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I have eaten mifegest kit at regular time to abort my pregnancy but .i didn't get bleeding. What is the reason of this .nd what should I do now to abort pregnancy?
I am on the microgynon 30 combined pill, my last day to take the pill was Sunday and now I have my week off which is where I get a bleed, today I have started itraconazole which is said to interfere with the combined pill, as I had sex Sunday will I get pregnant or will I be okay?
Keeping healthy during pregnancy depends on both the amount and the type of food you eat while planning pregnancy and during your pregnancy. Some foods are best avoided as they may contain substances that may affect the baby’s development.
- Base your meals on starchy foods such as potatoes, bread, rice and pasta, choosing wholegrain if possible. These foods are satisfying without containing too many calories.
- Eat at least five portions of different fruit and vegetables every day.
- Eat a low-fat diet. Eat as little fried food as possible and avoid drinks that are high in added sugars, and other foods such as sweets, cakes and biscuits that have a high fat or sugar content.
- Eat fibre-rich foods such as oats, beans, lentils, grains and seeds, as well as wholegrain bread, brown rice and wholemeal pasta. Fibre helps to prevent constipation and also helps to reduce blood glucose and cholesterol.
- Eat some protein every day; choose lean meat. Lentils, eggs, nuts, milk cheese, beans and tofu are also good sources of protein.
- Eat dairy foods for calcium but choose low-fat varieties such as skimmed milk or low-fat yogurt.
- Watch the portion size of your meals and snacks. Do not ‘eat for two’.
- Always eat breakfast.
- Limit your caffeine intake to 200 milligrams (mg) per day, for example, two mugs of instant coffee. Be aware that other drinks such as tea and energy drinks also contain caffeine.
Most women do not need any extra calories during the first six months of pregnancy. It is only in the last 12 weeks that they need to eat a little more, and then only an extra 200 calories a day, which is roughly the same as two slices of bread.
You can find out your healthy weight from your BMI (body mass index). This is a measure of your weight in relation to your height. A healthy BMI is above 18.5 but below 25. Being overweight or underweight carries risks for you and your baby. Trying to lose weight by dieting during pregnancy is not recommended as it may harm your baby. For women with a normal BMI, the ideal weight gain in pregnancy should be between 11.5-16 Kgs. Underweight women should gain 12.5-18 Kg and overweight women may need to gain only 7- 11.5 Kg.
Vitamins and minerals:
Vitamins and minerals play an important role in the baby’s development. During pregnancy, there is increased requirement of folic acid, iron and calcium. Taking prenatal supplements can ensure that you are getting adequate amounts.
Is it safe to eat fish in pregnancy?
In general, eating fish is a healthy option during pregnancy, but eat no more than two portions of oily fish, such as mackerel or salmon, a week. This is because too much of a substance found in oily fish (mercury) can be harmful to an unborn baby’s development. Also, pregnant women should not eat more than two fresh tuna steaks or four medium-sized cans of tuna a week, and should avoid eating shark and swordfish.
Decreasing the risk of infection from food:
Contaminated food can cause infection which can harm your unborn baby. The following can help to reduce the risk:
- Drink only pasteurised or UHT milk
- Avoid eating ripened soft cheese but hard cheese is fine
- Avoid eating undercooked food
- Wash all fruit and vegetables, including ready-prepared salads
- Cook raw meats and ready-prepared chilled meats thoroughly
- Wear gloves and wash your hands thoroughly after gardening or handling soil
Pregnancy was once considered a time for rest when women advised to refrain from physical activity/exercise as they were considered to be harmful for the mother and unborn baby. This view is challenged by several studies which found that physical activity in pregnancy is safe and has many benefits for the mother and baby.
How do I stay active during pregnancy?
If you were active for at least six months before your pregnancy, ask your doctor about whether you may continue your sports or workouts safely. As you move further into your pregnancy and your body changes, you may feel mild aches and pains due to looser joints and shifting of your body weight. You may need to revise your exercise program every trimester to reduce the risk of falls and limit high-impact activities.
If you have not been active before your pregnancy, start low and go slow. Try regular brisk walking, swimming, strength training for pregnant women, or other activities that will strengthen your heart and lungs and tone your muscles.
Regular exercise can:
- Maintain cardiovascular fitness and improve circulation
- Help maintain a healthy weight
- Improve energy levels and sleep
- Reduce stress, anxiety and depression
- Lower the risk of varicose veins and swelling of extremities
- Maintain strength and flexibility
- Improve your balance, co-ordination posture
- Reduce physical complaints e.g. low back pain and constipation
- Prevent and treat pelvic floor dysfunction
- Prevent and control gestational diabetes mellitus (a type of diabetes that affects women during pregnancy) and high blood pressure
- Reduce the length of labour and delivery complications
- Help in postnatal recovery
What type of exercise is best?
It should be something that you enjoy, feel comfortable doing and can work into your daily routine. Over-exertion may result in overheating which can affect the development of the baby, so exercise safely at a low to moderate intensity.
Low impact exercise is recommended to reduce strain on your joints. Examples include:
- Using an exercise bike
- Using a cross-trainer
- Aqua-aerobic classes
- Low-impact aerobic classes
- Endurance light weight training
- Pelvic floor muscle training
- Deep abdominal (transversus abdominus) muscle training
- Antenatal Pilates
- Antenatal yoga
What type of exercise should I avoid?
You should avoid high impact exercise, contact sports and other activities that may result in a heavy fall. Examples of exercise to avoid include:
- step aerobics
- ball sports
- racquet sports
- scuba diving
- walking at high altitude
- heavy weights
You should stop exercise and seek medical advice if you experience any unusual symptoms such as excessive shortness of breath, chest pain or palpitations, dizziness, painful uterine contractions, abdominal or pelvic pain and excessive fatigue.
Advice for exercising:
- Stop and rest if you feel too hot
- Avoid spas, saunas, solariums, and exercising in hot conditions
- Drink water while you exercise
- Don’t exercise for more than 45 minutes at a time
- Keep your heart rate below 150 beats per minute
- Wear a supportive wireless bra, ideally with wide straps
- Wear supportive shoes (trainers)
- Wear loose, breathable clothing
- Avoid extended periods on your back
- Eat carbohydrates at least 30 minutes before exercising
Which pregnant women should avoid aerobic exercises?
- Women with heart or lung disease
- Women with a weak (incompetent) cervix and those who have undergone cervical stitching (cerclage)
- Multiple pregnancy (twins/triplets) at risk of preterm labour
- Persistent bleeding in second or third trimester
- Placenta praevia (low lying placenta) after 26 weeks of pregnancy
- Women with raised blood pressure in pregnancy
- Severe anemia
- Poorly controlled diabetes or seizure disorder
- Poor growth of baby in current pregnancy (Intrauterine growth restriction)
- Women with premature uterine contractions in current pregnancy