Recovery after birth: common discomforts vs. warning signs

18
Dec
Posted by Lauren

During pregnancy, your body changed a lot. Now that your baby is here, your body is changing again. As you heal after birth, it’s normal to feel some discomforts, like soreness and fatigue. However, other symptoms may be a sign that you need follow-up medical care.

Some common postpartum symptoms can include perineum soreness, afterbirth pains, cesarean section recovery, vaginal discharge, breast engorgement, nipple pain, swelling, hemorrhoids, constipation, urinary problems and sweating.

Chances are that you’ll be healthy after giving birth. But some moms may have some health problems, like:
• Cesarean wound infection
• Deep vein thrombophlebitis (DVT), a kind of blood clot
• Endometritis, an infection in the uterus (womb)
• Mastitis, a breast infection
• Postpartum bleeding
 Postpartum depression (PPD)

Call your provider if you have any of these warning signs:
• Bleeding that’s heavier than your normal menstrual period or that gets worse
• Discharge, pain or redness that doesn’t go away or gets worse. These could be from a c-section incision (cut), episiotomy or perineal tear (a tear that happens between the vagina and rectum).
• Feelings of sadness that last longer than 10 days after giving birth
• Fever higher than 100.4 F
• Pain or burning when you go to the bathroom
• Pain, swelling and tenderness in your legs, especially around your calves
• Red streaks on your breasts or painful lumps in your breast
• Severe pain in your lower belly, feeling sick to your stomach or throwing up
• Vaginal discharge that smells bad

If something feels wrong, call your health care provider. Many of these issues can be easily treated. But the key is to receive treatment before they cause a more serious problem.

If you have bleeding that can’t be controlled, chest pain, trouble breathing or signs of shock (chills, clammy skin, dizziness, fainting or a racing heart) seek help immediately through your provider or by calling 9-1-1.

Just as pregnancy is different for every woman, recovery is too. Be sure to bring up any concerns you have with your health care provider.

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

What is twin-to-twin transfusion syndrome?

15
Dec
Posted by Sara

Twin-to-twin transfusion syndrome (TTTS) is a serious condition that occurs in about 10-15% of identical twin pregnancies where the babies share a placenta (monochorionic).

In TTTS, the blood vessels in the placenta form abnormal connections and blood does not flow evenly between the babies. One twin becomes a “donor” and the other becomes a “recipient.” The donor twin pumps blood to the recipient twin. This means that the recipient twin is bigger, has more blood, and makes more urine. This results in too much amniotic fluid (polyhydramnios) and an enlarged bladder. The extra fluid can also strain the recipient twin’s heart. However, the donor twin is smaller, has less blood, little to no amniotic fluid (oligohydramnios), and a smaller bladder.

How do you know if your twins have TTTS?

TTTS is usually found during an ultrasound in the second trimester. Once TTTS is identified, your health care providers will evaluate how serious the TTTS is. They will look at how much amniotic fluid is in each sac, how the donor twin’s bladder is working, and they will look at blood flow in both babies. They may also do an amniocentesis and echocardiogram (an ultrasound of the baby’s heart) if needed.

What treatment is available for TTTS during pregnancy?

The treatment plan will depend on how severe the condition is. Options for treatment include:

  • Monitoring with regular ultrasounds: Monitoring allows your providers to regularly check on your twins and look for any signs that TTTS is getting worse.
  • Removing amniotic fluid from the recipient twin: Extra amniotic fluid is removed from the larger (recipient) twin. This is only a temporary option and may need to be repeated.
  • Laser surgery (known as selective fetoscopic laser photocoagulation or SFLP): This procedure uses a laser to stop the transfer of blood between the babies. It is often the

Without treatment TTTS can cause serious problems for both babies. So it is important that you go to all of your prenatal checkups—even when you’re feeling fine. Twins with mild to moderate TTTS may be at increased risk for premature birth.

Have questions? Email AskUs@marchofdimes.org

Dads and breastfeeding

13
Dec
Posted by Lauren

A breastfeeding relationship is often viewed as one that is between mom and baby. It’s easy for dads to feel left out. But dads are an important part of breastfeeding, its true! As a dad, there are many ways you can assist your partner with feeding and bond with your baby at the same time.

There are a lot of moving parts to breastfeeding. Moms needs to get situated and comfortable to feed. This is a good time for dads to play with your baby while mom gets ready. Be sure to bring your partner any extra pillows, pieces of equipment, such as a nipple shield or other items that she may need.

While your baby is breastfeeding, bring your partner a snack and glass of water. As she finishes up, be ready to burp your baby, wipe up any extra milk around her mouth or change her diaper as needed.

Before and after feeding, practice skin-to-skin care with your baby by holding her on your bare chest. Be in charge of cuddles and bathing your baby for extra bonding time.

Breastfeeding can also come with many discomforts and problems. The more you know about breastfeeding, the more you can help your partner and your baby. If your partner mentions a discomfort, offer to research the issue or call her Lactation Consultant to ask questions or schedule an appointment. Bring her warm compresses for her engorgement or ointment for cracked nipples, if she needs them.

Dads may not be able to breastfeed, but there are many other helpful things you can do to assist your partner and bond with your baby. And studies show that the more supportive you are, the longer your partner will breastfeed and the more confident she will feel about her ability to do so.  So go ahead and jump right in – both you and your baby will be happy you did.

Have questions? Email us at AskUs@marchofdimes.org

The flu and your baby

11
Dec
Posted by Sara

You know that the best way to protect your baby from the flu is to make sure he gets a flu shot each year before flu season (October through May). The Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP) recommend that everyone 6 months and older get the flu shot each year. It’s especially important for children younger than 5 to get the flu shot because they’re more likely than older kids to have serious health problems caused by the flu.

Signs and symptoms of the flu

However, even if your baby gets the flu shot, he can still get the flu. And the flu can be dangerous for all children, even healthy children. It’s important to know the signs and symptoms of the flu so that you can contact your baby’s health care provider. Your baby may have the flu if he has these signs or symptoms:

  • Very tired
  • Loud dry cough and sore throat
  • Fever (usually above 101 F), chills or body shakes
  • Headache or muscle or body aches
  • Not being hungry
  • Runny or stuffy nose
  • Vomiting (throwing up) and diarrhea

Babies who have the flu are usually sicker, fussier and appear more uncomfortable and unhappy than babies with a common cold.

Treatment

To treat or prevent the flu in your baby, his provider may prescribe an antiviral medicine. An antiviral is a medicine that kills infections caused by viruses. Antivirals can make your baby’s flu milder and help your baby feel better faster. Antivirals also can help prevent serious flu complications, like pneumonia. For flu, antivirals work best if used within 2 days of having signs or symptoms.

If your baby is at high risk for flu, his provider may prescribe an antiviral as soon as he begins to have flu symptoms. All children younger than 5 are at high risk for flu, especially children younger than 2. Children who were born prematurely (before 37 weeks of pregnancy) or who have chronic health conditions, like asthma or sickle cell disease, also are at high risk.

It’s not too late to get you and your baby a flu shot if you haven’t dome so already. Your baby’s provider can give the shot, and many pharmacies and other places offer it. Use the HealthMap Vaccine Finder to find out where you can get a flu shot for your baby.

Have questions? Email AskUs@marchofdimes.org

Wash your hands for National Handwashing Awareness Week

08
Dec
Posted by Lauren

The easiest way to stop the spread of germs is to wash your hands. You should wash your hands before and after many activities, such as when you are preparing foods or eating, after you use the bathroom, and after changing diapers or helping your child use the toilet. The simple act of washing your hands can help protect you and others from germs.

Is there really a benefit to washing hands?

You may not be able to see the germs on your hands, but they can lead to illness. Think of hand washing as your daily vaccine for staying healthy. If you’re pregnant or thinking about pregnancy, washing your hands can help protect you from viruses and infections, like CMV and toxoplasmosis. These viruses can cause problems during pregnancy.

Washing your hands is easy, just follow these easy steps:

  • Wet your hands with clean water and apply soap.
  • Rub your hands together to lather the soap. Be sure you get the back of your hands as well.
  • Scrub! And sing the “Happy Birthday” song twice to be sure you are scrubbing long enough.
  • Rinse your hands well.
  • And dry.

If you don’t have soap and water, use an alcohol-based hand sanitizer that contains at least 60% alcohol. Just be sure to check the label. Hand sanitizers are good in a pinch, but they don’t get rid of all types of germs, so hand washing is still the best way to stay healthy.

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

Holiday stress and fatigue

06
Dec
Posted by Sara

If you’re pregnant during the holiday season, you may feel even more stressed and exhausted than usual.  Traveling, visiting family, cooking, shopping, parties, and preparing for a newborn—your to-do list just keeps getting longer and longer. But during your busy holiday season, remember that it’s important to take care of yourself too!

So what can you do to try to relieve your holiday stress and fatigue? Here are some tips:

  • Rest when you can during the day and try to take a few breaks to renew your energy. If you have some free time between wrapping gifts, put your feet up, read a book or magazine, or watch your favorite TV show. Even just a 15 minute break can help you relax before your next task.
  • Take a walk. Exercise can refresh and invigorate you. If you’re shopping for gifts, walk an extra loop around the mall before you head out to your car. Or park further away in the parking lot–this way you can also avoid some of the awful holiday traffic.
  • Try to limit unhealthy snacks. That can be really tough during the holidays with so many delicious desserts and treats. But too much sugar and heavy meals can drain your energy. It’s still important to make sure that you get enough fruits, vegetables, and foods high in iron and protein. And be sure to drink enough fluids—water is usually best, but you can check out some fun non-alcoholic drink ideas here and here.
  • Keep your scheduled prenatal care appointments. Even if you’re feeling fine, you need to check in with your health care provider. And don’t forget to take your prenatal vitamin.
  • Ask for help. Accept help when a friend or family member offers and ask for help if you are feeling tired or overwhelmed.
  • Cut back on activities you don’t need to do. Instead of spending time making a holiday dessert, why not have your favorite bakery do it for you.

And finally, take a deep breath and enjoy the holiday season!

Have questions? Email AskUs@marchofdimes.org

What’s the best way to protect against the flu this season?

04
Dec
Posted by Lauren

Answer: an annual flu vaccine is the best way to protect against this potentially serious disease. And the good news is that it’s safe to get the flu shot during pregnancy.

Is the vaccine effective at preventing the flu?

Each year the CDC conducts studies to determine how effective the flu vaccine is at protecting against flu illness. It is important to note that the vaccine effectiveness can vary from season to season and depending on who is being vaccinated.

What are the benefits?

  • The flu shot can keep you from getting the flu. And the vaccine can’t cause the flu.
  • It’s safe to get the flu shot any time during pregnancy. But it’s best to get it now because flu season is October through May.
  • Getting vaccinated during pregnancy can also protect your baby after he is born and before he is able to receive his own vaccination.
  • There are different flu viruses and they’re always changing, so each year a new flu vaccine is made to protect you against three of four flu viruses that are likely to make you sick.
  • Getting the vaccine is easy. You can get the shot from your health care provider, and many pharmacies and work places offer it each fall. Use the HealthMap Vaccine Finder to find out where you can get the flu vaccine.
  • Need more reasons to get your flu shot? We have 10 right here.

Should you get the flu vaccination?

Yes! Everyone six months of age and older should get a flu vaccine every season. However there are exceptions. There are some people who cannot get the flu shot and others who should talk to their health care provider before getting the flu shot.

For more information on the effectiveness of the flu vaccine, visit here.

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

HIV and pregnancy: what you need to know

01
Dec
Posted by Sara

More than 1 million people in the United States live with HIV. HIV stands for human immunodeficiency virus. It is the virus that can lead to acquired immunodeficiency syndrome or AIDS.  HIV attacks specific cells in the body’s immune system. The immune system helps to fight off infections. Even with treatment, it is not possible for HIV to be eliminated completely from the body. So once you get HIV, you have it for life.

Over time, HIV can destroy so many cells in the immune system that the body can’t fight off infections and disease anymore. When this happens, HIV can lead to AIDS.

How is HIV spread?

You get HIV by coming in direct contact with body fluids from a person who is infected with HIV. This includes blood, semen, vaginal fluids, and breast milk. So HIV can be spread:

  • By having unprotected sex with a person who has HIV. Both men and women can spread HIV. Most new HIV infections in women come from having sex with a man who is infected. Women are more likely than men to get infected through sex.
  • Through contact with an HIV-infected person’s blood. This can happen when sharing needles, accidentally getting stuck by a needle with a person’s blood on it, or contact with other body fluids containing blood.
  • From mother to baby. This is called perinatal transmission. Babies can get HIV from their mothers:
    • Before birth, when the virus crosses the placenta and infects the baby.
    • During labor and delivery from contact with their mother’s blood and vaginal fluids.
    • Through breastfeeding.

Testing for HIV

Approximately 18% of all people with HIV do not know their HIV status. This means that many women who are infected with HIV may not know they have it. The Centers for Disease Control (CDC) recommends HIV testing for all pregnant women unless they say that they do NOT want to be tested. HIV testing is typically done during the first prenatal care appointment. The CDC also recommends getting tested again, later in pregnancy, if you’re at risk for getting HIV.

Preventing transmission of HIV during pregnancy

There are ways to reduce the chances of passing HIV to your baby. If HIV is detected as early as possible during pregnancy or before pregnancy you can:

  • Get treatment with medicines that fight HIV. If you’re pregnant and have HIV, you can get medicine to reduce the risk of passing HIV to your baby and to protect your own health. HIV medicines are recommended for everyone infected with HIV and most are safe to use during pregnancy.
  • Have a scheduled cesarean delivery (sometimes called a c-section).
  • Make sure your baby receives HIV medicines for 4 to 6 weeks after birth. This reduces the risk of infection from any HIV that may have entered your baby’s body during birth.
  • Don’t breastfeed.

If you’re pregnant, get tested for HIV. Proper treatment can significantly reduce your chances of passing HIV to your baby.

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

Diabetes during pregnancy: a risk factor premature birth

29
Nov
Posted by Sara

Diabetes is a serious health concern, especially when left untreated. About 9 out of 100 women in the U.S. have diabetes – a condition in which your body has too much sugar (called glucose) in the blood. You can develop diabetes at any time in your life.

Seven out of every 100 pregnant women (7 percent) develop diabetes during pregnancy, also called gestational diabetes. Gestational diabetes usually goes away after you give birth. But if you have it in one pregnancy, you’re more likely to have it in your next pregnancy. You’re also more likely to develop diabetes later in life.

Having diabetes or gestational diabetes can cause you to go into preterm labor, before 37 weeks gestation. Babies born this early can face serious health problems including long-term intellectual and developmental disabilities.

Are you at risk?

You may be more likely than other women to develop gestational diabetes if:

  • You’re older than 25.
  • You’re overweight or you gained a lot of weight during pregnancy.
  • You have a family history of diabetes. This means that one or more of your family members has diabetes.
  • You’re African-American, Native American, Asian, Hispanic or Pacific Islander. These ethnic groups are more likely to have gestational diabetes than other groups.
  • You had gestational diabetes in a previous pregnancy.
  • In your last pregnancy, you gave birth to a baby who weighed more than 9 1/2 pounds or was stillborn.

You can develop gestational diabetes even if you don’t have any of these risk factors. This is why your health care provider tests you for gestational diabetes during pregnancy.

How do you know if you have gestational diabetes?

If you’re pregnant, you will get a glucose tolerance test at 24 to 28 weeks of pregnancy, or earlier if your provider thinks you’re likely to develop gestational diabetes. You may have heard of other pregnant women having to drink an 8oz cup of a thick syrupy drink – this is part of the glucose tolerance test, along with measuring your blood glucose levels.

What else can you do?

If you are pregnant or thinking about becoming pregnant, talk to your health care provider. Getting diabetes under control could help prevent preterm labor and premature birth. Being active, eating healthy foods that are low in sugar and losing weight may help reduce your chances of developing diabetes later in life.

Learn more about managing pre-existing diabetes and gestational diabetes.  And, as always, visit your health care provider before and during pregnancy.

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

Breastfeeding your baby in the NICU can be challenging

27
Nov
Posted by Lauren

Many babies, even those born very premature can learn to breastfeed. Breast milk provides many health benefits for all newborns, but especially for premature or sick babies in the NICU. Feeding a premature baby may be much different than what you had planned. If you must pump, you may feel disappointed that you are not able to feed your warm baby on your breast. But, providing breast milk for your preemie is something special and beneficial that you can give him.

Here are tips to help you breastfeed your premature baby while in the NICU.

If your baby is unable to feed or latch:

• Start pumping as soon as you can to establish your milk supply. Ask a nurse for a pump and assistance.

• If your baby is tube feeding, your baby’s nurse can show you how to give your baby his feedings.

• Pump frequently, 8 to 12 times during a 24 hour span of time.

• Practice skin to skin or kangaroo care if your nurse says it is ok. Both are beneficial, even if your baby is connected to machines and tubes.

If your baby is able to suckle:

• Ask to feed him in a quiet, darkened room, away from the beeping machines and bright lights.

• Many mothers find the cross cradle position very helpful for feedings. Start with kangaroo care. Then position the baby across your lap, turned in towards you, chest to chest. Use a pillow to bring him to the level of your breast if you need to.

• Babies born early need many opportunities at the breast to develop feeding skills regardless of gestational age. This requires practice and patience.

• You may need increased support to breastfeed your premature baby. Look for support from your nurses, the hospital’s lactation consultant, friends or family.

Not every tip will work for every mom. Try to find the feeding methods and solutions that work best for you and your baby. More information on how to feed your baby in the NICU can be found here.

If you have questions about how to feed your baby, email us at AskUs@marchofdimes.org.