Posts Tagged ‘ pregnancy complications ’

Kim Kardashian Had Placenta Accreta: What Is That?

Monday, August 31st, 2015

KimKKim Kardashian has long been open about her past struggles with infertility. But she shared some additional new details in a recent interview with the California publication C Magazine.

She said she tried for a year to conceive her second child with husband Kanye West, and added, “I had so many complications. I had this condition called placenta accreta. There were a couple little operations to fix all that so that created a little hole in my uterus, which I think made it really tough to get pregnant again.”

I’m not sure about you, but I’d never heard of the specific pregnancy complication—placenta accreta—Kardashian referenced. So I reached out to an expert to learn (and share) more about it.

Essentially, placenta accreta “is when the placenta grows so deeply into the uterus that it cannot be separated after delivery,” said Nathaniel G. DeNicola, M.D., an ob-gyn affiliated with the University of Pennsylvania. While there’s a range of how deeply the placenta can grow, in the most severe cases it can grow completely through the uterus and even reach the bladder or other organs.

Such a condition can lead to infertility for two reasons, Dr. DeNicola explained. Often, the treatment for placeta accreta is the removal of the uterus at the time of delivery—a procedure called Cesarean Hysterectomy, sometimes abbreviated as C-Hyst. And while this obviously means that a woman wouldn’t be able to carry a future pregnancy, fertility treatments like egg retrieval and surrogacy can be options, as the ovaries aren’t usually removed. As for the second reason: “Even in cases where the uterus can be saved, the uterus may have significant scarring or otherwise be unable to carry a pregnancy,” Dr. DeNicola says.

Related: Delivering Your Placenta

Beyond concerns about infertility, DeNicola said placenta accreta can be otherwise dangerous for women. “In addition to the likely need for a Cesarean Hysterectomy, women with placenta accreta are at risk for heavy blood loss during delivery, called postpartum hemorrhage.” (That’s a condition I personally suffered and wrote about here.) “It can be a scary diagnosis,” he says. Indeed.

It’s not all bleak, however: Placenta accreta is relatively rare, affecting roughly 1 in 500 pregnancies, according to Dr. DeNicola. Early diagnosis through prenatal care is key here, so that a team of doctors and nurses can be on hand at a scheduled delivery. “Fortunately, with these measures in place,” he says, “placenta accreta is a manageable diagnosis.”

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Alesandra Dubin is a mom to one-year-old boy-girl twins. She’s also a Los Angeles-based writer and the founder of lifestyle blog Homebody in Motion. Follow her on Facebook, Instagram, Google+ and Twitter.

Trying to Conceive: 5 Common Fertility Mistakes
Trying to Conceive: 5 Common Fertility Mistakes
Trying to Conceive: 5 Common Fertility Mistakes

Photo: Shutterstock

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Jill Duggar Dillard’s Birth REALLY Didn’t Go as Planned (Did Yours?)

Wednesday, April 15th, 2015

Jill Duggar birth storyWe have known for a while that Jill Duggar Dillard’s birth story didn’t go as she’d planned. Now, we know even more details about how her delivery experience went off the rails with complications.

The couple was hoping to give birth at their Arkansas home. Jill knew that there was a decent chance she could go beyond 40 weeks. But it was at 41 weeks and five days, to be exact, that her water broke at last.

Unfortunately, it touched off a series of complications that would make for a difficult labor and delivery.

Jill tested positive for group B strep, a common bacteria that a mom can transfer to a baby during birth, so she began to take a course of antibiotics intravenously.

She spent 20 hours in labor after that, and her contractions got to one minute apart. However, her labor did not progress. That’s when she saw a hint of meconium and made the choice to get to the hospital for safety. She told People magazine that she was scared and praying to God.

At first, she turned down pain medication and Pitocin to speed up labor. But when 70 hours of labor had gone by, the baby moved into transverse-breech position, meaning he was upside down and sideways, and his heart rate was irregular.

That’s when the couple went ahead with a cesarean section delivery, and delivered 9 pound, 10 ounce Israel into the world close to midnight.

Related: See Photos of Israel David Dillard!

For all of the ways Jill’s birth was scary, painful, and nerveracking—not to mention totally not what she had hoped for or expected—she has a great attitude about the experience.

“I love our birth because it bonded us so well,” she said.

Making things even better, daddy Derick knows just how to help ease the adjustment while mommy’s body still recovers. She said, “I still haven’t changed a single diaper. Derick has been changing them all!”

I’ve written here before about how my own birth had some unexpected complications. But tell me: Did your birth go as planned?

Sign up for our pregnancy newsletters to keep up with the latest pregnancy news.

Alesandra Dubin is a new twin mom. She’s also a Los Angeles-based writer and the founder of home and travel blog Homebody in Motion. Follow her on Facebook, Instagram, Google+ and Twitter.

Photo courtesy of Instagram/JillMDillard

Labor & Delivery: Unplanned C-Section
Labor & Delivery: Unplanned C-Section
Labor & Delivery: Unplanned C-Section

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Could YOU Handle a Pregnancy at 51?

Tuesday, September 9th, 2014

That’s the question a lot of readers are asking after checking out the New York Post’s article on Manhattan publicist Tracey Kahn, who’s a single mom pregnant with her second child at the age of 51.

Tracey reasons out that she’s in good health, well-off, and excited to have two children. And she’s not alone—according to the Centers for Disease Control and Prevention, the number of women having children over age 50 have increased fourfold over the past decade. And we’ve seen plenty of celebrities, including Halle Berry, Uma Thurman, Nicole Kidman and Gwen Stefani, become pregnant after age 40.

Of course, there are risks associated with late-age pregnancy, such as increased risk for type 2 diabetes, stillbirth, and placenta previa for the mom-to-be, and increased risk of Down Syndrome or other genetic issues for the baby. (But Tracey’s using donor sperm and eggs, so she bypasses those issues, at least for her child.)

How old is too old to become a new mom? I know I feel too old, and I’m just in my early 40s—despite my daughters’ pleadings for a little sister or brother. But if you’re healthy, you’re energetic, and you’re motivated—why not? Kudos to Tracey for taking on motherhood at 51.

Tell us: How old were you when you had your last child? Would you consider becoming pregnant over 50?

Take our quiz to find out if you’re ready for another baby. And don’t forget to like Everything Pregnancy to keep up with the very latest pregnancy-related news!

Pregnancy Myths: What Should You Believe?
Pregnancy Myths: What Should You Believe?
Pregnancy Myths: What Should You Believe?

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Pregnant? 3rd-Hand Smoke is a Danger to You & Baby

Monday, February 3rd, 2014

First-hand smoke is when you personally inhale smoke from a cigarette. Second-hand smoke is when you breathe in smoke from someone else. So what the heck is third-hand smoke? That’s all of the nasty second-hand smoke that gets stuck in clothing, furniture, drapes, and any other fabrics or on top of household objects that gets progressively more toxic over time.

So even if you are not around someone when they are smoking, if you live with a smoker; frequent a bar, club or restaurant that allows smoking; or ride in a smoker’s car or taxi, you are being exposed to dangerous toxins that are just as deadly as if you were smoking tobacco yourself, according to a new study conducted by scientists at the University of California-Riverside. The results came from studying the effects of third-hand smoke on mice, and the findings were shocking.

Significant liver and lung damage was found in those exposed to strong carcinogens. According to Science Daily, there is an increase in fatty liver disease, a precursor to cirrhosis and cancer, and a potential contributor to cardiovascular disease. Third-hand smoke can also lead to Type II Diabetes (even when the person is not obese), fibrosis, chronic obstructive pulmonary disease and asthma, as well as hyperactivity and a slower ability for wounds to heal.

Research has shown that children living with one or two adults who smoke in the home, where second- and third-hand is are present, are absent 40 percent more from school due to illness than children who do not live with smokers.

So now imagine how your unborn child—whose lungs, brain and nervous system is still forming—could be affected. The CDC advises that inhaling smoke can cause pregnancy complications (including placenta previa—where the placenta grows too close to the opening of the uterus), premature births, babies with low birth weights or birth defects, stillbirths, and Sudden Infant Death Syndrome (SIDS). And if third-hand smoke is as dangerous as first-hand smoke, that means being in smoke-soaked areas can also affect your fertility, because those who inhale smoke have more difficulties getting pregnant. So for the sake of you and your baby, steer clear of cigarette smoke.

TELL US: Are you worried about third-hand smoke exposure?

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Smoking and Breastfeeding
Smoking and Breastfeeding
Smoking and Breastfeeding

Image of No Smoking Sign courtesy of Shutterstock.

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Pregnant Women in NZ Paid to Quit Smoking?!

Wednesday, January 1st, 2014

Happy New Year! You’ve probably already made your resolutions for the year, and maybe even broken a few (oops!)! Well, in New Zealand the government is trying to make sure that pregnant smokers keep their promise to quit their nasty nicotine habit, by giving out vouchers for up to $300 worth of groceries, baby products, phone credit, movie tickets and gas.

The rational side of me thinks it’s absurd that you would be rewarded for doing the right thing for your baby. After all, smoking during pregnancy contributes to higher rates of miscarriage, pre-term births, sudden infant death syndrome, and lifelong complications like asthma, learning disabilities and behavioral problems. Why would you put your baby through all of that?

On the other hand, when I take the time to get off my soapbox, I realize nicotine is addictive, and when you’re addicted to something, your better judgment goes out the window. So why not give these addicted women an incentive to kick their habit if it means saving babies lives or saving them from lifelong complications?

About 13 percent of pregnant women in the U.S. smoke during pregnancy. According to the U.S. Public Health Service, if all pregnant women stopped smoking, there would be an estimated 10 percent reduction in infant deaths in this country. Smoking during pregnancy increases the risk of stillbirth, miscarriage, and severe vaginal bleeding, and nearly doubles a woman’s risk of having a baby with low birth weight. Studies by the American Academy of Pediatrics (AAP) also suggest that smoking increases the risk of preterm delivery (before 37 weeks of gestation) by about 30 percent, and it increases the likelihood of certain birth defects, including a cleft lip and/or cleft palate. Babies of mothers who smoke are twice as likely to die from sudden infant death syndrome (SIDS) as babies of nonsmokers.

Smoking also increases the risk of having an ectopic pregnancy, and almost doubles a woman’s risk of developing placental complications, like placenta previa, a condition in which the placenta is attached too low in the uterus and covers part or all of the cervix; and placental abruption, in which the placenta separates from the uterine wall before delivery. Both can result in a delivery that jeopardizes the life of mother and baby.

The good news is that quitting smoking during the first trimester can greatly reduce the risk of having a baby with low birth weight— almost to that of a woman who doesn’t smoke. So there is reason to quit smoking even if you’ve already exposed your baby to nicotine. Do it for your little one, if not for yourself!

TELL US: Do you think there should be incentive-based government programs in the US, like in New Zealand, to encourage pregnant women to quit smoking?

Image of pregnant woman smoking courtesy of Shutterstock.

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