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Tuesday, January 12, 2010

Are You Ready to Have a Baby?

What does it take to prepare yourself to be a parent? You might not realize it but there are emotional, physical and financial things to consider BEFORE you get pregnant. Writer Jennifer Newton Reents shares some tips on how to prepare yourself for one of the biggest -- and best -- changes of your life.

Ready, set, baby!

When planning to have a baby sometimes we get so caught up in the excitement of finally having a baby that we forget about the things we need to have in place so we are ready when our precious little one arrives.

Ann Douglas, co-author of "Family Finance: The Essential Guide for Parents," and co-author of "The Unofficial Guide to Having a Baby" says it's important to take some time to think about how having a baby is going to effect your family's bottom line.

"Will you be taking some time off work, either temporarily or permanently? If so, will you be able to reduce your expenses at the same time in order to balance your family's budget?" she says. "If you're planning to return to work shortly after your baby is born, you'll need to factor in the costs of childcare and other work-related expenses in order to determine whether you're further ahead to have both partners working outside the home, or whether it would make greater financial sense to have one parent stay at home with the new baby."

She says if one parent is considering taking an extended period away from the workforce, he or she might want to consider the hidden costs of taking a career hiatus. "You may need some retraining in order to re-enter the workforce in a few years' time, and, in some cases, you may have to consider an entirely new career," she says.

Heather Freitag of Las Vegas, Nevada, recently had her third child. Freitag, a psychologist who is married to a doctor, says considering finances has always been important to them when deciding to have children.

"It is personally very important to me that I am raising my children, and though I enjoy working part time, as I do currently, I absolutely love being at home with my children," she says. "So, when considering whether or not we should get pregnant we always make sure that my NOT working is an option so that I can be at home as much as I feel I need to be."

Douglas says it is important for couples to have a post-baby financial plan in place before they have the baby.

"A lot of couples make the mistake of continuing to spend at pre-baby levels even though their income has taken a significant hit -- either temporarily, while one partner is on maternity leave, or permanently if one partner decides to leave the paid labor force for now," she says. "This can result in ever-increasing credit card balances that can be difficult to pay off. That's why it's important to have a financial plan in place before you have a baby, so that you really understand upfront how much you can -- and can't -- afford to spend."

Cynthia Maes, of Whittier, California, mother of four, says she and her husband, a teacher and coach, made sure they had their finances in order when they decided to have another child because they feel it gives them more time and less distractions to focus on the new baby.

"We wouldn't have to work too much overtime, and we could afford what we needed to have," says Maes. "So we waited until we were fairly job secure and had a house to raise children in."

Douglas recommends couples start building their nest egg as soon as they make a decision to have a child.

"That way, you'll have some money socked away for baby gear by the time you're in the market for a crib, stroller, car seat, and so on," she says. She also recommends couples pay off any personal debt they have accumulated over the years -- student loans, car loans and so on.

"The less debt you're carrying, the less stressed you'll feel during the financial transition to parenthood," Douglas says.

So what does it actually cost to raise a child today, anyway? Douglas says a middle-income family can expect to spend nearly $150,000 to raise a child from birth to age 18. For higher-income families, the total is closer to $220,000.

Preparing your head and heart

Now that we have taken a look at finances, couples may want to consider their physical and emotional readiness.

Deborah Issokson, a licensed psychologist who provides reproductive health and healing counseling services in Watertown, Massachusetts, says parents-to-be can emotionally prepare themselves for parenthood in several ways.

"It is the emotional preparations that are (most) crucial to healthy family development and often it is these preparations that are ignored by expectant parents," she says.

Denise Almazan, a new mom, says she thought a lot about if she was ready to have a baby on many different levels.

"I had so many concerns," says Almazan, of Whittier, California. ". I wondered if I could handle the pain of labor. I wondered if I was emotionally mature to raise a child, and questioned my capacity for unconditional love. I thought I may be too selfish to be a mother, and wondered if I would be able to put the needs of my child before my own."

First-time mom Lauren Keene, of Sacramento, California, says she and her husband, Mike, focused on the emotional aspects of having a baby.

"Physically we were both in good health," says Keene. "Though with my husband Mike being older, having kids sooner was certainly better than later, and we knew there was no point in trying to reach a certain financial goal because we felt you can always find a way to accommodate a baby. Emotionally, we knew we loved each other very much and wanted to share that love with children."

Issokson says expectant parents also need to prepare themselves to be emotionally present and available to a new baby all the time, especially in the beginning, and learn to tolerate the demands of a baby, the feelings of stress, frustration, incompetence, vulnerability, responsibility and selflessness that a new baby evokes from an adult.

"I am also talking about the readiness of the couple, if the mother is partnered, to endure some stress on the relationship, some interruption in intimacy, spontaneity and availability for each other," she says. Issokson recommends couples work out any unresolved issues in the relationship, before they have a baby, and participate in counseling, if necessary.

"This is the time to improve communication and maintain openness with each other," she says. "I suggest couples talk with each other about fantasies, hopes and expectations they have of each other as parents and as a family. While many couples have been together a long time, they do not know each other as parents yet and will need to get to know one another in a new way. This can be quite shocking and disappointing as well as exciting and satisfying. I suggest that partners spend time together and take stock of their relationship and what they have built together that will form the foundation for their children."

She uses a garden as a metaphor: "I say that the relationship between the adults is the garden in which the children will grow. If the garden is not tended to, then the flowers will not grow very well," she says. "I encourage parents to think creatively about how to maintain intimacy and connection with the arrival of a baby which can feel like a third wheel. Babies often come between parents. Babies bring turbulence to a marriage or a relationship and contrary to myth, do not necessarily make a relationship stronger or the people closer."

Issokson said in her dealings with her parents, many of them wish they had been better prepared for feeling incompetent and overwhelmed. "They often imagine they will be madly in love with their new babies and will sit around staring longingly into each other's eyes," she says. "They are not prepared for what sleep deprivation really feels like or how it affects relationships. They are not prepared for the feelings of loss and grief as they focus on the loss of spontaneity in their lives, the loss of intimate time with a partner, the changes in friendships. They are not prepared for the depression and anxiety that so often accompanies the arrival of a new baby. Minimally, 10 to 20 percent of new moms will experience a level of depression or anxiety that will feel debilitating."


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Ricka Kohnstamm, mother of three, agrees having a baby is hard work.
"I'm really concerned about the lack of 'real' information about how stressful it is to add a baby to your family," says Kohnstamm, of St. Paul, Minnesota. "It can take a serious toll on your relationship with your partner, and it's exhausting. Of course, you couldn't pay me enough money to ever have done it differently."

Sounds a little scary perhaps, but there are tools to help.

Issokson says while books are helpful, staying connected with each other as partners is invaluable. She recommends couples talk with other new families and participate in support groups for new moms and dads before the baby is born.

"It is important to remember that first time parents often have selective hearing and seeing because they need to hold onto the fantasy that this will all be manageable," she says. She recommends two books for expectant parents -- "Laughter and Tears: The Emotional Life of New Mothers" by Elisabeth Bing and Libby Colman, which she says describes the normal ups and downs of the postpartum period without pathologizing, and "Becoming Parents: How to Strengthen Your Marriage as Your Family Grows" by Pamela Jordan, Scott Stanley and Howard Markman. She says "Becoming Parents" is about marital health as a family grows and gives suggestions and examples for keeping communication clear "in the midst of the chaos that comes with a baby."

Preparing your body

Couples should also consider their physical health before conceiving, says Tori Kropp, a registered nurse who practices perinatal nursing at the California Pacific Medical Center in San Francisco and who is founder of PillowTalk: Modern Childbirth Education, a for-profit organization that offers prenatal and postnatal education and emotional support for parents.

"The primary physical responsibility is with the mother," Kropp says. "She should eat nutritiously and begin taking prenatal vitamins several months before becoming pregnant, if possible. If she feels she should lose weight, prior to pregnancy is best. And it's always good to have a nice, sensible exercise routine."

She says the father should cut down on drinking alcohol and discontinue any drug use. "Some studies show drug and alcohol use can affect sperm production," Kropp says.

The pursuit of perfection

If you're waiting for the perfect time, the perfect home, the perfect job, the perfect financial situation before having a baby, you might just wait forever! Life rarely turns out the way we expect it to! You don't need everything in perfect order to have the perfect baby - he or she will be perfect regardless! So take some time to think about what your heart and your head are telling you and the answer will come to you. If you are ready, your will simply know when it is time to begin the journey toward of parenthood!

About the author: Jennifer Newton Reents is the editorial director of the SheKnows Network of web sites and of Coincide Media and Coincide Publishing. She has a bachelor's degree in journalism and worked for several newspapers as a reporter before moving to a freelance career in 2000. She is also editorial director of Low Carb Energy Magazine and the former associate editor of two national pregnancy magazines. Her work also regularly appears Southern Cooking and Lifestyles, as well as in regional magazines and newspapers. She resides in Kansas with her husband and son. Copyright © Jennifer Newton Reents.

A Man's Reproductive System

In men, the testicles are responsible for sperm production. Hormones regulate this production. Follicle stimulating hormone (FSH), lutenizing hormone (LH) and testosterone are all important for sperm production. Sperm mature in the epididymis which is coiled across the top of the testicles.

The mature sperm travel through the vas deferens, which are the tubes that carry the sperm from the epididymis to the penis. The seminal vesicles and the prostate gland add fluids to the sperm as they journey through the vas deferens.


The mixture of fluid and sperm is now called semen. The semen released during a single ejaculation contains up to 200 million sperm cells. The tails of the sperm cells propel the sperm through the vagina. Many of the sperm die in the vagina which is a relatively acidic and hostile environment for the sperm. The sperm have to make a tiresome journey through the vagina, pass through the cervix into the uterus and then into the fallopian tubes in search of the awaiting egg. If a sperm cell reaches the egg, it must then penetrate the egg cell so that the genetic material from the father and the mother can unite to create a new and unique organism capable of developing into a human being. Any disruption to these complex processes may contribute to infertility. The problems contributing to infertility in a man may be hormonal, chemical, or physical.

A Woman's Reproductive System

Every month, during the childbearing years, a woman's body prepares an egg for possible fertilization. A woman's entire supply of eggs actually develops when she is a fetus. A newborn girl has approximately 2 million immature eggs at birth. By the time puberty arrives, the number has been reduced to about 300,000 to 400,000 eggs.


Each month the hypothalamus of the brain tells the pituitary gland to secrete follicle-stimulating hormone (FSH) which causes the ovaries to produce a mature egg. When the egg is at the proper stage, the pituitary gland secretes the next hormone, lutenizing hormone (LH), which causes the ovary to release the egg. In the mean time, the hormones estrogen and progesterone are causing the lining of the uterus to thicken and prepare for a possible pregnancy.


The egg travels down into the fallopian tube. Sperm must reach the mature egg while it is in the fallopian tube in order for fertilization to occur. Once an egg is released from the ovary it only lives about one day, making timing crucial. If the egg and the sperm are united, the fertilized egg (zygote) must continue down the fallopian tube and into the uterus, finally implanting itself into the uterine lining. The fertilized egg must then divide and develop normally to become a healthy fetus.


If fertilization does not occur, the uterine lining is sloughed off in the monthly menstrual cycle. The complete cycle repeats itself roughly every 28-32 days.

Increasing Odds For A Healthy Pregnancy

There are many steps a woman can take prior to conception for a healthy pregnancy. A woman's nutritional health, general health, fitness level and daily routines all affect the environment in which her child will grow. A tiny new person within relies on its mother to provide a safe and nutrient-rich environment for a full nine months. The better prepared the mother is at the time of conception, the easier it will be for her body to adapt to the demands of pregnancy.

Stepping into pregnancy:

It's never too soon or too late to take good care of your baby's first home, you! The following are steps you can take now to prepare for and maintain a healthy pregnancy.

Step 1 Have A Physical Exam:

1. Visit your doctor and discuss your plans to become pregnant. Any minor or major health problems should receive the proper attention prior to conceiving. Your doctor may recommend genetic testing if you have medical risks or a family history of genetic disorders.

2. Have a complete gynecological exam. This may include testing for sexually transmitted diseases. Review your birth control method. It is usually advised that birth control pills be stopped several months before trying to get pregnant.

3. If you take prescription drugs, over-the-counter medications, medicinal herbs or dietary supplements, ask your doctor if they are safe to use during pregnancy. Certain drugs or supplements should be stopped before pregnancy. Many other common pain relievers are not recommended during pregnancy. Be sure to your doctor's advice about pain relievers, cold medicines, or any other chemicals (natural or pharmaceutical) before attempting to become pregnant.

4. Make sure that you are up-to-date on your own immunizations.

5. Once you become pregnant, it is important to have regular prenatal checkups. Your health care provider will make sure important tests are done on schedule, guide you, educate you on key issues, and monitor you and your baby throughout your pregnancy.


Step 2 Have A Dental Exam and Complete Needed Dental Work

1. Have a complete examination and dental cleaning prior to becoming pregnant.

2. Have any x-rays, procedures, fillings or dental surgeries done prior to becoming pregnant. Avoid any exposure to x-rays once you become pregnant.


Step 3 Eat A Balanced Diet and Work On Weight Management

1. Use the Food Guide Pyramid to balance food selections for general good nutritional health. Once you become pregnant, follow the nutrition guidelines for pregnancy. You will need more calcium, protein, iron and other key nutrients.

2. Limit fats and sweets. Now is the time to cut down on the "empty calorie" foods and strive to make food choices that are "nutrient-rich".

3. Try to achieve and maintain a healthy weight prior to pregnancy. On one hand, excess weight can complicate a pregnancy. On the other hand, if you are fiercely dieting while you are trying to conceive, you may be lacking very important nutrients needed to start a healthy pregnancy. Once pregnant, never try to lose weight. Gaining the right amount of weight during pregnancy helps to protect both you and the baby.

4. Take a general vitamin-mineral supplement and be sure it contains 400 micrograms of folic acid. Folic acid is needed for healthy brain and spinal cord development very early in the pregnancy. For women who had a previous child with a known neural tube defect (NTD), the recommendation for folic acid intake is significantly higher and should be discussed with your doctor. Starting supplement before you get pregnant will help assure that you have the proper intake of this, and several other important nutrients during the early weeks of pregnancy, a critical time. Unless otherwise advised by your physician, prenatal vitamins with a higher level of iron are not started until the second trimester of pregnancy, since iron will reduce absorption of zinc and may cause stomach upset or constipation.


Step 4 Build Your Strength and Fitness

1. Exercise tones and strengthens muscles. This will prepare your body for carrying the baby throughout pregnancy. A higher level fitness also makes delivering the baby easier.

2. Exercise can help reduce your risk of developing backaches and varicose veins during pregnancy.

3. Exercise can help you manage your weight before, during and after pregnancy.

4. Drink plenty of water to stay hydrated and don't exercise to the point of exhaustion or overheating.

5. Check with your doctor for individual advice about any health conditions that would require you to limit or modify your exercise. You may need to avoid very intense exercise while you are trying to conceive. Once you become pregnant, there will be certain restrictions to avoid injury and protect the fetus.

Step 5 Avoid Exposure to Hazards:

1. Chemicals and other hazards can reduce fertility and, once pregnant, can be dangerous to your baby. Lead, heavy metals, asbestos, chemical fumes, insecticides, strong household cleaning supplies, paint fumes, and countless other hazards loom in our environments. Find out about potential hazards are in your workplace. Avoid handling or breathing toxic substances. If in doubt regarding a particular substance, ask your physician or pharmacist.

2. Strictly avoid all illicit drugs. If you use street drugs, get help to quit prior to becoming pregnant. All street drugs hold dangerous and even deadly consequences for the baby.

3. Stop drinking alcohol. Alcohol intake is toxic to the fetus. Drinking during pregnancy can cause fetal alcohol syndrome, which can lead to brain injury and other defects.

4. Quit smoking. Don't smoke and don't breath other people's smoke. Smoking reduces fertility and is harmful to you and the baby.

5. Reduce caffeine intake. Large intakes of caffeine (coffee, teas, cola-drinks) may reduce fertility. If you must have it, try to limit yourself to one cup per day. Too much caffeine can contribute to mild dehydration which is harmful to you and your fetus. It also interferes with proper rest and sleep. Caffeine can interfere with absorption of certain minerals so, if you drink caffeine beverages, don't take your vitamins or minerals at the same time.

6. Don't let your body temperature rise too much. Hot tubs, saunas, electric blankets, heating pads, excessive exercise or anything else that causes you to get too hot can reduce fertility, may cause miscarriage or result in other problems for you or your baby.


Step 6 Rest and Relax!

1. You are embarking on an exciting journey. Enjoy yourself. Too much tension or stress can reduce your chances of becoming pregnant. It can also create harsher environment for a developing baby to grow.

2. Once pregnant, you will need more rest than usual. Your body may or may not tell you this, but it is true. Try to pamper yourself. Prioritize your day and save time for yourself.

First Trimester Of Pregnancy

Week One

Fetal Development: Because we are counting with the gestational age method, week one begins with the first day of your menstrual period. Conception hasn't yet occurred, but you already get to start counting. Such a deal - see how time flies when you're having fun!

Maternal Changes: Your period has just started and you may be thinking about conception. For women with a 28 day cycle, ovulation occurs around 14 days after the start of your menstrual cycle. Now is a good time to begin healthy habits (if you haven't yet!). Start your pregnancy diet with plenty of fresh fruits and vegetables; exercise; start taking additional folic acid if you haven't already; and stop smoking, drinking alcohol, and using over-the-counter medications. Stay away from toxic materials and rest well. Start "thinking pregnant" before you conceive so you can give your baby the best start possible.

Read these important articles on conception:

Increasing Odds For A Healthy Pregnancy

A Woman's Reproductive System

A Man's Reproductive System

Are You Ready to Have a Baby? The Emotional, Physical and Financial Things to Consider

Fertility Signs Primer

Fertility Awareness

The ABCs of Basal Body Temperature Charting

For help in determining the best days to determine ovulation based on the length of your cycle, visit our Pregnancy Planner/Ovulation Calculator. It will give you details regarding fertile days and ovulation for three months based on the first day of your last menstrual period and length of your cycle.