I’m a Pregnant Teen… What Now?: The A-Zs of Pregnancy

Abortion: See Options Counseling

Adoption: See Options Counseling

Alcohol: It is not safe to drink any amount of alcohol during your pregnancy. Drinking during pregnancy may lead to Fetal Alcohol Syndrome (Fetal Alcohol Syndrome) If you are drinking alcohol during your pregnancy, be sure to discuss with your doctor or healthcare provider. If you need help to stop drinking alcohol, the program below can help.
Maternal Assistance Program ph: 717-763-3008

Announcing Your Pregnancy/Telling Others You are Pregnant  Telling others that you are pregnant may cause many different emotions. Some women may be nervous, excited, scared, or worried. No matter how you are feeling, it is important to remember that you don’t have to go through this alone! Be sure to talk to a trusted adult, such as a parent, teacher, coach, pastor, family friend, etc. Once you have decided who you want to talk to, it may still be difficult to figure out how you want to tell him or her. The website below can offer you some advice or tips: Talking to Parents

Baby Doctor: See Pediatrician

Birth Certificate for Baby: Paperwork can be overwhelming and confusing. Don’t worry! The hospital staff will help you through this process. You will be required to fill out a form during your hospital stay for the birth certificate and the rest will be taken care of by the hospital.

Birth Control: There are MANY different options for birth control. You can talk to your doctor or healthcare provider about what options are available, and what might work best for you. You can see what birth control is available at this website, Birth Control Options You can also visit Lebanon Family Health Services (717-273-6741)
*Lebanon Family Health Services offers FREE condoms!*

Body Changes: As your baby grows and changes, your body will grow and change too. You may notice your breasts becoming larger, changes in your skin, and increase weight gain, just to name a few. You may also notice some changes with your mood and emotions. Your hormones are changing, and this may cause you to be more emotional than usual. Be sure to discuss all these changes with your doctor or healthcare provider. You can also learn more from the resources below:

Breastfeeding: Breastfeeding offers many benefits to mom and baby! Breastfeeding helps mom return to pre-pregnancy weight faster, may help reduce risk of post-partum depression, and saves money because you don’t have to buy formula! Breastfeeding helps baby stay healthy by protecting him/her from allergies, infections, and stomach problems, it is more easily digested, and it helps baby bond with mom! Get more info and support from below resources:
GSH Lactation Support Line ph:   717-270-2290
Department of Health www.health.state.pa.us/breastfeeding
La Leche League ph: 1-800-525-3243

Childbirth Classes: There are many things to consider and plan for prior to the time of birth. Be sure to discuss your birthing options and plan with your doctor or provider. To help you feel prepared, consider taking classes! Why Take Childbirth Classes?
Lebanon Pregnancy Center   ph: 717-274-0600
Good Samaritan Health- Maternity ph: 717-270-2320<
Mentor a Mother ph: 717-673-4310

C-section (caesarean section) C-sections can be planned or unplanned, and they may occur for many different reasons. Learn more about this procedure by discussing it with your doctor or provider. You can also read more at the website below:

Car Seat: A car seat is an important safety item to have for baby. Even if you do not drive, a car seat offers a safe way to transport baby when walking; you can carry the car seat or use it in a stroller. Be sure you always read the height and weight requirements to ensure you have the correct seat for your baby. (Learn more here: Finding the Right Car Seat)

If you cannot afford a car seat, one of the following resources may be able to assist you.
Lebanon Pregnancy Center ph: 717-274-0600
Mom Matters  ph: 1-800-642-3550 (for moms who have Gateway insurance only)

Child Birth Classes:Taking child birth classes can be a great way to learn more about your pregnancy and know what to expect during child birth. This can reduce nervousness and anxiety. Taking classes with the father of the baby, friend, or family member can also help you improve your relationship or bond with that person. Classes are available at:

Good Samaritan Health- Maternity ph:    717-270-2320
Lebanon Pregnancy Center  ph: 717-274-0600

Condoms: See Birth Control

Contraception: See Birth Control

Counseling: Physical, mental, and emotional changes occur during and after pregnancy. This is TOTALLY NORMAL! Sometimes we just need someone to talk to! If you thinking counseling would be helpful considering talking to someone from one of these local agencies:

PA Counseling/Renaissance          ph: 717-274-2714
Philhaven  ph: 717-274-9777
TW Ponessa  ph: 717-273-5992
Lebanon Pregnancy Center            ph: 717-274-0600

**If you ever feel so sad, angry, lonely, or overwhelmed and you have thoughts or hurting yourself, your baby, or others call Crisis Intervention 717-274-3363. Someone is available to speak with you any time day or night!

Delivery: See Labor & Delivery

Depression: First know that this is TOTALLY NORMAL! One in four women experience depression during their lifetime. (Learn more here: Depression During Pregnancy). If you are having any of the below symptoms, speak with your doctor or provider.

  • Persistent sadness
  • Difficulty concentrating
  • Sleeping too little or too much
  • Loss of interest in activities that you usually enjoy
  • Recurring thoughts of death, suicide, or hopelessness
  • Anxiety
  • Feelings of guilt or worthlessness
  • Change in eating habits

You can also see the Counseling section for contact information for local counselors.
Diet:See Nutrition

Dental Care During Pregnancy:It is important to continue preventative cleanings and regular exams during pregnancy. Always inform your dentist or any doctor or provider of your pregnancy before you receive any medical or dental care. Learn more here: Dental Care During Pregnancy If you do not have a dentist, call your insurance company to see which dental offices your insurance is accepted.

Lebanon Ridge Oral Health in Lebanon offers affordable dental care. They can be reached at 717-272-2700

Drugs:Using illegal drugs or using prescription drug incorrectly can be harmful to anyone. It is especially dangerous when a woman in pregnant. It can not only cause harm to the mother, but also the unborn baby. Using illegal drugs may lead to issues such as miscarriage, low birth weight, premature labor, placental abruption, fetal death, or even maternal death. Read about specific effects from various drugs here: Drug Use During Pregnancy If you need help to stop using any drugs, Maternal Assistance Program (MAP) can help.

Maternal Assitance Program      ph:    717-763-3008

DNA testing:See Paternity Testing

Education:See schooling

EmploymentMost females are able to continue working or attending school during pregnancy. You may experience some new challenges that you did not have prior to being pregnant. Always discuss these concerns with your doctor or provider. Your doctor may be able to provide a medical letter to have appropriate accommodations made for you in the work place or school setting.

Dos and Don’ts of Working During Pregnancy

Epidural:Epidural anesthesia is regional anesthesia that blocks pain in a particular region of the body. This is the most popular method of pain relief during labor.
Read more here: About Epidurals

Exercise:It can be very beneficial to exercise during your pregnancy. Always discuss the type of activity and duration of exercise with your doctor or provider to ensure your health and safety.
Exercising During Pregnancy

Fetal Development:Your baby will be growing and experiencing many changes during your 40 weeks of pregnancy. Learn how your baby is growing and what he or she looks like by each week using this website: Fetal Development
If you have a Smartphone, you may also download and app that will send you updates and alerts to remind you of how your baby is growing.

Hormones: See Body Changes during pregnancy

Immunizations/Vaccines During Pregnancy: Immunizations, also called vaccines, can help keep you and your growing family healthy. If you are pregnant or planning a pregnancy, the specific vaccinations you need are determined by factors such as your age, lifestyle, medical conditions you may have, such as asthma or diabetes, type and locations of travel, and previous vaccinations. Talk with your doctor or provider to see if you need any immunizations. See what vaccines are safe during pregnancy here: CDC.gov

Job: See Employment

Labor and Delivery: There are many things to think about when it’s time for labor and delivery. The websites below can answer your questions about the signs and symptoms of labor, false labor, the stages of labor, how to manage labor pain, crowning, about induction, and much more. You should also discuss you questions with your doctor or provider.

Medications during pregnancy: ALWAYS talk with your doctor or provider about medications! Pregnant women should not stop or start taking any type of medication that they need without first talking with a doctor or healthcare provider. Women who are planning to become pregnant should discuss the need for any medication with their doctor before becoming pregnant and ensure they are taking only medications that are necessary.
CDC on medications and pregnancy

Mental Health See Counseling

Miscarriage: Miscarriage is the spontaneous loss of a pregnancy before 20 weeks gestation. Some signs or symptoms are:

  • vaginal bleeding or spotting
  • cramping
  • Severe belly pain

**Note—these symptoms may occur during a normal pregnancy. ALWAYS speak with your doctor or healthcare provider if you experience these symptoms during your pregnancy.
Pregnancy Loss/Miscarriage
Having a miscarriage may cause many confusing emotions, and is a difficult experience for many. Be sure to give yourself time to heal, not only physically, but emotionally.
SHAREis a support group for pregnancy and infant loss. If you are interested in participating in this group, you may contact 717-270-2233

Morning After Pill: The Morning After Pill, sometime referred to as Plan B, is an emergency contraceptive that can be used up to five days after having unprotected sex. This pill does NOT cause an abortion. Pregnancy does not happen immediately after sex. The Morning After Pill works by keeping the egg and sperm from joining. Learn more here: Morning After Pill.  Free or low cost emergency contraception is available at:  Lebanon Family Health Services        ph:  273-6741

Morning Sickness: Morning sickness refers to the nauseated feeling you get during the first trimester of pregnancy. Despite it’s name, this nauseous feeling and/or vomiting may occur at any time of day. This ill feeling is caused by the increase of hormones in your body. Read more about morning sickness and some helpful Dos and Don’ts here: Morning Sickness

Nursing: See Breastfeeding

Nutrition: Eating healthy during your pregnancy will help your baby develop healthily! Discuss nutrition tips with your doctor or healthcare provider, and here are a few tips regarding your diet during your pregnancy:

  • It’s NOT true that “you have to eat for two” when you’re pregnant. You do need to increase the amount of calories you eat, but your intake should not double!
  • Stay away from raw fish during your pregnancy
  • Limit your caffeine intake
  • Do not eat undercooked meats or eggs

Nutrition and Pregnancy

WIC     ph: 717-273-6940

OB provider: An obstetrician (OB) is a physician who specializes in the management of pregnancy, labor, and pueperium (the time-period directly following childbirth). It is VERY important to have a doctor provide you prenatal care throughout the duration of your pregnancy. If you do not have a family doctor or OB provider, you may be able to begin your prenatal care at Lebanon Family Health Services

Options Counseling: Your options are to (1) become a parent, (2) adoption, (3) bring your baby to Safe Havenor (4) abortion. If you are unsure, you may talk with someone about your options. These agencies can talk to you about your options:

Susquehanna Pregnancy Center          717-274-0600
Parenting Options                                     717-761-7380              after hours 717-512-7007
Safe Haven*                                                 1-866-921-7233

*Safe Haven is a hospital program that allows you to leave your baby at the hospital with no questions asked/no information required. You will not get in trouble, as long as the baby has not been harmed or abused.

Pediatrician: It is VERY important to make sure you have a baby doctor, or a pediatrician, chosen for your baby BEFORE your baby is born. The baby’s first doctor appointment occurs only a few days after he/she is discharged from the hospital. Choosing a baby doctor before the baby is born makes scheduling your baby’s first appointment much easier. Talk to your healthcare provider about suggestions on which baby doctor to use. You may also contact your insurance company to see which doctor’s offices are accepting your insurance plan. You can find a Members Services phone number on the back of your insurance card.

Prenatal Care: Prenatal care is the health care you get while you are pregnant. Prenatal care can help keep you and your baby healthy. Some family doctors provide prenatal care. Talking to your family doctor about your pregnancy is a great place to start. If you do not have a family doctor, you may go to Lebanon Family Health Services for your prenatal care.

Prenatal Vitamins: Prenatal vitamins consist of a variety of vitamins and minerals that help you baby get the nutrients that are essential for healthy development. Talk to your doctor or healthcare provider about which vitamins to take and where to get them.
Prenatal Vitamins

Postpartum Depression: Postpartum depression can begin any time during the first two months after you give birth. Symptoms may include:

  • Irritability or hypersensitivity
  • Difficulty concentrating
  • Anxiety and worry
  • Crying or tearfulness
  • Anger
  • Negative feelings such as sadness, hopelessness, helplessness, or guilt
  • Loss of interest in activities you used to enjoy
  • Difficulty sleeping
  • Fatigue or exhaustion
  • Changes in appetite or eating habits
  • Headaches, stomachaches, muscle or backaches

If you’re concerned, talk to your healthcare providers; they can diagnose your symptoms and refer you to a counselor if needed. Also see Counseling for more information.

Safe Haven Law: Safe Haven is a law that allows mothers to safely, legally, and confidentially leave their baby (under 28 days old) at any hospital if they no longer are able to or want to care for their baby. There is NO criminal prosecution for using the Safe Haven law, as long as the baby has not been harmed. Babies can be left with any hospital staff member or if a person is unwilling or unable to wait, they will be directed by signs on where to place the baby. Many hospitals have bassinets located near entryways where babies can be placed.

Understand more about this law here: Facts on Safe Haven Law

Sex During Pregnancy Unless your health care provider advises you otherwise, sex during pregnancy is safe for you and your baby. If you have questions or concerns about being sexually active duringyour pregnancy, talk with your doctor or healthcare provider. You can also learn more here: Sex During pregnancy

You can finish school if you become pregnant!! In fact, finishing school is the best thing for you and your baby. Finishing school builds confidence and self respect. Having your degree will open up more opportunities later in life. Though finishing school as a mom may seem overwhelming, there are options available. Talk with a school counselor, social worker, or teacher about completing school.

You can also get help from ELECT, a program designed specifically to help pregnant or parenting students finish school. Call 717-269-3285or email Marjorie_cahoon@iu13.org

Smoking and Tobacco Use: Smoking or using tobacco products not only puts yourself at risk, but also creates health risks for your baby. Smoking or using tobacco may cause premature birth, birth defects, or infant death. Click on the link to read more information about Smoking During Pregnancy .  Talk to your doctor or healthcare provider about how to reduce and/or quit smoking.   Lebanon Family Health Services offers smoking cessation classes, and there are classes available specifically to pregnant women.

Spotting Spotting during pregnancy is a common concern that many pregnant women face. Light bleeding or spotting during pregnancy is common, especially during the first trimester. Usually this is no reason to worry; however, it is best to always inform your doctor or healthcare provider of what you are experiencing. Read more about Spottingby clicking the link.

STIs (Sexually Transmitted Infections) STIs (Sexually Transmitted Infections), also known as STDs (Sexually Transmitted Diseases) are infections passed from person to another person via sexual contact or bodily fluids. STIs can cause many of the same health problems in pregnant women as women who are not pregnant. But having an STI also can threaten the pregnancy and unborn baby’s health. ALWAYS talk to your doctor or healthcare provider about questions or concerns regarding STIs.

Facts on STIs

You can get treated at Lebanon Family Health Services

Trimesters There are three trimesters during pregnancy. Learn about each trimester by clicking on this link: Stages of Pregnancy

Traveling during pregnancy It is generally safe to travel at all times during your pregnancy, unless there are identified complications or concerns with your pregnancy or your doctor or healthcare provide advise you otherwise. Traveling During Pregnancy

Ultrasound The ultrasound is a noninvasive procedure that, when used properly, has not demonstrated fetal harm. It is an exam that scans the woman’s belly and creates a picture of the baby. There are various types of ultrasounds, and various reasons that they are performed. Parents often like having ultrasounds because it gives them the opportunity to see their baby, and often times they can identify if the baby is a boy or a girl. Talk with your healthcare provider to learn when you will have your ultrasound. You can also learn more here: Prenatal Ultrasounds

Vaginal Delivery Vaginal birth is the natural process of your uterus contracting (tightens up and then relaxes) to help push your baby out through the vagina. This is how most babies are born. Vaginal Birth

Vaccines: See Immunizations/Vaccines during pregnancy

Vitamins: See Prenatal Vitamins

Weight Gain Weight gain is a normal part of pregnancy. The amount of weight you should gain during your pregnancy depends on your body type and your pre-pregnancy weight. Discuss this with you doctor or provider. You can also learn more about body changes here:

Work: See Employment