Posts Tagged ‘pregnancy complications’

Can a mosquito cause birth defects? Listen to this interview on Zika virus and pregnancy

Tuesday, April 12th, 2016

Get the latest update on the Zika virus – what it is, how it spreads, signs and symptoms, how it can affect a pregnancy, and what you can do to stay safe.

March of Dimes Senior Vice President & Chief Medical Officer, Edward R.B. McCabe MD PhD, was interviewed by The Coffee Klatch on Blog Talk Radio. Listen to the entire interview to get answers to your Zika questions.

You can text or email your questions to AskUs@marchofdimes.org.
 

 

Twitter chat on preeclampsia- how it affects you and your baby

Wednesday, May 28th, 2014

texting2Ever wonder why your provider takes your blood pressure and has you pee in a cup at every prenatal visit?  Ever heard of preeclampsia? It is a serious complication of pregnancy that can affect you and your baby. If you are worried about it or have had it, join us tomorrow for our pregnancy chat on Preeclampsia.  We are glad to partner with the Preeclampsia Foundation.

It’s on Twitter tomorrow, May 29th at 1pm ET.  Just follow # PreAM14. Jump into the conversation at any time to ask questions or tell us your experience. We hope to see you then!

Could Aspirin help prevent preeclampsia in some women?

Friday, April 11th, 2014

Could Aspirin help prevent preeclampsia in some women? That’s what a panel of experts from the U.S. Preventive Services Task Force is suggesting in this month’s Annals of Internal Medicine. The panel reviewed research and evidence and found that low doses of Aspirin may help prevent preeclampsia in women who are at risk of developing the condition.

Preeclampsia is condition that happens when a pregnant woman has both high blood pressure and protein in her urine. With early and regular prenatal care, most women with preeclampsia can have healthy babies, but it can cause severe problems for moms. Without treatment, preeclampsia can cause kidney, liver and brain damage. It also may affect how the blood clots and cause serious bleeding problems.

No one knows what causes preeclampsia. But some women may be more likely than others to have preeclampsia. Some risks include:
• Having your first baby
• Having preeclampsia in a previous pregnancy
• Having a family history of preeclampsia
• Being pregnant with multiples (twins, triplets or more)
• Being older than 35
• Being overweight or obese

If you’re pregnant and at risk for preeclampsia, talk to your health provider. While the research may be promising, more needs to be done. In the meantime, don’t take any medicine during pregnancy without checking with your health provider first. Learn more about preeclampsia.

Breech birth

Friday, October 12th, 2012

Most babies prepare to enter this world head first. A small percentage of babies, however, don’t make that final turn and end up offering themselves feet or fanny first. This is called breech presentation.

We’re not sure why these babies don’t turn, but it does appear more common under these circumstances:
  • When there has been a previous breech presentation
  • In pregnancies of multiples (twins, triplets…)
  • When the amniotic fluid is abnormally low or high
  • If a woman has placenta previa
  • If her uterus is abnormally shaped or if she has fibroids
  • If there is a history of premature delivery

If a breech presentation is suspected, an ultrasound will confirm it. Most breech babies are born healthy, but there may be a slight increase in the risk of the baby having a birth defect and closer examination may be offered.

When a baby is in a breech position, health care providers will try to encourage it to turn into the head down position some time between 32 and 37 weeks. There are different ways to attempt this and it’s important for a woman to discuss the options with her provider to determine which is safest for her pregnancy. These are a few of the options (no guarantees that any of them will work, though):
  • External version – This may require medication to relax mom’s uterus. Essentially, this involves the provider pushing on the lower abdomen to rotate the baby. It is monitored by ultrasound and the fetal heart rate is checked regularly. This is not an option for women carrying multiples, in cases of low amniotic fluid, or when a woman has had previous c-sections.
  • Chiropractic care – The Webster technique is used to reduce stress on the woman’s pelvis, optimize its mobility, decrease the tension on the uterus and relax supporting ligaments. This regional relaxation makes it easier for the baby to turn on his own.
  • Breech tilt – Mom lies flat on her back and then raises her hips about 12 inches off the floor and supports them with pillows. She stays in this position for about ten minutes, three times per day. This can be alternated with Mom resting her head on a pillow and raising her hips up, resting on her knees. These positional shifts let gravity help move her baby. 
  • Hypnosis – A good hypnotherapist may be able to place a woman in a state of deep relaxation which might make it easier for her baby to turn.
  • Moxibustion – Used to stimulate the baby’s movement, this is an ancient Chinese technique that involves burning herbs and focusing on acupressure points, typically performed by an accupuncturist.

When babies still don’t turn, most will be delivered by cesarean section, though not before 39 weeks if all is going smoothly. While most providers will not consider it, there are occasional circumstances when a vaginal delivery might be possible in a breech position. In such cases, a woman wants to be sure that her provider is well experienced in these types of deliveries. She should be mindful that cesarean may still be a necessary final outcome.

Watching the new PBS series “Call the Midwife” last week inspired this post. Did you see it? What did you think?

What are fibroids?

Friday, September 21st, 2012

Fibroids are benign (non-cancerous) growths made up of muscle tissue. They range from pea-size to 5 to 6 inches across. If you have them, you’re in good company. About 20 to 40 percent of women develop fibroids during their reproductive years, most frequently in their 30s and 40s.

Many women with fibroids have no symptoms, while others have symptoms such as:
– Heavy menstrual bleeding
– Anemia (resulting from heavy menstrual bleeding)
– Abdominal or back pain
– Pain during sex
– Difficulty urinating or frequent urination

Your health care provider may first detect fibroids during a routine pelvic exam. The diagnosis can be confirmed with one or more imaging tests.

Small fibroids usually don’t cause problems during pregnancy and usually require no treatment. However, fibroids occasionally break down during pregnancy, resulting in abdominal pain and low-grade fever. Treatment includes bedrest and pain medication. Multiple or large fibroids may need to be surgically removed, generally before pregnancy, to avoid potential complications associated with pregnancy. Due to pregnancy hormones, fibroids sometimes grow larger during pregnancy. Rarely, large fibroids may block the uterine opening, making a cesarean birth necessary.

Most women with fibroids have healthy pregnancies. However, fibroids can increase the risk of certain pregnancy complications, including:
– Infertility
– Miscarriage
Preterm labor
– Abnormal presentation (such as breech position)
– Cesarean birth (usually due to breech position)
Placental abruption (separation of the placenta from the wall of the uterus before birth)
– Heavy bleeding after birth

If a health care provider determines that a woman’s infertility or repeated pregnancy losses are probably caused by fibroids, he may recommend surgery to remove the fibroids. This surgery is called a myomectomy. In some cases, myomectomy can be done during hysteroscopy.

Teen pregnancy

Thursday, April 7th, 2011

bellyOver the past 20 years, the rate of teen girls having children has dropped by about 40% to its lowest level since they began keeping records 70 years ago. That’s good news, but it’s not great. 

Did you know that, according to the CDC, teen birth rates in the US are up to 9 times higher than in most other developed countries? Hispanic and black teen girls are about 2-3 times more likely to give birth than white teen girls. Girls born to teen parents are almost 33% more likely to become teen parents themselves. Only about 50% of teen mothers get a high school diploma by age 22, compared with 90% of teen girls who do not have a baby. And, at the risk of sounding crass, teen childbearing costs US taxpayers about $9 billion each year.

Premature birth is a big issue for us, as you know. But did you know that teen moms are more likely than moms over age 20 to give birth prematurely? Many teens smoke and babies of women who smoke during pregnancy are at increased risk for premature birth, low birthweight and sudden infant death syndrome (SIDS). These moms have an increased risk for pregnancy complications, including placental problems, anemia, and high blood pressure.

Teenage mothers are more likely to have a low-birthweight baby and most low-birthweight babies are born prematurely. Babies who are premature and low birthweight may have organs that are not fully developed. This can lead to breathing problems, such as respiratory distress syndrome, bleeding in the brain, vision loss and serious intestinal problems. Babies of teenage mothers are more likely to die in the first year of life than babies of women in their 20s and 30s. The risk is highest for babies of mothers under age 15.

So, it’s good news that the teen birth rate has dropped, but we still have a long way to go to give every baby a healthy start. The reality of these facts and figures may surprise some people – serious complications exist for the young. Help us spread the word.