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

4 Exercises That'll Help You During Labour

There are technical ways in which you can get your body all set for labour. Although you may not know how your labour will progress, you can ease the pain that you experience during childbirth to a significant extent by doing these four exercises:

1. Kegel exercises: These exercises target the muscles that provide support to your bladder, uterus, urethra and rectum. By strengthening the muscles of the pelvic floor, these exercises help in improving the flow of blood to your vaginal and rectal area. Kegel exercises involve contracting of the muscles of your pelvic floor as you would do if you had to prevent passing urine or stool. It is also known to reduce the duration of the pushing stage of childbirth, which is the second stage. You can do the exercises sitting or standing and in either of the two ways-

Slow Kegels: For this, contract the muscles of your pelvic floor and hold them for 3-10 seconds. Release and repeat the exercise for ten times.

Fast Kegels: To be able to do this, you need to contract and loosen up your pelvic muscles 25-50 times. Do the set for about 4 times with 5 seconds interval between each set.


2. Squatting: Practising squatting during your pregnancy can help in preparing your pelvic muscles for labour. While strengthening your thighs, it opens up your pelvis for an easy descent of the baby. So, here's what you should do:

1. Begin by standing behind a chair for support with your feet wide apart

2. While contracting your abdominal muscles, relax your shoulders and chest before lowering your tailbone towards the floor

3. While inhaling and exhaling deeply, push into your legs and go back into a standing position


3. Pelvic Tilt: This exercise helps in strengthening the muscles of your back, pelvis and thigh regions while improving posture. Ensuring your pelvic joints remain flexible, it eases the pain experienced during delivery. 

Here's how it's done:

1. Get down on both your hands and knees while keeping your head in a parallel position with your back

2. While arching your back, pull in your stomach

3. Hold this position for a few seconds before releasing

The exercise needs to be repeated 3-5 times - all the while maintaining a strong hold on your back and stomach.


4. Tailor pose: The tailor pose is designed to help relax your hip joints as well as open up the pelvis. It also helps in improving your body posture while easing the aches that occur in the lower part of your back. For this, you need to perform the following steps:

1. While keeping your back straight, sit comfortably on the floor

2. Placing the soles of both the feet together, press your knees gently towards the floor

3. Keep the position for 10-15 seconds
You can repeat the exercise for 5-10 times.





4 Exercises That'll Help You During Labour

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?

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

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

Menstrual cycle is an integral part of a woman's life. Isse mahilao ki reproductive shakti ka pata lagta hai. A typical menstrual cycle has a timeframe of about 28 days. Lekin kuch ladies mein yeh timeframe 35 days tak bhi ho sakta hai. Every female has different cycle. Usually, it is 11th to 14th day, counting from 1st day of the period, are the most fertile days.

Periods are important because it signifies the childbearing age of a woman. In a normal menstrual cycle, the innermost lining of the uterus starts to thicken to prepare itself for embedding of a growing foetus. In the absence of a foetus, the lining breaks down and results in periods.

Aap periods ke baad kitne din mein pregnant hote hain ye aapke menstrual cycle ki length pe depend karta hai. Typically, in a woman with a normal menstrual cycle length of 28 days, ovulation happens around the 14th day.

Ovulation ke waqt aapki ovary ek mature egg release karti hai. The released egg sits in the Fallopian tube to meet a sperm for fertilization, jiske turant baad aapki pregnancy start ho jaati hai. While a sperm can survive in the uterus of a woman for up to three to five days, female egg sirf 12 to 24 hours ke liye available rehta hai.

Yadi is timeframe ke beech sperm, egg se mil jaata hai toh aapke pregnant hone ke chances zyada hote hain. While it may not be a great idea to try getting pregnant after ovulation, egg release hone se pehle agar aap koshish karein toh pregnancy possible hai.

Therefore, periods hone ke baad se 12th to 16th day pregnancy ke liye kaafi crucial hote hain. In case you have unprotected sex during these days, then there are bright chances that you may get pregnant in this window.

There are certain signs of ovulation that indicates that your body is the most fertile in those particular days. For example, ovulation ki date ke aaspaas aap abdominal bloating, pet ke ek side mein dard aur increases sense of smell mehsus kar sakte hain.

In addition, there is an excessive production of clear cervical mucous, which closely resembles egg white. Agar aap ye symptoms experience karein to iska matlab hai ki your ovulation date is near and you can try and get pregnant around this time.

One way to determine your individual fertile period is to keep a record of your menstrual cycle (for eight or more months, if possible). Select your shortest cycle (say 27 days) and subtract 18 from it. The resulting number nine is your first potentially fertile day. Subtract 11 from your longest cycle (say 30 days) and you get 19. This marks your last potentially fertile day. So if the cycles you measured over several months were between 27 and 30 days long, you would be most fertile somewhere between days 9 and 19. 

This is still a very wide window of opportunity. You can narrow it further by charting your basal body temperature (your morning temperature before getting out of bed). For most women, it ranges from 96 to 98 degrees Fahrenheit. When your temperature rises slightly (four- to eight-tenths of a degree), it usually means you have ovulated within the past 12 to 24 hours. 


Periods Ke Kitne Din Baad Pregnant Hote Hai

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