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Diabetes - How To Tackle It In Pregnancy?

Diabetes - How To Tackle It In Pregnancy?
'Congratulations! You're pregnant!' Almost all women long to hear these words and nothing should come in the way, even diabetes. So, if you are a Type 1 or Type 2 diabetic, here are a few things you should keep in mind to have a healthy baby.

1. Your blood sugar must be monitored regularly

The most important thing you can do to have a healthy baby is to keep your blood sugar as close to normal before and during your pregnancy. Testing is recommended a minimum of four times a day. Glucose passes through the mother's blood to the fetus and hence if your blood sugar fluctuates, so will your baby's. High blood sugar levels are especially harmful during the first 8 weeks of pregnancy when the baby's brain, heart, kidneys and lungs are formed.

2. Your pregnancy is considered high risk

High blood sugar levels can increase the risk of a miscarriage as well as the risks of your baby being born with birth defects. Diabetes can also increase the risk of developing preeclampsia during the second half of your pregnancy. This could result in a C section or premature birth. Thus, maintain regular checkups and keep your doctor in the loop of all your activities.

3. You should watch out for signs of ketosis

When you have low blood sugar, the body produces ketones that can be passed on from you to your baby. This production of ketones is a result of the body's burning of fat instead of glucose to provide energy and can develop a condition called ketosis. Symptoms you should watch out for are stomach aches, nausea, fatigue, muscle stiffness, frequent urination and fruity breath.

4. You need Vitamins and Supplements

Most women require vitamin and mineral supplements at the time of pregnancy. Of these, folic acid, iron, calcium and vitamin D are the most important. These supplements help in the healthy growth of the baby.

5. You should exercise regularly

Maintaining a regular physical activity routine is very important for diabetics who are expecting a baby. This will help you regularize your blood sugar, relieve stress and strengthen your heart. Avoid activities that increase your risk of falling and aim for at least thirty minutes of daily exercise such as walking, swimming or yoga.

6. Check your medication

Some medication can be detrimental during pregnancy such as cholesterol and blood pressure medication. Consult your doctor to find a suitable alternative, if needed. You may also need to change the kind of insulin you take and its frequency and amount. As you get closer to the delivery date, your insulin requirement may even double or triple.

The key to preventing complications during pregnancy is controlling your diabetes. So take your insulin regularly, maintain regular checkups and eat healthily. You need to be seen by your obstetrician more frequently. Your pregnancy will be monitored closely by more frequent ultrasounds and NST. If your sugar level remains under control and pregnancy is advancing well, a natural onset of pains is aimed for and normal delivery is expected.

Antenatal Care Tips!

Antenatal Care Tips!
Your feet might swell in the latter stages of your pregnancy. Try to elevate them and rest them on the footstool to avoid any ankle swelling. Wear comfortable shoes with flat heels.

Cautious Signs During Pregnancy!

Cautious Signs During Pregnancy!
If you want to have a safe pregnancy by curtailing all sorts of complications, then you have to promptly respond to warning bells. There are certain warning symptoms that should not be neglected at all as that might put your pregnancy in danger.

Bleeding-

This kind of situation cannot be ignored as that often leads to serious issues like placental abruption or miscarriage. In this case, you are definitely in need of the assistance of an expert midwife.

Swollen face or hands-

Slightly swollen face or hands in pregnancy are normal, but if you observe excessive puffiness, especially on your feet and ankles, then it is a warning sign as it might lead to toxemia or PIH. Therefore, consulting a doctor is very much needed in this regard.

Abdominal pain-

Round-ligament pain is quite normal, and you do not have to worry about the same. But if the pain is accompanied by bleeding, then the danger of miscarriage might come into being, and thus you should be very much alert about the same.

Blurry vision-

Both blurry vision and dizziness are the commonest pregnancy symptoms. But if they get increased suddenly, visit your doctor.

Itching-

Itching is common during pregnancy mostly due to stretching of the skin. Your skin also becomes dry. But if it continues for long, then you should check the same with your doctor for avoiding liver disorder.

Fever-

Exposure to flu and cold viruses increases during pregnancy, as a result of which fever occurs. But if the fever lasts for more than 48 hours, then viral conditions can be expected, which are pretty dangerous.

Unwanted back-pain-

Normal pain in pregnancy is alright, but excessive pain might indicate bladder or kidney infections, preterm labor, miscarriage or cyst. All these conditions should be essentially avoided to ensure a healthy pregnancy.

Gushing of fluid-

If you are not in labor but are feeling wet constantly, then it is better to see a doctor. There might be a great possibility of breaking water, and this is quite dangerous in the advanced stage of pregnancy.

Less movement of the baby-

Experiencing baby kicking is quite natural during pregnancy, and if stops suddenly, then there is something wrong. Kicking patterns should be followed and then only you will be able to realize whether the baby is normal or not.

If you are facing any of the above symptoms, then immediately visit your doctor.
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I am writing for my wife. We had the pregnancy strip test positive two days back. When we consulted a gynecologist she prescribed tablet susten sr 300 mg for one week. Is it used during the beginning of pregnancy period. I have found it is tablet of progesterone. Can you explain why it is used when the we have found the pregnancy test is positive.

I am writing for my wife. We had the pregnancy strip test positive two days back. When we consulted a gynecologist sh...
The tablet is helpful in early pregnancy especially up to 12 weeks to maintain your pregnancy without a miscarriage. In case of luteal phase defect or previous miscarriage or if something abnormal we find in USG it's given. it's safe u can use them
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Am almost done with 8th month n my stomach became tight n am unable to feel the movements of baby.

Am almost done with 8th month n my stomach became tight n am unable to feel the movements of baby.
It may be as the baby size increases there less room to move. Still take sonography abdomen to check.
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Working During Pregnancy - Know Its Do's And Don'ts!

Working During Pregnancy - Know Its Do's And Don'ts!
Pregnancy is one of the most wonderful, but exhausting times of a woman's life. There are quite a few precautions you need to take and quite a few factors you need to consider before doing anything. Take for example working during pregnancy. Working while you're pregnant can be challenging, but if you keep these do's and don'ts in mind, it can become an easy task.

Do: Get Adequate Rest

The first few weeks of pregnancy can take a toll on your body. If your sleep schedule is off, you need to fix it and sleep for the usual 8-9 hours a day. If you undertake a lot of physically strenuous work or even if have a desk job, you need to take a break as it can get very taxing for you. To avoid work-related exhaustion and stress, take frequent breaks to give your body the rest it requires. Speak to a doctor or trainer for simple stretches that will help you alleviate stress on your joints and keep your muscles relaxed.

Do: Be Smart About Your Work

Jobs that require heavy lifting must be avoided at all costs as they can give rise to severe complications during pregnancy. When you're pregnant you should also avoid work that regularly exposes you to radiation, harmful chemicals, lead and X-rays. Ask your supervisor to shift the sort of work you are doing as often it's illegal to continue working in conditions that actively harm your pregnancy.

Do: Take Multivitamins and Necessary Supplements

Work often doesn't leave you with enough time to take good care of yourself. You may end up skipping meals due to a hectic work schedule, which can lead to vitamin and mineral deficiencies. To keep the worst effects of this kind of a lifestyle at bay, make sure to take your multivitamins and supplements religiously and regularly.

Do: Be Super Hygienic

It is extremely important to maintain high standards of personal hygiene and sanitation during your pregnancy. This becomes even more important if you work in an environment that exposes you to infectious diseases, raw meats and children. Keep a hand sanitizer with you at all times, and make sure you don't ingest anything that has come into contact with contagions.

Don't: Go For Long Stretches Without Eating

Keeping your stomach empty during pregnancy can have a lot of unwanted effects ranging from bloating, acidity and gas to nausea and vomiting. Have a light breakfast and keep snacking on small portions of nutritious food throughout the day. Also, ensure that you maintain optimum fluid intake. The regular 8-10 glasses of water a day is an absolute must.

Don't: Be stressed

Stress during pregnancy can have damaging effects on your and your baby's health, severely affecting the physical and mental development of your unborn child. Avoid taking on extra work for the duration of your pregnancy. Lighten your workload as much as you can and make sure to take meditation and baby-safe yoga classes to keep your stress in check.

As long as you take these simple precautions, you can continue to work throughout your pregnancy. So, remember to follow these guidelines to ensure a safe and healthy experience for both you and your growing baby.

Multiple Pregnancy - What Should You Know?

Multiple Pregnancy - What Should You Know?
A multiple pregnancy means being pregnant with triplets, twins, or more. Three foetuses or more is referred to as a higher-order pregnancy it occurs rarely, in just one out of 50 multiple pregnancies.

How do multiple pregnancies occur?

Multiple pregnancies result from having multiple embryos implanted in the womb or uterus. This may happen when more than one egg is released during the menstrual cycle, each being fertilized by a sperm. Sometimes, a fertilized egg breaks into two identical embryos.

Who is at risk of multiple pregnancies?

Multiple pregnancies have become very common these days, primarily because of the use of IVF. Middle-aged women, particularly aged 35 or older, have greater chances of releasing multiple eggs during ovulation. This naturally makes them prone to multiple pregnancies. Moreover, those with a family history of twins are also more likely to have multiple pregnancies.

How do you know you are having multiple pregnancies?

Your gynaecologist will be able to tell if you are expecting multiple babies after checking for certain symptoms and conducting a thorough diagnosis. These include

Rapid weight gain in the initial stage of pregnancy
Severe morning sickness
More than one heartbeat picked during a prenatal examination
Larger than the usual uterus

Are multiple pregnancies a case of high-risk pregnancy?

A pregnancy is considered high-risk when there are chances of complications concerning the health of the baby, the mother, or both. One such case is that of multiple pregnancies.
This is mainly because when you are carrying more than one baby twins, triplets, or more you are at a greater risk of premature labour and certain conditions like gestational diabetes, and pregnancy-induced hypertension.

Moreover, since multiple pregnancies are most common in women who are 35 or older, the baby is due at a high risk of complications during or after birth. This is because unlike in the case of women who achieve pregnancy between teen years and early 30s, the chances of contracting a genetic defect or miscarriage further increases once you turn 40 years of age.

Apart from these, any pre-existing condition, such as autoimmune disease, elevated blood pressure, and diabetes may present complications for the unborn child and the mother. This is even truer in the case of multiple pregnancies. The most common complication for the foetuses is preterm birth. Studies claim that more than half of all twins are born prematurely.

If you are diagnosed with multiple pregnancies, or if the doctor suspects your pregnancy to be high-risk , then you will have to be more attentive towards your health eat healthy, exercise regularly, and make the necessary lifestyle changes as prescribed by the gynaecologist. Most importantly, make an appointment with your doctor and follow up regularly to monitor the health of the foetuses.
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Hypertension - How To Handle It In Pregnancy?

Hypertension - How To Handle It In Pregnancy?
Hypertension during pregnancy can be a problem for both the baby and the mother. Thus it is of utmost importance that during pregnancy good health should be maintained along with controlled blood pressure and cholesterol levels. With an increase in multiple births and women of older age, the risk of hypertension during pregnancy has increased. But if proper care is taken it can be avoided.

Types of Pregnancy Hypertension:

There are three prominent forms of hypertension that can be seen during pregnancy. Pregnant ladies should be aware of the same. These are:

- Preeclampsia - This is the most common and serious hypertension during pregnancy. This hypertension can only be controlled by delivering the fetus which usually involves complications like the death of the mother or child. This occurs 20 weeks after pregnancy.

- Gestational Hypertension - This form is only prevalent during pregnancy and is not a problem for the mother or baby after delivery. This usually occurs in the last leg of the pregnancy

- Chronic Hypertension - This form forms either prior to the pregnancy or before 20 weeks of the pregnancy.

Management of Pregnancy Hypertension:

Hypertension during pregnancy can be handled by the following:

- In case of severe hypertension, blood pressure medication should be continued during pregnancy

- If you are on ACE inhibitor-type medication, then the medication is changed to one that is even safe for the baby

- Your doctor might like to monitor you daily and can advise hospitalization for a few days

- If medication is missed, it might lead to uncontrolled life-threatening hypertension. Thus the medication should not be missed at any time

- In the case of mild hypertension and absence of other diseases like diabetes and kidney disorders, the doctor might stop the medication or reduce the dose. Also, being off medicine does not cause any problem in mild hypertension.

- Irrespective of the hypertension is mild or severe, the prenatal appointments should not be missed so that the doctor can monitor you and the baby. If any problems, like rising blood pressure, poor fetal growth, and signs of preeclampsia can be spotted and steps can be taken for the same.

- In case there is some form of hypertension present the prenatal visits and lab tests will be more

- Apart from the usual second-trimester ultrasound, there will be periodic ultrasounds in the third trimester to monitor the baby's growth and the amniotic fluid.

- Also, regular fetal tests and Doppler ultrasounds will be done to track the baby's growth.

- Lifestyle changes should be made. Salt intake should be limited, fresh food instead of processed food should be consumed.

- If blood pressure is high then the doctor might ask you to avoid exercise especially if you never did before pregnancy.

Healthy Pregnancy - Know The Oral Hygiene Tips!

Healthy Pregnancy - Know The Oral Hygiene Tips!
Pregnancy is a transformation phase in itself -it brings with it changes to almost all body systems. The oral tissues and teeth are also affected significantly. Extra precaution is required to maintain regular oral health and avoid severe decay and/or gum disease. If not avoided, the dental infections can cause severe systemic infections and require strong antibiotics, x-rays, minor surgeries, and root canal therapy which may not be safe during pregnancy.

Higher levels of estrogen during pregnancy in the blood lead to a lot of visible changes in the oral cavity -higher incidence of tooth decay, gingival and periodontal inflammation, and even minor benign tumors in some cases. The notorious morning sickness plays havoc with the person's oral hygiene habits, thereby further complicating the situation.

Prior to pregnancy: A pre-pregnancy dental check-up to look for gum health and decay would go a long way in a healthy pregnancy, from the dental point of view at least. A thorough scaling and screening for cavities done before pregnancy can help avoid dental visits during the term, other than for routine checkup.

Pregnancy: If that pre-pregnancy visit could not happen, then visiting your dentist should be one of the first things to do as soon as you have confirmed your pregnancy. At this stage, no dental treatment can be done. Any elective procedures (cosmetic, etc.) will have to be done only after delivery. If the dentist identifies no cause for worry, that is great news. However, if there are any causes for concern, like a decay, the non-invasive treatment should be done at the earliest. When you are pregnant, note the following from a dental point of view:

1. Noninvasive treatments like minor fillings can be done
2. Regular scaling and polishing is not a problem
3. Let the dentist know about all the medications you are taking
4. Visit the dentist every 3 to 4 months for a regular check-up
5. Follow good oral hygiene practices including, brushing, rinsing, and flossing
6. Switch to a bland toothpaste in case of severe morning sickness
7. Watch your diet - the teeth forming in the fetus require nutrition through you, so ensure adequate intake of minerals like calcium and potassium
8. Avoid sweets and sticky/chewy foods that can lead to plaque formation

Though dental procedures can be done during the 4th to 6th month, they are best avoided, which can be done with better planning and some minimal care.

After delivery: After the delivery of the baby, please visit your dentist to ensure you have again ensured there is no emergent dental condition requiring attention. Resume your regular dental care after delivery.
With a little planning and extra care, dental health can be managed nicely during pregnancy with minimal to no pain.