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Expecting You: A Keepsake Pregnancy Journal

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UK National Institute for Health and Care Excellence (NICE). Antenatal and postnatal mental health: clinical management and service guidance (clinical guideline CG192). 2018. https://www.nice.org.uk/guidance/CG192 Royal College of Paediatrics and Child Health. Safeguarding—learning resources. https://www.rcpch.ac.uk/resources/safeguarding-learning-resources Don’t just cross your fingers and hope for the best. Feel super prepared, in control, and at ease feeding your baby. After class you’ll think to yourself, Support pregnant women using alcohol to stop (ideally) or reduce their alcohol consumption. 20 There are several screening tools for use in the non-pregnant population, such as the three question AUDIT-C, 27 although there is limited evidence for its validity during pregnancy. 28 29

Pregnancy Journal Day by Day - Etsy UK

Even if you’ve never journaled before, your words will flow easily thanks to this guided, gender-neutral pregnancy journal. With questions like, “What are you craving?” and “How are you feeling?” you don’t need to worry about starting points. Please list any fees and grants from, employment by, consultancy for, shared ownership in or any close relationship with, at any time over the preceding 36 months, any organisation whose interests may be affected by the publication of the response. Please also list any non-financial associations or interests (personal, professional, political, institutional, religious or other) that a reasonable reader would want to know about in relation to the submitted work. This pertains to all the authors of the piece, their spouses or partners. Smokefree Action Coalition. E-cigarettes in pregnancy. https://smokefreeaction.org.uk/wp-content/uploads/2019/09/ASH-ecig-infographic-A5_v6.pdf. Stimulants such as cocaine, amphetamines, and mephedrone are all potent vasoconstrictors that can affect the developing fetus at any gestation, leading to the obstetric complications of placental abruption and premature rupture of membranes and a potentially increased risk for congenital anomalies, low birth weight, and preterm birth. 54 55 Advise women using stimulants of these risks and encourage them to stop completely. Women may relapse after pregnancy. Warn them that they may have lost their tolerance and could overdose unexpectedly.Deceptively gift-worthy for the price, this pregnancy journal has a little something for all journaling styles. The classic bound spine and silky-textured paper will last long after you've forgotten many of the moments you captured in this book. I'm actually getting emotional just thinking about writing letters to my baby through my pregnancy and their first year. This journal prompts you to do just that, and I can't think of a more beautiful way to document your pregnancy. Box 1 Questions to consider asking about substance use during pregnancy or in women planning a pregnancy Methadone or buprenorphine (as per standard protocols) is prescribed at a dose that stops or minimises illicit opioid use, with a focus on maintaining stability. 7 Methadone dosing may need to be increased in the third trimester of pregnancy as its metabolism increases. 20 Consider split dosing to minimise fetal intoxication or withdrawal. 47 The choice of buprenorphine versus methadone should be individualised to the patient, and switching during pregnancy, particularly if use is well maintained, is discouraged. 7

UK guidelines on the management of iron deficiency in pregnancy UK guidelines on the management of iron deficiency in pregnancy

Competing interests: We have read and understood BMJ policy on declaration of interests and have no relevant interests to declare.Tolerance, whereby increased doses of the substance are required to achieve effects originally produced by lower doses Keep collections to yourself or inspire other shoppers! Keep in mind that anyone can view public collections - they may also appear in recommendations and other places. Tetrahydrocannabinol, the main psychoactive component of cannabis, readily crosses the placental barrier. 39 Synthetic cannabinoid receptor agonists (SCRAs) such as “spice” are also potent stimulators of the endocannabinoid system, and their safety during pregnancy is unknown. Some observational studies have found an association between cannabis use and a range of adverse obstetric and neonatal outcomes and longer term adverse child neurobehavioural outcomes, but other studies have failed to confirm such an association. 40 41 42 43 Given this uncertainty, encourage women using cannabis in pregnancy to achieve complete abstinence. 30 44 Be aware of the potential for cannabis, when smoked with tobacco, to potentiate the adverse effects of both substances. 45

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