5 Things to Know When Getting Ready for Baby.

Preparing for a new baby—especially your first—can bring a mix of excitement, uncertainty, and anxiety. Often, not knowing what to expect is scarier than the facts themselves.

Even as an OB/GYN, there are many things I wish I had known before having my first child. Understanding how to prepare before your baby's arrival can help you feel more confident and calm as you enter motherhood. Here’s what you need to know—from pre-pregnancy planning and prenatal testing to caring for yourself and your baby throughout each trimester.
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1. You can start preparing for pregnancy even before you conceive.

If you're considering starting or growing your family, preconception counseling can help set the foundation for a healthy pregnancy. During this visit, a maternal-fetal health specialist can assess your risk of inheritable diseases, help you manage your weight, and recommend any lifestyle adjustments needed before conception.

Certain ethnic groups are at higher risk for conditions like sickle cell disease or Tay-Sachs disease. Carrier screening can identify these risks and guide partner testing if needed. We can also check your immunity to infections like rubella and chickenpox.

At your consultation, we’ll recommend starting a prenatal vitamin or folic acid supplement to support early fetal development. We’ll also review any medications you’re currently taking and help you achieve a healthy body mass index to reduce the risk of complications like gestational diabetes, preeclampsia, and labor dystocia.

Preconception appointments are available virtually, offering you the convenience to start planning from the comfort of your home.
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2. Regular exercise and healthy eating are essential.

Managing weight gain is important during pregnancy—too much or too little weight gain can affect both you and your baby. Exercise can feel challenging during the first trimester when fatigue and nausea are common, but it remains one of the best ways to maintain healthy weight gain.

Unless otherwise advised by your physician, aim for 30 minutes of moderate-intensity exercise daily, or break it into three ten-minute sessions if needed.

It's normal to have cravings, but remember: you're eating for one and a quarter—not two!
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3. Early prenatal testing offers valuable information.

Many insurance plans cover a wide range of prenatal tests, though not all. It’s important to verify what’s included in your coverage. Non-invasive prenatal screening (NIPS) can begin as early as nine weeks, offering early insights into genetic conditions and chromosomal abnormalities. Having information early can give you time to prepare and plan for your baby's care, if needed.
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4. You can manage many pregnancy discomforts.

Pregnancy can bring a range of physical discomforts, but there are many ways to ease them:
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• Nausea and vomiting: Consider natural remedies like ginger or vitamin B6 supplements for morning sickness.

• Round ligament pain: Common between weeks 16–22. A prenatal support belt can reduce abdominal aches.

• Sleep challenges: Unisom is a safe, over-the-counter option if you’re struggling with insomnia.

• Heartburn: Avoid lying down immediately after eating, elevate your head at night, and use approved over-the-counter remedies, if needed.

• Hemorrhoids: Witch hazel pads, Preparation-H, and a donut pillow can provide relief.

Prenatal yoga and physical therapy are also safe and effective ways to manage discomforts such as sciatica or carpal tunnel syndrome. Virtual visits with trained physical therapists are available to guide you.
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5. Choose a pediatrician before the third trimester.

Ideally, establish care with a pediatrician by the end of your second trimester. Many pediatricians offer introductory visits, allowing you to ask questions and understand their approach to care. 

Whether you’re pregnant or just starting to plan for a baby, we can help you feel prepared to grow your family. Contact us today to learn more about pregnancy services at MedStar Montgomery Medical Center.