Video: Is it safe to have sex during pregnancy and other lifestyle questions?

Playlist: Pregnancy Lifestyle Q&A

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Is it safe to have sex during pregnancy?

Dr Sarah Jarvis MBE, FRCGP

01:07

Is it safe to have sex during pregnancy?

Dr. Sarah Jarvis MBE, FRCGP

01:09

What food should you avoid when pregnant?

Dr. Sarah Jarvis MBE, FRCGP

00:31

How does pregnancy affect diabetes?

Dr. Partha Kar, FRCP

00:57

Is the flu dangerous during pregnancy?

Dr. Sarah Jarvis MBE, FRCGP

00:38

Can you go to the farm when pregnant?

Dr. Sarah Jarvis MBE, FRCGP

00:58

Can you use a hot tub when pregnant?

Dr. Sarah Jarvis MBE, FRCGP

02:09

How do I take care of myself during pregnancy?

Dr. Sarah Jarvis MBE, FRCGP

Is it safe to have sex during pregnancy?

Dr Sarah Jarvis,

For most otherwise healthy woman it’s absolutely safe to have sex during pregnancy. There is no evidence that having sex in first three months of pregnancy increases your risk of miscarriage. There is a rare complication of pregnancy called placenta previa where the placenta is low lying and sometimes it actually lies over the neck of the womb. Other than in situations like that, having sex later in pregnancy is perfectly safe too.

Obviously, you might find a little bit awkward to have really energetic sex especially in a later stages of pregnancy. But you can always save that for afterwards. Now different women have very different views about sex during pregnancy. Some women feel ugly, unattractive. Some women feel blooming and can’t wait to take their man to bed. That depends on lots of things, your hormones, your mood, your upbringing, the attitude you’ve been brought up with the bed sex. Whichever way, it’s absolutely fine, just make sure that you and your partner continue to communicate.

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What food should you avoid when pregnant?

Dr Sarah Jarvis,

There is a long list of foods that ideally, we recommend you don't eat during pregnancy because there is a very small risk of infection. Even though that risk is small because it can damage your baby or cause premature labour, we do suggest better safe than sorry. So, the list includes, any soft cheese with skin, any soft blue veined cheese, unpasteurised milk, raw shell fish, pâtés of any description whether vegetable or meat, liver of any kind and raw or under cooked meats.

We also recommend that salads and vegetables should be really really well washed because of small risk of an infection called toxoplasmosis. The good news is that, there are lots of delicious foods that you can eat during your pregnancy and hot off the press, we now recommend that you can have raw or under cooked eggs as long as they have been vaccinated against salmonella which means that they have the British Lion brand.

How do I take care of myself during pregnancy?

Dr Sarah Jarvis

Taking care of yourself and your baby in early pregnancy is actually starts before ever get pregnant. So, stopping smoking, getting down to your ideal weight, avoiding alcohol, taking vitamin-D and folic acid supplements, should all start before you start trying to get pregnant. If you are taking regular medication particularly for epilepsy, it’s really important to see your doctor before that.

The same thing applies if you have type 1 diabetes and taking insulin. You want to get in a best possible shape to get pregnant. Once you are pregnant, you’re probably going to feel exhausted, especially in those first 12 weeks before anybody else knows that you are pregnant. Because so much of the work of forming your baby happens during that time. Do make sure that you have plenty of time to relax, even if nobody is allowed to know that you are pregnant.

If you have drunk alcohol before pregnant or before pregnancy or before you knew you are pregnant then don't worry too much about it but do try to avoid alcohol and indeed any medication if you can during those first 12 weeks in particular. Exercise, yes, you can exercise but no bungee jumping, no trampolining, nothing too strenuous, especially in the first 12 weeks. Don't forget that your ligaments are starting to change in order to accommodate the baby.

We don't know for certain whether flying increases your risk of miscarriage in those first 12 weeks of pregnancy, so, it's up to you to decide, if you want to take a trip. Don't forget you are not eating for two. You don't eat any extra calories during the early stages of pregnancy. But there are quite a lot of foods that you should be avoiding. Talk to your GP and, finally, please don't forget that if you get morning sickness, you really should pass, you may find, that just eating small amount regularly, just having what you feel like and possibly dry digestive biscuits or ginger may help.

How does pregnancy affect diabetes?

Dr Partha Kar

Diabetes and pregnancy have always had an interesting linkage. The important thing to remember is in the preconception stage or when you are planning a pregnancy a woman does need to have a higher dose of folic acid or 5 milligrams of folic acid.

When you are pregnant it is important to be in touch with diabetes specialist team throughout the course of the pregnancy as tight blood glucose control is important, both, for the mother and baby’s well-being.

Is the flu dangerous during pregnancy?

Dr Sarah Jarvis

Infection with the influenza virus, the real thing in other words rather than the common cold, is miserable for anybody. But most people recover without any ill effects. That's not necessarily the case if your immune system isn’t working well.

So, people like for instance, the young, the old people with long term health condition like type 2 diabetes, heart disease, kidney disease, lung disease, problems with the liver. They are all at much higher risk of complications, so are pregnant women. And those complications can affect not just them but their babies too. That's why we recommend that all pregnant women are immunised with the flu virus. It’s not a live virus so it cannot multiply inside your body and that means it cannot do any harm to you or your baby unlike influenza.

Can you go to the farm when pregnant?

Dr Sarah Jarvis

You can go to the farm when you are pregnant but I certainly would not recommend that you help with the lambing. There are certain conditions that pregnant ewes can pass on during lambing season to women in particularly to pregnant women.

Although this risk is small, they are there. They include things like listeriosis, chlamydiosis, toxoplasmosis, and Q Fever and toxoplasmosis can also be passed on by cats. So, by all means go to the petting zoo but don't touch the animals and if you go anywhere near anything just make really sure you wash your hands.

Can you use a hot tub when pregnant?

Dr Sarah Jarvis

On the whole, I don't recommend that patients use hot tubs, Jacuzzis, or saunas while they are pregnant for several reasons. The first is that you can’t lose heat by sweating, if you are in sauna or Jacuzzi or hot tub and since your circulation is very different during pregnancy, for instance, you tend to feel hotter because you have more blood vessels around the surface and you got more blood circulating.

Your blood pressure will also drop and therefore you might feel more light-headed. All of these things make you more prone to over heating or to feeling faint during pregnancy. The Royal College of Obstetricians and Gynaecologists (RCOG) recommends that you shouldn’t exercise at a temperature of more than about 32C and that you shouldn’t be at a temperature of more than about 35C. A hot tub could be up to 40C, so I recommend that you leave it until after you’ve had your baby.