If you’re at risk or have preeclampsia, you may wonder what recovery may look like. Recovery after preeclampsia is different for everyone. And it involves tending to your emotional well-being as well as your physical health.

Please feel reassured that your healthcare team is always a phone call away. Your Progyny Care Advocate is also here for support.

Self-care at home

When you leave the hospital, your team will give you instructions about steps to take, signs to look for, and when to call. If anything isn’t clear, it’s always OK to reach out to your hospital care team or the provider who cared for you during your pregnancy.

Your recovery plan will depend on many things. This includes how severe the preeclampsia was and any complications you may have had.

Many people may take these steps once they’re back home:

• Check your blood pressure. Your team will show you how to do this, how often, and go over what to look for.
• Keep your follow-up visits. These are a chance to ask questions and see how you’re doing. More on this below.
• Take medicine as prescribed. If you’re chestfeeding or pumping, your healthcare provider will choose a medicine that is safe for your baby.

It’s always OK to call if anything just feels “off.”

Emotional recovery

Preeclampsia is stressful and can even be traumatic for some people. Whatever you feel is valid – and help is available.

Many people find it helpful to talk about their feelings with family, friends, or others who have been through a similar experience. Managing your recovery with a newborn can be extra challenging, so lean on others for day-to-day support.

It’s common to talk with a therapist as you process your preeclampsia experience. Your doctor or Progyny Care Advocate can help you find a licensed therapist who is a good fit for you. You may also have access to mental health support and resources from your employer.

What can I expect with my blood pressure?

For many people, blood pressure will go up in the days after birth. Your team will monitor you since you will likely be in the hospital during this time. Then, it typically goes down over a period of about 3 weeks and levels off, although this varies.

After delivery, all birthing people are still at risk for developing preeclampsia for up to 6 weeks after birth. It’s more likely in the first week. If you have any signs of preeclampsia when you’re back home, let your provider know right away. You may need treatment in the hospital.

Some people may be prescribed medicine to keep blood pressure in a safe range. These medicines are often decreased and stopped by the 6-week visit.

After recovering from preeclampsia, many people do not have blood pressure issues. But preeclampsia does put you at risk for long-term high blood pressure (chronic hypertension). This is part of the reason it’s important to follow up with:

• Your care team after delivery
• Your primary care provider after the postpartum period

Follow-up care

People with preeclampsia or other complications need extra follow-up visits.

You may have multiple visits in the first days and weeks after birth. And you’ll continue to see your primary care provider at least every year to support your ongoing health. You and your team may:

• Check your blood pressure
• Do bloodwork, urine checks, or other tests as needed
• Discuss your baby’s feeding plan
• Adjust medicines that are safe for you and your baby
• Talk about how you’re doing emotionally
• Explore lifestyle changes to support your health
• Transition to your OB/GYN or primary care provider if you were seeing a specialist

Your Progyny Care Advocate can talk with you before or after your visits. We’ll help you prepare and understand the information your provider shared.

What about the baby’s recovery?

Recovery for a baby will depend on many things, like when the baby was delivered.

Many babies are healthy and recover well. If your baby is born early or needs special care, your team will be with you every step of the way. Support is also available from professional counselors and support groups.

Your takeaway

Recovery from preeclampsia can vary widely, but you will not be alone. Talk with your healthcare team about anything that’s on your mind and reach out to your Progyny Care Advocate for support and resources.

Explore related topics in this series:  

• Postpartum preeclampsia: Know the risks after birth 

• How can preeclampsia affect my future health? 

Disclaimer: The information provided by Progyny is for educational purposes only and is not medical advice. Always consult a qualified healthcare provider for medical guidance.

The post Recovery after preeclampsia appeared first on Progyny.

If you have preeclampsia, you and your healthcare team will be focused on your safety throughout pregnancy and postpartum. Another important area to think about is your future health. 

Let’s start with this: you can take small steps to help stay healthy. And you always have support by your side. In fact, by reading this article you’re on your way. It’s a great idea to talk about your possible health risks with your team and ask how they can help you.  

Risks from preeclampsia 

Preeclampsia usually goes away after delivery, and most people fully recover. 

Even so, preeclampsia does raise your risk for some health conditions in the future. You may be more likely to have: 

• Preeclampsia in a future pregnancy 

• Chronic hypertension (ongoing high blood pressure outside of pregnancy) 

• Heart disease or stroke 

• Kidney disease 

Be sure to talk with your provider. Everyone is different, and your risk may depend on things such as: 

• How severe your preeclampsia was 

• How early your preeclampsia developed 

• Other health risk factors you may have 

In this video, Dr. Thomas Kishkovich, maternal-fetal medicine specialist at Columbia University Medical Center, talks about ways to help manage future risks from preeclampsia. 

What can I do to protect myself? 

You and your provider can talk about what’s recommended for you. You’ll think about your health history, lifestyle, and plans. 

Managing your blood pressure 

Keeping your blood pressure in a healthy range can help lower your risk of developing preeclampsia in a future pregnancy. It also helps lower your risk of heart disease and stroke. Your provider will let you know what your blood pressure goal is. 

Here are some ideas that may help reduce blood pressure: 

• Eat balanced meals rich in fiber, potassium, protein, fruits, and vegetables — and low in salt, sugar, and saturated fat. Limit alcohol as well. 

• Get 30 minutes of physical activity at least 5 days a week. 

• Manage stress in ways you enjoy. Ideas include deep breathing, time outside, a gratitude journal, and connecting with others. 

• Prioritize sleep by going to bed and waking up at the same time each day. 

If it applies to you, chestfeed your baby if you can. Studies show this may lower your risk of high blood pressure and heart disease. If you take medicine for high blood pressure, your provider will choose one that is safe for your baby. 

Future pregnancy 

If you become pregnant again, your provider will work with you to manage your preeclampsia risk. For example, they may recommend: 

• Taking low-dose aspirin 

• Frequent checkups  

• Urine and blood tests 

• Checking your blood pressure at home 

For extra care and planning, you may also work with a maternal fetal medicine specialist (an expert in higher-risk pregnancies). 

Checkups and screenings 

Your team will let you know which checkups and screenings you may need over time. These may include: 

• Blood tests for glucose (sugar) and cholesterol levels  

• Blood tests and urine checks for kidney health 

• Regular blood pressure measurements 

Always be sure to tell any future providers you had preeclampsia. 

Birth control 

If you have high blood pressure outside of pregnancy, your provider may recommend that you do not use birth control with estrogen. This includes certain birth control pills and the patch. 

Emotional support 

You might find it helpful to lean on others as you manage emotions, cope with stress, and make small changes to stay healthy. You may wish to try these ideas: 

• Take regular walks with a friend or coworker.  

• Ask your family to join you in preparing healthy meals. 

• Talk to a family member or friend about how you’re feeling. Sometimes we need a listening ear. 

• Explore mental health benefits and coverage you may have from your employer. 

• Connect with your Progyny Care Advocate (PCA) for support and resources. 

• Ask your provider about finding a licensed therapist to help you manage the range of emotions you may feel. 

Looking ahead: You’ve got this 

Your healthcare team will work with you step by step on your journey. You can also reach out to your PCA for information, lifestyle tips, and emotional support. 

Explore related topics in this series:  

• High blood pressure in pregnancy: Get informed to stay safe 

• Recovery after preeclampsia 

Disclaimer: The information provided by Progyny is for educational purposes only and is not medical advice. Always consult a qualified healthcare provider for medical guidance. 

The post How can preeclampsia affect my future health? appeared first on Progyny.

When you’re pregnant, it’s helpful to learn about all sides of pregnancy. This includes the exciting things to plan for, as well as the possible risks to know about.

Preeclampsia is a type of high blood pressure that happens during pregnancy or after childbirth. If you’re at risk, you’ll work closely with your healthcare team to stay safe.

Most people with preeclampsia recover and have healthy babies. Sometimes, though, preeclampsia requires the baby to be born early.

We’ll talk about this at a high level in this article, but this is not medical advice. Every situation is unique, so be sure to talk with your healthcare provider about your plan together.

When is the baby delivered early?

Preeclampsia is caused by the pregnancy itself, so your plan will carefully balance the risks for you and your baby’s health. An early delivery is recommended in certain situations. You and your healthcare team will create the plan that is safest for you and the pregnancy.

When preeclampsia is first diagnosed, you may be admitted to the hospital for several hours or even a day or two. This allows your team to monitor your blood pressure, do bloodwork, and check the baby’s well-being.

• With mild preeclampsia, the goal for delivery is generally 37 weeks of pregnancy, which is early but not preterm. If you’re diagnosed before this, you may check your blood pressure at home, take medicine, and have more frequent checkups and testing (including ultrasounds and monitoring the baby’s heart rate). If you’re diagnosed after 37 weeks, delivery is often recommended.
• With severe preeclampsia, people are often admitted to the hospital for close monitoring of the pregnant person and baby. Delivery may be recommended earlier, around 34 weeks of pregnancy.

You and your provider will talk about which kind of delivery is best for you:

• Using medication to induce labor and try a vaginal delivery
• Having a C-section

It will depend on your health, how severe the preeclampsia is, and how far along you are in the pregnancy.

What happens after delivery?

If the baby is born healthy at 37 weeks or later and you do not have complications, you may be monitored in the hospital and sent home.

If the baby is born before 37 weeks, the baby may need to stay in the neonatal intensive care unit (NICU). The type of care depends on the baby’s gestational age, development, and condition. Depending on your health, you may also need to stay in the hospital for care or monitoring.

Preeclampsia can also happen up to 6 weeks after birth. Listen to your body and call your provider if you have any warning signs or anything feels wrong.

Know the warning signs.

You may not feel any symptoms with preeclampsia. Often, you can’t feel high blood pressure.

This is why your appointments during and after pregnancy are key. It’s a chance for your healthcare provider to check your blood pressure and urine to make sure you and the baby are doing well.

Sometimes, preeclampsia does have warning signs. If you have any of these, get medical help right away. It’s always OK to call if anything just feels “off.”

Some of these (like swelling or headaches) may be similar to symptoms that can happen during pregnancy. For your safety, always call if you have any of these symptoms.

Planning for the unexpected

We can’t see the future or know what will happen. But you are already doing some of the best things you can to keep yourself and your baby safe:

• Learning about possible risks, warning signs, and when to call
• Talking with your healthcare team about your personal situation
• Working together on a plan to help you stay safe
• Asking questions and let your team know what’s on your mind

We know this can be stressful or bring on a range of emotions for many people. Remember, you are not alone.

If you’re at risk or dealing with health concerns, it can be helpful to talk with someone about how you’re feeling. Please talk with your provider or reach out to your Progyny Care Advocate for support and resources.

Explore related topics in this series:  

• How is preeclampsia managed during pregnancy? 

• Postpartum preeclampsia: Know the risks after birth 

• Recovery after preeclampsia 

• How can preeclampsia affect my future health? 

Disclaimer: The information provided by Progyny is for educational purposes only and is not medical advice. Always consult a qualified healthcare provider for medical guidance.

The post Could preeclampsia affect my birth plan? appeared first on Progyny.

Your pregnancy and postpartum checkups are a great chance to ask questions and track your baby’s progress. They also help your healthcare provider look for possible warning signs early.

In fact, every visit should include a blood pressure check. High blood pressure during pregnancy can be dangerous for you and the baby. It often doesn’t cause symptoms you can feel.

If you’re at risk, your provider may ask you to check your blood pressure at home, as well. You’ll work together on a plan that’s right for you.

Types of high blood pressure during pregnancy

In general, your blood pressure is considered high during pregnancy if it’s 140/90 or higher. It’s high if either the top (systolic blood pressure) or the bottom (diastolic blood pressure) number is high.

There are several related blood pressure conditions:

• Chronic hypertension is high blood pressure that someone has before becoming pregnant, or that develops during the first half of pregnancy.
• Gestational hypertension is high blood pressure that starts after the 20th week of pregnancy. It does not involve protein in the urine.
• Preeclampsia is gestational hypertension that typically begins in the last few weeks of pregnancy or up to 6 weeks after birth. Preeclampsia shows signs of organ damage, including protein in the urine or changes in bloodwork.
• Eclampsia is a serious complication of preeclampsia involving seizures that can be life-threatening.
• HELLP syndrome is a severe form of preeclampsia. It affects the blood and liver, and can be life-threatening.

Provider visits can help keep you safe.

Going to your pregnancy and postpartum checkups is one of the best things you can do to protect yourself.

Routine blood pressure checks and other tests give important clues about your health. Urine and blood tests let your provider know the difference between gestational hypertension and preeclampsia. For example, these tests check:

• If the kidneys are leaking protein in the urine
• If the kidneys, liver, and platelets have been affected by high blood pressure

If you have any issues going to your checkups, reach out to your healthcare team. They will work with you to find solutions and support you. You can also reach out to your Progyny Care Advocate for additional support and guidance.

Explore related topics in this series:  

• High blood pressure in pregnancy: Get informed to stay safe 

• How is preeclampsia managed during pregnancy?
• How to take your blood pressure at home

Disclaimer: The information provided by Progyny is for educational purposes only and is not medical advice. Always consult a qualified healthcare provider for medical guidance.

The post Blood pressure: Get measured at every visit appeared first on Progyny.

If you’ve learned that your partner is at risk for preeclampsia, it can be an emotional experience for both of you. You may be wondering about the best ways to help.

We’ll go over what preeclampsia is and share ideas for supporting your partner — and yourself.

What is preeclampsia?

Preeclampsia is high blood pressure that starts during pregnancy or after childbirth. It may come on suddenly, and it usually begins:

• In the last few weeks of pregnancy (though it can start as early as 20 weeks)

• Up to 6 weeks after giving birth

With prompt diagnosis and treatment, most people with preeclampsia recover and have healthy babies.

But without proper treatment, preeclampsia may cause serious problems. This can include organ damage and seizures. For the baby, it may cause slowed growth or being born early. In severe cases, it may be life-threatening.

Know the warning signs. Be an advocate. 

One of the most important things you can do is know the warning signs so your partner can get help quickly.

Preeclampsia doesn’t always cause symptoms. And sometimes people may downplay what they feel or think it’s a normal part of pregnancy.

If your partner has any of these warning signs, call their provider or 911. It’s always OK to call if anything just feels “off.”

Provide support at checkups. 

Your partner may have frequent checkups during pregnancy or after birth. Here are ideas for supporting them:

1. Ask your partner if it would be helpful to go to checkups together. 

2. Give rides and help solve scheduling conflicts or other issues. 

3. Help take notes and bring questions to appointments. 

4. Ask the provider to explain things in another way if anything isn’t clear. You can ask questions like: 
   
   
   
   • “What is the next step for us to do?” 
   
   
   • “What are we watching for, and why?” 
   
   
   • “When do we call you, and when do we get emergency help?”  
   
   

Help with the care plan at home. 

Your partner and their healthcare team may have a care plan to help lower risk and spot signs of a problem early. You can play a key role in that plan.  

Depending on what is recommended, you may help: 

• Check blood pressure. Remind your partner to check their blood pressure at the same time every day.

• Know when to call. Learn the blood pressure cutoffs for when to call and when to get emergency help.

• Stay on track with medicine. Help your partner remember to take aspirin or other medicine as recommended.

• Take part in a healthy lifestyle. For example, you may cook and eat healthy meals together. Walking together (if advised) can help you both stay active and help manage stress.

Learn about birth possibilities. 

If preeclampsia develops, the baby may need to be delivered early. This may mean using medication to induce labor or having the baby by C-section. 

Things can change quickly. Here are a few ideas to consider as you get ready for the unexpected: 

• Have the hospital bag packed and ready. 

• Help sort out coverage plans for work, childcare, or pet care. 

• Plan how you’ll communicate with loved ones. 

Be on the lookout after birth.

Preeclampsia is still a risk after birth. Postpartum preeclampsia usually begins in the first 2 days after birth, but it may happen any time in the first 6 weeks. The signs are the same as during pregnancy.

When you go to appointments, always mention that your partner was recently pregnant.

Take care of yourself too. 

Supporting someone who’s at risk for preeclampsia can be challenging. It often brings up a range of feelings.

Keep in mind, being strong and supportive doesn’t mean you need to do everything alone or hide your emotions. 

• Share how you’re doing with someone you trust — a therapist may also be a good option.

• Let people know how they can help. Often, people want to help but aren’t sure how. It’s OK to ask directly and rely on your support network.

• Do something that grounds you every day. Ideas include physical activity, music, reading, or cooking. Whatever brings you moments of calm.

Your Progyny Care Advocate is also here to support you and your partner with resources and clinical guidance.

Explore related topics in this series: 

• High blood pressure in pregnancy: Get informed to stay safe 
• How to take your blood pressure at home
• Could preeclampsia affect my birth plan?

Disclaimer: The information provided by Progyny is for educational purposes only and is not medical advice. Always consult a qualified healthcare provider for medical guidance. 

The post My partner is at risk for preeclampsia: How can I help? appeared first on Progyny.

There are so many exciting aspects of pregnancy and having a baby. One area that’s harder to think about is problems to look out for. Fortunately, knowing the basics and talking with your provider can help protect your health and your baby’s health.

Let’s talk about preeclampsia, a type of high blood pressure that happens during pregnancy or after childbirth. It affects up to 1 in 12 pregnancies and has become more common over time – so getting informed is important.

We’ll go over the basics together. Your healthcare team is at your side throughout pregnancy and afterwards to support you.

What is preeclampsia?

Preeclampsia is high blood pressure that starts during pregnancy or after childbirth. It may come on suddenly, and it usually begins:

• In the last few weeks of pregnancy (though it can start as early as 20 weeks)
• Up to 6 weeks after giving birth

With prompt diagnosis and treatment, most people with preeclampsia recover and have healthy babies.

But without proper treatment, preeclampsia may cause serious problems. This can include organ damage (such as the kidneys, liver, lungs, or brain) and seizures. For the baby, it may cause slowed growth or being born early. In severe cases, it may be life-threatening.

This can be hard to think about, but learning more puts you in a powerful position.

Am I at risk?

Preeclampsia can happen to anyone, although some people have a higher risk. Risk factors include:

Personal risk factors

• Age 35 or older
• Body mass index (BMI) of 30 or more before pregnancy
• Mother or sister had preeclampsia
• Being Black, Native American, or Alaska Native
• Having a lower income

Pregnancy-related risk factors

• Had preeclampsia in a pregnancy before
• This is your first pregnancy
• Carrying multiples (twins or more)
• Used in vitro fertilization (IVF) to become pregnant

Health-related risk factors

• Chronic high blood pressure
• Diabetes or gestational diabetes (diabetes during pregnancy)
• Kidney disease
• Autoimmune disease such as lupus

In this video, Dr. Thomas Kishkovich, maternal-fetal medicine specialist at Columbia University Medical Center, talks about lowering your risk for preeclampsia. 

Know the warning signs.

You may not feel any symptoms with preeclampsia. Often, you can’t feel high blood pressure.

This is why your appointments during and after pregnancy are key. It’s a chance for your healthcare provider to check your blood pressure and urine to make sure you and the baby are doing well.

Sometimes, preeclampsia does have warning signs. If you have any of these, get medical help right away. It’s always OK to call if anything just feels “off.”

Some of these (like swelling or headaches) may be similar to symptoms that can happen during pregnancy. For your safety, always call if you have any of these symptoms.

Diagnosing preeclampsia

Preeclampsia is diagnosed if blood pressure is 140/90 or higher. It’s high if either the top (systolic blood pressure) or the bottom (diastolic blood pressure) number is high.

Your provider may also check for protein in the urine, a sign that the kidneys have been affected by high blood pressure. Blood work may show other signs of preeclampsia.

What can I do?

Be sure to go to all your pregnancy and postpartum appointments. By working closely with your healthcare team, you’re taking big steps to keep yourself and your baby healthy.

To lower your risk, your doctor may recommend that you:

• Start low-dose aspirin between 12 and 16 weeks of pregnancy. This has been shown to reduce preeclampsia risk.
• Take other medicine as prescribed to help manage blood pressure or other conditions.
• Check your blood pressure at home. Your team will show you how to do this and go over what to look for.
• Eat balanced meals rich in fiber, potassium, protein, fruits, and vegetables – and low in salt, sugar, and saturated fat.
• Stay physically active. It has many benefits for your health and pregnancy, including lower risk of preeclampsia.
• Chestfeed your baby if you can. Studies show this may lower your risk of heart disease.

Sometimes, preeclampsia needs to be managed in the hospital, and it’s possible for the baby to be delivered early.

Preeclampsia often goes away after birth. But you are still at risk after having the baby. Listen to your body and call your provider if you have any warning signs.

Your takeaway

You can take steps to help lower your risk and catch preeclampsia early, and your healthcare team is here to support you. Your Progyny Care Advocate is also available to answer questions and help you get ready for your upcoming visits.

Explore related topics in this series:  

• Blood pressure: Get measured at every visit 

• Does IVF raise the risk of preeclampsia? 

• How is preeclampsia managed during pregnancy? 
• How to take your blood pressure at home

Disclaimer: The information provided by Progyny is for educational purposes only and is not medical advice. Always consult a qualified healthcare provider for medical guidance.

The post High blood pressure in pregnancy: Get informed to stay safe appeared first on Progyny.

You may have heard it called a “birth plan,” but a better term might be a birth wish list.

Labor and delivery can be unpredictable, and things don’t always go according to plan. A birth wish list reflects this reality and allows you to share your hopes and priorities while staying flexible if circumstances change.

What is a birth wish list?

It’s a simple summary of your preferences for labor, delivery, and newborn care. A wish list can help you outline your goals, indicate any concerns, and share what’s important to you with your care team.

Rather than mapping out every detail, think of it as a conversation starter that keeps everyone on the same page while leaving room for the unexpected.

Benefits of writing a list 

In the process of creating one, you can:

• Clarify what’s most important to you

• Reduce anxiety about labor and delivery

• Help your partner or support person advocate for you

• Encourage meaningful conversations with your healthcare provider about your options

Even if every preference isn’t possible, having these discussions can help you feel more prepared and supported.

What do you want to include in your list?

Keep your list focused on what matters most to you. Aim for one page, use bullet points, and review it with your provider before your due date.  

Here are some common areas to consider: 

Labor and comfort 

Think about how you’d like to experience labor and what will help you feel calm and supported. 

• Who would you like in the room with you? 

• Do you want freedom to move around or try different labor positions? 

• What environment feels most comforting (dim lighting, music, limited interruptions)? 

• Are you interested in medical pain relief methods, non-medical options, or a combination? 

• How would you like your care team to communicate with you during labor? 

Delivery preferences  

If you’re planning a vaginal birth, you may want to consider: 

• Would you like your support person involved (encouragement, counting during pushing, cutting the umbilical cord)? 

• Do you prefer immediate skin-to-skin contact after birth? 

• Would you like delayed cord clamping? 

• What are your preferences regarding cord blood collection? 

• Would you prefer that newborn assessments happen while your baby remains on your chest, if possible? 

If a C-section becomes necessary or is planned, consider including: 

• Would you like immediate skin-to-skin contact in the operating room, if possible? 

• If you’re unable to hold your baby right away, would you like your support person to provide skin-to-skin contact? 

• Would you like your provider to explain what’s happening during the procedure? 

• Are you interested in viewing the delivery through a clear drape or mirror, if available?  

After birth 

Your wish list can also include newborn care preferences. 

• How do you plan to feed your baby (breastfeeding, bottle-feeding, combination feeding)? 

• Do you prefer your baby to room-in with you, stay in the nursery at certain times, or always remain with you if available? 

• Who would you like to be around during the first hours after delivery? 

If plans need to change

Birth can be unpredictable. You may want to include a note about communication. For example, if your provider has a recommendation, you can ask them to explain it or answer your questions before a final decision is made.

Final thoughts 

Every birth experience is unique. Focus on what matters most to you, keep your list simple, and stay open to the unexpected. Your care team’s shared goal is a safe and healthy delivery for you and your baby.

If you’d like a template to get started, we suggest using this one from the American College of Obstetricians and Gynecologists. Be sure to review it with your provider during a prenatal visit.

If you have questions or concerns, Progyny is here for you. Please contact your Progyny Care Advocate for support.

Disclaimer: The information provided by Progyny is for educational purposes only and is not medical advice. Always consult a qualified healthcare provider for medical guidance.

The post Planning for labor and delivery: your birth wish list appeared first on Progyny.

Pregnancy brings many changes to your body and your daily life. Talking openly with your healthcare provider can help you understand what’s happening and what to expect next.

There are many questions that come up during pregnancy. The good news is that you don’t need to have all the answers already. In addition to your provider, you have your Progyny Care Advocate to guide you, answer questions, and support you through each step.

Preparing for appointments 

Appointments can feel short, and it’s easy to forget questions in the moment. Preparing ahead of time can help you get the most out of each visit.

You may find it helpful to: 

• Write down questions or concerns. 

• Bring a support person if that feels right for you. 

• Track symptoms, mood changes, or physical discomfort. 

• Take notes during the visit and/or ask for written follow-up. 

There’s no wrong way to prepare. What matters is that your questions get answered. 

Asking questions at appointments 

Questions will come up throughout your pregnancy, and that’s expected. Asking questions helps you understand what’s normal, when to reach out, and how to care for yourself between visits. 

About symptoms and safety 

• What symptoms are normal? Which ones should I call you about?

• Are there warning signs I should watch for between visits?

• What symptoms need urgent care?

About tests and appointments

• What tests or screenings are coming up, and what do they check for?

• What will happen at my next appointment?

• Can you explain this result in simple terms?

About daily life

• Is it safe for me to work, exercise, travel, or have sex right now?

• Are my medications, vitamins, or supplements safe to keep taking? 

• Are there activities I should avoid?

About support and communication

• What’s the best way to contact the care team between visits?

• Who should I call if I have concerns after hours?

There are no “silly” questions. Asking them can help you feel more confident and supported throughout your pregnancy. 

Advocating for yourself 

You know your body best. If something doesn’t feel right, it’s important to say so. You can ask for clearer explanations, more time to decide, or information in plain, easy-to-understand language. 

Advocating for yourself does not mean you’re being difficult. Your provider should listen to your concerns and work with you as a partner. 

Communicating between appointments 

Questions don’t always wait for your next visit. Many practices offer phone lines or patient portals for concerns between appointments.

Ask your provider about: 

• How to reach the care team

• When to call right away

• What symptoms need urgent care

Knowing how and when to reach out can help you feel supported throughout your pregnancy. For urgent questions or symptoms, such as bleeding or severe pain, call your care team. Call 911 if it’s an emergency. 

Building a partnership in care 

Pregnancy care works best when you and your provider work together. Open communication helps you make informed decisions and feel confident in your care.

Trust your instincts. Ask questions. Take notes. You deserve clear information, respect, and support at every stage of your pregnancy.

Progyny is here for you, too. Please contact your Progyny Care Advocate for support.

Disclaimer: The information provided by Progyny is for educational purposes only and is not medical advice. Always consult a qualified healthcare provider for medical guidance.

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You may think about your menstrual cycle at least once a month, or maybe much more if you’re hoping to become pregnant. But how well do you know what’s really happening in your body? If it’s a little unclear, you’re not alone.

Let’s break down what happens during your cycle and how it relates to pregnancy. If you’re considering fertility treatment, this may also help you understand treatment steps and medicine used.

Your menstrual cycle

We have menstrual cycles to release an egg and prepare the body for pregnancy.

There are 4 phases of the menstrual cycle. We’ll start with a quick overview, then look at each phase in more detail.

1. Menstrual phase (period): you shed the lining of your uterus (endometrium).
2. Follicular phase: your body gets ready for ovulation.
3. Ovulation phase: an egg is released, about halfway through your cycle.
4. Luteal phase: the uterus prepares for a possible embryo to implant, or the arrival of your next period.

*The number of days in each phase may vary from person to person and even month to month.

1. Menstrual phase

Your cycle begins with the first full day of your period. The bleeding is your body shedding the lining of the uterus (endometrium). Most people bleed for 3 to 7 days.

Hormones in action:

• Progesterone and estrogen drop, causing your period to start

2. Follicular phase

In the follicular phase, your body releases follicle-stimulating hormone (FSH) which causes the ovary to grow follicles. A follicle is a small fluid-filled sac in the ovary that may release and nourish an egg. Only one follicle will be “chosen” to mature.

The growing follicle produces estrogen, which causes the endometrium to thicken. This will make a cozy home for a possible embryo.

Hormones in action:

• FSH rises, causing a follicle to develop
• Estrogen rises, causing the endometrium to thicken

3. Ovulation

When the follicle gets big enough and your body has been exposed to estrogen long enough, there’s a surge of luteinizing hormone (LH). This surge causes ovulation, the release of a mature egg. The egg travels into one of the fallopian tubes.

If an egg meets sperm in the fallopian tube, you may become pregnant. We’ll talk about that timing more in a moment.

Hormones in action:

• LH surges (a sudden rise), causing ovulation

4. Luteal phase

After ovulation, the now-empty follicle (the sac that released the egg) still has an important role. It becomes a temporary structure called a corpus luteum, which is why we call this the luteal phase. The corpus luteum produces the hormone progesterone. Progesterone’s job is to prepare the uterine lining for a possible embryo.

If you become pregnant, your body produces the hormone that’s detected in pregnancy tests: human chorionic gonadotropin (hCG). hCG helps keep the uterine lining thick.

If there is not a pregnancy, progesterone will drop at the end of the cycle. This brings on your period and the cycle begins again.

Hormones in action:

• Progesterone rises, preparing the uterine lining
  • If pregnant: hCG rises, keeping the uterine lining thick
  • If not pregnant: progesterone drops, starting the cycle again

When should I have sex to get pregnant?

As you know, pregnancy happens when sperm meets the egg. The egg is released at ovulation, around day 14 for most people.

But sperm can live in your body for up to 5 days. So the window to have intercourse begins 5 days before ovulation. Plus, the egg lives for about 1 day, so you have roughly a 6-day window. To learn more about signs of ovulation and how to time intercourse, be sure to read When should I have sex to get pregnant?

Your Progyny Care Advocate is also here to talk through family planning and provide education on topics like this.

Disclaimer: The information provided by Progyny is for educational purposes only and is not medical advice. Always consult a qualified healthcare provider for medical guidance.

The post Menstrual cycle: how your body prepares for pregnancy appeared first on Progyny.

Sleep often changes during pregnancy. Early on, you may feel exhausted. Later, you may feel uncomfortable, restless, or wide awake in the middle of the night. These shifts are common, and happen for many reasons:

• Progesterone, a hormone that supports pregnancy, can make you sleepy during the day. It can also lead to more nighttime wakeups and vivid dreams.

• Your growing uterus shifts your center of gravity. This can strain your back and hips, especially later in pregnancy.

• Physical changes, such as heartburn, shortness of breath, leg cramps, or more frequent trips to the bathroom can interrupt rest, too.

• During the second half of pregnancy, your baby may decide that 2 a.m. is the perfect time for some exercise!

While disrupted sleep is common, there are ways you can safely improve your comfort. 

Choosing a safe sleep position 

In the first trimester, you can sleep in any position that feels comfortable. The uterus is still small and protected within the pelvis. 

After about 20 weeks, it is safest to sleep on your side. Lying flat on your back can press on the inferior vena cava. This is the large vein that carries blood from your lower body back to your heart. Pressure on this vein may reduce blood flow to the uterus and placenta.

While both sides are safe to sleep on, some healthcare providers suggest the left side because of how major blood vessels are positioned.

The most important thing is to avoid spending the whole night sleeping flat on your back in the second half of pregnancy. If you do wake up on your back, roll onto your side and settle back in.

Making side sleeping more comfortable

Pillows are your friends! They can reduce strain and help you rest well. Here’s how it’s done: 

• Placing a pillow between your knees can keep your hips aligned.

• Using a small pillow under your abdomen may reduce pulling.

• Putting a pillow behind your back can help prevent rolling.

• Supporting your upper arm may ease shoulder tension.

• Adding a full-length pregnancy pillow can help provide more support.

If you have back or pelvic pain, keeping your spine in a neutral position can help. Gentle stretching before bed may reduce muscle tightness. If pain becomes persistent or severe, talk to your provider about available options, such as physical therapy or acupuncture. 

Managing common sleep disruptions

Heartburn is common, especially in the second and third trimesters. That’s because pregnancy hormones relax the muscle between your stomach and esophagus, the tube that carries food. The growing uterus also increases pressure on your stomach. Together, these changes can cause reflux. You can try:

• Avoiding large meals within 2 to 3 hours of bedtime 

• Limiting foods that you know will trigger discomfort 

These can help, but if heartburn doesn’t improve, talk with your provider about medicine for heartburn in pregnancy. 

Leg cramps and restless legs syndrome can also interrupt sleep. The top symptom of restless legs syndrome is an urgent need to move your legs, usually in the evening when you’re lying down on sitting. If this affects your rest, talk with your provider about managing this condition.

You or your partner may also notice more snoring, caused by fluid shifts and weight changes that narrow your airway. In some cases, pregnancy increases the risk of obstructive sleep apnea, a condition in which breathing pauses during sleep. Let your provider know if you have loud snoring, gasping at night, morning headaches, or significant daytime sleepiness. Treatment can support both your and your baby’s health.

Can sleep aids help? 

While some sleep aids are safe, always check with your provider before taking sleep medications, melatonin, or herbal supplements. Your care team can help you understand what is safe for you.

In the meantime, you can try to help your body wind down by:

• Keeping to a consistent bedtime and wake time  

• Making your bedroom cool, dark, and quiet 

• Limiting your screen time before bed 

• Practicing light stretching, deep breathing, or guided relaxation 

When to reach out 

Interrupted sleep is common during pregnancy, but you still deserve support if the symptoms are overwhelming. Reach out to your provider if you have severe insomnia, ongoing heartburn, signs of sleep apnea, or mood changes that affect your rest.

Progyny is here for you, too. Please contact your Progyny Care Advocate for support.

Disclaimer: The information provided by Progyny is for educational purposes only and is not medical advice. Always consult a qualified healthcare provider for medical guidance.

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