Miscarriage basically refers to the phenomenon, when a developing embryo or the foetus in a pregnant woman dies a natural death, before it can manage to survive on its own. The common signs of miscarriage are vaginal bleeding accompanied with pain. It leads to depression, anger and guilt. The reasons for miscarriage are many. Some of them are tobacco smoking, diabetes, extreme obesity, drug or alcoholic addiction. Here are some important signs that indicate you might be miscarrying:
Recurrence of bleeding, which keeps on starting and stopping indicates the downfall of your hormonal balance. You must get your pregnancy hormone levels checked. Very intense bleeding, which accounts for soaking your pad within an hour is an indication of the beginning of a miscarriage. However, bleeding is a common factor in normal pregnancy as well.
Severe cramps in the vaginal region, accompanied by very heavy breathing and suffocation are other signs that you might be headed for a miscarriage. Sometimes, bleeding occurs along with the cramping.
- Disappearance of Pregnancy Symptoms
If you are pregnant, but the signs and symptoms of pregnancy start disappearing, a miscarriage may be indicated. However, it might not be the first major signal. For normal pregnant women, the signs of pregnancy do not appear for many days. You may not feel nauseated or your breasts do not get sore. For ten to fourteen weeks, this phenomenon is a normal one. However, in case it continues for a more prolonged duration, it might be an early sign of miscarriage.
- Pregnancy test results vary between positive and negative
Results of a pregnancy test done very early may vary between positive and negative. This is completely normal. In case of obtaining the same results when you are already over two weeks pregnant, it may indicate a miscarriage. You might be having an ectopic pregnancy. Spotting is also noticed in the vaginal region. If you had a pregnancy test showing positive results, but the results come negative after re-taking the test a few weeks later, it is high time for you to consult a gynaecologist. You have to deal with ectopic pregnancy before choosing a surgical path. Varying results signify that something is wrong. The urine produced by the body is less concentrated.
A case of miscarriage is very painful for the pregnant woman as well as her family. You should keep healthy, and avoid all bad habits to keep away from miscarriage.
While getting pregnant and conceiving a baby is a perfectly normal physical function that most women go through, there are certain conditions that may lead to untoward complications. In most cases, there are various treatments and precautionary measures once that happens. Yet, there are conditions like multiple gestation pregnancy, that may be difficult to contain and manage. A multiple gestation pregnancy is when a mother is carrying more than one fetus in her womb. This is a very rare condition that affects a few women and not all. Most of the multiple gestation pregnancies usually involve twins. However, others could include triplets or even quadruplets. One can know about the multiple pregnancies through an ultrasound exam.
There are women who are more likely to have more than one baby. These women include the following:
There are certain signs and symptoms to a multiple pregnancy that separates it from a regular one. These include the following:
There are certain risks and complications that come along with a multiple gestation pregnancy. Complications with the babies include the following:
There are many other complications that may lead to this condition. Other complications in the mother include the following:
Women who are undergoing a multiple gestation pregnancy should be taken care of more efficiently. There are certain things that need to be taken care of. These include the following:
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:
Postpartum hemorrhage is a condition where a woman may lose a lot of blood (approximately 500ml to 1000ml) from her vulva shortly after childbirth. This usually occurs within the first 24 hrs of childbirth and can even result in severe blood loss threatening the mother’s life in case the blood loss is over 2000 ml. Secondary postpartum hemorrhage can also occur until 12 weeks after childbirth and this extra care should be taken, if there is any such possibility.
Symptoms of postpartum hemorrhage:
1. Rapid increase in heart rate.
2. Feeling dizzy while standing up.
3. Increase breathing rate.
4. Feeling cold and chilly even if the room temperature is normal.
5. Sudden fall in blood pressure levels.
6. Fainting or becoming unconscious.
Causes of postpartum hemorrhage:
Uterine atony: This is a condition in which the uterus contracts and may lead to excessive bleeding. Infection in the placental tissue can also lead to postpartum hemorrhage.
Trauma: This is a very common cause for postpartum hemorrhage. Sometimes, the uterus (womb), vagina, cervix (passage forming the lower end of the womb) and the perineum (area between the vulva and the anus) can get injured. These areas become vascular during the course of pregnancy and may rupture in the process of childbirth causing excessive bleeding.
Tissue: At times, the whole placenta or fetus tissue does not come out of the body after childbirth. This can lead to profound blood loss resulting in postpartum hemorrhage.
Thrombin: This is a disorder which occurs when there is excessive bleeding when the blood fails to clot inside the body.
How can you prevent postpartum haemorrage?
Oxytocin is a substance which is used after the delivery of the baby. This prevents postpartum hemorrhage. It can be administered in the following ways :
As an injection which is directly injected into the blood stream.
After delivery, breastfeeding your baby can also trigger natural oxytocin. This occurs as encouraging the baby to suckle also stimulates the nipples which release oxytocin, thus preventing postpartum hemorrhage.
In the form of intravenous drips mixed in with important medications. IV drips can administer oxytocin along with other important fluids along with it.
Uterine massage is also recommended to prevent postpartum hemorrhage. After delivery, massaging the uterus makes the muscles relax and contract. This reduces the risks of excessive bleeding.
A lot of women can also die due to excessive bleeding after childbirth, especially in developing countries including India. This is a cause for concern and proper care should be taken if you start experiencing these symptoms. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Being able to conceive and the prospect of bringing a new life into the world is something that is highly satisfying and full of joy. Mothers-to-be generally start to take extra care of their diet and make sure they eat right when they are pregnant so that the fetus does not have to suffer. Though it is important to eat healthy during pregnancy, a lot of women and/or their loved ones tend to get carried away and end up gaining more weight than they should.
The good news is that this is the time when those few extra kilos aren't the cause of concern. In fact, they're a healthy and necessary part of the process. But what exactly is normal weight gain during pregnancy? How much is too much weight or too little?
If you were underweight to start with, you might need to gain a few more kilos than the average mum-to-be. Women who don't put on enough weight during pregnancy are at higher risk of premature birth, having babies with low birth weight and other complications.
But if you were heavier before your pregnancy, you'll probably need to keep your weight gain in check. Being overweight or adding too many kilos during pregnancy can lead to complications such as high blood pressure, gestational diabetes, birth defects or having a big baby.
Today, where our modern lifestyles expose us to minimal physical activity, the risks of becoming overweight during pregnancy are higher, and some may mistake it for a healthy body. Not only does being overweight have adverse effects on the pregnancy, it may also lead to the birth of an unhealthy baby, which may leave long-term negatives in the body and health of the mother for her to struggle with, for a lifetime.
Some disadvantages of abnormal weight gain in pregnant women:
In order to be able to understand the importance of controlling weight gain in pregnancy, it may be essential to know what could go wrong if the weight is not controlled or kept under check. Here’s what could go wrong:
How much weight to gain and when?
Unlike the equation used to calculate your BMI, the process of putting on kilos is not an exact science. Your rate of weight gain will depend on a variety of factors, such as your metabolism, your activity level and your genetics. These vary by trimester:
Gradual weight gain is as important as the number of kilos you gain, since your baby needs a steady supply of nutrients and calories to grow during his or her stay in the womb.
Tackling abnormal weight gain and keeping it at bay:
One of the most important things to do in order to keep abnormal weight gain at bay in the event of a pregnancy is to make sure that you are eating healthy. If you overtly indulge in fatty foods and junk items, you may be putting your body at the risk of gaining quick kilos. However, if you eat a balanced diet and make sure that you consult your gynaecologist for dietary advice, you may be able to keep excessive weight at bay. Light exercises such as swimming, walking or yoga can also help but you must make sure to take expert help and suggestions before performing any physical activity that may put yourself or your baby at risk. With the right help you may be able to go through a healthy pregnancy and achieve health and happiness for your baby.
You don't need to eat for two. Gaining too much weight during pregnancy can make it hard to shift after your baby is born.
Bear in mind that keeping active will help you to control your weight. Exercise is good for you during pregnancy. Staying active will also increase your chance of having a straightforward labour and birth.
Pregnancy should not be considered a nine month journey, but a year long journey. Knowing that the first few weeks of pregnancy are the most vital to the development of the baby, a mother should be healthy and avoid any harmful activities and substances near the time of conception. The future health of a baby is decided even before conception. The baby'shealth depends on your preconception health. Planning a baby is a demanding task, but if you plan it well you will have a healthier and easier pregnancy. Following these simple guidelines can help you prepare for pregnancy.
First lets talk about the healthy habits that should be followed:·
1. Exercise – Start exercising now. You have to decide dependingupon your present weight whether you want to lose weight, gain weight,build muscle, or improve lung capacity. Some good exercise options include walking, swimming, bicycling, and aerobics. Yoga is an excellent choice for exercise because it incorporates posture,breathing, and concentration techniques which will be beneficial for youduring labor.
2. Read – Get yourself educated and prepared by reading books on pregnancy and child birth.
3. Track your menstrual cycle – This is very important. Your doctor will ask you about your menstrual cycle, so you need to be prepared. Keeping track of your cycle will also help you track your ovulation and increase your chance of pregnancy.
4. Practice relaxation techniques – Relaxation can help minimize stress. Try yoga,meditation, or listening to soft relaxing music in a warm bath.
5. Get lots of sleep – Eight hours of sleep is recommended if you are trying to become pregnant. Adequate amounts of sleep can also help relieve stress and tension.
6. Eat healthy – Nutrition is vital to your health. The healthier you are the easier the pregnancy will be for you. Make sure that you are getting lots of vitamins in your diet, and start taking folic acid now. Studies have shown that folic acid (300-400mcg a day) can help reduce the risk of neural tube defects when taken before conception. Just make sure to tell your health care provider about any supplements you are taking.
7. Up-to-DateVaccination - Make sure your vaccination is complete. Vaccination againstrubella and flu are very important. It is also important to maintain a gap ofat least one month between your rubella shot and pregnancy planning.·
8. Optimize your Medical Condition- If you have Hypertension, Diabetes, Asthma, Epilepsy or any other medicalcondition you must take complete advice from the physician. Blood pressure andsugar levels have to be under full control. The type and dose of the drug mayneed modifications.·
9. Check Family History - Ask your parents, grandparents, brothers, sisters, aunts andcousins about any health problems in the family like genetic problems, mentalretardation or malformations in babies. This can help your Gynaecologist todetermine which problems to look for and how to prevent it. ·
10. Visit your Doctor - Carry a record of your medical conditions, family history and achecklist of your queries. Get tested for Blood Group, Thalassemia, HIV,Thyroid Levels, and Blood Sugars.
Now lets see the habits that are harmful and should be completely avoided:
1. Smoking can cause low-birth weight babies, preterm deliveries, and 10% of all infant deaths. So quit smoking.
2. Drinking Alcohol – There is no safe amount of alcohol to consume while you are pregnant. Recreational drug use during periconception period can increase the chance of miscarriage, low birth-weight, premature births, developmental delays, and behavioral and learning problems.
3. Prescription Drugs – There are many prescription drugs that are teratogenic (cause birth defects). Talk with your healthcare provider about any and all prescription drugs you are taking.
4. Avoid Exposure to - Harmful chemicals, metals and toxic substances at workplace and home that could be potentially teratogenic. For example, most studies show that the greatest risk of exposure to pesticides is during the first three to eight weeks of the first trimester when the neural tube( that gives rise to future brain and spinal cord development is occurring.) This is often before a woman knows she is pregnant.
5. Protect yourself from infections. Stay away from cats Stress – Stress has been linked to delayed or missed periods which can cause difficulty tracking ovulation and getting pregnant.
6. Limit your amount of stress as much as possible. You may find it helpful to employ relaxation techniques or yoga to help moderate your stress level. You might need to change your work hours or may be change the job profile. You will also need someone to help you out with the household chores around this time.
7. Herbs – Most herbs and herbal remedies are not mandated by the FDA, and therefore,there is little to no research on the effect they have on pregnancy. Discuss any herbal or natural remedies you may be using with your healthcare provider.
8. Caffeine – Few studies have shown that there may be an increase in miscarriages among women who consume more than 200 mg (one 12oz cup of coffee) a day versus those who do not consume any caffeine.
At the end if you follow the above guidelines you can have relatively trouble free pregnancy and a healthy baby that every pregnant woman aspires for.
There is no better feeling than the movement of life inside you. Bearing a baby is no easy feat. Caring for your health before you become pregnant is very important for you and your bundle of joy. Preconception care and counseling will empower you to gear up for pregnancy. The goal of preconception counseling is to check for potential risks to you and your baby during pregnancy and address them well in advance before you get pregnant.
It is all about becoming your healthiest self both physically and mentally before you take the plunge. Planning for your pregnancy will help you make healthy choices and you can start out the right way by getting a preconception counseling appointment with your health care provider.
What happens at a Preconception Counselling?
It is the perfect time for you to discuss with your doctor about any concerns you have in your mind. Here are the things that are most likely to be discussed:
Tests Performed During Preconception Counselling
In case you have a concern or query you can always consult an expert & get answers to your questions!
If you are experiencing heartburn during pregnancy, it is important for you to know about the ways of dealing with it. Heartburn, which is a fiery, painful sensation, occurs when the lower esophageal sphincter (LES) starts leaking or relaxing. This makes your stomach acids to flow up into the esophagus, resulting in acidity or heartburn. Pregnant women are more susceptible to heartburns because the relaxing hormone slows down the rate of digestion, thereby keeping food in the stomach for longer duration and triggering acidity.
Here are the various measures you should take for dealing with acidity during pregnancy:
In case you have a concern or query you can always consult an expert & get answers to your questions!