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Polycystic Ovarian Syndrome or Disease (PCOS) is a very common condition, wherein there are multiple cysts in the ovaries. As a result, there are many changes which the body undergoes and it is not limited to the gynecologic system. A woman with PCOS may also find it difficult to conceive, and so, once she is pregnant, precautions are essential to ensure there are no complications.
- Preeclampsia: When the blood pressure readings are high during pregnancy, it is known as preeclampsia. It brings with it a whole lot of complications including the need to cesarean section, premature birth, etc. So, it is best avoided, and diet can help to some extent.
- Diabetes: Gestational diabetes which manifests as higher sugar levels only during the pregnancy is very common in women with PCOS. The increased hormone levels in PCOS increase insulin resistance, thereby increasing sugar levels. This needs to be managed through a combination of diet, exercise, and lifestyle changes.
- Preterm labor: Women with PCOS are at a slightly higher risk of premature labor.
- Weight-related issues: PCOS leads to weight gain, and this could be a problem during pregnancy. It is essential to discuss with the doctor as to what would be a good weight range and stay within that range throughout pregnancy. Weight gain brings with it a host of complications and so best avoided.
With PCOS, during pregnancy, strict cautious diet planning can help in avoiding complications and allow for an easier pregnancy. Though they may not solve every problem associated with PCOS, dietary modifications can have a significant effect on the overall health and well-being. Listed below are some easy-to-make changes:
- Increase consumption of fibres like greens, nuts, pumpkin, berries, whole grains, almonds, etc. are included. This ensures that digestion is a prolonged and gradual spike in blood sugar levels.
- Increase protein-rich foods like soya, tofu, eggs, and chicken, which help in avoiding binging. They are light on the stomach and help in weight management.
- Foods which are generally anti-inflammatory including tomatoes, olive oil, spinach, fresh fruits, and omega-3 fatty acids help in controlling blood pressure and cholesterol levels.
- Supplements to include omega-3 fatty acids, prenatal vitamins, vitamin D, and calcium if required ensure that the baby gets the required nutrients for optimal growth.
What to avoid:
Anything that can spike up calories and is of low nutritional value should be avoided.
- Avoid whites – pasta, rice, and bread
- Baked and processed foods
- Candies, chocolates, snacks
- Salty and spicy fried snacks
- Aerated drinks and soda
PCOS in pregnancy presents a combination risk, and dietary changes and weight management are essential for a safe pregnancy. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Pregnancy is definitely the most wonderful period in a woman’s life. It has its won bliss and hazards as well. To gain something, you need to bear the pain. There are a plenty of conditions that come as side effects of pregnancy. The experiences may vary from woman to woman. Thus, urinary incontinence is a condition that is experienced by some women. It is a medical term to refer to the involuntary loss of urine during pregnancy. This might be sometimes mild in nature. Pregnant women may experience this condition quite frequently. It may even last after pregnancy or disappear soon after childbirth. It may also occur to women in their late 40s, as they develop bladder problem with age.
Causes of Urinary incontinence in women during pregnancy: Researchers believe that the urinary incontinence in pregnancy is caused due to stress on the urinary bladder. This is called stress incontinence. It happens as extra pressure is put on the urinary bladder. The sphincter muscles in the bladder don’t work well to hold the urine during pregnancy. Another reason behind this condition is an overactive bladder. Women usually don’t posses an overactive bladder. They are known to have controlled spasms. Sometimes, the urethra or the tube carrying urine may also be the cause of urinary incontinence in pregnancy. The tube is infected or affected to give birth to this condition.
It has also been seen that the sphincter muscles get stressed in pregnancy. The urinary bladder exerts pressure on the sphincter muscles and in the pelvic region. This may lead to leakage of urine. The condition is such that urine may leak out even at the slightest movement like sneezing or coughing by the pregnant lady.
Incontinence may continue even after childbirth as the entire pregnancy puts enormous pressure on your pelvic region. As a result of which, the muscles in the pelvic region become weak. The condition leads to overactive bladder. The condition may also arise due to the following reasons:
1. The nerve cells that regulate the functioning of the bladder got damaged.
2. The urethra and the urinary bladder may have got shifted from their original position during pregnancy
3. Episiotomy in the pelvic region.
How to avoid pregnancy incontinence?
You should not panic about urinary incontinence. You have ways to deal with this issue. You can schedule your bathroom breaks to avoid stress and embarrassment. Moreover, you can practice kegel exercises to keep your pelvic region healthy and strong. Try to keep a check on your body weight prior to planning a pregnancy.
Pregnancy brings with it a set of challenges, and for a diabetic woman, these only increase further. Earlier, the risks of dealing with pregnancy and diabetes as a combination were too high. However, over the last few decades, things have changed. The age at which women are choosing to have a baby has gone up. On the other hand, the age of onset of diabetes has come down drastically.
These days, there are many diabetic women who go through pregnancy smoothly without major complications. Of course, there is extra care and precaution required, but it is not something that cannot be planned and managed well between the doctor and the mother-to-be.
The following are some rough guidelines for a pregnant diabetic woman.
- It increases the risk of polycystic ovaries, thereby making it difficult to conceive.
- Fluctuating sugar levels can be a reason for not being able to conceive, as the body does not see itself as healthy.
- It increased the chances of miscarriage.
- There are higher chances of birth defects in the developing baby due to very high sugar levels in the first trimester.
If you are planning for a pregnancy, meet with your doctor to review your sugar levels. Chalk out a plan with your doctor, taking into account your diet and nutrition, exercise, lifestyle, and medications.
- Diet: Ensure you cautiously decide what and how to eat ahead of your pregnancy. Moving away from refined carbohydrates and processed foods towards wholesome food items like whole grains, fresh fruits and vegetables will make a difference.
- Exercise: Build an exercise routine to suit your body and keep yourself active. It is very important to stay active so that diabetes is under control.
- Lifestyle: Quit smoking and reduce alcohol use. This helps in managing stress also, which can help keep diabetes under check.
- Medications: Check with your doctor on the medicines you are taking and if dose adjustments are required to get sugar levels under control, plan them out.
During pregnancy, constant monitoring and vigilance is required to ensure diabetes is under control.
- Let your gynecologist know about your condition (stable/fluctuating), and if you are doubtful about them being able to handle your condition, do not hesitate to change.
- Many consider switching to oral medications as the risk of transmission to the baby is less and the control over sugar levels is better.
- Constant monitoring for daily blood sugars is essential.
- A regular, healthy lifestyle in terms of eating and sleeping should help keep the sugars under check.
- Constant monitoring of the baby is essential to ensure its normal growth with no developmental defects. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Many people across the world spend a considerable amount of time contemplating on which type of delivery is the most preferable. In earlier times, normal delivery was the only option but these days, there is an increase in the number of caesarean or C-sections. Today, 30% of children of children around the world have been born through the C-section. Since it is up to the woman to select which type of delivery she would prefer, it is imperative to comprehend the advantages as well as risks of both the options.
Advantages of vaginal delivery to the mother
From a psychological point of view, women who opt for normal delivery are believed to have a relatively positive birthing experience. Women who go through normal delivery often feel that it is empowering to be actively involved in the procedure of giving birth to their babies. Such mothers have a much shorter span of recovery time compared with those opting for C-sections. This procedure also lets the mother as well as the baby to come in contact with each other, which in turn speeds up the process of bonding.
Pros of normal delivery for the baby
It has been found that babies who are born via vaginal delivery are less prone to developing any kind of complications related to health. They can be fed, sooner and develop fewer allergies and respiratory issues. However, very few babies born through vaginal delivery can experience any injury while being born, though this is an extremely rare condition.
Benefits of Caesarean section for the mother
There are numerous women who opt for the C-section so that there is no need to go through extended hours of labour. Today, with the advancement in medical science, mothers are able to plan the birth of their child, and it allows more control over the birthing process along with more predictability. Women who go for a C-section do not suffer from any damage to the pelvic floor, which often leads to incontinence in the course of time.
Advantages of a C-section delivery for the child
In most cases, when there are twin babies, or a single baby is too large, opting for a C- section can prove to be the most viable option. Plus, if the mother is a carrier of certain diseases like HIV, then a C-section reduces the chances of passing it to the baby.
Thus, both the options have their own set of pros and cons, and it is best to speak with a qualified gynaecologist before deciding on anything.