Posts Tagged ‘miscarriage’

Grief: Do men and women grieve differently?

Friday, October 5th, 2018

The loss of a baby is one of the most painful experiences that can happen to a family. October 15 is Pregnancy and Infant Loss Awareness Day, a day to dedicated to recognize and support moms and families who have lost a baby. If your baby died during pregnancy or after birth, you and your partner need time to grieve.

Everyone grieves in his own way. Men and women often show grief in different ways. Even if you and your partner agree on lots of things, you may feel and show your grief differently.

Different ways of dealing with grief may cause problems for you and your partner. For example, you may think your partner isn’t as upset about your baby’s death as you are. You may think he doesn’t care as much. This may make you angry. At the same time, your partner may feel that you’re too emotional. He may not want to hear about your feelings so often and may think you’ll never get over your grief. He also may feel left out of all the support you’re getting.

Women have a special bond with their baby during pregnancy. But men may not feel as close to their baby. Men don’t carry the baby in their body, so the baby may seem less real to them. A man may become more attached to the baby later in pregnancy when he feels the baby kick or sees the baby on an ultrasound.

In general, here’s how women may show their grief:

  • They may want to talk about the death of their baby often and with many people.
  • They may show their feelings more often. They may cry or get angry a lot.
  • They may be more likely to ask their partner, family or friends for help. Or they may go to their place of worship or to a support group.

In general, here’s how men may show their grief:

  • They may grieve by themselves. They may not want to talk about their loss. They may spend more time at work or do things away from home to keep from thinking about the loss.
  • They may feel like they’re supposed to be strong and tough and protect their family. They may not know how to show their feelings. They may think that talking about feelings makes them seem weak.
  • They may try to work through grief on their own rather than ask for help.

It’s OK to show your pain and grief differently than your partner. Be patient and caring with each other. Try to talk about your thoughts and feelings and how you want to remember your baby.

If you or someone you know has lost a baby, visit our online community, Share Your Story. This can be a place of comfort and support for grieving families.

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

Tuesday, April 10th, 2018

Recently 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.

Today is World Down Syndrome Day

Wednesday, March 21st, 2018

What is Down syndrome?

Down syndrome is a chromosomal condition caused by extra genetic material. Typically, our cells contain 23 pairs of chromosomes. In the case of Down syndrome, a person has an extra full or partial copy of chromosome 21. This extra genetic material changes how the body and brain develop. People with Down syndrome have a few common physical traits, but each individual is unique and can lead a healthy active life.

We don’t know for sure why Down syndrome happens. Even though it’s a genetic condition, the majority of the cases are not passed on from the parents or family to the baby. Most cases happen because in the early stages of the baby’s development, there is a problem when the cells are dividing. However, there are some factors that may increase the risk of having a baby with Down syndrome, such as:

  • Mother’s age. The risk of Down syndrome increases with the mom’s age. Even though the risk is greater as your age increases, about 80 percent of babies with Down syndrome are born to women age 35 or less. This is because younger women have more babies than older women.
  • Having had a baby with Down syndrome. Up to age 40, for each pregnancy your chances of having another baby with Down syndrome is about 1 in 100 (1 percent). After age 40, the risk is based on your age. Talk to a genetic counselor to understand your risk of having another baby with Down syndrome.
  • Being a carrier of a genetic translocation. Both, men and women, can pass a genetic translocation to their baby. These cases are not very common. If you had a baby with Down syndrome before or if you or your partner have a family history of Down syndrome, it’s best to talk to a genetic counselor.

During pregnancy your health care provider will offer screening tests to see if your baby is more likely to have Down syndrome. These tests are offered to all pregnant women as part of regular prenatal care. However, a screening test won’t tell you for sure if your baby has Down syndrome. It only tells you if there is a higher risk. To know for sure you will need a diagnostic test.

How do you know if your baby has Down syndrome?

If you get an abnormal screening test result, your provider will recommend a diagnostic test. A diagnostic test will confirm if a baby has Down syndrome. There are few diagnostic tests:

  • Amniocentesis (also called amnio). This test checks the amniotic fluid surrounding your baby in the uterus to check for Down syndrome. You can get an amnio at 15 to 20 weeks of pregnancy.
  • Chorionic villus sampling (also called CVS). This test checks the tissue from the placenta to see if a baby has Down syndrome. You can get a CVS at 10 to 13 weeks of pregnancy.
  • Cordocentesis (also called percutaneous umbilical cord sampling or PUBS). For this test your provider inserts a thin needle into an umbilical cord vein to take a small sample of your baby’s blood to check for chromosome defects. You can get this test between 18 and 22 weeks of pregnancy. There’s a much greater risk of miscarriage with cordocentesis than with an amnio or a CVS. So you only get this test if other tests are unclear and your provider can’t confirm if your baby has Down syndrome any other way.

Down syndrome is also identified at birth by physical traits like: almond-shaped eyes that slant up, low muscle tone, a single line across the center of the palm of the hand, and a flattened face. But these traits won’t tell you for sure if your baby has Down syndrome, a chromosomal test call karyotype is needed to confirm this diagnosis.

Pregnancy loss: Will it happen again?

Friday, March 9th, 2018

The loss of a pregnancy or a baby is one of the most difficult experiences. Whether you had a miscarriage, stillbirth or your baby died soon after birth, it’s normal to have mixed feelings about a future pregnancy. Some women may want to start trying getting pregnant as soon as possible, while others may prefer to wait. Will it happen again? – is a common question many women ask themselves when thinking about getting pregnant again.

Trying to get pregnant again after a baby’s death may be really stressful for you. Here are few things you can do:

  • Share your feelings with your partner about getting pregnant again. Your partner may feel differently about getting pregnant again, but you and your partner are the only ones who can decide what’s right for you.
  • Try to be hopeful. Remind yourself that every pregnancy and baby are different. Just because you’ve had a baby die doesn’t mean it will happen in your next pregnancy.
  • If you work, talk to your boss about how to reduce the stress at your job.
  • Talk to your provider or a counselor about ways you can reduce stress.
  • Go to your preconception checkup to make sure you’re healthy. Being healthy when you get pregnant can help you have a healthy pregnancy.
  • Eat healthy foods, drink lots of water and do something active every day. Try to get a full night’s sleep.
  • Don’t smoke, drink alcohol or use harmful drugs.

How long to wait before getting pregnant again?

For most women, it’s best to wait at least 18 months (1½ years) from the end of one pregnancy before getting pregnant again. This gives your body enough time to recover before your next pregnancy.

Not all women can wait 18 months between pregnancies. Talk to your provider about how long to wait between pregnancies if:

  • You’re older than 35.
  • You’ve had a miscarriage or stillbirth. Miscarriage is when a baby dies in the womb before 20 weeks of pregnancy. Stillbirth is when a baby dies in the womb after 20 weeks of pregnancy.

When you’re ready to try again

The best thing you can do to help you have a healthy pregnancy next time is to take good care of yourself. Before your next pregnancy:

  • Get a preconception checkup. This is a medical checkup you get before pregnancy to help make sure you’re healthy when you get pregnant.
  • Take a vitamin supplement every day with 400 micrograms of folic acid in it. Folic acid is a vitamin that every cell in your body needs for healthy growth and development. If you take it before pregnancy and during early pregnancy, it can help protect your baby from birth defects of the brain and spine called neural tube defects, birth defects of the mouth called cleft lip and palate and some heart defects.
  • Get to a healthy weight. Eat healthy foods and do something active every day. Talk to your provider about the right weight for you.
  • Don’t smoke, drink alcohol or use harmful drugs. Talk to your provider if you need help to quit.

For more information

  • From hurt to healing (free booklet from the March of Dimes for grieving parents)
  • Share Your Story (March of Dimes online community for families to share experiences with prematurity, birth defects or loss)

How do you know if you are having a miscarriage?

Monday, August 14th, 2017

Miscarriage is when a baby dies in the womb before 20 weeks of pregnancy. Among women who know they are pregnant about 10 to 15% of pregnancies end in miscarriage. As many as half of all pregnancies may end in miscarriage, however we don’t know the exact number because many may happen before a woman knows she’s pregnant.

Are there signs and symptoms?

Vaginal bleeding or spotting, period-like cramps and severe belly pain are all symptoms of a miscarriage. Many women have these signs and symptoms in early pregnancy and don’t miscarry.

When should you contact your health care provider?

If you have any of the signs or symptoms, call your prenatal care provider. Your provider may want to do some tests to make sure everything’s OK. These tests can include blood tests, a pelvic exam and an ultrasound. Call your provider if you have any bleeding or spotting, even if it stops. It may not be caused by anything serious, but your provider needs to find out what’s causing it.

If you’ve suffered a miscarriage, we have support and resources to help you during this difficult time. Visit our website to learn more.

Bleeding during pregnancy – what does it mean?

Monday, July 6th, 2015

bleeding during pregnancyIf you are pregnant and experience spotting or bleeding, it can be very scary. When you see blood, your first thought may be “is my baby ok?” Bleeding and spotting from the vagina during pregnancy is common. Up to half of all pregnant women have some bleeding or spotting.

Bleeding? Spotting? What’s the difference?

Spotting is light bleeding and happens when you have a few drops of blood in your underwear. Bleeding is a heavier flow of blood, enough that you need a panty liner or pad to keep the blood from soaking your underwear or clothes.

Bleeding in early pregnancy

Bleeding doesn’t always mean there’s a problem, but it can be a sign of serious complications. There are several things that may cause bleeding early in your pregnancy, such as having sex, an infection, or changes in your cervix and hormones. You may bleed a little when the embryo attaches to the lining of your uterus (called implantation bleeding). This may occur 10-14 days after fertilization. Although this spotting is usually earlier and lighter than a menstrual period, some women don’t notice the difference, and don’t even realize they’re pregnant.

Sometimes bleeding and spotting in the first trimester can be a sign of a serious problem such as miscarriage, ectopic pregnancy, or molar pregnancy. But keep in mind that bleeding doesn’t always mean miscarriage. At least half of women who have spotting or light bleeding early in pregnancy don’t miscarry.

Bleeding in late pregnancy

Causes of late pregnancy bleeding include labor, sex, an internal exam by your provider or problems with your cervix, such as an infection or cervical insufficiency. It could also be a sign of preterm labor, placenta previa, placental abruption or uterine rupture.

How to tell if the bleeding is dangerous

Bleeding or spotting can happen anytime, from the time you get pregnant to right before you give birth. Bleeding can be a sign of a serious complication, so it’s important you call your prenatal care provider if you have any bleeding or spotting, even if it stops. If the bleeding is not serious, it’s still important that your provider finds out the cause. Do not use a tampon, douche or have sex if you’re bleeding.

Before you call your provider, write down these things:

• How heavy your bleeding is. Is it getting heavier or lighter and how many pads are you using?
• The color of the blood. It can be different colors, like brown, dark or bright red.

Go to the emergency room if you have:

• Heavy bleeding
• Bleeding with pain or cramping
• Dizziness and bleeding
• Pain in your belly or pelvis

Treatment for your bleeding depends on the cause. You may need a medical exam or tests performed by your provider.

Bottom Line

If you are bleeding or spotting at any point in your pregnancy, call your provider right away and describe what you are experiencing. It’s important that your bleeding or spotting is evaluated to determine if it is dangerous to you and your baby.

Congratulations CVS Caremark

Thursday, February 20th, 2014

stop smokingThe March of Dimes congratulates CVS Caremark for its historic decision to stop selling cigarettes and other tobacco products in its pharmacies and stores nationwide. By becoming the first U.S. pharmacy chain to stop selling tobacco, CVS Caremark has become a pioneer in improving the health of American women and children today and in the future. Tobacco is poisonous to women who smoke and to their unborn babies. Smoking during pregnancy contributes to miscarriage and premature birth, and we learned just last month from the U.S. Surgeon General that smoking is a proven cause of disfiguring oral clefts. We’re grateful to CVS Caremark for working to improve the health and the lives of mothers and babies.

Is unpasteurized milk safe?

Tuesday, December 17th, 2013

milkRaw milk and milk products from cows, goats, and sheep can transmit life-threatening bacterial infections. In a new policy statement, the American Academy of Pediatrics (AAP) advises pregnant women, infants and children to consume only pasteurized milk, cheese and other milk products, and supports a ban on the sale of raw milk in the U.S.

The policy statement, “Consumption of Raw or UnpasteurizedMilk and Milk Products by Pregnant Women and Children,” published in the January 2014 Pediatrics (released online Dec. 16), reviews evidence of the risks of consuming unpasteurized milk and milk products in the U.S., especially among pregnant women, infants, and children.

“Consumption of raw milk or milk products can result in severe and life-threatening illnesses such as miscarriage and stillbirths in pregnant women, and meningitis and blood-borne infections in both young infants and pregnant women,” said Yvonne Maldonado, MD, FAAP, the lead author of the policy statement. AAP asserts that numerous data show pasteurized milk provides the same nutritional benefits as raw milk, without the risk of deadly infections including Listeria, Campylobacter, Salmonella, Brucella and E. coli.

The AAP supports the position of the U.S. Food and Drug Administration and other national and international associations in endorsing the consumption of only pasteurized milk and milk products for pregnant women, infants, and children. The AAP also endorses a ban on the sale of raw or unpasteurized milk or milk products in the U.S., including certain raw milk cheeses. For more information, click on this link.

Chromosomal abnormalities

Tuesday, August 20th, 2013

chromosomes1About 1 in 150 babies in the US is born with a chromosomal condition. Babies with chromosomal conditions have a problem in one or more of their chromosomes. Chromosomes are the structures that hold genes. Genes are part of your body’s cells that store instructions for the way your body grows and works. Genes are passed from parents to children.

Each person has 23 pairs of chromosomes, 46 in all. For each pair, you get one chromosome from your mother and one chromosome from your father.

Chromosomal conditions are caused by two kinds of changes in chromosomes:
1. Changes in the number of chromosomes—This means there are too many or too few chromosomes.
2. Changes in the structure of chromosomes—This means that part of a chromosome may be missing, repeated or rearranged.

Chromosomal conditions usually result from an error that occurs when an egg or sperm cell develops. It is not known why these errors occur and as far as we know, nothing that a parent does or doesn’t do before or during pregnancy can cause a chromosomal abnormality in their child. In some cases these kinds of changes can be inherited or passed from parent to child.

In most cases, an embryo with the wrong number of chromosomes does not survive. In such cases, the pregnant woman has a miscarriage. This often happens very early in pregnancy, before a woman may realize she’s pregnant. More than 50 percent of first-trimester miscarriages are caused by chromosomal abnormalities in the embryo.

The American College of Obstetricians and Gynecologists recommends that all pregnant women be offered a screening test for Down syndrome and certain other chromosomal abnormalities. Screening may consist of a maternal blood test done in the first trimester (at 11 to 13 weeks of pregnancy) along with a special ultrasound of the back of the baby’s neck. It also can be a maternal blood test done in the second trimester (at 15 to 20 weeks). A screening test helps identify pregnancies that are at higher-than-average risk of these conditions.

However, a screening test cannot diagnose Down syndrome or other chromosomal abnormalities. If a screening test shows that your baby may have a problem, your provider gives you a diagnostic test that can tell you if your baby actually does or does not have a chromosomal condition.

Diagnostic tests include amniocentesis or chorionic villus sampling. Your provider also can check your baby’s blood for chromosomal conditions after he’s born.

Each child born with a chromosomal condition is different. Some children with chromosomal conditions have intellectual disabilities or birth defects, or both. But some children with these conditions don’t have any serious problems. The problems depend on which chromosomes are affected and how they are affected.

If you or someone in your family has a chromosomal condition, or if you have a baby with a chromosomal condition, talk to a genetic counselor. A genetic counselor can help you understand the causes of chromosomal conditions, what kind of testing is available, and your chances of having a baby with these conditions.

Pregnant at 46

Thursday, April 18th, 2013

pregnant2Most of us have heard that Halle Berry is pregnant at the age of 46. Wow, you go girl!  And did you see the recent episode of Call the Midwife where a first-time pregnant woman (a twin) in her 40s gave birth to twins of her own? Some women are asking us “If they can, why can’t I?”  Good question, complicated answer.

Women over age 35 may be less fertile than younger women because they tend to ovulate (release an egg from the ovaries) less frequently. Certain health conditions that are more common in this age group also may interfere with conception. These include endometriosis, blocked fallopian tubes and fibroids.

If you are over 35 and haven’t conceived after 6 months of trying, make an appointment to see your health care provider. Studies suggest that about one-third of women between 35 and 39 and about half of those over age 40 have fertility problems.  At age 47, most babies are conceived with some form of fertility treatment.  This can be time consuming and expensive and there is no guarantee the treatment will work.

Most miscarriages occur in the first trimester for women of all ages, but the risk of miscarriage increases with age. Studies suggest that about 10 percent of recognized pregnancies for women in their 20s end in miscarriage. The risk rises to about 35 percent at ages 40 to 44 and more than 50 percent by age 45. The age-related increased risk of miscarriage is caused, at least in part, by increases in chromosomal abnormalities.

The good news is that women in their late 30s and 40s are very likely to have a healthy baby. However, they may face more complications along the way than younger women. Some complications that are more common in women over 35 include: gestational diabetes, high blood pressure, placental problems, premature birth, stillbirth.  About 47% of women over age 40 give birth via cesarean section. You can see why it’s so important to keep all appointments with your health care provider.

All these things taken into consideration, many women who do conceive in their late 40s, either on their own (unlikely but not impossible) or with some fertility treatment, do manage to have healthy babies.  The important thing to remember is to have a preconception checkup and early and regular prenatal care. Know the signs of preterm labor, and give your doc or midwife a call whenever you have a question or concern.

We are proud to be partners in the Show Your Love national campaign designed to improve the health of women and babies by promoting preconception health and healthcare.