Archive for the ‘Uncategorized’ Category

Diagnosed with Zika? Help is available

Friday, July 21st, 2017

mom loving babyHave you or your partner been diagnosed with Zika virus? Did you receive a positive Zika test while pregnant? Do you have a baby with Zika? If you answered yes to any of these questions, medical help and support is available.

Zika Care Connect (ZCC), developed by the Centers for Disease Control and Prevention (CDC) in collaboration with March of Dimes offers a network of specialized healthcare providers who can care for families potentially affected by the Zika virus.

The ZCC network helps you find services and health care providers in your area who take your health insurance and speak your language.

Have questions? Call the toll-free Zika Helpline, 1-844-677-0447, Monday through Friday from 9 a.m. to 5 p.m. Eastern Time. If no one is immediately able to answer your call, please leave a message and your call will be returned within 1 business day.

For more information on help and support available to you, check out the Zika Care Connect website: www.zikacareconnect.org.

For everything you need to know about how to protect yourself from Zika, visit our website.

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

 

Pregnant in the heat – can I get some sleep?

Wednesday, July 19th, 2017

sleepingAs your belly is getting bigger, and the temperatures get hotter, your hours of sleep may be getting smaller. Lack of sleep is a common complaint we hear from pregnant women. Trying to get comfortable, rearranging pillows and having to get up to use the bathroom are only a few of the culprits that can cause lack of sleep.

But getting a good night’s sleep is crucial– just as important as eating nutritious food and drinking enough water. Eating, staying hydrated and sleeping are the foundations to good health and a happy pregnancy.

Trouble sleeping doesn’t just happen late in pregnancy; sleeplessness can happen right from the beginning. And if you’re experiencing hot summer temperatures and don’t have air conditioning, you may be feeling the heat, literally. No only that, the same pregnancy hormone that causes fatigue during the day can disrupt your sleep cycle at night. And if you have added anxiety or stress, this will only increase the problem.

So what can you do? here are a few tips to help you sleep through the summer heat:

  • The basement or bottom level of houses are usually the coolest – try setting up a temporary bed when the temps rise.
  • Wet a washcloth in cool water and place it around your neck.
  • Sleep with light, breathable sleepwear and sheets.
  • If you don’t have air conditioning in your house, use one or more fans to help you stay cool.

Between heat, bathroom trips and rearranging pillows, try to catch up on sleep where you can. Here are more tips on how to get your sleep in before baby comes.

For more information on how to get a restful night’s sleep, and when to see a doctor regarding possible sleep problems, see this handy guide.

Have questions?  Email or text AskUs@marchofdimes.org.

Fertility myths – we’ve got the facts

Wednesday, July 12th, 2017

negtestWe’ve heard of many different theories about fertility and becoming pregnant through AskUs. We’ve rounded up some of the ones we hear most often to help you weed through fact and fiction.

Q: Can folic acid help me get pregnant?

A: If you are trying to become pregnant, it is a good idea that you take a multivitamin that contains at least 400mcg of folic acid. This will help to prevent certain birth defects if you become pregnant. Folic acid, however, is not known to help with fertility in women. So, if you are having trouble becoming pregnant, folic acid is not something that will help you to conceive.

Q: I have an irregular period, can I get pregnant?

A: If you don’t have a regular period, there are other ways you can determine when you are ovulating, such as using your basal body temperature, cervical mucus and an ovulation prediction kit. For more tips, visit here.

Q: “Does drinking caffeine or smoking cigarettes affect my fertility?”

A: You may have heard that too much caffeine can cause miscarriage (when a baby dies in the womb before 20 weeks of pregnancy). Some studies say this is true, and others don’t. Until we know more about how caffeine can affect pregnancy, it’s best to limit the amount you get to 200 milligrams each day. This is about the amount in 1½ 8-ounce cups of coffee or one 12-ounce cup of coffee. Be sure to check the size of your cup to know how much caffeine you’re getting.

Smoking can affect your fertility and make it harder for you to get pregnant. Need help quitting? We’ve got resources.

Q: If I have sex a few days before ovulation will I conceive a girl?

A: Gender is determined at the moment of conception. During ovulation the ovaries release a mature egg that begins to travel to the uterus through the fallopian tubes. Sperm travel through the uterus to fertilize the egg within the fallopian tube. Only a single sperm fertilizes an egg. Both the sperm and the egg contain 23 chromosomes that will combine to make up the zygote which contains a total of 46 chromosomes. At conception, your baby’s gender, eye color, hair color, and much more has already been determined.

Of the 46 chromosomes that make up your baby’s genetic material, two chromosomes–one from your egg and one from your partner’s sperm–determine your baby’s gender. A woman’s egg contains only X sex chromosomes. A man’s sperm, however, may contain either an X or Y sex chromosome. If, at the instant of fertilization, a sperm with an X sex chromosome meets your egg (another X chromosome), your baby will be a girl (XX). If a sperm containing a Y sex chromosome meets your egg, your baby will be a boy (XY). It is always the father’s genetic contribution that determines the sex of the baby.

There are many old wives tales about choosing the sex of your baby but none of them have been proven.

Q: Will my birth control cause infertility?

A: The type of birth control you use may affect how soon you can get pregnant once you stop using it. To check your specific birth control, visit here.

Using birth control will not hurt your chances of becoming pregnant in the future. All reversible birth control methods will help prevent pregnancy while you’re using them, but they do not have long-lasting effects on your ability to get pregnant when you stop.

Have more questions? Text or email mailto:AskUs@marchofdimes.org.

Q and A for CMV

Friday, June 23rd, 2017

bellyYou may have heard of CMV because it’s the most common virus passed from mothers to babies during pregnancy.

Cytomegalovirus, also called CMV, is a kind of herpesvirus. There are many different kinds of herpesviruses – some of which are sexually transmitted diseases, but others can cause cold sores or infections like CMV.

Q. Who gets it?

A. Many people get CMV at some point in their lives, most often during childhood. Most people with CMV have no signs or symptoms but some may have a sore throat, a fever, swollen glands, or feel tired all the time.

Q. Is CMV dangerous?

A. It can be  – CMV can pass to your baby at any time during pregnancy, labor and delivery and even while breastfeeding. If you have CMV during pregnancy, there is a 1 in 3 chance it will pass to your baby. Eighty percent of babies born with CMV never have symptoms or problems caused by the infection. But about fifteen percent of babies develop a disability such as hearing loss, vision loss or an intellectual disability like trouble learning or communicating.

Q. Can you find out if you or your baby have CMV?

A. Yes. You can have a blood test done during pregnancy to test for CMV. And you can have prenatal tests to see if your baby has CMV. After birth, your baby’s bodily fluids like her urine and saliva can be tested for CMV. Some babies with CMV will have signs or symptoms at birth, but many will appear healthy so testing is important.

Q. Is there any treatment?

A. Yes. If your baby was born with CMV, she may be treated with antiviral medicines to kill the infection. Scientists are working to develop a vaccine for CMV.

In the meantime, remember to always wash your hands well after being in contact with body fluids, when changing diapers or wiping noses, and carefully throw diapers and tissues away. Don’t kiss young children on the mouth or cheek and don’t share food, glasses and eating utensils with children or anyone who may have CMV. These precautions can help you protect yourself and your baby.

Q. If you had CMV in a previous pregnancy, what are the chances you may get it again in another pregnancy? See this post for answers.

If you think you may have (or had) CMV, be sure to talk to your prenatal care provider. See our article to learn more about CMV including treatments.

Questions? Email AskUs@marchofdimes.org.

Preeclampsia: Impact on mom and baby

Wednesday, June 21st, 2017

May was Preeclampsia Awareness Month. We blogged about the signs, symptoms and causes of preeclampsia and how it may lead to premature birth. We also hosted a Twitter chat with Dr. Kjersti Aagaard of Texas Children’s Pavilion for Women, which generated some follow-up questions.

We’re happy to welcome back Dr. Aagaard and her colleague Dr. Martha Rac as guest bloggers. Both doctors are maternal-fetal medicine specialists at Texas Children’s. They will share some insight into who is most at risk of developing preeclampsia and how it can impact both mom and baby.

First, we must ask, who is at the highest risk for developing preeclampsia?

 Risk factors for preeclampsia include:

  • First time mothers
  • Pregnancy with a new partner than previous pregnancies – different partners may have varying genetic factors that may increase preeclampsia risk
  • Older mothers (>35 years old)
  • Black women
  • Medical problems including chronic high blood pressure, kidney disease, lupus, diabetes and heart disease
  • Pregnancies with multiples (twins, triplets, etc.)
  • Obesity
  • Preeclampsia in prior pregnancies
  • IVF pregnancies – particularly those with donor eggs. This is thought to occur as a result of genetic differences between the mother and fetus, causing the mother’s immune system to attack the “foreign” fetal tissue and cause excess inflammation.

In addition to the risk factors above, mothers with pregnancies spaced too closely together or very far apart can be at risk. Too close may be defined as 18 months or less and far apart as 4-5 years between pregnancies.

How does preeclampsia affect pregnancy?

Preeclampsia is classified as either mild or severe based on a woman’s symptoms, and how severely it affects her organs. It is a progressive disorder, which means that mild cases will eventually develop into severe preeclampsia, if not treated.

Preeclampsia can be very dangerous to both the mother and the baby. The very high blood pressure associated with preeclampsia can result in anything from seizures, stroke, liver and kidney dysfunction, bleeding problems, placental detachment and even death if left untreated.

If a mother-to-be suspects she may be experiencing preeclampsia, she should contact her doctor immediately.

How does preeclampsia impact the baby?

 This dangerous disorder can cause the baby’s growth to be restricted and increases the risk of stillbirth. In the most severe cases, preterm delivery may be required which may then expose the baby to the complications of prematurity such as under-developed organs, breathing difficulties, jaundice, anemia, a lowered immune system, etc.

In the worst cases, fetal death can occur from a sudden detachment of the placenta from the uterus.

For these reasons, women diagnosed with preeclampsia undergo additional monitoring such as: ultrasounds every 4 weeks to evaluate fetal growth, lab work to determine if there is multi-organ involvement, etc. and delivery no later than 37 weeks.

If you are worried you are at risk of developing this dangerous disorder, please be sure to consult with your doctor and discuss your concerns immediately.

Dr. Kjersti AagaardDr. Martha Rac

 

 

 

 

 

 

Many thanks to Dr. Aagaard  (left) and Dr. Rac  (right) for contributing their expertise. 

If you have questions, send them to AskUs@marchofdimes.org.

 

 

What’s one often forgotten, but very important, “must do” during pregnancy?

Monday, June 19th, 2017

teethThere are so many “do’s and don’ts” during pregnancy that it’s sometimes hard to keep track of them all. But one important “do” that sometimes gets overlooked is the need to keep up with oral care.

Somehow, brushing your teeth and going for regular dental cleanings seem to fall down on the list. But did you know that at-home and professional dental care are also important parts of a healthy pregnancy?

Pregnancy can affect dental health

During pregnancy, your changing hormones may affect the way your body reacts to plaque that builds up on your teeth. The result can be redness, swelling and bleeding gums called “pregnancy gingivitis.” In fact, nearly 70% of women experience gingivitis during pregnancy.

You also have more blood flowing through your body and more acid in your mouth when you are pregnant. All these changes mean you are more likely to have dental problems, such as loose teeth, gum disease, non-cancerous “pregnancy tumors” which form on your gums, tooth decay and even tooth loss. (See our article for more details on any of these dental issues.)

What’s the answer?

Consider oral care a “must do” on your healthy pregnancy list. Regular professional dental care as well as a good daily oral routine (brushing, flossing) are very important parts of your pregnancy.

Brushing your teeth is something that you’ve done since childhood. Even going to the dentist is something that (hopefully) you are doing regularly. Dental exams help to prevent tooth decay and gingivitis (gum inflammation), and let’s face it – your teeth look sparkly clean afterwards!

Bottom line

Take your prenatal vitamins, get plenty of rest, eat well, stay active, keep up with brushing your teeth, AND go to your prenatal and dental appointments.

Your smile and baby will thank you.

 

Have questions? Email AskUs@marchofdimes.org

Too much? Too little? Or just right?

Tuesday, June 6th, 2017

pregnant-woman-on-weight-scale-shrunkWeight gain seems to always be one of the topics of conversation for pregnant women. “How much should I gain?” “How do I stay healthy?” Turns out, how much weight you gain during pregnancy is very important.

Gaining the right amount of weight during pregnancy can help protect your health and the health of your baby. And gaining too much or too little can be harmful.

So how much weight gain is recommended?

Your health care provider uses your body mass index (BMI) before pregnancy to figure out how much weight you should gain during pregnancy. BMI is your body fat based on your height and weight.

  • Underweight = BMI less than 18.5
  • Healthy weight = BMI 18.5 to 24.9
  • Overweight = BMI 25 to 29.9
  • Obese = BMI more than 30

If you’re pregnant with one baby, the recommendations are as follows:

  • If you were underweight before pregnancy, you want to gain about 28 to 40 pounds during pregnancy.
  • If you were at a healthy weight before pregnancy, you want to gain about 25 to 35 pounds during pregnancy.
  • If you were overweight before pregnancy, you want to gain about 15 to 25 pounds during pregnancy.
  • If you were obese before pregnancy, you want to gain about 11 to 20 pounds during pregnancy.

And while you don’t want to gain too much or too little weight, don’t ever try to lose weight during pregnancy. If you have questions about healthy weight gain during pregnancy, talk to your health care provider.

Cooking out this weekend?

Wednesday, May 24th, 2017

pregnant couple with grocery bagLong holiday weekends are prime time for cookouts and family gatherings. And there’s one activity that can always bring people together – eating! Whether you’re hosting or preparing a side dish, be sure you take precautions in your preparations and in how your dish is served. These tips are especially important for pregnant women.

Before you begin your prep, here’s some tips to ensure your meal is a success:

  • Wash your hands. And then wash all of your fruits and vegetables and cut away any damaged sections.
  • Keep your raw meats and the tools you used to prepare them and keep them separate from the rest of your foods and supplies.
  • Make sure your meats such as hamburgers and grilled chicken are cooked thoroughly.
  • Be sure any salads and dishes with mayonnaise are kept cold and out of the sun.
  • Be sure to put leftovers away quickly – within 2 hours after eating.

Why the extra precaution?

Bacteria from foods can cause Salmonella and Listeriosis, both of which can be harmful to pregnant women.

Listeriosis is a kind of food poisoning caused by Listeria bacteria. This type of bacteria can come from hot dogs, unwashed fruits and vegetables and cold salads.

Salmonella is another kind of food poisoning caused by Salmonella bacteria. You can find this kind of bacteria in undercooked poultry, meat, fish or eggs.

If you’re pregnant, one of these types of food poisoning can cause serious problems for you and your baby, including premature birth, miscarriage and stillbirth. This is why it’s important to prepare your foods properly and serve foods that are safe. Your guests will be sure to thank you for a wonderful cookout and great company.

Have questions about a certain dish you are planning to make? Text or email us at AskUs@marchofdimes.org

Repeat lead tests are advised for certain children, pregnant women and breastfeeding moms

Wednesday, May 17th, 2017

blood-testsToday, the FDA and CDC issued a notice that some lead tests done by Magellan Diagnostics may be incorrect.

The FDA says “certain lead tests manufactured by Magellan Diagnostics may provide inaccurate results for some children and adults in the United States.”

If you have a child age 6 years old or younger, are pregnant or breastfeeding, speak with your healthcare provider or local health department to determine if retesting is needed.

The dangers of lead

Lead is a metal that comes from the ground, but it can be in air, water and food. You can’t see, smell or taste it. High levels of lead in your body can cause serious health problems for you and your family.

Children younger than 6 years of age can be severely affected by lead. It can cause developmental problems, hearing loss, vomiting, irritability, belly pain and weight loss. Very high levels of lead may even cause death.

Lead poisoning (high levels of lead in your body) can cause serious problems during pregnancy, such as premature birth, miscarriage, and high blood pressure. It can also cause fertility problems, mood disorders, headaches, muscle or joint pain, trouble concentrating, belly pain, anemia and fatigue in adults.

Where is lead?

Most lead comes from paint in older homes. When old paint cracks or peels, it makes dust that has lead in it. The dust may be too small to see. You can breathe in the dust and not know it.

Lead may be found in drinking water, at construction sites, in arts and crafts materials used to make stained glass, lead crystal glassware, and some soil.

For more information on lead poisoning, see our web article and the CDC’s information.

Bottom line

If you have a child age 6 or younger, or you are pregnant or breastfeeding, contact your healthcare provider to determine if a lead test should be repeated.

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

You can find more news on our News Moms Need blog.

 

Need a few ways to get to a healthier you? We’ve got them!

Monday, May 15th, 2017

#MCHchat 5.16.17This week is National Women’s Health Week.

Join our Twitter chat tomorrow from 12 – 1pm EST, to learn about ways to feel good and be your best self.

Use #MCHChat to join the conversation!

In the meantime, here are some ways to jump start getting to a healthier you.

The good thing about summer coming is the warm weather. There is nothing I love more than going out for a walk on my lunch break. I get my blood moving and it’s a chance to listen to an audio book, catch up with a friend or just take in the scenery. When I get back to my desk I feel refreshed and ready to tackle the next project.

Living a healthy lifestyle isn’t just about getting out and exercising though, it’s about your whole self. This includes your body and your mind. Things like getting enough sleep at night and managing your stress levels are related to your health. Even wearing your seatbelt and avoiding texting while driving will help you take steps to a healthier lifestyle.

What are a few ways you can make a big difference in your life?

  • Schedule a checkup with your health care provider for a well-woman visit. If you’re thinking about getting pregnant soon, this is a perfect time to schedule a preconception visit. You’ll want to be as healthy as possible before getting pregnant.
  • Keep tabs on how your mind and emotions are doing – are you stressed? sad? anxious? Your provider can help you figure out ways to manage all that life throws your way.
  • Make a grocery list before you go to the store – this will help you plan meals and avoid making unhealthy impulse purchases.
  • Take advantage of the nice weather! Go for a walk or bike ride.
  • Are you a smoker? You can get help to quit – ask your provider for resources or call 1-800-Quit-Now.

Small steps can lead to big changes

If making healthy changes feels overwhelming, take it one item at a time. This week, call your provider and make your well-woman appointment. Next week try to add on something else, like a 10 minute walk during lunchtime.

Small changes can lead to big leaps in getting to a healthier you. Take it day by day, and week by week.