Archive for the ‘Pregnancy’ Category

Cooking out this weekend?

Wednesday, May 24th, 2017

pregnant couple with grocery bagMemorial Day weekend is 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

Neonatal abstinence syndrome

Monday, May 22nd, 2017

infant crying“The March of Dimes has made it a priority to help and support women and infants affected by opioid use and other substance use disorders,” says Stacey D. Stewart, president of the March of Dimes. “There are few things more tragic than an infant starting out life in drug withdrawal.  We owe it to these babies to do everything in our power to ensure they are treated appropriately and can recover fully from drug exposure.”

Neonatal abstinence syndrome (NAS) happens when newborns go through drug withdrawal shortly after birth because they were exposed to drugs in the womb. In the United States, the number of babies born with NAS has been increasing. The Centers for Disease Control and Prevention (CDC) estimates that the number of babies with NAS has tripled from 1999 to 2013.

What drugs can cause NAS?

One of the most common causes of NAS is maternal use or abuse of opioids during pregnancy. Opioids are painkillers your provider may recommend if you’ve been injured or had surgery. Some common opioids that may be prescribed include:

  • Codeine and hydrocodone (Vicodin®)
  • Morphine (Kadian®, Avinza®)
  • Oxycodone (OxyContin®, Percocet®)

Heroin is also an opioid. Using it during pregnancy can cause your baby to be born with NAS.

In addition to opioids, these drugs can lead to NAS too:

  • Certain antidepressants (prescription drugs used to treat depression)
  • Benzodiazepines (sleeping pills)

What are the signs and symptoms of NAS?

Babies may exhibit different signs of NAS. Most babies will show symptoms within 3 days (72 hours) of birth, but sometimes symptoms will appear soon after birth or a few weeks later. Signs and symptoms can include:

  • Body shakes (tremors), seizures (convulsions), overactive reflexes (twitching) and tight muscle tone
  • Fussiness, excessive crying or having a high-pitched cry
  • Poor feeding, poor sucking or slow weight gain
  • Breathing very fast
  • Fever, sweating or blotchy skin
  • Trouble sleeping and lots of yawning
  • Diarrhea or throwing up
  • Stuffy nose or sneezing

NAS can last from 1 week to 6 months after birth.

How is a baby with NAS treated?

Treatment for NAS may include:

  • Taking medicines to treat or manage severe withdrawal symptoms. Your baby’s provider may give her a medicine that’s similar to the drug you used during pregnancy. This can help relieve your baby’s withdrawal symptoms. Once these symptoms are under control, your baby gets smaller doses of the medicine over time so her body can adjust to being off the medicine. Medicines used to treat severe withdrawal symptoms include morphine, methadone and buprenorphine.
  • Getting IV fluids. Babies with NAS can get very dehydrated from having diarrhea or throwing up a lot. If a baby’s dehydrated, she doesn’t have enough water in her body. Getting fluids through an IV helps keep your baby from getting dehydrated.
  • Drinking higher-calorie baby formula. Some babies with NAS need extra calories to help them grow because they have trouble feeding or aren’t growing properly. slow growth.

Most babies with NAS who get treatment get better in 5 to 30 days.

Research

The March of Dimes, together with the CDC, has awarded grants to conduct one-year of surveillance on neonatal abstinence syndrome (NAS) in three states with high rates of NAS:  Vermont, Illinois, and New Mexico. The project will enable each state to conduct enhanced identification of babies born with NAS and evaluate the health services needed by these babies through one year of age.

If you or someone you know is pregnant and struggling with drug use, please share these resources:

Have questions? Text or email AskUs@marchofdimes.org

Can stress, PTSD, or depression affect your pregnancy?

Friday, May 19th, 2017

Contemplative womanWe receive a number of questions about the effects of stress and depression on pregnancy. Here is some information that can help you better understand these conditions, how they can affect your pregnancy, and when you should talk to your provider.

Stress

Feeling stress during pregnancy is very common. There are so many changes happening all at once—to your body, your emotions, and your family—it is hard not to feel overwhelmed. But too much stress can make you uncomfortable. Stress can make you have trouble sleeping or have headaches. Regular stress during pregnancy, such as work deadlines and sitting in traffic, probably don’t add to pregnancy problems.

However, more serious types of stress may increase your chances for premature birth. Serious types of stress include:

  • Negative life events. Such as divorce, serious illness or death in the family.
  • Catastrophic events. Earthquakes, hurricanes or terrorist attacks.
  • Long-lasting stress. This type of stress can be caused by having financial problems, being abused, having serious health problems or being depressed.
  • Racism. Some women may face stress from racism during their lives. This may help explain why African-American women in the United States are more likely to have premature and low-birthweight babies than women from other racial or ethnic groups.
  • Pregnancy-related stress. Some women may feel serious stress about pregnancy. They may be worried about miscarriage, the health of their baby or about how they’ll cope with labor and birth or becoming a parent. If you feel this way, talk to your health care provider.

We don’t completely understand the effects of stress on pregnancy. But stress-related hormones may play a role in causing some pregnancy complications.

Post-traumatic stress disorder (PTSD)

PTSD occurs in some people after they have experienced a shocking, scary, or dangerous event. People with PTSD may have:

  • Serious anxiety
  • Flashbacks of the event
  • Nightmares
  • Physical responses (like a racing heartbeat or sweating) when reminded of the event

As many as 8 in 100 women (8 percent) may have PTSD during pregnancy. Women who have PTSD may be more likely than women without it to have a premature or low-birthweight baby. A 2014 study looked at the effects of PTSD on pregnancy. Researchers reviewed over 16,000 births and found that having PTSD in the year before delivery increased a woman’s chance of giving birth early by 35%.

Depression

Depression is a medical condition in which strong feelings of sadness last for a long time and interfere with your daily life. People who have depression need treatment to help them get better. About 1 in 5 women has depression sometime in her life. And 1 in 7 women is treated for depression at some time between the year before pregnancy and the year after pregnancy.

If you’re pregnant and have depression that’s not treated, you’re more likely to have:

  • A premature baby.
  • A baby born at a low birthweight.
  • A baby who is more irritable, less active, less attentive and has fewer facial expressions than babies born to moms who don’t have depression during pregnancy

Being pregnant can make depression worse or make it come back if you’ve been treated and are feeling better. If you have depression that’s not treated, you may have trouble taking care of yourself during pregnancy. And if you have depression during pregnancy that’s not treated, you’re more likely to have postpartum depression (PPD) after pregnancy. PPD can make it hard for you to care for and bond with your baby. Treatment for depression during pregnancy can help prevent these problems.

If you are concerned that you may have one of these conditions, please talk to your health care provider. She can help you to get the appropriate treatment so that you and your baby can be as healthy as possible.

Have questions? Text or email 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.

 

Prevent syphilis in your baby

Monday, May 8th, 2017

doctorCongenital syphilis (present at birth) can cause serious lifelong health conditions, or even death, for a baby. Unfortunately, the number of congenital syphilis cases in the United States increased 46 percent between 2012 and 2015.

Syphilis is a sexually transmitted disease (STD), also known as a sexually transmitted infection (STI). You can get it by having unprotected sex with someone who is infected with syphilis. You can also get it by having direct contact with an infected person’s syphilis sore which may be on a person’s lips, in their mouth or on their genitals.

If a woman has syphilis and gets pregnant, she needs to be treated for syphilis. If she doesn’t receive treatment, syphilis can pass to her baby.

The good news is that congenital syphilis is preventable:

  1. Protect yourself first. Either don’t have sex or have safe sex by using a condom or other barrier method.
  2. Go to all your prenatal care checkups; your provider will test you for syphilis.
  3. If you have syphilis, your provider will begin treatment. The sooner you receive treatment, the less likely you and your baby may have complications from the infection.
  4. Ask your partner to be tested (and treated) for syphilis, so that you don’t get infected or re-infected.

If you’re not sure whether you have syphilis, or think you may have been exposed to it, contact your healthcare provider.

See our article for more details about protecting yourself and your baby from syphilis. Our article includes diagnosis and treatment information, too.

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

Headache? Nausea? Could be more serious then you thought

Wednesday, May 3rd, 2017

2014d037_1495We receive many questions from expectant moms who are experiencing symptoms such as headaches or swelling. They worry it might be something serious, like preeclampsia.

Preeclampsia is a kind of high blood pressure some women get after the 20th week of pregnancy or after giving birth.  Along with high blood pressure, a pregnant woman can have signs that some of her organs, like her kidneys and liver, may not be working properly.

Signs and symptoms of preeclampsia include:

  • High blood pressure
  • Protein in the urine
  • Severe headaches
  • Changes in vision, like blurriness, flashing lights, seeing spots or being sensitive to light
  • Pain in the upper right belly area or pain in the shoulder
  • Nausea or vomiting
  • Dizziness
  • Sudden weight gain (2 to 5 pounds in a week)
  • Swelling in the legs, hands and face
  • Trouble breathing

Without treatment, preeclampsia can cause serious health problems for both you and your baby. The condition can cause kidney, liver and brain damage for you and premature birth, intrauterine growth restriction (IUGR) or low birthweight for your baby.

Many of the signs and symptoms of preeclampsia are just normal discomforts of pregnancy.

So how do you know if your symptoms are a sign of something more serious?

Your health care provider can diagnose preeclampsia by measuring your blood pressure and checking your urine for protein – both of these are routinely checked at every prenatal care visit.

If you are diagnosed with preeclampsia, your provider can help you manage most health complications through regular prenatal care. This is why it’s important to go to every appointment, even if you are feeling fine.

So, to know if your severe headache or sudden swelling is cause for concern, reach out to your health care provider. He can determine if your symptoms are normal pregnancy discomforts or something more serious like preeclampsia.

For more details about this serious condition, visit our website.

 

Allergies and pregnancy – can you get relief safely?

Monday, May 1st, 2017

allergies2It seems that everyone I know is struggling with allergy symptoms right now. The chief complaints are itchy eyes, sneezing, congestion, and generally feeling like a marshmallow invaded your head. Spring looks so beautiful but taking a deep breath outside can make you miserable!

There are many over-the-counter remedies and prescription medications available to help with symptoms, but if you’re pregnant it may not be wise to use any of them.

Here’s the low-down…

Pros and cons of possible allergy relief remedies during pregnancy

First of all, check with your health care provider before you take any over-the-counter medicine, supplement or herbal product to make sure it’s safe for you and your baby. Your provider will weigh the risks and benefits of taking any medication during pregnancy.

  • As a general rule, nasal saline (salt water) is good to use as it keeps your nasal passages moist and helps you blow away the allergens that accumulate in your nose. Avoid nasal steroids though, unless prescribed by your prenatal provider.
  • Decongestants, such as pseudoephedrine and phenylephrine, usually should be avoided, especially during the first trimester, as there is a possible association between its use and certain birth defects in babies. There are too many brand name decongestants to list here. Your best bet is to ask your prenatal provider about a medication before you take it.
  • Antihistamines, such asdiphenhydramine, doxylamine and chlorpheniramine, block your reaction to an allergen. You may know them by their brand names, such as Benadryl, Nytol, Unisom, Triaminic, and others. Some are considered safe to use during pregnancy, with the ok of your provider.
  • Read labels. Many symptom relief medications contain more than one ingredient. Also, these meds are meant for short-term, not long-term use. Your prenatal provider is the perfect person to ask if/when/how long you should be on any particular medication.

How about allergy tests and shots?

  • If you’re thinking about being tested for allergies, either test before you become pregnant, or wait until after your baby is born. Allergy skin testing is not done during pregnancy due to a small risk that a severe reaction can occur. Reactions such as hives, swelling of your tongue and throat and even loss of consciousness may occur. During pregnancy, a severe reaction may be harmful to your baby.
  • If you are currently receiving allergy shots (known as immunotherapy), be sure you let your allergist know you are pregnant or hoping to become pregnant. He may decide to continue the shots, adjust your dosage or stop them entirely during your pregnancy.

Other suggestions

  • Decreasing exposure to allergy triggers is key in helping you breathe easier. Some allergy healthcare providers recommend keeping windows and doors shut and running an air conditioner to keep the indoor air as free from outdoor allergens as possible. You may find it helpful to run a small air purifier in the bedroom at night to help you sleep.
  • Breathing steam or taking a warm shower may also help to decongest your nasal passages.

Bottom line

Every woman and every pregnancy is different; your provider will know the remedy that is best for you. The good news is that once you give birth, you will have more options available to you to combat Mother Nature’s pollen parade.

Have questions? If you are wondering about taking a specific medication during pregnancy or while breastfeeding, you can text or email us at AskUs@marchofdimes.org.

Do you know the signs of preterm labor?

Wednesday, April 19th, 2017

If you’re pregnant, it’s important to know the signs of preterm labor and what to do if you experience any symptoms. Watch our video with Dr. Siobhan Dolan to learn more:

You can get more information about preterm labor and premature birth on our website.

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

Spring is here and so are ticks

Friday, April 7th, 2017

pregnant women walkingI remember the anxiety I felt after discovering a tick attached to my skin. I was reaching my hands behind my head and found a tick at the top of my neck where my hairline begins. The tick had already bitten me and was enlarged with blood. I never even felt the bite. That’s the tricky part about ticks, they crawl onto you and are so small they may be hard to see and nearly impossible to feel.

Why are these little creatures so dangerous?

Ticks can spread Lyme disease. Lyme disease is caused by a bacteria carried by an infected black-legged tick (also called a deer tick). This type of tick usually lives in wooded areas, like forests, or in places with high grass and bushes. A tick with Lyme disease can spread Lyme by biting you and has to be on your body for about 2 days before you can get infected.

If you get infected with Lyme disease during pregnancy, it may cause complications, including:

  • An infection in the placenta. The placenta grows in your uterus (womb) and supplies your baby with food and oxygen through the umbilical cord.
  • Stillbirth. This is when a baby dies in the womb after 20 weeks of pregnancy.
  • Congenital heart defects. These are heart conditions that are present at birth. They can affect the heart’s shape or how it works, or both.
  • Urinary tract defects. The urinary tract is the system of organs (like the kidneys and bladder) that helps your body get rid of waste and extra fluids. Urinary tract defects can cause pain, urinary tract infections, kidney damage and kidney failure.
  • Problems with your baby’s blood, like hyperbilirubinemia, which is when your baby’s blood has too much bilirubin in it. Bilirubin is a yellow substance that forms as red blood cells break down. Too much bilirubin can cause your baby to have jaundice. This is when your baby’s skin and the white parts of his eyes look yellow because his liver isn’t fully developed or working properly.

Untreated Lyme disease also may cause your baby to have a rash after he’s born.

How do you know if you have Lyme disease?

Early signs may include: headache, fever and chills, fatigue, muscle and joint pain, swollen lymph nodes  (glands throughout the body that help fight infection), and/or a rash called erythema migraines (also called EM). This rash looks like a bull’s eye around where the tick bit you.

Later signs may include: being short of breath, dizziness, stiff neck, severe headache, EM rash, joint pain and swelling, and/or facial paralysis (when you can’t feel or move parts of your face.)

If you have any signs or symptoms of Lyme disease, or you find a tick attached to your skin, call your health care provider. You can get a blood test to see if you have Lyme disease. Antibiotics are available and most women who get treatment during pregnancy have healthy babies.

Prevent Lyme disease by protecting yourself from tick bites

  • Use an EPA registered insect repellant.
  • Shower and check your body and clothes for ticks after being outside.
  • If you find a tick on you, remove it with tweezers – be sure to grab the tick near its head. Slowly pull the tick up and off your skin and be sure not to squeeze or crush the tick. Check with your healthcare provider or local Department of Health as to whether you should bring it in to be examined and tested for Lyme disease.  If not, flush the tick down the toilet. After removing the tick, clean the area with soap and water or rubbing alcohol.

For more information about Lyme disease and pregnancy, see our article.  

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

The latest Zika news: pregnant women still need to take precautions

Wednesday, April 5th, 2017

microcephalyJust when you may have thought that Zika was a thing of the past, a new report provides a wake-up call.

Here are the facts:

  • Last year in the United States, 1,300 pregnant women were infected with the Zika virus.
  • The virus was reported in pregnant women in 44 states; most of these women became infected as a result of travel to an area with Zika.
  • Of women with confirmed Zika evidence during pregnancy, 1 in 10 gave birth to a baby with birth defects.
  • Confirmed infections in the first trimester posed the highest risk – with about 15% of the babies having Zika-related birth defects.
  • Only 1 in 4 babies with possible congenital Zika syndrome were reported to have received brain imaging after birth.

What we know

If a pregnant woman becomes infected with Zika, the virus can pass to her baby.

Zika virus during pregnancy can cause damage to the baby’s brain, microcephaly (smaller than expected head) and congenital Zika syndrome, which includes eye defects, hearing loss, and limb defects.

Zika virus during pregnancy has also been linked to miscarriage and stillbirth.

What we don’t know

A very troubling aspect of this virus is that we don’t know the long-term effects it has on babies.

Dr. Siobhan Dolan, OB/GYN and medical advisor to the March of Dimes says “We don’t yet know the full range of disabilities in babies infected with Zika virus. Even babies who don’t have obvious signs of birth defects still may be affected.”

Care for babies

The report emphasizes that babies born to moms who have laboratory evidence of Zika virus during pregnancy will need additional medical monitoring and care after they are born. They should receive a comprehensive newborn physical exam, hearing screen, and brain imaging. Follow-up care with specialists is extremely important, as the full extent of congenital Zika virus on babies is not known.

Dr. Dolan emphasizes “Babies should receive brain imaging and other testing after birth to make a correct diagnosis, and to help us understand how these babies grow and develop.”

If you’re pregnant or trying to conceive, how can you protect yourself and your developing baby from the Zika virus?

Avoid Zika exposure.

The most common way Zika spreads is through mosquito bites, but it can also spread through unprotected sex, blood transfusions or lab exposure.

  • Do not travel to a Zika-affected area unless you absolutely have to. If you must travel, talk to your health care provider first, and take precautions to prevent mosquito bites.
  • Don’t have sex with a partner who may be infected with the virus or has recently travelled to a Zika-affected area.
  • If you live in an area where Zika is present, take precautions to avoid mosquito bites.

Bottom line

Prevent infection to protect your baby.

Dr. Dolan puts it in perspective: “Protect yourself from Zika before and during pregnancy, and that includes avoiding travel to affected areas. But remember — it’s not forever. Yes, you may miss a family event now, while you’re pregnant. But after the baby is born, in a few months, you’ll be able to travel safely and with peace of mind.”

Our website has detailed information on Zika and pregnancy, microcephaly and congenital Zika syndrome.

Stay tuned to learn about the Zika Care Connect website coming soon.

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