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

Pregnancy is a very special time in a woman's life when there is an added focus to take care of yourself and your unborn child. The adage'you are what you eat' takes on a whole new meaning during this period as it becomes the soon to be mother's responsibility to pack in extra nutrition to nourish her growing bump. Doctors often add in a dose of vitamins to ensure that the both mother and child are well nourished. But beyond that, the food choices you make will maintain a healthy weight gain for you and your baby and eventually even help when you want to shed the extra weight after your child is born.

Here are some tips to have a perfect diet during your pregnancy

Load up on the good stuff: even if you've always been eating healthy, it is time to crank things up a notch and include more proteins, vitamins, minerals especially folic acid and iron and some extra calories for energy and increase it as you progress in your pregnancy. But eating to get more nutrients doesn't have to mean eating more in general. If you are already at a healthy weight, then you don't need extra calories in the first trimester. In the second trimester, you need about 340 extra calories a day and about 450 extra calories a day in the third trimester. The numbers will change if you are underweight or overweight.

Say no to some: during pregnancy, give a skip to food items like raw seafood and undercooked meat and poultry. This could lead to potentially dangerous infections. Other foods to steer clear from include unpasteurized milk and soft cheese. All of these are possible sources of bacteria that can be harmful to an unborn child. It is always good to give your fruits and veggies a good extra wash, as always. Try to avoid the known culprits like popular local fruits that may be laden with artificial ripeners. Also avoid food with excess oil or preservatives. 

You will also have to say a complete no to alcohol or smoking during this period. While most sites suggest that you also ditch your caffeine fix, you can best keep it less than 200 mg or 12 ounces in a day. Stick to decaffeinated tea and sodas when possible. Some other foods that have to be avoided during pregnancy are packaged food, cold drinks, preserved food items as they contain preservatives, which are harmful. Also, chinese food should be avoided as it contains monosodium glutamate, which is again harmful due to teratogenic chemical.

Diet a big no: another big no during pregnancy is dieting or controlling the intake of food to lose weight. Pregnancy is the time you actually, for once, get to legally gain weight and be happy about. Don't mess up your natural system with forced diets.

Keep the food coming: pregnancy is the time for food craving at all odd hours and the time to give into them without an ounce of guilt! if you are dealing with nausea and food aversion, try to stick to small meals throughout the day. Replace the chips with carrot sticks and the pizza slice with soup. If that sweet tooth starts acting up, give it a frozen fruit dessert or shake.

Diet in 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

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!

Miscarriage is termed as the loss of the fetus in or before 20th week of pregnancy. Medically, miscarriage is known as spontaneous abortion, though the word spontaneous is more of a keyword as it is not an abortion.

Symptoms of Miscarriage 
Miscarriage happens due to weakness, back pain, fever, abdominal pain along with severe cramps and bleeding, which starts from slow to heavy.

Cause of Miscarriage 
Common cause of miscarriage is when the fetus is known to have fatal genetic problems and these are not related with the mother. The other causes are infection, medical problems like thyroid and diabetes, immune system rejection, hormonal imbalance, abnormalities of the uterus, and physical problems of the mother. If a woman is over 35 years of age, has thyroid and diabetes and had an miscarriage earlier then that woman is at a high risk of getting a miscarriage.

Sometimes a miscarriage might take place due to the cervical insufficiency. This is due to the weak cervix, also known as the incompetent cervix, which is unable to hold the pregnancy. A miscarriage in this condition usually occurs in the second trimester. Though there are a very few symptoms in this, but there might be a feeling of sudden pressure that the water is going to break and tissues from the placenta and fetus are released without any pain. This can however, be treated by a stitch in the cervix at 12 weeks. This stitch helps to hold the cervix until the full term is completed. If it is first pregnancy and cervical insufficiency is diagnosed, then also a stitch can be applied, thus resulting in full term and avoiding miscarriage.

Diagnosis of Miscarriage: 
-   The doctor does a pelvic test, an ultrasound and blood tests to confirm a miscarriage
-   Blood tests are done to analyze the pregnancy hormone hCG. This is monitored regularly if miscarriage is suspected
-   Genetic tests, blood tests and medication are important in women who have a history of prior miscarriages
-   Pelvic ultrasound and hysterosalpingography are tests, which are done when there are repeated miscarriages
-   Test like hysteroscopy is also done. In this the doctor observes the inside of the uterus with a device, which is thin telescope like device. This is inserted in the vagina and cervix.
-   If the cervix is dilated, then the woman might be diagnosed with an incompetent cervix and this can be corrected by cerclage, a procedure done to close the cervix.
-   If the blood type of the pregnant woman is Rh negative, she is prescribed a blood product called Rh immune globulin (Rhogam). This prevents from forming, antibodies which could turn to be harmful for the baby.

Bleeding in Early Pregnancy: Diagnosing Miscarriage

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

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