Showing posts with label PREGNANCY. Show all posts
Showing posts with label PREGNANCY. Show all posts

Friday, August 10, 2012

Coping with Backaches and Edema Discomforts During Pregnancy

Backache, edema

The following are the most common pregnancy concerns and the strategies to deal with them while you are on the job: Backache
Backaches are common during pregnancy because of the increased weight you're carrying, especially if your baby is resting on your spine. Neck and shoulder aches can be due to tension and/or the increased weight of your growing breasts. Lower back pain that extends or shoots down one buttock and into one leg is probably sciatica, caused when the baby's head compresses the sciatic nerve. The tips that follow will help to relieve the discomfort of backaches or avoid them altogether:
  • Drive comfortably—Move your car seat forward to keep your knees bent and higher than your hips. Use a small pillow to support your lower back area.
  • Lift correctly—Stabilize your body first by assuming a wide stance and tucking in your buttocks. Bend at the knees, not at the waist, and lift with your arms and legs, which will take the stress off your back. Lift objects only chest high. If your job demands frequent heavy lifting, ask to be assigned to less taxing duties.
  • Limit your standing—Try not to stand in one place or one position for too long. If your job requires long periods of standing, keep one foot on a raised surface, such as a step or a box, to prevent your lower back from curving inward; or stand on a small, skid-proof rug. When standing at a table, lean forward with your knees slightly bent, and support your weight with your hands or elbows.
  • Use ice or a cold pack—Place a bag with ice, wrapped in a towel, against the small of your back when you're sitting down.
  • Relieve strain—When seated at your desk, prop up one leg on a footstool, stack of files, trash can, or anything else available. When walking, sitting, or lying down, avoid putting stress on your back muscles by tucking in your buttocks. Keep your back from arching forward when you stand or lie on your side. At work or at home, you can also lean forward in a chair and lower your head to your knees for thirty seconds. Rise and repeat six times, up to six times a day.
  • Stretch daily—Try setting the clock on your computer to beep at you every thirty minutes to remind you to stretch.
  • Avoid wearing high heels to work—Wear sturdy shoes, with a heel no higher than one inch. Save higher heels for special meetings and appointments with clients, and place thin, foam-rubber inserts in the toes to reduce pressure.
  • Wear a maternity belt—A wide, soft, supportive elastic band that wraps around your lower back and under your belly can take over part of the job of tired, stretched abdominal and back muscles as it cradles the weight of your growing belly.
  • Poor posture can also cause your back to ache—Try to keep your shoulders and hips in line as you walk, and keep your back straight by tucking a pillow behind you when you're seated.
Edema (Swelling)
More than 70 percent of pregnant women experience some fluid accumulation in their feet, legs, face, and hands. This condition is related to hormone buildup in your system, which results in the kidneys collecting more water and salt than normal. If your job keeps you on your feet, you are also more likely to experience edema.
If you experience sudden, extreme swelling, you should immediately alert your physician. This could be a warning sign of preclampsia or toxemia. Mild swelling, which is considered normal and beneficial, can be relieved by these methods.
  • Raise your legs—Prop up your legs at work on anything available: a stack of papers, books, or a box. Also, elevate your feet and hands above your heart to reduce swelling by gravity. If possible, lie down during the day on your left(heart) side, not on your back. This position prevents your uterus from compressing major arteries and lets your system reabsorb the fluid. Also try walking around the block on your lunch hour.
  • Soak your feet—Tired, burning feet should be soaked at the end of a workday. Rotate your ankles to reduce swelling.
  • Keep water at your desk—Consuming extra water will help to draw fluid from puffy tissues back into your bloodstream to be excreted by your kidneys later. Have a glass or a squeeze bottle of water nearby throughout the day.
  • Wear loose clothing—Although you always want to look well dressed at work, choose looser clothes for maternity wear. Wear elastic support hose, too, and remove tight-fitting rings and other jewelry. Keep an extra, larger pair of shoes in your office to wear when your feet swell.
  • Watch your diet—Stay away from fatty foods, eat plenty of protein, and cut down on salt, which causes fluid retention.
  • Avoid chemicals—Chemical diuretics have been found to be harmful to a pregnant woman. Try taking a couple of spoonfuls of apple-cider vinegar, a natural diuretic, before each meal. Herbal and homeopathic remedies can help.

Monday, June 11, 2012

Record Shows Rise In Multiple Births

Posted: Monday, June 11, 2012 12:15 pm | Updated: 12:27 pm, Mon Jun 11, 2012.



NEW YORK — For Luke Foreman, seeing double has always been the norm.
Growing up alongside twin Megan, the California-born 16-year-old has never thought twice about the frequency of twins around him. But, late last year, Luke was surprised to learn his school could tie the world record for the most twins in the same academic year at one school.
A dramatic rise in multiple-child pregnancies has left many schools with record-smashing numbers of twins and triplets. Luke Foreman’s Staples High School in Westport, Conn., tied the Guinness World Record this year for most sets of twins in a grade at 16.
The high school shares the title with Valley Southwoods Freshman High School in West Des Moines, Iowa.
The schools, however, may not hold the record for long. Connecticut’s Greenwich High School hopes to beat the world record with 18 pair of twins in its class of 2016.
“I was kind of stunned,” Nancy Lanzoni, mother of twins Ben and Willy, said when she learned the Greenwich High School boasts a total 62 sets of twins in four grades.
The surprising numbers reflect a rise in multiple births in the United States.
“There’s no question that the number and rate of multiple births has increased substantially in recent years,” Joyce Martin, an epidemiologist at the National Center for Health Statistics, explains.
In a report published earlier this year, the center found there has been a 76 percent increase in the incidence of twins from 1980 to 2009. One in every 30 babies born in the United States in 2009 was a twin, compared to 1 in every 53 babies born in 1980.
“The increase of triplets and higher was almost 400 percent,” Martin says. “You don’t typically see that kind of change occurring naturally.”
The remarkable increase is largely attributed to the increasingly older age of mothers and the increased use of infertility treatments, which gained popularity in the 1980s and 1990s.
“A lot of it is driven by demographics,” Martin explains. “Moms tend to be older. When older women give birth naturally, they are more likely to have twins spontaneously and are more likely to have treatments.”
It comes as little surprise that two Connecticut high schools have competed for the top twin-related prize. Connecticut saw the highest twin birth rate in 2009 with nearly 5 percent of all births in the state being twins. Massachusetts, New Jersey, New Hampshire and Rhode Island were not far behind.
“I’ve noticed there are more twins and triplets,” John Dodig, principal of Staples High School, says. “I’m sure (our record) will be very short lived in the Guinness World Record history.”

Saturday, June 2, 2012

Adolescent pregnancy




Adolescent pregnancy is pregnancy in girls age 19 or younger.

 

 

Causes, incidence, and risk factors

Adolescent pregnancy and babies born to adolescents have dropped since reaching an all-time high in 1990. This is mostly due to the increased use of condoms.
Adolescent pregnancy is a complex issue with many reasons for concern. Kids age 12 - 14 years old are more likely than other adolescents to have unplanned sexual intercourse . They are more likely to be talked into having into sex.
Up to two-thirds of adolescent pregnancies occur in teens age 18 - 19 years old.
Risk factors for adolescent pregnancy include:
  • Younger age
  • Poor school performance
  • Economic disadvantage
  • Older male partner
  • Single or teen parents

Symptoms

Pregnancy symptoms include:

Signs and tests

The adolescent may or may not admit to being involved sexually. If the teen is pregnant, there are usually weight changes (usually a gain, but there may be a loss if nausea and vomiting are significant). Examination may show increased abdominal girth, and the health care provider may be able to feel the fundus (the top of the enlarged uterus).
Pelvic examination may reveal bluish or purple coloration of vaginal walls, bluish or purple coloration and softening of the cervix, and softening and enlargement of the uterus.

Treatment

All options made available to the pregnant teen should be considered carefully, including abortion, adoption, and raising the child with community or family support. Discussion with the teen may require several visits with a health care provider to explain all options in a non-judgmental manner and involve the parents or the father of the baby as appropriate.
Early and adequate prenatal care, preferably through a program that specializes in teenage pregnancies, ensures a healthier baby. Pregnant teens need to be assessed for smoking, alcohol use, and drug use, and they should be offered support to help them quit.
Adequate nutrition can be encouraged through education and community resources. Appropriate exercise and adequate sleep should also be emphasized. Contraceptive information and services are important after delivery to prevent teens from becoming pregnant again.
Pregnant teens and those who have recently given birth should be encouraged and helped to remain in school or reenter educational programs that give them the skills to be better parents, and provide for their child financially and emotionally. Accessible and affordable child care is an important factor in teen mothers continuing school or entering the work force.

Expectations (prognosis)

Having her first child during adolescence makes a woman more likely to have more children overall. Teen mothers are about 2 years behind their age group in completing their education. Women who have a baby during their teen years are more likely to live in poverty.
Teen mothers with a history of substance abuse are more likely to start abusing by about 6 months after delivery.
Teen mothers are more likely than older mothers to have a second child within 2 years of their first child.
Infants born to teenage mothers are at greater risk for developmental problems. Girls born to teen mothers are more likely to become teen mothers themselves, and boys born to teen mothers have a higher than average rate of being arrested and jailed.

Complications

Adolescent pregnancy is associated with higher rates of illness and death for both the mother and infant. Death from violence is the second leading cause of death durig pregnancy for teens, and is higher in teens than in any other group.
Pregnant teens are at much higher risk of having serious medical complications such as:
Infants born to teens are 2 - 6 times more likely to have low birth weight than those born to mothers age 20 or older. Prematurity plays the greatest role in low birth weight, but intrauterine growth retardation (inadequate growth of the fetus during pregnancy) is also a factor.
Teen mothers are more likely to have unhealthy habits that place the infant at greater risk for inadequate growth, infection, or chemical dependence. The younger a mother is below age 20, the greater the risk of her infant dying during the first year of life.
It is very important for pregnant teens to have early and adequate prenatal care.

Calling your health care provider

Make an appointment with your health care provider if you have symptoms of pregnancy.
Your health care provider can also provide counseling regarding birth control methods, sexually transmitted disease (STD) prevention, or pregnancy risk.

Prevention

There are many different kinds of teen pregnancy prevention programs.
  • Abstinence education programs encourage young people to wait to have sex until marriage, or until they are mature enough to handle sexual activity and a potential pregnancy in a responsible manner.
  • Knowledge-based programs focus on teaching kids about their bodies. It also provides detailed information about birth control and how to prevent sexually transmitted infections (STIs). Research shows knowledge-based programs help decrease teen pregnancy rates. Abstinence-only education without information about birth control does not.
  • Clinic-focused programs give kids easier access to information, counseling by health care providers, and birth control services. Many of these programs are offered through school-based clinics.
  • Peer counseling programs typically involve older teens, who encourage other kids to resist peer and social pressures to have sex. For teens who are already sexually active, peer counseling programs teach them relationship skills and give them information on how to get and successfully use birth control.

References

  1. U.S. Teenage Pregnancy Statistics: Overall Trends, Trends by Race and Ethnicity and State-by-State Information. New York, NY: The Alan Guttmacher Institute; January 2010.
  2. Elfenbein DS, Felice ME. Adolescent pregnancy. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 112.
  3. Kohler PK, Manhart LE, Lafferty WE. Abstinence-only and comprehensive sex education and the initiation of sexual activity and teen pregnancy. J Adolesc Health. 2008;42:344-351.
  4. Abma JC et al., Teenagers in the United States: sexual activity, contraceptive use, and childbearing, National Survey of Family Growth 2006–2008, Vital and Health Statistics, 2010, Series 23, No. 30.

Friday, May 25, 2012

Ideal Pregnancy Weight Gain

The guidelines for pregnancy weight gain are issued by the Institute of Medicine (IOM) in May 2009. Here are the most current recommendations:
If your pre-pregnancy weight was in the healthy range for your height (a BMI of 18.5 to 24.9), you should gain between 25 and 35 pounds, gaining 1 to 5 pounds in the first trimester and about 1 pound per week for the rest of your pregnancy for the optimal growth of your baby.
If you were underweight for your height at conception (a BMI below 18.5), you should gain 28 to 40 pounds.
If you were overweight for your height (a BMI of 25 to 29.9), you should gain 15 to 25 pounds. If you were obese (a BMI of 30 or higher), you should gain between 11 and 20 pounds.
If you're having twins, you should gain 37 to 54 pounds if you started at a healthy weight, 31 to 50 pounds if you were overweight, and 25 to 42 pounds if you were obese.
Use a pregnancy weight gain estimator to find out how much you should gain (based on your height and pre-pregnancy weight) and to see how the pounds are distributed.

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Wednesday, May 23, 2012

Multiples Pregnancy And Prenatal Care


Women expecting multiples have many different and unique experiences than those women who are carrying a single pregnancy. Since multiples are at a greater risk of developing complications, your healthcare provider will want to see you more frequently.

How often should I expect to visit my healthcare provider?

Your first trimester prenatal schedule may not differ from that of a single pregnancy, however you may discover that your healthcare provider wants to see you every two to three weeks. Once you enter into your second trimester you should expect to have two prenatal visits per month. During the third trimester you should anticipate weekly prenatal appointments. Your healthcare provider may change the amount of appointments based on the health of you and your babies.

Why do I need to make more frequent visits?

Women who are having multiples are at a greater risk of experiencing complications during their pregnancy. Frequent prenatal visits allow your healthcare provider to monitor both your health and the health of the babies. This allows for proper prevention, detection, and treatment of any complications that could occur. If complications were to occur then your visits would become even more frequent. Your healthcare provider will determine the exact prenatal schedule that will benefit both you and your babies.

What kind of complications will I be monitored for?

The most common complications include:
  • Preterm labor
  • Preeclampsia or pregnancy induced hypertension (PIH)
  • Intrauterine Growth Restriction (IUGR)
  • Fetal well-being
  • Gestational diabetes
  • Fetal demise or loss