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

An ectopic pregnancy takes place in the case when the completely fertilized egg attaches itself to a place outside the inner side of the uterus. Ectopic pregnancy is also called tubal pregnancy because in most cases, it takes place in the Fallopian tube. Usually, the Fallopian tubes are not responsible for holding an embryo, which keeps on growing. Hence, the egg has no scope to develop in the Fallopian tube. This problem must be treated as soon as possible to avoid further complications. Here are several ways of treating ectopic pregnancy.

1. Expectant management: In case you are not experiencing any symptoms of pregnancy or the pregnancy cannot be found, close observation is required. This is known as expectant management. You should conduct regular blood tests and follow them up in order to detect, whether the hCG level in your blood is ascending or descending. You are likely to have vaginal bleeding. Use pads and towels instead of tampons. Pain in your tummy is also indicated.

2. Proper medication: In case ectopic pregnancy is detected at an early stage and constant monitoring is not suitable for you, a medicine by the name of methotrexate can be used for treatment. The medicine stops this pregnancy from developing. It is usually injected into your buttocks. Regular blood tests must be carried out to know how the treatment is taking shape on your condition. Trusted contraception measures should be taken for three months following the treatment as methotrexate is very harmful for an infant in case you become pregnant. Keep away from alcohol, as the combination of methotrexate with alcohol is harmful to the liver.

3. Surgical means: The most common mode of surgery for removing ectopic pregnancy during an early stage is laparoscopy or keyhole surgery. While a laparoscopy is carried out, you will be in a state of anesthesia. A narrow tube or the laparoscope is inserted through surgical cuts in the tummy. The Fallopian tube, which had the ectopic pregnancy is totally removed in case the other Fallopian tube is functioning well. Else the pregnancy has to be somehow removed without cutting off the Fallopian tube. Removal of the Fallopian tube is the best remedy for treating ectopic pregnancy and getting pregnant again is also possible. It takes a normal woman almost six weeks to recover after the surgery. Laparotomy is another kind of surgery carried out to repair a ruptured Fallopian tube.

Ectopic Pregnancy - How to Treat It?

Reasons for spotting during pregnancy and what you can do about it

Seeing spots of blood during pregnancy is usually a cause for concern. However, it is not uncommon. The light bleeding, which is known as spotting may occur for a number of reasons.

Bleeding during the first trimester

Spotting is most likely to happen during early pregnancy and the reasons could be many, such as:

- implantation bleeding occurs during the first month of pregnancy when the fertilised egg gets attached to the wall of the uterus.

- cervical polyps ( a tumour that form on the surface of the cervix) or yeast infection may also cause episodes of spotting.

- miscarriage may be another possible reason for spotting

- ectopic pregnancy is another cause. It is the condition in which the embryo plants itself in either of the fallopian tubes instead of the uterus.

- molar pregnancy is a rare condition associated with spotting during pregnancy. When this is the case, instead of your baby, an abnormal tissue grows inside the uterus. Sometimes it can be cancerous too.

Bleeding during the second or third trimesters

Spotting may also occur during late pregnancy and the possible reasons are listed below.

- problems related to placenta like placenta previa placental abruption can also result in spotting. These are serious conditions when the placenta either covers the cervix or it gets detached from the uterine wall respectively.

- uterine rupture is the rare and unfortunate event when a scar from a previous surgery (like the removal of fibroid or previous caesarean scar bursts open and the baby slips into the pregnant woman's abdomen.

- premature labour occurs when your body is too eager to deliver the baby, usually one month before the due date of delivery.

- vasa Previa is another rare condition when a baby who is still developing has his blood vessels entangled in the umbilical cord or placenta-crossing the cervix. It is extremely dangerous because the blood vessels may burst open thus causing the baby to bleed and lose oxygen.

Here's what you can do about spotting

It is strongly recommended that you should immediately see your doctor as soon as you detect any spotting during your pregnancy. Only a well-qualified medical expert can suggest the appropriate steps to be taken, depending on your individual reasons and symptoms related to spotting.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Changes You Can Expect During the 2nd Trimester of Pregnancy

Reasons for Spotting During Pregnancy

Nutrition for you will never be as important to you as it is during pregnancy, because while eating you have to think not only about you, but also the development of your unborn child. However, merely eating is not enough you have to eat right. Here is your guide of what to eat and what to avoid, during pregnancy, so that your child gets the best nutrition.
Things to eat: 
1. Whole grains- whole grains, which can be found in food items like cereals, whole-wheat breads and pastas, are rich in folic acid, iron and fibers. Make sure you incorporate ample amount of whole grains in your diet to remain healthy during pregnancy.
2. Beans- beans are extremely nutritious for pregnant women, as they contain protein, fiber, iron, folate, zinc and calcium, which are much needed for the development of a healthy baby.
3. Fish- incorporate enough fish in your diet because they contain healthy omega-3 fatty acids. Salmon, for example, is exceptionally good for health since it contains less mercury than other fish.
4. Eggs- eggs are rich in protein, and is also a good source of other nutrients like amino acids, vitamins and minerals, including choline which is crucial for the baby's brain development.
5. Berries- berries contain vitamin c, calcium, folate and fiber, which is important to your diet, besides being a delicious addition to your meal.
6. Low fat yogurt- sweetened yogurt is extremely bad for your health, but a cup of plain, low fat yogurt contains copious amount of calcium and is also a good source of proteins.

Things to avoid: 
1) soft cheese- soft cheese, like feta, blue cheese, brie, etc. Are made of unpasteurized milk, which contain listeria bacteria which might be fatal for you and your child. Hence, they are best to avoid.
2) undercooked or raw food-raw meat may contain toxoplasma and other bacteria. Raw eggs in sauces like mayonnaise, uncooked dough, desserts like tiramisu and salad dressings are also harmful for you. Fish in sushis or self caught fish may also contain harmful bacteria and parasites or chemicals released from nearby factories. Do ensure that your meat and fish are thoroughly cooked while dining out as well.
3) unpasteurized juices- there is always a risk of juices, which are squeezed and unpasteurized, being contaminated with e-coli or salmonella, which can be very harmful for you.
4) pre-dressed poultry- poultry that has been dressed and stuffed at the market often run the risk of being contaminated by the juices of slaughtered poultry, proving to be best breeding grounds for bacteria.
5) unwashed fruits and vegetables- toxoplasma can breed on unwashed raw foods, which also cause harm to your health, mainly in the prenatal period.
6) alcohol, coffee and unpasteurized milk- these beverages have been deemed unsafe for pregnant ladies since they can cause severe health damages.

Nutrition Tips for Pregnant Women

4 Dietary Changes that can Increase Your Chances of Getting Pregnant

At times being able to conceive becomes a challenge due to certain biological reasons. Feeling positive and eating healthy naturally takes you a step nearer to getting pregnant. In case of no medical condition acting as an obstruction, consuming the right food can increase your chances of getting pregnant.

Here?s a list of supplements you can include in your diet to maximise your chances of getting pregnant.

1. Choose whole grains over refined carbohydrates: Reducing the intake of refined carbohydrates (found in milk, potatoes, corn to name a few) can reduce inflammation of the genitals, which will help increase fertility. You can still continue to have your favourite foods, but ensure they are low gi (glycaemic index- a figure used to represent the ability of carbohydrate to increase glucose in blood) carbohydrates.

You can consume whole grains, which help in reducing insulin levels that in turn reduce the risk of heart diseases and diabetes and also help lower cholesterol levels. Try having whole grain bread instead of white bread and porridge instead of sugary processed cereals to reduce your gi ingestion.

2. Harness the power of proteins: Proteins are an important part of your diet and the type of proteins you require careful consideration as they help make new hormones. Try having 25gms of vegetable protein like seeds, legumes and nuts instead of animal protein.

Add dairy foods to your diet as they are also a rich source of protein. They provide vital minerals and nutrients like magnesium, calcium and vitamin b12 to the body and at the same time are low in calories. Include milk, yoghurt and cottage cheese to your meals so that you have a minimum of three servings of dairy products a day, which is essential to meet your nutritional needs and increase your chances of having a baby.

3. Welcome good fats: Processed foods, fatty meats and takeaways are high in saturated fats including trans fats. These lead to inflammation and an increase of oxygen free radicals in the body, which decrease fertility. So, incorporate good fats in your diet in controlled quantities. Try having avocado and tomato on a whole grain toast, for instance.

4. Make folate an integral part of your diet: Folate is an essential nutrient that helps in decreasing the incidence of birth defects in the babies, while ensuring a healthy conception. Along with the prescribed supplements, try to increase its intake in its natural form. The best way to do this is by having green leafy vegetables, which are a rich source of folate. You can also have veggie sticks and vegetable soup along or green vegetable dishes to increase your folate intake.


If you would like to consult with me privately, please click on'consult.


4 Dietary Changes that can Increase Your Chances of Getting Pregnant

A woman's body needs a lot of nourishment. There are many vitamins and minerals that ensure a healthy body. However, as you reach puberty and age more, a few nutrients become vital for healthy functionality, reproduction as well as vitality. On this International Day Of Action For Women's Health, 28th May, learn more about the women's health so that you or women around you stay healthy.

Here are top 6 nutrients that are a must for women of all ages.

1) Vitamin B12 - Women suffer from extreme fatigue as soon as they reach late 20s or mid-30s and vitamin B12 has proven to be extremely efficient in not only curbing the feeling of fatigue, but also in promoting swiftness and alertness in the body.

2) Vitamin D3 - Lack of vitamin D3 is detrimental for breast and ovarian cancers which plague a large number of women. This vitamin  also builds immunity against certain autoimmune diseases and provides adequate strength to muscles, bones and teeth.

3) Iron - Adequate levels of iron in the body ensures that you never run out of energy and are always active. In addition, iron plays an important role in maintaining efficient functioning of the brain.

4) Vitamin B6 - Vitamin B6 mainly promotes the maintenance of a healthy and regular sleep pattern and protects against sleep-related disorders such as insomnia. It also helps in the correct regulation of your appetite while maintaining hormonal balance, thus protecting you from mood disorders.

5) Folate - Women who are expecting or have recently given birth certainly benefit a great deal from adequate consumption of folate. These women are highly vulnerable to a number of spinal and brain defects which are effectively prevented by the nutrient. It also helps to make the body highly resistant to colon and breast cancers.

6) Calcium - Calcium is like a wonder drug for all women as it solves a majority of problems which hinder their daily life. It plays an important role in maintaining a stable blood pressure and is extremely efficient in controlling certain noxious symptoms of PMS. It is important also to maintain their bone density as they age.

If you have any questions on women health, please click on 'Consult.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.

6 Nutrients Women Need The Most

Don't wait any longer, manage your Pregnancy Problems online with a Lybrate doctor today

Consult for Pregnancy Problems - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES