Archive for the ‘Uncategorized’ Category

New research links premature birth to mom’s risk of heart disease later in life

Tuesday, February 21st, 2017

preemie and momThis headline has raised concerns among women who have had a premature baby (birth before 37 weeks) – and for good reason.

In a published study, researchers analyzed data from more than 70,000 women to look at the association between premature delivery and future cardiovascular disease (CVD). They found that women who delivered a baby before 37 weeks gestation in their first pregnancy had a 40 percent greater risk of heart disease later in life, compared to women with term deliveries. This finding occurred even after accounting for pre-pregnancy sociodemographic, lifestyle, and CVD risk factors.

And there’s more.

Women who delivered before 32 weeks gestation had double the risk of CVD later in life compared to women with term deliveries.

So what does this mean for moms who gave birth early?

The results from the study are concerning, but researchers have stated that premature delivery may be an early warning sign of future heart problems, but not the cause of them. Factors such as pre-eclampsia and gestational diabetes, both of which can cause preterm labor, are already considered risk factors for future CVD. More research is needed to determine exactly how premature delivery and CVD are linked.

The March of Dimes funds research to help discover the causes of preterm labor and premature birth. In about half of cases, the cause is unknown. We hope that with our groundbreaking research, we will be able to help prevent premature birth and improve the health of mothers and babies throughout their lifetimes.

If you have questions or concerns about your future risk of CVD, speak with your health care provider.

Why reading aloud to your baby is so important

Thursday, February 16th, 2017

AA baby mom dad brother in NICU.jpg.resizedDid you know that reading to your baby helps promote language skills? Science has shown that reading to your baby helps build vocabulary, speech, and later reading comprehension, literacy and overall intelligence. Yet, less than half of children under the age of 5 are read to every day.

Reading aloud to your child is such an important aspect of language development that the American Academy of Pediatrics (AAP) offers guidance on how to read to your child, including book suggestions for every age.

But what if your baby is in the NICU?

Even if your baby is in the Newborn Intensive Care Unit (NICU), it is still incredibly valuable to read to him. The March of Dimes is partnering with Jack and Jill of America, Inc. to provide books to families who have a baby in a NICU. Parents are encouraged to choose books and read to their babies as often as they can.

In this resource, the AAP explains “Why it is never too early to read with your baby.” They say: “When parents talk, read, and sing with their babies and toddlers, connections are formed in their young brains. These connections build language, literacy, and social–emotional skills at an important time in a young child’s development. These activities strengthen the bond between parent and child.”

Why start reading today?

Today is World Read Aloud Day, a perfect time to start a new routine of reading to your child.

If you’re not sure what to read, you can ask your local librarian in the children’s room. You can also acquire books for a home library at second hand stores or even recycling stations. The “dump” in the town where I raised my kids has a book shed where you can drop off or pick up used books for free. And don’t forget, garage or yard sales are great places to get books for nickels. Having a mini-library at home has been shown to help children get off on the right academic foot.

But perhaps the best reason to read to your child is because it brings you together. The snuggles and cuddles, laughter and silliness that may result from reading a wonderful book, brings happiness to both parent and child.

Whether it is in the NICU or at home, reading aloud to your child is one of the most powerful things you will ever do. So grab a book, snuggle up, and enjoy!

 

Snowy days and pregnancy – what you need to know

Wednesday, February 8th, 2017

shovel in snow If you’re pregnant, you need to be extra careful about walking on the snow and ice. Here’s why:

During pregnancy, your ligaments become looser to allow your body to accommodate your growing baby. The hormone relaxin helps to prepare your body for labor and delivery, but it can also affect your joints making you feel unsteady. This change can put you at risk for injury, especially on slippery pavements.

If you are in your third trimester of pregnancy, your center of gravity may be off balance, which could make you prone to slips and falls. Your center of gravity refers to the place in your body that helps anchor you to the earth, so that you don’t tip over. A natural point of balance is below the navel and halfway between the abdomen and lower back. Having a strong center of gravity helps you have good balance.

During pregnancy, as your baby grows, your center of gravity moves forward and upward. Therefore, feeling off-balance is likely to worsen later on in your pregnancy, especially in the third trimester. Slipping and falling is much easier when your center of gravity has shifted.

Be prepared

Try to get help from family or friends with shoveling snow. Keep a bag of calcium chloride handy and sprinkle it on slippery walks to melt the snow and ice.

With a little thought and planning, you can remain safe during the cold, winter months. Then, when your baby is born, your center of gravity and ligaments will slowly return to normal again, and you can resume your usual activities.

Have questions? Text or email AskUs@marchofdimes.org.

 

Is breastfeeding a preemie different than a full term baby?

Friday, February 3rd, 2017

preemieThe answer is yes.

You’ve probably spent the last few months anxiously getting ready for your baby’s arrival. You’ve probably also thought about and decided how you are going to feed your baby after birth. Unfortunately, your breastfeeding plans may need to change in order to accommodate your baby, if you gave birth prematurely (before 37 weeks of pregnancy).

Breastfeeding in the NICU

If your baby is in the NICU, you may need to start pumping to establish your milk supply. Although you won’t have your warm baby at your breast, give your baby any expressed colostrum or milk you produce. Breast milk provides many health benefits for all newborns, but especially for premature or sick babies in the NICU.

Read our tips and tricks to breastfeeding your baby in the NICU.

Late preterm babies

If your baby was born late preterm, between 34 weeks and 0 days and 36 weeks and 6 days of pregnancy,  the good news is that she may not need to spend any time in the NICU. The bad news is that breastfeeding a near-term baby can be very difficult. Late preemies are often very sleepy and lack the energy they need to latch, suck and swallow. Also, late preterm babies are vulnerable to hypothermia (low body temperature), hypoglycemia (low blood sugar), weight loss, slow weight gain and jaundice among other conditions, which may interrupt your breastfeeding progress.

Full term babies

Breastfeeding a full term baby has its challenges, too. But, compared to a preterm or late preterm baby, there are more opportunities to be successful with breastfeeding from the start, due to fewer health obstacles.

Stay positive

If your baby is spending time in the NICU or having trouble breastfeeding, the breast milk you provide your baby through expression or pumping is very beneficial to his growth and protection from illness and infection. Seek help when you need it through a Lactation Consultant, a nurse or your health care provider. If you are in the hospital, ask your nurse if they have a support group where you can connect and share with other moms going through the same situation.

Learn more in Breastfeeding 101.

Have questions? Text or email us at AskUs@marchofdimes.org.

 

Key messages from Birth Defects Prevention Month

Monday, January 30th, 2017

MOD dad and babyWe’ve had a busy month spreading the word about birth defects and what you can do to have a healthy pregnancy. If you’ve missed some posts, here’s a one page cheat sheet of key messages.

Birth defects are more common than you’d think.

  • Did you know that every 4.5 minutes, a baby is born with a birth defect in the U.S.? That’s 1 in 33 babies or more than 120,000 babies each year.
  • Birth defects are health conditions that are present at birth. They may affect how the body looks, works, or both.
  • Common birth defects include heart defects, cleft lip and cleft palate, Down syndrome and spina bifida. Some birth defects are on the rise for unknown reasons – like gastroschisis.
  • Birth defects are the leading cause of infant deaths in the first year of life in the U.S.
  • Birth defects are the leading cause of death and disability in children across the world.

There are thousands of different birth defects, and about 70 % of the causes are unknown.

  • Birth defects are thought to be caused by a complex mix of factors including our genes, behaviors and environment.
  • Many birth defects are discovered after the baby leaves the hospital or within the first year of life.
  • Babies who survive and live with birth defects are at an increased risk for long-term disabilities and lifelong challenges.

Not all birth defects can be prevented, but SOME CAN. Here’s how:multivitamin

Share and connect

Birth defects can happen to any family. Share and connect with others on our online community Share Your Story.

Have questions? Email our health education specialists at AskUs@marchofdimes.org.

 

Turtles look cute but are dangerous to pregnant women and young children

Friday, January 27th, 2017

boy w pet turtleIf you’re pregnant or have children under the age of 5, you should remove any reptile or amphibian you may have in your home. That’s because they can carry salmonella, a bacteria that can make you and your children very sick – it can even be life threatening.

The salmonella bacteria is commonly carried by reptiles, such as lizards, snakes and turtles, and amphibians, such as frogs, salamanders and newts. Chickens, ducks and geese can also carry salmonella.

Pregnant women, infants, young children and anyone with a weakened immune system are at a higher risk of getting the infection.

The risk of salmonella is so serious that the sale of turtles less than 4 inches in size has been banned in the United States since 1975. These little creatures may look cute but they have the potential to cause serious disease. The CDC warns: “Don’t be fooled Just because you can’t see the bacteria doesn’t mean they aren’t there.”

According to the FDA, the death of a 4-week-old baby in Florida in 2007 “was linked to Salmonella from a small turtle. The DNA of the Salmonella from the turtle matched that from the infant.”

Scary stuff.

How can you get infected with Salmonella?

You can get infected by eating foods that are contaminated with Salmonella, such as poultry, meat and eggs, or by touching an infected animal.

Even if a pet reptile has a negative test for salmonella, it doesn’t mean the animal is not infected. It may mean that the animal was just not “shedding salmonella” on the day it was tested. Salmonella can be found in feces (poop), soil, water (including fish tank water), and the food and bedding of infected animals. Salmonella germs can spread easily to an animal’s fur, feathers and scales.

Symptoms of salmonellosis

Signs of salmonellosis usually start a half day to three days after contact and symptoms last from four to seven days. Call your health care provider right away if you have any of these symptoms:

  • Belly pain
  • Blood in your stool (poop) or dark or amber-colored urine (pee)
  • Dehydration (not enough water or fluids in your body)
  • Fever or chills
  • Headache
  • Muscle pains
  • Nausea, diarrhea or vomiting (throwing up)

To check for salmonellosis, your health care provider will take a stool sample and send it to a lab for testing.

Is Salmonella dangerous during pregnancy?

Yes. It can lead to health complications during pregnancy, including:

  • Dehydration
  • Bacteremia (bacteria in the blood), which can lead to problems, like meningitis, a serious infection that causes swelling in the brain and spinal cord.
  • Reactive arthritis (also called Reiter’s syndrome), which can cause swelling or pain in your joints.

Salmonellosis can be passed to your baby during pregnancy. If your baby is born with salmonellosis, she may have diarrhea and fever after birth. She also may develop meningitis.

Bottom line

Don’t have turtles and other reptiles or amphibians in your home. If you touch them at a petting zoo or other place, be sure to thoroughly wash your hands immediately after coming into contact with them.

Have questions? Send them to AskUs@marchofdimes.org.

 

Let someone else clean Mr. Whisker’s litter box when you’re pregnant

Monday, January 23rd, 2017

ToxoplasmosisWe often receive emails from pregnant women concerned about their cat and his litter box. Dirty cat litter might contain a harmful parasite called Toxoplasma gondii, which causes toxoplasmosis.

If you have toxoplasmosis within 6 months of getting pregnant, you may be able to pass it to your baby during pregnancy. Toxoplasmosis can cause pregnancy complications such as preterm birth (birth before 37 weeks) and stillbirth. The earlier in pregnancy you get infected, the more serious the baby’s problems may be after birth. For example, a baby could have a birth defect called microcephaly or vision problems.

Do you need to find Mr. Whiskers a new home?

The good news is that your cat can stay. But, you should have your partner, a friend, or family member change your cat’s litter for you. If you must change it yourself, be sure you wear gloves and wash your hands thoroughly afterward.

Is it just Mr. Whiskers? Or are there other ways to get toxoplasmosis?

You can also come in contact with the parasite that causes toxoplasmosis through:

  • Eating raw or undercooked meat – be sure to cook meat thoroughly and wash your hands after handling raw meat.
  • Eating unwashed fruits and vegetables – peel or thoroughly wash all raw fruits and vegetables before eating.
  • Touching kitchen utensils and cutting boards used to prepare raw or undercooked meat and fruits and vegetables – clean cutting boards, work surfaces and utensils with hot, soapy water after using them.
  • Touching dirt or sand – use work gloves when gardening and be sure to wash your hands afterward. Stay away from children’s sandboxes as well.

Pregnancy is a time of many changes, and it’s also a time to ask for help when you need it. Mr. Whiskers won’t mind that someone else is changing his litter box so that you can protect yourself during pregnancy.

For more information on toxoplasmosis, see our web article. Have questions? Text or email us at AskUS@marchofdimes.org.

When in doubt, wash your hands

Friday, January 20th, 2017

washing handsNow that winter has arrived, it seems like the temperatures are decreasing and the spread of germs is increasing. In an effort to stay healthy this season I find myself constantly washing my hands and trying to maintain good hygiene. Hygiene refers to activities, such as hand washing, bathing, and brushing your teeth, that help you stay healthy. Maintaining good hygiene is one of the best ways to help prevent the spread of infections.

Why is washing your hands so important?

Women who are pregnant or thinking about becoming pregnant can increase their chances of having a healthy baby by doing things to prevent the risk of infection. Not all birth defects can be prevented, but by including small, healthy hygiene activities into your daily routine, you can help prevent the spread of infections.

So how often, is often?

Wash your hands:

  • Before preparing or eating food
  • After handling raw meat, raw eggs or unwashed vegetables
  • After being around pets or animals
  • After changing diapers or wiping runny noses

Besides washing hands, what else can you do?

Don’t put your child’s food, utensils, cups or pacifiers in your mouth. Children’s saliva or urine may contain cytomegalovirus or CMV, a kind of herpesvirus that women can pass to their baby during pregnancy. CMV can cause problems for some babies, including a birth defect called microcephaly. Be sure to wash your hands every time after touching a child’s bodily fluids.

By making small changes to your hygiene routine, you can help prevent the spread of germs and infections. Have questions? Text or email us at AskUs@marchofdimes.org.

 

“I just found out I’m pregnant and I haven’t been taking folic acid. What should I do?”

Wednesday, January 11th, 2017

Pregnant couple with providerThis is a question we often receive through AskUs@marchofdimes.org. The good news is that no matter when you find out you are pregnant, you will still benefit from taking a daily prenatal vitamin that contains 600 micrograms (mcg) of folic acid.

Folic acid is B vitamin that every cell in your body needs for normal growth and development. It helps your body make red blood cells that carry oxygen from your lungs to all parts of your body.

Before pregnancy, we recommend taking a daily multivitamin that contains 400 mcg of folic acid to help prevent birth defects of the brain and spine, or neural tube defects. As soon as you find out you are pregnant, begin taking a daily prenatal vitamin with 600 mcg of folic acid. Your health care provider can prescribe prenatal vitamins for you, or you can get them over the counter without a prescription – just be sure to check the label.

Folic acid is important before and during early pregnancy to prevent neural tube defects in your baby. However, a pregnant woman needs extra folic acid throughout her pregnancy to help her produce the additional blood cells her body needs. Folic acid also supports the rapid growth of the placenta and your baby, and is needed to produce new DNA (genetic material) as cells multiply.

If you have not been taking a multivitamin that contains folic acid up until now, perhaps you have been getting folic acid from food sources. Fortunately, in the United States, most grain products are fortified with folic acid (such as cereals, breads, pasta, etc.), so you are likely getting a certain amount of folic acid from your diet. Products that say “enriched” or “fortified” usually contain folic acid, but check product labels to be sure.

You also can get folic acid from some fruits and vegetables. When folic acid is naturally found in a food, it’s called folate. Foods that are good sources of folate are:

    • Beans, like lentils, pinto beans and black beans
    • Leafy green vegetables, like spinach and Romaine lettuce
    • Asparagus
    • Broccoli
    • Peanuts (But don’t eat them if you have a peanut allergy)
    • Citrus fruits, like oranges and grapefruit
    • Orange juice (From concentrate is best)

Folic acid is very important throughout your pregnancy, so even if you have been eating the foods listed, you should still take a prenatal vitamin with the recommended amount of folic acid.

Have questions? Text or email us at AskUS@marchofdimes.org

New year – healthy you

Tuesday, January 3rd, 2017

Today we welcome guest blogger Sarah Verbiest, DrPH, MSW, MPH, Executive Director, The National Preconception Health and Health Care Initiative.

January brings a time for reflection and a fresh start; a time when many women re-evaluate or set new goals. Health aims such as losing weight, exercising more, eating healthier, sleeping more and stopping smoking are important and often on the top of many women’s lists.

Well woman visitHere’s one that should top yours in 2017:

Go for your annual well woman visit.

Why?

For one, we still have the Affordable Care Act, so preventive services, like an annual well woman visit, should be covered by insurance with no out-of-pocket costs. This means if you have health insurance and the provider is covered under that plan, the visit shouldn’t cost you anything. While this may not yet be true for all health plans, it is likely a benefit you have that you didn’t know was available.

“I’m healthy – so I don’t need to see a doctor. Right?”

Being healthy doesn’t mean you can skip the wellness visit. This annual check-up is more than an overall physical and mental screen – this is a time to talk to your doctor about your questions and get help on those health resolutions. Your doctor can help you stay on track with ways you can set yourself up for success, from the inside out. He or she can also help you take preventative measures if starting a family is not in your plans. And if you hope 2017 will bring the stork your way, this is a critical place to start.

So, is a wellness visit more than just the dreaded pelvic exam?

YES!

A well woman visit has often been thought of as primarily an appointment for a pelvic exam, but it is a much more comprehensive visit than that! In fact, a well visit may not even need to include a pelvic exam anymore. The contents of a well woman’s visit are up to each woman and her provider. Her visit could include nutrition and diet counseling, immunizations, family planning, and screenings for blood pressure, cholesterol, depression, anxiety, and sexually transmitted infections (STIs).

To make the most of a visit, you can create a list of questions and concerns to discuss during your appointment. Be sure to bring up if you would like to become pregnant in the next year. Whether you want to start a family or not- there are vital lifestyle, behavior and contraception topics to discuss to be sure you’re tracking toward your reproductive goals. Especially if you’re planning a trip south, ask about the Zika virus and ways you can protect yourself. January is National Birth Defects Prevention Month, and a trip to the doctor is an essential step to #Prevent2Protect.

Where can you learn more?

The National Preconception Health and Health Care Initiative, a public-private partnership of 70+ national organizations working to advance preconception health, launched Show Your Love, the first national preconception consumer resource and campaign. On this site, you’ll find what you need to know about well visits and preconception health care. Show Your Love website and social media campaign is meant to spark action for consumers to “Show Your Love”—to yourself, your significant other, and your family/future family—by preventing to protect and taking care of your health today.

Sarah Verbiest, DrPH, MSW, MPHSarah Verbiest is Executive Director at UNC Center for Maternal & Infant Health. She serves as Director of the National Preconception Health and Health Care Initiative (PCHHC), a public-private partnership of over 70 organizations focused on improving the health of young women and men and any children they may choose to have. Sarah is also a clinical associate professor at the UNC School of Social Work.  You can follow Sarah on Twitter @S_Verbiest or connect with her on LinkedIn.