To do: Determine your pregnancy medical preferences

That person you see once a year for a pap smear is probably a lovely person. But when it comes to pregnancy and childbirth, your needs and wants may have changed - and you’re probably not 22 anymore, or whatever age it was when you started to see your current doctor. Or, maybe you’ve moved and need to find a new practice anyway, or your doctor is retiring, or no longer delivers babies, or has decided to close their practice when you’re 32 weeks pregnant (true story). 

Regardless, this is the time to take stock of what you’re looking for when it comes to how you want to be treated over the next several months, and what matters to you in the person who will be on the receiving end! Here are some questions to get you going - and remember, a doctor or midwife is a service provider and you are the client - so hold them to the same standard you hold other people to in your life. If you wouldn’t want your hair stylist trying to convince you to get bangs, would you want your doctor to try to convince you of something you’re not sure of? Just food for thought!

  1. Are you high risk?

  2. Are you high maintenance? I mean this in the best possible way, but if you’re someone who has very high expectations and requires a very high-touch experience, be honest with yourself now so you’re not dealing with disappointment over your birth story for years to come.

  3. What type of availability are you looking for from your practitioner? Not just office hours (do keep that in mind if you anticipate conflicts with your work schedule), but what about questions that may come up at night or on the weekend?

  4. Do you already have a preference or bias towards/against a type of practitioner, midwife or obstetrician? If you feel strongly about not having a C-section unless absolutely necessary, or an episiotomy, ask for their C-section rate and episiotomy percentages. 

  5. Do you know the type of setting you want for your birth - hospital, birth center, home? Option to deliver in a bath tub (many hospitals offer this), or you know that’s not for you? If possible, look at websites or take tours to get a sense of what the environment has to offer you.

  6. What’s your pain tolerance? Do you already know you’re going to want an epidural and/or drugs, or are you considering minimal interventions?

  7. Is it important to you to see the same doctor at every appointment? Do you need to know the person who delivers the baby? Consider the size of the practice and their ability to really get to know each person.

  8. How much personal modification do you expect in your care? Do you think you’ll need some accommodations? For example, a doctor who’s willing to deliver while you have a doula, or a doctor who is willing to allow you to deliver squatting, or a doctor who is willing to do a few standard appointments via telemedicine?

  9. What do you expect from the office staff and the environment? Does it matter to you if you’re sitting around the waiting room for awhile - because the doctor is taking the time with another patient - or do you want a very strict schedule?

  10. Does the practitioner have a good reputation? Lurk or post in a Facebook group, or ask for a recommendation. Ask girlfriends for the good/bad/ugly from their experience. Note - due to privacy concerns, usually an office can’t give you the name/phone number of another patient, but when you ask the question, you’ll get a good sense from how they respond.

With this information in mind, decide whether or not you want to find (or interview) a new option for your pregnancy care!

Read More

To do: Join (and lurk) in the Facebook groups

If you're on Facebook, you know that it has pros, cons, and plenty of crazy - however, it's actually a decent place to find local recommendations for things like doctors, hospitals, birthing centers, nanny/childcare options, kid-friendly restaurants, you name it. The only caveat I have before joining any group is to ensure the group is private (check your settings and the group settings), assuming you don't want people to see you joined the group before you're ready to discuss your pregnancy. You may also want to refrain from posting in the group until you've told your "Tier 1" and "Tier 2" just in an abundance of caution. Remember that Facebook isn’t anonymous, but there’s plenty you can glean from reading other women’s questions and the various responses!

Read More

To do: Download apps

A quick search of the app store and you already know there are tons of pregnancy-related apps, everything for monitoring your pregnancy to timing contractions. Trial-and-error will reveal your favorites, but in the interest of time, let me just tell you to download Ovia. It’s comprehensive, the interface is pretty and intuitive, and it has the ability to give you a download of the data you have stored, which is helpful for future pregnancies if you want to look back to remind yourself when you felt that first kick. The calendar is super clear, and it doesn’t annoy you with too many ads or bizarre social content. Give it a try and let me know what you think in the comments!

Read More

To do: Order and take prenatal vitamins

You’ve probably heard that you need to take prenatal vitamins every day while pregnant (and even postpartum). If you need further convincing, a quick Google search or this article will help. But if you do a quick peek on Amazon, there are tons to choose from - and to be honest, any prenatal is better than no prenatal. But how do you select the right prenatal for you? It depends on what you’re looking for, and you may need to try a few varieties to figure out what works best for you - some women have indigestion from prenatals on an empty stomach. Again, the most important thing is to take every day. To that end, I find that actually setting the vitamins aside in an organizer helps - put it in your kitchen so you take your vitamins while you’re eating. I’m also always on the lookout for chic pill cases for my purse - so if you happen to be a great vintage shopper, send links my way!

So, for prenatal recommendations - if you’re going to have a hard time taking them daily, and/or have a sensitive stomach, try gummies. They’re tasty and easy to get down.

If you’re looking for something with iron - which is important if you don’t get a lot of iron in your diet, but as always, connect with your doctor - try these from NatureMade. The capsule itself is easy enough to get down, and it’s a comprehensive multi-vitamin.

If a vegan formula is important to you, along with the look of your shelf, Ritual is the way to go. More expensive, but a fan favorite, and a completely traceable supply chain. 

Now order, and set a reminder in your phone, or put in that organizer, and stick with it!

Read More
CM CM

Hi, I’m Pippa - your less annoying know-it-all friend, who will spill her secrets and keep yours.

Congrats, mazel, and kudos on your pregnancy! If you’re feeling excited and a bit overwhelmed, you’re not alone. There are tons of books and apps and websites to help you navigate the world of pregnancy, but all you really need is someone to give you the quick and dirty, right? Like a fantastic wedding planner, only for your pregnancy? That’s me.

I’ll break down your pregnancy to-do list every week, with a focus on the stuff that the traditional pregnancy check-lists don’t talk about - like handling your mother-in-law, what to wear home from the hospital, and the convos to have with your partner along the way.

Each week, I’ll give you some ideas for what to do for your pregnancy/baby/family this week, what to buy for your pregnancy, and what to discuss with your partner during pregnancy.

Hopefully it goes without saying, but I’m just your girlfriend - not a doctor - so any tips I have should be taken as just that: my little nugget of wisdom, not a substitute for medical advice. All content is my own.

Here we go!

Read More