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Wednesday, December 28, 2016

PREGNANCY AND HOLIDAY STRESS

Pregnancy, Holiday Stress and You!

Guest Post By Dr. Michele Brown OBGYN

The season of joy can indeed be joyous, but for most people it also means cramming enormous amounts of activity into a tiny amount of time. While Holiday gift shopping and business and social celebrations are fun, they arrive with the need to prepare large meals, deal with relatives and in-laws, worry about the cost of new clothes and extra food, end of year taxes, finances in general, bonus anxiety and even job security. This kind of pressure can bring on enormous amounts of stress and will drive you nuts (not the warm chestnut kind) very quickly if you let it.
For mothers-to-be, how does all of this stress affect her pregnancy? Can maternal psychiatric conditions such as depression, anxiety, and stress adversely affect the baby when pregnant during the holiday season? This particular area of concern has always been debatable but review of recent scientific literature has shown some surprising results regarding the relationship between psychiatric conditions and the possibility of affecting the uteroplacental environment... and consequently the
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fetus.
Is there evidence that psychiatric conditions can effect pregnancy outcome?

A recent article from the Journal of Affective Disorders, in 2010 by Nicole Paz found that the risk of placental abruption is increased in pregnant women with mood or anxiety disorders. Placental abruption is an obstetrical emergency when the placenta prematurely separates from the wall of the uterus. This occurs in about 1 to 2% of all pregnancies. It is often associated with an "ischemia of the placenta" or a lack of perfusion to the placenta causing parts of the placenta to be infarcted (deadened) and consequently separate from the wall of the uterus. The placenta is the lifeline to the baby and having substantial areas that no longer function can dramatically effect the safety and well-being of the baby. Many other medical situations can be associated with this event such as hypertension, uterine infections, trauma to the uterus, premature rupture of membranes, maternal smoking, and maternal clotting disorders. Now there might be evidence that psychiatric conditions can also effect the placenta.
Previous studies by Qiu in 2009 have shown that there is a higher risk of preeclampsia (hypertension, protein in the urine, and marked swelling) and preterm delivery with maternal depressive, anxiety and stress symptoms. The authors Alder in 2007, and Halbreich in 2005 confirmed that anxiety during pregnancy and psychological distress have been reported to be associated with preterm delivery, low birth weight, and obstetrical complications. Another scientist Cohen in 1989 described placental abruption associated with panic attacks.
What is the mechanism by which this occurs?

Activation of the sympathetic nervous system with elevated chemicals in the body such as cortisol, corticotrophin releasing hormone, and serotonin levels, associated with anxiety and stress is believed to cause some of these observations. Stress causes increased hypothalamic pituitary-adrenal activity. These elevated chemicals can result in systemic inflammation and damage to vessel lining (endothelial dysfunction) which can lead to abruption of the placenta. Other investigators have found changes in clotting and platelet activity in women with major depression which can then affect coagulation pathways resulting in preeclampsia and abruption. Much evidence has mounted to show a relationship between depression and cardiovascular disease later in life through similar mechanisms.





SEE ALSO: WHAT TO KNOW ABOUT MISCARRIAGE (getpregnantover40.com)

 

More studies need to be done to investigate all the hormonal, vascular, and hemodynamic effects of maternal mood and anxiety on pregnancy and its outcome.
Is there evidence that psychiatric conditions occurring during pregnancy can effect mothers after they deliver?

Research has shown that anxiety, depression, and prenatal stress is also associated with maternal mental disorders after birth. There is a higher incidence of postpartum depression in women that have prenatal anxiety.
Is there evidence that psychiatric conditions during pregnancy can effect the emotional state of children after they are born?

Behavioral and emotional problems in children such as attention deficit disorders, hyperactivity, oppositional defiant disorder and childhood anxiety are more prevalent in mothers that have anxiety and psychological distress during their pregnancies.
Summary
Maternal anxiety and stress during pregnancy can negatively affect both mom and baby both during the pregnancy and afterward. Screening women that have some of these disorders, and providing treatment, could be found to alter some of the adverse pregnancy outcomes associated with some of these well known psychiatric illnesses.
In the meantime, try to chill out during THIS holiday season. Allow yourself to sit back, and let everyone else worry about the seasonal details. No gift, meal, or gathering should ever be allowed to get under your skin because you don't want stress to get the better of your baby's health.
Get some relaxation tapes, try a little yoga and/or meditation and treat yourself to a massage DOCTORS ORDERS!!
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Dr. Michele Brown, is a practicing OBGYN who has delivered over 3,000 babies. She is also founder of Beaute de Maman Natural and Herbal Products for Pregnant Women. Dr. Brown is a graduate of Tufts Medical School and did her residency at Yale University. She has privileges at Stamford Hospital in Stamford, CT.
Beaute de Maman recognizes the importance of safe products for pregnancy. Beaute de Maman products contain natural and herbal ingredients that are safe for pregnancy as per the American College of Obstetrics and Gynecology guidelines.
Article Source: http://EzineArticles.com/expert/Dr._Michele_Brown_OBGYN/448251
http://EzineArticles.com/?Pregnancy,-Holiday-Stress-and-You!&id=5560731

Sunday, December 25, 2016

ECTOPIC PREGNANCY TREATED WITH METHOTREXATE

Miscarriage and Ectopic Pregnancy

I had two ectopic pregnancies.
 The first had to be removed surgically because I was at risk for having my tube rupture which could be life threatening. However, if ectopic pregnancies are identified early enough, they may be treated medically with a chemotherapeutic drug called "methotrexate". Here is an article that explains how it works:

From the article:

"How Successful is It?
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As mentioned above, on average only one in 15 women will need surgery after treatment with methotrexate. By far most women require only one treatment, but very occasionally two may be necessary.The treatment works by interfering with an essential vitamin (folate), which is needed for the rapidly growing tissue of ectopic pregnancy.

See Also: Trying To Conceive After Ectopic Pregnancy (www.getpregnantover40.com)

Are There Any Side Effects?

Sometimes you may notice some mild abdominal pain after the treatment, though this should not be severe. Other occasional side effects (affecting up to 15% of people) include nausea, vomiting, indigestion or feelings of fatigue. Very rarely, it can affect the liver or blood counts, but this really is unusual, mild if it does occur and only transient. The follow-up blood tests will check for this."

from: 

Methotrexate For Ectopic Pregnancy

Friday, December 23, 2016

MISCARRIAGE HELPED WITH VITAMIN C, E

Prevent Pregnancy Loss and Miscarriage Over 40

I read some the things on this site about how vitamin C and E may help with conception, pregnancy and preventing miscarriage.
See Also: www.getpregnantover40.com for my series on foods for fertility
 Click through on this link, there is quite a bit of information about these vitamins. I still recommend talking with your doctor before starting a new vitamin regimen if you're already pregnant. Read more:

From the article:
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Taking vitamin E (at least 200 and perhaps 400 IU daily) greatly reduces the chance of miscarriage. This is no myth: by the end of WW II, there were already dozens of medical studies confirming this. They are reviewed in a 1953 medical textbook, The Vitamins in Medicine, by Bicknell and Prescott. (William Heinemann Medical Books Ltd.; Third Edition. ASIN: B000LCKALQ)

from:

www.doctoryourself.com

Monday, December 19, 2016

CHLAMYDIA MAY CAUSE MISCARRIAGE

Chlamydia Can Cause Infertility, Miscarriage and Heart Disease

I knew that Chlamydia can be a cause of infertility but it also can contribute to  a miscarriage and can even affect your heart.  Many people who have Chlamydia don't know it.

 

READ MORE ABOUT INFECTIONS CAUSING INFERTILITY AND MISCARRIAGE (getpregnantover40.com)

 

 Chamydia affects the immune system and not only can cause miscarriage, but coronary artery
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disease as well.  Here is an article that explains some of the disease process:

Anthony Azenabor of University of Wisconsin, Milwaukee has identified a link in two seemingly unrelated health issues. The research team has identifies a rouge bacteria, Chlamydia, that wrecks the immune system causing coronary artery disease and miscarriages. By focusing on the immune system mechanisms in Chlamydia infections, Azenabor has identified an important link in seemingly unrelated health problems...

...As the macrophages become immobile, they accumulate in the blood vessel walls, setting the stage for atherosclerosis. Researchers also found that Chlamydia is also involved in the occurrence of spontaneous abortions or miscarriages. 

from: 
www.medindia.net

Thursday, December 15, 2016

DECAF MAY STILL CONTRIBUTE TO MISCARRIAGE

Miscarriage and Caffeine

Most of us have heard that caffeine in pregnancy (at least in high amounts) can raise the risk of miscarriage.
 Fortunately for me, coffee was repulsive to me when I was pregnant. But some women may think drinking decaf is the answer. According to this article, decaf may have significant amounts of caffeine as well. Read more:

While a regular 8-ounce cup of brewed coffee usually contains 85 milligrams of caffeine, the researchers found that the brands of caffeine-containing decaf had caffeine ranging from 8.6
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milligrams to 13.9 milligrams.
See Also: Fertility Tea Recipe (www.getpregnantover40.com)

During the second phase of the study, the researchers analyzed 12 samples of Starbucks decaffeinated espresso and brewed decaf coffee purchased from a single store. The decaf espresso drinks contained 3 to 15.8 milligrams of caffeine per shot, while the brewed decaf coffees contained 12 to 13.4 milligrams of caffeine per 16-ounce serving.

"If someone drank five to 10 cups of decaffeinated coffee, the dose of caffeine could easily reach the level present in a cup or two of caffeinated coffee," said the study's co-author Dr. Bruce Goldberger, director of UF's William R. Maples Center for Forensic Medicine. "This could be a concern for people who are advised to cut their caffeine intake, such as those with kidney disease or anxiety disorders."

from:

www.naturalnews.com

Tuesday, December 13, 2016

HOLIDAYS AFTER HAVING A MISCARRIAGE

Miscarriage During The Holidays

I had a number of miscarriage right around the holidays.  A couple of them were around Christmas, and one close to mother's day.  Wow, talk about rubbing salt in your wounds.
Holidays are hard enough when you're trying to conceive and throwing a miscarriage into the mix is

almost too much to bear.  The article I've posted below deals with losing a child and dealing with the following holidays, but all of the things they mention can help couples going through miscarriage too. Read more:

SEE ALSO: SHARING INFORMATION ABOUT INFERTILITY AND MISCARRIAGE (getpregnantover40.com)

• Try to get enough rest
Emotionally, physically, and psychologically it is draining. You need every bit of strength.

• What you choose to do the first year you don't have to do the next.

• Try something different. One possibility for the first year may be to visit relatives, friends, or even go away on a vacation. Planning, packing, etc., keeps your mind somewhat off the holiday and you share the time in a different and hopefully less painful setting.

• How do we answer, "Happy Holidays?" You may say, "I'll try" or "Best wishes to you." You thing of many answers that you don't say.
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from: 
www.pregnancy.org

Wednesday, December 07, 2016

IS IT EASIER TO GET PREGNANT AFTER MISCARRIAGE?

I have heard many times that it might be easier to get pregnant after miscarriage.  There seems to be differing opinions on the subject.  I have devoted a page on my website (click here getpregnantover40.com)

Are you more fertile after a miscarriage?
There are many so called old wives tales that claim it’s easier to get pregnant after a miscarriage
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(probably because of increased progesterone levels). Is it true? Well there may be some evidence that you are more fertile after pregnancy loss, but the research is limited. One study conducted at the Boston University School of Medicine found a positive relationship between early pregnancy loss and subsequent fertility.[1]

[1] Wang X1, Chen C, Wang L, Chen D, Guang W, French J.
Fertil Steril. 2003 Mar;79(3):577-84. Conception, early pregnancy loss, and time to clinical pregnancy: a population-based prospective study

CLICK HERE TO READ THE FULL ARTICLE ON PREGNANCY AFTER MISCARRIAGE (Getpregnantover40.com)

Monday, December 05, 2016

CAN FISH OILS PREVENT MISCARRIAGE?

It seems that everywhere you turn, people are talking about the "good fats" vs. the "bad fats".  Well it turns out that there may be some evidence that the good fats like omega 3 fish oils can help prevent miscarriage.

Pregnant women who take fish oil supplements may cut miscarriage risk due to inflammation of the placenta, and also improve the function of placenta.
As published in the Journal of Lipid Research, omega 3 fatty acids (fish Oil) affected the placenta and fetus of pregnant laboratory animals. After fish oil supplementation, the placenta had higher levels of
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compounds called resolvins. The study concluded that the omega-3 fatty acids present in fish oil can help limit inflammation in the placenta.

CLICK HERE TO READ THE FULL ARTICLE ON FISH OILS FOR PREGNANCY AND MISCARRIAGE (Getpregnantover40.com) 



Friday, December 02, 2016

DOCTOR TALKS OF HER OWN MISCARRIAGE

The Sensitivity Of The Doctor's Role After A Miscarriage

Guest Post By Uruakanwa Ekwegh

As a medical doctor and also a woman who has experienced a miscarriage, I have been on both the giving and receiving of care after a miscarriage. My experience of a miscarriage exposed me to a whole gamut of emotions that I had no idea were associated with this kind of loss. In fact, I was totally unprepared for how hard it hit me. This made me to wonder: if, as a medical professional, there was so much I did not know about miscarriage - how common it was and how devastating and alienating it could be - then there was a possibility that lay women would know much less than I did.
In much of civilized society, particularly in the Western world, there is a lot of credence given to doctors ensuring that their patients are well informed; even when time does not permit in-depth conversations, reading materials are made available to answer questions and highlight key issues for patients to consider. In the United Kingdom, for example, the Miscarriage Association has leaflets that are usually given to women after a miscarriage by the nursing staff. These leaflets answer so many typical questions associated with this kind of loss and offer follow-up support.

SEE ALSO: HOW TO HAVE A MEMORIAL FOR YOUR LOST BABY (getpregnantover40.com) 


In the study I conducted among Nigerian women, the need for such support was made clear in some questions that were addressed by the study. When women who had admitted to having experienced a miscarriage were asked if the medical and nursing staff that handled their miscarriage treated them with sympathy and understanding, the overwhelming response, with 84% of the votes was, "Yes". This however reveals an unacceptable number of women who do not remember being treated with sympathy and understanding: approximately 1 in 6 women who had had a miscarriage.
Why are these figures important to any healthcare professional that wants to deliver quality care? In establishing the main sources of support these women have after a miscarriage, my study revealed that doctors and nurses were a more important source of support than even their parents, extended family or personal faith. In fact, the only source of support that had marginally higher votes was the spouse (or partner). If the healthcare staff is this important at such a scary, lonely and miserable time of their lives, then it is appalling that any one in such a capacity should be anything less than sympathetic or supportive.
However, the doctor's role goes beyond hand-holding or platitudes. The woman needs, as I have already hinted at earlier, to understand what happened to her: the possible causes, the reasons for the decisions that were taken in the course of her care and the possible emotional aftermath of her experience.
It is interesting that even though 84% remember being treated with sympathy and understanding, only 56% did not blame the doctors for their loss. This is proof that poor communication between doctor and patient is risky, giving rise to uninformed blame-placing. Paternalistic health care delivery does not work, especially when it is an issue as sensitive as pregnancy loss. Furthermore, it may affect future health-seeking behaviour; in the developing world where maternal mortality is a major problem, this is a risk that cannot be taken.
The role of the doctor in times of loss is very sensitive; we are not taught how to handle such roles in medical school. Some of us learn from personal experience; like me, we learn to do to other patients what we wish had been done for us. However, we all need to appreciate our importance in times like these and rise to the occasion.
___________________
Dr. Uruakanwa Ekwegh is a Medical Doctor with a Masters degree in Public Health. She is the founder of the Miscarriage Support and Information Centre, committed to educating women and their carers on the effects of pregnancy loss on the physical, mental and social wellbeing of the woman, while also offering encouragement and support when needed.
Article Source: http://EzineArticles.com/expert/Uruakanwa_Ekwegh/933699
http://EzineArticles.com/?The-Sensitivity-Of-The-Doctors-Role-After-A-Miscarriage&id=6096538

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