This Calendar Belongs to : (fill in your name)
Name as listed on insurance card: (fill in the blank)
Insurance Company: (fill in the blank)
Policy Number: (fill in the blank)
Medicaid Number: (fill in the blank)
Carolina Access Provider: (fill in the blank)
Family Member or Birth Partner: (fill in the blank)
Phone Number: (fill in the blank)
Health Care Provider: (fill in the blank)
Address: (fill in the blank)
City: (fill in the blank)
Phone Number: (fill in the blank)
Hospital/Birth Center: (fill in the blank)
Address: (fill in the blank)
City: (fill in the blank)
Phone Number: (fill in the blank)
For 40 weeks it is your job to take care of yourself and stay healthy so your baby has the best chance of being born full term and at a healthy weight. A lot of women say it is the best job they ever had!
Many things will happen to you during your pregnancy that you will want to remember. Use this calendar to record special moments and important information. Write down the questions you want to ask at your next prenatal appointment. And at each visit, ask your healthcare provider to help you fill in the chart on the next page. If you change healthcare providers, be sure to share your calendar with them too. Remember to keep all your prenatal appointments and follow the advice of your healthcare provider, even when you feel well. Enjoy this special time.
While you are pregnant you will have many "prenatal" appointments with your healthcare provider. Prenatal is a term that refers to the time from when you became pregnant until the baby is born. Pre = before and natal = birth. Ask your healthcare provider to help you fill in this chart at each visit. Depending on how you feel, you may have a different number of prenatal visits than this chart.
My estimated DUE DATE is (fill in the blank)
Week : 1-4
Visit Date: (fill in the blank)
Blood Pressure: (fill in the blank)
Fundal Height: (fill in the blank)
My weight: (fill in the blank)
Week : 5-8 Visit
Visit Date: (fill in the blank)
Blood Pressure: (fill in the blank)
Fundal Height: (fill in the blank)
My weight: (fill in the blank)
Week : 9-12
Visit Date: (fill in the blank)
Blood Pressure: (fill in the blank)
Fundal Height: (fill in the blank)
My weight: (fill in the blank)
Week : 13-16
Visit Date: (fill in the blank)
Blood Pressure: (fill in the blank)
Fundal Height: (fill in the blank)
My weight: (fill in the blank)
Week : 17-20
Visit Date: (fill in the blank)
Blood Pressure: (fill in the blank)
Fundal Height: (fill in the blank)
My weight: (fill in the blank)
Week : 21-24
Visit Date: (fill in the blank)
Blood Pressure: (fill in the blank)
Fundal Height: (fill in the blank)
My weight: (fill in the blank)
Week : 25-28
Visit Date: (fill in the blank)
Blood Pressure: (fill in the blank)
Fundal Height: (fill in the blank)
My weight: (fill in the blank)
Week : 29-30
Visit Date: (fill in the blank)
Blood Pressure: (fill in the blank)
Fundal Height: (fill in the blank)
My weight: (fill in the blank)
Week : 31-32
Visit Date: (fill in the blank)
Blood Pressure: (fill in the blank)
Fundal Height: (fill in the blank)
My weight: (fill in the blank)
Week : 33-34
Visit Date: (fill in the blank)
Blood Pressure: (fill in the blank)
Fundal Height: (fill in the blank)
My weight: (fill in the blank)
Week : 35-36
Visit Date: (fill in the blank)
Blood Pressure: (fill in the blank)
Fundal Height: (fill in the blank)
My weight: (fill in the blank)
Week : 37
Visit Date: (fill in the blank)
Blood Pressure: (fill in the blank)
Fundal Height: (fill in the blank)
My weight: (fill in the blank)
Week : 38
Visit Date: (fill in the blank)
Blood Pressure: (fill in the blank)
Fundal Height: (fill in the blank)
My weight: (fill in the blank)
Week : 39
Visit Date: (fill in the blank)
Blood Pressure: (fill in the blank)
Fundal Height: (fill in the blank)
My weight: (fill in the blank)
My Estimated Due Date is: (fill in the blank)
Week : 40
Visit Date: (fill in the blank)
Blood Pressure: (fill in the blank)
Fundal Height: (fill in the blank)
My weight: (fill in the blank)
Week : 41
Visit Date: (fill in the blank)
Blood Pressure: (fill in the blank)
Fundal Height: (fill in the blank)
My weight: (fill in the blank)
Week : 42
Visit Date: (fill in the blank)
Blood Pressure: (fill in the blank)
Fundal Height: (fill in the blank)
My weight: (fill in the blank)
My Blood Type: (fill in the blank)
Rh Factor:(fill in the blank)
My prescription medicines: (fill in the blank)
My over-the-counter drugs, vitamins and herbs: (fill in the blank)
Date:(fill in the blank)
Use this calendar to record special moments and important information. Remember to write down your own memories.
Women don't always know they are pregnant their first month. That's why some people think a pregnancy is just nine months. It's actually longer. The average pregnancy is 280 days. Your due date is counted from the first day of your last normal menstrual period. Your due date is estimated to be 38 - 40 weeks later. Most women give birth between two weeks before and two weeks after that date (between 38 - 42 weeks). Your baby will be "preterm" if you give birth prior to 37 weeks. Your baby will be "full term" starting at 37 weeks. And your baby will be "postterm" if born after 42 weeks.
Your estimated due date: (fill in the blank)
Date of your last normal menstrual period: (fill in the blank)
During your pregnancy, you may receive one or more of these tests:
Your healthcare provider will explain them.
Date:(fill in the blank)
You may start to feel your body change early in your pregnancy. But you probably won't look pregnant for several more weeks. As your body changes,wear what�s comfortable and makes you feel good.
Date:(fill in the blank)
Morning sickness doesn't just happen in the morning. You can feel sick to your stomach any time of day. It usually gets better around the 12th week of pregnancy.
Date: (fill in the blank)
Your breasts may become bigger, tender and change color. Your nipples may enlarge, darken and have raised bumps.
Date: (fill in the blank)
It is usually okay to have sex while you are pregnant. If you feel any pain, talk to your healthcare provider.
Date: (fill in the blank)
What you put in your body you share with your baby. Avoid alcohol. It increases your risk of having a miscarriage and your baby having a birth defect.
Date: (fill in the blank)
Avoid street drugs. Your baby could be born addicted, born with birth defects or be born too soon or too small to be healthy. Ask your healthcare provider about the safety of the medicines you take too.
Date: (fill in the blank)
A Doppler measures your baby's heartbeat while the baby is inside your uterus. Around this time in your pregnancy you will be able to listen to your baby's heartbeat.
Date: (fill in the blank)
You may need to urinate (pee) often as your uterus gets larger and pushes on your bladder. You may feel short of breath too, as your baby grows.
Date: (fill in the blank)
Smoking while pregnant triples your baby's risk of dying suddenly and unexpectedly. It also increases the chances of your baby being born too early and too small to be healthy. It�s never too late to quit � the sooner the better.
Date: (fill in the blank)
At 14 weeks your baby weighs about one ounce and is 2� - 3 inches long.
Date: (fill in the blank)
As your body changes you may have an upset stomach, heartburn, headaches, constipation, varicose veins, leg cramps, hemorrhoids or be emotional. Tell your healthcare provider how you feel.
Date: (fill in the blank)
Your gums may bleed a little during pregnancy and your mouth may be more watery from extra saliva. See your dentist regularly and tell your healthcare provider if you have gum disease or dental problems.
Date: (fill in the blank)Write down when you feel your baby move for the first time. This is a helpful guide to how your baby is growing.
Date: (fill in the blank)
Some women say the first time they feel their baby move it feels like a butterfly fluttering. The movements will become more noticeable.
Date: (fill in the blank)
The ultrasound test (or sonogram) uses sound waves to create a picture of your baby while in your uterus. It can show your baby's size, heartbeat, breathing, position inside you and sometimes its sex.
Date: (fill in the blank)
Colostrum is a thin yellowish liquid that comes out of your nipples during pregnancy and right after giving birth. It is the first milk you make for breastfeeding.
Date: (fill in the blank)
Only about 5 out of 100 women give birth on their estimated due date. Don't wait until the last minute to prepare for your baby.
Date: (fill in the blank)
A doula (due - la) is trained to provide information as well as physical and emotional support to women and their birth partners during labor. A certified nurse midwife is trained to care for women with low risk pregnancies and attend normal births.
Date: (fill in the blank)
Preterm (premature) labor can begin before your 37th week. If you have any signs listed below, lie down on your left side for 1 hour and drink 2 - 3 glasses of water. If they do not go away, call your healthcare provider.
Date: (fill in the blank)
Preeclampsia is dangerously high blood pressure related to pregnancy. It's also called gestational hypertension. If you develop any of the signs below call your healthcare provider right away.
Date: (fill in the blank)
Date: (fill in the blank)
Gestational diabetes is diabetes some women get while pregnant. It is usually temporary and caused by high blood sugar levels. It can be controlled by diet, exercise and medication.
Date: (fill in the blank)
About this time your baby weighs 1� - 2 pounds and is about 8 - 10 inches long. At 28 weeks most women start having prenatal checkups every two weeks.
Date: (fill in the blank)
If you are being physically or verbally abused talk to your healthcare provider. There are things you can do to protect yourself and your baby.
Date: (fill in the blank)
If you are sexually active, you can get STDs while pregnant. Protect yourself and your baby by using a condom or other barrier method. If concerned, get tested.
Date: (fill in the blank)
Breast milk is the best food you can give your baby. And it is easy for your baby to digest. Breastfeeding may also lower your risk of getting breast cancer.
Date: (fill in the blank)
Prior to birth some babies are very active. Some move very little. Your healthcare provider will teach you how to count your baby�s movements (do a kick count).
Date: (fill in the blank)
Kegel (kay - gul) exercises strengthen pelvic muscles and may help you prepare for delivery. Ask your healthcare provider when and how to do them.
Date: (fill in the blank)
Secondhand smoke can harm you and your unborn baby. Ask people not to smoke around you.
Date: (fill in the blank)
Late in pregnancy your belly will start feeling tightness that comes and goes. These are Braxton-Hicks contractions. It is your uterus getting ready for real contractions. Know the signs for both preterm labor and labor.
Date: (fill in the blank)
Most women start seeing their healthcare provider every week (or more) now.
Date: (fill in the blank)
At birth the average weight of a full term baby is 7 � - 8 � pounds and the average length is 19 to 21 inches.
Date: (fill in the blank)
Date: (fill in the blank)
During labor, the length of your contractions will help determine how your cervix is dilating. To time your contractions, get a clock with a second hand. Write down the time each one begins and ends. The length of a contraction is the number of seconds it lasts.
Date: (fill in the blank)
The time between the start of one contraction and the start of the next is called "frequency." Your contractions may be 20 - 30 minutes apart in early labor and 2 to 5 minutes apart as you get closer to delivery. The frequency of contractions helps determine how your cervix is dilating.
Date: (fill in the blank)
You're almost there! Most women give birth within two weeks before or after their estimated due dates. About 10 percent of pregnancies go postterm (past 42 weeks).
Date: (fill in the blank)
Remember to
If any of these things happen or if you have questions, call your healthcare provider right away.
www.NCHealthyStart.org
If you are not sure where to go for care or have questions about pregnancy call the NC Family Health Resource Line at 1-800-367-2229.
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