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Aspirin Use During Pregnancy
Almost any medication taken during pregnancy can have some effect on your baby. This includes aspirin, a drug taken frequently for many reasons, either alone or in combination with other medications.

Aspirin use can increase bleeding. Aspirin causes changes in the platelet function; platelets are important in blood clotting. This is particularly important to know if you are bleeding during pregnancy or if you are close to delivery at the end of your pregnancy. Small doses of aspirin may be acceptable during pregnancy; check with your physician.
Read labels on any medication you take to see if it contains aspirin. Avoid using aspirin or any products that contain aspirin during pregnancy unless you have discussed it first with your healthcare provider.

If you need a pain reliever or a medication to reduce fever, and you cannot reach your physician for advice, acetaminophen (Tylenol®) is one over-the-counter medication you can use for a short while with little fear of complications or problems for you or your baby. For further information about over-the-counter medication use during pregnancy, see Week 7.

Your Pregnancy Nutrition
Folic acid, also referred to as folate, folacin or vitamin B9, is important to you during pregnancy. Recent studies indicate taking folic acid during pregnancy may help prevent or decrease the incidence of neural-tube defects, which are defective closures of the neural tube during early pregnancy. Some of these defects include spina bifida, when the base of the spine remains open, exposing the spinal cord and nerves; anencephaly, congenital (present at birth) absence of the brain and spinal cord; and encephalocele, a protrusion of the brain through an opening in the skull.

A folic-acid deficiency can also result in anemia for a mother-to-be. Additional folic acid may be necessary with multiple fetuses or when the mother suffers from Crohn's disease or alcoholism.
A prenatal vitamin contains 0.8 mg to 1 mg of folic acid in each dose. This is usually sufficient for a woman with a normal pregnancy. Researchers believe spina bifida may be prevented if the mother-to-be takes 0.4mg of folic acid a day, beginning before pregnancy and continuing through the first 13 weeks. This is suggested for all pregnant women. A pregnant woman's body excretes four or five times the normal amount of folic acid. Because folic acid is not stored in the body for very long, it must be replaced every day.

Beginning in 1998, the U.S. government ordered that some grain products, including flour, breakfast cereals and pasta, be fortified with folic acid. Eating 1 cup of fortified breakfast cereal, with milk, and drinking a glass of orange juice supplies about half of your folic-acid requirement for one day. Folic acid is found in many other foods, too, such as fruits, legumes, brewer's yeast, soybeans, whole-grain products and dark, leafy vegetables. A well-balanced diet can help you reach your folic-acid-intake goal.

As your uterus grows, the placenta forms and vascular connections are made. Bleeding may occur at this time. Strenuous exercise or intercourse may also cause some bleeding. If this occurs, stop your activities and check with your healthcare provider, who will advise you what to do.

If bleeding causes your caregiver concern, he or she may order an ultrasound exam. Sometimes ultrasound can show a reason for bleeding, but during this early part of pregnancy, there may be no discernible reason for it.
Most doctors suggest resting, decreasing activity and avoiding intercourse when bleeding occurs. Surgery or medication are not helpful and are unlikely to make a difference. Call your doctor if you experience any bleeding. He or she will advise you what to do.

Benefits of Pregnancy
•   Allergy and asthma sufferers may feel better during pregnancy because the natural steroids produced during pregnancy help reduce their symptoms.
•   Pregnancy may help protect against breast cancer and ovarian cancer. The younger a woman is when she starts having babies, and the more pregnancies she has, the greater the benefit.
•   Migraine headaches often disappear during the second and third trimesters of pregnancy.
•   Menstrual cramps are a thing of the past during pregnancy. An added benefit—they may not return after your baby is born!
•   Endometriosis (when endometrial tissue attaches to parts of the ovaries and other sites outside the uterus) causes pelvic pain, heavy bleeding and other problems during menstruation for some women. Pregnancy can stop the growth of endometriosis.