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Pregnant Tips

High Diabetes - How Does It Affect Your Pregnancy?

Masters in Endocrinology, MBBS, C.Diab, CCEBDM(DIABETOLOGY), CCMTD, DOMS
Endocrinologist, Mumbai
High Diabetes - How Does It Affect Your Pregnancy?

Pregnancy brings with it the need to be extra careful about the overall well-being of the mother-to-be. Extreme caution has to be taken in managing health, as antibiotics and a lot of other treatment modalities are best avoided during pregnancy. With diabetes becoming common in the younger ages and women choosing to delay pregnancy, there are multiple women who are diabetic and choose to get pregnant later in life.

With diabetes being a chronic and a lifestyle condition, it definitely has its effects on pregnancy. However, the key is to manage diabetes cautiously in such a way that its effects on pregnancy, both the mother and the developing baby, are minimal. The increased blood sugar levels from the mother pass on to the baby, so keeping a close watch on the blood sugar levels is very important.

  1. The maximum effect of diabetes on the baby is during the first few weeks of pregnancy. It is when the vital organs (brain, heart, lungs and kidneys) are forming, and high blood sugar levels can be harmful. This is slightly tricky as most women realise they could be pregnant only after about 6 weeks. If pregnancy is planned, it is best advisable to keep a check on sugar levels much ahead of the pregnancy.
  2. The baby could be used to high levels of sugar while in the womb, and once delivered, it could have too low sugar levels. This needs to be monitored.
  3. Preeclampsia, which is increased protein in the urine and high blood pressure, can happen during the second trimester. This may require the baby to be delivered prematurely.
  4. Babies born to diabetic mothers are often bigger. The baby’s pancreas is used to higher sugar levels and so the extra sugar gets converted to fat, which is the reason for the bigger babies. This may also necessitate C-sections.
  5. Pregnancy can induce the development of diabetic retinopathy, which may prevent vaginal delivery, as the woman may not be able to exert the required pressure.
  6. Abnormal calcium and magnesium levels, which need to be monitored for a while after birth
  7. Most diabetic women reach full term if the sugar levels have been under good control.

Diabetic pregnant women are high at risk. However, with advanced medical care, these risks and complications are managed very well producing healthy babies from normal deliveries with effectively no harm to the mother’s health.

Once a diabetic woman tests positive, it is advisable to seek medical help to plan diet/meal plan, physical activities, exercise regimen, lifestyle changes, and medication dose adjustments. This is not a one-time activity, but needs to be closely monitored with daily blood sugar levels throughout the pregnancy.

1 person found this helpful

Diabetes In Pregnancy - Everything You Should Know About It!

MS - Obstetrics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Diabetes In Pregnancy - Everything You Should Know About It!

Diabetes is a health condition that occurs due to the lack of insulin and when the body fails to regulate the blood sugar levels. It has been observed that it is a medical complication for many women during their pregnancy. It is best to follow some course of action in order to have a healthy pregnancy and avoid any complications. Diabetes is an autoimmune disease and it can be classed in to 2 categories or types. The type 1 diabetes requires use of insulin on daily basis and its symptoms include weight loss, blurred vision and increased urination. The symptoms of type 2 diabetes include kidney or bladder infection and it is the most common form of diabetes.

Do the babies also develop diabetes?
It is not necessary that babies who are born to diabetic mothers are also diabetic, but if diabetes is not controlled during pregnancy, there are chances that the baby will produce a large quantity of insulin while they are still in the womb. It is quite possible that the sugar levels would be low immediately after birth and a close watch of the newborn is a must till the body adjusts to the amount of insulin it makes.
It has been observed that large babies develop diabetes later in life, mostly type 2 diabetes, and are likely to become obese. It is very important that children are encouraged to develop regular exercise habits and healthy eating habits to reduce the chances of obesity.

Effect of Diabetes on Pregnant Women
There are chances that if a pregnant woman has diabetes, there are fluctuations in her blood sugar levels, this is because of the hormones that are associated with the pregnancy. It is very important that sugar levels are controlled at the time of conception as there is a greater risk of miscarriage or certain birth defectsoccuring. The pregnant woman is also at a higher risk of blood pressure which can result in premature birth and complications to the mother. The cause for concern for expectant mothers with diabetes is that the baby grows too large, especially if the diabetes is uncontrolled.

Normal Blood Sugar For Pregnant Women
The healthy blood sugar levels in a pregnant woman for fasting sugar should be less than 95mg/dL and the blood sugar level after one hour of eating should be 140mg/dL. The blood sugar level after 2 hours of eating should be 120mg/dL.

Gestational diabetes that begins during pregnancy has become very common and can lead to defects in the infant. If the blood sugar level is high, then it can lead to complications during labor due to excessive growth of the fetus. It is therefore best to maintain blood sugar levels to avoid risks for the child such as respiratory distress, low glucose levels and jaundice

Artificial Sweeteners During Pregnancy - Are They Safe?

Dr. Upasna Setia 90% (1972 ratings)
MBBS, DGO - Preventive & Social Medicine
Gynaecologist, Sri Ganganagar
Artificial Sweeteners During Pregnancy - Are They Safe?

How safe is it to have artificial sweeteners during pregnancy?

Ingredients that you generally come across in candies, soft drinks, desserts and so on are known as artificial sweeteners. Many women during their pregnancy include these ingredients (in the form of foods and drinks that have been artificially sweetened) in their diet so as to cut down the amount of sugar in their diet.

But before you go about including them in your diet during pregnancy, there are certain things that you need to be aware of. Artificial sweeteners are generally of two types - nutritive sweeteners and nonnutritive sweeteners, the former contains calories while the latter doesn't.

Which sweeteners are safe to have?

Nutritive sweeteners, when consumed in moderation, can be looked upon as safe to have when you're pregnant, as long as they don't add to your body weight. But if you suffer from carbohydrate intolerance like diabetes, insulin resistance or even gestational diabetes, you need to limit the consumption of nutritive sweeteners. This type of sweeteners includes the different forms of sugar sucrose, honey, corn sugar, maltose, fructose and dextrose.


On the other hand, non-nutritive sweeteners are found in small quantities in foods since their role there is to only add a certain sweetening effect to the food product. Experts are still carrying out research on the effects of this type of sweeteners on pregnant women and their babies during pregnancy. The category includes options like sucralose, aspartame, rebaudioside a or stevia and acesulfame potassium.

Which sweeteners are not safe to have during pregnancy?

Apart from certain sweeteners that you can have during this period, there are some that are a total no-go - these are saccharin and cyclamate. While insufficient data is available for the effect of cyclamate on pregnant women, several studies conducted in the past show the adverse effect of saccharin. Certain studies have revealed its effect on the bladder (it can lead to bladder cancer) as well as on fetal tissue and placenta. Contact with this form of sweeteners can cause the unborn or infants to develop muscle dysfunction and irritability.

Respiratory Complications During Pregnancy - Tips To Avoid Them!

Gynaecologist, Faridabad
Respiratory Complications During Pregnancy - Tips To Avoid Them!

Pregnancy brings with it a slew of changes in the physiological parameters of women. Women are susceptible to a number of complications, including respiratory complications during this stage. An abnormal chest X-ray or a complaint regarding some kind of respiratory trouble guides doctors to explore the possibility of pregnancy leading to respiratory complications.

Respiratory Complications During Pregnancy

Let us explore the likely respiratory complications during pregnancy. 

Though studies do not indicate any increase in risk of pneumococcal infection during pregnancy, it has been observed that complications arising out of pneumonia are increased during this time. Anemic or asthmatic women are more susceptible to this infection, and the risk of complications is also more common in such women. It entails risk for both the mother and the child. While the child can be born preterm or low in weight, the mother can even suffer respiratory failure.

It is a kind of fungal infection that affects the respiratory system, especially in the last trimester of pregnancy. It is a respiratory tract infection that is self- limiting in nature. However, owing to reduced immunity during pregnancy, this fungal infection may turn out to be severe. It may cause a variety of complications, including pneumonia, fever, chest pain, difficulty in breathing, etc.

However, timely diagnosis and administration of antifungal therapy has reduced maternal mortality to a large extent.

There is a risk of formation of blood clots during pregnancy due to hypercoagulability of blood during this stage. This leads to an enhanced risk of embolic pneumonia, where blood clots may block an artery in the lungs. It is an emergency condition where patients usually have difficulty breathing, chest pain, cough, etc.

Pregnancy is not a risk factor for asthma, but asthma during pregnancy may exacerbate the risk of complications such as premature birth, restricted growth, preeclampsia, etc.

Tips to Avoid

These and other respiratory complications during pregnancy, if any, increase the risk of complications for the mother as well as the fetus. However, there are ways that pregnant women can adopt to get over these problems and give birth to a healthy baby.

  1. Avoid Crowded Place in Pregnancy: Pregnancy enhances the risk of Pneumonia, and Pneumonia is mostly a community acquired. Pregnant women can try to avoid Pneumonia by avoiding going to crowded places.
  2. Eat Immune Boosting Food: Coccidioidomycosis is a fungal infection that is mostly diagnosed during the third trimester. However, it is usually a self-limiting infection. Along with avoiding going to crowded places, she also needs to take immune-boosting food such as citrus fruits, green vegetables, etc.
  3. Walk Regularly: Pulmonary Embolism is the result of being immobile for a long time. This happens during pregnancy and this is what makes pregnant women susceptible to the problem. One can tide over the problem by taking regular strolls at home or outside and doing regular chores.
  4. Consult with Gynecologist in Case of Asthma: If she is suffering from asthma, she must discuss it with the gynecologist. Most asthma medications are safe to be taken during pregnancy.
  5. Take Care of Infant Breath: Pregnant women should regularly visit gynecologists for checkups. They should also take a balanced diet and stay happy for the healthy life of the child.
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Freezing & Storing Eggs - All You Should Be Aware Of!

Gnh Excel Medical Centre 88% (246 ratings)
Dermatologist, Delhi
Freezing & Storing Eggs - All You Should Be Aware Of!

Childbirth comes within an age bracket. Women feel this more so than men. Career demands or other personal choices can delay the time to get pregnant. Thus, freezing your eggs can prove to be beneficial, if you delay childbirth to focus on your career or education, or if you have certain medical conditions such as cancer.

  1. Egg Retrieval: Before the eggs are harvested, there is a lot you have to do. The first month is spent taking blood tests and ultrasounds. In the second month, you will have to take medicines before your procedure for egg retrieval. Ultrasounds and blood tests are also conducted at this stage to monitor the growth of the eggs. Around the time of your ovulation, the eggs will be harvested. You will be lightly sedated during the procedure. After the procedure, you might feel bloated and experience cramping. At least 15 eggs are retrieved for optimum chances. The medicines prescribed are all hormone injections which you can self-administer.
  2. Freezing and Storage: The largest human cell is the egg. It is comprised mainly of water. When the eggs are frozen, crystals can form which can destroy it. So an anti-freeze replaces the water after the eggs are dehydrated. This prevents crystal formation. Eggs are frozen using vitrification. In this process, the eggs are either slowly or flash frozen. Eggs can be frozen for as long as 10 years. This does not hamper the quality.
  3. Risks: There is no guarantee that freezing eggs will lead to having a baby. Sometimes, eggs do not survive the freezing or the thaw.
  4. Advantages: For women who are suffering from cancer, freezing their eggs might be the best option. They might want to preserve their fertility before their cancer treatment starts. This is useful since radiation and chemotherapycan harm your chances of getting pregnant.

The obvious advantage of freezing your eggs would be the fact that it gives you time. It lets you decide and keeps you one step ahead of your biological clock.

1 person found this helpful

Do's And Don'ts Of Working During Pregnancy

MBBS, MD - Obstetrics & Gynaecology, DGO
Gynaecologist, Chandigarh
Do's And Don'ts Of Working During Pregnancy

Pregnancy is one of the most wonderful, but exhausting times of a woman's life. There are a 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 you 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.
 

How Dietary Changes Can Increase Your Chances Of Getting Pregnant?

Aarush Ivf & Endoscopy Centre 89% (135 ratings)
IVF Specialist, Mumbai
How Dietary Changes Can Increase Your Chances Of Getting Pregnant?

4 Dietary Changes that can Increase Your Chances of Getting Pregnant

At times being able to conceive becomes a challenge due to certain biological reasons. Feeling positive and eating healthy naturally takes you a step nearer to getting pregnant. In case of no medical condition acting as an obstruction, consuming the right food can increase your chances of getting pregnant.

Here’s a list of supplements you can include in your diet to maximise your chances of getting pregnant.

1. Choose whole grains over refined carbohydrates: Reducing the intake of refined carbohydrates (found in milk, potatoes, corn to name a few) can reduce inflammation of the genitals, which will help increase fertility. You can still continue to have your favourite foods, but ensure they are low GI (glycaemic index- a figure used to represent the ability of carbohydrate to increase glucose in blood) carbohydrates.

You can consume whole grains, which help in reducing insulin levels that in turn reduce the risk of heart diseases and diabetes and also help lower cholesterol levels. Try having whole grain bread instead of white bread and porridge instead of sugary processed cereals to reduce your GI ingestion.

2. Harness the power of Proteins: Proteins are an important part of your diet and the type of proteins you require careful consideration as they help make new hormones. Try having 25gms of vegetable protein like seeds, legumes and nuts instead of animal protein.

Add dairy foods to your diet as they are also a rich source of protein. They provide vital minerals and nutrients like magnesium, calcium and vitamin B12 to the body and at the same time are low in calories. Include milk, yoghurt and cottage cheese to your meals so that you have a minimum of three servings of dairy products a day, which is essential to meet your nutritional needs and increase your chances of having a baby.

3. Welcome Good Fats: Processed foods, fatty meats and takeaways are high in saturated fats including trans fats. These lead to inflammation and an increase of oxygen free radicals in the body, which decrease fertility. So, incorporate good fats in your diet in controlled quantities. Try having avocado and tomato on a whole grain toast, for instance.

4. Make folate an integral part of your diet: Folate is an essential nutrient that helps in decreasing the incidence of birth defects in babies, while ensuring a healthy conception. Along with the prescribed supplements, try to increase its intake in its natural form. The best way to do this is by having green leafy vegetables, which are a rich source of folate. You can also have veggie sticks and vegetable soup along or green vegetable dishes to increase your folate intake.

 

How Diabetes Can Affect Pregnancy?

DNB, DGO, MBBS
Gynaecologist, Faridabad
How Diabetes Can Affect Pregnancy?

The transition from being a woman to motherhood is a beautiful journey that remains memorable for a lifetime, for the mother as well as those around her who care for her and love her. There may be times when the health conditions and the pregnancy related discomfort may leave a bad taste, but it is also taken with a pinch of salt and forgotten as soon as the baby arrives. Whatever, may happen to the mother, but she would always try to make sure that the baby is safe and healthy when he arrives in this world. She always wishes that her child grows into a healthy toddler and a well developed adult.

While we may practice all sorts of care and caution in the course of a pregnancy, there are times when the body systems fail to function regularly, which is when the real problems arise. One of the most common, yet risky problems that usually appears or aggravates during pregnancy is the problem of glucose. A lot of women experience the problem of diabetes during pregnancy because their blood sugar goes extremely high with the changes in the lifestyle, dietary and hormonal conditions. In cases of women who may be patients of diabetes before pregnancy, they may experience increased blood sugar levels and may need to go on extra medication to keep their condition under control.

The types and effects of diabetes:
There are majorly two types of diabetes which is pre-existing and gestation induced. In the case of the pre-existing condition, the woman may already be suffering from diabetes before she conceived and in the gestational diabetes, the woman may have developed the condition after getting pregnant and may be able to go back to normal after the pregnancy is over. While it may be common in pregnant woman to develop high blood sugar, there are a number of things that could go wrong:

  1. Pregnant women with diabetes may find it difficult to go in for a natural labour and may have to opt for induced labour or even a caesarean delivery.
  2. It is also possible that women who already suffer from diabetes before pregnancy are more likely to carry a baby that is larger than regular babies.
  3. Developing diabetes may open up the doors for a lot of other disorders and diseases in the women such as problem with vision or disorders of the body organs such as kidneys.
  4. The foetus that develops in the womb may also be exposed to health issues and lack of development in the organs.
  5. If the baby is born fairly healthy, it may end up developing diseases after birth or even in adult life, which may be due to the diabetes in the mother at the time of the pregnancy.
  6. In extreme cases, the woman may undergo a miscarriage or the baby may be a still born.

In order to, be able to ensure a healthy and safe pregnancy, it may be essential to make sure that the best gynaecologist is chosen for regular checks and the meeting schedules with the doctor are followed religiously to rule out the possibility of unhealthy consequences.

1385 people found this helpful

Working During Pregnancy - Do's And Dont's!

Dr. Laqa Sultan 88% (10 ratings)
MS- Gynaecology
Gynaecologist, Jaipur
Working During Pregnancy - Do's And Dont's!

Pregnancy is one of the most wonderful, but exhausting times of a woman's life. There are a 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.

1. 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 you muscles relaxed.

2. 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.

3. 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.

4. 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.

1. 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.

2. 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.
 

3474 people found this helpful

Pregnancy Complications - 6 Signs You Must Not Ignore!

MD - Obstetrtics & Gynaecology, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Nagpur
Pregnancy Complications - 6 Signs You Must Not Ignore!

Pregnancy is considered to be one of the most challenging and important phases in the life of a woman.

Pregnancy Complications are health problems that occur during pregnancy. They can involve the mother’s health, the baby’s health, or both. Some women have health problems before they become pregnant that could lead to complications. Other problems arise during the pregnancy. Keep in mind that whether a complication is common or rare, there are ways to manage problems that come up during pregnancy.

Some complications that might occur during pregnancy are discussed below:

  1. Severe Nausea and Vomiting: It is common for nausea and vomiting to occur during a pregnancy. In order to avoid this condition, one should consume several small meals throughout the day and completely avoid spicy and fatty foods.
  2. A persistent abdominal pain, severe headache, swelling and visual disturbances during the third trimester: This can be a fatal condition and often is a sign of high blood preeclampsia (pregnancy complication involving high blood pressure as well as damage to another organ system). It can be diagnosed early using good prenatal care which essentially comprises of frequent check-ups with the doctor and all the necessary treatment during pregnancy.
  3. Flu Symptoms: It is recommended that flu vaccine should be administered to pregnant women as they usually tend to develop the disease during their pregnancy.
  4. Gestational Diabetes: Gestational diabetes can increase the chance of a larger baby at birth and create delivery complications, increase your risk for high blood pressure and cause the baby to have blood sugar problems after birth. If you are diagnosed, it’s important to consult your gynecologist to control your blood sugar level, which can often be done through diet and exercise.
  5. Baby’s activity level significantly declines: Sometimes, the activity of a previously active baby might decline. This can be felt by reducing the number of the kicks by the baby. The doctor has specific equipment that aids in identifying and resolving the problem.
  6. Bleeding: Heavy bleeding accompanied by abdominal pain and menstrual-type cramps during the first trimester might indicate an ectopic pregnancy (embryo is implanted outside one’s uterus) or a miscarriage while occurrence in the third semester indicates placental abruption (characterized by the placenta separating from the womb’s walls). Any form of bleeding warrants the immediate attention of the doctor. Steps to avoid bleeding include bed rest, avoiding heavy work, and keeping yourself hydrated.

A Healthy Pregnancy-

The best way to ensure a healthy pregnancy is to focus on the things you can control and don’t obsess about what could happen. Take good care of yourself and your developing baby and talk with your healthcare provider when you have concerns.

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