Most people will give you a blatant No. And they are quite right to do so. But if you have been a habitual offender who can't unwind without their drink, pregnancy is going to be a big problem. So does the rule stand in all cases? What if you drank when you didn't know you were pregnant yet? What if you had a light drink here and there, will it literally spell disaster? Let's find out.

Contradictory advice everywhere: Most doctors will advice you to stay away completely from alcohol as soon as that first positive emerges in your test. Others may give you a little leeway and let you have an occasional drink. There are friends who'll confess to have cheated during their pregnancy and snuck in a beer or two and say that their kids turned out just fine. There are other friends will scorn on you for even thinking such a thing. Same goes for your relatives. Like all things in pregnancy, random advice will just not work.

How much can you drink? Let's assume that you are confident nothing will happen and want to be adventurous and give it a cautious try. Danish researchers have some good news for you. Some studies have shown that low to moderate consumption of alcohol does not harm the baby. In fact, in 2012, Danish researchers released a highly publicized study that found no major problems in children below 5 years whose mothers had consumed 1- 8 alcoholic drinks a week during pregnancy.

Unfortunately, not all research is made equal. With pregnancy, each mother, each child and progression of each pregnancy is different. It really has to be on a case by case basis and nothing can be taken on face value. Most people will still advise you to completely go off alcohol as there is 'no safe' amount during pregnancy. Some women have a larger quantity of the enzyme that breaks down alcohol. If a woman with lower levels of this enzyme drinks alcohol, it is more likely to harm her unborn child as the alcohol will remain in her bloodstream longer.

How alcohol can affect your child?

A number of disorders that can affect your child when in the womb and even after because of alcohol consumption. These disorders are collectively called 'Fetal Alcohol Spectrum Disorder'. It is characterized by increased risk in miscarriage and stillbirth. It can also result in the baby having low birth weight and increase problems with learning, speech, attention span, language and hyperactivity. Alcohol consumption may also affect girl child and a baby boy differently. While both may turn out to have aggressive and delinquent behaviour, girls are more likely to develop mental health problems too.

If you are unable to give up on alcohol, you need to immediately get professional help to overcome your addiction. Also note that the term 'non-alcoholic' beverage is misleading as they can contain trace amounts of it. Consult a doctor today on which drinks are safe for you.

Alcohol in Pregnancy: Is it Safe?

Pregnancy brings with it a slew of changes in the physiological parameters of women. Women are susceptible to a number of complications, including respiratory complications during this stage. An abnormal chest X-ray or a complaint regarding some kind of respiratory trouble guides doctors to explore the possibility of pregnancy leading to respiratory complications.

Respiratory Complications During Pregnancy

Let us explore the likely respiratory complications during pregnancy. 

Infectious Pneumonia
Though studies do not indicate any increase in risk of pneumococcal infection during pregnancy, it has been observed that complications arising out of pneumonia are increased during this time. Anemic or asthmatic women are more susceptible to this infection, and the risk of complications is also more common in such women. It entails risk for both the mother and the child. While the child can be born preterm or low in weight, the mother can even suffer respiratory failure.

Coccidioidomycosis
It is a kind of fungal infection that affects the respiratory system, especially in the last trimester of pregnancy. It is a respiratory tract infection that is self- limiting in nature. However, owing to reduced immunity during pregnancy, this fungal infection may turn out to be severe. It may cause a variety of complications, including pneumonia, fever, chest pain, difficulty in breathing, etc.

However, timely diagnosis and administration of antifungal therapy has reduced maternal mortality to a large extent.

Pulmonary Embolism
There is a risk of formation of blood clots during pregnancy due to hypercoagulability of blood during this stage. This leads to an enhanced risk of embolic pneumonia, where blood clots may block an artery in the lungs. It is an emergency condition where patients usually have difficulty breathing, chest pain, cough, etc.

Asthma
Pregnancy is not a risk factor for asthma, but asthma during pregnancy may exacerbate the risk of complications such as premature birth, restricted growth, preeclampsia, etc.

Tips to Avoid

These and other respiratory complications during pregnancy, if any, increase the risk of complications for the mother as well as the fetus. However, there are ways that pregnant women can adopt to get over these problems and give birth to a healthy baby.

Avoid Crowded Place in Pregnancy: Pregnancy enhances the risk of Pneumonia, and Pneumonia is mostly a community acquired. Pregnant women can try to avoid Pneumonia by avoiding going to crowded places.
Eat Immune Boosting Food: Coccidioidomycosis is a fungal infection that is mostly diagnosed during the third trimester. However, it is usually a self-limiting infection. Along with avoiding going to crowded places, she also needs to take immune-boosting food such as citrus fruits, green vegetables, etc.
Walk Regularly: Pulmonary Embolism is the result of being immobile for a long time. This happens during pregnancy and this is what makes pregnant women susceptible to the problem. One can tide over the problem by taking regular strolls at home or outside and doing regular chores.
Consult with Gynecologist in Case of Asthma: If she is suffering from asthma, she must discuss it with the gynecologist. Most asthma medications are safe to be taken during pregnancy.
Take Care of Infant Breath: Pregnant women should regularly visit gynecologists for checkups. They should also take a balanced diet and stay happy for the healthy life of the child.

Respiratory Complications During Pregnancy - Tips To Avoid Them!

What skin differences can you expect when you're pregnant?

During pregnancy, quite a few changes occur inside a woman's body. It is quite common for some of these changes to surface outside. Skin changes are quite common in pregnant women, and pinkish streaks on the stomach and a sudden glow on the face are commonly observed. Although not all women experience the same skin changes, there are some changes which are quite common during pregnancy. Some of them are:

1. Stretch Marks

Stretch marks are the most common and usual skin changes that occur during pregnancy. Nearly 90% of all pregnant women are likely to experience stretch marks. Stretch marks are the reddish streaks that run down the abdomen or breasts of a pregnant woman. Exercising and applying lotions rich in the vitamin can help in preventing such marks.

2. Mask of pregnancy

Melasma, commonly known as the mask of pregnancy, causes dark splotchy spots to appear on your face. Fluctuations in hormonal activities during those nine months can lead to an increase in pigmentation. These spots usually occur on the forehead and cheeks. Nearly 50% of all pregnant women encounter signs of melasma.

3. Pregnancy Glow

During pregnancy, the body produces 50% more blood; hence, there is a greater circulation of blood in the body, and the increased blood flow causes the face to appear brighter. The body also produces a lot of hormones that cause the glands to overwork, which renders the face shiny.

4. Acne

Hormonal fluctuations in the body can cause the oil glands to secrete more oil, which can cause a breakout. In case of pre-existing acne, the condition may heighten and, thus, get more inflamed.

5. Spider and Varicose veins

Increased blood circulation can cause minute, reddish blood vessels to protrude outwards. These veins usually appear on the face, neck, upper chest and arms. Varicose veins refer to the thick, bluish veins that appear on the legs. This happens because the body compensates for the extra blood that flows to your baby.



What skin differences can you expect when you're pregnant?

Caesarean section or C-section is fairly common today and most mothers do not realize that once their incision has healed completely, the scar tissue problems can still occur. Unfortunately, there are no instructions for how to heal and care for C-section scars after they go home. The general post-operative instructions from hospital include a list of activities to avoid like lifting heavy articles and driving.

Caesarean scars can cause pain well after they've healed. This happen at the site of incision, but in other areas as well. It's important to remember that the scar you see on a mother's lower abdomen is just one spot that scar tissue has formed. There are also internal scars which can spread throughout the body over a time period. This scar tissue can cause lingering pain and dysfunction well after delivery.

When our body tissue gets damaged, scar tissue forms. After a C-section, scar tissue forms along the abdomen and uterus as part of the natural healing process. Caesarean scars can be painful and mothers feel pain or tightness in their scars when they are reaching, leaning, lifting or standing up straight. The scar can cause muscle, connective tissue, and nerve damage in areas adjacent to scarred area. Over time this can lead to pelvic pain, bowel problems like constipation and irritable bowel syndrome and painful sex.

C-section scars are typically located in an area where they can entrap nerves. This can cause pain and also create an urgency or frequency to urinate. The best thing for a new mother is rest and recovery and doing too much, too soon, after a caesarean is a health risk. It is important that to keep incision clean, eat well and avoid lifting heavy articles to support healing. It is recommended that mothers have lymphatic and myofascial massage two days prior to surgery and as soon as possible post-surgery. Lymphatic massage is a light massage assisting in drainage and allows the collagen to align with the incision.

At three months post-caesarean mothers can begin scar tissue release therapy that involves massaging of the scar tissue so it becomes softer and more flexible like the surrounding skin and internal tissues. It needs to be done with three dimensional focus, slowly and gently separating the adhered tissues in all directions. The scar tissue release therapy painful with a burning sensation for some mothers, while some only feel mild discomfort or no pain at all.

Regardless of the age of the scar, one could get benefits from scar tissue release therapy from injuries to burns to surgical scars. Surface and internal scarring from surgeries could be contributing to many of the issues. Sometimes scarring is just a piece of the puzzle of your pain and so a pelvic floor physiotherapy in addition to scar tissue release therapy is recommended. The scar tissue release therapy reduces the appearance of C-section scars. It softens tissues and increases circulation, which all lead to a lightening in colour of the C-Section scar.

Tips to Deal with Caesarean Section Stiches

The first 12 weeks of your pregnancy is a super important period when your pregnancy gets established and stabilized. There are so many little exciting and not so exciting changes happening in your body that it'll simply leave you amazed. If this is your first pregnancy and you are wondering what to expect, here is a quick view:&nbsp;

1. The big discovery: this is one of the most trying times in a woman's life when her mind is swinging, wondering if those periods just decided to postpone themselves or if there is an exciting reason behind the miss. This period is often spent wondering when exactly is the right time to do your first pregnancy test. The opinion on this varies a lot. Some women have been able to detect their pregnancy even before they missed their period. Others have got a false negative one week after missing their periods. The safest bet is to wait for around 8 days after your missed period and do a blood hcg test which gives a sure shot confirmation. And that moment when you find out and share with your spouse is something you'll treasure for life. There really is no feeling in the world that can match knowing that a small little life is taking shape inside you.

2. The good and not so good changes: though the kicking doesn't begin until later and the belly doesn't show, there are enough changes in your body to wonder what the little one is up to.&nbsp;
A. Morning sickness: one of the unfriendly side effects of pregnancy generally kicks in early during the first trimester. Unfortunately, it doesn't just last in the morning but mostly throughout the day. Some smells also trigger the feeling of nausea. Having small meals and keeping a good scent handy may help.&nbsp;
B. Mood swings: you can go from the heights of euphoria to the depths of depression with the speed of a roller coaster. The spouse is often the one bearing the brunt of this side effect leaving them confused. It is best to keep them in the loop so that they can take it to their stride and comfort you when you need it the most.&nbsp;
C. Weight loss / gain: though it is too early to pile on the pounds, your first trimester will see you gain a few pounds. In other cases, appetite loss and nausea may actually result in some weight loss. Keep your daily calorie intake in check during this period and concentrate on eating nutritious food with extra pregnancy sustaining supplements.
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3. Your baby's growth: in your first trimester, your baby goes from a single cell to a peach sized bundle that sprouts arms, legs, hands, feet, fingers and toes. And that first heartbeat - you are bound to skip a heartbeat when you hear that.&nbsp;

If you are wondering if you are pregnant or experiencing some unusual symptoms, then consult a doctor.


First Trimester Pregnancy - What To Expect

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

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