All posts in regards to fertility, pregnancy and child birth

Multiple Pregnancy

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A multiple pregnancy is when you are pregnant with twins, triplets or more. Three babies or more is called a ‘higher order’ pregnancy, and it’s rare – occurring in just 1 in 50 multiple pregnancies.

 

Having twins,  triplets or more can be challenging, but most families find having several babies at once a positive experience.

 

How does multiple pregnancy occur?   

Multiple pregnancies occur when more than one embryo implants in your uterus (womb). This can happen if you release more than one egg during the menstrual cycle and each egg is fertilized by a sperm. Sometimes, a fertilized egg spontaneously splits into 2, resulting in identical embryos. This type of pregnancy results in fraternal twins (or more). When a single fertilized egg splits, it results in multiple identical embryos. This type of pregnancy results in identical twins (or more). Identical twins are less common than fraternal twins.

What are some causes of multiple pregnancy? 

The use of fertility drugs to induce ovulation often causes more than one egg to be released from the ovaries and can result in twins, triplets, or more. Multiple pregnancies are more common than they used to be, mainly because of the increasing use of in vitro fertilization (IVF) if more than one embryo is transferred to the uterus. Identical multiples also may result if the fertilized egg splits after transfer. Women aged 35 and older are more likely to release more than one egg during ovulation, so they are more likely to have a multiple pregnancy. You are also more likely to have a multiple pregnancy if you have a history of twins in your family.

What are some symptoms of multiple pregnancy?

Women who are pregnant with multiples may have more severe morning sickness or breast tenderness than women who are pregnant with a single baby. They also may gain weight more quickly. A multiple pregnancy is confirmed by an ultrasound scan, usually in the first trimester (the first 12 weeks). The ultrasound will confirm the type of multiple pregnancy, whether there is one placenta or 2, and how many amniotic sacs there are. These are all important factors for later in the pregnancy and it’s important to identify them as early as possible.

 

Types of multiple pregnancy

Fraternal twins  

Two separate eggs are fertilized and implant in the uterus. The babies are siblings who share the same uterus – they may look similar or different, and may either be the same gender (2 girls or 2 boys) or of different genders. A pregnancy with fraternal twins is statistically the lowest risk of all multiple pregnancies since each baby has its own placenta and amniotic sac. You will sometimes hear fraternal twins referred to as ‘dizygotic’ twins, referring to 2 zygotes (fertilized eggs).

 

Identical twins

Identical twins are formed when a single fertilized egg is split in half. Each half (embryo) is genetically identical, so the babies share the same DNA. That means the babies will share many characteristics. However, because their appearance is influenced by the environment as well as by genes, sometimes identical twins can look quite different. Identical twins may share the same placenta and amniotic sac, or they may have their own placenta and amniotic sac. You will sometimes hear identical twins referred to as ‘monozygotic’, referring to one zygote (fertilized egg).

Triplets and ‘higher order multiples’ (HOMs)

Triplets, quadruplets, quintuplets, sextuplets or more can be a combination both of identical and fraternal multiples. For example, triplets can be either fraternal (trizygotic), forming from 3 individual eggs that are fertilized and implanted in the uterus; or they can be identical, when one egg divides into 3 embryos; or they can be a combination of both.

Do I need to gain extra weight if I am pregnant with multiples? 

It generally is recommended that women who are pregnant with multiples gain more weight than women who are pregnant with one baby. An extra 300 calories a day is needed for each fetus. For instance, if you are pregnant with twins, you need an extra 600 calories a day. For triplets and higher-order pregnancies, weight gain should be individualized.

 

Complications of Multiple Pregnancy

The most common complications include the following:  

  • Preterm labor and birth. Over 60% of twins and nearly all higher-order multiples are premature (born before 37 weeks). The higher the number of fetuses in the pregnancy, the greater the risk for early birth. Premature babies are born before their bodies and organ systems have completely matured. These babies are often small, with low birth weights (less than 2,500 grams or 5.5 pounds), and they may need help breathing, eating, fighting infection, and staying warm. Very premature babies, those born before 28 weeks, are especially vulnerable. Many of their organs may not be ready for life outside the mother’s uterus and may be too immature to function well. Many multiple birth babies will need care in a neonatal intensive care unit (NICU).
  • Gestational hypertension. Women with multiple fetuses are more than twice as likely to develop high blood pressure of pregnancy. This condition often develops earlier and is more severe than pregnancy with one baby. It can also increase the chance of placental abruption (early detachment of the placenta).
  • Anemia. Anemia is more than twice as common in multiple pregnancies as in a single birth.
  • Birth defects. Multiple birth babies have about twice the risk of congenital (present at birth) abnormalities including neural tube defects (like spina bifida), gastrointestinal, and heart abnormalities.
  • Miscarriage. A phenomenon called the vanishing twin syndrome in which more than 1 fetus is diagnosed, but vanishes (or is miscarried), usually in the first trimester, is more likely in multiple pregnancies. This may or may not be accompanied by bleeding. The risk of pregnancy loss is increased in later trimesters as well.
  • Twin-to-twin transfusion syndrome. Twin-to-twin transfusion syndrome (TTTS) is a condition of the placenta that develops only with identical twins that share a placenta. Blood vessels connect within the placenta and divert blood from one fetus to the other. It happens in about 15% of twins with a shared placenta.

In TTTS, blood is shunted from 1 fetus to the other through blood vessel connections in a shared placenta. Over time, the recipient fetus receives too much blood. This can overload the cardiovascular system and cause too much amniotic fluid to develop. The smaller donor fetus does not get enough blood and has low amounts of amniotic fluid. TTTS can be treated during pregnancy by withdrawing some of the extra fluid with a needle or with surgery on the placenta. Sometimes, the twins may need to be delivered early.

  • Cerebral Palsy: A long-term disability of the nervous system that affects young children in which control of movement or posture is abnormal and is not the result of a recognized disease.
  • Abnormal amounts of amniotic fluid. Amniotic fluid abnormalities are more common in multiple pregnancies, especially for twins that share a placenta.
  • Cord entanglement. Cord entanglement for the twins that share the amniotic sac. In these cases, monitoring of the fetuses often in the third trimester may be necessary.
  • Cesarean delivery. Abnormal fetal positions increase the chances of cesarean birth.
  • Postpartum hemorrhage. The large placental area and over-distended uterus place a mother at risk for bleeding after delivery in many multiple pregnancies.

 

Can multiple pregnancy affect my risk of postpartum depression?  

Multiple births increase the risk of postpartum depression. Multiple births are a risk factor for postpartum depressive symptoms in mothers. If you have intense feelings of sadness, anxiety, or despair that prevent you from being able to do your daily tasks, let your obstetrician or other members of your health care team know.

 

 

Can I breastfeed if I have multiples?

Yes, but it may take some practice. Your milk supply will increase the right amount. You will need to eat healthy foods and drink plenty of liquids. The law of supply and demand applies to nursing mothers of twins and multiples. If you breastfeed when your babies want to eat, you can trust your body to supply enough milk. A low milk supply can almost always be corrected by nursing more often. If your babies aren’t emptying your breasts, you may need to pump.

 

 

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or another qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

 

Resources:

https://www.acog.org/Patients/FAQs/Multiple-Pregnancy

How to Have a Smart Baby

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Living a healthy lifestyle while you’re expecting helps your baby grow big and strong, but did you know it can make her smarter too? In fact, simple choices that you make every day, from eating a leafy-green salad for lunch to hitting the treadmill for a workout, can help build her brain. What you do while you’re pregnant can have as much impact on your child’s brain development and future intelligence as what you do after you give birth and taking care of yourself now will help prepare your baby to be an active learner.

 

Lowered Autism Odds:

Pop Your Prenatal Vitamin Daily 

Taking it will help ensure that you get the balance of nutrients your baby needs, like folic acid and vitamin B12 to make red blood cells, vitamin C to produce collagen, vitamin D for bone building, and zinc for brain development. If your vitamin upsets your stomach, don’t just ditch it: Try taking it with a meal, or talk to your doctor about switching brands.

Get Omega-3s   

Fish, rich in omega-3 fatty acids, may boost your baby’s brain power. In a study from Harvard Medical School, the more fish women ate during the second trimester, the higher their babies scored on a mental-development test at 6 months of age. Omega-3s are found in brain-cell membranes, so there are plenty of ways they can influence brain function, says Lisa Eliot, Ph.D., assistant professor at Rosalind Franklin University of Medicine and Science, in Chicago. If you don’t like fish, talk to your doctor about taking a fish-oil supplement.

Pump Up Iron  

Your iron intake needs to double during pregnancy since iron helps deliver life-sustaining oxygen to your baby. Iron helps promote the growth of healthy red blood cells, which carry oxygen to your baby’s brain. Trouble is, many women enter pregnancy already deficient, says Somer. If your baby’s deprived of oxygen in the womb, the risk of poor growth — and lower IQ — increases. Ask your doctor to test you for iron deficiency. Then make sure your diet includes iron-rich foods like lean beef, chicken, legumes, beans, spinach, tofu and as well as iron-enhanced cereals.

 

 

 

Increased Intelligence:

Working out will give you the stamina you need for labor and delivery, and it can also strengthen your baby’s brain. According to a study in the Journal of the American College of Sports Medicine, children of moms who exercised during pregnancy scored higher on tests of language skills and intelligence at age 5 compared with the kids of sedentary moms. Why? Moderate levels of cortisol — a stress hormone that’s also secreted when you exercise — promote the growth and development of your baby’s brain, as well as his other major organs. Experts recommend 30 minutes of moderate exercise for pregnant women on all or most days of the week.

 

Maximum Brainpower:

Fetal Brain Development

The fetal brain goes through several stages of development. During the first trimester, the nerve cells form but are not actually developed as a brain. Impulses begin to fire without pattern or direction. Sensory organs and nerves are not developed at this point, so the fetus does not feel pain. During this time, it’s especially important to avoid chemicals and dangerous substances. The first trimester is a time of exponential growth.

During the second trimester, nerve functions start to synchronize and differentiate. The sensory organ begins development, as do the nerves. About the 5th month, the baby can now start to feel, although the sensations they feel are very limited and erratic. Those healthy fats provide faster development and healthier nerve connections.

During the last trimester, the brain is forming learning abilities and beginning memories. This is a time where exposure to classical music and soothing sounds will affect the child’s disposition later in life.

Be Mindful of Mercury

Fish is good for your baby’s brain, but you do need to take a few precautions. Mercury contamination in some fish may be harmful. The Food and Drug Administration advises all pregnant women to avoid shark, tilefish, king mackerel, and swordfish completely since they contain the highest levels. Some lower-mercury options: salmon, catfish, pollack, whitefish, tilapia, and shrimp. Even with these varieties, you should limit all fish to 12 ounces (about two meals) per week. And opt for canned light tuna over canned white albacore, which has more mercury.

Munch on Fruits and Veggies   

Produce contains antioxidants, which are good for your baby. “Antioxidants protect the baby’s brain tissue from damage,” says nutritionist Elizabeth Somer, RD, author of Nutrition for a Healthy Pregnancy. Choose deep-colored produce — like dark leafy greens, papaya, blueberries, and tomatoes — for the biggest antioxidant punch. Regular consumption of fruit is known to reduce a variety of health complications such as Alzheimer’s or preventing weight gain but now new research has suggested that we may benefit from a diet high in fruit earlier than we thought.

Child development experts in Canada found that women who eat fruit during their pregnancy are more likely to give birth to smarter children than those who do not or eat very little fruit.

Avoid Alcohol

Though fetal alcohol syndrome is associated with heavy alcohol abuse during pregnancy, even moderate amounts of beer, wine, or liquor can harm a baby’s brain, according to the March of Dimes. Light to moderate drinking can lead to problems with learning, attention, memory, and social skills down the road.

Don’t Gain Too Much

You’re eating for two now, but packing on too many pounds during pregnancy ups your chances of a premature delivery — and babies born early may be at a disadvantage when it comes to learning. “Premature delivery is one of the greatest risk factors for mental impairment,” says Dr. Lise Eliot. “There’s a strong link between birth weight, IQ score, and school achievement.” What’s the connection? Babies born early miss out on the unique nourishment that the placenta provides, are exposed to stimuli they’re normally protected from in the womb and are more vulnerable to infection. To keep your weight healthy, follow these guidelines:

  • If you’re currently a normal weight, gain 25-35 pounds.
  • f you’re currently overweight, gain 15-25 pounds.
  • If you’re currently underweight, gain 28-40 pounds.

Your baby’s brain will develop through various experiences and exercises. Senses of touch, smell, sight, sound, and taste will also aid this development process. You need to start giving your baby different sensory experiences from an early age, to help him identify and differentiate things. Development of his cognitive and motor skills will help you know how to raise a smart baby.

 

 

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or another qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

Resources:

https://www.parents.com/pregnancy/my-baby/how-to-have-a-smart-baby-pregnancy-brain-power-boosters/

Benefits of Drinking Water During Pregnancy

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Whether you’re pregnant or not, your body needs water to function properly. However, drinking water during pregnancy is twice as important and critical to the health of you and your new bundle of joy.

Water is responsible for carrying oxygen and nutrients to our cells, tissues, and organs, staying hydrated ensures that essential nutrients are being transported to meet the developmental needs of your growing baby. Drinking water also helps preserve an adequate level of amniotic fluid and even aids fetal kidney function by facilitating the amount of waste your baby’s kidneys filter.

 

Hydration: 

Water can also help keep the aches and growing pains associated with being pregnant at bay, as it helps prevent dehydration —a main contributor to the headaches, cramping, and dizziness you may experience during pregnancy.

Some women even claim that drinking water helps alleviate morning sickness, heartburn, and indigestion. Hydration becomes especially important during the third trimester because dehydration can trigger contractions that can lead to preterm labor.

A common sign of dehydration is “maternal overheating.” Having adequate water in your system will help you regulate your body heat; however, if you are not drinking enough water during pregnancy, you can be prone to overheating. A sign of being well-hydrated is having a clear urine color, as opposed to dark yellow.

A pregnant woman needs, on average, approximately 10 cups (2.3 liters) of fluid per day.

Morning Sickness

Around 80 percent of expectant mothers experience some form of morning sickness during pregnancy. Some women feel sick all day, while others merely feel queasy before eating breakfast. Certain symptoms, including vomiting, increase your risk of dehydration. Because dehydration can aggravate nausea, proper hydration may help relieve some symptoms of morning sickness. Signs of dehydration include dry mouth, urinating less frequently, dizziness and cracked lips. Consult your physician if you experience signs of dehydration or are unable to keep fluids down.

 

If you make it a priority to stay adequately hydrated over the next nine months, you’ll be setting your little one up for a healthy life outside the womb. So here’s to you and your little one cheers to a healthy pregnancy!

 

Foods to Keep You Hydrated during Pregnancy  

Watermelon  Water content: 92%

With “water” in its name, of course, this fruit makes the list! Watermelon is a great way to add more fluid to your day. Enjoy watermelon slices or dice and toss with fresh mint, crumbled feta cheese, and a splash of balsamic vinegar for a refreshing snack.

 

 

 

Strawberries Water content: 91% 

These little berries provide bountiful nutrition but also supply a solid amount of water too. At 91 percent water, it’s smart to add this naturally hydrating food to salads, yogurt parfaits, smoothies, cereal, and more.

 

Cucumbers Water content: 95%

Looking for a little crunch with your hydration? Try cucumbers! They supply plenty of water and taste great in your Greek salad, as a dipper for hummus, or as an addition to your taco.

 

Yogurt

Water content: 85%

How about a little protein to go with your water? Yogurt supplies a healthy dose of non-meat protein, along with bone-building calcium and water. Top it with fresh berries for even more nutritious hydration.

 

Lettuce Water content: 95%

Speaking of crunch, did you know that bowl of lettuce you’re eating is loaded with water too? Fill up your salad plate once or even twice to get a refreshing boost of water.

 

If staying hydrated is a struggle for you, get in the habit of bringing a water bottle with you everywhere you go. Having a water bottle handy throughout the day will remind you to stay hydrated and challenge you to drink the recommended amount of water each day.

 

 

 

 

Third Trimester Must-Haves

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The final trimester of pregnancy is an exhausting but exciting time!

 

You’re in your third trimester! Can you believe it? Hopefully, everything has been going smoothly and now you’re finally at the point where you’re preparing for the last few months and getting ready for labor. So exciting! I will say, a lot of women describe the third trimester as the longest trimester since you are getting more uncomfortable by the day and you are so ready to have your body back and meet your baby. You’re almost there though!

Listed below are my must-haves that every woman should have to help her have the best and most enjoyable third trimester.

  • Comfy Shoes

With each passing day, your baby is getting bigger. Before you know it, it will feel like you are carrying a bowling ball with you everywhere you go. At this point, the extra weight is getting harder on your feet so getting some comfortable shoes are an absolute MUST! You’ll want to get a pair of flats, sandals, or comfortable sneakers (or all of them) that you can easily slip on and off to make standing and walking throughout the day a bit more bearable.

  • Birth Ball

A birth ball is wonderful to have because it strengthens your legs, back, and core muscles — which can condition the abdominal area involved in childbirth — and it can aid in relaxation, comfort, and physical relief. A birth ball is good for exercising the deep, supportive muscles in the lower back and surrounding spine so you’ll have better posture and be less prone to a backache and sciatica. What’s also great is that you can use it during labor and even after when you have your baby. Being able to bounce on it to soothe your crying baby and save your joints at the same time is awesome.

  • Heating Pad

Your back and hips will be a lot more aches and sore towards the end of your pregnancy. When you can’t get a Massage or see a chiropractor, remember that heat is your friend. You can heat a rice bag or use a heating pad before you go to bed to help give you relief and relax your muscles.

NOTE: Make sure that you turn off the heating pad before you go to sleep to avoid overheating and burning your skin. Also, heat is a wonderful thing to help you during labor, too. Bring these things in your hospital bag.

  • Maternity Leggings

The clothing gods heard our prayers and miraculously made comfy, stretchy leggings a chic wardrobe choice you can practically wear anytime, anywhere. If pregnancy has led to varicose veins and swollen ankles, these maternity compression leggings may be just the thing to offer some relief.

  • Loose Tops

Nothing more comfortable than a loose top. A stretchy tee shirt is long enough to cover not only the bump but also the bum- which is tres important when you live in leggings!

  • Body Pillow

C-shape pillow cradles you from head to toe, even taking the place of your regular pillow. One end is for your head and neck; the other tucks between your legs to realign your hips as you sleep. A body pillow is a great help in getting best sleep during the 3rd trimester.

  • Water Bottle

It’s important to keep hydrated during this stage of pregnancy. Staying hydrated is paramount to your comfort and health. Invest in a giant bottle/cup so that you don’t have to keep getting up and refilling your water bottle. If plain water is getting too boring, switch it up with coconut water, sparkling water, or add a bit of juice.

  • Raspberry Leaf Tea

Raspberry Leaf Tea is highly recommended to start drinking during your third trimester every day to help prepare your body for labor and delivery. It’s great for uterine health and helps prevent post-delivery hemorrhaging.

  • Books and Resources

It’s time to move on from the pregnancy/delivery books and start looking at resources on actually taking care of a newborn baby. There are lots of great books that have good tips and advice for baby’s feeding, sleeping, and overall scheduling. Watch TV shows and get new ways on how to soothe your baby – every new parent needs to know those tricks. They really talk about the science behind it all.

  • Postpartum Doula

So many expecting couples are focusing on the labor and birth of their baby (and rightfully so, it’s very important), but they forget to think about what happens after giving birth – taking care of a baby. Start looking into postpartum doulas in your area. They can help you with breastfeeding, pumping, bottle-feeding, showing you had to soothe, swaddle, all types of newborn care, and so much more. Whether you want help during the day or at night, a postpartum doula is an amazing support person and resource.

 

 

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or another qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

 

3 Important Exercises during 3rd Trimester

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Even though you may not feel like doing much at all as your belly grows week after week, it’s important to keep moving throughout pregnancy, including in the awkward and uncomfortable last weeks. Third-trimester exercises are some of the most important, helping to alleviate aches and pains while also preparing your body for labor. These exercises will open up the hips and pelvis, strengthening the muscles you’ll be using during childbirth.

“Don’t let fatigue rule the end of your pregnancy. Keep up your exercise schedule with this easy-to-follow plan for months 8-9 of your pregnancy.”

 

Pelvic Floor Exercises  

Pelvic floor exercises help to strengthen the muscles of the pelvic floor. These muscles come under great strain during pregnancy and childbirth.

The pelvic floor muscles are overstretched and weakened underneath that weight so it is important to do pelvic floor exercises to maintain muscle tone. If your pelvic floor muscles are weakened, you may find that you leak urine when you cough, sneeze or strain. This is quite common and you needn’t feel embarrassed. It’s known as stress incontinence and it can continue after pregnancy.

Squats

The full squat position is a passive position that allows gravity to open the pelvis, causing the pelvic floor muscles to engage. Use a prop if you need to, placing a rolled-up towel or yoga mat under your heels if they don’t reach the ground.

Squatting can open your pelvic outlet by 10 percent. When you squat to induce labor, it creates more room for the baby to move down into the birth canal. Squatting during the third trimester helps strengthen your leg muscles. Strong legs are a must when it comes to labor and the final push to give birth. It eases constipation and pressure on the pelvic floor – a blessing during the last few weeks of your pregnancy.

Caution:

Though squatting to induce labor is harmless in most cases, but you need to keep some points in mind. If your baby is in breach position, squatting can prove to be harmful. This is because squatting will force her to descend the birth canal without giving her the chance to move into proper position. So talk to your doctor to make sure your baby is head down before you try squatting.

Gentle Abs  

Given all the stretching that your ab muscles go through during pregnancy to accommodate your growing baby, you wouldn’t be the first woman to wonder if there must be something you can do to keep them in shape and speed recovery after birth. And while pregnancy isn’t the time to strive for the chiseled core you’ve always dreamed of, you can certainly take a few safe steps, with the guidance of your practitioner, to maintain your fitness and keep your core strong during pregnancy. In fact, exercising your abs during pregnancy has lots of benefits, including reduced risk for back pain and potentially even a speedier labor.

You can do abdominal exercise in the late stages of pregnancy, as long as they are gentle exercises that don’t over-strain the abdominal muscles. A basic pelvic tilt is a great place to start and is safe at all stages. For more of a challenge, you can add movement to the pelvic tilt by incorporating knee lifts and toe taps.

 

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or another qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

Resources:

http://www.momjunction.com/articles/benefits-of-doing-squats-to-induce-labor_00113886/#gref

https://www.pregnancybirthbaby.org.au/pelvic-floor-exercises

8 Natural Ways to Induce Labor

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As you’re approaching your due date, you’re becoming more and more ready and anxious to meet your little one. Your back is aching, your feet are sore, you can’t sleep comfortably, and most of all you’re so excited to finally see the sweet little face you’ve been dreaming about in person.

 

Your due date is an educated guess for when your baby might make its arrival. While many women deliver perfectly healthy babies two weeks before or after this presumed due date, it’s recommended that women wait until 40 weeks for delivery. It’s best to let mother nature decide when your baby comes.  

Be aware: Any type of labor induction increases the risk of cesarean delivery and other emergency interventions. Always talk to your doctor before trying to induce labor on your own.

8 things that you can do yourself to naturally induce labor

  1. Nipple Stimulation

 

Nipple stimulation is one of the most reliable options. It helps release the hormone called oxytocin which is the hormone that causes your uterus to contract. (Oxytocin is also called the love hormone since it’s released when you feel in love.) Oxytocin is the hormone that causes the uterus to contract and milk to be ejected from the breast. In fact, if you choose to breastfeed your baby right after delivery, this same stimulation is what will help your uterus shrink back to its original size. You or your partner may manually stimulate your nipples, or you can try using a breast pump.

 

  1. Exercise/ Cardio/ Stair Climbing / Squats

Use gravity to your advantage. Get up and start moving! Physical activity helps move your baby’s head down lower in your pelvis and that allows your baby’s head to put pressure on your cervix which helps it dilate. Try walking for 30 minutes every day. If you can walk up a steep hill, even better! This causes you to lean forward at an angle helping the baby move in the right direction. Walking stairs and doing squats have also been said to be very helpful. So go ahead and get that heart pumping!

  1. Sex 

Theoretically, there are multiple reasons why having sex could induce labor. For example, sex can release oxytocin, which may help jumpstart uterine contractions. Having sex is safe at full term, but you shouldn’t have sex after your water has broken. Doing so can increase your risk of infection. Pretty much everyone knows or has been told that having sex is the way to start labor. The reason for that is the act of sex can cause contractions. Not only that, semen contains a substance called prostaglandins which helps the cervix to ripen and efface so it’s best that he also orgasms. This prepares your body for labor.

  1. Acupuncture & Acupressure

Acupuncture stimulates the release of oxytocin in the body. Acupuncture and acupressure is another natural method for inducing labor. With acupuncture, a practitioner places fine needles at various points along the body to balance your energy flow. Acupressure is the same concept, but instead, fingers are used to apply pressure to pressure points. These are also pressed during labor induction massages. A couple of pressure points are thought to cause contractions. One is located in the webbing between your thumb and forefinger. The other is located just above your ankle. Applying pressure to either of these two pressure points may help bring on contractions.

  1. Red Raspberry Leaf Tea

Drinking this tea regularly can strengthen and tone your uterus and help those muscles in your uterus start to contract. Midwives often recommend drinking red raspberry leaf tea as your due date nears. Tea may tone and strengthen the uterus in preparation for labor. Even if it doesn’t work, you’ll stay hydrated.

 

 

  1. Warm Baths  

Soaking in a warm bath may help to get labor going. The reason why? Soaking in the tub helps to relax you. There is evidence that stress and being uptight may keep you from going into labor. This is why massage is also beneficial. Almost anything that gets your mind off of the fact that you are still pregnant that can get you to relax can help.

 

  1. Membrane Stripping  

Some providers will offer to strip your membranes to encourage labor. Though the procedure is done in the office, there are no medications involved. Your doctor will use a gloved finger to separate the amniotic sac from the area around the cervix. This action releases hormones called prostaglandins, which help the body go into labor. This one can be quite uncomfortable. It hasn’t been proven to be one of the most effective forms of induction, but it is an option. If you have any vaginal infections, membrane stripping is not an option.

 

  1. Labor Induction Massages  

Getting a labor induction massage is a great way to get contractions going. This massage doesn’t always work immediately and may require two or three appointments to help stimulate labor. It allows you to relax your muscles around the baby and it sends signals to your body to start the labor process.

 

The Waiting Game

Before trying anything that might induce labor, you’ll want to speak with your doctor to go over any risks or possible complications. Though some of these methods are popular folklore among pregnant women, little scientific evidence supports their efficacy. In most cases, it’s best to let baby set their own birth date, even if it means waiting another week or two.

As the due date approaches, many couples are eager for labor to begin so they can finally meet their little one.

And though that’s the most exciting moment of your life, you might want to slow down and not rush through things. Saving your energy, rather than wearing yourself out with schemes for starting labor sooner. In other words, get some sleep while you can!

 

 

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or another qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

 

Resources:

https://www.healthline.com/health/pregnancy/natural-ways-to-induce-labor#takeaway 

High-Risk Pregnancy

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A pregnancy is considered high-risk when there are potential complications that could affect the mother, the baby, or both. High-risk pregnancies require management by a specialist to help ensure the best outcome for the mother and baby.

 

If you’re being treated for a lifelong (chronic) condition, you may have known for a long time that becoming pregnant carries additional risks. Or you may find out you have a high-risk pregnancy because of a problem that develops for the first time during pregnancy. having a high-risk pregnancy means it’s more likely that you or your baby will have health problems during pregnancy, birth, or after delivery. These could be minor problems, but in some cases, a high-risk condition can be life-threatening for a woman or her baby. 

Risk Factors for High-Risk Pregnancy

Reasons that a pregnancy may be considered high risk include:

  • Blood disorders. If you have a blood disorder, such as sickle cell disease or thalassemia, the additional strain pregnancy puts on your body can make your condition worse. There are also potential risks to your baby (both during pregnancy and after delivery) if she inherits your condition.
  • Chronic kidney disease. This condition increases your risk of miscarriage, developing high blood pressure and preeclampsia, and having your baby early. Pregnancy can also put an extra strain on your kidneys.
  • HIV or AIDS. If you have HIV or AIDS, your baby can become infected before birth, during delivery, or when you breastfeed. Fortunately, medication can dramatically reduce this risk.
  • Lupus. Lupus and other autoimmune diseases can increase your risk of preterm delivery, preeclampsia, and have a small baby. Being pregnant may also increase the likelihood of your disease flaring up or getting worse.
  • Maternal age. Your age can affect how likely you are to have a high-risk pregnancy. Being an older mom (age 35 or older in your first pregnancy) or a younger one (in your teens) puts you at greater risk of some complications and health problems.
  • Obesity. Having a body mass index (BMI) of 30 or higher before pregnancy puts you at greater risk of gestational diabetes, type 2 diabetes, and high blood pressure during your pregnancy. When it comes to giving birth, you’re more likely to need your labor induced or a cesarean delivery. 
  • Thyroid disease. Both an underactive thyroid (hypothyroidism) and an overactive thyroid (hyperthyroidism) during pregnancy can cause problems for you and your baby if the condition isn’t controlled. These problems can include miscarriage, preeclampsia, low birth weight, and having your baby early.
  • Type 1 or type 2 diabetes. If your diabetes isn’t managed well, you could be at risk of complications including birth defects, high blood pressure, having your baby early, and having a very big baby. Your baby may have problems with breathing, low glucose levels, and jaundice.

Pregnancy-related issues:

Often a pregnancy is classified as high risk because of issues that arise from the pregnancy itself and that have little to do with the mother’s health. These include:

  • Premature Labor is also called preterm labor. It’s when your body starts getting ready for birth too early in your pregnancy. Labor is premature if it starts more than three weeks before your due date. Many factors have been associated with an increased risk of preterm labor, however, including Previous preterm labor or premature birth, particularly in the most recent pregnancy or in more than one previous pregnancy. Pregnancy with twins, triplets or other multiples. Problems with the uterus, cervix or placenta
  • Multiple births mean you are carrying more than one baby (twins, triplets, quadruplets, etc.). Multiple pregnancies, which are more common as women are using more infertility treatments, increase the risk of premature labor, gestational diabetes, and pregnancy-induced high blood pressure.
  • Placenta Previa is a problem of pregnancy in which the placenta grows in the lowest part of the womb (uterus) and covers all or part of the opening to the cervix. The placenta grows during pregnancy and feeds the developing baby. If the placenta still covers the cervix close to delivery, the doctor may schedule a cesarean section to reduce bleeding risks to the mother and baby.
  • Fetal problems, which can sometimes be seen on ultrasound. Approximately 2% to 3% of all babies have a minor or major structural problem in development. Sometimes there may be a family history of fetal problems, but other times these problems are completely unexpected.

How does being high-risk affect my labor?

It’s worth preparing yourself for the idea that the birth you have may not be the birth you’d choose. If your pregnancy is high-risk, you won’t have the option of a home birth or attending a birth center. You’ll need to give birth in a hospital where you and your baby can be monitored closely and specialist care is available during the birth and afterward.

If you’re having multiples, you’re more likely to go into labor early. Preterm labor is also more likely if you have a high-risk pregnancy for other reasons, such as having too much amniotic fluid around the baby or having certain medical conditions. You may also need to have your labor induced to prevent or reduce health problems for you and your baby. Or there may be reasons why a vaginal birth isn’t possible and you need to have a  cesarean section.

Talk to your provider about what you can expect during labor, so you can prepare yourself in the best way possible.

Will my baby be okay if I’m high-risk? 

If you have a high-risk pregnancy, one of your biggest worries will probably be whether any harm will come to your baby. It’s natural to be concerned. However, with good prenatal care, it’s possible to have a healthy baby. Healthy moms grow healthy babies: Some conditions, as well as the drugs that are usually prescribed to manage them, pose a risk to your baby’s health. But stopping medications that you take for a condition can also be very dangerous.

If your baby is born early, he could have difficulty breathing or feeding, or develop infections or other complications. If this happens, he needs extra care and support, which means staying in the hospital for several weeks, probably in a Neonatal Intensive Care Unit  (NICU).

How can I reduce the risk of pregnancy complications?

Find out all you can about your condition and what you can do to stay healthy. Ask your provider for information. At your first prenatal visit, tell your provider about any current health problems you have, any medication you’re taking, and any difficulties you had in previous pregnancies. Have a healthy lifestyle: Follow your provider’s nutritional guidance, gain the right amount of weight, and stay active if you’re able. Don’t smoke or drink alcohol.

Ask your partner, family, and friends for support – this is likely to be a stressful time. Look after your emotional well-being. Take time out for yourself and reduce your stress levels where you can.

If your pregnancy is considered high risk, your doctor may refer you to a perinatologist. Also called a maternal-fetal medicine specialist, a perinatologist is an Obstetrician with special training in high-risk pregnancy care. This specialist will work with your other doctors, nurses, and other health-care professionals to ensure the best possible outcome for both you and your baby.

 

 

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or another qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

 

Resources:

https://www.webmd.com/baby/managing-a-high-risk-pregnancy#1

 

Does “Pregnancy Brain” Exist?

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Pregnancy brain typically refers to lapses in attention and memory. About 80 percent of new mothers report difficulties remembering things that once came naturally, and although not all studies support this, the weight of the evidence shows that during pregnancy, women exhibit measurable declines in important cognitive skills.

 

Pregnant women are also better at recognizing fear, anger, and disgust. This enhanced ability to identify and discriminate among emotions may help mothers to ensure their infants’ survival. Research from my laboratory has shown that the hormone exposures in pregnancy—for example, high levels of estrogens and oxytocin—are associated with heightened maternal responsiveness and sensitivity to the environment and infants’ needs.

 

“Relax, pregnancy does not change your brain. But it may affect how mentally sharp you feel.”

 

Pregnancy Brain a Myth or a Reality?

Fortunately (or unfortunately, depending on how you look at it), there’s no scientific research that proves you get flakey during pregnancy. But even if “pregnancy brain” is just a myth, there are still tons of women who complain of feeling more forgetful or spaced out during their pregnancy.

Pregnancy does not change a woman’s brain even though some women don’t feel as sharp as usual when they’re pregnant.

What Causes “Momnesia?”

If you’re experiencing memory lapses or periods of forgetfulness, chances are your fellow moms-to-be can relate. So what’s to blame? Hormonal changes, lack of sleep,  and/or the distractions of spending a lot of time thinking (and stressing) about the baby are the likely causes. Surging hormone levels and new priorities may help explain why pregnancy brain happens.

 What Pregnancy Brain Feels Like

Pregnancy brain is “the feeling of walking into a room, going after something, and not remembering what you went for about five to 10 times a day. Many pregnant women and new moms spend a lot of time thinking about the changes that having a baby will bring or taking care of their newborn. As a result, their short-term memory may suffer.

How to Help Your Memory

After the baby arrives, sleep deprivation is clearly a contributing factor. Brizendine says, “Women accumulate up to 700 hours of sleep debt in the first year after having a baby and that causes the brain not to be at its best for things other than caring for the baby.”

Save your sanity by writing things down and making lists, along with snacking regularly and getting lots of rest. Also, be sure to take your prenatal vitamins  —they contain ingredients that help boost mental sharpness. Don’t worry, it’s annoying, but it isn’t permanent.

Pregnancy primes the brain for dramatic neuroplasticity, which is further stimulated by delivery, lactation and mother-child interactions. Some evolutionary biologists have argued that the development of maternal behaviors is the primary force shaping the evolution of the mammalian brain. Of interest, these alterations may become more pronounced with each successive pregnancy and persist throughout a mother’s lifespan. But helpful adaptations are rarely achieved without an associated cost—and pregnancy brain may reflect just such a cost.

 

 

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or another qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

 

Resources:

https://www.webmd.com/baby/features/memory_lapse_it_may_be_pregnancy_brain#1

 

 

Importance of Genetic Testing Before & During Pregnancy

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All soon-to-be parents want their children to be healthy and to have a pregnancy free of major complications. Unfortunately, complications can occur during pregnancy, either with the mother’s health or the child’s. Sometimes, the mother and child are at risk for certain complications throughout the pregnancy because of their family history and genetics.

 

All pregnant women are offered some form of testing for genetic problems. Now, deciding whether you want to have it done is completely personal. You will want to weigh different factors, including baby’s risk for genetic problems.

 

 

What is genetic testing (carrier screening)?

Carrier testing is a type of genetic testing that is used to determine if a person is a carrier for a specific autosomal recessive disease. This kind of testing is used most often by couples who are considering becoming pregnant to determine the risks of their child inheriting one of these genetic disorders. In other words, if you screen positive for a genetic abnormality but your partner does not, your child will not inherit the condition. And even if you both screen positive, there’s only a 25 percent chance your baby will have the disease.

 

When should you get genetic testing?

Getting screened before you try to get pregnant can give you reassurance (if you or your partner is not a carrier, it’s one less thing to worry about when do you get pregnant) or can help you make an informed game plan for pregnancy. If it turns out that you are both carriers, you can be prepared for and bone up on what it means to have a baby with the genetic condition, choose to learn about certain prenatal tests to check whether your baby’s healthy, or you can consider other options like egg or sperm donation or adoption.

Getting tested once you become pregnant (if you hadn’t done so ahead of time) can help you and your doctor decides the right prenatal tests for your baby, and what to look for if you choose to have them. If you know that your baby’s at an increased risk for having cystic fibrosis or sickle cell disease, for instance, your doctor can look for those conditions specifically through either a CVS (chorionic villi sampling) or amniocentesis.

Who are genetic carriers?

If both partners in a couple carry the same recessive disease, then the couple have a one in four chance of a child with that disease. Carrier couples may, therefore, have multiple affected children. Some recessive diseases are relatively mild but others are severe, including many that cause death at or shortly after birth.

 

What are some of the most common genetic diseases? 

  • Cystic fibrosis is a life-threatening condition that causes lung damage and digestive problems. It is a progressive, genetic disease that causes persistent lung infections and limits the ability to breathe over time. In people with CF, a defective gene causes a thick, sticky buildup of mucus in the lungs, pancreas, and other organs.
  • Sickle cell disease is a disorder of the blood caused by an inherited abnormal hemoglobin (the oxygen-carrying protein within the red blood cells). The abnormal hemoglobin causes distorted (sickled) red blood cells. The sickled red blood cells are fragile and prone to rupture, most common in people of African and Mediterranean backgrounds, cause a blood disorder that leads to anemia, a weakened immune system, and other health complications.
  • Thalassemia is another blood disorder common to people of African and Mediterranean descent. It is an inherited blood disorder in which the body makes an abnormal form of hemoglobin. Hemoglobin is the protein molecule in red blood cells that carries oxygen. The disorder results in excessive destruction of red blood cells, which leads to anemia and bone growth and liver problems; in severe cases, some babies born with the condition may not survive.
  • Tay-Sachs Disease, which mainly affects people of French Canadian and Eastern European Jewish descent, is a disorder of the central nervous system that’s usually fatal in early childhood. Eastern European Jews also face an increased risk for another nervous system disorder called Canavan disease as well as a number of other conditions including familial dysautonomia, familial hyperinsulinism, and Gaucher disease. Your doctor can screen for all of these conditions at the same time.
  • Fragile X Syndrome is a genetic condition that causes a range of developmental problems including learning disabilities and cognitive impairment and mental retardation. Usually, males are more severely affected by this disorder than females. Affected individuals usually have delayed development of speech and language by age 2. It is not linked to a specific ethnic background. Reviewing your family’s health history with a doctor or genetic counselor may help you decide whether you should be screened for Fragile X.

 

Benefits  

When pre-pregnancy carrier screening programs are introduced, they reduce death and disease associated with screened diseases. They can save families from experiencing the tragedy of a child affected by a significant genetic disease. They also reduce the burden of recessive disease with the population as a whole. Each recessive disease is rare but there are hundreds of recessive diseases and so collectively they have wide-ranging social and economic impacts.

So pre-pregnancy carrier screening programs that include many genetic diseases, as now recommended by the American College, would maximize knowledge of genetic risk for couples.

Limitations

When testing genes, some identified variations are definitely harmful while most are definitely harmless. But for some variations, we can’t be sure if they are harmful, and whether or not they will cause disease in any children. There is no guarantee that pre-pregnancy screening will result in a healthy baby, but it will allow couples options to reduce the burden of disease associated with known disease-causing mutations.

Counseling is required before and after the test to explain the risks to couples.

 

 

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or another qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

 

Resources:

https://www.parents.com/getting-pregnant/genetics/tests/health-101-genetic-testing-before-during-pregnancy/

 

What Causes Pregnancy Cravings

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Pregnancy and food cravings go hand in hand: Food cravings are sudden urges to eat a particular type of food. They are a real phenomenon and affect many women during pregnancy.Many of these cravings seem to come out of nowhere, and they can feel overpowering. What causes them? Hormones, right?

 

There’s no scientific explanation for food cravings. There’s no data saying that what a woman craves is related to something her body or her baby needs, and there’s no data to support that typical pregnancy food cravings are harmful, either.

 

There are three facts about the wonderful world of pregnancy that we all know to be true 

  1. A woman can have one or more tiny humans floating around in her belly.
  2. After nine-ish months said tiny human will emerge from the woman’s body — naked, bloody, and possibly crying.
  3. During the nine-ish months, the woman is allowed to eat EVERYTHING she wants. No matter how weird it might be.

Why do cravings develop?

No one really knows why food cravings develop. It seems logical that cravings might be due to something lacking in the diet, or an increased need for certain vitamins and minerals. However, there is no evidence of a link between cravings and nutrient deficiency.

 

Ways to Stop Cravings

  • Get enough sleep. Loss of sleep increases hunger during the day, which leads to cravings. Getting the right amount of shut-eye could stop cravings.
  • Eat a healthy breakfast. For some people, cravings are part of a cycle of blood sugar highs and lows that can be kicked off almost the moment their feet hit the floor in the morning. A breakfast featuring fiber and protein is more likely to control this cycle. Consider a scrambled egg on whole-wheat bread or a turkey sandwich instead of sugary cereal or a Danish.
  • Eat meals at scheduled times. The secret to stopping cravings is to manage hunger and “only eating at set times — no casual eating.
  • Make the foods you crave difficult or impossible to get to. No matter how much you love brownies, if you don’t keep any at home or at work, chances are your craving will pass unsatisfied. Instead, make healthy alternatives easy to access in your eating plan and prepare ahead for those times when you’ll need a healthy snack within easy reaches, like when you’re on the road.
  • Keep a food journal. This may not totally stop cravings, but it could keep you from acting on them if the thought of writing down the calorie and fat content of a steak is more painful than going without it. A food journal will also help you identify the times of day when your cravings are the strongest.
  • Identify your craving triggers. Emotional eating is a real phenomenon. If you pay attention, you may find that your cravings are worse when you are stressed or depressed. Managing those situations will help stop cravings.
  • Eat a varied diet. Sticking to the tried-and-true may help you count calories, but it could also leave you feeling unfulfilled. People need variety in their diets, so try new dishes or combinations of foods to stop cravings. Just because you’re on a diet doesn’t mean it can’t be satisfying.

Foods to avoid  

When you are pregnant, there are a number of foods that should avoid. Things like soft cheeses, sushi, raw eggs and undercooked meat can contain harmful bacteria, including salmonella and E. coli. and lead to harmful illnesses such as listeria or toxoplasmosis.

 

 

Pregnancy facts aren’t so scientific, but it summarizes what many of us know about pregnancy, especially when it comes to eating. Food cravings are a common occurrence during pregnancy.

 

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or another qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

Resources:

https://www.pregnancybirthbaby.org.au/food-cravings-during-pregnancy