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Sleep Strategies for Moms-to-Be

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Margaret Freda
By Margaret Freda Ed.D., R.N., C.H.E.S., F.A.A.N.
"I've been a professional nurse working with pregnant women and parenting families since 1966," says Margaret Comerford Freda. "Pregnant women and parents need to know as much as possible about their own health and that of their children."

Margaret Comerford Freda, Ed.D., R.N., C.H.E.S., F.A.A.N., is a Professor in the Department of Obstetrics &; Gynecology and Women's Health, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, and also serves as Director of Patient Education Programs for that department. Since 1993, Dr. Freda has been the Consultant for Nursing at the National March of Dimes Birth Defects Foundation and the Chair of the National March of Dimes Nurse Advisory Council. In addition, Dr. Freda serves as the editor of MCN, The American Journal of Maternal Child Nursing.

Dr. Freda received her Master's Degree in Nursing from New York University and her doctorate in Health Education from Columbia University. She has worked in women's health for her entire professional career. Dr. Freda has published 50 research articles in professional journals, and is a frequently invited speaker at nursing and medical conferences. She has written two books: Perinatal Patient Education, published by Lippincott Williams &; Wilkins, and Miscarriage After Infertility, published by Fairview Press, written with her daughter Carrie Semelsberger, who is also a nurse.

Dr. Freda has received several noteworthy awards, such as the Distinguished Professional Service Award and the First National Award for Excellence in Nursing Research from the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN), the Woman of Distinction Award and the Maternal Child Nurse of the Year Award from the March of Dimes, the Patient Care Award for Excellence in Patient Education from the American Academy of Family Physicians, the Research Recognition Award from Molloy College, and several Outstanding Research Paper awards at national conferences. She serves on the Scientific Advisory Council for the March of Dimes, and was selected to serve on the Select Panel of the Centers for Disease Control to advise on prenatal health. Dr. Freda has developed patient education booklets and videotapes that are now distributed nationally.

Dr. Freda has been married for four decades. She has two daughters, two sons-in-law, three grandsons, and a granddaughter.
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"Stay rested." That's wonderful advice for your nine-month journey, but it's easier said than done for some women. A growing belly, an active baby, and hormonal changes can make it tough to fall asleep and stay there. Here are some common pregnancy sleep disruptions and techniques for dealing with them.

  Tossing and Turning

  Frequent Urination

  Your Baby's Activity

  Sleep-Easy Tips



Tossing and Turning

One of the most common sleep complaints during pregnancy, especially in the third trimester, is finding a comfortable position to sleep in. Try lying on your side with a pillow between your knees for lower-back support. You can also buy a body pillow, which can be molded along the length of your body, offering support where you need it most. Some women find relief by sleeping in a slightly reclined position with lots of pillows behind and around them.

Frequent Urination

The farther you get into your pregnancy, the more often you will have to urinate, and nighttime probably will be no exception. The need to urinate increases as your growing uterus compresses your bladder. You don't want to cut back on fluids during the day, but you might try to limit drinking just before bedtime. 

In most cases, frequent urination is just a symptom of being pregnant. But you should be aware that urinary tract infections (UTIs) also have this effect. Frequency isn't the only symptom of a UTI: You may feel that you must urinate right away (called "urgency") and feel pain or burning during the process. If you experience symptoms other than frequency, contact your health care provider. He will probably test your urine to see if you have a bacterial infection.

Your Baby's Activity

Some women are awakened by the baby's movements during the night. There's not really anything you can do about this, nor would you want to: A moving baby is usually a healthy baby. When babies stop moving or slow down, we become concerned about their health. So while this may be frustrating for you, it is actually a sign of your little one's good health! If your baby is keeping you awake at night, you can try to get some sleep during the day. Even a short nap can help you feel refreshed.

Sleep-Easy Tips

Here are some other ways to get a good night's sleep:

    • Cut out all caffeine in your diet.
 
    • Get some exercise each day. Studies show that regular exercise promotes better sleep. Walking is a great choice for pregnant women. For more information on exercising during pregnancy, see Get Moving!.
 
    • Try drinking a glass of warm milk just before bedtime.
 
    • Finally, do not take any over-the-counter medications or herbal preparations to help you sleep. Always check with your doctor before treating a symptom on your own.
 
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Member comments

I urine all night even if I dont,,consume liquids,,before bed time,,

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