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		<title>7 Health Mistakes All Pregnant Women Make</title>
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		<pubDate>Thu, 29 Sep 2016 16:41:10 +0000</pubDate>
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		<description><![CDATA[Originally posted on FoxNews.com You already know you should eat healthy, exercise and keep your prenatal care appointments, but when it comes to other decisions you might have misconceptions about your pregnancy health. Here are seven of the most common mistakes pregnant women make and easy ways to fix them. 1. Overlooking the Zika virus As &#8230; <a href="https://hmmedicalobgyn.com/7-health-mistakes-all-pregnant-women-make/">Continued</a>]]></description>
				<content:encoded><![CDATA[<p><a href="http://www.foxnews.com/health/2016/09/04/7-health-mistakes-all-pregnant-women-make.html">Originally posted on FoxNews.com</a></p>
<p>You already know you should eat healthy, exercise and keep your prenatal care appointments, but when it comes to other decisions you might have misconceptions about your pregnancy health.</p>
<p>Here are seven of the most common mistakes pregnant women make and easy ways to fix them.</p>
<p><b>1. Overlooking the Zika virus</b></p>
<p>As of August 25th, there have been 624 reported cases of pregnant women in the U.S. with lab evidence of the Zika virus, according to the Centers for Disease Control and Prevention (CDC).</p>
<p>Although women have been advised to avoid travel where Zika has been circulating, women who live in those areas or decide to travel anyway might not use insect repellant or use the wrong type of insect repellant to prevent mosquito bites, said Dr. Alyssa Dweck, a board-certified OB/GYN in Mt. Kisco, N.Y. and an assistant clinical professor at the Mt. Sinai School of Medicine in New York City.</p>
<p>Dweck recommends pregnant women and those planning to become pregnant use insect repellant with DEET sprayed on their clothing, not directly on their skin. If your sexual partner has traveled to an area with Zika, you should also use condoms to <a href="http://www.foxnews.com/health/2016/08/11/zika-in-america-how-can-pregnant-women-protect-themselves.html" target="_blank">prevent the spread of the virus</a>.</p>
<p><b>2. Treating pregnancy like a condition</b></p>
<p>“The greatest mistake I’ve seen women in pregnancy make is this idea that somehow it’s a much different state than the rest of their lives and that they have to change everything that they do,” said Dr. Jennifer Lang, a board-certified OB/GYN in Los Angeles and author of, “The Whole 9 Months: A Week-By-Week Pregnancy Nutrition Guide with Recipes for a Healthy Start.”</p>
<p>Remember that pregnancy is natural and normal and although you might have to avoid certain foods like sushi, pregnancy shouldn’t be a free pass to overindulge on foods you crave.</p>
<p>“If it’s not a great idea to do when you’re not pregnant, it’s not a great idea to do in pregnancy,” she said</p>
<p><b>3. Eating for two</b></p>
<p>Nearly 50 percent of women gain more than the recommended amount of weight during pregnancy, according to a study in the journal Obstetrics &amp; Gynecology.</p>
<p>“Women think that because they’re pregnant they have to double their calories and it couldn’t be further from the truth,” Lang said.</p>
<p>Women who are obese during pregnancy have an increased risk for miscarriage, stillbirth, preterm birth and difficult deliveries, gestational diabetes, high blood pressure, preeclampsia, sleep apnea and blood clots. Infants born to obese mothers are also more likely to have birth defects and <a href="http://www.foxnews.com/health/2016/05/11/extra-pregnancy-pounds-tied-to-obesity-even-for-normal-size-babies.html" target="_blank">be obese themselves later on in life</a>.</p>
<p>The American Academy of Nutrition and Dietetics recommends women with a normal body mass index (BMI) get an extra 340 calories a day in the second trimester and an extra 450 calories a day in the third trimester.</p>
<p>If you’re carrying twins or multiples, or you’re overweight or obese when you start your pregnancy, talk to your doctor or a registered dietitian nutritionist about a plan that’s right for you.</p>
<p><b>4. Avoiding sex</b></p>
<p>“Some women feel incredibly sexual during pregnancy and others feel like, ‘<i>No way, no how</i>,’” Dweck said.</p>
<p>Unless your doctor has told you that there’s a medical reason why you shouldn’t have sex, there’s no reason to avoid it. In fact, if your pregnancy is full-term, sex may actually jump-start labor because the prostaglandins from semen may soften the cervix and cause uterine contractions.</p>
<p>You can get creative with different positions to make sex more comfortable, but it’s important to avoid lying flat on your back because it can compress the vena cava, the vein that returns blood to the heart.</p>
<p><b>5. Opting out of vaccines</b></p>
<p>Pregnant women may decide not to get the seasonal flu shot over concerns about its effectiveness or safety. Yet it’s the best way to avoid serious complications from the flu, which pregnant women are at risk for because of the changes to the immune system that happen during pregnancy, Dweck said.</p>
<p>In fact, a study in the journal Pediatrics showed that 90 percent of women didn’t get the flu vaccine, yet the infants of mothers who did had a 70 percent reduced risk of the flu.</p>
<p>What’s more, infants of mothers who receive the flu vaccine in the third trimester are 33 percent less likely to be hospitalized for respiratory illness in the first six months after they’re born, found a study presented at the Options for the Control of Influenza 2016 Conference in Chicago.</p>
<p>The CDC also recommends women receive the whooping cough vaccine during the third trimester of pregnancy to protect their babies from the disease before they receive the vaccine at two months.</p>
<p><b>6. Neglecting your core</b></p>
<p>Exercise is healthy for you and your baby but many women avoid training their abdominal muscles during pregnancy because they fear they could hurt themselves or their babies while others don’t even realize they should be doing it, said Leah Keller, a pre- and post-natal fitness expert in San Francisco, California and creator of The Dia Method.</p>
<p>The core muscles can help to prevent falls and injuries that are more common during pregnancy and make delivery shorter and easier. Training the core during pregnancy can also help prevent damage from diastasis recti— the separation of the rectus abdominis muscles that affect approximately sixty percent of first-time— singleton pregnancies.</p>
<p>To make sure you train safely, ask your physician to recommend a program or a trainer who has experience with prenatal fitness and diastasis recti.</p>
<p><b>7. Overdosing on vitamins and supplements</b></p>
<p>You already know you need to take your prenatal vitamins, but if you’re loading up on extra vitamins and over-the-counter herbal supplements, there’s no evidence it can help and it could actually be harmful to your baby, Lang said.</p>
<p>A better way is to get your nutrition through food. A whole-foods, primarily plant-based diet, will likely give you the right amount of nutrients you need.</p>
<p>“It’s the way our body was meant to assimilate vitamins, minerals and phytonutrients in combination with this very complex blend that tends to be absorbed more optimally by the body,” Lang said.</p>
<p>If morning sickness or food aversions get in the way and you think you need a supplement, check with your doctor first to make sure what you’re taking is safe.</p>
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		<title>Learn From Dr. Howe These 7 Exercises Your Leaky Bladder Wants You To Do &#8211; Prevention Magazine</title>
		<link>https://hmmedicalobgyn.com/learn-from-dr-howe-these-7-exercises-your-leaky-bladder-wants-you-to-do-prevention-magazine/</link>
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		<pubDate>Wed, 28 Sep 2016 15:05:47 +0000</pubDate>
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		<description><![CDATA[Click here to see the original story There are exercises for your butt, your legs, your arms, your spare tire, even your ever-texting achy thumbs. So considering the bladder itself is a muscle—and it&#8217;s surrounded by other muscles—it makes sense that you can whip that puppy into shape, too. Of course, unless you already have &#8230; <a href="https://hmmedicalobgyn.com/learn-from-dr-howe-these-7-exercises-your-leaky-bladder-wants-you-to-do-prevention-magazine/">Continued</a>]]></description>
				<content:encoded><![CDATA[<p><a href="http://www.prevention.com/fitness/exercises-to-prevent-a-leaky-bladder/slide/7">Click here</a> to see the original story</p>
<p>There are <a class="vglnk" href="http://www.fitin10bellyfix.com/pt?keycode=259190&amp;utm_source=PV&amp;utm_medium=Web&amp;utm_campaign=vigexercises" target="_blank" rel="nofollow">exercises</a> for your <a href="http://www.prevention.com/tags/butt-exercises" target="_self">butt</a>, your <a href="http://www.prevention.com/tags/leg-exercises" target="_self">legs</a>, your <a href="http://www.prevention.com/tags/arm-exercises" target="_self">arms</a>, your <a href="http://www.prevention.com/tags/flat-belly-exercises-0" target="_self">spare tire</a>, even your ever-texting <a href="http://www.prevention.com/health/health-concerns/self-massage-5-ways-give-yourself-massage" target="_self">achy thumbs</a>. So considering the bladder itself is a muscle—and it&#8217;s surrounded by other muscles—it makes sense that you can whip that puppy into shape, too.</p>
<p>Of course, unless you already have the <a href="http://www.prevention.com/fitness/fitness-tips/yoga-poses-strengthen-pelvic-floor-and-prevent-incontinence" target="_self">occasional leakage</a> due to aging, genetics, or childbirth, you might not focus much <a class="vglnk" href="http://www.fitin10bellyfix.com/pt?keycode=259190&amp;utm_source=PV&amp;utm_medium=Web&amp;utm_campaign=vigexercise" target="_blank" rel="nofollow">exercise</a> attention on your bladder. But strengthening those down-there muscles can stop (or prevent) <a href="http://www.prevention.com/health/reasons-for-urinary-incontinence" target="_self">so-called stress incontinence</a> in its tracks, says <a href="http://www.candacenhowemd.com/" target="_blank">Candace Howe, MD</a>, a board-certified ob-gyn in private practice in Newport Beach, California. &#8220;Who wants to undergo surgery?&#8221; Howe says. &#8220;I&#8217;m a surgeon, and I tell my patients I wouldn&#8217;t want to! If we can fix incontinence withexercise, that&#8217;s preferable.&#8221;</p>
<p>When Suzanne Andrews, host of <em>Functional Fitness</em>, was experiencing urinary incontinence after the birth of her son, her doctor told her to consider surgery. As an occupational therapy clinician, Suzanne was seeing patients with the same symptoms, and realized her exercisebackground could help. She created the <a href="http://healthwiseexercise.com/t/overactive-bladder" target="_blank">30 Day Bladder Fix</a>, a pelvic floor strengthening DVD that combines seated and lying exercises to help control incontinence. &#8220;I remember the day I realized I didn&#8217;t have it anymore,&#8221; Andrews says. &#8220;I sneezed and nothing came out!&#8221;</p>
<p>So how <em>do </em>you fix incontinence with exercise (which, by the way, affects around 25% of women, Howe says)? With these simple but crucial moves. While there&#8217;s no magic number of reps or sets that will solve your pee problems, Howe says practicing these daily for around 6 weeks or so should bring some relief.</p>
<figure id="attachment_2459" style="width: 740px;" class="wp-caption alignnone"><a href="http://hmmedicalobgyn.com/wp-content/uploads/2016/09/shutterstock_5403229-the-basics-stephen-leech.jpg"><img class="size-full wp-image-2459" src="http://hmmedicalobgyn.com/wp-content/uploads/2016/09/shutterstock_5403229-the-basics-stephen-leech.jpg" alt="Click here to see the original story" width="740" height="471" /></a><figcaption class="wp-caption-text">Click here to see the original story</figcaption></figure>
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<div class="slide-title"><strong>Kegels</strong></div>
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<div class="slide-text">
<p>We know, we know—we&#8217;re always <a href="http://www.prevention.com/sex/how-do-kegel-exercises" target="_self">telling you to do Kegels</a>. But according to Howe, most women are are <a href="http://www.prevention.com/health/do-kegels-work" target="_self">performing them wrong</a>. So let&#8217;s go over the basics: Contract the pelvic floor muscles—which run like a hammock between the front and back of your pelvis—like you&#8217;re stopping the stream of urine. &#8220;That&#8217;s a great start, but it&#8217;s not incorporating the whole sling of muscles,&#8221; Howe says. Contract in the back too, like you don&#8217;t want to pass gas in public, she says. &#8220;All together,<em>that </em>is the best Kegel.&#8221;</p>
<p>It&#8217;s important to work beyond the Kegel too, Andrews says. &#8220;It&#8217;s like doing aworkout for your arms and just working your biceps,&#8221; she says. &#8220;It&#8217;s not just the pelvic floor muscles that help to stop urine from coming out.&#8221; Inner thigh, glute, and ab muscles all come into play too, she says.</p>
<p><a href="http://hmmedicalobgyn.com/wp-content/uploads/2016/09/pelvic-floor-ball-squeeze.jpg"><img class="alignnone size-full wp-image-2460" src="http://hmmedicalobgyn.com/wp-content/uploads/2016/09/pelvic-floor-ball-squeeze.jpg" alt="pelvic-floor-ball-squeeze" width="740" height="471" /></a></p>
<div class="header clearfix">
<div class="slide-title"><strong>Pelvic Floor Ball Squeeze</strong></div>
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<div class="slide-text">
<p>Sit up straight in a sturdy chair with your head lifted and your chin parallel to the ground, shoulders in line with your hips. Place an exercise ball (or a firm pillow if you don&#8217;t have one) between your thighs. Squeeze the ball and hold for 10 seconds. Repeat 10 times. For a challenge, sit up without leaning back against the chair, Andrews says. This will help <a href="http://www.prevention.com/fitness/moves-tone-inner-thighs" target="_self">strengthen the inner thighs</a> and the abdominal muscles, which intertwine with those pelvic floor muscles and can contribute to better bladder control, Howe says.</p>
<p><a href="http://hmmedicalobgyn.com/wp-content/uploads/2016/09/gettyimages-543195235-strengthtraining-erik-isakson_0.jpg"><img class="alignnone size-full wp-image-2461" src="http://hmmedicalobgyn.com/wp-content/uploads/2016/09/gettyimages-543195235-strengthtraining-erik-isakson_0.jpg" alt="gettyimages-543195235-strengthtraining-erik-isakson_0" width="740" height="471" /></a></p>
<div class="header clearfix">
<div class="slide-title"><strong>Elevator Lunge</strong></div>
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<div class="slide-text">
<p>Start with one leg in front of the other and inhale as you <a href="http://www.prevention.com/fitness/how-to-do-squats-and-lunges-without-killing-your-knees" target="_self">dip down into a lunge position</a>. Visualize holding a marble inside your vagina, Howe says, and contract your pelvic floor muscles as you exhale. Inhale, holding those muscles tight, and as you exhale again, contract even tighter. Repeat until you&#8217;ve tightened 5 times, then exhale as you return to standing. Repeat on the opposite leg.</p>
<p><a href="http://hmmedicalobgyn.com/wp-content/uploads/2016/09/pelvic-floor-activators.jpg"><img class="alignnone size-full wp-image-2462" src="http://hmmedicalobgyn.com/wp-content/uploads/2016/09/pelvic-floor-activators.jpg" alt="pelvic-floor-activators" width="740" height="471" /></a></p>
<div class="header clearfix">
<div class="slide-title"><strong>Pelvic Floor Activators</strong></div>
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<div class="slide-text">
<p>Sitting again on your sturdy chair, place a <a href="http://www.prevention.com/fitness/exercise-band-workout" target="_self">resistance band</a> around your thighs with your feet together. Press your knees apart and then bring them back together. Contract your inner thigh and glute muscles when you close your knees. Do 3 sets of 20 with a 10-second break between sets, 5 times a week. If you don&#8217;t have a resistance band, use pantyhose instead, Andrews says.</p>
<p><a href="http://hmmedicalobgyn.com/wp-content/uploads/2016/09/gettyimages-squat-463029653-1.jpg"><img class="alignnone size-full wp-image-2463" src="http://hmmedicalobgyn.com/wp-content/uploads/2016/09/gettyimages-squat-463029653-1.jpg" alt="gettyimages-squat-463029653-1" width="740" height="471" /></a></p>
<div class="header clearfix">
<div class="slide-title"><strong>Squats With Pulse</strong></div>
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<div class="slide-text">
<p>With your feet shoulder-width apart and your toes turned slightly outward, lower down into a squat position. Tilt your pelvis forward to engage the pelvic floor muscles at the back of your body. Pulse up and down an inch or two 10 times, inhaling as you squat and exhaling as you contract the pelvic floor muscles and come up, Howe says.</p>
<p><a href="http://hmmedicalobgyn.com/wp-content/uploads/2016/09/c-curves.jpg"><img class="alignnone size-full wp-image-2464" src="http://hmmedicalobgyn.com/wp-content/uploads/2016/09/c-curves.jpg" alt="c-curves" width="740" height="471" /></a></p>
<p>Sitting at the edge of your chair, draw in your abdominal muscles toward your back as you curve into a C-shape with your arms extended. Then straighten your back and focus on good posture. Do 3 sets of 10, Andrews says.</p>
<p><a href="http://hmmedicalobgyn.com/wp-content/uploads/2016/09/gettyimages-184825057-running-johner-images.jpg"><img class="alignnone size-full wp-image-2465" src="http://hmmedicalobgyn.com/wp-content/uploads/2016/09/gettyimages-184825057-running-johner-images.jpg" alt="gettyimages-184825057-running-johner-images" width="740" height="471" /></a></p>
<p>You <a href="http://www.prevention.com/health/health-concerns/why-do-i-pee-when-i-run" target="_self">might think running is off limits</a> if your bladder doesn&#8217;t always behave, but Howe says all it takes is a little fix to your form to focus more of your running energy on your pelvic floor muscles. &#8220;Imagine running in more of a ski jump position,&#8221; she says. Leaning slightly forward in this way will take some of the pressure off of your heels and backside. Transferring the pressure can help retrain the front side of your pelvis resulting in less incontinence over time, she says.</p>
<p>(Need a little extra help with these exercises? It&#8217;s worth noting that there are physical therapists—for your vagina. These experts specialize in pelvic floor, bladder, or vaginal training and can help determine where you&#8217;re weak. Then, they can develop a personalized routine to make you stronger, Howe says.)</p>
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