Archive for the ‘Uncategorized’ Category

Postpartum depression – don’t suffer in silence

Monday, March 27th, 2017

img_postpartum_depIf you keep up with celebrity news, you may have read about model and TV series host Chrissy Teigen’s recent struggle with Postpartum Depression (PPD). Chrissy was feeling all sorts of symptoms without knowing the cause or that there could be an explanation.

Postpartum depression (also called PPD) is a kind of depression that you can get after having a baby. PPD is strong feelings of sadness that last for a long time. It is the most common complication for women who have just had a baby; in fact 1 in 9 women suffer from PPD, which is different from the “baby blues.” Many women don’t know why they are suffering or are hesitant to reach out for help.

One of Chrissy’s greatest attributes is her ability to be truthful and “tell it like it is.” In her essay that was published in Glamour, she writes “I also just didn’t think it could happen to me… But postpartum (depression) does not discriminate. I couldn’t control it. And that’s part of the reason it took me so long to speak up: I felt selfish, icky, and weird saying aloud that I’m struggling.”

Signs of PPD

You may have PPD if you have five or more signs that last longer than two weeks:

Changes in your feelings:

  • Feeling depressed most of the day every day
  • Feeling shame, guilt or like a failure
  • Feeling panicky or scared a lot of the time
  • Having severe mood swings

Changes in your everyday life:

  • Having little interest in things you normally like to do
  • Feeling tired all the time
  • Eating a lot more or a lot less than is normal for you
  • Gaining or losing weight
  • Having trouble sleeping or sleeping too much
  • Having trouble concentrating or making decisions

Changes in how you think about yourself or your baby:

  • Having trouble bonding with your baby
  • Thinking about hurting yourself or your baby
  • Thinking about ending your life

If you have any of the symptoms mentioned above or think you may have PPD, call your health care provider. There are things you and your provider can do to help you feel better. Reach out for help and support today. For more information about PPD, see our article.

Have questions? Email us at AskUs@marchofdimes.org.

 

Where does all the weight gain go during pregnancy?

Friday, March 24th, 2017

Now that you’re pregnant, your body is changing to get ready for your baby. Gaining weight is an important part of pregnancy.

If you gain too little or too much weight during pregnancy, you’re more likely than other women to have certain complications such as a premature birth (before 37 weeks of pregnancy).

You may be wondering – where does all the weight go? If you’re at a healthy weight before pregnancy and gain 30 pounds during pregnancy, here’s where you carry the weight:

pregnant woman on scale

  • Baby = 7.5 pounds
  • Amniotic fluid = 2 pounds. Amniotic fluid surrounds the baby in the womb.
  • Blood = 4 pounds
  • Body fluids = 4 pounds
  • Breasts = 2 pounds
  • Fat, protein and other nutrients = 7 pounds
  • Placenta = 1.5 pounds. The placenta grows in your uterus (also called womb) and supplies the baby with food and oxygen through the umbilical cord.
  • Uterus = 2 pounds. The uterus is the place inside you where your baby grows

Gaining weight slowly and steadily is best. You may not gain any weight in the first trimester, or you may gain a little more or a little less than you think you should in any week. Try not to worry about it.

Gaining weight is necessary for your pregnancy, but gaining the right amount is also important. Talk to your prenatal care provider about the weight gain that is best for you and your body.

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

Zika travel guidance – an update and helpful tools

Monday, March 20th, 2017

airplaneThe CDC recently updated its Zika travel guidance. March is a time when many people get away from the snow, ice and cold and thaw out in the sunshine of a southern climate. But, before you hop on a plane, it is best to do a little homework first and find out where the Zika virus may be a threat.

An interactive world map will show you areas of Zika risk so that you are able to make an educated travel decision. The map shows international destinations as well as U.S. territories.  You can search for location-specific Zika information and travel recommendations.

Another helpful tool is CDC’s Know Your Zika Risk (scroll down the page to use the widget).  It will help you determine the risk of Zika for each person in your household and assist you in making informed decisions about your health.

If you are going to visit family or a friend in an area with Zika, the CDC tells you what you need to know before, during and after your trip, to keep you and your family safe.

Remember

  • If you are pregnant or planning on becoming pregnant, do not travel to an area with active Zika.
  • Zika can be passed from a pregnant woman to her baby and can cause serious birth defects.
  • Even men need to protect themselves from Zika, as it can be passed through semen.
  • At this time, there is no vaccine to prevent Zika, and no known cure.

Prevention and protection is key. Learn more on our website.

Have questions? Send them to AskUs@marchofdimes.org for a personalized reply from a health education specialist.

 

Zika and sperm – a new concern

Wednesday, March 15th, 2017

spermThe latest news about the Zika virus is that there is a potential risk that some semen donated to sperm banks in South Florida might be contaminated with Zika.

Here’s why:

  • Zika can remain in semen for several months;
  • men who donated semen may not have shown signs or symptoms of Zika yet they could have been infected with the virus;
  • semen is not tested for Zika, unlike blood and tissue donations.

Therefore, it is possible that an infected man may have unknowingly donated semen contaminated with the Zika virus.

Where is the risk?

Although the Zika virus has been identified in Miami-Dade County, the risk of it spreading to other neighboring areas is possible, since individuals in this part of the state often travel to and from Broward and Palm Beach counties.

CDC says “This analysis has led to CDC identifying that since June 15, 2016, there has been a potential increased Zika risk for residents in Broward and Palm Beach counties because of local travel to areas of active transmission in Florida and challenges associated with defining sources of exposure.” The increased risk in the overall numbers of people exposed to the virus means that donor sperm may be at risk, too.

What does this mean to women trying to become pregnant by donor sperm?

Semen contains sperm, which is necessary for a woman to become pregnant. Although the risk of Zika transmission is small, if a woman wishes to become pregnant or currently is pregnant by donor sperm from these areas in Florida, she should speak with her healthcare provider. There have not been any confirmed cases of the Zika virus infecting a pregnant woman from donor sperm, but the possibility exists that it could occur.

The CDC emphasizes that Zika virus infection during pregnancy can cause brain problems, microcephaly, and congenital Zika syndrome, a pattern of conditions in the baby that includes brain abnormalities, eye defects, hearing loss, and limb defects.

See our website for more information on Zika during pregnancy, microcephaly, and congenital Zika syndrome.

The CDC website offers detailed guidance for people living or traveling to South Florida.

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

 

Is the Zika virus affecting babies in the U.S.?

Friday, March 3rd, 2017

microcephalyShort answer…Yes.

The CDC just released a report that measured the number of brain related birth defects in the U.S. before and after the arrival of Zika. The study focused on data from three areas of the U.S. that track brain related birth defects – Massachusetts, North Carolina, and Atlanta, Georgia – in the year 2013-2014, before Zika arrived in the U.S.

It found that during that time, brain related birth defects occurred in 3 out of 1,000 births (.3%).

A study done looking at 2016 data shows that among women in the US with possible Zika virus infection, similar brain related birth defects were 20 times more common, affecting 60 of 1,000 pregnancies (6%).

This is a huge increase.

Here’s what we know

If a pregnant woman is infected with Zika, the virus can pass to her baby. Zika has been shown to cause a range of birth defects including brain problems, microcephaly, neural tube defects, eye defects and central nervous system problems. Although none of these birth defects are new to the medical field and they can occur for other reasons, it has been clearly established that the Zika virus can cause these serious problems, too.

Babies will require coordinated, long-term care

Babies born with Zika related birth defects will require access to coordinated medical care among a team of specialists. Such care may seem daunting to the parents and even to the medical community as they gather new information about the effects of the virus on a daily basis.

Enter the Zika Care Connect Network (ZCC)

This new website will launch in April 2017 to help parents and providers coordinate care for babies with complex medical needs due to Zika infection. The ZCC aims to improve access to medical care, which will jump-start early identification and intervention. The goal is to reduce the long-term effects of Zika on children and families by making it easier to locate a network of specialists knowledgeable about services for patients with Zika. The searchable database will feature a Provider Referral Network, patient resource tools, and a HelpLine.

Bottom line

Zika is still here, and it is seriously affecting babies and families. The best line of defense is to protect yourself from infection. Our website has detailed information on how to stay safe.

If you have questions, text or email AskUs@marchofdimes.org.

Rare Disease Day is February 28th. What makes a disorder rare?

Monday, February 27th, 2017

rare-disease-dayAny disease, disorder, illness or condition affecting fewer than 200,000 people in the U.S. is considered rare. The National Organization for Rare Disorders (NORD) says there are about 7,000 rare diseases and disorders which affect roughly 30 million Americans. That’s 1 in 10 people, and more than half of them are children.

Why is rare disease awareness so important?

It is often very hard to diagnose a rare disease and it can take a long time for a correct diagnosis to be made.

Then, even if someone receives a diagnosis, 95% of the conditions have no treatment or cure (which means that only 5% of affected people have a treatment option). As a result, many infants or children die from rare disorders.

Individuals living with a rare disease move through life without getting answers to their most basic questions.

Here are a few examples of rare diseases:

Agenesis of Corpus Callosum (ACC)

This rare disorder is present at birth. The corpus callosum, which connects the left and right sides of the brain, is partially or completely absent. The cause of this condition is usually not known but it can be inherited. Symptoms include delays in reaching developmental milestones, seizures, feeding problems and impairment of mental and social development. Treatment is based on supporting an individual’s symptoms, such as therapies that focus on left/right coordination. Early diagnosis and interventions offer the best chances of improvement.

Klippel-Feil syndrome (KFS)

KFS is a skeletal disorder with an abnormal union of two or more bones in the spinal column within the neck. This can cause some affected individuals to have an abnormally short neck with restricted movement. KFS seems to occur randomly for unknown reasons, although in some cases it may be inherited. Treatment is based on an individual’s specific symptoms, and may include surgery and physical therapy.

Progeria, or Hutchinson-Gilford progeria syndrome (HGPS)

According to NORD, progeria is a fatal, genetic condition of childhood that resembles premature aging. In most cases, it is not passed down in families. The gene change that causes the condition is almost always a chance occurrence that is extremely rare. “In 2012, the results of the first-ever clinical drug trial for children with progeria revealed that Lonafarnib, a type of farnesyltransferase inhibitor (FTI) originally developed to treat cancer, was shown to be effective for progeria. Other than Lonafarnib, which is not FDA-approved and thus only available through clinical drug trials, the treatment of HGPS is directed toward the specific symptoms that are apparent in each individual.”

Tay-Sachs

This condition is an inherited disease that affects a baby’s central nervous system (the brain and spinal cord). The central nervous system controls how the body works. There is no cure for Tay-Sachs, and a baby with Tay-Sachs usually dies by the time he is 4 years old. We have information about this disease on our website.

NORD provides information on many rare diseases.

#RareDiseaseDay

Rare Disease Day is always on the last day of February each year. This year it’s on February 28th and the focus is on research. The slogan is “With research, possibilities are limitless.” And it’s true, research can help discover treatments and in some cases cures. Research can give hope to people living their day-to-day lives in search of answers.

See rarediseaseday.us or NORD for more info.

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.