If you lose a baby before 24 weeks of pregnancy, it is called a miscarriage. If this happens in the first 3 months of pregnancy, it is known as an early miscarriage. Unfortunately, early miscarriages are common, with 10 20 in 100 (10 20%) pregnancies ending this way. Late miscarriages, after 3 months of pregnancy but before 24 weeks, are less common: 1 2 in 100 (1 2%) pregnancies end in a late miscarriage. When a miscarriage happens three or more times in a row, it is called recurrent miscarriage. Recurrent miscarriage affects 1 in 100 (1%) couples trying to have a baby.

Why does recurrent miscarriage and late miscarriage happen?

Sometimes there is a reason found for recurrent and late miscarriage. In other cases, no underlying problem can be found. Most couples are likely to have a successful pregnancy in the future, particularly if test results are normal.

There are a number of factors that may play a part in causing recurrent and late miscarriage:

Age, the older you are, the greater your risk of having a miscarriage. If the woman is aged over 40, more than 1 in 2 pregnancies end in a miscarriage. Miscarriages may also be more common if the father is older.
Antiphospholipid syndrome (APS- a syndrome that makes your blood more likely to clot) is uncommon but is a cause of recurrent miscarriage and late miscarriage.
Thrombophilia (an inherited condition that means that your blood may be more likely to clot) may cause recurrent miscarriage and in particular late miscarriages.
Genetic factors, about 2 5 in 100 couples (2 5%) with recurrent miscarriage, one partner will have an abnormality on one of their chromosomes (the genetic structures within our cells that contain our DNA and the features we inherit from our parents). Although this may not affect the parent, it can sometimes cause a miscarriage
Weak cervix is known to be a cause of miscarriage from 14 to 23 weeks of pregnancy. This can be difficult to diagnose when you are not pregnant. It may be suspected if in a previous pregnancy your waters broke early, or if the neck of the womb opened without any pain.
Developmental problems of the baby may lead to a miscarriage but are unlikely to be the cause of recurrent miscarriage.
Infection that makes you very unwell can cause a miscarriage. Milder infections that affect the baby can also cause a miscarriage. The role of infections in recurrent miscarriage is unclear.
An abnormally shaped uterus may contributes to recurrent miscarriage or late miscarriages. However, minor variations do not appear to cause miscarriage.
Diabetes and thyroid problems can be factors in miscarriages. They do not cause recurrent miscarriage, as long as they are treated and kept under control.
It has been suggested that some women miscarry because their immune system does not respond to the baby in the usual way. This is known as an alloimmune reaction. There is no clear evidence to support this theory at present. Further research is needed.
Are there any other risk factors?

Being overweight increases the risk of miscarriage. Smoking and too much caffeine may also increase the risk. Excessive alcohol is known to be harmful to a developing baby and drinking five or more units a week may increase the risk of miscarriage.

The chance of a further miscarriage increases slightly with each miscarriage. Women with three miscarriages in a row have a 4 in 10 chance of having another one. This means that 6 out of 10 women (60%) in this situation will go on to have a baby next time. 

Why are investigations helpful?

Finding out whether there is a cause for your recurrent miscarriage or late miscarriage is important as your doctor will be able to give you an idea about your likelihood of having a successful pregnancy. In a small number of cases there may be treatment available to help you.

What investigations might be offered?

Blood tests:

For APS- APS is diagnosed if you test positive on two occasions 12 weeks apart, before you become pregnant again.
For thrombophilia- If you have had a late miscarriage you should be offered blood tests for certain inherited thrombophilias.
To check you and your partner s chromosomes for abnormalities. You may be offered this test if your baby has been shown to have abnormal chromosome
Tests for abnormalities in the baby You should be offered tests to check for abnormalities in your baby s chromosomes. This is not always possible but may help to determine your chance of miscarrying again. If you have had a late miscarriage you may also be offered a postmortem examination of your baby. This will not happen without your consent and you will have the opportunity to discuss this with your health team beforehand.

Tests for abnormalities in the shape of your uterus. You should be offered a pelvic ultrasound scan to check for any abnormalities in the shape of your uterus. If an abnormality is suspected, further investigations may include a hysteroscopy (a procedure to examine the uterus through a small telescope which is passed through the vagina and cervix) or a laparoscopy (a procedure in which a surgeon uses a fine telescope to look inside the abdomen and pelvis).

Tests for infection. If you have had a late miscarriage, tests such as blood samples and vaginal swabs may be taken at the time to look for any source of infection.




What are my treatment options?

Treatment for APS

If you have APS and have had recurrent miscarriage or a late miscarriage, treatment with low-dose aspirin tablets and heparin injections in pregnancy increases your chance of having a baby. Aspirin and heparin make your blood less likely to clot and are safe to take in pregnancy.

Having APS means you are at increased risk of complications during pregnancy such as pre-eclampsia, problems with your baby s growth and premature birth. You should be carefully monitored so that you can be offered treatment for any problems that arise.

Treatment for thrombophilia

If you have an inherited tendency to blood clotting (thrombophilia) and have had a miscarriage between 12 and 24 weeks of pregnancy, you should be offered treatment with heparin. At present there is not enough evidence to say whether heparin will reduce your chance of miscarriage if you have had early miscarriages (up to 12 weeks of pregnancy). However, you may be still offered the treatment to reduce the risk of a blood clot during pregnancy.

Your doctor will discuss what would be recommended in your particular case.

Referral for genetic counselling

If either you or your partner has a chromosome abnormality, you should be offered the chance to see a specialist called a clinical geneticist. They will discuss with you what your chances are for future pregnancies and will explain what your choices are. This is known as genetic counselling.

Monitoring and treatment for a weak cervix

If you have had a miscarriage between 14 and 24 weeks and have a diagnosis of a weak cervix, you may be offered an operation to put a stitch in your cervix. This is usually done through the vagina at 13 or 14 weeks of pregnancy under a general or spinal anaesthetic. Your doctor should discuss the surgery with you.

If it is unclear whether your late miscarriage was caused by a weak cervix, you may be offered vaginal ultrasound scans during your pregnancy to measure the length of your cervix. This may give information on how likely you are to miscarry. If your cervix is shorter than it should be before 24 weeks of pregnancy, you may be offered an operation to put a stitch in your cervix.

Surgery to the uterus

If an abnormality is found in your uterus, you may be offered an operation to correct this.

Hormone treatment

Taking progesterone or human chorionic gonadotrophin hormones early in pregnancy has been tried to prevent recurrent miscarriage. More evidence is needed to show whether this works.

Immunotherapy

Treatment to prevent or change the response of the immune system (known as immunotherapy) is not recommended for women with recurrent miscarriage. It has not been proven to work, does not improve the chances of a live birth and may carry serious risks (including transfusion reaction, allergic shock and hepatitis).

What if no cause is found?

Where there does not appear to be a cause for recurrent miscarriage or late miscarriage, there is currently no evidence that heparin and aspirin treatment reduces the chance of a further miscarriage. For that reason this treatment is not recommended in these circumstances.

What does this mean for us in the future?

You and your partner should be seen together by a specialist health professional. Your doctor will talk to you both about your particular situation and your likelihood of having a further miscarriage and a successful pregnancy. If a cause has been found, possible treatment options will be offered to you to improve your chance of a successful pregnancy.

For couples where no cause for recurrent miscarriage has been found, 75 in 100 (75%) will have a successful pregnancy with this care. It is worth remembering that the majority of couples will have a successful pregnancy the next time even after three miscarriages in a row.

Recurrent And Late Miscarriage - Tests & Treatment For Couples!

Cholesterol is one of those terminologies that need a clear and fresh understanding, right from scratch. It is nothing but obvious and common for you to primarily know about the ill effects of cholesterol and what it does to your body; from increasing the risks of cardio-vascular diseases to adding to your waistline. However, it is time we all got a fresh perspective on what cholesterol is.

So, to start off, what is actually cholesterol?
It is waxy substance produced by the liver which plays an important role in the proper functioning of the cells, digestive process and synthesis of Vitamin D in the body. As cholesterol is a fat based substance that does not dissolve in blood, it is transported, throughout the body, by a protein called the  lipoprotein . The lipoproteins that carry cholesterol are of two types: Low-Density 

Lipoprotein (LDL) and High Density Lipoprotein (HDL)

Why is LDL  bad ?
LDL is known as  bad  cholesterol as it is responsible for plaque formation that reduces flexibility of the arteries and tends to clog them.

Why is HDL  good ?
HDL is known as the  good  cholesterol because it gets rid of excessive LDL from the arteries and transports them to the liver where they can be broken down. Too much of bad cholesterol in the body can lead to clogged arteries that may result in stroke or a heart attack. Now that you know that too much LDL cholesterol is bad for you, you need to keep it under control while raising the good cholesterol (HDL) levels. In order to do that, you need to make certain modifications in your lifestyle.

Some of them can be:

Eat foods that are good for the heart: Avoid eating saturated fats and trans-fats as they raise LDL levels in the body. Instead, choose foods that are rich in the heart healthy monounsaturated fats such as almonds and olive oil. Also, include foods that are rich in Omega-3 fatty acids such as fish oil; these fatty acids increase HDL levels in the blood.
Exercise regularly: Exercise not only helps you to lose calories but also increases the good cholesterol levels in the body. Aim for 20-30 minutes of cardiovascular exercises in the form of brisk walking, running or cycling to keep your heart muscles healthy.
Stop smoking: Smoking can cause the blood vessels to narrow down, thus increasing blood pressure, owing to the constriction of the blood vessels. Quit smoking right away and your ticker will thank you for it. Remember to limit alcohol consumption as well.
Maintain optimal weight levels: It s time to get rid of all the excess fat from the body, especially the visceral fat (abdominal fat). Obesity increases the risk of heart diseases and also has a negative effect on the cholesterol levels.

Cholesterol - Lifestyle Habits That Help Control it!

There are many health benefits of donating blood which include good health, reducing the risk of cancer along with hemochromatosis. Moreover, blood donation is good for the normal functioning of pancreas and liver. With the blood donation, an individual can improve the cardiovascular health as well as reduce the risk of obesity.

Every day blood transfusions take place saving millions of life on earth. And the best part is that blood donation is good for the donor. It is crucial for the blood donation to take place in a medical facility under the supervision of experts. The donors must ensure that they are in optimum health conditions for avoiding any health issues after the transfusion is completed.

Benefits of donating blood:
There are numerous benefits of blood donation, and some of them include-

Hemochromatosis: The health benefits of blood donation reduce the risk of developing hemochromatosis. It is a disorder which arises owing to excessive absorption of iron in the human body. This condition can be inherited through the genes or may also be triggered by uncontrolled alcoholism, chronic anaemia and other health problems. One should take part in blood donation on a regular basis for the reduction of iron overload.
Anti cancer health benefits: Donating blood at regular intervals can also lower the risk of cancer. After donating blood, the iron stored in the body is maintained at healthy levels. The reduction in the iron concentrations in the body is also connected with reduced risk of cancer and thus helps keep cancer at bay.
Good for liver and heart: Blood donation is useful for reducing the risk of heart and liver disorders which are triggered by the iron overload in the body. Only a limited amount of iron can be absorbed by the body, and the rest starts accumulating in the heart, pancreas and lungs. This can pave the way for liver failure and cirrhosis, damage to the pancreas and complications in the heart such as irregular heart rhythms. The blood donation helps in maintaining the optimum iron levels as well as reduces the risk of different ailments.
Helps in weight loss: Regular blood donation also helps in weight of the donors. This is great for those who are overweight and obese. It is advantageous for those who are suffering from cardiovascular and other health disorders.
Production of new cells: After the donation of blood, the body starts working for replenishing the loss of blood. This helps in stimulating the production of new blood cells and in turn aids in the maintenance of good health.
It is imperative to note here that to enjoy the benefits of blood donation, an individual has to wait for eight weeks after a session of whole blood donation. Also, it is crucial to wait for 16 weeks in between the power red blood donation. One should always consult with the doctor to be sure that he or she is fit for donating blood and should avoid it while suffering from any disorders or infections.

World Red Cross Day - Why Donating Blood Is Good For Health?

So your folks have always been advising, Early to bed, early to rise, makes a person healthy, wealthy and wise? But, it is so not you. You realise that waking up early has its perks but cannot bring yourself to do it? You must have categorised yourself as nocturnal and left things at that.

Fact is, getting up early morning not only makes you more productive it also makes you less stressful. It is better to start your day on a calm note than rushing to get ready and leave for work. Give your body time to get out of sleep before you begin your daily grind. 

1) Sleep is first: Deadline is an excuse. Make it a point to sleep at an assigned hour and waking up at a particular time.
2) Break the cycle: You sleep late, you wake up late and the cycle continues. Break this by forcing yourself to sleep at a particular time. Use simple ways such as having a warm glass of milk before bed, exercising, etc to make yourself fall asleep.
3) Be patient: It is ok to fail. The trick is to keep trying. Your body is used to a certain sleeping pattern and it will take a few days before it can accept a new one.
4) Start small: Take baby steps. On the first day, sleep 15 minutes earlier than your regular time and wake up 15 minutes earlier. Increment it till you reach your goal time. 

Struggling to become a morning person?   Here are 4 tips to ditch your  Snooze  button.

A good night's sleep is very essential for the body and mind to recharge and be ready to function to its full extent each day. Though, the constant change in lifestyle has altered the fixed sleep hours, it is still advisable that for a healthy lifestyle, 7 to 8 hours of sound sleep is essential.

Studies reveal that about 60% of the UK population is sleep deprived, getting 6 or less hours of sleep. Further, studies have shown that there is a good correlation between a person's food habits and the sleep pattern. While some foods are good at inducing sleep, there are others which help you reduce fatigue that sleeplessness brings in.

The following is a list of foods along with their most significant benefits:

Cherries: Cherries contain Melatonin which controls our biological clock and is often used to combat jetlag. Melatonin improves duration and quality of sleep.
Bananas: Bananas are loaded with Potassium and Magnesium, which are very good for cardiovascular health and cognitive functioning and are believed to induce peaceful sleep.
Mangoes: Mangoes help by boosting the immune system and provide a good night's sleep.
Blueberries: Blueberries are believed to reduce oxidative stress and muscle cell inflammation and are an excellent choice of snack for lack of sleep. Blueberries balance the level of blood sugar and stabilize the hormone of satiety, Leptin, thus, inducing better sleep.
Milk: A glass of warm milk induces sleep. Add a pinch of cinnamon and see yourself sleep even better. Scientists believe that Tryptophan and Serotonin do the magic. Not just milk, even other dairy products such as cheese can improve your sleep.
Fish: Salmon, Sardines, and Tuna are rich in Omega-3 fatty acids and also contain vitamin B6. All these are believed to improve cognitive state and are believed to induce a restful sleep.
Nuts: Be it walnuts, pecans or cashews, all nuts have a soothing effect. They are a rich source of Tryptophan, which is an amino acid responsible for sleep. They release Melatonin and Serotonin which regulate the biological clock and manage sleep patterns.
Herbal tea: For instance, Chamomile tea and Valerian tea act as a mild sedative and encourage a healthy sleep. The whole act of brewing the tea with the aroma wafting through the air is believed to promote a soothing effect too. Green tea is also considered as a god sleep inducing agent.

8 Great Things To Eat For People Suffering From Poor Sleep

Cradle cap is a slick, yellow scaling or crusting on a child's scalp. It is regular in children and can be effortlessly treated. Cradle cap is not a part of any ailment and does not indicate poor care of the child. It is the usual development of sticky skin oils, scales, and sloughed skin cells. It is not harmful to your child and generally leaves by an infant's first birthday. Some of the recommended ways to treat cradle cap are listed below:


Baby shampoo: Shampoo might be the absolute best approach to treat cradle caps in babies. Regular shampooing can get rid of a flakey scalp and make it a smooth one. Abstain from getting the shampoo in your child's eyes. In case you are uncertain about using it, ask a doctor or specialist for guidance. Do not utilize shampoos that contain groundnut oil or shelled nut oil on children under five years of age.
Olive oil: Olive or almond oil is regularly used to heal cradle cap. Try rubbing it on the infant s hair and give it a chance to sit for some time, then delicately rub with a soft toothbrush. 
Coconut oil: Every mother uses coconut oil for many reasons. It is the most effective treatment. It smells astounding as well. Put a little on your child's head every evening and wash it over the next morning with an infant brush. 
Vaseline: A considerable number of mothers use Vaseline. Apply it on the hair around evening time and by morning, the cradle cap will be a little improved.
Fine-toothed comb: This is a lice brush and is very useful. However, with a little oil, this is most likely one of the least demanding and quickest approaches to evacuate those flakes. 
Shea butter: Applying Shea butter on the scalp is a great approach. Rub it on the hair, then brush it off gradually. It brings about the ideal result, as indicated by a few mothers. 
Home treatment is normally all that is required for support. Here is how one needs to do it:
An hour prior to shampooing, rub your child's scalp with infant oil petroleum gel to lift the coverings and flakey scales. 
Before applying the shampoo, first get the scalp wet, then tenderly rub the scalp with a delicate swarm brush (a delicate toothbrush would work too) for a couple of minutes to remove the scales. You can attempt to tenderly remove the flakes with extreme attention to detail. 
At that point, wash the scalp with baby shampoo, flush well, and tenderly towel dry. 
In case that your child's cradle cap gets to be swollen or infected, a course of anti-infection agents or an antifungal cream or cleanser such as ketoconazole might be recommended by a specialist. A gentle steroid cream such as  hydrocortisone may likewise be suggested for an irritant rash.

Infant Cradle Cap - How You Can Get Rid of Them?

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