Hypertension or high blood pressure is common in pregnant women, even in those who have no previous history of high blood pressure. This leads to complications in about 6 to 10% of all pregnancies around the world. High blood pressure may develop before or after conception and as such needs special medical attention.

Hypertension prevents sufficient flow of blood to the placenta and this inhibits the normal growth of the fetus. This could result in low birth weight of the child. However, if diagnosed in time and treated properly, hypertension does not affect the child's health too much. There are various types of hypertension during pregnancies, such as:

Gestational hypertension: This type of hypertension is developed about 20 weeks after conception. There is no abnormality in urine or any signs of other organ damage (as is common with hypertension during pregnancy) but the condition can worsen and complicate very quickly. Pregnant women below the age of 20 and above the age of 40 are often diagnosed with high levels of blood pressure. Women who have heart or kidney conditions before pregnancy and women carrying more than one child are also likely to develop gestational hypertension.
Chronic hypertension: Chronic hypertension is high blood pressure which develops around 20 weeks before conception and does not normalize within 12 weeks after childbirth. The patient may also have been suffering from high blood pressure for a long time but the complications appear only during pregnancy because high blood pressure rarely exhibits symptoms without an associated condition.
Chronic hypertension superimposed with Preeclampsia: Women who have hypertension before pregnancy may develop even higher blood pressure levels during pregnancy. This leads to several health disorders like frequent headaches, fatigue and depression.
Preeclampsia: Preeclampsia is often a serious complication of gestational pregnancy and affects about 5% to 7% of all pregnancies globally. Gestational pregnancy does not always develop into preeclampsia but it needs to be diagnosed and treated in time to avoid the complication. Women who have conceived for the first time or have a history of hypertension in the family are at a greater risk of preeclampsia. The symptoms of the condition are throbbing headaches, blurred vision, nausea and vomiting, pain in the upper abdominal region and shortness of breath.

Types Of Hypertensions Experienced During Pregnancy

One of the most common queries faced by doctors dealing with pregnancies are risks associated with having sexduring the gestation and post-partum periods. Such doubts arise from both genuine concern and also from several superstitions and myths.

As a matter of fact, having sex during pregnancy is perfectly normal and safe. However, keeping in mind the changes the woman is going through, there are a few specific do's and don'ts you need to follow while having sexduring pregnancy.

Do's
1. Be aware: Pay attention to the doctor's evaluation of the expecting mother's condition. Many pregnancy risks can be predicted at an early stage. Abstain in case of predictions pointing to a risky gestation period and/ or delivery. Get yourself tested regularly, so that there is no possibility of transmitting infections to the expecting mother.

2. Enjoy foreplay: Pregnancy normally results in increased sensation in the erotogenic zones. Foreplay is a great way to relieve a woman's tension and she will enjoy your touch more than ever.

3. Pay attention to your partner's needs and reactions: Women have to go through a lot during pregnancy like fatigue all the time, along with sudden nausea and extreme mood swings. So, paying more attention to your partner's needs and reactions will help make the act more enjoyable for both of you.

Don'ts
1. Don't go for multiple partners: Multiple partners increase the risk of infections. It is not advisable to have sex with multiple partners during this time.

2. Don't Use sex toys: Use of sex toys during pregnancy is discouraged as it increases the risk of infections.

3. Don't Try risky positions and maneuvers: Please keep your desires for exotic positions in check. Risque behavior can lead to injuries.

4. Don't Keep yourself ahead of her: It is perfect idiocy to keep your desires ahead of the needs and desires of the love of your life. By putting yourself ahead of her you will not only negatively affect her mental health, but her physical health as well.

5 Do not mix drugs with intimacy: Use of intoxicants during her pregnancy to enhance your senses will put the healthy growth and delivery of the child in jeopardy. A number of birth defects in children are the result of using intoxicating substance use during pregnancy.

Dos and Don'ts of Sex During Pregnancy

12 Changes in your body you can expect during the second trimester of pregnancy

The second trimester (starting from the 4th and lasting through the 6th month) of pregnancy is considered to be the easiest for a woman. During the second trimester of pregnancy, you can expect several changes in your body and baby. Here are the changes to expect:

Increased energy: Many women find that they have more energy during the second trimester, after the fatigue of the first trimester.
Quickening: Around the middle of the second trimester, you may feel your baby moving for the first time. These movements, called quickening, are often described as fluttering sensations.
Growing belly: As your baby grows, your uterus will expand and your belly will start to become more noticeable.
Changing breasts: Your breasts will continue to grow and may become more sensitive. You may also start to produce colostrum, a pre-milk substance that will nourish your baby in the first few days after birth.
Changing skin: As your skin stretches to accommodate your growing belly, you may develop stretch marks. You may also experience changes in skin pigmentation, such as darkening of the areolas or the appearance of a line down the center of your abdomen.
Increased risk of miscarriage: While the risk of miscarriage decreases significantly after the first trimester, it is still possible during the second trimester. Most miscarriages occur during the first 12 weeks of pregnancy.
Backaches: The additional weight that you gain during these past few months begins to bear down on your back, making it achy and tired. For relief from pressure, there are certain things that you can do such as using a chair that offers strong support to your back; sleeping on the side with a pillow placed in between your legs, and wearing shoes that come with solid arch support. 
Bleeding gums: Hormonal changes occurring during this period bring about a greater flow of blood to the gums, making them extremely sensitive and prone to bleeding. The gums don t remain tender for long and return to their normal form after delivery. But during these three months, make sure to use toothbrushes with softer bristles and be gentle when flossing.
Congestion and bleeding of the nose: In addition to making your gums tenderer, hormonal changes also bring about the swelling of mucous membranes that line your nose. These changes can lead you to have a stuffy nose as well as may even cause your nose to bleed very easily. To clear any nasal congestion that may occur during this period, you should use natural methods or saline drops obtained from a chemist. 
Hair growth: Pregnancy also sees your hair growing rapidly due to the action of the hormones on the hair follicles. Additionally, you also experience hair growth in places where hair is sparse. To remove unwanted hair, you should stick to tweezing or shaving, waxing and the use of depilatories aren t recommended by medical experts as they aren t considered safe for the baby.
White vaginal discharge: White vaginal discharge during this time is very common. The discharge ensures that harmful yeast or bacteria don t breed in your private areas. But if the discharge takes on a foul smell and a green or yellow color, you should immediately consult a gynaecologist as you may be down with a vaginal infection.
Leg cramps: A very common occurrence during the second trimester, leg cramps usually last through the last leg of pregnancy, which is the third trimester as well. The reasons behind their occurrence may be hormonal, weight-related, or deficiency of magnesium and calcium.
It's important to remember that every pregnancy is different, and you may experience different changes or none of these changes at all. It's always a good idea to discuss any concerns you have with your healthcare provider.

'Consult'.

12 Changes You Can Expect During the 2nd Trimester of Pregnancy

Lovemaking during pregnancy is less talked about because it is customary to distance pregnant ladies from intimacy. Many women even find it very uncomfortable to have sex during the pregnancy period as their body gets bigger.

However, there are other ways you and your partner can opt for to satisfy your needs like caressing, holding each other and kissing. There are some partners who feel sex during pregnancy is the best moment for sex, while there are others who are feared and have their own concerns.

Sex During Pregnancy - Pregnant Sex
Sex during pregnancy should be avoided. If at all done should be gentle, it should avoid pressing the abdomen. However, it is safe in the second trimester if the woman is comfortable. Yes, it is alright for partners to have sex from the second trimester onwards if the woman has had a healthy pregnancy.  This is because the thick mucus plug which seals the cervix in pregnant women safeguards the baby against any infection.

The strong muscles of the uterus as well as the amniotic sac, keep the little one safe in the womb. NO damage can be caused by the penis of your partner to the baby while having sex. Women can feel some movement of their baby after orgasm. Couples need not worry about the baby, as in no case it would provide discomfort to the baby. The chances of having a premature baby are reduced at times by having sex regularly.



Conditions to Avoid Sex During Pregnancy
The conditions in pregnancy when it is better to avoid sex mainly include times when any spotting or bleeding occurs during early pregnancy. In such a case, the Doctors advise not to have sex for at least 14 weeks.
Your doctor may even advise a pregnant woman not to have sex if she has a history of cervical illness, has had heavy bleeding, had a vaginal infection, and in case of the low lying placenta.
A pregnant woman experiencing frequent abdominal pain or cramps must also avoid sex during their pregnancy.
Sexual Behavior to Avoid During Pregnancy
There are 2 ways that are not safe and must be avoided while having sex during pregnancy. The first way is oral sex. Any pregnant woman must not allow their spouse to blow air into the vaginal region. Blowing air into the vagina can cause an air embolism, and this can be potentially serious for the mother as well as the baby.
Pregnant women should not have sex with partners who have an unknown sexual history as there are chances that he is infected with sexually transmitted diseases like HIV or Herpes. The diseases can be easily transmitted to the baby if you have sex with such a partner. It is better to avoid any complications and stay away from sex during the pregnancy period.
If you wish to discuss any specific problem, you can consult a doctor and ask a free question.

Conditions When to Stop Sex During Pregnancy

Take care of these 25 things before conceiving

Just a news of expecting a baby brings cheer and excitement in a couple’s life. However, being prepared for it helps you become healthy and bring in a healthy baby too. 

Here are few things that one must take care of before and while conceiving.

1. Use Ovulation calculator to decide the best time for pregnancy.
2. Stop taking contraceptives.
3. Preconception health care is necessary to avoid miscarriage, stillbirth or premature birth
4. Keep yourself mentally ready and healthy for delivery.
5. Be aware of your body i.e. how healthy and fit you are.
6. Have medical checkups before getting pregnant.
7. If your weight is on the higher side, lose weight before getting pregnant as being overweight brings complications.
8. Fathers should also avoid smoking and drinking for better sperm quality.
9. Intake of regular folic acid.
10. Regular Exercise.
11. Stay away from Infections.
12. Consult dentist as hormonal shifts can cause gum diseases which are harmful for baby.
13. Eat lot of fish for child’s development but avoid fish that has mercury.
14. Completely avoid smoking, drinking and caffeine yourself.
15. Avoid passive smoking too.
16. Avoid soda and fruit juice as they may raise sugar levels.
17. Sleep as much as you can.
18. Take adequate amount of iodine in your diet.
19. Take up-to-date vaccinations.
20. Ensure balanced diet in consultation with dietician.
21. Keep yourself away from stress.
22. Take lot of carbohydrates, milk and milk products, fats and proteins and fresh fruits and vegetables and avoid taking uncooked or undercooked food.
23. Have a healthy working environment and avoid getting exposed to chemicals like lead and mercury and radioactive substances like X-Rays.
24. Do not take any medicine for headache, pain etc. without consulting your doctor.
25. Keep a check on your blood pressure.




A Checklist of Must Do’s Before You Try to Conceive 

Pregnancy brings with it a new set of additional responsibilities. The mother has to be extra vigilant about monitoring and caring for her health. This ensures that sufficient nutrition is being provided to the growing infant, at the same time, ensuring no harm comes to you. Listed below are some simple ways to do the same.

1. Prenatal care: As soon as you realize you are pregnant, it is advisable to talk to a doctor or a midwife about proper prenatal care. This could include anything and everything from prenatal vitamins to food habits to exercise to sleeping habits to periodic scanning and a number of other things that your doctor will prescribe.

2. Diet: You need to ensure two things that is you are eating enough for two people and everything is healthy and not harmful for the little one that gets all its nutrition through you. The diet should be healthy, nutritious, wholesome and of course free of junk. Some pointers to a healthy diet include:

a. Include a good amount of fruits and vegetables every day; break it into five small portions.
b. Sufficient amount of carbohydrates should be the basis of each meal.
c. Whole grains are preferred to white grains, which also give good amount of fiber.
d. A good amount of proteins including fish, eggs, meat, nuts, pulses, milk, and other dairy products.
e. Ensure adequate amount of iron, calcium, and other minerals are included in the diet.
f. Avoid eating unpasteurized dairy products, uncooked or undercooked food and smoked seafood.
g. While most vitamin requirements should be met through the diet, in some people, prenatal vitamins which provide the increased demands for folic acid.

3. Weight gain: If your weight was normal for your age and height before pregnancy, expect to add about 12 to 15 kg during your pregnancy. Consult with your doctor on weight changes and nutritional aspects to monitor weight throughout pregnancy. This could change based on if it is twins, your weight before pregnancy, and body type.

4. Exercise: Exercising during pregnancy is being increasingly encouraged for the following reasons:

a. Improved energy levels
b. Controls back pain
c. Improved sleep pattern
d. Improves constipation
e. Improves muscles strength and endurance
There are specific exercises designed to benefit the pregnant women. Whether it is walking or swimming aimed at improving overall health or Kegel exercises aimed at improving vaginal and perineal muscles, your doctor should be able to draw up a routine.

5. Lifestyle changes: With pregnancy setting in, it is time to bid goodbye to smoking and drinking alcohol. Continued smoking after onset of pregnancy has many serious complications, including growth retardation, low birth weight. Alcohol can lead to miscarriage, stillbirth and premature delivery.

These are simple ways to monitor and care for your and of course, the baby's health throughout pregnancy.

5 Ways to Monitor and Care for Your Health During Pregnancy

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