I found this interesting article describing the author's feelings about controlling pregnant women, birthing plans, homebirth, and birth experience here.
The authors describes "birthzillas" as women for whom it's all about the birth experience and not the baby. Or, as someone else describes it, throwing the baby out with the water, so to speak.
The authors goes on:
"At the extreme end of the Birthzilla spectrum are those women who put their birth experience above the health and wellbeing of their baby. And yes it happens. In fact the South Australian coronor recently found that three babies who died during homebirths would have certainly survived had they been born in hospitals. In each case, their mothers knew the pregnancies were high risk and chose to give birth at home without medical support anyway. Their babies died. And for what? That is where Birthzilla behaviour can actually be a matter of life and death. "comments (0)
Just because someone writes something and it's on the internet, that doesn't mean it's correct. Below we list some sites and information that publish incorrect information about fertility and pregnancy:
Pre-eclampsia has been defined as a disease of first pregnancies. The association between primiparity and pre-eclampsia is so widely accepted that it is at the core of several pathophysiological theories. For example, it has been proposed that pre-eclampsia is the consequence of a maternal immune reaction against paternal antigens expressed in the placenta and that this reaction might result in defective trophoblast invasion and subsequent placental dysfunction.
The lower risk of pre-eclampsia among multiparous women has been attributed to desensitisation after exposure to paternal antigens in the placenta during previous pregnancies. The lower risk has also been attributed to smoother trophoblastic invasion after modification of maternal spiral arteries during the first pregnancy.
Source: Sonia Hernández-Díaz Risk of pre-eclampsia in first and subsequent pregnancies: prospective cohort study BMJ 2009;338:b2255comments (0)
Many of my patients ask me about lifestyle issues and pregnancy, especially about exercise, alcohol, caffeine, and artrificial sweeteners. Here are my straight-forward answers:
When there are no other medical contraindications, I would recommend in pregnancy regular moderate exercise but try to avoid more strenuous, vigorous, sustained exercise. Exercise in pregnancy helps attain health benefits while minimizing complications. Women in the first trimester of pregnancy who are engaged in sustained, high-intensity activity might consider lessening their exercise until after 12 weeks’ gestation.
Drinking alcohol while trying to get pregnant decreases fertility. The American Society for Reproductive Medicine recommends limiting alcohol consumption to less than 2 drinks per day while attempting conception
Alcohol use in pregnancy increases risks of fetal complications. We don't know at which point alcohol is unsafe, so the safest recommendation is to not have any alcohol during pregnancy.
While trying to get pregnant and during pregnancy it is recommended to limit caffeine to under 200 mg/day. One cup of coffee (8 oz) has up to 150 mg, and one cup of tea about 60 mg caffeine. A can of pepsi or Coke have aup to 50 mg caffeine. Read HERE more.
Moderate amount of artificial sweeteners (eg, Aspartame, Sucralose, Stevia) appear safe, but Saccharine should not be used in pregnancy.comments (0)
January is National Birth Defects Prevention Month, a time to focus on raising awareness about the frequency with which birth defects occur in the United States
Every 4 ½ minutes, a baby is born with a major birth defect in the United States. They are a leading cause of death among U.S. infants, accounting for about 20% of mortality in the first year of life. In addition, babies born with birth defects have a greater chance of illness and long term disability than babies without birth defects. January is National Birth Defects Prevention Month, a time to focus on raising awareness about the frequency with which birth defects occur in the United States and of the steps that can be taken to prevent them. While not all birth defects can be prevented, there are things a women can do get ready for a healthy pregnancy.
Managing health conditions and adopting healthy behaviors before becoming pregnancy can increase your chances of having a healthy baby. Follow these guidelines before and during pregnancy.
PCBs (polychlorinated biphenyls) are chemicals that have been used as coolants and lubricants in electrical equipment.
Since PCBs are found throughout the environment, it is likely that everyone has been exposed to them. PCBs can enter the body by eating or drinking contaminated food, through the air we breathe, or by skin contact. PCBs are easily absorbed by the body and are stored in fatty tissue. PCBs are not eliminated well, so they can accumulate in the body.
Most people are exposed to PCBs by eating contaminated fish, meat, and dairy products. The highest PCB levels in fish are seen in:
PCBs build up in fish and animal fat, and therefore proper cooking methods can help reduce your exposure:
Read more in this list of seafood health alert.
Plants take up only small amounts of PCBs from the soil, so amounts in grazing animals and dairy products are generally lower than in fish. Dust contaminated with very small levels of PCBs may be found on the outer surfaces of fruits and vegetables.
They are part of a category of chemicals known as persistent organochlorine pollutants and include industrial chemicals and chemical byproducts as well as pesticides. In many cases, the compounds are present in soil, water, and in the food chain. The compounds are resistant to decay, and may persist in the environment for decades. Some, known as persistent lipophilic organochlorine pollutants, accumulate in fatty tissues. Another type, called perfluorochemicals , are used in clothing, furniture, adhesives, food packaging, heat-resistant non-stick cooking surfaces, and the insulation of electrical wire.
The Americal Congress of Obstetricians and Gynecologists published a Committee Opinion on obesity in pregnancy and recommendations on weight gain during pregnancy.
ABSTRACT: In the US, more than one-third of women are obese, more than one-half of pregnant women are overweight or obese, and 8% of reproductive-age women are extremely obese, putting them at a greater risk of pregnancy complications. Therefore, preconception assessment and counseling are strongly encouraged for obese women and should include the provision of specific information concerning the maternal and fetal risks of obesity in pregnancy, as well as encouragement to undertake a weight-reduction program. At the initial prenatal visit, height and weight should be recorded for all women to allow calculation of body mass index (calculated as weight in kilograms divided by height in meters squared), and recommendations for appropriate weight gain should be reviewed at the initial visit and periodically throughout pregnancy. Nutrition consultation should be offered to all overweight or obese women, and they should be encouraged to follow an exercise program. Pregnant women who have undergone bariatric surgery should be evaluated for nutritional deficiencies and the need for vitamin supplementation when indicated. Obese patients undergoing cesarean delivery may require thromboprophylaxis with pneumatic compression devices and unfractionated heparin or low molecular weight heparin. For all obese patients, anesthesiology consultation early in labor should be considered, and consultation with weight-reduction specialists before attempting another pregnancy should be encouraged.comments (0)
Up to one in three women experience vaginal bleeding during the firest few months of the pregnancy, and many wonder how they can make sure the pregnancy is viable.In a study published in the Obstetrics & Gynecology journal in January of 2013 the authors reviewed records of patients with first trimester vaginal bleeding who were evaluated with serum beta hCG levels and ultrasound.
Higher hCG levels were associated with a greater proportion of ultimately viable pregnancies.
The authors found that 90% of the time in viable pregnancies one would expect to see the gestational sac at 1,918 mIU/ml, the yolk sac at 5,412 mIU/ml and the fetal pole at 24,599 mIU/ml.
They found that 99% of the time one would expect to see the gestational sac at 3,510 mIU/ml, the yolk sac at 17,716 mIU/ml and the fetal pole at 47,685 mIU/ml.
The "threshold value" the lowest value at which one would expect to see something on ultrasound was:
This study showed that a viable pregnancy can be diagnosed at lower beta hCG levels and with better ultrasound equipment than previously published.
Figure: Predicted probability of detecting the gestational sac in viable pregnancies.comments (0)
Wednesday 12/12/12 was a special day. And I was so lucky to take the picture of what seems to be the only baby born in the United States on 12/12/12 at 12:12 pm. The baby was born at the NewYork-Presbyterian Hospital where I am the chief of labor & delivery:
Amos Grunebaum, MD
The picture was published by many places including:
There are more and more studies that show that exposure before and during pregnancy can have a significant impact on fetal development and have an adverse effect on health. In a great review published in the December 2012 American Journal of Obstetrics and Gynecology journal, the authors reviewed agents that could negatively affect a pregnancy and they describe how to counsel patients.
These agents include:comments (0)