified.[image] Wear a sunscreen with an SPF of at least 15 (preferably 30) every day. Wear a sunscreen with an SPF of at least 15 (preferably 30) every day.

Eczema "I've always been prone to eczema, but now that I'm pregnant, it's gotten much worse. What can I do?"

Unfortunately, pregnancy (or more accurately, its hormones) often exacerbates the symptoms of eczema, and for women who suffer from it, the itching and scaling can become practically unbearable. (Some lucky eczema sufferers find that pregnancy actually causes the eczema to go into remission.)

Belly Piercings It's cool, it's stylish, it's sexy-and it's one of the cutest ways to show off a flat, toned tummy. But once your belly starts to bulge, will you have to give up on your belly piercing? Nope-not as long as your belly piercing is healed (read: your trip to the Piercing Pavilion wasn't last month) and healthy (in other words, not red, weeping, or inflamed). Remember, your belly button marks where you connected to your own mom in the womb, not where your baby connects to you-which means a piercing won't provide a path for pathogens to reach your baby. You also don't have to worry about a belly ring interfering with birth, or even a cesarean delivery.

Of course, as your pregnancy progresses and your tummy starts to jut out in earnest, you may find that your belly bar or belly ring becomes too uncomfortable to wear, thanks (or no thanks) to your taut, stretched-to-the-limit skin. The belly ring might also start to rub-and even get caught on-your clothing, especially when your belly button "pops" out later in pregnancy. And that rubbing can hurt, big time.

If you do decide to take out the jewelry entirely, just run your belly ring through the hole every few days to keep the piercing from closing up shop (unless you've had it for a number of years, in which case the likelihood that the hole will close is pretty slim). Or consider replacing your bar or ring with a flexible belly bar made of Teflon or PTFE (for polytetrafluoroethylene).

As far as getting your belly (or anywhere else on your body) pierced during pregnancy: better to hold off until after delivery. It's never a good idea to puncture the skin during pregnancy, because it ups the chances of infection.

Fortunately, low-dose hydrocortisone creams and ointments are safe to use during pregnancy in moderate amounts. Ask your practitioner or dermatologist which ones he or she recommends. Antihistamines may also be helpful in coping with the itchiness, but again, be sure to check with your practitioner first. Cyclosporine, long used on severe cases that don't respond to other treatment, is generally off limits during pregnancy. Some topical and systemic antibiotics may not be safe for use during pregnancy either, so check with your practitioner first. The newer nonsteroidals (Protopic and Elidel) aren't recommended because they haven't been studied in pregnancy and can't be ruled safe until more is known.

If you're an eczema sufferer, you know that prevention can go a long way in keeping the itch away. Try the following: [image] Use a cold compress-not your fingernails-to curb the itch. Scratching makes the condition worse and can puncture the skin, allowing bacteria to enter and cause an infection. Keep nails short and rounded to decrease the likelihood that you will puncture the skin when you do inevitably scratch. Use a cold compress-not your fingernails-to curb the itch. Scratching makes the condition worse and can puncture the skin, allowing bacteria to enter and cause an infection. Keep nails short and rounded to decrease the likelihood that you will puncture the skin when you do inevitably scratch.[image] Limit contact with potential irritants such as laundry detergents, household cleaners, soaps, bubble bath, perfumes, cosmetics, wool, pet dander, plants, jewelry, and juices from meats and fruits. Limit contact with potential irritants such as laundry detergents, household cleaners, soaps, bubble bath, perfumes, cosmetics, wool, pet dander, plants, jewelry, and juices from meats and fruits.[image] Moisturize early and often (while skin is still damp, if you're just out of the water) to lock in the skin's own moisture and prevent dryness and cracking. Moisturize early and often (while skin is still damp, if you're just out of the water) to lock in the skin's own moisture and prevent dryness and cracking.[image] Don't spend too much time in the water (showers, baths, swimming pools), especially hot water. Don't spend too much time in the water (showers, baths, swimming pools), especially hot water.[image] Try not to get too hot or sweaty (two of the most common eczema triggers). Of course that's easier said than done when you're pregnant and already one hot, sweaty mama. Stay cool by wearing loose, cotton clothes and avoiding synthetic fabrics, wool, or any material that feels rough to the touch. Avoid overheating by favoring that layered look-and peeling off layers as you start to warm up. Try not to get too hot or sweaty (two of the most common eczema triggers). Of course that's easier said than done when you're pregnant and already one hot, sweaty mama. Stay cool by wearing loose, cotton clothes and avoiding synthetic fabrics, wool, or any material that feels rough to the touch. Avoid overheating by favoring that layered look-and peeling off layers as you start to warm up.[image] Try to keep your cool, too, when it comes to stress-a common eczema trigger. When you feel anxiety creeping in, take some relaxation breaths (see Try to keep your cool, too, when it comes to stress-a common eczema trigger. When you feel anxiety creeping in, take some relaxation breaths (see page 230 page 230).

Something to keep in mind: Though eczema is hereditary (meaning that your baby has a chance of having it, too), research suggests that breastfeeding may prevent eczema from developing in a child. That's just one more good reason to nurse your baby if you can.

Come and Go Belly "It's the strangest thing-one day it'll look like I'm showing, and the next day my belly will be completely flat again. What's up with that?"

What's up are your bowels, actually. Bowel distention (the result of constipation and excess gas, two of a newly pregnant woman's constant companions) can make a flat belly round in no time flat. And just as quickly as it appeared, your belly can disappear-once you've had a bowel movement, that is. A little unnerving, yes ("But I looked pregnant just yesterday!"), but completely normal.

Don't worry. Pretty soon you'll have a belly that doesn't come and go-and that's more baby than bowel. In the meantime, see page 173 page 173 for tips on fighting constipation. for tips on fighting constipation.

Losing Your Shape "Will I ever get my body back after I have a baby?"