Diabetes during Pregnancy

An elevated level of glucose in the blood during pregnancy

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Is anyone using insulin pump.. ?? Mommies jo bhi aap me insulin le rhi h plz apni fasting values btayein k kitni value pe insulin lgi or kis week mein.. plz reply

C sec delivery me pubic hair remove krte hai???hai toh kisse kru

Baby Moon: What to expect from your second trimester

The second trimester offers a much-needed break from the tough first trimester, which is generally associated with periods of morning sickness, fatigue, and aversion to food. Therefore, it’s not surprising that the second trimester is also called the ‘babymoon’ phase. The second-trimester bids goodbye to the unpleasant symptoms you encountered in the first trimester. You’ll breathe a sigh of relief as the morning sickness fades away. This also means you’ll be back to consuming nutritious meals that will help nourish your baby in the weeks to come. While there’s an upside to the second trimester, there’s a downside too, although it’s much less pronounced than the effects you see in the first trimester. During this stage, you’re prone to anemia, bleeding gums, and swelling. While you may instantaneously want to ask your doctor for healing in a pill; trust us, at this stage food, should be your primary medicine. While supplements like folic acid, calcium, and iron are essential, you should rely on them only as complementary additions, to battle deficiencies. It’s not just your baby growing and making space for himself, your body is adjusting just as efficiently to accommodate the little one. Here’s what happens — As your uterus expands, the lungs get compressed, which often leaves you short of breath at times The uterine ligaments stretch to make space, thus leading to low-intensity abdominal aches, cramps, and back pain Pigmentation may occur at the mid-line of the tummy; stretch marks too are not uncommon around the thighs, buttocks, and stomach. In some cases, women may suffer from melasma (skin discolouration), which is not a serious cause for concern as it usually subsides after delivery. During this trimester, there are chances of developing increased blood pressure, gestational diabetes, or thyroid level fluctuations. Therefore, it’s important that you consult your doctor frequently to monitor your health and prevent further complications. Reaching the ideal weight during your pregnancy is important. Seeking a doctor’s guidance will make things easier. Generally, if you have a normal Body Mass Index (BMI), you would be recommended a consistent weight gain of 2 kilos every month. However, if you are overweight, you would be required to consistently increase only 1 kilo monthly. Content Source    

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Staying Active During Pregnancy

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Top 6 Pregnancy Fears (and Why You Shouldn't Worry?)

Many women experience fear of the unknown during pregnancy. Here are the top 6 pregnancy fears and why you shouldn't worry- 1. I'll have a miscarriage Most pregnancies result in healthy babies, and less than 20 percent end in miscarriage. Also, remember that most miscarriages happen within the first few weeks of pregnancy when many women typically don't realize they're expecting and wouldn't know if they did miscarry. They'd just get a normal-looking period. After your doctor can see a heartbeat (usually around 6 to 8 weeks) the risk of miscarriage drops to about 5 percent. And the odds of having a second miscarriage are very small – less than 3 percent. So what causes a miscarriage? Often, it's due to a chromosomal abnormality that prevents the fetus from developing normally, and miscarrying is totally unavoidable – not because of anything you did or didn't do. But you can lower your risk by not smoking or drinking alcohol and cutting back on your caffeine intake (aim for 200 milligrams or less, or one large cup of coffee, a day). Can you stop a miscarriage from happening?  Sadly, there's no way to stop a miscarriage from happening once it's started. It is vital to be seen by your doctor and treated to prevent hemorrhaging and/or infection. 2. My baby will have a birth defect   Like many moms-to-be, you hold your breath during every single prenatal test, hoping the results will prove your baby is healthy and developing on track. And it's overwhelmingly likely that she is. The risk of your baby having any birth defect is only 4 percent. That includes serious ones as well as all of the thousands of other identified abnormalities, many of which are small and insignificant, like a problem with a toenail or a tiny heart defect that goes away soon after birth without causing any health issues. Even if a screening test (like an ultrasound or quad screen) comes back abnormal, it doesn't necessarily mean there's a problem. In many cases, subsequent tests confirm that everything is fine. The best way to protect your baby: Take a multivitamin with folic acid before pregnancy and pop your prenatal vitamins daily to reduce the risk of brain and spinal defects. You should also talk to your doctor about any specific concerns you have. She should be able to give you a clear idea of the true risks, given your family history and age, and help put your "what if" worries into perspective. 3. I will go into labor too early This one might be on your worry radar because the rate of premature births has been steadily increasing. But more than 70 percent of these babies are born between 34 and 36 weeks – far enough along in the pregnancy that the risk of serious complications or developmental issues is much lower. Pregnant women can do quite a few things to lower their risk of delivering early: Don't smoke or drink alcohol, have regular prenatal checkups, and take prenatal folic acid supplements every day. A recent study of nearly 40,000 women found that those who popped the vitamins for a year prior to conception and throughout their pregnancies were between 50 and 70 percent less likely to deliver early than those who didn't take them. The researchers believe that folic acid may prevent certain genes from malfunctioning and causing premature labor. 4. Sex will never be the same  After Baby makes her way out, it's hard to imagine how everything “down there” will get back to normal. But you just need to give your body time to heal, and your libido a chance to fire back up again. During the first few months, odds are you and your hubby will crave sleep more than sex, anyway. Once your doctor gives you the green light, take it slow. Sex may hurt or feel uncomfortable the first few times (lube will be your new best friend). But the human body is an amazing thing with an incredible ability to snap back and recover. In fact, nearly 70 percent of women report that things are back to business as usual by six months after delivery, according to one study in the journal Obstetrics & Gynecology. And once the initial ouch-ness passes and your muscles regain their strength, a lot of new moms actually find their sex lives improve post-baby. They crave it more often and find intimacy more satisfying than before. 5. Labor will be too tough or painful At some point, you’ll realize that your baby needs an exit strategy, and you’ll probably worry about labor and delivery. First, take a step back and realize that women have been doing this since the dawn of time – and these days, there's plenty you can do about the pain. Read up on pain management techniques, attend childbirth classes, poll all your friends for tips on how they got through labor, and draw up a birth plan to discuss with your doctor. Regardless of your worrying style, it's most important to have a doctor you trust and can chat openly with about your fears and wishes in the delivery room, and who can talk you through what to really expect. That will go a long way toward putting your mind at ease. 6. I will have complications like preeclampsia or gestational diabetes The risk of developing dangerously high blood pressure (preeclampsia) is just between 5 and 8 percent. It's more common in women under 18 or over age 35, as well as in women who have borderline high blood pressure going into their pregnancy. But if you had any of these factors, your doctor would be monitoring you closely from the very beginning and would likely catch the condition early.   Preeclampsia also doesn't tend to develop until the second half of pregnancy, and in some cases, it arises so late that there are few adverse health effects. There's no way to necessarily lower your risk for the condition. But make sure you get regular prenatal checkups (during which your blood pressure will be checked) and alerting your doctor to any symptoms of preeclampsia, – such as swelling of your hands or face, blurry vision, or major headaches – will ensure it's caught in its earliest stages. As for gestational diabetes – a condition where your body becomes unable to process sugar properly, so it accumulates in the bloodstream – the risks are similarly low. Simple dietary changes, like limiting your intake of starchy carbs, are usually all it takes to get gestational diabetes under control. For healthy women with no history of diabetes, a routine blood glucose test between weeks 24 and 28 of pregnancy can spot the condition. Content Source

Scans that are needed after second trimester

Knowing the number and types of scans that a pregnant woman needs to undergo during their pregnancy can help them prepare mentally for it. Though the most important scan during your pregnancy is the anomaly scan that is offered at 20 weeks or half-way through your pregnancy, one might have to undergo further scans if they have had complications in their previous or present pregnancy. Usually, a doctor keeps a track of the growing baby by measuring the fundal height, the distance between the front of your pelvis to the top of your womb, your weight, and the baby bump. They would record your blood pressure regularly. They would measure your insulin levels once in the starting and if you are not prone to developing diabetes or gestational diabetes, then once towards the end. However, they might opt for blood and urine samples to keep an eye on blood levels and infections. If they do detect a problem with any of these tests, they might ask you to undergo a scan, but only as a secondary level test to check on something particular. Growth Scan If your doctor feels that the measurement of the baby bump and the fundal height do not match or are not as expected, then they might ask you to take the growth scan. You might also be asked to take a scan, if your doctor feels that there is more amniotic fluid than normal. Other reasons for asking you to opt for a scan could include: Gestational diabetes Hypertension Monitoring position of the baby (especially if breech), placenta, and umbilical cord Checking on twins, triplets or other multiple births Screening the working of the heart and placenta A point to note here is that your doctor would not ask you to take the growth scan if the baby seems bigger, but the rest of the symptoms of the pregnancy are normal. This is because once the third trimester starts, the baby takes on an individualistic shape and size. They no longer conform to general rules and develop as per their genes. Also, as they grow, it becomes more and more difficult to measure them. A growth scan shows how the baby is growing, by measuring their blood flow, checking their movements and measuring them. Baby movements include things like stretching, flexing, moving arms and legs, wiggling toes and fingers, opening and closing hands and moving tongue and lips. Inability to do these indicates a lack of oxygen, increasing the chances of a premature delivery. What a growth scan would not show is the baby weight, source of bleeding, if any, or the correctness of the due date. Though ultrasound scans are absolutely normal, with no side effects for either the mother or the baby, be assured that your doctor would recommend these only when they are medically absolutely essential.   Featured Image Source 

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Potential complications of twin pregnancy

So, are you going to welcome double happiness? Congratulations on the twins! If double blessings are on your way and you are worried about the complications in your pregnancy, then it’s time for you to relax and educate yourself with all the possible twin pregnancy complications with this easy-to-understand guide- Common Complications Associated with Twin Pregnancy 1. Preterm labor When the delivery happens before 37 completed weeks of pregnancy, it is called as preterm delivery. When you carry an additional fetus in your womb, the gestation period decreases. The premature rupture of the ovarian membranes results in preterm labor.   Premature babies do not develop properly. They do not achieve a normal healthy weight before they are born. Low-birth-weight babies may be incapable of fighting infections. These babies often need special care in a NICU.   2. Miscarriage risks As compared to singletons, a twin pregnancy carries a higher risk of facing a miscarriage. But it is impossible to say how much higher the risk is, as most early miscarriages are not identified. Most of the miscarriages occur in the first trimester of the pregnancy. Sometimes one baby is lost but it does not have an adverse effect on the development of the second baby. Many early twin pregnancies are not discovered so this occurrence is more common in nature. Feeling sad and down is natural under these circumstances. But you do not have any control over it. Talk to your doctor to guide and support you better during this difficult time. 3. Intrauterine Growth Restriction (IUGR) One of the most common complications with a twin pregnancy is the growth issue. The growth rate of the twins begins to slow down at 29 to 32 weeks. IUGR occurs during the same phase when placenta cannot handle any more growth of the twins. IUGR is a condition in which a baby is smaller than is expected to be. Your body starts succumbing to the growth process as both the babies compete to obtain a sufficient amount of nutrients. Contact your gynecologist, as she may guide you by performing an ultrasound and measuring the size of your abdomen. 4. Placental Abruption If the placenta detaches itself from the uterine wall before the time of delivery, it may lead to serious complications. Though it affects only 1 % of pregnant women, but chances of this condition are higher in twin pregnancies. In the case of a twin pregnancy, abruption may occur just after the first baby is delivered vaginally. Usually, C-section is advised to deliver the other baby. 5. Preeclampsia and High blood pressure The chances of developing Preeclampsia are higher when you are expecting twins. High blood pressure can also be one of the complications that can pose serious threats to you and the unborn babies. Preeclampsia is a pregnancy complication marked by protein in the urine, high blood pressure, liver or kidney abnormalities. But with adequate parental care, it is possible to reduce the risk of developing a serious problem from preeclampsia. 6. Anemia Due to increased blood flow, iron level drops which cause anemia. Your doctor will prescribe you a suitable iron supplement to cope up with this condition. When you are suffering from anemia, your body feels drained and tired. This complication is more common in multiple pregnancies. Regular checkups are must to keep a track of anemia levels. 7. Heart Failure It is also observed that 13% of the women who are expecting twin pregnancies suffer from the danger of heart failure. They are more likely to have the risk of heart failure as compared to a singleton. 8. Gestational Diabetes This is one of the most common problems that occur in twin pregnancies. The resistance to insulin production increases due to the presence of two placentas. And it leads to a sudden increase in blood sugar level. Greater placenta size or elevated levels of the placental hormones are also some of the reasons that lead to gestational diabetes. 9. Birth Defects Twin pregnancies can also have the risk of developing congenital abnormalities in the newborn twins. Heart abnormalities, gastrointestinal disorders, and neural tube defects are some of the common birth defects usually experienced in case of twin pregnancy. 10. Obstetric Cholestasis This rare condition affects the liver. Many studies have revealed that Obstetric cholestasis is caused by pregnancy hormones estrogen and progesterone. Twin or multiple pregnancies produce a higher level of hormones that why it is more common in such kind of pregnancies. The most common symptom is extreme itching without rashes. Contact your doctor immediately if you experience something like this. Prevention of complications This is the most common question that people often have and we truly understand this. Twin pregnancies have little to do with your lifestyle or behavior. But an early confirmation that you are expecting twins may help you in a big way. This will help your doctor to detect, monitor or treat complications that may arise. It is highly recommended to make a note of these important points- Mothers who carry more than 1 fetus need more proteins, calories, iron, and nutrients. So, you need to have a healthy diet. Proper hydration is highly recommended.  Be aware of all the warning signs associated with pre-eclampsia and other pregnancy complications that need immediate attention More frequent prenatal visits help the doctor to monitor and treat the condition timely and effectively. Seek doctor’s advice on doing some gentle exercises during your pregnancy and also attend all antenatal appointments. Smoking is injurious to health and it is deadly during pregnancy. If you really want to do something for your babies, quit this bad habit now! Passive smoking may also create problems so ask your family members and visitors to smoke outside and make your home a smoke free zone. Feature Image Source

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