Posts Tagged ‘
Gestational Diabetes ’
Tuesday, December 3rd, 2013
With IVF treatments, twins have basically become the new norm—46 percent of IVF births are multiples, mostly twins. But now fertility experts want to change that. The new goal: single births, even when using IVF. Why? Twins have a much higher risk of being preemies and having serious health problems that could potentially last a lifetime.
The most recent info from the Center for Disease Control and Prevention states that 37 percent of IVF babies, who are multiples, are born premature, while only 3 percent of babies born without fertility treatments are twins, and of those about 12 percent are preterm.
Many women who’ve struggled to have kids are excited to have twins—even asking their physicians for twins—because they may not have the money for multiple IVF treatments (each round can cost up to $20k!), or they would love to have two kids at once, and never have to go through pregnancy again! But doctors fear that couples are making a rash decision without really knowing the increased medical risks for babies and moms (risk of gestational diabetes and preeclampsia are higher).
The American Society of Reproductive Medicine’s recent guidelines state that women should be counseled on the risks of multiple births and embryo transfers and that this discussion should be noted in their medical records. According to the guidelines, “for women with reasonable medical odds of success, those under 35 should be offered single embryo transfer and no more than two at a time.” They are open to more embryos being implanted, if the woman is over 35.
According to Valley News, with stronger screening of embryos, success rates for single embryos could be nearly as good as when two or more are used, say experts. The new techniques include maturing the embryos a few days longer, improving viability and allowing cells to be sampled for chromosome screening. Embryos can be frozen to allow test results to come back and more precisely time the transfer to the womb.
Taking these steps with single embryos results in fewer miscarriages and tubal pregnancies, healthier babies with fewer genetic defects and lower hospital bills from birth complications, many fertility specialists say.
I’m really torn on this subject, because I don’t think any of us want more Octomoms running around out there, or kids with health problems. But—and it’s a big but—all of the women I’ve known who’ve had IVF (and I should note that all of them have been over 35), have had twins, and are beyond thrilled with their decision to have multiple embryos implanted. Many of them did have complicated births—including extended bed rest, spotting, C-sections, and breathing problems in the children that caused them to stay in NICU for weeks, up to months after their births.
All of that said, as far as I know every single one of them is a happy, healthy kid with no lingering medical issues (at least so far—fingers crossed!). And even though the pregnancies and births were more complicated, required more doctor visits, and now they have twice the expenses with two little ones running around at the same time, the parents’ love for their two cuties made all of that initial anxiety worth it for them, and they would never, ever want to have traded that experience in for a single birth.
TELL US: Do you think women should be discouraged from having twins? Do you have twins? Tell us your story!
Use our Ovulation Calculator to see when you’re most likely to get pregnant. Then, see the 13 tell-tale signs you’re expecting.
Image of twins courtesy of Shutterstock.
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Bed rest, C-section, Cesarean Section, fertility, Gestational Diabetes, In Vitro Fertilization, infertility, IVF, Multiples, Preeclampsia, Preemies, pregnancy, pregnant, Spotting, Twins | Categories:
Monday, November 11th, 2013
Getting motivated to workout can be tough when you’re pregnant and have morning sickness, hot flashes or swollen feet; feel exhausted; or are just so big you don’t feel comfortable sitting or standing, let alone exercising. Well, here’s a really good reason to get off the couch and start moving: Canadian researchers have found that just 20-minute workouts three times a week while pregnant, leads to excelled brain development in your baby.
Researchers from the University of Montreal had 10 pregnant women exercise enough to leave them slightly short of breath at least three times a week. Some women ran, others walked, cycled or swam. Meanwhile, a second group of moms-to-be were only moderately active for around 10 minutes a week. When the babies were born, researchers measured their brain activity, and it was found that the babies whose moms worked out more had more mature brain functions than those born to moms who didn’t exercise as much.
While it’s not clear why exercise helps the unborn child’s brain, according to the Daily Mail, “it may be because it increases the oxygen supply to the baby, or it may increase production of the brain-boosting protein called BDNF.”
As a mom-to-be, of course you want to do anything you can to ensure your baby is happy and healthy. So giving your child a leg up intellectually is a huge bonus. But don’t forget that exercising while pregnant is also great for you. Physical activity will get your body in shape to take on the strenuous workout that is childbirth! It helps with your ability to breathe during labor and gives you the strength to push when you’re body is telling you it’s completely tapped out. Research has also shown that working out while pregnant can help prevent Gestational Diabetes and C-Section births. Plus, the more fit you are before you have the baby, the easier it is for your body to bounce back post-pregnancy.
So as tempting as it is to let yourself go during pregnancy, and eat whatever you want, and not workout, both you and your baby will be better after just a few light workouts a week. Push yourself—it’s worth it!
Keep all your pregnancy details organized with our free pregnancy charts and checklists. Then, browse through stylish maternity wear here.
To find out which exercises can help you have an easier childbirth, read this.
Image of pregnant woman exercising courtesy of Shutterstock.
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Monday, September 16th, 2013
There seems to be so much contradictory news out there when it comes to inductions.How are you supposed to know what to do?
One recent study sings the praises of inducing a pregnancy (which is when a doctor gives you medicine like pitocin, or other drugs, to artificially start or speed up your contractions) as a major way to stave off the need for a C-section. Though this is contrary to a British study from two years ago that said the use of pitocin doesn’t lower the risk of a Cesarean section.Their findings stated that the use of pitocin sped up labor by about two hours, but that it did not lessen the need for a C-section or increase the number of unassisted births.
Meanwhile, an anxiety-inducing study was also recently published in the journal, JAMA Pediatrics, that says inducing a pregnancy can increase a child’s chance of having autism. Researchers say the method used to kick-start the labor process likely doesn’t cause the autism, but it comes from a larger underlying problem with the pregnancy. Studies have found that children are at higher risk for autism if they are born early or very small; if they are in medical distress during delivery; if they have older mothers or fathers; or if they are born less than a year after an older sibling. Autism risk also goes up if a mother has diabetes or high blood pressure; is obese; is exposed to significant air pollution during pregnancy; had low levels of folic acid; or makes antibodies toxic to the fetal brain.
There are plenty of medical reasons to induce, such as you’re one to two weeks past your due date; you have gestational diabetes and the doctor fears the baby may be getting too big; your placenta is no longer bringing nutrients to the baby properly, you have too little amniotic fluid, or your baby isn’t growing as it should; your water breaks but your labor doesn’t start on its own; you develop preeclampsia, which restricts the flow of blood to your baby; or you have high blood pressure, diabetes or kidney disease.
You should note that the March of Dimes advocates that a baby is not fully developed until at least 39 weeks of pregnancy, so if you’re having a healthy pregnancy they suggest you wait for labor to begin on its own. Why? At 35 weeks, a baby’s brain weighs only two-thirds of what it will at 39 to 40 weeks, and babies born after 39 weeks have fewer health problems and have an easier time feeding and staying warm.
I’m especially interested in—okay, obsessed with— this topic because my OB induced me at 39 weeks. My water had broken at 4 am, and by 8 am, I was still just dilated one measly centimeter. I also had gestational diabetes, so she worried that I could end up having to have a c-section if all did not go well. Luckily, all did go well! In fact after getting the pitocin at around 9, I went to sleep around 10 and when I woke up at noon, I was fully dilated! The best part was meeting my ridiculously-cute son, Logan (pictured on the day we took him home from the hospital).
But now to hear that induction can be a sign that your baby may be on the autistic spectrum only makes me analyze his every move, wondering if what he’s doing is a sign of autism (I’m a first-time mom—we freak about about anything and everything!). As scary as the media makes autism out to be, though, having a child with autism is not the end of the world—far from it. I know a few parents who have children with autism, and they’ll be the first to tell you that there are incredible ups and very emotional downs with coming to terms with the diagnoses and the day-to-day challenges that affect the entire family. But life with kids with autism is still good—just different, and those differences deserve to be celebrated too.
TELL US: Which study do you believe? Were you induced? Are there any signs of your child having autism?
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Amniotic Fluid, Autism, Being Induced, birth, C-section, childbirth, delivery, due date, Gestational Diabetes, Inducing Pregnancy, Induction, Pitocin, pregnancy, pregnant | Categories:
Monday, August 5th, 2013
I’m sure I’m not alone in noticing there’s a major twin trend happening right now. I have three friends who’ve all given birth to twins within the last year, and stars like Mariah Carey, Jennifer Lopez, and Angelina Jolie’s twins are paparazzi favorites. We as a society just can’t seem to get enough of twins. Why? It’s simple. Because there’s twice as much to love!
The double baby boom has been a long time coming. Between 1980 and 2009, the rate of multiple births increased by 76 percent. As of 2012, about one in 30 babies born in the United States is a twin. Two-thirds of the increase is likely due to the growing use of IVF. The remainder is mainly attributed to a rise in the average age women give birth. Older women are more likely to produce more than one egg in a cycle, and 35 percent of births in 2009 were to women over age 30, up from 20 percent in 1980 (This age-induced increase applies only to fraternal twins, though; the rate of identical twin births does not change with the age of the mother).
Due to IVF, many moms-to-be are faced with the question: How many fertilized eggs do I want implanted in my uterus? One is the safest for both mom and baby, but many couples who’ve suffered with infertility are afraid to rely on a single egg per try. Aside from it being a costly process (usually around $10-15k per cycle), the thinking is the more embryos the higher chance of pregnancy. But according to Dr. Amos Grunebaum, a Maternal-Fetal Medicine Specialist at Weill Cornell, having multiple embryos implanted during IVF doesn’t necessarily increase your chances of pregnancy, it simply increases your chances of being pregnant with multiples.
In fact, when a woman carries more than one fetus, it’s less likely that she’ll be able to carry that pregnancy to term. Dr. Grunebaum thinks mothers should ask for only one embryo to be implanted because of the health risks involved with having multiples for both the babies and the moms (In some European countries it’s actually illegal for docs to implant more than one embryo because of the risks it poses to the mother’s health).
About 60 percent of twins are born prematurely (at an average of 35 weeks). More than half of twins are born at less than 5.5 pounds. Low birthweight babies—especially those born before 32 weeks and/or weighing less than 3.5 pounds—are at an increased risk for breathing, vision, hearing and heart problems.
Mothers expecting twins are in danger too. They are more than twice as likely to develop preeclampsia, a mix of high blood pressure, protein in the urine and general swelling that can be dangerous for both mom and baby. Gestational diabetes—which can cause the baby to be larger—is also common, and can increase risks of injury to mom and baby during vaginal births, and can lead to poor feeding, jaundice, breathing problems and seizures in infants. And, finally, women due with twins are more likely to need a cesarean section, which is a more evasive birth with a higher chance of hemorrhaging during and after delivery, and requires a longer period of recovery.
The stress of twins is not over once they’re born, either. Two babies at the same time means more feedings, diaper changes, and temper tantrums. More clothes, gear and childcare, which can add up to be very pricy. But it also means twice the smiles, hugs and giggles too. While the moms of twins I know love having twins, they’ll be the first to tell you it’s an awful lot of hard work—that goes far beyond picking out perfectly coordinated outfits. So think twice before you decide to implant yourself with more than one egg. You might not be ready for what you’re wishing for.
TELL US: Would you want twins? If you have them, how are you dealing with double the work, double the pleasure?
Image of twins courtesy of Shutterstock.
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Angelina Jolie, celebrities, fertility, Gestational Diabetes, In Vitro, In Vitro Fertilization, infertility, IVF, Jennifer Lopez, Low Birthweight, Mariah Carey, Multiples, Pre-Eclampsia, pregnancy, pregnant, Premature Birth, Twins, Twins Pregnancy | Categories:
Healthy Pregnancy, Must Read
Tuesday, July 30th, 2013
In Germany, a woman gave birth to a baby weighing in at a whopping 13.47 pounds—wait for it—naturally! That’s right, even though the 22.6 inch baby was nearly twice the weight of the average newborn, she was not born via cesarean section, according to the Daily Mail. That is one brave and very strong mama, if you ask me! I just hope for her sake her delivery wasn’t as painful as it seems. All I can say is, “Ouch!” And if you’re saying, “Wait, I thought this story was about Gestational Diabetes,” well, then hold your horses, ladies. I’m getting there!
The shocking thing is that throughout all of this new mama’s sonograms, no one raised a red flag that her baby seemed big. That’s wild to me because my son ended up weighing in at seven pounds, seven ounces, and I was told along the way that we needed to watch his growth to make sure he wasn’t getting too large.
It turns out like me, and about 18 percent of pregnant women in the United States, the mom had developed Gestational Diabetes. But while mine was monitored and I cut down on white flour, carbs and sugars and made sure to get at least 30 minutes of exercise three times a week, this mom’s gestational diabetes went undiagnosed—which can be a dangerous thing.
Normally, the amount of glucose in the blood is controlled by insulin. But during pregnancy, hormone levels can get out of whack, and some women have higher than normal levels of glucose in their blood and their pancreases fail to produce enough insulin to have the cells absorb it all. So the baby can end up being larger and heavier, which translates to often a longer, harder delivery, and many times ends in a cesarean section.
It can also lead to the baby having shoulder dystocia, which is when the baby’s shoulder gets stuck in the mother’s pelvis during birth. During that time, the mom’s not exactly comfortable, but the baby is really in danger as he or she may not be able to breathe. Once born, the baby could have low blood glucose, which can lead to poor feeding, jaundice, irritability, breathing problems, seizure and diabetes later in life. For most women, gestational diabetes goes away once the baby is born and the hormone levels return to normal.
It’s unclear why some women develop gestational diabetes and others don’t, but you could be at risk if you are over 25, have high blood pressure, a family history of diabetes, have been obese prior to becoming pregnant, or have a history of unexplained miscarriage or stillbirth.
So it’s important for every pregnant woman to get a glucose screening at around 20 weeks (it doesn’t hurt; it just requires drinking a super-sweet liquid and drawing blood an hour later). And if you are diagnosed with gestational diabetes, it is not the end of the world—though it may seem like it at the time (been there!). As long as you are able to manage it with diet and exercise, or medication in more extreme cases, you are still likely to have a perfectly healthy baby (like me!).
TELL US: Have you been diagnosed with Gestational Diabetes? How did you manage it?
Image of a screaming woman courtesy of Shutterstock.
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birth, C-section, childbirth, Diabetes and Pregnancy, Gestational Diabetes, Glucose Screening, Healthy Pregnancy, pregnancy, Pregnancy Diabetes, pregnant, Shoulder Dystocia | Categories: