Posts Tagged ‘miscarriage’

Are you watching your soda intake?

Tuesday, March 12th, 2013

drinking sodaThere has been an interesting debate in the media lately about New York City’s Mayor Michael Bloomberg’s attempt to regulate the size of sugary soft drinks.  He says he is doing it for health reasons. Well, he is right that there is an enormous (all puns intended) portion of the population that is overweight in this country, and that’s a concern for everyone.

Obesity leads to significant health problems. Being overweight or obese during pregnancy can cause complications for you and your baby. The more overweight you are, the greater the chances for pregnancy complications. You can read about many of the problems (infertility, miscarriage, stillbirth, high blood pressure, preeclampsia, gestational diabetes…) here.

It’s important to get to a healthy weight before you conceive. This way you’re giving your baby the healthiest possible start. Before you have a baby, take the time to get fit, exercise and eat healthy.  Cutting out the empty calories that do you no good is a good idea. It will be interesting to watch what happens in New York. What do you think?

How safe is sex during pregnancy?

Monday, February 25th, 2013

in-bed1There are lots of myths about sex and pregnancy, such as:
– Sex can be harmful or painful during pregnancy.
– Intercourse could hurt the baby.
– The baby somehow “knows” that sex is taking place.

The truth is that unless your doc or midwife advises you otherwise, sex during pregnancy is safe for the vast majority of us. And as for the baby, he or she has no idea what Mom and Dad are doing. The baby is well protected by a cushion of fluid in the womb and by the mom’s abdomen.

There are some circumstances, however, that can make sex during pregnancy unsafe. Women who have the following health complications should talk to their health provider before engaging in sex:
– A history or risk of miscarriage
– A previous preterm birth or other risk factors for preterm birth
– Unexplained vaginal bleeding, discharge or cramping
– Leaking amniotic fluid
Placenta previa (when the placenta is low and covers the cervix)
Incompetent cervix (when the cervix is weakened and opens too soon)

If your pregnancy is considered to be high risk, you may need to be more cautious than other women. Your health care provider may advise you to avoid intercourse for all or part of your pregnancy. This is an important conversation to have, so don’t be shy.

But again, for most of us, sex is safe, nothing to fear and may even become a more intimate experience. Many women find that pregnancy makes them want sex more than they did before they became pregnant. This sex drive is caused by hormonal changes. For some women, newfound voluptuousness can play a role in making them feel sexier than ever.

Other women may find that their sex drive comes in waves while pregnant. Here is a link to some common changes you may find throughout your stages of pregnancy.

Lose the weight before pregnancy

Wednesday, January 2nd, 2013

Advertisements abound these days for weight loss programs and quick fix diets. Did you eat all your favorite traditional treats over the holidays and have a cup or two of cheer? I certainly did and am now feeling like it’s time to behave – time to swap the cookies for carrots, the fruitcake for fruit.

For those of you thinking about pregnancy, it’s especially important to get your weight under control before you conceive. To know if you’re overweight or obese, find out your body mass index (BMI) before you get pregnant.  BMI is a calculation based on your weight and height.

If you’re overweight, your BMI is 25.0 to 29.9 before pregnancy. Two in 3 women (66 percent) of reproductive age (15 to 44 years) in the United States is overweight.  If you’re obese, your BMI is 30.0 or higher before pregnancy. About 1 in 4 women (25 percent) is obese.

If you’re overweight or obese, you’re more likely than pregnant women at a healthy weight to have certain medical problems during pregnancy. The more overweight you are, the higher are the risks for problems. These problems include:
• Infertility (not being able to get pregnant)
• miscarriage (when a baby dies in the womb before 20 weeks of pregnancy)
• stillbirth (when a baby dies in the womb before birth but after 20 weeks of pregnancy)
• high blood pressure and preeclampsia (a form of high blood pressure that only pregnant women get). It can cause serious problems for mom and baby.
• gestational diabetes
• complications during labor and birth, including having a really big baby (called large-for-gestational-age) or needing a cesarean section (c-section).

Some of these problems, like preeclampsia, can increase your chances of preterm birth, birth before 37 completed weeks of pregnancy. This is too soon and can cause serious health problems for your baby. (We’ll talk about how mom’s weight issues can affect her baby’s health in tomorrow’s post.)

For those women who are severely overweight, some are turning to surgery. New studies suggest that weight-loss surgery may help protect obese women and their babies from gestational diabetes, high blood pressure, overly large babies and cesarean delivery during pregnancy.

So think about staying healthy and shedding those unwanted pounds before you get pregnant. Talk with your health care provider, find a plan that’s good for you and stick to it. You’ll have a healthier and more comfortable pregnancy when the time comes.

Thrombophilias and pregnancy

Thursday, November 29th, 2012

The thrombophilias are a group of conditions that increase a person’s chances of developing blood clots. People with a thrombophilia tend to form blood clots too easily because their bodies make either too much of certain proteins (called blood clotting factors) or too little of anti-clotting proteins that limit clot formation.

Thrombophilias may pose special risks in pregnancy. Clots are more likely to develop when a person with a thrombophilia has certain risk factors, including being pregnant or in the postpartum period (up to 6 weeks after delivery)

Most women with a tendency to develop blood clots have healthy pregnancies. However, pregnant women with a thrombophilia may be more likely than other pregnant women to develop deep vein clots and certain other pregnancy complications. Even pregnant women without a thrombophilia may be more likely than non-pregnant women to develop deep vein clots and emboli. This is due to normal pregnancy-related changes in blood clotting that limit blood loss during labor and delivery. However, studies suggest that up to 50% of pregnant women who develop a pulmonary embolus (a clot in the lung) or other venous thromboembolism (a clot that breaks off and travels to a vital organ) have an underlying thrombophilia. Pulmonary embolus is one of the leading causes of maternal death in the United States.

Factor V Leiden and prothrombin mutations are the most common inherited thrombophilias and occur in about 5% to 3% of cases, respectively. Antiphospholipid syndrome (APS) is the most common acquired thrombophilia. APS occurs in up to 5% of pregnant women. Aside from possible pulmonary embolus, APS also may contribute to repeat miscarriage, stillbirth, preeclampsia and poor fetal growth.

All pregnant women who have had a blood clot should be offered testing. Your provider also may recommend testing if you have a family history of VTE before age 50. Women who have had three or more miscarriages (before or after 10 weeks of pregnancy) or one pregnancy loss after 10 weeks of pregnancy may be offered testing for APS.

Some women may not need treatment, however women with an inherited thrombophilia who have a history of blood clots are usually treated with an anticoagulant during pregnancy and the postpartum period. It is important for any woman with a clotting disorder to discuss with her health care provider what treatment, if any, is appropriate for her specific case. A family health history of blood clots can make a significant impact on the treatment decision – another good reason to know your family health history.