Archive for the ‘Pregnancy’ Category

Travel, Zika, and pregnant women: what you need to know

Friday, September 23rd, 2016

If you are pregnant or trying to conceive, don’t travel to a Zika-affected area. Dr. Siobhan Dolan, Medical Advisor to the March of Dimes, explains why in this short video. Be sure to check CDC’s travel alerts for updates. If you must travel, talk to your health care provider before you travel and learn how to protect yourself from Zika.

 

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

Infant mortality. These two words should never go together.

Wednesday, September 21st, 2016

emotional couple sittingInfancy should mark the beginning of life, not the end. Even though the rates of infant deaths are at an all-time low, far too many babies still die before their first birthday. For this reason, September is Infant Mortality Awareness Month – a time for us to share the sad fact that babies still die in infancy, and to help spread the word about how to fix this problem.

In 2013, in the United States, 23,446 infants died before reaching their first birthday, which is an infant mortality rate of 6.0 per 1,000 live births. Or, put another way, on an average day in the U.S., 64 babies die before reaching their first birthday.

What causes infant death? Can it be prevented?

“Preterm birth, or being born too early (before 37 weeks of pregnancy), is the biggest contributor to infant death,” according to the CDC. In 2013, about one third (36%) of infant deaths were due to preterm-related causes. Among non-Hispanic black infants, the rate of preterm-related death is three times higher than those of non-Hispanic white infants.

Other causes of infant mortality include low birth weight, birth defects, pregnancy complications for the mother, SIDS (sudden infant death syndrome), and unintentional injuries (accidents). Although the rate of infant deaths in the U.S. has declined by almost 12% since 2003, the death of any infant is still one too many.

Having a healthy pregnancy may increase the chance of having a healthy baby.

A woman can help reduce her risk of giving birth early by getting a preconception checkup, staying at a healthy weight, and avoiding alcohol and street drugs during pregnancy. Spacing pregnancies at least 18 months apart and getting early and regular prenatal care during pregnancy are also key parts of a healthy pregnancy.

It’s part of our mission

The March of Dimes is committed to preventing premature birth, birth defects and infant mortality. It is our hope that through continued research, we will have a positive impact on the lives of all babies so that fewer families will ever know the pain of losing a child.

If you or someone you know has lost a baby, we hope that our online community, Share Your Story, will be a place of comfort and support to you. There, you will find other parents who have walked in your shoes and can relate to you in ways that other people cannot. Log on to “talk” with other parents who will understand.

Even in the year 2016, “the U.S. has one of the highest rates of infant mortality in the industrialized world,” according to NICHQ, the National Institute for Children’s Health Quality.

The March of Dimes is working hard to make this fact history.

Have questions? Send them to our Health Education Specialists at AskUs@marchofdimes.org.

 

Staying safe after a flood or other natural disaster

Friday, September 2nd, 2016

rainFlooding can have devastating effects on your home and the community. After a flood or other natural disaster, there may still be many dangers. It is important to take the appropriate precautions when you are returning home or if you are living in a temporary shelter.

Cleanup

  • All hard surfaces, including walls, floors, and counter-tops should be cleaned with soap and water and disinfected with a solution of 1 cup of bleach to 5 gallons of water.
  • Wash all sheets, towels, and clothes in hot water (or have them dry cleaned).
  • Mattresses and furniture should be air dried in the sun and then sprayed with a disinfectant.
  • Any carpeting should be steam-cleaned.
  • Throw away any objects that cannot be cleaned and disinfected.

Health and safety

  • Keep children and pets away from the area until cleanup is complete.
  • Always wash your hands with soap and water after touching anything that has been in flood water or if you touch flood water.
  • Wear waterproof boots, gloves, and goggles during cleanup, especially if there was any contamination with sewage.
  • If you get a deep cut or wound, check with your health care provider to see if a tetanus shot is necessary.
  • Listen for any recommendations from local or state health departments.

If you’re pregnant

  • Drink plenty of bottled water and rest as often as you can.
  • Seek prenatal care, even if it isn’t with your typical provider.  And make sure that the provider is aware of any health conditions that you may have.
  • If you are in a shelter, make sure that the staff knows you are pregnant (or if you think you may be pregnant).
  • If you do not have any prescription medications that you need, contact your provider and the pharmacy to try to get them.
  • Make sure you avoid infections and other exposures that may be harmful. This would include fumes, flood water, and other toxins. Let others do the cleanup.
  • Even though you are taking care of others, make sure you take care of yourself too. Try to find healthy ways to reduce stress and talk to others about your feelings.
  • If you have any signs of preterm labor, call your health care provider or go to a hospital right away.

Other hazards

  • Shut off electrical power, natural gas, or propane tanks to avoid fire, electrocution, or explosions.
  • Avoid downed power lines.
  • If you smell gas or suspect a leak, leave your house right away and notify the gas company and police or fire department. Do not return to your home until you have been told it is safe.
  • Do not operate any gas-powered equipment (such as a generator) indoors. This can cause carbon monoxide to build up inside your home.
  • Avoid swiftly moving water (even if it is shallow). Cars can be swept away quickly. Make sure children do not play in flood water.

The CDC has more information about what to do after a flood. They also have helpful information for children.

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

Is it a boy or a girl?

Friday, August 26th, 2016

its-a-girl-storkFinding out the sex of your baby is such an exciting part of pregnancy. While some people choose to be surprised at the time of delivery, many couples want to know the sex of the baby before they give birth. its-a-boy-stork

XX or XY

Your baby’s sex is determined at the moment of conception.  Of the 46 chromosomes that make up your baby’s genetic material, two chromosomes–one from the egg and one from the 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 the egg (another X chromosome), your baby will be a girl (XX).  If a sperm containing a Y sex chromosome meets the egg, your baby will be a boy (XY).  It is always the father’s genetic contribution that determines the sex of the baby.

How can I find out the sex of my baby?

Most women find out their baby’s sex during a routine ultrasound in the second trimester—usually between 18-20 weeks.  Traditional ultrasound is approximately 93% to 100% accurate at detecting the baby’s sex. But, just remember that sometimes the sex is not clearly identifiable from an ultrasound. This is usually due to the position of the baby.

While ultrasound is accurate, if you want to be absolutely certain of your baby’s sex, you would need a diagnostic test, such as a CVS (done between 10-12 weeks of pregnancy) or amniocentesis (done between 15-20 weeks of pregnancy). It is important to keep in mind that these prenatal tests are invasive and are done primarily to diagnose certain genetic conditions, such as Down syndrome.

Another way you may find out if you are having a boy or a girl is through cell-free fetal DNA testing (also called noninvasive prenatal testing or NIPT). NIPT tests your blood for your baby’s DNA to see if he may have certain genetic conditions, like Down syndrome. While this test is not used specifically to determine the baby’s sex, it can provide that information. It can be done after 10 weeks of pregnancy.

Did you find out if you were having a boy or a girl? Did you reveal it in a special way? Let us know—we’d love to hear your stories!

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

The Zika virus: What we know and what we don’t

Wednesday, August 17th, 2016

We know that…

  • Zika infection during pregnancy can be passed to your baby. It can cause a birth defect called microcephaly and other brain problems. Also, Zika may be linked to miscarriage and stillbirth, hearing and vision problems, and joint issues.
  • the Zika virus is spread mostly through the bite of an infected mosquito, but it also can be spread by having sex with someone who is infected, and possibly through blood transfusions. Zika can be spread through laboratory exposure in a health care setting, too.
  • the mosquitoes that live in many parts of the U.S. are capable of spreading the virus if they become infected. They become infected by biting someone who has the virus. At this time, in the continental United States, mosquitoes are spreading the virus in only one area of Florida.
  • infected mosquitoes spread the virus by biting people. Roughly 4 out of 5 people who get the Zika virus don’t have any signs or symptoms and aren’t aware that they have the virus.
  • by applying bug spray/lotion for 3 weeks after you return from a Zika-affected area, or if you were diagnosed with Zika, you will help prevent the spread of Zika to others.

 We don’t know…

  • how often Zika causes microcephaly or birth defects when a baby is exposed to the virus in the womb.
  • if or when mosquitoes in other areas of the U.S. may become infected with Zika and consequently start spreading the virus.
  • when a vaccine will be available.

Here’s what you can do

The March of Dimes #ZAPzika campaign provides essential information on Zika protection that everyone should follow and share:

  1. Use spray, keep mosquitoes away: make sure it’s EPA registered, and contains at least one of mosquito_3Dthe following ingredients: DEET, Picaridin, oil of lemon eucalyptus, para-menthane-diol, or IR3535, which are safe to use during pregnancy. Don’t use products that contain oil of lemon eucalyptus or para-menthane-diol on children younger than 3 years. When applying, always follow the product label directions;  do not put bug spray/lotion under your clothes, and put sunscreen on first (then bug spray/lotion over sunscreen). Find a repellant that is right for you.
  1. Say you will, embrace the chill: use air conditioning and window screens if possible. Repair holes on screens.
  1. If it’s wet, it’s a threat: remove still water. Mosquitoes can breed in tiny amounts of water. To prevent water from pooling and becoming mosquito breeding grounds, the CDC says “Once a week, empty and scrub, turn over, cover, or throw out items that hold water, such as tires, buckets, planters, toys, pools, birdbaths, flowerpots, or trash containers.”
  1. Get protected, not infected: wear clothes to prevent bites, such as long pants, a long-sleeved shirt, socks, shoes, and a hat. If you or your partner may be infected with Zika, use a barrier method (like a condom) every time you have sex or don’t have sex at all.
  1. If you suspect, then connect: call your health care provider if you are at risk of infection, or if you think you may have the Zika virus.

If you are thinking about getting pregnant, CDC guidelines suggest waiting at least 6 months from the first sign or symptom if a male partner was diagnosed with the virus, and waiting at least 8 weeks from the first sign or symptom if a woman tested positive for Zika.

If you or your partner may have Zika but neither of you have signs or symptoms and neither of you has been tested, wait at least 8 weeks from when you think you may have been exposed to Zika before trying to get pregnant. Keep in mind that research is ongoing to confirm these waiting times.

If you have questions about Zika, please see our article at marchofdimes.org/zika or send them to AskUs@marchofdimes.org.

 

Vaccines during pregnancy protect you and your baby

Friday, August 12th, 2016

vaccination adult womanAugust is National Immunization Awareness Month. This week’s focus is on vaccines for pregnant women.

If you are pregnant, certain vaccines can help protect you and your baby from infections. When you get the recommended vaccines during pregnancy, you protect yourself AND you pass this protection to your baby.

What vaccines do you need during pregnancy?

The CDC recommends two vaccines during pregnancy:

  1. Flu. A flu shot during pregnancy protects you from serious complications and protects your baby for several months after birth. You need a flu shot every year, as the flu strain changes year to year.
  2. Whooping cough (or Tdap). You should get Tdap at 27 to 36 weeks of pregnancy. You need to get the Tdap vaccine in each and every pregnancy. When you get the whooping cough vaccine during your pregnancy, your body will create protective antibodies and pass some of them to your baby before birth. These antibodies will provide your baby some short-term, early protection against whooping cough which will help keep him safe until he is able to get his own vaccination at 2 months of age.

In some special cases, other vaccines may be recommended by your provider.

Vaccines for travel: If you planning international travel during your pregnancy, talk to your health care provider at least 4 to 6 weeks before your trip to discuss any special precautions or vaccines that you may need.

Hepatitis B: If you are pregnant and have hepatitis B, your baby is at the highest risk for becoming infected during delivery. Talk to your provider about getting tested for hepatitis B and whether or not you should get vaccinated.

Additional vaccines: Some women may need other vaccines before, during, or after they become pregnant. For example, if you have a history of chronic liver disease, your doctor may recommend the hepatitis A vaccine. If you work in a lab, or if you are traveling to a country where you may be exposed to meningococcal disease, your doctor may recommend the meningococcal vaccine.

Not all vaccines are safe to get during pregnancy, so talk to your health care provider. And don’t forget to make sure that other family members, grandparents, and caregivers are also protected!  Anyone who is going to be in contact with your baby should be immunized against whooping cough and flu. They should get the Tdap and flu vaccines at least 2 weeks before meeting your baby if they are not up-to-date with these vaccines. This way, they are not only protecting their own health, but also helping form a “cocoon” of disease protection around your baby during the first few months of life.

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

How I Got the Zika Virus and How You Can Too: Protecting Yourself and Your Family

Wednesday, August 10th, 2016

Aedes aegypti mosquitoToday’s guest post is written by Bethany Kotlar, MPH, of Mother To Baby -Georgia. Her personal experience with the Zika virus is important to share with others.

As a teratology information specialist, I counsel women and their families on medications, chemicals, herbal remedies, and illnesses that could harm developing babies. So as the Zika Virus, a viral infection that can cause severe birth defects including microcephaly (a condition where a baby’s head is much smaller than expected, and may indicate a baby’s brain has not developed properly during pregnancy), spread from the Polynesian Islands, to South America, to the Caribbean, I made sure to educate myself on everything we know about the virus, reading article after article and keeping up to date on the Centers for Disease Control and Prevention (CDC’s) recommendations to avoid infection, knowing that eventually I would need this information to counsel a pregnant woman or her family. I never imagined I would use this information to try to prevent becoming infected myself, and that I would fail.

One week in February I opened an email from my in-laws with the subject “30th Birthday Plan.” My husband’s 30th was a few weeks away, and I was excited to see what they had planned. As I read the email detailing a week-long sailing trip in the Caribbean I felt blessed, and honestly a little scared. I rushed to the CDC’s page on Zika to look up whether the islands we were visiting had outbreaks. Sure enough-16 Caribbean islands, including the two we were visiting, had Zika outbreaks. At first I didn’t want to go, which set off an intense inner debate racked with guilt. “How could I say no to a surprise trip for my husband, especially one planned and paid for by my in-laws?” I thought, and in the next second, “But what if I get Zika? I work with pregnant women, I can’t expose them!” Finally, my Dad stepped in. “You’re too adventurous to let Zika scare you away from a vacation.” he said. “Fine,” I thought, “I’ll go, but I’m going to be careful.”

I was careful. Despite the gentle teasing from my in-laws, I insisted on sleeping indoors with the windows closed, even though it was more comfortable outside. I wore bug spray with 30% DEET when I thought mosquitos would be out. I got three or so bites at dinner one night, and three more at the end of our trip. As we headed home I mentally patted myself on the back; “Only six bites,” I thought, “pretty sure I didn’t get Zika!” I was so sure that three days after our trip when I developed a head-to-toe rash I was certain it was an allergic reaction, but after three doses of Benadryl did nothing, I googled Zika-related rashes. Dead ringer. Symptoms of the Zika Virus include rash, joint and muscle pain, red eye, fever, and headache, and boy did I have them. I rushed in to see an infectious disease doctor, who came to the same conclusion. “My money’s on Zika,” he said. Suddenly everyone wanted a piece of me; my blood was sent to the county board of health, Emory’s lab, and a lab in Washington for testing.

A call from the county board of health confirmed what my aching joints hinted at: I tested positive. My first thought was to thank my lucky stars that I have access to safe, reliable birth control. My second was to start worrying about those around me. I had brunch with a pregnant friend before I had symptoms-could I have given her Zika? Thankfully, the answer is no (more on that below)! I was amazed at how a short vacation and six bites could give me Zika. I thought about all the people going to the Caribbean for vacation. How many of them are pregnant or could become pregnant while traveling? Would they wear bug spray? Would they recognize the symptoms? How many are men who could get Zika and then unknowingly transmit it to their sexual partner? How many people are walking around not knowing they were infected? I called my friend and begged her to wear insect repellant for the rest of her pregnancy.

As of July 27, 2016, 1,658 cases of Zika, including 433 pregnant women have been confirmed in the continental United States; 4 cases of local transmission have been reported in Miami-Dade and Broward counties in Florida. There are likely far more cases since most people don’t have symptoms, so never get tested. Zika is mostly spread through mosquito bites, but can also be spread through sex, blood transfusions, or from a mother to baby during pregnancy. We don’t know how long the incubation period (the time between when you get infected and when you see symptoms) is, but it is likely a few days to weeks. For most people the virus stays in the blood for about a week, but some people still have the virus in their bodies for as long as two months. Currently, the only Zika outbreak in the continental United States is in a small area of Dade County, Florida, however, the mosquitoes that can carry Zika are found in some areas of the US, making a Zika outbreak in the U.S. very possible. You can follow these steps to protect yourself:

1.  If you are pregnant or could be pregnant (planning a pregnancy or not using birth control), don’t travel to a country with an active Zika outbreak. You can find a list of current outbreaks here.

2.  If your partner has traveled to a country with an active Zika outbreak and you are pregnant, use condoms correctly every time you have sex for the rest of your pregnancy. Why, you might ask? Because Zika can stay in semen longer than in blood, but we don’t know exactly how long it stays there. To be as safe as possible, the CDC recommends using condoms for 6 months.

3.  If your partner has traveled to a country with an active Zika outbreak and has symptoms of Zika (rash, fever, headache, joint pain, and conjunctivitis) use condoms correctly whenever you have sex and avoid pregnancy for at least six months. If he does not have symptoms, use condoms and avoid pregnancy for at least two months.

4.  If you have traveled to a country with an active Zika outbreak and you are not pregnant, avoid pregnancy for at least two months. The Zika virus can also be transmitted from a woman to her sexual partner. Because of this, use condoms and/or a dental dam when you have sex for two months. Do not share sex toys.

5.  If you are currently pregnant, avoid mosquito bites as much as possible by wearing bug spray outdoors (bug spray with at least 30% DEET is preferable; for information on the safety of DEET during pregnancy, see here), wearing long-sleeved shirts and pants, closing windows or using windows with screens, and removing any standing water from around your house. Two things to remember: the mosquitos that spread Zika are daytime biters and like to be indoors, and they can breed in pools as small as a bottle-cap.

MTB-headshot_BethanyKotlarIf you have questions about the Zika virus or you have been infected or exposed and want free up-to-date information about what this could mean for a current or future pregnancy, you can contact a MotherToBaby expert by phone at (866) 626-6847, by text at (855) 999-3525, or by live chat or email by visiting www.mothertobaby.org.

Bethany

You can also send your questions to the March of Dimes at AskUs@marchofdimes.org and view our web article on Zika. Thanks again to Bethany for sharing her story.

Note: since the writing of this blog post, more cases of Zika have been reported in Florida. The CDC website has updated, detailed information.

 

Colostrum: why every drop counts

Wednesday, August 3rd, 2016

mom breastfeeding newbornI’ve heard many new moms say they “have no milk” after giving birth and are worried their baby won’t be able to feed. The good news is women have drops of colostrum after they give birth for several days until they start to see their milk come in. You may even see these drops during pregnancy; this is normal.

What is colostrum?

In the first few days after giving birth, your breasts will make a thick, yellowish form of breast milk. This liquid has nutrients and antibodies that your baby needs in the first few days of life before your breasts start to make milk.

Why is it yellow?

This is because colostrum has a higher concentration of protein and antibodies to help protect your baby in her new environment. Think of colostrum as your baby’s first vaccine.

Is it enough?

For healthy, full-term babies, your colostrum is the right amount of food in the early days. At one day old, your baby’s stomach is the size of a marble (5-7 ml), so she is not able to handle a larger amount of milk. Colostrum is easily digested and will help her pass meconium (early stools) which aids in getting rid of excess bilirubin to help prevent jaundice.

The small drops of colostrum you see in the days after birth are important for your baby, especially if she was born prematurely. So as you are bonding with your new arrival and getting acquainted with each other, know your colostrum is providing her with the best start.

Do adults really need vaccines?

Monday, August 1st, 2016

Doctor with pregnant woman during check-upJennifer and Will hope to start a family later this year. Do either of them need vaccines before trying to conceive?

Sophia is pregnant with her second child. She remembers getting a couple of vaccines when she was pregnant with her first child. Does she need to get them again?

Lorraine and Bob just became grandparents and hope to do a lot of babysitting. Do they need any vaccines before being with their granddaughter?

The answers to all of the above? YES!

Children are not the only ones who need vaccines. Adults need them, too. As you can see from the above scenarios, vaccines are necessary before, during and after pregnancy.

Before pregnancy

Make sure your vaccinations are current so that they protect you and your baby during pregnancy. Then, ask your provider how long you need to wait before you try to get pregnant.

Are you up to date on your MMR (measles-mumps-rubella) vaccine?  This one is important because rubella is a contagious disease that can be very dangerous if you get it while you are pregnant.  In fact, it can cause a miscarriage or serious birth defects. The best protection against rubella is the MMR vaccine, but you need it before you get pregnant.  Then, you should avoid trying to get pregnant for at least four weeks after getting the vaccine.

During pregnancy

When you get vaccines, you aren’t just protecting yourself—you are giving your baby some early protection too. CDC recommends you get a whooping cough and flu vaccine during each pregnancy to help protect yourself and your baby.

  • Whooping cough (or Tdap) vaccine – Get this at 27 – 36 weeks of pregnancy. You need to get the Tdap vaccine in each and every pregnancy. This ensures that you pass your protection on to your baby, which will help keep him safe until he is able to get his own pertussis vaccination at 2 months of age.
  • Flu – A flu shot during pregnancy protects you from serious complications and protects your baby for up to 6 months after birth. You need a flu shot every year, as the flu strain changes year to year.

After pregnancy

Although getting vaccines during pregnancy is very important, you also need to think about those individuals who will be near your baby.

At the very least, fathers, grandparents, caregivers and anyone who is going to be in contact with your baby should be immunized against pertussis (whooping cough) and flu. They should get the Tdap and flu vaccines at least 2 weeks before meeting your baby. This strategy of surrounding babies with people who are protected against a disease such as whooping cough is called “cocooning.”

However, cocooning might not be enough to prevent your baby from getting sick. This is because cocooning does not provide any direct protection (antibodies) to your baby, and it can be difficult to make sure everyone who is around your baby has gotten their whooping cough vaccine. Therefore, it is even more important that you get your vaccines while you are pregnant.

A baby is not able to start getting most of his vaccines until he is at least two months old. For example, aside from the Hepatitis B vaccine that is given to your baby in the hospital, the first of 5 doses of the DTap (diphtheria, tetanus and pertussis) vaccine is given at 2 months of age. The flu vaccine is not given until 6 months, and the MMR, varicella (chickenpox), and hepatitis A vaccines are not given until 12 months.

If you haven’t received all your vaccinations before or during pregnancy, talk to your provider after giving birth to see about getting caught up to protect yourself and your baby.

What are “boosters?”

Even if you got all of your vaccinations during your life, some vaccines need “boosters” because they wear off over time. Talk with your health care provider to see whether you need them. With a little preparation and forethought, you and your baby will be protected against diseases that could be dangerous or even deadly.

Test your knowledge

Take the CDC’s Vaccines and Pregnancy Quiz for a fun way to learn what vaccines you need before and during pregnancy. It is quick and easy, and you’ll learn something whether you get the answers right or wrong.  No judgment! And check out their new Pregnancy and Vaccination page.

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

It’s important to get to 39 weeks

Friday, July 29th, 2016

pregnant woman with doctorFeatured question:

I’m 31 weeks pregnant and I can’t wait any longer for my baby boy to come into the world! Is there any way I can get induced so I can be with my baby?

This is a question we recently received through AskUs. We know how excited you are to meet your baby. But if your pregnancy is healthy, it is best to wait for labor to begin on its own. And if you do decide to induce labor, ask your provider if you can wait until at least 39 weeks.

Why is 39 weeks so important?

More and more births are being scheduled a little early for non-medical reasons. Experts are learning that this can cause problems for both mom and baby. Getting to at least 39 weeks gives your baby the time he needs to grow. Here’s why your baby needs 39 weeks:

  • Important organs, like his brain, lungs and liver, get the time they need to develop. At 35 weeks, baby’s brain weighs just two-thirds of what it does at 39 weeks.
  • There is more time to gain weight. Babies born at a healthy weight have an easier time staying warm than babies born too small.
  • Your baby will be able to feed better. Babies born early can sometimes have a difficulties with sucking, swallowing, and staying awake long enough to eat.
  • Your baby is less likely to have vision and hearing problems after birth.

Why can scheduling an early birth cause problems for me and my baby?

There are some risks associated with inducing labor:

  • Your due date may not be exactly right. Even with an ultrasound, your due date can be off by as much as 2 weeks. If you schedule an induction and your due date is wrong, your baby may be born too early.
  • Pitocin, the medication used to induce labor, can make contractions very strong and lower your baby’s heart rate.
  • You and your baby have a higher risk of infection if labor doesn’t begin soon after your water breaks.
  • If the medications used to induce labor do not work, you may need to have a c-section.

What if there are problems with my pregnancy?

You may not have a choice about when to have your baby. Your provider may need to induce labor to help keep you and your baby safe. Some medical reasons to induce a pregnancy include:

If your provider does decide to induce labor for the health and safety of you and your baby, you can learn more about how labor is induced on our website.

If your pregnancy is healthy, it is best to let labor begin on its own. If your labor does need to be induced, and you and your baby are healthy, make sure you wait until at least 39 weeks. Healthy babies are worth the wait!

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