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Obstetrics
As a solo practitioner, Dr. Bellaire gets to know her patients very well by delivery time. With only one doctor, there is no miscommunication between group members about your care. She also works with womens' delivery plans, and allows input from each woman about her care, as long it is safe for mom and baby. Dr. Bellaire also works with birth coaches. See our Doula Services page for more information. One of our satisfied patients writes, on the website insiderpages:
IN THE NEWS: From Chester County's Daily Local News column, "Medical Corner": Excercising in pregnancy OK with care "Can I exercise in pregnancy? "For most women, the answer is yes, but you must check with your physician. If your pregnancy is complicated by high blood pressure, heart disease, preterm labor, twins or more, poor fetal growth or other high risk factors, you may be advised not to exercise. "Ideally, before one gets pregnant, they have been exercising regularly and are in good shape. "Studies have shown that moderate exercise in normal pregnancy is not harmful to the fetus. In fact, women who did regular exercise in pregnancy were found to have shorter labors, fewer cesarean sections, and less fetal distress. These women also tended to have smaller babies (on the average by 300 grams) but this was not found to be an ill effect. "Moderate exercise is activity at 50-85 percent of your maximum heart rate. Maximum heart rate can be tested for each non-pregnant individual but a rough estimate is 220 minus your age. For example, a 30-year-old woman with a maximum heart rate of 190 could exercise between a heart rate of 95 and 160. One study showed that women who exercised at a heart rate of 150 or less had no adverse effect on fetal heart rate tracing while women whose heart rate was 180 had fetal bradycardia (a low heart rate). Women were found to improve their metabolic efficiency with a decreased amount of oxygen consumption.
"If you have been exercising before pregnancy you can usually continue the same exercise, just less intensely. Exercises that should be avoided are ones that can lead to injury (contact sports) or falling (cycling on the roads, horseback riding, skiing). If you have not been exercising regularly, you should start slowly and build up. "You should avoid exercising outside when it is very hot to avoid overheating. You can get dehydrated easier when pregnant so always drink plenty of water with a moderate amount of sports drinks. You should not exercise until fatigued. It is best to try to do your exercise at the time during the day when you are least tired. Warning signs of overdoing it are vaginal bleeding, pain, frequent contractions, chest pain, dizziness, headaches, or blurry vision. "Exercise in pregnancy can make women feel better and may improve the outcome of pregnancy. So grab a husband, friend or pet, and go out and exercise." |
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Cheryl Bellaire, MD, FACOG |