Pregnancy and Parenting After Thirty-five : Mid Life, New Life

297 Pages·2007·1.4 MB·English

SOFTbank E-Book Center Tehran, Phone: [phone] For Educational Use. www.ebookcenter.org
PREGNANCY and PARENTING
after THIRTY-FIVE
SOFTbank E-Book Center Tehran, Phone: [phone] For Educational Use. www.ebookcenter.org
A Johns Hopkins Press
Health Book
SOFTbank E-Book Center Tehran, Phone: [phone] For Educational Use. www.ebookcenter.org
PREGNANCY and PARENTING
after THIRTY-FIVE
(cid:1)
Mid Life, New Life
Michele C. Moore, M.D.
Caroline M. de Costa, M.D.
the johns hopkins university press
baltimore
SOFTbank E-Book Center Tehran, Phone: [phone] For Educational Use. www.ebookcenter.org
© 2006 Michele C. Moore, M.D., and Caroline M. de Costa, M.D.
All rights reserved. Published 2006
Printed in the United States of America on acid-free paper
9 8 7 6 5 4 3 2 1
The Johns Hopkins University Press
2715 North Charles Street
Baltimore, Maryland 21218-4363
www.press.jhu.edu
Library of Congress Cataloging-in-Publication Data
Moore, Michele.
Pregnancy and parenting after thirty-fi ve: mid life, new life / Michele C. Moore,
Caroline M. de Costa.
p. cm.
Includes bibliographical references and index.
ISBN 0-8018-8320-2 (hardcover : alk. paper)—ISBN 0-8018-8321-0 (pbk. : alk. paper)
1. Pregnancy in middle age 2. Childbirth in middle age. 3. Middle-aged mothers.
I. De Costa, Caroline, 1947– II. Title.
RG556.6.M66 2006
618.2—dc22 2005018223
A catalog record for this book is available from the British Library.
SOFTbank E-Book Center Tehran, Phone: [phone] For Educational Use. www.ebookcenter.org
Contents
Acknowledgments vii
Introduction 1
Part One PLANNING A PREGNANCY
1. Thinking about Pregnancy 11
2. Making Choices about Work 16
3. Fathers, Partners, and Surrogate Fathers 21
Part Two GETTING PREGNANT
4. Natural Conception 29
5. Assistance with Conception 37
6. Assisted Reproductive Technology 48
7. Medical Conditions That May Affect Pregnancy 60
8. Pregnancy following Cancer and Precancer 80
9. Other Roads to Motherhood 86
Part Three BEING PREGNANT
10. Screening for Chromosomal Abnormalities 95
11. Prenatal Tests 113
12. Miscarriage 121
13. Termination of Pregnancy 125
14. Lifestyle during Pregnancy 129
15. Minor Maladies of Pregnancy 137
16. Pregnancy Month by Month 147
17. Assessment of Fetal Well-being 159
18. Problems That May Arise during Pregnancy 163
19. Twin Pregnancy 177
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vi Contents
Part Four BIRTH
20. The Process of Birth 185
21. The Experience of Birth 189
22. Pain Relief in Labor 195
23. Problems That May Arise during Labor 199
24. Operative Vaginal Delivery 206
25. Cesarean Section 209
Part Five AFTER THE BIRTH
26. Going Home with Your Baby 229
27. Breastfeeding 236
28. Being an Older Parent 242
Appendices
A.Drugs and Other Substances That Are Harmful to the
Fetus 245
B.Drugs and Chemicals Not Shown to Be Harmful to the
Pregnant Woman or Fetus 247
C.Body Mass Index Table 248
D.Caffeine Content of Common Sources 249
E. Iron-rich Foods 250
F. Calcium-rich Foods 252
G.The Loss of a Baby 255
H.Summary of Medical Tests 257
Glossary 267
Resources 275
Index 279
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Acknowledgments
We wish to thank Dr. Jeanne Wiebenga for her expert critical read-
ing of our manuscript, Dr. Bob Miller for sharing his expertise on
ART, and Cairns Base Hospital Library and its staff for helping us in
our research. Our agent, Sally Brady, has been an unending source
of encouragement and help. Javed de Costa and Josie Valese have
been always willing to help with the fi ner points of word processing
and computer vagaries. We thank Jacqueline Wehmueller, our edi-
tor, who requested that we write this book.
Last, but far from least, we thank our families, for their forbear-
ance as we disappeared behind piles of paper, and the patients
whose experiences we bring to this work.
SOFTbank E-Book Center Tehran, Phone: [phone] For Educational Use. www.ebookcenter.org
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SOFTbank E-Book Center Tehran, Phone: [phone] For Educational Use. www.ebookcenter.org
PREGNANCY and PARENTING
after THIRTY-FIVE
SOFTbank E-Book Center Tehran, Phone: [phone] For Educational Use. www.ebookcenter.org