I'm 32 weeks pregnant. I cant take prenatal vitamins as they make me severly sick. So I asked my doc can I stop taking vitamins , she replied yes , you can stop them , just take IM pill. I din't understand what is IMpill or, may be I heard wrong. But I was in a hurry and I couldn't ask anymore questions. Can anybody help me explaining what is IMpill

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Rim - posted on 11/29/2012

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Oh Mary, thank you very much for your reply. My condition is exactly like yours except that you waited for long to get pregnant. I'm also 5' 2" with 160 lbs weight right now and 37 yrs old . But I don't work right now and I don't have good relation with my husband. Actually I was so fed up fighting everyday with him that I was thinking about divorce just before I've learned that I'm pregnant. Right now, my husband is magnanimous towards me, but still we have a bitter relationship.I came to the USA just 10 months back and couldn't start studies yet. I have to go back to India and get my transcripts back and start studies, only after that I'd try for a job. Before all these I didn't wanted to get pregnant. So, worries about career and a bad marital relationship make me so depressed that I couldn't even enjoy my pregnancy at all. Now, when the doctor informed me that my baby's head is a little bigger than the gestational age, I got so worried thinking of bad tear during delivery that can't sleep at night. I just think to myself who is going to take care of me after coming back home? How would I take care of my baby and myself with a painful tear?

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Rim - posted on 11/29/2012

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Faye, please pray for me so that I can also prove lucky regarding the matter of tear..

Mary - posted on 11/28/2012

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Rim, being anxious about the delivery is pretty normal - for everyone! I was 38 when my daughter was born. I'm also a labor & delivery nurse, so I was acutely aware of everything that could possibly go wrong. However, I also knew that all of these things were out of my control, and worrying about them ahead of time wasn't going to change the outcome, or help me one damned bit.



I had waited for so long to just be pregnant, that all that truly mattered to me was that my baby and I came out healthy in the end. I admit that I didn't want a c-section, but it wouldn't have been the end of my world if it happened. I've also seen some simply shredded bottoms - but awful as that sounds - the truth is, they do heal with time. Again, I was hoping to not have that happen to me, but I wasn't consumed with worry over it. As long as my baby was healthy, I could deal with whatever else life threw at me.



My daughter's delivery was, without question, the happiest day of my life. If I could have one day to relive over again, it would be that day. I threw up at least hourly through labor. Good news about that - all that vomiting brought her head down nicely, so when it came time to push, I merely grunted a few times, and she shot out like a canon. Bad news about that - I did have a second degree tear. However, at the time, I didn't feel a thing. I was so overwhelmed with joy, love, and wonder, that I think my entire lower half could have been severed with a rusty steak knife, and I wouldn't have cared a bit.



I'm not a big person - I'm 5' 2", and at the time I delivered, I was 160lbs. I did remain fairly active throughout my pregnancy; I worked full time up until 2 days before delivery, and walked my dogs at least one mile a day even in the last trimester. I do think that helped me significantly in my recovery. They had estimated her to be around 8+ lbs prior to delivery; she was 7lbs

3oz at birth. My bottom wasn't "pretty" when I left the hospital, but it wasn't too bad either. By the time she was about a week old, it bothered me a hell of lot less than my boobs did from nursing her what felt like 24/7. At the 6 week mark, I was as back to normal as a mother of an infant could be. I was exhausted, like any new mother is, but my lower half was pretty much healed, and I could even strap my baby onto my chest in a carrier, and walk my dogs a mile or so every day.



No matter how you deliver, this is going to be some type of recovery involved. I've never had a section, but I think I'd prefer an episiotomy or tear to having my belly cut open unnecessarily. There are certainly some extreme cases where a section would have been "easier" than what happened to someone's bottom - but they are the exception, and not the norm. There is no reason for you to think that you would be one of them. And the bottom line is - no matter how you deliver, or whatever damage is done - you do eventually heal. The other indisputable truth is that it is completely and totally worth it. I would do it all again in a heartbeat.

Faye - posted on 11/27/2012

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I did not tear with either of my kids, neither did my daughter when she had her 1st child last year. But then again, all three were not large babies as they were between 6 pounds 9 ounces and 7 lbs pounds 3 ounces.

Rim - posted on 11/27/2012

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Mary, thank you very much for your suggestions. I bought 'Pure Absorb' iron. I'll try my best to take it. Now a days, I feel so so depressed and scared thinking about my final days that I can't eat or sleep well. Doctor said my baby's head is a bit larger, but normal. I've heard many horror stories regarding tear and episiotomy and I want to save myself from these. Did anybody heard of a delivery without tear or, episiotomy , especially in case of a elderly primi mom? I've heard that no one can escape from these sufferings while delivering 1st child. Then , should I go for C-section? What should I do?

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The vitamins and iron made me sick too. My doctor recommended switching from the prenatal vitamin to a Flintstones chewable (which is MUCH easier on the tummy).



I also started taking the iron pill in the evenings instead of the mornings. This way, I could be at home in the evenings for the worst of the vomiting caused by the iron. It usually lasted well into the night, so I put a bin by my bed so that I could vomit quickly without having to run to the bathroom half a sleep. I kept curling up on my bathroom floor because i was afraid of vomiting in my bed and not making it to the bathroom, thus leaving a giant mess for my already nauseous, sleepy self to clean up--with the bin by the bed, you are free to relax and sleep.



I'm not sure what kind of work you do, but another thing that helped me cope with the sickness was pushing all of my meetings into the afternoon. Once I started taking the iron at night, the morning sickness and the sickness caused by the iron pill were usually much less of a problem after lunchtime, so I did all of my solitary work in the mornings so that I could be free to vomit as needed, then used my afternoon hours for meetings so that I would not have to vomit in front of people or run out of meetings so often.

Mary - posted on 11/27/2012

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I wish you well with that, but here's the thing - if you have already been eating these things, diet alone probably isn't going to be sufficient. It is really hard to get enough dietary iron to "fix" pregnancy-induced anemia. Have you tried changing up the time of day that you take it? I did find that I did better with taking it either at lunch or dinner time. There were some days that I knew I had to skip it, but I think I generally managed to take it 4-5 days out of the week. One of the big issues with iron is constipation, so a diet high in fiber, or the addition of stool softeners such as Colace can help with that.



Believe me, I more than understand your misery with it. From the second trimester until delivery, I vomited a minimum of once a day; usually it was more like 2-3 times a day. In the last 3 weeks of pregnancy, I was actually losing 1-2 lbs a week. (Unlike the rest of the normal world, I felt fine during the first trimester, and didn't get sick once!) However, I did do my best to take that evil iron supplement at least every other day. It really does make a huge difference in how quickly you bounce back after delivery. The more anemic you are, the less energy you have, and the crappier you feel.

Rim - posted on 11/26/2012

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Oh dear Mary, you were right. I talked to my doctor yesterday . He said he advised me to take only iron pill instead of prenatals. But I have decided not to do so as I get severely sick after taking iron or, any kind of vitamins. I will take enough iron through diet. I'm eating bananas, apples, spinach, collard green, red leaf and many other sources of iron everyday..

Faye - posted on 11/20/2012

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My daughter had to take her prenatals with the nightly meal otherwise she was sick ALL day.

Mary - posted on 11/20/2012

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Oh - if' you're not anemic, than it's also possible that he may have meant a vitamin without iron. For most pregnant women, it is the iron that causes issues - so one without iron - even a children's chewable vitamin, is a workable option as long as you are not anemic.

Rim - posted on 11/20/2012

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Thanks for your reply Mary. No, I'm not taking iron supplement, and iron is already included in my chewable vitamins. My Dr is a Chinese, so its sometimes hard for me to understand him clearly . And I was so excited when he said, "yes you can stop prenatal vitamins" that I didn't care to listen anything else and I left the room . But its OK, I'm gonna call him soon..

Mary - posted on 11/20/2012

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Just off the top of my head, it's entirely possible that you misheard iron as "IM". Are you taking an iron supplement in addition to a prenatal vitamin? An iron supplement is often added if you are significantly anemic. Most pregnant women are anemic to some degree, but those of us whose level is below a certain threshold are started on an iron supplement towards the latter half of pregnancy.



I have to be honest - I had no trouble with the vitamins, but the iron supplement just about killed me. However, I really could not get additional iron through diet (red meats and green leafy vegetables like spinach and kale); I hurled daily throughout my pregnancy, and I really could not keep any of those foods down - so I sucked it up and did the best I could with the iron. It really is in your best interests to do so. All women, regardless of how they deliver, have some blood loss with birth - and the more anemic you are, the more tired and crappy you feel. Not a winning combination when you have a newborn to care for who needs to eat every hour or so!

Rim - posted on 11/20/2012

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May be she said IMP. I'm now feeling stupid, why I didn't ask her twice. That time , I was just happy hearing that I can stop vitamins. Later I heard her saying JUST imp.. or, what , i don't know... Anyway , I have an appointment with her just 2 weeks later . So , I hope I'll make it clear soon.

Holly - posted on 11/20/2012

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i have no idea, but i can't imagine how long it would take for her to repeat herself one or two more times... especially since you asked a question about it.

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