Posts Tagged ‘premature birth’

New research links premature birth to mom’s risk of heart disease later in life

Tuesday, February 21st, 2017

preemie and momThis headline has raised concerns among women who have had a premature baby (birth before 37 weeks) – and for good reason.

In a published study, researchers analyzed data from more than 70,000 women to look at the association between premature delivery and future cardiovascular disease (CVD). They found that women who delivered a baby before 37 weeks gestation in their first pregnancy had a 40 percent greater risk of heart disease later in life, compared to women with term deliveries. This finding occurred even after accounting for pre-pregnancy sociodemographic, lifestyle, and CVD risk factors.

And there’s more.

Women who delivered before 32 weeks gestation had double the risk of CVD later in life compared to women with term deliveries.

So what does this mean for moms who gave birth early?

The results from the study are concerning, but researchers have stated that premature delivery may be an early warning sign of future heart problems, but not the cause of them. Factors such as pre-eclampsia and gestational diabetes, both of which can cause preterm labor, are already considered risk factors for future CVD. More research is needed to determine exactly how premature delivery and CVD are linked.

The March of Dimes funds research to help discover the causes of preterm labor and premature birth. In about half of cases, the cause is unknown. We hope that with our groundbreaking research, we will be able to help prevent premature birth and improve the health of mothers and babies throughout their lifetimes.

If you have questions or concerns about your future risk of CVD, speak with your health care provider.

New study offers clues as to why some women give birth prematurely

Wednesday, February 1st, 2017

research_birthdefectsresearch_rdax_50Why do some women give birth early and others don’t? March of Dimes researchers are trying to find the answer to this question. A new study has revealed important clues.

The type of bacteria found in a woman’s cervix and vagina during pregnancy may either increase the risk of premature birth or protect against it.

Researchers from the Perelman School of Medicine at the University of Pennsylvania and the University of Maryland collected cervicovaginal (CV) bacteria from 2,000 women at three different times during their pregnancies. They then analyzed the bacteria. They found that some of the bacteria actually lowered the risk of spontaneous preterm birth. But other types of bacteria increased the chance of preterm birth significantly. The bacteria associated with spontaneous preterm birth, either providing a protective effect or increasing risk, were different between African-American and non-African-American women.

If the study is confirmed, it could mean that targeting CV bacteria may be a new therapy to prevent premature birth. Edward R.B. McCabe, MD, PhD, senior vice president and chief medical officer of the March of Dimes, stated, “From these data, we may learn how to prevent preterm birth either by eliminating the CV bacteria that are associated with an increased risk and/or by enhancing the presence of protective bacteria. This is a promising new area that should become a research priority.”

Learn more about how March of Dimes researchers are working to better understand the causes of premature birth on our website.

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

Weight gain during pregnancy–how much is right for you?

Monday, December 26th, 2016

Holiday weight gain can be a problem for everyone. During pregnancy, it is especially important to gain a healthy amount of weight. Gaining too much or too little weight can cause problems for your baby including premature birth.

In this video, Dr. Siobhan Dolan talks about how much weight you should gain and what to do during pregnancy to maintain a healthy weight for you and your baby. Don’t forget to talk to your provider about what is best for you. And check out our post for some healthy holiday food guidelines.

 

 

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

Smoking increases the chance of premature birth

Friday, November 18th, 2016

cigarette-buttsAlthough many people know that smoking during pregnancy can cause problems, 10% of pregnant women reported smoking during the last 3 months of pregnancy. When you smoke during pregnancy, your baby is exposed to dangerous chemicals like nicotine, carbon monoxide and tar. These chemicals can lessen the amount of oxygen that your baby gets. This can slow your baby’s growth before birth and can damage your baby’s heart, lungs and brain.

If you smoke during pregnancy, you’re more likely to have:

If you smoke during pregnancy, your baby is more likely to:

Secondhand and thirdhand smoke are also bad for your baby’s health. Being around secondhand smoke during pregnancy can cause your baby to be born with low birthweight.  Babies who are around secondhand smoke are more likely than babies who aren’t to have health problems, like pneumonia, ear infections and breathing problems, such as asthma, bronchitis and lung problems. There are also at an increased risk of SIDS.

If you quit smoking during pregnancy, you and your baby immediately benefit. According to the CDC, here’s how:

  • Your baby will get more oxygen, even after just one day of not smoking.
  • There is less risk that your baby will be born too early.
  • There is a better chance that your baby will come home from the hospital with you.
  • You will be less likely to develop heart disease, stroke, lung cancer, chronic lung disease, and other smoke-related diseases.
  • You will be more likely to live to know your grandchildren.
  • You will have more energy and breathe more easily.
  • Your clothes, hair, and home will smell better.
  • Your food will taste better.
  • You will have more money that you can spend on other things.
  • You will feel good about what you have done for yourself and your baby.

So make a plan to quit today. Need help? Check out these resources:

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

Join in World Prematurity Day activities tomorrow

Wednesday, November 16th, 2016

Light the world purple

The world will light up purple tomorrow to bring awareness to the problem of preterm birth.

Landmarks all over the world will be ablaze in purple to honor premature babies.

Tomorrow marks the 6th annual World Prematurity Day (WPD).

One in ten babies is born too soon. Premature birth is the leading cause of death in children under the age of five worldwide. Babies born too early may have more health issues than babies born on time, and may face long term health problems that affect the brain, lungs, hearing or vision. World Prematurity Day on November 17 raises awareness of this serious health crisis.

In New York City, the Empire State Building will be bathed in purple lights. State Capitol buildings in Alabama, Pennsylvania and Tennessee will light up purple, too.Here are just a few more places where World Prematurity Day will be glowing:

  • Birmingham Zoo, AL;
  • Union Plaza Building (downtown skyline), Little Rock, AR;
  • All 5 river bridges spanning the Arkansas River;
  • Hippodrome Theater, Gainesville, FL;
  • Nationwide Children’s Hospital, Columbus, OH;
  • Howard Hughes Corporation Building, Honolulu, HI;
  • Power & Light Building, Kansas City, MO;
  • Biloxi Lighthouse, MS;
  • Pacific Science Center, Seattle, WA;
  • The Auxilio Mutuo Hospital, Hato Rey, Puerto Rico.

What can you do?

Share your story and video about babies born too soon here on our blog, as well as on Facebook.

Get decked out in purple tomorrow, take a photo and post it to social media with #worldprematurityday and #givethemtomorrow.

Together, we can honor the 380,000 babies born too soon each year in the U.S.

Together, we can let people know that 15 million babies are born too soon around the world every year, and that 1 million of them won’t live to their first birthday.

Together, we can change the face of premature birth and give every baby a fighting chance.

Please join us tomorrow, to raise your voice.

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Three factors you can control to help prevent premature birth

Monday, November 7th, 2016

preemie and momAlthough there are certain risk factors for premature birth that a woman is not able to change, the good news is that there are three risk factors that most women can do something about.

Researchers at the March of Dimes Ohio Collaborative Prematurity Research Center are making big strides. According to their published study, up to one-quarter of preterm births (before 37 weeks of pregnancy) might be prevented if we focused on three risk factors – birth spacing, weight before pregnancy and weight gain during pregnancy.

What did the research show?

The study looked at the records of 400,000 single births and found that more than 90% of the women had one of these three risk factors. The women in the study who had less than a year between pregnancies, were underweight before pregnancy and gained too little weight during pregnancy had the highest rates of preterm births – 25.2%, according to the researchers. The good news is that women may have more control over these risk factors than other factors, which can influence preterm births.

Birth spacing

Birth spacing is the period of time between giving birth and getting pregnant again. It’s also called pregnancy spacing or interpregnancy interval (also called IPI). Getting pregnant too soon can increase your next baby’s chances of being born prematurely, as well as being born at a low birthweight or small for gestational age (SGA). It’s best to wait at least 18 months after having a baby before getting pregnant again. If you’re older than 35 or have had a miscarriage or stillbirth, talk to your provider about how long to wait.

Weight before pregnancy

Getting to a healthy weight before pregnancy is important. Women who are overweight or underweight are more likely to have serious pregnancy complications, including giving birth prematurely. How do you know if you’re at a healthy weight? Schedule a preconception checkup with your health care provider. This is the best time to discuss your weight and make sure you’re healthy when you get pregnant.

Weight gain during pregnancy

Gaining too much or too little weight can be harmful to you and your baby. It’s important to gain the right amount of weight for your body. Your provider can help you determine how much weight you need to gain during pregnancy.

Bottom line

There is still much we do not know about the causes of premature birth. But, knowing some things that a woman can do to decrease her chance of giving birth early, is good news.

Check out the cutting edge research our Ohio Collaborative is working on.

Understanding retinopathy of prematurity (ROP)

Friday, November 4th, 2016

baby-eyesRetinopathy of prematurity is an abnormal growth of blood vessels in the eye. It mainly affects babies weighing about 2¾ pounds (1250 grams) or who are born before 31 weeks of pregnancy. ROP affects about 14,000-16,000 babies in the United States each year. If your baby has ROP, getting treatment right away is really important. The disease can develop very quickly and cause vision problems or even blindness if it’s not treated.

What causes ROP?

During the last 12 weeks of pregnancy, the eye develops quickly. When a baby is born full-term, the growth of the blood vessels that supply the retina is almost complete. The retina then typically finishes growing the first few weeks after birth.

However, if a baby is born too early, the blood vessels may stop growing or not grow correctly. Scientists believe that the edge of the retina then sends signals to other areas of the retina for nourishment. This results in abnormal vessels growing. These abnormal vessels are fragile and can bleed easily and cause retinal scarring. If the scars shrink, they pull on the retina and cause it to detach.

Risk factors for ROP

Some things make a baby more likely than others to have ROP. They include:

  • Premature birth.
  • Apnea. This is when a baby’s breathing stops for 15 to 20 seconds or more.
  • Anemia. This is when the body doesn’t have enough healthy red blood cells to carry oxygen to the rest of the body.
  • Heart disease
  • Infection
  • Trouble breathing or respiratory distress
  • Slow heart rate (also called bradycardia)
  • Problems with the blood, including having blood transfusions.

Stages of ROP

ROP is classified into 5 stages:

  • Stage 1 – Mildly abnormal blood vessel growth. These babies often get better without treatment and go on to have healthy vision.
  • Stage 2 – Moderately abnormal blood vessel growth. These babies often get better without treatment and go on to have healthy vision.
  • Stage 3 – Severely abnormal blood vessel growth. Some of these babies get better without treatment, but others develop a condition called plus disease. This means the retina’s blood vessels get big and twisted. Plus disease is a sign that ROP is getting worse, but treatment can help prevent retinal detachment.
  • Stage 4 – Severely abnormal blood vessel growth and part of the retina detaches. These babies need treatment because part of the retina pulls away from the inside wall of the eyeball.
  • Stage 5 – Total retinal detachment. The retina is completely pulled away from the inside wall of the eyeball. Without treatment, a baby can have severe vision problems or blindness.

Treatment options

Laser or cryotherapy are the most effective treatments for ROP. Laser treatment uses a laser to burn and scar the sides of the retina. This stops abnormal blood vessel growth and prevents scarring and pulling on the retina. Cryotherapy uses a metal probe to freeze the sides of the retina, thereby preventing additional blood vessel growth.

Laser treatments and cryotherapy are done on babies with more advanced ROP, such as stage III.

Later stages of ROP require more intense treatments. Scleral buckle involves placing a silicone band around the white of your baby’s eye (called the sclera). This band helps push the eye in so that the retina stays along the wall of the eye. The buckle is removed later as the eye grows. If it isn’t removed, a child can become nearsighted. This means he has trouble seeing things that are far away.

In a vitrectomy, the doctor removes the clear gel in the center of your baby’s eye (called the vitreous) and puts saline (salt) solution in its place. Your baby’s provider can then take out scar tissue, so that the retina doesn’t pull. Only babies with stage 5 ROP have this surgery.

About 90% of infants with ROP fall into the mild categories and do not need treatment. But ROP can get worse quickly so early diagnosis and appropriate treatment (if needed) are very important. Your baby should be seen by a pediatric ophthalmologist. This is a doctor who identifies and treats eye problems in babies and children. The first eye exam should take place 4 to 9 weeks after birth, depending on when your baby was born.

You can read more about ROP on our website.

If your baby has ROP, visit our online community at Share Your Story to find a network of parents of babies with ROP. You can connect with them for support and comfort throughout your baby’s treatment.

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

Preemies as adults – are their health problems due to prematurity?

Wednesday, May 11th, 2016

NICU baby looking at mom resized“I was born prematurely. Can my eye/heart/learning problems be due to my premature birth?” This is a common type of question we receive at the March of Dimes.

Babies born earlier than 37 weeks may have more health issues than babies born full term. Prematurity can cause problems for babies all throughout their lives. In fact, the earlier a baby is born, the more likely he is to have health problems. Some problems are obvious during infancy or childhood. But, other problems may not present themselves until adulthood.

While it may be difficult to know if a health problem an adult is experiencing is related to prematurity, we do know that prematurity can cause long-term health problems. An adult struggling with a disorder or a worsening condition should seek medical attention in the event that treatment or therapy may help.

Health problems due to premature birth

Premature birth can lead to developmental disabilities, (DDs)  which include physical, learning, language or behavioral challenges. These disabilities can range from mild to severe. Roughly 1 in 6 kids in the U.S. has a developmental disability.

DDs are usually diagnosed during childhood or adolescence, when a child is still developing. However, the disabilities can be lifelong. Although individuals may learn how to compensate for disabilities through therapy or special schooling, adults with DDs may continue to struggle for years.

DDs also include hearing loss, vision impairment, ADHD, autism, neurological disorders such as cerebral palsy, and many other medical issues.

Prematurity can lead to dental problems, breathing problems such as asthma, infections such as pneumonia, and intestinal disorders. For example, some babies who had NEC may have scarring which can cause the intestine to become blocked later in life.

Are there doctors who specialize in treating adults who were preemies?

There are specialists for nearly every body part or disorder, but at this time there aren’t specialists who focus specifically on adults who were born prematurely. However, it’s possible to receive treatment for specific conditions from an appropriate medical specialist. Ask your primary care provider for a referral.

Although we don’t always know whether a health condition is due to being born early, it is still important to seek treatment by a medical professional. Make sure you tell your doctors you were born prematurely.

Bottom line

If you have a preemie, getting help as early as possible (during infancy, early childhood and adolescence) is extremely important. Ask your baby’s health care provider for recommendations. Early intervention services may help your baby catch up, while special education and related services can help him get the assistance he needs in school to succeed. Getting an early start with specialists who treat asthma, hearing loss and other conditions can help to minimize long term complications.

Questions? Text or email them to AskUs@marchofdimes.org.

 

Stress can affect your pregnancy

Monday, April 11th, 2016

Research demonstrates that stress during pregnancy is associated with an increased risk for some pregnancy complications. Feeling stressed is common during pregnancy. Your body and your family are going through many changes. While a little stress is fine, serious stress may cause problems.

Causes of stress

The causes of stress are different for every woman. Some common causes of stress during pregnancy include:

  • Managing the typical discomforts of pregnancy, such as nausea, constipation, and exhaustion.
  • Mood swings. Your changing hormones can causes changes in your mood.
  • Worries about childbirth and being a good mom.
  • Work deadlines and managing job-related responsibilities before you give birth.

A little stress can help you take on new challenges and regular stress during pregnancy probably doesn’t add to pregnancy problems. But serious types of stress during pregnancy may increase your chances of certain complications.

Serious stress during pregnancy

While most women who experience significant stress during pregnancy have healthy babies, high levels of stress do increase your chances of certain pregnancy problems.

  • Acute stress in early pregnancy has been linked with an increased risk for premature birth. Acute stress results from a reaction to a traumatic event, such as natural disasters, death of a loved one, or terrorist attacks.
  • Chronic stress can cause complications such as preterm birth, low birthweight, hypertension and developmental delays in babies. Examples of events that can cause chronic stress include financial problems, divorce, serious health problems, or depression.
  • Post-traumatic stress disorder (PTSD) disorder coupled with a major depressive disorder has been associated with an increased risk for preterm birth. PTSD is a disorder that develops in some people who have seen or lived through a shocking, scary, or dangerous event.

How does stress cause problems in pregnancy?

We don’t completely understand the effects of stress on pregnancy. But certain stress-related hormones, such as cortisol and norepinepherine, may play a role. Also, serious or long-lasting stress may affect your immune system, which protects you from infection. Infections can be a cause of premature birth.

Stress also may affect how you respond to certain situations. Some women deal with stress by smoking cigarettes, drinking alcohol or taking street drugs. These behaviors can lead to pregnancy problems, including preterm birth and low birthweight.

How can you reduce stress during pregnancy?

There are many ways that you can manage your stress during pregnancy. Watch our video to learn more.

 

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

 

STDs can be harmful to you and your baby

Friday, April 8th, 2016

Pregnant woman talking with doctorSexually transmitted diseases (STDs) can cause problems such as premature birth, ectopic pregnancy, birth defects, miscarriage or stillbirth. Most babies get infected with an STD through the birth canal during labor and birth, but other STDs can cross the placenta and infect your baby in the womb.

What can you do?

April is STD awareness month, and this year the Centers for Disease Control and Prevention (CDC) have come up with three steps to prevent or treat a STD:  Talk, Test and Treat.

Talk

Have a conversation with your sexual partner about the last time you were tested and how you both plan to have safe sex. You should also talk with your healthcare provider about STD testing and to make sure your vaccines are up to date. Certain vaccines, such as the HPV vaccine, can help protect against genital warts.

Life can get busy; if you aren’t sure of the last time you were tested for STDs or if you received a certain vaccine, a visit with your provider is the best time to ask.

Test

Many people with STDs don’t know they’re infected because some STDs have no symptoms. And if you’re pregnant, STDs can be harmful to pregnant women and their babies. See your healthcare provider and get tested.

Treat

If you find out you have an STD, get treatment right away. Receiving treatment can help protect you and your baby during pregnancy and birth.

Don’t wait. Be sure to talk, test and treat to protect your health and that of your baby.

Read our top STD questions answered for lots more info.