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内容简介

Know What to Expect Week-by-Week
Preparing for the arrival of a new baby is both a joy and achallenge. This is true at any age, but as an expectant mother overthe age of 35 you want real answers for your unique needs andconcerns. With wisdom and compassion, Dr. Kelly Shanahanshares her own experiences as an obstetrician and over-35 mom. Herdetailed and reassuring approach will help you understand thesignificant changes in your body and life as well as your baby'sdevelopment. Inside, you will find:
·Explanations and answers for your special health concerns
·Advice about making career, relationship, and lifestyleadjustments
·Practical tips for safe weight gain, exercise, and travel
·Excerpts from Dr. Shanahan's journal of her over-35pregnancy

<div>Know What to Expect Week-by-Week 
Preparing for the arrival of a new baby is both a joy and a
challenge. This is true at any age, but as an expectant mother over
the age of 35 you want real answers for your unique needs and
concerns. With wisdom and compassion, Dr. Kelly Shanahan
shares her own experiences as an obstetrician and over-35 mom. Her
detailed and reassuring approach will help you understand the
significant changes in your body and life as well as your baby's
development. Inside, you will find: 
·Explanations and answers for your special health concerns 
·Advice about making career, relationship, and lifestyle
adjustments 
·Practical tips for safe weight gain, exercise, and travel 
·Excerpts from Dr. Shanahan's journal of her over-35
pregnancy 
From pregnancy planning and proper nutrition to labor and delivery,
this informative book will fully prepare you for the birth of your
healthy, happy baby. 
"A must-read for expectant couples over the age of 35 and a
valuable reference for pregnancy at any age." —Lynn D.
Montgomery, M.D., director, Maternal-Fetal Medicine, Rocky Mountain
Perinatal Center, Missoula, Montana 
"This book addresses virtually all of the questions commonly asked
by expectant couples. Great job." —E. Albert Reexed M.D.,
professor and chairman, Department of Obstetrics and Gynecology,
Temple University 
"A work of art and a work of love, with a lot of good science
thrown in along the way." —R. Daniel Braun, M.D., FACOG,
clinical professor, Department of Obstetrics and Gynecology,
Indiana University School of Medicine 
"What a great, week-by-week, commonsense journey through
pregnancy!" —William F. von Almen II, M.D., FACOG, editorial
adviser, obgyn.net</div>

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作者简介

M. Kelly Shanahan, M.D.:

When I was a small child, I wanted to be a jockey,but I soon grew too tall. Then, when I was 11, a fall from atrampoline changed by life: I ruptured my spleen and had majorsurgery. From that time, I knew what I wanted to be when I grew up:a doctor.

My course never faltered. I graduated from high school, attendedBryn Mawr College, majoring in biology, and was accepted at theUniversity of Virginia School of Medicine. When doing my obstetricsrotation and delivering a baby to a woman having her fourth child,I found my specialty. I did my ob/gyn residency at TempleUniversity Hospital in Philadelphia. It was trial by fire. Theprogram at the time was in a state of transition and we wereshort-handed and under supervised, but I learned how to think on myfeet. I came out of that program well equipped to handle anyemergency.

M. Kelly Shanahan, M.D.: 
 When I was a small child, I wanted to be a jockey,
but I soon grew too tall. Then, when I was 11, a fall from a
trampoline changed by life: I ruptured my spleen and had major
surgery. From that time, I knew what I wanted to be when I grew up:
a doctor. 
 
My course never faltered. I graduated from high school, attended
Bryn Mawr College, majoring in biology, and was accepted at the
University of Virginia School of Medicine. When doing my obstetrics
rotation and delivering a baby to a woman having her fourth child,
I found my specialty. I did my ob/gyn residency at Temple
University Hospital in Philadelphia. It was trial by fire. The
program at the time was in a state of transition and we were
short-handed and under supervised, but I learned how to think on my
feet. I came out of that program well equipped to handle any
emergency. 
 
After almost three years in practice, I decided to look West for a
more balanced life. I found a job at Lake Tahoe, with another
woman. Shortly after I moved here, I met a wonderful man, and we
were married. He always knew he wanted children, and convinced me
that starting a family would be a good idea. I agreed, and being
the successful physician who had always accomplished everything I
set out to do figured getting pregnant would be easy. 
 
I was wrong. I was not ovulating. I embarked on the rocky pathway
of infertility, treating myself for almost a year. I got pregnant
on Clomid, but miscarried. I miscarried again in 1997. That loss
was devastating. I felt like I was a double failure—both as a woman
and as an ob/gyn. I joined an e-mail support group and told my
story on the Women's Health Forum at obgyn.net, a site for which I
acted as an advisor and expert. It took me six months to get the
courage to try again. 
 
I conceived, and thanks to treatments for the antiphospholipid
syndrome that was the cause of my miscarriages, this third time was
a charm: after Pergonal, progesterone, aspirin and twice daily
heparin shots, I delivered my daughter on 12/1/98. She is a
miracle, and I am so grateful to have her. I now know how lucky we
really are; in May 2000, I miscarried again, despite
treatment. 
 
I am still very proud of the "MD" after my name—I worked very hard
to get it—but now it stands for more than "Medical Doctor." Now it
stands for something much more important and rewarding
"Mother/Doctor."

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目　　录

Contents
Preface
Acknowledgments
Pregnancy Planning
Week 1: The Menstrual Cycle
Week 2: Ovulation and Fertilization
Week 3: Implantation
Week 4: Where's My Period?
Week 5: Why Am I So Tired??
Week 6: First Doctor's Visit
Week 7: Morning (and Noon and Night) Sickness
Week 8: Dashed Hopes
Week 9: Teratogens, or What to Avoid When You're Expecting
Week 10: Chorionic Villus Sampling

Contents Preface 
Acknowledgments 
Pregnancy Planning 
Week 1: The Menstrual Cycle 
Week 2: Ovulation and Fertilization 
Week 3: Implantation 
Week 4: Where's My Period? 
Week 5: Why Am I So Tired?? 
Week 6: First Doctor's Visit 
Week 7: Morning (and Noon and Night) Sickness 
Week 8: Dashed Hopes 
Week 9: Teratogens, or What to Avoid When You're Expecting 
Week 10: Chorionic Villus Sampling 
Week 11: Eating for Two 
Week 12: No, You're Not Losing Your Mind, You're Just
Pregnant 
Week 13: Interpretation of Prenatal Blood Tests 
Week 14: Telling the World 
Week 15: More Blood Tests: The "Triple Screen" 
Week 16: Amniocentesis 
Week 17: Financial Considerations 
Week 18: Baby Pictures 
Week 19: There's a Whole Lotta Shakin' Going On! 
Week 20: Baby Is Exercising—And So Should You 
Week 21: Why Do I Have to Get On That Darn Scale! 
Week 22: Baby, Oh Baby, the Places You'll Go 
Week 23: Mirror, Mirror on the Wall 
Week 24: Born Too Soon 
Week 25: Bleeding 
Week 26: Working Nine to Five 
Week 27: It's a Boy and a Girl and . . . 
Week 28: Too Sweet 
Week 29: Divide and Conquer 
Week 30: Preterm Labor 
Week 31: It's a Family Affair 
Week 32: Learning About Labor 
Week 33: Blueprint for Birth 
Week 34: High Blood Pressure and Pre-Eclampsia 
Week 35: Here's Looking at You, Kid 
Week 36: To Breast or Not to Breast, That Is the Question 
Week 37: The Home Stretch 
Week 38: Pain Control 
Week 39: Cesarean Section and VBAC 
Week 40: Labor Day 
Postparcum: Where's the Instruction Manual? 
Epilogue 
Glossary 
Index

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