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Conception Dates – How Accurate Are They

Some women don’t get to know they are pregnant until a few weeks or even months after conception. It is possible that this bundle of joy will start developing inside you and you won’t know except you’re very familiar with the early signs of pregnancy. Since the time frame between conception and getting to know you’re pregnant is a little wide, an accurate estimation of the conception date becomes difficult.

The conception date is the date your baby was conceived. It can be a little difficult, if not impossible for you to know this date by yourself. This is because you can’t tell when the sperm actually fertilized your egg. In fact, you can have sperms living in your womb for about three to five days following intercourse.

conception dates

As you continue reading this article you will get to know why it is important to know your conception date, how you can know it, and the accuracy of ultrasound in knowing your conception date.

How early can you know you are pregnant?

You can go for a pregnancy test if you think you have missed your period or you have symptoms related to early pregnancy. The earliest time to take a pregnancy test is two weeks after fertilization has taken place. This is because, at that time, your body is already responding to the hormonal changes associated with pregnancy.

Thankfully, you can conduct a pregnancy test at home using a pregnancy test strip.

Why Is Your Conception Date Important?

There are a couple of reasons why you should know your conception date. Knowing your conception date is important because it helps to calculate your due date. With an accurate conception date, your health care provider can use a mathematical formula to calculate when it’s likely for you to deliver. If you don’t get to know your conception date, only an approximate delivery date will be used based on your last menstrual period (LMP).

You can also read this article to learn how to calculate your conception and baby due dates.

Another important reason why you should know your conception date is that it helps to keep track of your baby’s development. Your baby’s body development in the womb depends on the number of weeks he or she has spent there. Different parts of the body develop at different times. Therefore, knowing your timeline would help you follow the stages of pregnancy and prenatal development.

How can you know your conception date?

There are different methods to know or calculate your conception date. One of them is using your LMP. If you remember your LMP, it is easy to use mathematical formulas to know the range of days conception took place.

Read this post to see the mathematical formula to calculate conception dates.

This method has a number of shortfalls. Firstly, it is not possible to find the actual conception date, as one only gets a range. Secondly, some women don’t remember their LMP. This makes it difficult for the health care provider to estimate their conception date.

Another method to find conception dates is via an ultrasound. It is a medical device that uses sound waves to look inside your body and convert these waves to images.

During an ultrasound, a transducer at the top of your stomach emits sound waves that bounce off on your baby in the womb. The transducer then picks the echoes produced and translates them into the image of your baby and this is what you get to see on the screen.

In addition to being really easy to conduct, ultrasounds are safe for both the mother and the child.

How do ultrasounds determine conception dates?

Ultrasounds can tell how far you’ve gone in pregnancy. This happens by comparing your baby’s growth with standard growth patterns for babies. While in the womb, babies grow really fast and the growth pattern is similar for babies all around the world.

When an ultrasound converts the sound waves to images on the screen, the image that pops up is compared with the available standard growth patterns for babies. The appearance of some organs or parts of the body also tells the possible week your pregnancy might be.

The baby’s size can also be measured alongside certain other distinguishing features since specific parts or organs of the body grow at different rates and at different times. With a careful analysis of all these factors, an accurate estimate of the conception date is gotten.

Are ultrasounds really accurate in knowing your conception date?

Ultrasounds are very accurate in determining the date you actually conceived your baby. It measures the crown to rump length of your baby (i.e. head to buttocks) and this length can be used to estimate how old your baby is in the womb.

This can be traced back or compared with standard patterns to tell your conception date.

How can you get an ultrasound?

Most health care facilities, especially obstetrics and gynecology clinics have ultrasound machines. Some even offer free ultrasound scanning during antenatal clinics. With effective ultrasounds, you can easily track the progress of your pregnancy.

Conclusion

If you think you are pregnant or you recently discovered that you are pregnant, it is good that you get to see a doctor. It is very important to know your conception date as you monitor the progress of your pregnancy. The accuracy of the available methods of estimating the conception date differs.

Nevertheless, with an ultrasound, you’re as sure as you can ever be.

Black Seed Oil | Uses, Effects During Pregnancy

Pregnancy comes with a lot of changes, especially as it relates to your diet. This is because, at this stage, two lives are involved – yours and your baby’s. One of the new options you may be advised to include in your diet and routine is black seed oil. In this article, you’d learn about the uses and effects of black seed oil during pregnancy.

Don’t Stop Reading.

black seed oil pregnancy
black-seed-oil

As you would discover in this post, black seed oil has many functions and health benefits. Despite these benefits, there is still the question of whether pregnant women can or should use black seed oil.

Read more on this article to discover what black seed oil is; its uses, benefits, and effects during pregnancy. In addition, there’s a section that contains all the precautions to follow while using black seed oil during pregnancy.

What is black seed oil?

Black seed is a flowering plant and people have used the seed to produce different medicines over the years. Black seed oil is extracted from the black seed plant and can be found in Asia, the Mediterranean, and also Pakistan.

Furthermore, black seed oil can act as an antioxidant because it contains the phytochemical thymoquinone. Antioxidants are substances that protect the body from harmful chemicals known as free radicals.

Sources of black seed oil

Black seed oil exists as an ingredient in certain processed foods. Furthermore, this essential oil can be a spice or food preservative. It can also be purchased as an oil or in powder form.

Alternatively, tea or natural supplements also serve as a reliable source of black seed oil. However, you should be sure to check the labeling of any tea or supplements before purchase to know the actual components used in producing it.

What are the uses of black seed oil?

Extensive research on the health benefit of the black seed oil is relatively limited, especially as it concerns pregnant women.

Nevertheless, some potential benefits have been found from the current studies available. In general, black seed oil has been found to have multiple therapeutic effects including antioxidant, antimicrobial, anti-histaminic, analgesic, anti-inflammatory, and immune boosting.

pregnancy-and-blackseed-oil

Other benefits include:

  • Nasal inflammation: Black seed oil can help reduce nasal symptoms including runny nose, nasal congestion, sneezing, and itchy nose.
  • Rheumatoid arthritis: Research has shown that people with rheumatoid arthritis who use black seed oil have a reduction in their arthritis symptoms, the number of swollen joints and the blood levels of inflammatory markers.
  • Obesity: Black seed oil has been found to reduce risk factors in obese people. It helps to reduce weight, waist circumference and level of triglyceride in the body. In combinations with exercise and diet, black seed oil can help to reduce cholesterol level and body mass index.
  • Diabetes: Black seed oil has shown some benefits for people with diabetes, especially type 2 diabetes. Research has shown that diabetic patients who took black seed in form of oil, seed or tea in addition with their diabetes medications had a decrease in their fasting plasma glucose.

Other uses of black seed oil:

  • Acne management
  • Breast pain
  • Constipation
  • Hair and Skin Moisturizing
  • Hair growth stimulant

What are the effects of black seed oil during pregnancy?

All drugs have a potential side effect and black sees oil is not an exemption. These side effects may be mild or severe.

If you are pregnant and want to use black seed oil, it is best that you consult with your doctor before doing so. After approval, you can take black seed oil in foods in small amounts. Taking black seed oil in large quantities is unsafe in pregnancy. Excessive consumption of black seed oil can affect the uterus’ ability to contract.

It can also lead to miscarriage in some women.

Some of the other common side effects of black seed oil include:

  • Toxicity: Black seed oil contains a substance known as melanthin which when consumed in larger quantity can be poisonous to the body.
  • Allergic reaction: Black seed oil when consumed through the mouth can help to relieve allergic reactions. When it is applied directly to the skin in some individuals, it can cause allergic contact dermatitis.
  • Risk of bleeding: Black seed oil can slow blood clotting and increase the risk of bleeding. Those with any bleeding disorders or blood clotting problems should not take black seed oil.

Precautions to take when using black seed oil

Regulate Consumption

If you are pregnant, don’t consume black seed oil in large amounts by mouth for more than three months. This is because there is not enough information to know if larger amounts of black seed oil are safe when consumed for more than three months.

Avoid consuming large amounts of black seed oil in pregnancy as this can stop the uterus from contracting.

Watch Out For Allergies

When applied directly on the skin, black seed oil can cause allergic reactions. You can try it first with a small area of your body to see if there will be any reaction before applying on a wider area.

Avoid Black Seed Oil While Breastfeeding

While breastfeeding, it is safe to avoid using black seed oil. This is because there is no reliable information to know whether it is safe to use or not.

Don’t Use Black Seed Oil Before Surgery

Avoid black seed oil at least two weeks before a scheduled surgery. This is because black seed oil can interfere with blood clotting thereby increasing the risk of bleeding during the procedure. It can also reduce blood sugar which interferes with blood sugar monitoring. Black seed oil can also increase sleepiness in some people. This disturbs the anesthesia procedure before and after the surgery.

Monitor Your Blood Sugar

Monitor your blood sugar closely if you have diabetes and you are using black seed oil. This is because black seed oil can lower blood glucose levels, leading to hypoglycemia if not properly monitored.

You can discover how to monitor your blood sugar by reading this post on the Oral Glucose Tolerance Test

Conclusion

It is important to note that black seed oil is not a replacement for conventional medical care. Irrespective of its many benefits, you shouldn’t use the black seed oil or quit any prescribed medication without consulting your doctor.

Ensure that you seek the advice of your health care professional if you want to start taking black seed oil, especially during pregnancy.

Bleeding and other side effects of Nexplanon

Contraceptives are a great way of controlling birth. This is because they allow time for planning before conception takes place and this helps to prevent unplanned pregnancies. There are different types of contraceptives that perform different functions and can last for different periods of time. However, some of these contraceptive options may come with unusual side effects like bleeding on nexplanon after 1 year or much later.

Therefore, before deciding on a contraceptive method to use, you need to consult your doctor to know which option is best for you and your partner.

In this article you will get to understand what Nexplanon is and how it functions, how effective it is, the various side effects it can cause, and when to avoid Nexplanon.

What is Nexplanon?

Nexplanon is one of the many available prescriptions for women who do not want to get pregnant. It is a birth control therapy that comes in form of a thin rod, which is implanted in the arm.

nexplanon implant

It is as effective as the birth control pills, just that it has the advantage of working without daily dosing, unlike the pills. Nexplanon is small, thin, and very flexible and is placed under the skin of the non-dominant upper arm by your health care professional.

It functions by the use of a hormone. As a result, Nexplanon can act as a contraceptive via three main means. First, the hormone can stop the egg from being released by your ovary. Second, it can also prevent sperm from reaching the egg. Lastly, it can thin the lining of your uterus which does not accommodate the implantation of a fertilized egg.

These three mechanisms of action provide triple protection from conception. In case one fails, the others can back up. This also makes the effectiveness of the implant very high.

Is Nexplanon effective?

Nexplanon is very effective with over 99% effectiveness each year. It can last in the body for as long as three years but must be removed after the third year. It can be removed at any time before the three years elapse if you want to. This means that if you change your mind about childbirth, you can speak with your health care provider to help you get it out.

Does Nexplanon cause irregular bleeding?

Bleeding on nexplanon is one of the most common side effects of Nexplanon. For some women, nexplanon can cause changes in the normal menstrual bleeding pattern.

These changes in your menstrual bleeding pattern can occur in the first 6 to 12 months of using the implant. They include:

  • Heavier or lighter bleeding during your period

If you are on Nexplanon, you may notice that your bleeding is coming heavier than it was. If your periods have been heavy before the use of Nexplanon, you may also notice that they are coming lighter.

  • Longer or shorter duration of bleeding during your period

Normally, periods last for 3-5 days. However, a woman who uses Nexplanon may notice either an increase or a decrease in the number of days that her period lasts.

Bleeding on nexplanon
  • Spotting between your periods

Another thing you can notice with the use of Nexplanon as it pertains to your period is spotting. Spotting means you get stained with blood, even though your period is not yet around. This is usually a common phenomenon within the first few months of use of Nexplanon.

Bleeding on nexplanon
  • Varying duration of time between your period

It is not uncommon for the number of days in your menstrual cycle to vary while using Nexplanon. The average days are between 21 to 35 days but it can be longer or shorter if you’re on Nexplanon.

  • No bleeding at all during the time of your period

It is also very possible that the blood may cease to flow with the use of Nexplanon. If you miss two consecutive periods, consult your doctor for a pregnancy test or conduct one at home using a pregnancy test strip.

Whichever side effect you notice, do well to consult your doctor for proper monitoring, follow-up, and counseling.

Other common side effects

Irregular menstrual bleeding is not the only side effect of using Nexplanon. Some of the other side effects include:

However, it is important to note that these side effects are not set in stone. That is, you may use nexplanon as a birth control method without experiencing any of the side effects mentioned above.

When to avoid Nexplanon

Although Nexplanon is very effective, it is not suitable for every woman. Do not use Nexplanon if you have any of the following:

  • If you are pregnant or you think you may be pregnant.
  • If you have liver disease or liver tumor.
  • If you have unexplained vaginal bleeding.
  • If you have or have had breast cancer or any other cancer that is sensitive to progestin.
  • If you have or have had conditions related to blood clots such as deep vein thrombosis (blood clot in the leg), pulmonary embolism (blood clot in the lungs), total or partial blindness (blood clot in the eye), stroke (blood clot in the brain), or heart attack (blood clot in the heart).
  • If you are allergic to anything in Nexplanon.

Also, if you have any of the following medical conditions, you can speak with your doctor about getting an alternative method of birth control:

  • Headaches or migraine.
  • High blood pressure.
  • Kidney problems.
  • Gallbladder problems.
  • History of depression.
  • High cholesterol or triglycerides.
  • Diabetes.
  • Allergy to anesthetics or antiseptics.

Conclusion

Nexplanon is a very effective method of birth control. Only a few women have stopped the use of Nexplanon because of its side effects. However, the side effects of Nexplanon do not happen to all women. Let your doctor know if you are bleeding on nexplanon or experiencing any of the other side effects in this article.

It is also important for you to remove the implant after three years as that is the maximum number of years it can provide adequate protection against pregnancy. Peradventure you wish to remove it before these three years, you can speak with your doctor.

You should note that having the Nexplanon implant does not provide protection against sexually transmitted diseases (STDs) and HIV. You should seek extra protection from these diseases.

What To Eat Before The Glucose Test For The Best Result

Gestational diabetes occurs when a woman is diagnosed with high blood glucose levels during pregnancy. In addition, the risk of developing diabetes after pregnancy is high in women who had diabetes during pregnancy. Thankfully, conducting an effective glucose test and getting the best result would reduce the chances of diabetes after pregnancy. A sure way to achieve this is to know what to eat before the glucose test for the best result.

You can read this article to learn more about gestational diabetes and high blood glucose during pregnancy.

Nonetheless, studies have shown that some of the results obtained when screening for diabetes mellitus are actually false-positive results (A false positive result is a result that comes out to be true when it is actually not true). This is largely due to the kind of foods eaten and the activities engaged in before glucose screening.

Glucose test in pregnancy

In this article, you will find out what an OGTT is, the need for a glucose test, how to prepare for a glucose test, and what you should and shouldn’t eat before a glucose test.

What is a Glucose Test or OGTT?

OGTT simply means Oral Glucose Tolerance Test. It used to be a gold standard for diagnosing diabetes mellitus. In pregnant women, OGTT is still commonly used to diagnose diabetes. This test is done by giving the patient a specific quantity of glucose to take orally and then blood samples are collected at hour intervals for testing.

Glucose test

Why You Need a Glucose Test

It is good for you to do a glucose test, especially during pregnancy.

This is because pregnancy puts you at a higher risk of developing diabetes compared with when you’re not pregnant. It is also good for you to conduct a glucose test to monitor your blood sugar and manage diabetes if you have a previous diagnosis.

Here are some other reasons why a glucose test is important:

  • A glucose test helps to identify primarily high or low blood glucose levels. This helps your health care provider to know how best to manage your health.
  • A glucose test helps in monitoring the effect of diabetes drugs on blood sugar levels. It tells your health care provider if the medications you are placed on are really helping to lower the blood glucose or if there will be a need to change them.
  • It also helps to understand how other factors such as diet, exercise, stress, and illness affect your glucose level.

How to Prepare For a Glucose Test

To prepare for a glucose test, you need to do away with things or activities that may impair your result. These include stress, certain foods, and drugs. Your preparation for the OGTT depends on whether you are going for the 1-hour OGTT or the 3 hours OGTT. The difference between the two tests is the time required for the test and the number of times blood samples will be taken from you.

Glucose  Test

For the 1-hour OGTT, you’ll be given a glucose-rich liquid, and your blood sample will be taken after 1 hour. Sometimes, more testing may be required and you may be asked to do the 3 hours OGTT. For this test, your blood samples will be taken every hour for 3 hours after ingesting the glucose liquid.

You can prepare for the 3 hours OGTT following the guidelines below:

  • Do not eat, drink, smoke, or perform any strenuous exercise for at least 8 hours before the first blood sample is taken.
  • For about three days before the test day, eat a balanced diet containing complex carbohydrates. Some of these foods that provide carbohydrates include bread, cereal, rice, fruits, and starchy vegetables such as potatoes, beans, and corn.
  • Inform your doctor about all the drugs you are taking – whether they are prescribed or not. This is because some drugs can interfere with blood glucose, thereby interfering with the results. You may be asked to stop those drugs for some days before the test.

What to Eat Before a Glucose Test

What you eat before taking a glucose test is really important, especially when going for the 1 hour OGTT. If you would have to eat at all, go for meals that have very low simple carbohydrates content. This is because simple carbohydrates raise the blood glucose level and may give a false-positive result.

Foods that you can eat before going for a glucose test include good or complex carbohydrates. These foods have a high fiber count, therefore, your body takes a longer time to digest them. They enter the bloodstream slowly and there are no spikes in the blood sugar levels.

Foods rich in complex carbohydrates include:

  • Fruits such as apples, watermelon, and berries.
  • Whole grains such as oatmeal and whole-wheat bread
  • Legumes such as kidney beans, black beans, lentils, and chickpeas.
  • Vegetables such as leafy vegetables, green beans, tomatoes, broccoli, and cucumbers.

You can balance your meal with protein-rich foods such as fish, dairy, nuts, and lean meat.

What You Shouldn’t Eat Before a Glucose Test

There are certain foods to avoid when going for a glucose test. This is because they digest quickly and enter the bloodstream. Hence, they have the ability to spike blood sugar levels.

Some of the foods to avoid include high sugar foods or simple carbohydrates (which include refined grains and highly processed foods). These foods include:

  • Refined cereals
  • Fruit juice
  • Pancakes
  • Doughnuts
  • Cakes
  • White bread
  • Sugary toppings like jam or syrup
  • Muffins etc.

What Happens Next?

The result of your glucose test determines what happens next after the test. If your result comes out good, you will be advised on dietary and lifestyle habits you can engage in to maintain your current blood glucose level.

If the result value falls in the pre-diabetic stage, you may not be placed on any drug to control your blood glucose. This is because, with adequate diet and lifestyle modifications, you can still bring down that blood glucose and prevent it from entering the diabetic value.

If on the other hand, the result value falls in the diabetic stage, further tests will be done to confirm the diagnosis. Subsequently, you will be placed on drugs to put your blood sugar in check.

Conclusion

Gestational diabetes can be screened for and monitored duly using the OGTT. The kinds of food you eat before the test can also affect the values that will be gotten. If in doubt, confirm from your healthcare provider the kind of glucose test you will be doing to help guide your decision on the choice of food to eat.

References

Goh AT, Choy JYM, Chua XH, Ponnalagu S, Khoo CM, Whitton C, van Dam RM, Forde CG. Increased oral processing and a slower eating rate increase glycaemic, insulin and satiety responses to a mixed meal tolerance test. Eur J Nutr. 2021 Aug;60(5):2719-2733. doi: 10.1007/s00394-020-02466-z. Epub 2021 Jan 2. PMID: 33389082.

Advanced Maternal Age: What It Is And What You Need To Know

Aging is an occurrence that all humans experience. Everyone with a functioning biological clock will advance in age progressively as the years pass by. This advance in age is accompanied by significant and specific changes in the appearance and functionality of the body. As an extension, advanced maternal age has become an important subject in our society.

If you’re looking to have a healthy baby and are above 35 years, this post is just for you. In this article, we’d walk you through all you need to know about advanced maternal age and its significance to your pregnancy.

Let’s get right on it!

What Is Advanced Maternal Age?

Advanced maternal age describes pregnancy in a woman above the age of 35. Most times, a pregnant woman in this category faces a higher risk of pregnancy-related complications. These complications range include:

As a result, it is essential to take special precautions and care if you’re above 35 years and you plan on having a baby.

Thankfully, medical research also shows that is possible to be above 35 years and have a safe and healthy pregnancy. Nevertheless, there are things to note and steps to follow.

How Maternal Age Works

Women are born with all of the eggs they will ever have in their lifetime. Every month, one of these eggs is released during ovulation. By the time a woman reaches her mid-to-late 30s, the quality and quantity of her eggs will have significantly reduced. See also signs of menopause.

This makes it harder to either conceive a baby or increases the chances of the baby having one or more abnormalities.

advanced maternal age

What Are The Risk Factors Associated With Advanced Maternal Age

Due to the decline in the viability of eggs, once a woman clocks 35 years, there are certain risks associated with such pregnancy.

Some of the risks will be discussed below:

Longer conception time

An older woman’s eggs are not as easily fertilized as a young woman’s eggs. If you’re above 35, it might take a considerably longer time for you to conceive. This is because of the progressive decline in the quality of eggs due to advancing age. However, after 6 months of unsuccessfully trying to conceive, you should consider speaking to your health care provider.

Multiple Pregnancies

There is an increase in the chances of having multiple pregnancies in older women. This is a result of hormonal changes that may cause the release of multiple eggs. Also, assisted reproductive technologies such as IVF (in vitro fertilization) and fertility drugs may increase the chances of multiple pregnancies.

Thankfully, this is more of an advantage and not a risk involved with advanced maternal age.

Congenital anomalies

Babies born to women over 35 years are more predisposed to certain chromosomal and physical anomalies. A common chromosomal anomaly is down syndrome and cerebral palsy.

Higher risk of pregnancy loss

It is possible for any woman to lose a pregnancy. However, the risk of miscarriages and stillbirths is higher with advanced maternal age.

Risk of gestational diabetes

Gestational diabetes is a type of diabetes peculiar to pregnancy. If left untreated, it can cause a baby to grow significantly larger than normal. This may increase the risk of injuries during delivery as well as preterm delivery, high blood pressure during pregnancy, and post-natal complications to the baby.

High blood pressure

According to research, older women are more prone to developing high blood pressure during pregnancy. Your doctor will carefully monitor your blood pressure throughout pregnancy. You may also require frequent visits to your obstetrician to avoid complications.

Cesarean section

Due to the higher risk of pregnancy-related complications in women over 35, a C-section is usually recommended for delivery.

Baby Crowning

What Can I Do To Stay Healthy With An Advanced Maternal Age Pregnancy?

The key to making a healthy baby is ensuring that you take care of your own self first. You should pay attention to your health before getting pregnant, while pregnant, and even after the baby eventually comes.

Things To Do When You Have An Advanced Maternal Age Pregnancy

Preconception

If you can, you should discuss your overall health with your doctor and also discuss lifestyle changes that may improve your chances of a healthy pregnancy. Ask about conception options available for you as well as ways in which you can boost your conception.

Prenatal care

It is very imperative that you take your prenatal appointments and care with all diligence. Once you find out that you’re pregnant, you should schedule an appointment with an obstetrician. These appointments should be regular all through your pregnancy.

Remember, regular clinics should continue even after childbirth. This article contains many important things to know and ask at your 6th-week postpartum appointment.

Prenatal testing

Talk to your obstetrician about possible tests to screen for congenital abnormalities in your growing baby. Tests like chorionic villi sampling and amniocentesis can be conducted early in your pregnancy to provide specific information about your baby’s chromosomes. Also, blood tests and ultrasound scans will provide other important information about the heath of your developing baby.

Healthy diet and exercise

There are certain nutrients that you will need more in pregnancy. Essential nutrients like folic acid, calcium, iron, and vitamin D are required more in pregnancy. It is important to keep a healthy diet and ensure that these nutrients are incorporated into your diet all through your pregnancy.

In addition, exercise in form of regular physical activity should be encouraged. This helps to ease discomfort and improve overall wellbeing. It can also help prepare you for labor by increasing muscle strength and stamina. If you have an underlying health problem, you can discuss with your doctor about exercise options available and safe for you.

Avoid harmful substances

During pregnancy, certain substances are off-limits because of their ability to cause potential harm to your baby. Alcohol, tobacco, marijuana and other forms of illegal drugs should be avoided during pregnancy. You should get a clearance from your obstetrician before using any medication or health supplement.

Healthy weight gain

Gaining the right amount of weight during pregnancy can support your baby’s health. Discuss with your doctor about healthy weight gain options available for you and how to lose the weight post-pregnancy.

Conclusion

Every expecting parent, whether pregnant or still trying to conceive has a lot of questions. Of course, you want to understand what the pregnancy journey entails so that you will make the right choices for yourself and your unborn baby.

Remember, it is possible to be above 35 and have a safe and healthy pregnancy.

With the right information outlined in this post, you can make informed decisions about your pregnancy. This increases your chances of having a smooth pregnancy and consequently, a healthy baby.

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

Eruption Cysts in Babies

The process of teething can be a stressless one for some babies. On the flip side, it can be very difficult for some others. How ever the dice rolls for your little one, what really helps is keeping an eye out for the signs of teething. In addition to knowing that teething is around the corner, identifying these signs helps you prepare adequately for the teething journey.

eruption cyst

Some of these symptoms include excessive drooling, gnawing on anything within their reach, rubbing on the ears a lot, being very irritable, and sometimes, inability to sleep. Another rare, but possible, sign of teething is the appearance of eruption cysts.

Most times, this appears as a little bump or grump in your baby’s gum. They may look strange and alarming but they are usually very harmless and they resolve with time.

In this article, you’d find out what an eruption cyst is; the common symptoms, the possible causes, and preventive tips. Furthermore, this post provides you with reliable info on how long eruption cysts last when they do happen, and when to see a pediatric dentist.

Also, there’s an extra tip to help you take care of your baby’s dental health.

Let’s Get Started!

What are eruption cysts?

An eruption cyst is also called a congenital eruption cyst or a hematoma cyst. The name largely depends on the kind of fluid it contains. Although eruption cysts are more common in older children who are growing their adult teeth, they can also occur in babies.

eruption cyst

An eruption cyst happens when the tooth is developing and a small sac or bubble filled with fluid forms. This becomes swollen and sensitive. The cyst can grow on the surface of the gum or just under the growing tooth. Usually, the cyst goes away on its own without treatment.

Common Symptoms of an Eruption Cyst

Both the name and the sight of an eruption cyst seem painful, but in reality, it is not.

Although it does not hurt, an eruption cyst can make your baby’s gum tender. If your baby has an eruption cyst, you will notice any or all of the following:

  • A bluish or reddish bump over a developing tooth.
  • A small blue, yellow or white-tinged dome or bubble.
  • A slight swelling, or redness, may also appear around the area of the eruption cyst.
  • Most of the time, eruption cysts are less than half an inch in diameter.

What are the Possible Causes of an Eruption Cyst in a Baby?

Most eruption cysts seem to form spontaneously without any obvious cause. However, in some other cases, it may be due to:

  • Cavities in children: This may be genetic, caused by trauma or lack of space for the tooth to grow in.
  • Separation of dental follicle from the crown of an erupting tooth.
  • Dental infection or tooth decay.
  • Irritation or infection of the gum.
  • Overcrowding of the gum: which occurs when two teeth are growing side by side
eruption cyst

Treatment of Eruption Cyst

Treatment is usually not needed for an eruption cyst as it may resolve on its own with time. This may be after the tooth grows and pushes through the cyst.

Sometimes, the growth of the tooth may be impacted. This is a sign that the eruption will last for a long time. In this case, you need to see a pediatrician or dentist who will monitor the growth and guide you on what to do.

In the case of a stuck or impacted tooth, a treatment option includes removing dense or fibrous tissue to help the tooth grow properly. Another option is opening the top of the eruption cyst to free the tooth.

Nevertheless, surgical options for treating eruption cyst in babies is very rare.

How Long Does it take for an Eruption Cyst to Go Away?

Most of the time, an eruption cyst will go away in a couple of days or weeks.

At this time, the tooth would have grown above the gum line. Although in some cases where the tooth is slowly growing or impacted, the eruption cyst may last for as long as 4 months.

How can an Eruption Cyst be Prevented?

There are a number of preventive measures you can put in place to prevent your baby from having an eruption cyst.

  • First, the importance of seeing a dentist cannot be overly emphasized: This is especially important if your child has had previous infections or damage to the tooth. The dentist will treat the tooth to prevent it from becoming a source of infection later on. Following treatment, there should be no cyst growing in the tissues around the tooth.
  • It is possible that your child is suffering from a buried tooth. This will be confirmed by your dentist who will recommend a scan to confirm and assess the dimensions of the tooth location and health.
  • Early detection will help to prevent the cyst from growing bigger or prevent it from forming at all by removing the potential elements that may lead to cyst formation.

When to see a Pediatric Dentist

You should see your baby’s pediatric dentist if an eruption cyst is lasting longer than a couple of weeks. If you also notice any other associated symptoms with the eruption cysts like fever, you should see your pediatric dentist. Also, if you see any bleeding or white pus coming from your baby’s gum, you should see your pediatric dentist.

Furthermore, we recommend booking a dentist’s appointment for your baby on/before his/her first birthday.

An Extra Tip

Always bear in mind that eruption cysts, though rare in babies, are common in young children. Therefore, it is important that you prevent this by booking a dentist appointment as early as possible.

You can also maintain your baby’s dental health by gently cleaning their gums with a soft and sterile washcloth. Once their teeth start coming in, you can use a soft-bristle toothbrush that is specially made for babies. Read about when do children start losing teeth

You’ve got this!

References

Alline J de OliveiraMaria LG Silveira,Danilo A Duarte,and Michele B Diniz (2018). Eruption Cyst in the Neonate. International Journal of Pediatric Dentistry. Jan-Feb; 11(1): 58–60. Published online 2017 Feb 1. https://doi.org/10.5005/jp-journals-10005-1485

Ricci, H. A., Parisotto, T. M., Giro, E. M., de Souza Costa, C. A., & Hebling, J. (2008). Eruption cysts in the neonate. The Journal of clinical pediatric dentistry32(3), 243–246. https://doi.org/10.17796/jcpd.32.3.7464433876505u15


Fetal Tachyarrhythmia: Causes and Treatment

Your baby’s heart is fully functional by the 16th week of pregnancy. This means that it has completely formed its various parts and is able to carry out its unique function of pumping blood. At this point, the normal fetal heart rate ranges from 110-160 bpm(beats per minute).

However, this may not always be the case.

During pregnancy, it’s super important to closely monitor the fetal heart rate and rhythm in order to quickly detect any abnormalities. If they do occur, an abnormal change in the heart rate and rhythm of a fetus’ heart is termed fetal arrhythmia.

In this article, you’d discover all you need to know about fetal tachyarrhythmia, an important heart condition in growing babies. You’d also learn how doctors monitor a baby’s heart rate.

Don’t Stop Reading.

What Exactly Is Fetal Tachyarrhythmia?

In plain terms, fetal tachyarrhythmia is a sustained heart rate that is higher than normal (higher than 160bpm). Generally, this heart rate is too fast for a baby. You might want to see fetal bradyarrhythmia too.

Fetal tachyarrhythmia is divided into:

  • Mild Fetal Tachyarrhythmia: a sustained fetal heartbeat that ranges between 161-180 bpm.
  • Fetal Tachyarrhythmia: a sustained fetal heartbeat that is above 180bpm.

How Can I Know My Baby’s Heart Rate?

There are two major ways to monitor a baby’s heartbeat. These include:

1. External Fetal Heart Monitoring

This involves the use of an ultrasound listening device to listen to and record your baby’s heartbeat. As expected, It is commonly done during routine antenatal clinics.

2. Internal Fetal Heart Monitoring

This method involves the use of a thin wire connected to your baby’s scalp through the cervix. Although this method gives more accurate readings, it is often uncomfortable for the mother.

How Does My Baby’s Heart Beat?

A baby’s heart, like an adult’s, beats by a series of electrical activities which spread throughout the walls of the heart. These electrical signals are generated from the sino-atrial(SA) node, which functions as the natural pacemaker of the heart.

The SA node is called the pacemaker because it sets the rate and rhythm of the heartbeat.

Generated impulses are conducted from the SA node to the chambers of the heart (atria and ventricles). Contraction of the atria and ventricles in response to transmitted electrical impulses is what results in a heartbeat.

As we mentioned earlier, tachyarrhythmia occurs when the heartbeat process occurs a lot faster than it should.

What Causes Fetal Tachyarrhythmia?

Generally, arrhythmias are caused due to problems with the heart’s conducting system. However, medical research shows certain conditions that are associated with fetal tachyarrhythmia.

Experts group these potential causes into maternal and fetal causes:

1. Maternal Causes

A persistently high fetal rate may be due to problems arising from the mother just as some cases of neonatal herpes. These include:

  • Maternal fever
  • High blood pressure
  • Maternal ketosis
  • Medications such as anti-cholinergic medications (e.g Benadryl)
  • Substance abuse

2. Fetal Causes

In other instances, fetal tachyarrhythmia may result from problems in the fetus. These problems include:

  • Fetal anaemia
  • Prolonged fetal movement
  • Congenital heart defects
  • Chronic fetal hypoxia (low oxygen)
  • Chromosomal anomalies
umblical cord

Types of Fetal Tachyarrhythmia

The most common forms of fetal tachyarrhythmia are generally classified into four types. From mild to severe, the types include:

1. Sinus tachyarrhythmia

In this case, there is normal conduction of signals from the atria to the ventricles. However, the heart rate is higher than normal (more than 180bpm but usually less than 200bpm). Most times, sinus tachyarrhythmia is temporary and is due to increased fetal activity.

In other cases, it may persist due to any of the underlying maternal or fetal conditions mentioned earlier.

2. Supra-ventricular tachyarrhythmia (SVT)

This is the most common form of fetal arrhythmia.

Most times, this condition develops between the 24th and 32nd weeks of gestation. In this type of fetal arrhythmia, the upper chamber of the heart beats significantly faster than the lower chamber. Supraventricular tachyarrhythmia results from defects in the electrical conducting system (SA node) of the heart.

Sometimes, the fetal heart rate may even be as high as 200bpm.

3. Atrial flutter

This is often classified as a type of SVT. It is an abnormal heart rhythm that starts in the atria of the heart, causing the atria to beat a lot faster than the ventricles.

Thankfully, atrial flutter hardly persists in most developing babies.

4. Ventricular tachyarrhythmia (VT)

This is a rare form of fetal tachyarrhythmia in which the ventricles beat at a faster rate than the atria. Most times, ventricular tachyarrhythmia is associated with heart conditions like cardiomyopathy, complete heart block, and long QT syndrome.

Diagnosis of Fetal Tachyharrhythmia

Generally, fetal arrhythmias are detected during routine maternal antenatal check-ups.

During these sessions, the doctor listens to the fetal heart rate with an ultrasound machine. If the pattern of heart rate recorded suggests fetal tachyarrhythmia, he/she would perform a comprehensive examination.

The comprehensive exam evaluates fetal movement, tone, and amniotic fluid level.

What Are The Associated Risks?

Usually, abnormal heart rhythms have little or no effects on the fetus. However, in more serious cases, there are certain risks that accompany the condition.

As with all forms of fetal arrhythmia, the major risks of fetal tachyarrhythmia are the development of “hydrops fetalis” and intrauterine death.

Hydrops fetalis is a serious condition that presents with the abnormal build-up of fluid in two or more body areas of a fetus. The development of Hydrops fetalis often calls for inducement of labor and immediate delivery of the baby.

Treatment of Fetal Tachyarryhthmia

Mild cases of fetal tachyarrhythmia usually require no form of treatment or therapy. However, the fetal heart rate should be closely and regularly monitored until the condition has fully resolved.

For more serious cases of fetal tachyarrhythmia, the treatment plan includes:

  1. Medications given to the mother to lower heart rate.
  2. Emergency delivery in case of foetal distress.
  3. Less commonly, open heart surgery may be necessary to correct the cause of the abnormal heart beat.

Delivery

Emergency delivery of a baby with tachyarrhythmia is a delicate process. In fact, it should only occur in a tertiary hospital with health workers skilled in postnatal cardiac care. This is because the delivery and postnatal care of patients with this condition involve a team of special cardiologists, pediatricians, and nurse practitioners.

In most cases, especially when the baby is at risk, a cesarean section is the safest option.

Postnatal Treatment

Of course, the treatment requirement after birth differs based on each baby’s arrhythmia and underlying conditions.

fetal

In mild cases, the heart rate may normalize on its own without treatment. However, medications may be necessary to lower the heart rate. Furthermore, mothers with underlying health conditions should continue using their regular medications.

In Conclusion,

The best option is to closely monitor every child with tachyarrhythmia until the condition is fully resolved.

This is really important because proper monitoring and treatment may be the key to a healthy and successful life for babies with this condition.

Finally, it helps to remember that with the right group of specialists and medical care, most cases of fetal tachyarrhythmia have excellent outcomes.

Fetal Bradyarrhythmia| What It Is

The heart is the most vital organ in the body, even in a growing fetus. As a result, it’s very important to monitor a baby’s heart rate and rhythm during pregnancy. In fact, this process involves careful consideration of the various stages of pregnancy and the resulting changes to heart functions.

This way, everyone is sure that your baby is healthy and strong.

In this article, you’d discover all you need to know about fetal bradyarrhythmia, an important heart condition in growing babies. You’d also learn how doctors monitor a baby’s heart rate.

Don’t Stop Reading.

What Is Fetal Bradyarrhythmia?

By the 3rd trimester, the normal fetal heartbeat ranges between 110 to 160 bpm (beats per minute). In most cases, this heart rate remains until labor.

In simple terms, any deviation from the normal heartbeat range of 110-160bpm is an arrhythmia. You should see fetal tachyarrhytmia. Most times, the detection of any form of arrhythmia serves as an indication that the mother or baby is at potential physical risk.

Therefore, fetal arrhythmia is a general term for any form of abnormality in the heartbeat of a fetus.

Examples of arrhythmias include:

  1. Fetal Bradyarrhythmia: a sustained heart rate that is lower than normal (lower than 110bpm).
  2. Fetal Tachyarrhythmia: a sustained heart rate that is higher than normal (higher than 160bpm).
  3. Irregular heart beat

How To Monitor Your Baby’s Heartbeat

As we mentioned earlier, a baby’s heart rate serves as a key indicator of his/her health status before birth. As a result, doctors monitor fetal heart rate during your regular antenatal clinics. This way, any changes can be caught on time to prevent further damage.

The major method of monitoring fetal heart rate is through ultrasonography, where an ultrasound machine is used to observe the baby in the womb.

Another means is through the use of an internal device that is directly connected to the baby’s scalp. This method helps to measure the fetal heart rate more accurately but can be uncomfortable for the mother.

How Does My Baby’s Heart Beat?

A baby’s heart, like an adult’s, beats by a series of electrical activities which spread throughout the walls of the heart. These electrical signals are generated from the sino-atrial(SA) node, which functions as the natural pacemaker of the heart.

The SA node is called the pacemaker because it sets the rate and rhythm of the heartbeat.

Generated impulses are conducted from the SA node to the chambers of the heart (atria and ventricles). Contraction of the atria and ventricles in response to transmitted electrical impulses is what results in a heartbeat.

As we mentioned earlier, bradyarrhythmia occurs when the heartbeat process occurs a lot slower than it should.

What Causes Fetal Bradyarrythmia?

Generally, fetal arrhythmias are very uncommon, affecting only about 1-2% of all pregnancies. However, when they occur, they are often a result of problems associated with the heart’s electrical conducting system.

The main cause of low heart rate in a fetus is a problem with the sino-atrial node of the heart. The sino-atrial node (SAN) is the natural pacemaker of the heart where electrical impulses that make the heartbeat are generated. Another cause could be a problem with the transmission of these impulses from the upper chamber of the heart to the lower chamber.

Other Associated Conditions

Most times, fetal bradyarrhythmia doesn’t walk alone. It may be linked to any of the following maternal or child health conditions:

  1. Congenital heart defects
  2. Maternal lupus
  3. Chromosomal abnormalities e.g Trisomy 18 (Edwards’ syndrome)
  4. Maternal hypotension
  5. Sjogren’s syndrome

Types of Fetal Bradyarrhythmia

Depending on the severity, fetal bradyarrhythmia may be classified into the following groups:   

1. Sinus Bradyarrhythmia

This is a form of slow heartbeat which is often asymptomatic. Furthermore, this form of bradyarrhythmia is transient, as it resolves on its own.

In sinus bradyarrhythmia, the heartbeat is generated in the sino-atrial node but is slower than normal (less than 110bpm). As we mentioned earlier, this is due to the improper functioning of the heart’s pacemaker, the sino-atrial node.

Sometimes, the condition is temporary and may result from excess pressure on the uterus.

after pains

In other instances, sinus bradyarrhythmia can be an indication of fetal distress such as lack of oxygen. In such cases, doctors perform an emergency cesarean section to save the baby. However, mild sinus bradyarrhythmia often requires no form of treatment.

2. Atrioventricular block

In other instances, this is termed a 1st-degree heart block.

It occurs due to a delay in the transmission of electrical impulses between the chambers (atria and ventricles) of the heart.

3. Partial Atrio-ventricular block

2nd-degree heart block is another name for a partial atrio-ventricular block.

In this instance, there’s partial or complete interruption of the transmission of electrical impulses from the atria to the ventricles. This makes the heart beat slowly or skip some beats.

4. Complete heart block

In other instances, this is termed a 3rd-degree heart block.

When this happens, electrical impulses from the atria do not reach the ventricles at all. In order to compensate for the lack of signal, the ventricles act as a substitute pacemaker and generate impulses on their own.

However, the signals generated by the ventricles are weaker, irregular, and not reliable. As a result, the heartbeat becomes slower, leading to bradyarrhythmia.

Diagnosis of Fetal Bradyarrhythmia

Thankfully, fetal bradyarrhythmia is detectable during routine maternal ante-natal clinics when the doctor listens to the fetal heart rate with an ultrasound machine.

In the case of an abnormal heart rhythm, a comprehensive examination to confirm the diagnosis is necessary. This comprehensive exam is to evaluate fetal movement, tone, and amniotic fluid volume.

How Risky Is Fetal Bradyarrhythmia?

Although mild cases of bradyarrhythmia are not harmful to the fetus, severe cases can be life-threatening.

In severe cases, the fetus suffers a higher risk of developing heart failure and non-immune “Hydrops fetalis”. Hydrops fetalis is a serious condition characterized by the abnormal build-up of fluid in two or more body areas of a fetus. If this condition develops, labor is induced and the baby is delivered immediately.

The Treatment Of Fetal Bradyarrhythmia

As we mentioned earlier, mild cases of fetal bradyarrhythmia require no form of treatment or therapy. However, the fetal heart rate should be closely and regularly monitored until the condition has fully resolved.

For more serious cases of fetal bradyarrhythmia, the treatment plan includes:

  1. Medications given to mother to increase heart rate e.g beta-sympathomimetic drugs
  2. Use of steroids to hasten development of the baby’s lungs in case there is a need for preterm delivery.
  3. Emergency delivery in case of fetal distress.

Delivery

Emergency delivery of a fetus with bradyarrhythmia is a delicate process. In fact, it should only occur in a tertiary hospital with medical workers skilled in postnatal cardiac care. This is because the delivery and postnatal care of patients with this condition involve a team of special cardiologists, pediatricians, and nurse practitioners.

In most cases, especially when the baby is at risk, a cesarean section is the safest option.

Postnatal Care

As expected, the treatment plan after birth is based on each child’s arrhythmia and the presence of underlying conditions. In mild cases, the heart rate may resolve on its own without treatment. In other cases, patients may require some sort of medication for proper treatment.

Furthermore, mothers with underlying connective tissue diseases, like rheumatoid arthritis or lupus, should follow up on their routine treatment plan after delivering a baby with fetal bradyarrhythmia.

Conclusion

In conclusion, it’s really helpful to remember that most cases of fetal bradyarrhythmia are not life-threatening. In fact, with proper management and care, both the mother and child are going to be just fine.

Neonatal Resuscitation | What It Is

Just like you may have some unplanned events during pregnancy such as induced labour, after pains and sometimes neonatal conjunctivitis, your newborn may also undergo some unwelcome events just after birth. Here’s the fact: your baby’s circulation and breathing patterns are different from yours. It changes just after birth due to some sensations that your baby gets such as touch, light, change in temperature, and others.

In most cases, a baby begins to breathe right after birth. However, this isn’t always the case, hence the need to assist or resuscitate the baby.

In this article, you’d get to understand what neonatal resuscitation is; when it becomes necessary, the equipment used, and 10 steps in resuscitating a neonate.

neonatal resuscitation

Don’t Stop Reading!

What is Neonatal Resuscitation?

This is a series of emergency procedures that revives a newborn who isn’t breathing or is gasping or has a weak heartbeat at birth. Although this procedure may seem really scary at first glance, it is safe, effective, and performed by trained medical staff.

Now, let’s consider the events that may lead to a newborn needing resuscitation.

Why Would A Baby Need Resuscitation?

The probability of a neonate needing resuscitation is high in cases of:

  • Multiple birth e.g. twins
  • Preterm babies
  • Low birth weight babies
  • Prolonged labor
  • Bleeding during pregnancy
  • Infection in the mother

However, it helps to remember that this list isn’t absolute. Your baby may tick any of the boxes listed above without needing resuscitation at birth.

Necessary Equipment for Neonatal Resuscitation

Here’s the fact: No matter how smooth or ‘normal’ your pregnancy and delivery is going, it is the standard medical practice to anticipate and prepare adequately for neonatal resuscitation. As a result, every efficient delivery room must have a healthcare professional skilled in neonatal resuscitation.

This is just your hospital’s way of ‘leaving no stone unturned’.

Furthermore, the delivery room should also have the following items so as to aid the resuscitation:

  • Good light source in the labor room to assess the baby
  • Extra bulb and batteries
  • Clock (for timing)
  • Scissors
  • Clean towels

Others include:

  • Respiration tools:
    • Stethoscope
    • Ambu bag with a baby-sized mask
    • Cardiorespiratory monitor and leads for neonates
    • Neonatal pulse oximeter monitor and leads
    • Carbon dioxide detectors
    • Oxygen supply with blender
    • Positive Pressure Ventilation (PPV)
    • Blood pressure monitor
    • Endotracheal tubes
    • Laryngoscope
  • Suction tools:
    • Bulb syringe
    • Feeding tube
    • Mechanical suction
    • Suction tubing, catheters and canister
    • Meconium aspirator
  • Others:
    • IV catheters
    • Epinephrine (a drug)
    • 10% dextrose in water
    • Normal saline solution
    • Syringes
    • Sterile dressing materials

What Are The Warning Signs?

As it is with many other medical emergencies, there may be a few warning signs that indicate the need for neonatal resuscitation.

These include:

  • Any abnormality recorded on the CTG
  • Abnormal breathing
  • Poor cry
  • Cyanosis (bluish discoloration of the lips and tongue)
  • Low heart rate

Thankfully, your doctors and nurses are trained to watch out for these signs during and after labor. Therefore, all you have to focus on is staying healthy and strong enough to care for your little one.

10 steps in neonatal resuscitation

The American Heart Association has laid down the following steps to be followed in neonatal resuscitation:    

1. Management of the umbilical cord

The umbilical cord is an important structure during pregnancy. After delivery, doctors wait for about one minute before clamping and cutting the cord to make sure that the baby is breathing properly.

This is usually the first step of resuscitation.

2. Hypothermia prevention

Hypothermia simply means low body temperature. The baby is wrapped in a warm, dry cloth and rubbed gently to help raise the temperature.

Interestingly, hypothermia can also be prevented by increasing skin-to-skin contact between mother and child.

The fact is, even in healthy newborn babies, this promotes breastfeeding, improves glucose stability, and prevents hypothermia. The American Heart Association recommends that the baby’s temperature stays between 97.7°F (36.5°C) and 99.5°F (37.5°C).

This is due to the need to keep the baby’s new environment as close to the womb environment as much as possible.

3. Improve touch stimulation

Studies show that rubbing the back and soles of the feet of newborns with breathing problems is really helpful. Remember, touch is one of the stimuli that sensitizes a baby that he or she is out of the womb and needs to adapt to the new environment.

4. Clear the airway

The newborn’s mouth and nose are suctioned gently to remove any secretions blocking the airway. This can be done with a bulb syringe. However, babies with meconium-stained amniotic fluid (MSAF) at birth and airway obstruction after birth may need a more direct approach.

5. Ventilatory support

Newborns who start gasping within 60 seconds after birth or with persistently low heart rate (less than 100 beats per min) must be placed on a ventilator.

Thankfully, this usually helps to improve breathing.

6. Oxygen administration

The next step in the process is to provide the baby with oxygen. Interestingly, oxygen administration in neonates is a unique process.

This is because 100% oxygen may even worsen the situation. As a result, experts only recommend the use of Positive Pressure Ventilation (PPV) in term and preterm babies.

7. Assess the baby’s heart rate

Electrocardiography provides a quick and accurate estimation of the heart rate during the process of resuscitation. This important examination monitors a baby’s heart rate and the electrical activity patterns during resuscitation.

8. Chest compressions

If the heart rate is still lower than 60 beats per minute after 30 seconds of ventilation, the next step is to start chest compressions.

9. Secure intravascular access

For babies who do not respond to ventilation and chest compressions, they will require epinephrine and/or a volume expander to improve breathing. In most cases, the umbilical vein is the recommended route for access into a baby’s bloodstream.

10. Administration of epinephrine and volume expansion

Epinephrine helps the heart contract faster.

This drug is required in newborns who still have low heart rates after 60 seconds of chest compressions and ventilation.

If the newborn still does not respond to epinephrine and there is known or suspected blood loss, a volume expander like normal saline is administered.

When To Stop Resuscitation

Most times, the steps listed above should be enough to resuscitate a baby.

However, if all the steps are completed and there is no obvious improvement, the newborn may require tracheal intubation and transfer to the neonatal intensive care unit (NICU).

neonatal resuscitation

Usually, the doctor should stop resuscitation attempts 10 to 20 minutes after birth (depending on the country).

Post resuscitation care

Babies who have been resuscitated should be closely monitored in the neonatal intensive care unit (NICU) until their condition has stabilized.

Conclusion

Finally, all you have to do is trust your doctors and hope for a good outcome. Although the resuscitation process may seem scary at first, it may also be the vital step between your little one and a healthy life.

We are always here to help.

References

Anne CC Lee, Simon Cousens, Stephen N Wall, Susan Niermeyer, Gary L Darmstadt, Waldemar A Carlo, William J Keenan, Zulfiqar A Bhutta, Christopher Gill and Joy E Lawn (2011). Neonatal resuscitation and immediate newborn assessment and stimulation for the prevention of neonatal deaths: a systematic review, meta-analysis and Delphi estimation of mortality effect. BMC Public Health 11, S12 (2011). Accessed on 25th January, 2022 from https://doi.org/10.1186/1471-2458-11-S3-S12

Indu A Chadha (2010). Neonatal resuscitation: Current issues. Indian Journal of Anaesthesia. Sep-Oct; 54(5): 428–438. Accessed on 25th January, 2022 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2991653/#__ffn_sectitle