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Induced Labor: All You Need To Know

The journey to motherhood is both sweet and demanding. Of course, everyone plans and hopes for things to go the right way. However, this isn’t always the case. At about 39 weeks of pregnancy, most healthy pregnant women will fall into labor on their own.

Most, not all.

Labor starts with the softening and ripening of the cervix. Once this has happened, the uterus starts contracting, the baby descends as the cervix opens further, the water breaks, and the baby is born. Sometimes, this process doesn’t start spontaneously as expected.

In this instance, healthcare providers could offer induced labor.

What is Induced Labor?

In plain terms, this is the process of artificially stimulating the uterus to begin contractions to achieve a successful vaginal delivery. Generally, doctors perform this procedure before the onset of labor or in situations when the uterus fails to begin contractions by the due date.

In this post, you’d learn all there is to know about induced labor; how it happens, the possible complications, and a final note from us to you.

Induced Labor

How long does it take for labor to start after induction?

The time it takes different women to fall into labor after induction varies.

In fact, the onset of labor depends on a number of factors which include:

  • The type of induction technique used: The body responds to different techniques in different ways so this will affect the time induced labor will start.
  • The position of pregnancy: The position of the pregnancy (first, second, etc) also has a significant effect on the onset of labor. In fact, studies show that induced labor usually takes a longer time if it is the woman’s first pregnancy.
  • The gestational age: Pregnancies earlier than 37 weeks take a longer time for labor to begin if induced.
  • Ripening of the cervix: The faster the cervix becomes ‘ripe’ i.e. to soften and open, the earlier labor starts.

Most times, induction of labor is an elective procedure.

This means that you would have had enough time to discuss the advantages, disadvantages, and associated risks with your doctor. However, the benefits of inducing labor are usually greater than the risks.

Why Is Labor Induced?

Doctors consider inducing labor for a number of reasons. These include:

1. Post-term pregnancy

Induced labor becomes a valid option if the pregnancy is already more than 39 weeks (at least two weeks more than the due date) and the process of labor has not begun.

2. Ruptured Membranes

Once the water breaks, it is a sign that a baby is ready to come out. However, if labor doesn’t begin soon after, the baby could be in grave danger. As a result, induced labor is a reasonable option in this case.

3. Underlying Maternal Conditions

A history of gestational diabetes or high blood pressure during pregnancy also increases the chances of induced labor. In this instance, labor is induced to monitor fetal health and reduce the risk of complications.

4. Oligohydramnios

This is a reduction in the volume of fluid (amniotic fluid) surrounding a baby. In this case, induced labor hastens the process of labor and reduces the risk of complications.

5. Placenta Rupture

This is when the placenta detaches partially or completely from the inner wall of the uterus before delivery. This is not good for babies because there’d be a reduction in nutrients and oxygen supply. As a result, induced labor is a reliable care option.

Placenta Previa - Induced Labor

In addition, induced labor is also a reliable option in cases of:

  • Chorioamnionitis
  • Intrauterine growth restriction (IUGR)
  • Kidney problems

Furthermore, you can also opt for induced labor even if you do not have any of the listed above. This is an option for women with term pregnancies and a history of rapid vaginal deliveries, as it reduces the risk of them going into labor without a healthcare personnel present.

How To Induce Labor

There are different methods of inducing labor. Depending on the need for induced labor, your doctor may:

1. Ripen your cervix

Synthetic prostaglandins can be used to ripen (thin or soften) the cervix. When this is done, your contractions and your baby’s heart rate will be monitored. Also, a catheter (a small tube) with an inflatable balloon on the end is inserted into your cervix. This tube is then filled with saline and it is rested against the inside of your cervix and also helps to ripen your cervix.

induced labor

2. Rupture your amniotic sac

This technique is also known as amniotomy. It can only be done if the cervix is partially dilated and thinned and your baby’s head is already in the pelvis.

3. Intravenous medication

Your health care provider can give you a synthetic version of oxytocin, known as Pitocin intravenously. (Oxytocin is the hormone that causes the uterus to contract). This can also be used to speed up or augment labor that has already begun.

Your health care provider can use a combination of any of these methods to induce your labor. Usually, induced labor is often successful.

However, if it doesn’t work out as planned, a C-section is the next option.

What are the complications of induced labor?

Some possible complications of inducing labor include:

  • Failed Induction: When an indued labor fails, a C-section would be conducted.
  • Postpartum Hemorrhage: Induced labor increases the risk of the uterus not contracting properly. This can lead to severe bleeding after delivery.
  • Rupture of the uterus: This is possible if you have had a previous uterine surgery.
  • Fetal distress: The medications used to induce labor can cause excessive contractions which reduces the baby’s heart rate and oxygen supply, and results in fetal distress.
  • Infections: Depending on the technique used to induce labor, such as rupturing the membrane, there may be an increased risk of infection.

A word of caution

Induced labor is not for everyone. It is not an option for you if:

  • You have had a previous C-section with a classical incision.
  • You have placenta previa (the placenta blocking your cervix).
  • Your baby is breech.
  • You have an umbilical cord prolapse.

Conclusion

Finally, it is important to remember that induced labors are safe, protected, and often successful. With all the info explained above, you’ve got nothing to worry about.

Remember, we’re always here to help you.

References

Adler, K., Rahkonen, L. & Kruit, H. Maternal childbirth experience in induced and spontaneous labour measured in a visual analog scale and the factors influencing it; a two-year cohort study. BMC Pregnancy Childbirth 20, 415 (2020). https://doi.org/10.1186/s12884-020-03106-4

Lueth, G.D., Kebede, A. & Medhanyie, A.A. Prevalence, outcomes and associated factors of labor induction among women delivered at public hospitals of MEKELLE town-(a hospital based cross sectional study). BMC Pregnancy Childbirth 20, 203 (2020). https://doi.org/10.1186/s12884-020-02862-7

Meconium: All You Need To Know

Once you get pregnant, you’d begin to learn new things. New things about your mind, your body, and your baby. A prime example of this is meconium.

Meconium is a thick, green, tar-like substance present in your baby’s intestines during pregnancy. Let’s just say meconium is the name for your baby’s feces while still in the womb. Normally, your baby does not pass meconium until after birth. However, in some instances, your little one can have bowel movements before birth and pass meconium into the amniotic fluid.

In this article, you’d learn about meconium during labor and the interventions performed. You’d also get to learn about the Meconium Aspiration Syndrome.

When do babies pass meconium?

Simply put, meconium is your baby’s first poo. Although babies begin to excrete urine into the amniotic fluid from as early as the 11th week, they don’t pass the first stool (meconium) ideally until after birth. Usually, this happens within 24 – 48 hours after birth, but it can also happen shortly after delivery.

Meconium in labor

If your doctor or midwife notices meconium during the labor and birth process, he/she will have to watch your baby closely for any other signs of fetal distress.

Thankfully, meconium staining of the amniotic fluid alone does not mean that your baby is in fetal distress. However, it is a sign for your health care team to be on the watch.

In certain cases, doctors or nurses may choose to conduct an amnioinfusion for better outcomes during labor.

An amnioinfusion is a procedure that involves placing a sterile fluid into the uterus via a catheter to dilute the meconium. This sterile fluid increases the volume of amniotic fluid present and ultimately increases a baby’s tolerance to labor.

Light-colored meconium does not pose much risk to your baby. It is also not likely to be a sign of fetal distress but rather, a sign of the maturation of your baby. Thicker meconium is more dangerous to your baby. This is due to the thickness and the greenish shade of meconium.

Interventions during labor

If there are signs that your baby is not tolerating labor well or that your baby is showing signs of fetal distress (sometimes during induced labor) that aggressive therapy has not corrected, your doctor or midwife will discuss with you other operative delivery procedures depending on how far away you are from a vaginal delivery.

These procedures include:

Passing meconium after birth

If your baby does not pass meconium before birth, he or she will still pass it within the first few days of life. Nevertheless, it is important to state that meconium can be quite messy and hard to clean off your baby’s buttocks.

A special tip for you if your baby did not pass meconium before birth is to coat your baby’s buttocks with oil after washing up during diaper changes. This will prevent the meconium from sticking and cleaning will also be easier.

meconium

Meconium Aspiration Syndrome

Meconium is more common in amniotic fluid if you are well past your due date.

When this happens, one of the concerns is the possibility of your baby aspirating the meconium during labor or birth.

This aspiration syndrome is managed by vigorous suctioning immediately your baby’s head is birthed, even before the rest of the body is born. This helps to reduce the amount of meconium available for your baby to aspirate.

Sometimes, your baby may swallow the meconium and this may not pose as much of a problem as if it is inhaled into his/her lungs. If your baby inhales the meconium, it may lead to a problem known as Meconium Aspiration Syndrome.

Due to the fact that meconium is thick and sticky, it can lead to problems for your baby during the process of initiation of respiration. This can also lead to meconium aspiration pneumonia. Both meconium aspiration syndrome and meconium aspiration pneumonia can lead to very serious problems, causing a child to stay in the neonatal intensive care unit (NICU) for a couple of days or weeks after birth for appropriate treatment.

The number of days or weeks a baby spends in the NICU depends on the severity of aspiration.

Risk factors that may cause aspiration of meconium before birth include:

  • Decreased supply of oxygen to the baby while in the womb.
  • Post term pregnancy leading to aging of the placenta.
  • Gestational diabetes in the mother.
  • High blood pressure in the mother.
  • Prolonged labor or other difficulty during delivery.

Symptoms of meconium aspiration syndrome

Symptoms of babies who have aspirated meconium include:

  • Reduced or no breathing: This is the lack of respiratory effort on the baby’s part.
  • Cyanosis (this is the bluish coloration of the skin due to reduced oxygen supply).
  • Difficulty in breathing: This is obvious when the baby is grunting or noisy when breathing. It is also seen when the baby is using extra muscles to breathe, or has a rapid and shallow breath.
  • Being limp or flaccid at birth.

Management of a baby with meconium aspiration syndrome

If traces of meconium are found in the amniotic fluid and the baby is active and crying, no treatment is needed. In cases where the baby is inactive or not crying right after delivery, the special care team in charge of your baby will initially warm and maintain a normal temperature in the baby.

Subsequently, the care team will dry and stimulate the baby, to help him/her start breathing without support.

If the baby is not breathing or has a low heart rate, the medical team will supply oxygen through artificial techniques using an air-filled bag.

Subsequently, the child would be transferred to the NICU for close observation.

Prognosis of a baby with meconium aspiration syndrome

The prognosis of babies with meconium-stained fluid is usually good as there are no long-term health effects.

Only about half of babies with meconium-stained fluid will have breathing problems and about 5% will have meconium aspiration syndrome. Rarely does meconium aspiration syndrome result in permanent lung damage.

Prevention of meconium aspiration syndrome

To prevent meconium aspiration syndrome, you need to stay healthy during pregnancy. You should also follow your doctor’s advice.

At the hospital, your medical team would be ready for meconium being present at birth and would have made adequate preparation to handle the situation.

Conclusion

Finally, it is helpful to note that meconium isn’t a common cause of problems during childbirth. In fact, all you need to do while expecting your little one is to eat healthily, exercise often, and attend your clinics regularly.

You and your baby are going to be just fine.

References

Addisu, D., Asres, A., Gedefaw, G. et al. Prevalence of meconium stained amniotic fluid and its associated factors among women who gave birth at term in Felege Hiwot comprehensive specialized referral hospital, North West Ethiopia: a facility based cross-sectional study. BMC Pregnancy Childbirth 18, 429 (2018). https://doi.org/10.1186/s12884-018-2056-y

Fetal distress: All You Need To Know

As you anticipate and prepare for the big day when your baby will come, there are some unplanned processes that may come up. Labor can be long and very uncomfortable such as induced labor. Sometimes, it may bring with it some risks and threats to you, your baby, or both of you. One of these risks is fetal distress.

When your baby is in distress during labor, it is a sign that he or she is not coping well and your doctor needs to speed things up in order to save you and your baby.

This article provides you with all the info you need to have about fetal distress is; the causes, risk factors, complications, and the next steps to take.

What is fetal distress?

Fetal distress is also called “non-reassuring fetal status.” This rare complication is often associated with labor. However, it may also occur during pregnancy. It is a sign that your baby is not getting enough oxygen through the placenta.

Fetal Distress

Loss or reduction in the amount of oxygen supplied to your baby can lead to a reduced heart rate for your baby in the womb or during delivery. This always requires urgent medical attention. Most times, surgery is the best possible option.

If your baby does not get sufficient oxygen, he or she can end up breathing in amniotic fluid which contains meconium. (Meconium is the waste product or feces of your child produced while in the womb). This can make breathing difficult for your baby after delivery, and in some bad cases, he or she may not breathe at all.

What Causes Fetal Distress?

The commonest cause of fetal is distress is a disruption in the supply of oxygen to the baby due to problems associated with the placenta or the umbilical cord. Problems of the placenta include placenta insufficiency or placenta abruption. Sometimes, umbilical cord compression may also cause fetal distress.

In addition, underlying health conditions such as uncontrolled diabetes, problems with the kidneys, or liver disease may also lead to fetal distress. Furthermore, studies have shown that overdue pregnancies and prolonged labor also cause fetal distress in most women.

Other times, too strong or too close contractions during labor can also be a precipitating factor for fetal distress. Other major causes of fetal distress include:

  • Preeclampsia.
  • Placenta abruption.
  • Intrauterine growth restriction (IUGR).
  • Lying flat on your back for a long period of time during labor. This eventually puts pressure on your big and major arteries, cutting off the supply of blood, and ultimately, oxygen, to your baby.
  • Excess amount of amniotic fluid.
  • Insufficient amount of amniotic fluid.
Fetal Distress Image

Risk Factors for Fetal Distress

Your baby is at risk of experiencing fetal distress if:

  • There’s a long or complicated labor.
  • The pregnancy is overdue.
  • You have preeclampsia.
  • There is a history of uncontrolled diabetes.
  • You have excess or insufficient amniotic fluid.
  • Your baby has intrauterine growth restriction.
Fetal Distress Baby at Risk
  • There’s a problem with the placenta.
  • You have had a stillbirth before.
  • You have a multiple pregnancy (i.e., being pregnant with more than one baby at a time).
  • There’s a problem with the umbilical cord.
  • You smoke.
  • You are obese.
  • If you have an underlying chronic disease like kidney problem.

Diagnosing fetal distress

To diagnose fetal distress, the baby’s heart rate must be read.

A slow heart rate or a heart rate with an unusual pattern is a pointer to fetal distress. Fetal distress can also be picked sometimes during routine antenatal checkups. This is done when your doctor or midwife listens to your baby’s heart during pregnancy.

During labor, your baby’s heart rate is usually monitored to check for signs of fetal distress.

Diagnosing Fetal Distress

Fetal distress can also be diagnosed if there is meconium in the amniotic fluid. A greenish or brown-colored amniotic fluid suggests the presence of meconium in the amniotic fluid which can lead to fetal distress.

What Can Be Done if Your Baby is in Distress?

Before labor,

  • If you notice a change in the movement or kick count of your baby, you need to call your doctor.
  • If your water breaks and it is greenish or brownish in color, you need to go to the hospital immediately. It is a sign that that amniotic fluid is stained with meconium already.

During labor,

  • You will be placed on a fetal monitor to check the activities of your baby and to know whether he or she is in distress.
  • If your doctor or midwife notices your baby is in distress, you will be given oxygen and some IV fluids.
  • Also, you may be asked to change or move position by turning to another side. This can help to reduce the baby’s distress.
  • Labor-inducing drugs like oxytocin may be withrawn in cases of fetal distress.
  • If your labor is natural, you may be given drugs to reduce your contractions because contractions that are too strong can cause fetal distress.
  • If these methods above do not work, your doctor or midwife may need to assist your delivery. This is because a baby in distress has to be born quickly. This can be achieved via assisted delivery with the use of a forceps or vacuum extractor or you may need to undergo an emergency cesarean section.

Complications of fetal distress

Although fetal distress can be managed adequately, babies who experience it are at risk of greater complications after birth. The complications can also result from the cesarean section or the assisted delivery process used. Some of these complications are:

  • Injury to the brain due to lack of oxygen supply.
  • Cerebral palsy.
  • Loss of blood by the mother during cesarean section.
  • Infections.
  • Mild difficulty in feeding
  • Jaundice which is usually short-term
  • Sometimes, still birth.

Conclusion

Every pregnancy is different and each comes with its own peculiarities. That your baby experienced distress in this pregnancy does not mean babies in subsequent pregnancies will suffer the same.

You can speak with a counselor or your doctor if you are traumatized by your experience during your previous pregnancy.

References

Parer, J. T. and Livingston E. G. (1990). What is fetal distress? American Journal of Obstetrics and Gynecology. Jun;162(6):1421-5; discussion 1425-7. Accessed on 7th January, 2022 from https://doi.org/10.1016/0002-9378(90)90901-I

Suresh Tharmaratnam (2000). Fetal distress. Best Practice & Research Clinical Obstetrics & Gynaecology. Volume 14, Issue 1, February 2000, Pages 155-172. Accessed on 7th January, 2022 from https://doi.org/10.1053/beog.1999.0069

5 Things to Know About COVID Birth

During pregnancy, most women have more pressing concerns than coronavirus. From the cramps to antenatal clinics, and even getting the right birth plan; COVID-19 may be the last subject on your mind.

However, studies have shown that the virus also affects moms-to-be, and in some cases, their unborn babies.

labor contractions

In this article, you’d find all you need to know about childbirth and pregnancy in the COVID-19 pandemic.

First, What Is COVID-19?

Coronavirus disease, or COVID-19, is an infectious condition caused by the SARS-CoV-2 virus. In most cases, people infected with this virus experience some degree of respiratory illness. Although most individuals with COVID-19 recover without any special treatment, older people and pregnant women are more likely to develop serious symptoms.

Medical experts around the world agree that the best way to prevent and reduce the transmission rate of the virus is to be well informed about the disease and how the virus spreads. During pregnancy and childbirth, this information is much more important.

Don’t Stop Reading!

How Does COVID-19 Affect Pregnancy & Childbirth?

Sadly, pregnancy and childbirth increase the risk of having more serious symptoms of COVID-19.

Although the overall risk of getting severe symptoms of COVID-19 is low, pregnancy reduces your immune function, making you more susceptible to serious illness due to Coronavirus in this period.

Furthermore, this risk increases greatly in the first two days after childbirth. In fact, studies show that pregnant women with COVID-19 are more likely to need intensive care with a ventilator than non-pregnant women.

In addition, the risk of preterm delivery (birth before the 37th week) increases significantly in women with COVID-19.

Also, underlying conditions like hypertension, obesity, and gestational diabetes increase a pregnant woman’s risk of having severe symptoms of COVID-19.

Effect of COVID-19 on Childbirth

Here’s the fact: You’re going to get all the care and support you need.

To minimize human contact in a bid to curb the spread of the virus, many hospitals have switched to telemedicine and other online resources for antenatal clinics and consultations. In addition, new hospital policies restrict partners, friends, and family from sitting in on the delivery day.

Some women are even unable to hold their children in the first month after childbirth due to a positive COVID-19 diagnosis. Sadly, this may increase the risk of postpartum depression and other maternal mental health conditions.   

Although a recent study shows that 6 in 10 women claim that they received inadequate support during pregnancy and childbirth, your story does not have to be this way.

covid-19 childbirth

In fact, all you need is proper information and the right plan.

Thankfully, you’d find all that and more in this article!

5 Things to Do During Pregnancy and Childbirth with COVID-19

As we mentioned earlier, all you need to stay healthy and happy throughout pregnancy and childbirth during the COVID-19 pandemic is the right information.

To help you out, we’ve compiled an effective list of 5 things to do in this period:

1. Follow The Rules

This time, the rules are not made to be broken.

As you prepare for the arrival of your precious one in these strange times, it is really important that you follow the recommendations from the Center for Disease Control (CDC). In this period, you need to:

  • Wash your hands as often as you can.
  • Avoid sick people.
  • Wear a mask.
  • Clean and disinfect all frequently-touched surfaces.

These recommendations, including the ones unique to your country, are designed for your (and your baby’s) safety.

2. Go for Home Deliveries

As much as you can, don’t go out.

covid birth

A safer option is to stay indoors and order all you need. In fact, your groceries can be ordered online and delivered to your doorstep after all COVID-19 protocols have been followed.

3. Start A Healthy Diet

As we mentioned here, your diet is an important part of your pregnancy and childbirth journey. In this period, you need to ensure that you’re getting the right mix of carbs, proteins, vitamins, essential fats, and of course, water.

This is really important becomes the right diet would boost your immune system and protect you from contracting the virus.

You can find all the info you need to start your healthy pregnancy diet in this article.

4. Exercise Often

Following the right exercise routine is really important during pregnancy. As you prepare for childbirth, kegel exercise strengthens your pelvic floor and prepares your body for delivery. In addition, regular walks in the park strengthen your lungs and keep your immune system healthy enough to fight the virus.

5. Draw Up Birth Plan

The first step is to calculate your conception and estimated delivery dates. Once you do, you can begin to draw up your birth plan.

covid 19 and pregnancy

This involves planning out your antenatal clinics and packing your delivery bag that includes all COVID-19 protective equipment.

What to Do If You Have COVID-19 Symptoms

The first step is to contact the Centre for Disease Control. Once you get tested, your healthcare providers would supply all you need to stay safe and healthy in this period.

Thankfully, it is possible to have a safe labor and delivery even with a positive COVID-19 diagnosis. Furthermore, if you think you may have been exposed to the virus, please contact your healthcare provider to get tested.

Conclusion

Finally, it is important to remember that a lot of studies are still going into the effects of Coronavirus and pregnancy or childbirth. At this point, the best thing you can do is to follow all the guidelines in this article and stay as safe as you can.

Stay safe, Mama.

References

Autoimmune Diseases: 7 Things You Need To Know

Our immune system is our body’s defense system. During and after pregnancy, it protects us from infections and autoimmune diseases by battling invading microorganisms and other harmful environmental agents. Interestingly, the role and function of each component of our body’s immune system are well controlled. For example, your immune system is able to differentiate between harmful foreign substances and your own natural body cells.

However, in some unique conditions like pregnancy, this may not go according to plan.

autoimmune diseases

In immune deficiency diseases, the body defense loses its ability to fight off foreign intruders. When this happens, it loses control and begins to attack natural, healthy body cells. This is the mechanism behind autoimmune diseases.

In this article, you’d discover seven crucial facts about autoimmune diseases during pregnancy; what they are, common examples, and the unique features or symptoms.

What Are Autoimmune Diseases?

Autoimmune diseases are conditions that occur when the body’s immune system fights and kills natural and healthy body cells. It contains a spectrum of diseases characterized by over-activity of the body’s defense system.

In plain terms, you can picture it as the body’s army fighting against the body cells it ought to protect. This “self-attack” is because the defense system has lost its ability to differentiate between normal body cells and harmful foreign cells.

Common Examples of Autoimmune Diseases That May Occur During Pregnancy

  • Systemic lupus erythematosus (SLE)
  • Sjögren’s syndrome
  • Immune Thrombocytopenia (ITP)
  • Rheumatoid arthritis (RA)
  • Psoriasis
  • Inflammatory bowel disease
  • Hashimoto’s thyroiditis
  • Myasthenia gravis
  • Celiac disease
  • Pernicious anemia

Seven Important Facts About Autoimmune Diseases

1. No One Knows The Actual Cause

Despite decades of medical research, experts are yet to identify the root cause of autoimmune diseases. However, the process and mechanism by which they occur are well explained. For instance, environmental factors and infections have been found to trigger the occurrence of autoimmune diseases in most people.

Furthermore, unique physiological changes like pregnancy can also predispose a person to various autoimmune diseases.

2. Most of these diseases are genetic

Researchers have identified some genes associated with autoimmune diseases. These genes are passed down from generation to generation along family trees. This makes family members more susceptible to having a disease that another family member has suffered from in the past.

Autoimmune

In addition, some autoimmune diseases are common in certain ethnic groups. For example, lupus is prevalent amongst African-American, Asian and Hispanic people. On the other hand, Type 1 Diabetes is more common in Caucasians.

Sometimes, these gene-based autoimmune diseases may remain hidden until pregnancy starts.

3. Autoimmune Diseases Are More Common In Women

Autoimmune diseases are more common in women. At least, there is a 5-to-1 ratio of female to male prevalence of these diseases. Also, most cases of autoimmune disease have occurred in women of childbearing age. The reason for this is largely unknown.

However, research has suggested that it is because women have a stronger immune response to infections than men.

4. They Can Have Varied Effects on Pregnancy

Every pregnancy in women with any of the conditions mentioned above is high-risk.

The interaction between pregnancy and autoimmune disease can produce varied effects on the disease and the pregnancy itself. As for the effects on the disease, pregnancy can trigger an increase, reduction, or removal of the symptoms of an existing autoimmune disease.

In some cases, pregnancy has no effect on the disease. Furthermore, a pre-existing autoimmune disorder can also cause harm to the baby during pregnancy.

5. These Conditions Increase The Risk of Cancer

Autoimmune diseases like celiac disease, multiple sclerosis, rheumatoid arthritis, and systemic lupus erythematosus can increase the risk of developing cancer. In addition, the use of drugs that suppress immune function to treat autoimmune diseases also increases the risk of cancer.

In contrast, cancer is involved in the development of autoimmune diseases such as scleroderma and myositis. This shows a great correlation and association between cancer and autoimmune diseases.

6. The Symptoms May Be Similar

There are over eighty of these conditions. These diseases affect different areas of the body like:

  • Blood vessels
  • Underlying tissues
  • Joints
  • Muscles
  • Red blood cells
  • Kidney
  • Skin

Nevertheless, the early signs and symptoms of these diseases are very similar. However, the severity and location may differ. Individual diseases have symptoms peculiar to them based on the body part they affect.

These early signs and symptoms include;

  • Fatigue
  • Low grade fever
  • General feeling of unwell
  • Muscle aches
  • Joint pain
  • Skin rashes

It is also important to note that these symptoms are not always present; they tend to come and go.

7. Treatment Only Controls The Symptoms

There is no definite cure for autoimmune diseases.

The current treatment of autoimmune diseases is to induce remission (absence of symptoms) in the patient and keep him/her in that state for as long as possible. To achieve this, drugs are used to suppress the malfunctioning overactive immune system. Non-steroidal anti-inflammatory drugs (NSAIDs) such as Ibuprofen, and immunosuppressive drugs such as steroids help to reduce inflammation and the immune response respectively.

Furthermore, Disease-Modifying Anti-Rheumatic Drugs (DMARDs) are used to decrease the damaging effects of the inflammatory response. However, other treatment methods are used to treat specific symptoms like pain, swelling, fatigue, and skin rashes.

Advancements in research have led to the development of newer drug therapy with fewer side effects, which are more effective.

These include:

  • Use of Monoclonal antibodies to reduce inflammation.
  • Antigen-specific immunotherapy that allows the defense system to target abnormal cells.
  • Co-stimulatory blockade which helps to block the pathway that leads to the autoimmune response
  • Regulatory T cell therapy that utilizes this special type of T cells to suppress the autoimmune response.

However, during pregnancy, the mode of treatment largely depends on the stage of pregnancy and the presence/absence of other associated conditions.

Conclusion

Autoimmune diseases are conditions in which the immune system attacks the body cells. Even though there are a lot of these diseases, most of them present with similar symptoms. Furthermore, these diseases can be triggered by infections and environmental agents, especially during pregnancy, but the root cause remains unknown.

In conclusion, if you think that you’re at risk of any of the autoimmune diseases mentioned in this article, please consult your doctor.

We are always here to help you.

References

Ortona E, Pierdominici M, Maselli A, Veroni C, Aloisi F, Shoenfeld Y. Sex-based differences in autoimmune diseases. Ann Ist Super Sanita. 2016 Apr-Jun;52(2):205-12. doi: 10.4415/ANN_16_02_12. PMID: 27364395.

Cooper GS, Stroehla BC. The epidemiology of autoimmune diseases. Autoimmun Rev. 2003 May;2(3):119-25. doi: 10.1016/s1568-9972(03)00006-5. PMID: 12848952.

Circumvallate Placenta: Risk, Causes, and Treatment

The placenta is a really important organ in pregnancy. As your little one develops, the placenta supplies nutrients and oxygen while removing waste products from your baby’s blood. Sometimes a placental complication called circumvallate placenta can arise during pregnancy.

In this post, you’d learn about the risk factors, causes, and treatment of circumvallate placenta. Also, you’d find reliable info about the effects of circumvallate placenta on pregnancy and childbirth.

What Is Circumvallate Placenta?

Circumvallate placenta is a rare placenta complication that occurs when the covering layer of the placenta on the side of the fetus folds backward around its other edges. In most cases, this abnormal folding happens because the fetal part of the placenta is too small.

Placenta
placenta

What Are the Risk Factors?

Although there’s no telltale sign of circumvallate placenta, certain medical conditions before and during pregnancy may increase the chances of having a circumvallate placenta.

These risk factors include:

  • Maternal Infections (Uterine or Vaginal)
  • Multiple Pregnancies
  • Diabetes
  • Chronic Kidney Disease
  • Birth defects due to genetic or chromosomal abnormalities

Thankfully, routine medical examinations and history taking during your antenatal clinics would help your doctor identify these risk factors and begin any of the treatment options mentioned later in this article.

Causes of Circumvallate Placenta

Here’s the fact: Circumvallate placenta is caused by a variation in placenta development.

placenta
stethoscope

However, medical experts haven’t identified the actual cause of circumvallate placenta. However, researchers agree that there’s almost no way of preventing this condition from occurring.

Furthermore, it is important to note that this condition is very rare as it only occurs in 1-2% of all pregnancies globally.

Symptoms of Circumvallate Placenta

Interestingly, the circumvallate placenta may not cause any symptoms in pregnancy and only be discovered after the placenta is delivered. In other cases, the condition can raise certain red flags that your doctor can identify during your regular antenatal clinics.

The common symptoms of circumvallate placenta include:

Fetal Growth Restriction

In some cases, fetal growth restriction may occur in women with circumvallate placenta. The placenta is a fetomaternal organ that supplies vital nutrients and gases for the fetus to grow. Therefore, anything that affects placental development can prevent the baby from growing well.

foetus

Premature Rupture of Membranes (PROM)

This happens when the amniotic sac ruptures before the onset of labor. Although PROM is an important pregnancy condition, which has various causes and risk factors, it can also be a symptom of circumvallate placenta.

Vaginal Bleeding

This is the most common symptom of circumvallate placenta.

Women with a circumvallate placenta often experience persistent vaginal bleeding in the first trimester of pregnancy. In fact, recent medical research shows that circumvallate placenta may cause vaginal bleeding in all three trimesters of pregnancy.

What Are the Effects of Circumvallate Placenta?

Due to its unique features and functions during pregnancy, placenta abnormalities like Placenta Previa can affect both the mother and child during pregnancy or delivery.

The major effects of circumvallate placenta include:

Preterm Delivery

When it happens, circumvallate placenta may cause the amniotic sac to rupture before the due date. This would lead to preterm delivery.

placenta

In this case, your doctor may decide to keep you in the hospital and administer IV fluids that relax the uterus and stop the process of labor. In addition, he/she would provide drugs that spur your little one’s lung development as you prepare for delivery.

Chronic Lung Diseases

As we mentioned earlier, circumvallate placenta can cause premature birth.

When a child is born before the due date, there’s a high chance that his/her lungs aren’t developed enough to handle gaseous exchange outside the womb. Therefore, researchers agree that circumvallate placenta can increase the occurrence of chronic lung disease in infants.

Placenta Abruption

This is an emergency medical condition that occurs when the placenta suddenly detaches from the uterus.

Placenta abruption is considered an emergency condition because it can place the baby at serious risk due to deprived oxygen supply. When this happens, an emergency cesarean section is conducted to save the life of the baby and prevent possible organ damage.

placenta

In addition, placenta abruption can cause serious hemorrhage that also places the mother at risk.

Low Birth Weight

As we mentioned earlier, fetal growth restriction is a common symptom or feature of circumvallate placenta. Therefore, children of women with circumvallate placenta often have a low birth weight.

low burth weight

Oligohydramnios

In plain terms, oligohydramnios means insufficient amniotic fluid.

It occurs when there is less than 300 mL of amniotic fluid present by the time the baby gets to term. Oligohydramnios is a serious condition because your baby depends on amniotic fluid for his/her lung, muscle, and bone development. In addition to this, the amniotic fluid cushions the baby and provides essential nutrients during pregnancy.

Miscarriage & Stillbirth

Sadly, circumvallate placenta can lead to a miscarriage or stillbirth if any of the effects mentioned earlier is left untreated.

How to Diagnose Circumvallate Placenta?

As we mentioned earlier, there’s no telltale sign of circumvallate placenta during pregnancy. In fact, doctors often diagnose this condition when they observe the placenta after childbirth.

However, a combination of proper medical history (to identify the risk factors) and routine ultrasound scans during pregnancy may help a doctor diagnose circumvallate placenta.

Thankfully, a proper diagnosis before birth would help your doctor begin proper treatment to minimize the risk of low birth weight and placenta abruption.

Circumvallate Placenta Treatment

While treating circumvallate placenta, the goal is to reduce the risk of complications.

In all cases, one of the major effects of circumvallate placenta is low birth weight; your doctor would monitor this by recommending routine ultrasound scans. However, if the baby is still not growing as fast as it should, he/she would recommend early delivery.

Although a C-section is often preferred for early deliveries, it is also possible to have a vaginal birth.

In cases of placenta abruption due to circumvallate placenta, your doctor would recommend any or all of the following:

  • Hospital bed rest
  • Early delivery
  • Emergency C-section

Conclusion

Finally, it is important to note that there’s almost nothing you can do to prevent circumvallate placenta. In fact, when it occurs, it is not your fault or due to something you did wrong.

Thankfully, it is very rare and can be managed with proper medical care to minimize the risk of complications.

Everything would work out fine.

References

Dry Mouth in Pregnancy: Causes, Symptoms & Treatment

Pregnancy comes with a long list of weird symptoms. From morning sickness to food cravings, the list is almost endless. Sometimes, pregnancy even comes with a symptom as unusual as dry mouth.

Although it is not one of the popular pregnancy symptoms, dry mouth is not a strange occurrence for women in this period.

In this article, you’d find all you need to know about dry mouth in pregnancy; the causes, symptoms, and treatment options.

What is Dry Mouth in Pregnancy?

Here’s the fact: Saliva is a really important feature in your mouth. It helps you digest food, moistens your mouth, and protects it by controlling its bacteria and fungi population.

During pregnancy, the hormone fluctuations that come with your growing baby can affect salivary secretion in your mouth. In addition, reduced salivary secretion during pregnancy may also be a sign of gestational diabetes.

Dry mouth pregnancy is a really important condition because it increases your risk of mouth infections (like thrush), tooth decay, and gum disease.

What Causes Dry Mouth During Pregnancy?

Like every other weird pregnancy symptom, many factors contribute to the development of dry mouth during pregnancy.

Some of them include:

1. Dehydration

This is what happens when your body loses more water than it gets. During pregnancy, vomiting ( during morning sickness) and diarrhea can cause dehydration. Therefore, it is advisable to drink lots of water during the entire period of your pregnancy.

In fact, we recommend an average of 8 cups daily.

Water

In addition to causing dry mouth, dehydration during pregnancy can also lead to persistent headaches, dark yellow urine, dizziness, and extreme fatigue.

2. Side Effect of Certain Medications

Sometimes, certain prescribed medications during pregnancy can alter the amount of saliva in your mouth.  For example, drugs used to treat hypertension and anti-emetics (for nausea treatment) can cause dry mouth.

In addition, dry mouth may also be a side effect of sedatives and muscle relaxants.

3. Gestational Diabetes

As we mentioned earlier, gestational diabetes is a leading cause of dry mouth during pregnancy. This condition, which raises your blood sugar level, only occurs during pregnancy. In this post, we talked about the signs, symptoms, and management of gestational diabetes.

4. Lifestyle Choices

Certain lifestyle choices can also affect the amount of saliva in your mouth during pregnancy. These include:

  • Smoking
  • Caffeine Intake
  • Tobacco Consumption
  • Irregular sleep patterns

All of the factors listed above also contribute to the development of dry mouth during pregnancy.

Symptoms of Dry Mouth during Pregnancy

In addition to the obvious dryness and absence of saliva in your mouth, other common symptoms of dry mouth pregnancy include:

  • Difficulty in chewing, tasting, and swallowing
  • Sore throat
  • Burning sensation in the mouth
  • Oral sores
  • Bad breath
  • Red, raw tongue
  • Frequent Thirst

What to Do When Your Mouth Is Dry During Pregnancy

The first step is to identify the cause.

You can do this by speaking to your doctor to identify and eliminate the cause. If your dry mouth is a side effect of medication, he/she may adjust the dose or stop the drug entirely.

Furthermore, causes like dehydration can be sorted by drinking 8 glasses of water daily. In addition, lifestyle modifications like limiting caffeine intake, quitting smoking, and tobacco use are recommended.

You can also manage dry mouth during pregnancy by:

  • Using fluoride toothpaste
  • Chewing sugar-free gum
  • Moisturizing the air in your living area with a humidifier
  • Reducing salt intake
  • Taking more liquid-based food
  • Drinking more water
  • Using a mouthwash
  • Sucking on ice chips
  • Breathing through your nose
  • Avoiding alcohol
  • Using a lip moisturizer
  • Reducing caffeine consumption
  • Rinsing your mouth before and after meals

Oral Hygiene In Pregnancy

dry mouth in pregnancy

While expecting, your oral health is more important than ever.

In addition to dry mouth, there are other important oral health conditions to consider. These include:

  • Gingivitis
  • Bad breath
  • Thrush
  • Tooth Decay

You can avoid these conditions by brushing twice daily, rinsing your mouth before and after meals, as well as using dental floss to clean the spaces between your teeth every day.

In addition to this, your diet is also super important. A healthy pregnancy diet that includes the right quantity and quality of veggies, vitamins, and milk will go a long way in improving and maintaining your oral health.

You can also take fruits like Oranges and Bananas which contain the right amount of calcium, vitamin C, and Vitamin A.

Although dry mouth during pregnancy increases the risk of the oral conditions mentioned above, you can easily avoid them by staying hydrated and following the tips listed in this article.

 Conclusion

Finally, it is important to remember that dry mouth pregnancy is not strange. In fact, many other moms and moms-to-be have experienced this.

It is usually just a function of the hormone changes that come with a growing baby.

You can relieve the symptoms of dry mouth in pregnancy by drinking more water and making the necessary lifestyle modifications. If the home remedies listed in this article don’t help, please contact your doctor for more assistance.

We are always here to help you, Mama.

References
  • Gupta S, Gupta N. Sjögren Syndrome and Pregnancy: A Literature Review. Perm J. 2017;21:16-047. doi: 10.7812/TPP/16-047. Epub 2016 Nov 9. PMID: 28080954; PMCID: PMC5267941.
  • Fayyaz A, Kurien BT, Scofield RH. Autoantibodies in Sjögren’s Syndrome. Rheum Dis Clin North Am. 2016 Aug;42(3):419-34. doi: 10.1016/j.rdc.2016.03.002. Epub 2016 Jun 21. PMID: 27431345; PMCID: PMC4955792.

Polycystic Ovary Syndrome (PCOS): Causes, Symptoms and Treatment

Do you know that Polycystic Ovary Syndrome (PCOS) affects about 1 in 10 women of childbearing age globally? Generally, this condition affects a woman’s hormone levels and may also lead to infertility. In fact, women with PCOS deal with hormonal imbalance and several metabolic problems.

Thankfully, there is a way out.

This article contains everything you need to know about PCOS; the causes, symptoms, effects, risk factors, and treatment. In addition, you’d also find info on how a healthy diet can protect you from polycystic ovarian syndrome.

Let’s Get Started!

What Is PCOS?

Polycystic Ovary Syndrome (PCOS) is a hormonal condition that affects women of childbearing age (12-51 years). In fact, studies show that about 2.2 to 26.7% of women in this age group have PCOS.

It is commonly characterized by abnormal hair patterns, obesity, menstrual irregularities, infertility, enlarged ovaries, and insulin resistance. Furthermore, women with PCOS are often at higher risk for cardiovascular diseases and breast cancer.

Causes of PCOS

No one really knows the exact cause of PCOS. However, experts believe that the presence of abnormally high levels of male hormones (androgens) in a woman’s body prevents the ovaries from producing enough feminine hormones. This restricts the ovaries’ ability to perform their normal function of ovulation.

Furthermore, any or all of the following factors have been linked to excess androgen production, and by extension, PCOS:

1. Genes

Recent studies show that PCOS runs in families. That is, if your mother or sister has it, there is a high chance that you would too. However, it has been observed that many genes (and not just one) may contribute to the condition.

Polycystic Ovary Syndrome (PCOS) and genes

2. Inflammation

Another potential cause of PCOS is inflammation. Studies show that women with PCOS usually have increased levels of inflammation in their bodies. Furthermore, excess weight can also contribute to the process of inflammation.

In most cases, excess inflammation is strongly linked to abnormal androgen levels in women.

3. Insulin Resistance

In plain terms, insulin resistance occurs when your body cells don’t respond to insulin as they should. Insulin is an important hormone that controls the conversion of food to energy in your body. If your body becomes resistant to insulin, its levels in your blood will become higher than usual.

Insulin resistance is really common in women with PCOS, especially those who are overweight or obese.

Symptoms of PCOS

Although the symptoms of PCOS vary in presentation, these are the most common ones:

1. Irregular Periods

One of the major effects of excess androgen production, and PCOS, is impaired ovulation. The delayed or total absence of ovulation prevents the uterine lining from shedding as it should during monthly periods.

In fact, women with PCOS may get less than eight periods annually. In other instances, an affected woman may not even menstruate in an entire year.

2. Abnormal Hair Growth

Due to the hormonal imbalance that comes with PCOS, women with this condition often experience abnormal/excessive hair growth on their face, belly, back, and chest.

This symptom affects up to 70% of women with PCOS.

3. Acne

Once again, the male hormones are responsible.

The increased androgen production which comes with PCOS can make the skin oiler than usual. Sometimes, this causes acne and breakouts on the face, chest, and upper back.

4. Weight Gain

This is another common symptom of PCOS. About 80% of women with the condition are usually overweight or obese. Some may even struggle with losing weight in this period.

Other common symptoms of PCOS include:

  • Darkening of skin
  • Headaches
  • Baldness

It is also important to note that these symptoms appear at different times; some women may observe them during their periods, or after a missed period. In other cases, the symptoms come after excessive weight gain or while trying to conceive.

Effects of PCOS

Although PCOS is very common, it affects many organs and systems of the body. The major effects of PCOS are:

1. Infertility

Here’s a fact: Ovulation is necessary to get pregnant.

To this effect, women who don’t ovulate regularly don’t produce as many eggs as they should for possible fertilization. As we mentioned earlier, PCOS affects ovulation, thereby causing infertility in women.

2. Metabolic Conditions

In addition to causing fertility problems, PCOS can also lead to any or all of the following metabolic syndromes/conditions:

  • Hyperglycemia
  • Hypertension
  • Diabetes
  • Stroke

3. Endometrial Cancer

Every month, the uterine lining sheds during ovulation. Women with PCOS don’t ovulate regularly, causing an abnormal build-up in the uterine lining.

Polycystic Ovary Syndrome (PCOS) and abnormal ovaries

Most times, a thickened uterine lining can increase the risk of endometrial cancer.

How to Treat PCOS

The treatment of PCOS depends on your symptoms, age, and desire to get pregnant. In most cases, treatment involves dietary and lifestyle modifications as well as certain medications.

Polycystic Ovary Syndrome (PCOS) and the treatment

Dietary and Lifestyle Treatment for PCOS

This is usually the first line of treatment for PCOS in most women.

In fact, losing just 5-10% of your weight may provide so much relief from the symptoms of PCOS. Healthy weight loss would also help regulate your menstrual cycle and solve the hormonal imbalance.

To achieve this, you can consider starting a healthy low carbohydrate diet. This is effective for both weight loss and reducing insulin levels.

Furthermore, a low GI diet that involves eating a lot of fruits, vegetables, and whole grains can also balance irregular menstrual cycles.

Medical research also shows that half an hour of moderate-intensity exercise conducted at least 3 times a week can improve weight loss in women with PCOS. This would also improve ovulation and lower insulin levels.

Medical Treatment of PCOS

Polycystic Ovary Syndrome (PCOS) and its medical treatment

1. Birth Control Pills

This is a viable treatment option for women with PCOS who are not trying to conceive. Hormonal birth control pills like progestin can:

  • Restore hormone balance
  • Regulate ovulation
  • Reduce excess hair growth
  • Prevent endometrial cancer

2. Metformin

This is a drug used to treat Type 2 Diabetes. The mechanism of action of this drug revolves around improving blood insulin levels, and by extension, treating PCOS. 

3. Clomiphene

Clomiphene is a fertility drug used in the treatment of PCOS for women with PCOS who want to get pregnant. However, it is important to note that clomiphene increases your chances of having multiple pregnancies.

4. Surgery

This is another option to improve fertility when other forms of medical and dietary treatments don’t work. The surgical procedure called ovarian drilling aims to reduce the number of cysts on the ovary by making tiny holes in them. The ultimate aim of this is to restore normal ovulation.

When to Consult Your Doctor about PCOS

Place a call to your doctor immediately if:

  • You’ve missed multiple periods without being pregnant
  • You observe any of the major symptoms of PCOS mentioned in this article
  • You’ve been trying to conceive for more than a year
  • You’re gaining a lot of unexplainable weight

Conclusion

Although PCOS can disrupt your menstrual cycles and make it more difficult to conceive, it can be treated easily.

As we mentioned earlier, lifestyle and dietary modifications make up the first line of treatment for PCOS. You can also consider medications as an option if these lifestyle modifications don’t work out.

If you’re concerned about the symptoms and effects of PCOS, please contact your doctor immediately.

Stay strong.

REFERENCES
  1. Lorenz, L. B., & Wild, R. A. (2007). Polycystic ovarian syndrome: an evidence-based approach to evaluation and management of diabetes and cardiovascular risks for today’s clinicianClinical Obstetrics and Gynecology, 50, 226–243.
  2. Goodman, N. F., Cobin, R. H., Futterweit, W., Glueck, J. S., Legro, R. S., & Carmina, E. (2015). American Association of Clinical Endocrinologists, American College of Endocrinology, and Androgen Excess and PCOS Society disease state clinical review: guide to the best practices in the evaluation and treatment of polycystic ovary syndrome – part 1Endocrine Practice, 11, 1291–300.
  3. Boomsma, C. M., Fauser, B. C., & Macklon, N.S. (2008). Pregnancy complications in women with polycystic ovary syndromeSeminars in Reproductive Medicine, 26, 72–84

All You Need To Know About Carpal Tunnel Syndrome

Pregnancy comes with a lot of changes; to your emotions, activities, and even your body. Sometimes, these changes aren’t always friendly. A typical example of this is the occurrence of Carpal Tunnel Syndrome in pregnancy.

When it happens, carpal tunnel syndrome limits your ability to hold objects for a long period of time. Interestingly, this syndrome is common in pregnancy.

Carpal Tunnel

Although it occurs in only 4 percent of the population, carpal tunnel syndrome affects about 5 in every 10 pregnant women. In this article, you’d find answers to every question about carpal tunnel syndrome in pregnancy; the meaning, symptoms, causes, risk factors, diagnosis, prevention, and treatment.

What is Carpal Tunnel Syndrome?

The carpal tunnel is a narrow path which links your wrist to your palm. Internally, it is surrounded by bones and ligaments. As the name implies, this is where the carpal tunnel syndrome occurs.

Carpal tunnel syndrome is the compression of the median nerve, which supplies the palm, as it crosses from the wrist into the hand. The median nerve provides sensation to your thumb, index finger, middle finger, and half of your ring finger.

Furthermore, carpal tunnel syndrome often occurs in one hand. However, it can also occur in both hands. Due to increased fluid production during pregnancy, carpal tunnel syndrome affects a large number of pregnant women.

Symptoms of Carpal Tunnel Syndrome in Pregnancy

During pregnancy, the symptoms of carpal tunnel syndrome start gradually and increase with time.

For most women, the symptoms include:

1. Numbness/Tingling Sensation In The Fingers

Remember that the median nerve supplies three and half of the fingers in your hand?

As a result of this arrangement, these are the regions affected in carpal tunnel syndrome. Most times, these fingers would feel numb or tingly. Sometimes, this sensation may even go as far up as your wrist.

In most pregnant women, this symptom is observed while driving, or holding an object like a phone or book. It may even occur as a person wakes up from sleep.

Thankfully, the little finger is not affected since it is not supplied at all by the median nerve.

2. Muscle Weakness

While suffering from carpal tunnel syndrome, your hands may feel weaker than usual. This is due to the numbness in your hand or the inability of your thumb to perform its grasping function easily.

All these symptoms result from nerve compression.

3. Swollen Fingers

In addition to the tingling sensation and numbness in the hands, pregnant women with carpal tunnel syndrome also have to deal with swollen fingers. This symptom is often linked with the increased fluid retention that comes with pregnancy. To find out more about fluid retention in pregnancy, click here.  

What Are The Causes of Carpal Tunnel Syndrome?

Generally, Carpal tunnel syndrome is caused by pressure on the median nerve. This pressure may result from swelling in the carpal tunnel. In fact, whatever irritates or squeezes the median nerve in the carpal tunnel may cause carpal tunnel syndrome.

Carpal Tunnel

The major cause of carpal tunnel syndrome in pregnancy is fluid retention. As your body produces and retains more fluids to support your baby, the median nerve faces a higher risk of compression in the carpal tunnel.

In addition, carpal tunnel syndrome can also result from other underlying medical conditions like:

  • Diabetes
  • Hypertension
  • Edema
  • Rheumatoid Arthritis
  • Wrist Fractures

What Are The Risk Factors For Carpal Tunnel Syndrome?

1. Sex

Women are more predisposed to carpal tunnel syndrome than men are. This may be because women have narrower carpal tunnel compared to men.

2. Pregnancy

As we mentioned earlier, your body retains more fluids during pregnancy. This places you at a higher risk for carpal tunnel syndrome because there is more pressure in the carpal tunnel. Thankfully, if this is the case, the excess fluid would reduce after delivery, and carpal tunnel syndrome would be a thing of the past.

3. Nerve Damaging Conditions.

Certain conditions such as diabetes increase the risk of damaging a nerve, including the median nerve.

4. Anatomic Factors

Certain anatomic features can predispose a person to carpal tunnel syndrome. A small carpal tunnel area may most likely result in carpal tunnel syndrome. A wrist fracture or dislocation can also alter the tunnel area, putting pressure on the median nerve.

5. Lifestyle Choices

Some lifestyle factors can increase a woman’s chances of having carpal tunnel syndrome while pregnant. They include excessive salt intake, sedentary lifestyle, high body mass index (BMI).

.

Carpal Tunnel

7. Inflammatory Conditions.

Conditions that have inflammatory components such as rheumatoid arthritis can affect the lining around the wrist tendons, resulting in pressure on the median nerve.

Diagnosis of Carpal Tunnel Syndrome

In most cases, Carpal Tunnel Syndrome is diagnosed based on your description of the symptoms to your physician. Furthermore, your doctor may choose to conduct a physical examination to confirm the diagnosis.

In addition to this, your medical history is also important.

Your doctor would also ask important questions about your medical history to confirm or eliminate the presence of any one of the underlying medical conditions mentioned earlier in this article. Finding a relationship between the past and present is really important in medical therapy.

To aid the diagnosis, your doctor may conduct a physical test to identify the extent of nerve damage. To do this, he/she would gently tap the skin above your wrist to check for any tingling sensation,

Treatment of Carpal Tunnel Syndrome

In most cases, carpal tunnel syndrome is treated by:

  • Pain Medication: One of the major symptoms of carpal tunnel syndrome is pain. This pain can be treated with Corticosteroids or NSAIDs like Advil.
  • Ice Therapy: You can also relieve the symptoms of carpal tunnel syndrome in pregnancy by placing an ice pack directly on your wrist. If you do this for about 10 minutes daily, it can help reduce the swelling
  • Rest: As usual, rest helps. While expecting your little one, remember to rest whenever you feel pain or discomfort in your wrist.

Prevention of Carpal Tunnel Syndrome

Sadly, there’s no ultimate way of preventing carpal tunnel syndrome. However, you can reduce the stress on your wrists and hands by modifying your lifestyle choices and following these guidelines:

  • Keep your fingers relaxed; As much as you can, avoid bending your fingers for long periods
  • Maintain a good posture; Bad postures can affect your wrists, fingers, and hands. If this is left unchecked, nerve compression can occur.
  • Take a break! Short, frequent breaks help to relax your wrists. It will be of great help in reducing pressure on your hand.
  • Stay warm. Sadly, living or working in very cold environments increase the risk of carpal tunnel syndrome. Please, try to keep your hands as warm as possible. You can even try wearing a fingerless glove.
  • Avoid smoking and a sedentary lifestyle.
  • Treat underlying medical conditions to reduce your risk for developing carpal tunnel syndrome.

Conclusion

Carpal tunnel syndrome isn’t strange during pregnancy. If you’re experiencing any of the symptoms listed above; don’t worry, you are not alone. Thankfully, the symptoms often resolve a few months after delivery. Furthermore, early diagnosis and treatment and prevent lifelong damage to the median nerve.

Finally, if you observe any of the symptoms mentioned earlier in this article, please consult your doctor immediately.

REFERENCES

Alessia Genova, Olivia Dix, Asem Saefan, Mala Thakur, and Abbas Hassan (2020). Carpal Tunnel Syndrome: A Review of Literature. Cureus. Accessed on 26th June, 2021 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164699/#__ffn_sectitle

Jeremy D P Bland (2007). Carpal Tunnel Syndrome: Clinical Review. BMJ. Accessed on 26th June, 2021 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1949464/

Park D, Kim BH, Lee SE, Kim DY, Eom YS, Cho JM, Yang JW, Kim M, Kwon HD (2021). Electrodiagnostic, Sonographic, and Clinical Features of Carpal Tunnel Syndrome with Bifid Median Nerve. Journal of Pain Research. Accessed on 26th June, 2021 from  https://doi.org/10.2147/JPR.S303142

Cloudy Urine in Pregnancy

Frequent urination is one of the earliest signs of pregnancy. Sometimes, you may even observe different colors and consistencies of urine that were not present before you became pregnant. A typical example of this is the occurrence of cloudy urine in pregnancy.

In this article, we’d talk about the features of normal urine, different colors of urine, causes of cloudy urine during pregnancy, and how to reduce the symptoms.

What Are The Features of Normal Urine?

Normal urine is a clear, sterile, and pale-yellow fluid. It has a characteristic chemical-like smell that may be slightly offensive. Sometimes, your urine can appear to be colorless, especially if you’ve just taken large amounts of water.

How Common Is Cloudy Urine During Pregnancy?

Cloudy urine is one of the many changes that come with pregnancy. In fact, it is even more common than you may think. While expecting your little one, there’d be changes to your hormones, medication, and diet. These changes, as well as other important factors, can make your urine look cloudy.

cloudy-urine-in-pregnancy

As a result, cloudy urine is a common occurrence in pregnancy

What Causes Cloudy Urine In pregnancy?

The common causes of cloudy urine in pregnancy are:

1. Hormonal changes.

This is the primary cause of cloudy urine during pregnancy.

While expecting, your body undergoes diverse hormonal changes to support your growing baby. For example, there is an increase in the level of human chorionic gonadotropin (hCG) in the first trimester, which is passed out through urine. Sometimes, the increased presence of hCG can make your urine cloudy.

2. Dehydration.

Most times, pregnancy comes with nausea and vomiting. When this happens, the consistent fluid loss via vomitting can cause dehydration.

Dehydration during pregnancy will lead to dark and concentrated urine, that also appears cloudy.

3. Urinary tract infection (UTI)

Sadly, UTIs are common during pregnancy. When this happens, it can also result in cloudy urine.

During pregnancy, if you notice a marked increase in the frequency of urination, as well as a foul-smell, please consult your doctor immediately.

cloudy-urine-in-pregnancy-test

4. Excess Protein In Urine.

This condition is called proteinuria. Excess protein content in your urine can also make it look cloudy or foamy. This usually occurs in the second or third trimester.

If this excessive amount of protein in urine is accompanied by high blood pressure, it may be a sign of preeclampsia.

5. Dietary modifications.

No doubt, your diet and food cravings would change during pregnancy. You may even begin to crave meals you didn’t like before pregnancy. In some instances, these sudden and abrupt changes may cause your urine to appear cloudy.

This usually occurs if your new diet contains high amounts of phosphorous or Vitamin D. When this happens, you can just remove the foods you weren’t eating before pregnancy and watch out to see if that’s the actual cause.

6. Vaginal discharge.

Vaginal discharge is not strange during pregnancy. However, excess discharge can also cause cloudy urine.

cloudy-urine-in-pregnancy-vaginal-discharge

If you experience this symptom, please consult your doctor.

7. Diabetes Mellitus

Diabetes Mellitus causes an abnormal increase in blood sugar level. When this sugar moves into the urine, it can also cause it (your urine) to appear cloudy. In addition, diabetes mellitus may also cause urine to have a sweet or fruity smell.

Different Colors of Urine

As we mentioned earlier, normal urine should be clear, sterile, and pale-yellow. However, several factors can alter the color of your urine.

In this section, we’ve compiled some common urine colors and the possible causes:

  • Red or pink colored urine: This is usually due to the presence of blood in the urine and can be a symptom for a serious health condition. In other instances, red-colored urine may result from dietary modifications, like increased consumption of beets or blackberries.
  • Brown or dark orange urine. This is not a good sign at all. Brown or dark orange urine indicates that there is excessive secretion of bile, which could be a symptom of a serious liver problem.
  • Blue or green urine: Using certain drugs can make your urine appear bluish-green. However, if you are not on any medication and your urine looks this way, you should see a doctor.

How To Manage Cloudy Urine In Pregnancy

Treatment options for cloudy urine during pregnancy depend on the underlying cause. Some home therapies may help you alleviate some symptoms. In other cases, you may need to see your doctor.

how-to-manage-cloudy-urine-in-pregnancy.

Here are some simple home therapies to relieve cloudy urine in pregnancy:

1. Drink Water

Water is really important in pregnancy. In addition to keeping you refreshed always, water also flushes out toxins and makes your urine look less cloudy.

Furthermore, studies show that pregnant women need to drink about 10 cups of water daily to prevent dehydration.

2. Take Some Cranberry Juice

This juice contains a lot of phytonutrients which are helpful in relieving the symptoms of UTI, kidney stones, and other underlying conditions that may cause cloudy urine.

3. Don’t self-medicate

Self-medication may be the cause of cloudy urine during pregnancy.

Here’s the fact: It is wrong to self-medicate during pregnancy. In fact, it is advisable to receive prescriptions from only your attending physician in this period.

4. Use hot/warm compresses.

Sometimes, cloudy urine comes with abdominal pain. When this happens, you can relieve the pain by applying hot or warm compresses.

5. Reduce your salt and sugar intake

Meals with high sugar content may increase your risk for developing diabetes and, by extension, cloudy urine. Also, salty meals predispose you to kidney problems. Therefore, reducing your salt and sugar intake would reduce the symptoms of cloudy urine.

Conclusion

It is always good to consult your doctor if you notice any change in your body function during pregnancy. Although cloudy urine is not strange, you should keep an eye out for any drastic changes and report it to your doctor immediately.

References

Joanna Matuszkiewicz-Rowińska, Jolanta Małyszko, and Monika Wieliczko (2015). Urinary tract infections in pregnancy: old and new unresolved diagnostic and therapeutic problems. Archives of Medical Science. Accessed on 27th June, 2021 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4379362/#__ffn_sectitle