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Giving your Partner some care and attention too…!

July 19, 08 by admin

Sure you’re the one who’s pregnant — but you’re both expecting. Be certain to give your pregnancy partner his share of attention, too.

True, he’s not actually carrying the baby but he can feel the pain and happiness with all the excitement of becoming a father. There’s plenty of effort to go around when it comes to pregnancy and plenty of sacrifices to be made on both sides.  You get sciatica (backache); he does more walking.  You turn green at the sight of uncooked food; he does the broiler. You crave watermelon in the middle of the night (and the middle of winter); he’s driving around trying to find an open market that sells fruit out of season. You get mood swings, he gets swung at.   You couldn’t do it without him, or you wouldn’t want to try.  

 

And while much is said about his responsibility to baby and you, don’t forget that he deserves some babying, too.  Just to acknowledge that you’re glad he’s along for with you and that there’s no one you’d rather share the ride with.  After all, you’re partners in pregnancy who are about to become partners in parenting as you make that life-changing transformation from twosome to threesome, nurturing the relationship you share as a couple has never been more important. Here are some tips for strengthening that bond during your 40 weeks:

 

1. Be thankful – Whatever his efforts and even if they don’t seem like much of an effort to you acknowledging them is the best way to keep them coming.  It’s called positive reinforcement, and not only does it work (and work a whole lot better than its negative counterpart, nagging), but it’ll make him feel appreciated.   So when he goes that extra mile (or even those extra ten feet to the hamper to drop in his dirty socks, instead of dropping them wherever he takes them off), let him know you’re grateful.  Give him a big hug when he folds the laundry (even when he folds your sweaters the wrong way).   Give him a friendly squeeze while he’s vacuuming (even if he’s clearly missing all that dog hair under the sofa).  And say “thank you” often.

 

2. Be patient when he gets it wrong  - Unless you’ve done this before, your partner has no idea what lies ahead, either.  So try not to explode when he can’t read your mind well enough to anticipate your every need.  If you’re crazy for honeydew in week nine, don’t melt down if your honey doesn’t remember to pick up your nightly melon on the way home from work…or if he surprises you with one in week 11.  You specifically told him that the smell of garlic makes you gag but he comes home smelling like he inhaled forty cloves?  Give the guy a break (and hand him a bottle of Listerine) it’s hard for him to commit your 12-page list of “don’ts” to memory, or not confuse it with your 20-page list of “dos.”  You’re racing to figure out every fluctuation you’re having (you’re up, you’re down, you’re hungry, you’re queasy, you’re in the mood, you’re not) how can you find fault in him if he can’t keep up?

 

3. Include him. You get the smiles from strangers, the cooing from coworkers, the showering of gifts, and all the attention. He gets the regular load at work plus the extra load at home. Don’t leave him on the outside looking in rather invite him to the pregnancy party.   Include him in your practitioner visits and not just at the side of the exam table — in your conversations with your practitioner, too.  Take him shopping for baby gear, and ask him to test-drive the stroller.  Even consider making him a guest of honor at your baby shower where should be part of the fun.   And most of all, take every opportunity to let him know that he’s as much a part of your pregnancy as you are. Try to encourage and make him feel to cuddle up or to touch your belly and start bonding with that amazing baby of yours.

 

4. Turn the tablesOffer him a massage, buy him a little something special when you’re out shopping for the layette, and cook a romantic dinner during your second trimester when you’re feeling up to it.  He’ll appreciate being indulged and you’ll both be reminded of the mutual love that got you here in the first place.

 

5. Make him a priority.  Sure, you’ve got baby on the brain and in your belly and a certain amount of preoccupation with that new life is expected, and important.  But as you make room for a baby, don’t forget that you’ll need to leave room for him too.  Keep this in mind in the months and years of parenting that lie ahead:  The single most significant relationship in your life is the one with your partner, even after the baby comes on the scene.  Fetuses grow into babies, who grow into children, who grow up and move away from home, but a spouse is yours with a little luck and a lot of hard work into old age.  Nurture your baby, but don’t forget to take the time and put the effort into nurturing your spouse as well.

Sex during pregnancy

July 19, 08 by admin

Sex during pregnancy

Until the delivery, most pregnant women having a “normal” pregnancy can continue having sex which is safe. You need to modify positions for your own comfort as your belly gets bigger. Generally it is not advised to do sexual intercourse if it detects certain significant complications with your pregnancy, including:

  • a history or threat of miscarriage
  • a history of pre-term labor (you’ve previously delivered a baby before 37 weeks) or signs indicating the risk of pre-term labor (such as premature uterine contractions)
  • unexplained vaginal bleeding, discharge, or cramping
  • leakage of amniotic fluid (the fluid that surrounds the baby)
  • placenta previa, a condition in which the placenta (the blood-rich structure that nourishes the baby) is situated down so low that it covers the cervix (the opening of the uterus)
  • incompetent cervix, a condition in which the cervix is weakened and dilates (opens) prematurely, raising the risk for miscarriage or premature delivery
  • multiple fetuses (you’re having twins, triplets, etc.)

Due to large number of disease during pregnancies like STD’s etc doctors advise not to go further as it affects the mother and child and will have bigger complications later on

All in Perspective

 

During pregnancy many things we have to take care which is unsafe and trying not to spend too much time wondering and worrying. When in you have any kind of feeling or doubt, if it seems like a bad idea, doesn’t need to be done right now, or might be risky, at least have a conversation with your doctor about it. He or she can likely help ease your mind and may even give you license to do something you never expected to be able to do until after your special delivery.

 

 

Until the delivery, most pregnant women having a “normal” pregnancy can continue having sex which is safe. You need to modify positions for your own comfort as your belly gets bigger. Generally it is not advised to do sexual intercourse if it detects certain significant complications with your pregnancy, including:

  • a history or threat of miscarriage
  • a history of pre-term labor (you’ve previously delivered a baby before 37 weeks) or signs indicating the risk of pre-term labor (such as premature uterine contractions)
  • unexplained vaginal bleeding, discharge, or cramping
  • leakage of amniotic fluid (the fluid that surrounds the baby)
  • placenta previa, a condition in which the placenta (the blood-rich structure that nourishes the baby) is situated down so low that it covers the cervix (the opening of the uterus)
  • incompetent cervix, a condition in which the cervix is weakened and dilates (opens) prematurely, raising the risk for miscarriage or premature delivery
  • multiple fetuses (you’re having twins, triplets, etc.)

Due to large number of disease during pregnancies like STD’s etc doctors advise not to go further as it affects the mother and child and will have bigger complications later on

All in Perspective

 

During pregnancy many things we have to take care which is unsafe and trying not to spend too much time wondering and worrying. When in you have any kind of feeling or doubt, if it seems like a bad idea, doesn’t need to be done right now, or might be risky, at least have a conversation with your doctor about it. He or she can likely help ease your mind and may even give you license to do something you never expected to be able to do until after your special delivery.

Before Becoming Pregnant

July 19, 08 by admin

Pregnancy is an important event for any women. It is also the commencement of an exciting new life. It should be a rewarding and fulfilling experience for all involved. However, some women embark on pregnancy with a degree of fear and trepidation.

 

This may be because pregnancy is a previously uncharted journey for them, or because they have suffered complications in a previous pregnancy, or perhaps they have a pre-existing medical condition that they feel may effect or be affected by pregnancy. Despite the importance of pregnancy it is not unusual for couples to stumble into it.

 

Everyone wants a healthy outcome of their pregnancy, but everyone try their own ideas about pregnancy. An awareness of the benefits of preparing for pregnancy, an understanding of pregnancy, birth and the complications that can occur will help dispel any fear and can influence outcome. It is recognized that women who learn about pregnancy and childbirth are more likely to have a better experience of labour and delivery.

 

Knowledge will also allow greater participation in the choices that require to be made in the management of your pregnancy.  Ideally, you should start preparing yourself for pregnancy for about 3 to 4 months before you actually try to conceive. The time to start taking care of your body is before you get pregnant. You increase your odds of having a healthy baby if you are in the best possible physical condition before you conceive.

 

It’s important to consider such additional factors as your physical and emotional readiness for parenthood, the career costs of having a baby, and your financial situation. Your physical and nutritional well being will impact the very early growth of the embryo, perhaps before you even know you’re pregnant, and will be a critical determinant of pregnancy outcome.

 

 

Food habits

July 19, 08 by admin

A balanced diet is always important and you should try to make the appropriate changes to your diet before you get pregnant. Consider reducing your intake of empty calories, artificial sweeteners, and caffeine.To increase your intake of this important nutrient, you should consume foods that are naturally high in folic acid, such as oranges, orange juice, honeydew melon, avocados, dark green vegetables (broccoli, brussel sprouts, Romaine lettuce, spinach), asparagus, bean sprouts, corn, cauliflower, dried beans, nuts, seeds, bran cereals, whole-grain products, wheat germ, and fortified breakfast cereals. Talk to your doctor about taking a folic acid supplement as well.It is important to take a good store of vitamins and minerals before you get pregnant and if you intend to breastfeed your baby. A balanced diet should include protein-rich foods, dairy produce, carbohydrates and fruit and vegetables. Avoid eating lots of sugary, salty or fatty foods. Vegetarian diets are fine as long as a plentiful iron supply is maintained. The five basic food groups are (1) bread, cereal, rice, and pasta, (2) vegetables, (3) fruits, (4) milk, yogurt, and cheese, and (5) meat, poultry, fish, dry beans, eggs, and nuts. The fruit and vegetable groups supply us with vitamins A and C and some minerals, carbohydrates, and fiber. Foods in the grain group provide B vitamins, iron, fiber, and carbohydrates. The milk group gives us calcium, protein, and vitamin B2. The meat group supplies protein, niacin, thiamine, and iron.  

 

 Changing Eating Habits   

 

Weight and pregnancy can be a confusing subject, especially if you have Chronic Hypertension. Your weight before pregnancy and your weight gain during pregnancy are two different issues. In planning for pregnancy, you can work with your doctor to determine what an ideal weight is for you. Charts and graphs that tell you how much you should weigh if you are a certain height are not always helpful

Artificial Insemination

July 19, 08 by admin

Infertility is one of the problems encountered by couples, which sometimes causes dilemmas in most relationships such as infidelity and divorce.  Artificial insemination is commonly used for infertile couples who have partners with low sperm motility or low sperm count and for the benefit of women without partners like lesbians and single women.  Artificial insemination is used to treat infertility but success rates cannot be assured.

 

Is it appropriate to use artificial insemination?

Artificial insemination is the most convenient and less expensive treatment for infertility.  Most men with infertility problem are given ample time to think and decide if they will undergo the treatment.  This method will increase the probability of pregnancy for infertile couple with unexplained fertility diagnosis.  The only disadvantage of artificial insemination is the unpredictable period of insemination.  This will solely depend on the ovulation period of the woman.

How does artificial insemination works?

Before undergoing the procedure (AI), the physician would usually prescribe fertility medications to induce ovulation and enhance the effects of the treatment.  The physician uses an ultrasound to determine the woman’s ovulation period.  In doing so, the doctor will have a definite time to insert the sperm into the cervix or the uterus.  The couple goes to the clinic on the day of ovulation.  The male partner usually masturbates to eject the amount of sperm required.  The sperms undergo “washing”.  Washing is the process of removing any chemicals like prostaglandin which may cause discomfort to the woman before the AI.  After which, the doctor will ask you to come back to the clinic for another session.  A woman may typically undergo three to six cycles to achieve impregnation.

What are the types of artificial insemination?

Artificial insemination has two common types – the intracervical insemination which is the injection of sperm into the cervix or the fornix where the sperm is stored after ejaculation.  This is the most simple and less invasive type of insemination.  The intrauterine insemination is the process of injecting the washed sperm into the uterus.  The sperm should essentially be washed to prevent contraction of the uterus.

Is artificial insemination effective?

Artificial insemination does not assure 100% effectiveness.  There are criteria which contribute to the success of this treatment.  The health status and the age of the couple are essential to achieve success.  The success rate of artificial insemination is 5 to 20%.  If you undergo intracervical insemination (ICI), there is a 5% success rate.  On the other hand, if you wish to undergo intrauterine insemination (IUI), there is 20% success rate especially when you drink your fertility medications regularly.

 

Click here for Artificial Insemination Video

 

Abortion

July 19, 08 by admin

Society’s biggest problem today is the issue on abortion.  Abortion has been one of the biggest debated issues in countries where life is considered sacred and needs to be preserved.  Let us understand the essence of abortion, its worth to morality and its effect to society.

Abortion and Its Effect on Society

When we talk about abortion, we often consider it as an immoral act that is corrupting the lives of innocent beings (fetuses) and depriving them of the chance to build a life in this world.  Medically speaking, abortion is defined as a terminated pregnancy before the age of viability.  Abortion is somewhat different with miscarriage.  Abortion is termination of life by mechanical or chemical means.  Usually an abortus or the dead fetus weighs only 500 g during its 20th week.

Abortion in a Legal Perspective

About 10 to 15 percent of pregnant women experience miscarriages because of natural causes but when we speak of abortion, it is a planned termination of pregnancy.  It is considered illegal in most Catholic countries like the Philippines, but there are few abortive procedures which can be considered legal.  These procedures intend to save threatened lives of mothers and babies.  This is called therapeutic or induced abortion.  These are the following reasons for therapeutic abortion.  First of all, it is likely used to terminate pregnancy that involves fetus with chromosomal abnormalities after amniocentesis.  It is also done to save a woman’s life in case she has any cardiovascular diseases or other health problems.  Some women choose to undergo therapeutic abortion if they are not ready to become parents or they became pregnant because of rape.

How is abortion performed?  Abortion can be done chemically or mechanically.  To induce abortion, a physician will prescribe a progesterone antagonist which prevents implantation of the fertilized egg and stimulates uterine contraction.  A woman who wishes to have abortion can submit to surgical measures.  Dilatation and curettage is a way to mechanically remove the fetus from the uterus using a vaginal speculum inserted to the opening of the cervix and a curette to remove the fetal parts.

Society is gradually accepting the significance of abortion.  Most countries especially the western countries conform to the legalization of abortion, but still, this opens to more arguments which require greater attention.  Therefore, responsible parenthood and awareness is the primary solution to lessen the incidence of abortion.  There will be more time to plan and less people will be affected by the consequences that abortion may bring.

 

Epidurals and Side Effects

July 19, 08 by admin

Labor is a very long and really painful process.  Some say that you cannot describe labor pain until you have experienced it.  This is why medications are sometimes given to laboring mothers, to prevent unnecessary exhaustion caused by extreme pain.  It is a collaborative decision between the mother, the husband and the physician whether or not an epidural will be used during labor.  This is usually decided upon before the actual event, but the decision can be changed during the labor itself due to certain circumstances.

 

What Does Epidural Do?

 

Epidural is actually the location where local anesthesia is injected.  In the lumbar area, a spinal long needle is inserted, and before reaching the dura or the outer area of the spinal cord, the local anesthesia is injected.  It is injected in that area to maintain localized effect.  Injecting the needle beyond the dura makes the drug be absorbed in the central nervous system and will have a systemic effect similar to that of general anesthesia.  Epidural anesthesia can significantly decrease labor pain to a minimum when given at the correct time.

 

Potential Adverse Effects to the Mother

 

Epidural is a drug, therefore, it is inevitable that it may have side effects and adverse effect just like any other drugs.  According to recent studies, some epidurals can lengthen the first and second stage of labor which is the effacement and dilatation stage and the actual birth of the baby stage.  This is because pushing urge and contractions can be affected by the anesthesia and become sluggish.  Your physician will most likely give Oxytocin to speed up the delivery.  If given too early, labor initiation may be compromised, and risk for C-Section is increased especially for overweight patients.  There is significant drop in BP after epidural administration.  Because of this, mothers also may feel nauseated and dizzy.  Lower milk supply is also reported to be a side effect of epidural.  This hinders with baby bonding and baby nutrition.  There are also reports that mothers may loose sensation in their lower extremities which may last up to two weeks after delivery.

 

How about the Baby?

 

If the drop in BP is higher than expected, there will be decreased blood going to the baby.  The risk for fetal distress is then increased.  Because of the anesthesia given, babies are born sluggish, with low APGAR score and some of them even needed resuscitation.  Some reports say that babies are noticeably disoriented and unable to latch on to their mother’s nipples, therefore, not able to get adequate nutrition combined with the decreased milk supply.  This leads to early introduction of milk formula which is not that good for the baby compared to breast milk.

 

You can prevent infection and help keep your unborn baby safe.

July 18, 08 by admin

1. Hand wash with soap is necessary whenever using the bathroom, handling pets, touching raw meat, raw eggs, or unwashed vegetables, being around people who are sick, getting saliva (spit) on your hands, preparing food and eating, caring for and playing with children, gardening or touching dirt or soil, changing diapers If soap and running water are not available, you may use alcohol-based hand gel.  

 

2. Wash your hands often if children are around their saliva and urine might contain a virus. It is likely harmless to them, but it can be dangerous for you and your unborn baby. 

 

 

3. Do not eat hot dogs, luncheon meats, or deli meats, unless they are reheated until steaming hot. These undercooked meats and processed meats might contain harmful bacteria.  

 

4. Do not eat soft cheeses unless they have labels that say they are pasteurized. Unpasteurized products can contain harmful bacteria

 

 

5. Care for pest is needed so as it leads to harmful virus which will harm the unborn baby. So until the baby arrives, better to call pest control professional so that the toxic pest are done such a way that it is not harmed to anyone 

 

6.  Its better to get the test done where some people that have HIV, hepatitis B, or an STD do not feel sick. If you have one of these diseases it is important talk to your doctor about how you canreduce the chance that your baby will become sick. 

 

 

7. Having the right vaccinations at the right time can help keep you healthy and help keep your baby from getting very sick or having life-long health problems. Some are recommended before you become pregnant, during pregnancy, or right after delivery. 

 

 

8. Stay away from people who you know have infections, such as chickenpox or rubella, if you have not yet had it yourself or did not have the vaccine before pregnancy.  

 

9. About 1 in 4 women carry this type of bacteria, but do not feel sick. An easy swab test near the end of pregnancy will show if you have this type of bacteria. If you do have group B, talk to your doctor about how to protect your baby during labor. 

 

Generally it is said “Prevention is better than Cure” so keeping all this in mind one has to understand small things to handle for the safety of childbirth.

Medical Attention during Pregnancy

July 18, 08 by admin

There may be times during pregnancy when using medicine is a choice. Some of the medicine choices you and your doctor make while you are pregnant may differ from the choices you make when you are not pregnant. For example, if you get a cold, you may decide to “live with” your stuffy nose instead of using the “stuffy nose” medicine you use when you are not pregnant. Other times, using medicine is not a choice—it is needed. Other women need to use medicine every day to control long-term health problems like asthma, diabetes, depression, or seizures. Also, some women have a pregnancy problem that needs medicine treatment which includes severe nausea and vomiting, earlier pregnancy losses, or preterm labor.  

 

All women who can get pregnant should take a multivitamin or prenatal vitamin that contains at least 400 micrograms (µg) of folic acid (a B vitamin) to prevent birth defects of the brain and spinal cord. You should begin taking these vitamins before you become pregnant or if you could become pregnant. It is also a good idea to discuss to avoid caffeine, alcohol, and smoking with your doctor at this time. Women who are pregnant or trying to get pregnant should take a daily.

It is best to start taking these vitamins before you become pregnant or if you could become pregnant. Folic acid reduces the chance of a baby having a neural tube defect, like spinal bifida, where the spine or brain does not form the right way. 

   

What is Group B Strep (GBS)? 

 

GBS is a bacteria normally found in the vagina and lower intestine of 30-40 % of all healthy adult women. 

 

If a woman has this bacterium in her vagina and rectum without any symptoms, she is said to be colonized (positive).  It is estimated that 15-40 % of all pregnant women are colonized.  

 

Being identified as positive does not mean that the mother has Group B Strep disease or that her baby will become ill.  It means that the woman and her physician or midwife must plan the birth with this information in mind.   

  

Based on the current recommendation the physicians and midwives have elected to test all the women at 35 – 36 weeks of pregnancy and offer IV antibiotics in active labor to all GBS colonized positive women. 

If you have tested positive for Group B Strep, it is important that you and your partner talk to your physician, midwife and the baby’s doctor about the plan of care for you and your baby.  

 

If you are GBS positive, what will happen?  

 

You will be asked to come to the hospital as soon as your water breaks or active labor begins.  Shortly after birth, your baby’s blood may be obtained to look for infection.  A blood culture may be done to see if there is an actual infection in the blood.  Depending upon the result of the blood culture and /or your baby’s health, treatment may be started after you have had a discussion with your baby’s doctor or midwife.   

 

Treatment of your baby may be necessary if: 

·             your baby’s blood test is abnormal

·             your baby has signs of illness 

 

Treatment of your baby is a decision that is made by the baby’s doctor, you and your family in a collaborative fashion based fashion based upon the baby’s health at the time of birth and in the hours following birth. 

  

If the baby appears ill (lethargy, pale, irritable, unstable temperature), the baby will have tests to look for evidence of infection. 

  

In this case, because GBS can overwhelm a newborn so quickly, it is better to start intravenous antibiotics immediately.   

Babies infected with GBS may have mild to severe symptom.  Some baby deaths have occurred from GBS infection. 

  

Caution!

 

After discharge, if you are concerned, it is always best to err on the side of caution in seeking medical attention for a baby regardless of the baby’s age.   

 

Breastfeeding and GBS 

 

As for any baby, breastfeeding is the optimal feeding method.  If you have screened positive for GBS, you can still breastfeed.  There are antibodies present in the breast milk, which helps the baby’s immune response.  As a part of your normal routine, always keep your hands and nipple area clean.  

  

Routine Newborn Blood Testing  

Newborns are routinely screened for phenylketonuria (PKU) and hypothyroidism using a small blood sample taken from the baby’s heel.  This blood test must be done after 24 hours of age but before five days of age.  Babies with PKU cannot process a part o the protein called phenylalanine, which is found in certain foods.  Without treatment, phenylalanine builds up in the bloodstream and causes brain damage and mental delays.   

  

Early detection of this disorder allows the baby to be treated with a special formula that is low in phenylalnine if they are bottle-fed.  If they are breastfeeding, no special diet is needed until other foods are introduced.  PKU affects one baby in 10,000 to 25,000. Hypothyroidism can retard growth and slow brain development. 

 

Early detection allows the baby to be treated with thyroid hormone to ensure normal development.  Hypothyridism affects one baby within 2 weeks after the birth. 

Epidurals and Side Effects

July 18, 08 by admin

Epidurals and Side Effects

 

Labor is a very long and really painful process.  Some say that you cannot describe labor pain until you have experienced it.  This is why medications are sometimes given to laboring mothers, to prevent unnecessary exhaustion caused by extreme pain.  It is a collaborative decision between the mother, the husband and the physician whether or not an epidural will be used during labor.  This is usually decided upon before the actual event, but the decision can be changed during the labor itself due to certain circumstances.

 

What Does Epidural Do?

 

Epidural is actually the location where local anesthesia is injected.  In the lumbar area, a spinal long needle is inserted, and before reaching the dura or the outer area of the spinal cord, the local anesthesia is injected.  It is injected in that area to maintain localized effect.  Injecting the needle beyond the dura makes the drug be absorbed in the central nervous system and will have a systemic effect similar to that of general anesthesia.  Epidural anesthesia can significantly decrease labor pain to a minimum when given at the correct time.

 

Potential Adverse Effects to the Mother

 

Epidural is a drug, therefore, it is inevitable that it may have side effects and adverse effect just like any other drugs.  According to recent studies, some epidurals can lengthen the first and second stage of labor which is the effacement and dilatation stage and the actual birth of the baby stage.  This is because pushing urge and contractions can be affected by the anesthesia and become sluggish.  Your physician will most likely give Oxytocin to speed up the delivery.  If given too early, labor initiation may be compromised, and risk for C-Section is increased especially for overweight patients.  There is significant drop in BP after epidural administration.  Because of this, mothers also may feel nauseated and dizzy.  Lower milk supply is also reported to be a side effect of epidural.  This hinders with baby bonding and baby nutrition.  There are also reports that mothers may loose sensation in their lower extremities which may last up to two weeks after delivery.

 

How about the Baby?

 

If the drop in BP is higher than expected, there will be decreased blood going to the baby.  The risk for fetal distress is then increased.  Because of the anesthesia given, babies are born sluggish, with low APGAR score and some of them even needed resuscitation.  Some reports say that babies are noticeably disoriented and unable to latch on to their mother’s nipples, therefore, not able to get adequate nutrition combined with the decreased milk supply.  This leads to early introduction of milk formula which is not that good for the baby compared to breast milk.

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