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Understanding What your Baby’s Cry Means - 5 Different Baby Cries
Babies communicate through crying and making sounds that are hard to decipher. Parents tend to categorize cries of the baby either as a sign of hunger or of wetness. After thorough research on baby cries, the Dunstan Baby Method was scientifically established to give an insight to parents on different baby cries!
They say that a mother and her baby share a special bond. A bond formed without words but mostly through intuitive understanding. However, when a baby starts crying, even an experienced mother becomes hapless. Though the different newborn cries may seem similar, there are stark differences amongst them. Decoding your baby’s cries can get tougher each passing day!
The Dunstan Method of understanding baby cries was found by Priscilla Dunstan, an Australian mother. When listening to the sounds of her newborn's crying, she discovered 5 sounds that all babies use while crying and they all mean different things! She tested her theory on different babies and found it to be true! While the theory still requires complete scientific backing, it is a great way to interpret what your little one is trying to communicate.
Reasons Why Babies Cry
Use the below expert-guide for understanding baby cries. Also watch the video below to hear all these baby cries and understand exactly how they sound!
1. Hunger Cry - 'Neh'
If the cry of the baby begins with the sound of ‘neh’, it means that the baby is hungry. Usually this sound is produced when baby touches tongue to the roof of the mouth and sucking reflex is activated.
Solution: This is one of the best baby crying cues to detect hunger. The obvious solution to stop baby from crying is to feed her.
2. Sleepy Cry - 'Owh'
Feeling sleepy is one of the leading causes of baby crying. When the baby is sleepy she is likely to cry ‘owh’ sound to indicate her drowsiness. Your baby crying at night indicates that she is tired. Often it is accompanied by yawns and rubbing of eye.
Solution: A sleepy baby just wants to be put down in a comfortable position and allowed to sleep peacefully.
3. Uncomfortable Cry - 'Heh'
A baby might be uncomfortable for reasons such as a wet diaper or is cold or itchy. Discomfort is one of the main reasons why newborn babies cry. In this case, the baby begins with ‘heh’, which is similar to ‘neh’ and can create confusion.
Solution: Try to understand the reason behind baby’s discomfort and help her calm down. Also check the room's temperature.
4. Painful Cry - 'Eair'
Pain could also be one of the reasons babies cry. A baby crying in pain will make a sound of ‘eair’ it usually means trouble in lower abdomen resulting in gas. In such case, the baby pulls up the knees to her chest or kicks her legs out.
Solution: Burp your baby through the day after feeds to ensure no gas builds up. You should hold the baby and gently tap and rub the back muscles for her to burp
5. Not-feeling-Well Cry - 'Eh'
Understanding a baby's cry that denotes feeling unwell is extremely essential, so you can help resolve the problem quickly. This cry is accompanied by an ‘eh’. It is a signal that means that the baby needs to burp.
Solution: Check if your baby shows any signs of illness or infection such as fever, breathing troubles, skin irritation, etc.
Note: Babies can feel unwell/unhappy and still not cry. Check these signs that could mean your baby is unhappy even though he is not crying.
Listen to the 5 Types of Baby Cries! Watch Priscilla Dunstan on Oprah
https://www.youtube.com/watch?v=PgkZf6jVdVg
How to Soothe A Crying Baby?
When mothers understand the meaning of the baby’s cry, it is easier to comfort her little one. Deciphering your baby’s cries is tricky in the beginning, especially the reason of baby crying at night. But once you start listening closely, you will become an expert at interpreting baby’s cries. Mothers should look for clues in different cries in babies, such as:
how long it has been since the baby’s last feed
if the baby’s diaper needs changing
if the baby has been sleeping adequately for the past few days
if the baby shows any symptoms of infection or allergy such as a skin rash, breathing problems, redness, etc.
Soothing a crying baby is never easy but with attention to the sound and syllables of the cry, it can get better with time. Some simple tricks that work for many moms are massaging the feet and toes in circular motion, blowing bubbles on the tummy, rocking the baby for some time, and singing or talking in a comforting voice. You can find out more tricks to soothe a crying baby here. Read more
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19 Weeks Pregnant with Twins or Multiples
When you are carrying twins in the 19th week of your pregnancy or even multiple babies for that matter, know that you have come a long way since you conceived them. No doubt, you would be more relaxed and in control of your own body and the subtle changes that might be making themselves known to you over the weeks. Keeping your babies safe within your belly holds priority in the 19th week of pregnancy. A proper nourishment programme that ensures the intake of the right nutrients for the baby’s growth, combined with a balance of exercise and fitness for your own, can help prep the both of you together for the final months of your pregnancy.
The Growth of the Babies At 19 Weeks
The 19th week of pregnancy holds numerous events for you that will leave you astounded. Your babies are getting more and more aware of themselves and the environment around them through the coming weeks and will continue to do so in the months that arrive.
With the little ones having improved control over their limbs, the babies would be able to clench their fingers together to form a fist and probably stay like that for a long time. Some can even cross their arms over their chests, and the sucking of the thumb can initiate as well if it hasn’t already.
Even though different parts of your body are taking all the actions needed to keep them alive and happy, the various senses that are present in a human being are activated within your children, too. When you speak or hum a tune or listen to a song, or when you eat anything, a lot of sensory perception is achieved by the babies within the womb, as their brain begins to process these signals and attempts to make sense of them. This is how the nervous system creates a massive network connecting every inch of the body to the brain.
If your children have not been covered with vernix in the previous week of your pregnancy, it should ideally happen around this week for sure. With the body hair and fluid layer covering the bodies of your babies, they remain protected with their body temperature regulated to its optimal level. Bone development continues to progress ahead and harden over time, as well as an improvement in the functioning of the heart and kidneys.
What is The Size of the Babies?
If you pull out the ultrasound scan of the baby you had in your 8th or 9th week of pregnancy and try to compare it with what you see now, the change in size will be no less than a surprise. Babies usually weigh around 200 grams, which is again lower for multiple babies. Their physical size, however, would be as large as that of mango or a tomato. Most babies are around 14 to 15 centimetres in length, with twins or triplets being a tad smaller in comparison. Similarly, their weight usually hovers around 200 grams, which is again lower for multiple babies. Their physical size, however, would be as large as that of a mango or a tomato.
Common Bodily Changes
The changes that your body undergoes in the 19th week of your pregnancy are usually all physical, as your body tries its best to cope with the increasing weight and internal changes to support the growth of the babies within your womb.
The blood circulation in your body is still going pretty strong. The increasing size of your not so little ones requires a lot of nutrition and oxygen to support it. That increment in the volume of your blood and boosted circulation, makes its presence felt in various regions of your body as well, especially your nose. All women do not experience nosebleeds, but nearly 15 to 20 percent of women tend to have it, which is highly present in cases of multiple babies present in the pregnancy. The more the babies, the higher the pressure experienced by the blood vessels present within the nostrils. At times, these rupture under that pressure and start bleeding.
A strange phenomenon that also takes place is the shift in blood supply from other portions of the body towards the pelvic region, which is where the uterus is located. This usually affects the legs in pregnant women, which end up getting a low quantity of blood as compared to the usual that they receive. This ends up in displaying the veins present under the skin, in the form of swollen, twisted and large lines in dark blue or purple colour. Such a phenomenon is termed as varicose veins. While most conditions only tend to look disastrous but rarely cause any issues, you might occasionally find them painful.
Another aspect that blood circulation causes is the possibility of blood pooling in specific regions of the body, unable to move away from there. Also, even if a woman has a balanced diet, there are chances that the quantity of potassium present in the body might take a dip. All of these work together and result in swelling occurring in various areas of the body. Furthermore, if you are used to standing for long hours or are stepping out in the summer heat while you are pregnant, your face, legs and feet would quite literally be swollen due to it. Adjusting your diet to reduce caffeine and increase potassium has usually helped resolve the situation effectively
Symptoms Of Twin Pregnancy At 19 Weeks
The signs that your body experiences when you are carrying multiples in your womb are usually an indicator of the fact, that the focus is being placed more on the safety and security of the children, which might cause an aberration in your condition, at times.
There’s no escape from physics. Your babies are growing and putting on weight and this will result in your centre of gravity shifting away from where it usually tends to be. Trust your back to take all the load in maintaining your gait and posture, at the cost of extreme stress on its self. All of this will manifest in a backache. Keeping a proper position and attempting to sleep sideways can give it a much-needed break from it.
This pressure of increasingly heavy babies is not purely physical. Various nerves and muscles in the body are put under pressure as well, including blood vessels. The cramps in your legs are a result of it but can be deftly handled by quickly massaging the leg or stretching it repeatedly. Another pain that results due to the increasing size of the uterus stems from the abdomen. The ligaments present within have been stretched quite a bit by now, making space for the uterus to sit comfortably. In the case of triplets, this ligament pain would be even stronger than what you might assume.
With all the blood circulation focused on the babies and the uterus putting pressure on the diaphragm internally, the inhalation of oxygen takes a hit along with the supply of blood to the brain. Therefore, any sudden change in orientation or long periods of concentration can usually result in headaches or spells of dizziness. It is essential to keep yourself secure if these keep happening recurrently.
Twin Pregnancy - Belly At 19 Weeks
Compared to the earlier weeks, the significant increase in the size of the belly would be pretty evident this time around, causing you to adjust your balance often. With the uterus sinking even lower below the navel, this is where your tummy accepts the presence of babies inside it.
Twin Pregnancy at 19 Weeks - Ultrasound
Some doctors might either postpone your ultrasound until you reach an exact midpoint of your pregnancy journey. If you decide to pre-empt it, this ultrasound will show you a pretty good picture of what your babies are looking like. Since the skin that has developed over the children is partially transparent, sharp eyes would be able to see the bone structure along with numerous organs developing within the child. Most doctors also conduct a repeat check of the vital parameters and revisit their conclusion on the presence of abnormalities or any health condition.
What To Eat
As your babies progress ahead in pregnancy, the necessity of proper nutrition starts getting even more critical. Abstinence from any food items that are fried, spicy or rich in trans fats is highly recommended, along with any items that have food colours, preservatives, etc. Boiled meat, along with vegetables and nuts rich in iron and calcium should be included.
Pregnancy Care Tips
Keeping a few checks on the state of your body and your habits are enough to maintain your safe nature in the pregnancy.
Do's
It is excellent if you can lock in a paediatrician for your children around this week
Take some rest, especially in the evenings, and spend some good time with your babies
Dont's
Avoid continuing an intense exercise regimen in the upcoming weeks
Don’t ignore any irritation or itching in the vagina, as it could indicate a yeast infection
What You Need To Shop For
When looking to make your pregnancy an even better experience, you can opt to buy a few items, such as:
A maternity belt, to help support the baby weight
Maternity clothes or bras if you haven’t done so already
Moving around your house or outside with twins at 19 weeks in the womb shouldn’t be a cause for worry at all. Indulge in regular and light exercise, take nice walks with your partner, and spend time imagining the best result your pregnancy can give you.
Previous Week: Twin Pregnancy Week 18
Next Week: Twin Pregnancy Week 20 Read more
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Vaginal Birth after Caesarean Delivery
When a woman who has had a Caesarean delivery in the past conceives again or is planning to conceive, the first question that pops up in her mind is, whether she will be able to deliver her baby vaginally this time. Here we attempt to clarify all the doubts and related facts to make you aware and updated on VBAC.
What is VBAC?
The term VBAC stands for Vaginal Birth After Caesarean. It means delivering your next baby vaginally after having a baby through a caesarian delivery.
If the mother and the doctor are convinced that the conditions are suited for a VBAC birth, then the mother will have to go through "trial of labour after Caesarean" or TOLAC. To describe TOLAC further, it means that the mother is planning to go into labour with an intention to deliver the baby vaginally. TOLAC does not guarantee a vaginal birth. In case there are any complications or the labour does not progress as planned, the mother may still have to go for a C-section delivery. As per most of the studies, 40 to 60% mothers who go through TOLAC, ultimately get their C-section delivery done.
Another important question is, whether the trial of labour after Caesarean is safe. Having a VBAC birth is quite safe for most women, but depends on several other factors including why the woman had a Caesarean delivery in the previous case and how many Caesarean deliveries she has already had. The doctor can give specific advice depending on every individual case, and help a mother decide whether she should go for TOLAC and VBAC or not.
Are There Any Chances of Normal Delivery After the C-section?
Women can have a normal delivery after C-section. If you were required to have a C-section delivery with your first child, it does not necessarily mean that you will need it again. Studies indicate that around 60-80% of the women who have previously had a C-section can give birth vaginally if they try.
A VBAC is more likely to be successful in the following cases:
If your previous C-section was not done due to difficult labour, delayed or stuck labour
You are not experiencing the same medical condition (such as pre-eclampsia) as the last delivery which led to the C-section
You have already had a VBAC before
You go into labour on your own
If your age is less than 35
If you are not obese
If your foetus is not very large or is less than 4 kgs
If your pregnancy is less than 40 weeks
Your previous pregnancy happened more than 1.5 years earlier
Your baby is in the head down position
Am I fit for Vaginal Birth after Caesarean?
For most women, a VBAC is safe. However, depending on certain medical conditions it can also pose serious complications for the mother and the baby. Hence, your doctor who is fully aware of your medical history and has all the necessary details related to your previous C-section delivery is the best guide for you. Based on your history and present condition, your doctor can weigh the risk factors and help you take a call on whether to opt for VBAC or not.
One of the concerns for women who have had a Caesarean previously is the risk of “uterine rupture” during VBAC. As per the American College of Obstetricians and Gynecologists (ACOG), for women who have had an earlier Caesarean delivery where a low transverse incision (a horizontal cut into the uterus) was made, the risk of uterine rupture during a natural VBAC is around 0.2 to 1.5%.
Also, in the case of Dystocia, which is a lengthy and difficult labour because of slow cervical dilation or a small pelvis or a big baby, VBAC is not recommended. If you had genital herpes or foetal distress in the previous delivery, then most likely your doctor will schedule a C-section for you. But if you do not have a major medical issue, the baby is normal in size with his/her head down; then you may be a good candidate for VBAC.
Comparing VBAC to Repeat C-section Delivery
Repeat C-section
VBAC
Surgical procedure
Normal delivery
Risks only related to usual surgery
Risks like uterine rupture, hysterectomy, bladder infection, blood clot, etc. (Though such cases are only 1%)
4-5 days of hospitalization
Two days of hospitalisation
Discomfort or ongoing pain due to incision
Temporary pain
Infection may develop during surgery
Risk of infection is double if TOLAC is attempted but is unsuccessful, resulting in a C-section
Risks like bladder injury or bowel injury
Risk like episiotomy, a surgical procedure wherein an incision is made in the perineum to enlarge the opening through which the baby is delivered
Surgery may lead to blood clots in the pelvic area
No such risk
Baby may have respiratory problem
No such risk in vaginal delivery
For mothers who are planning more children, having multiple C-sections is riskier as they may cause scarring which is associated with the risk of placental problems
No such risk
Advantages and Disadvantages of Having VBAC
There are many advantages and disadvantages of VBAC. The advantages are:
Having another surgery means having more incision scars, difficulty and discomfort of surgery which can be avoided in case of VBAC delivery
There is less pain after a VBAC delivery. You'll only experience vaginal pain which is temporary and will disappear with time
Fewer days of hospitalisation as compared to the C-section delivery. This also means lower expenses
The risk of infection related to the surgical process, like excessive bleeding which can cause blood transfusion or hysterectomy, is eliminated. The risk of developing other infections and organ damage is also associated with a surgical procedure
In case you are planning more children, every repeated C-section increases the risk and complications for future pregnancies
The disadvantages of a VBAC are mentioned below:
Uterine rupture is one of the main VBAC complications. You may keep yourself in the pain of labour hoping for a VBAC which may end up in an unplanned C-section. An unscheduled C-section may cause you more trouble and complications like excessive bleeding, uterus infection, hysterectomy, etc.
The baby may suffer neurological disorder or even death in extreme cases after an unsuccessful VBAC
Bruises around your vagina or pelvic floor weakening
Baby prolapsing, a condition in which the womb slips into the vagina
Other Risks of Having Vaginal Birth after Caesarean
20% to 40% women end up having a C-section delivery after attempting for VBAC. There is always some uncertainty associated with VBAC, and you may be among 2-4 women out of 10 who may need an emergency C-section. This may happen when the labour slows down or if the doctor is worried about the well-being of the baby.
In the case of an emergency C-section, the risk and complications are even higher as compared to the planned C-section. With an unplanned C-section, there is always a doubt of surgical complications like the development of blood clots, more bleeding than normal which may need a blood transfusion or even a hysterectomy.
Such risks are more common when VBAC is unsuccessful as opposed to a successful vaginal delivery or a scheduled C-section.
Why is VBAC Done?
Till the 20th century, most people thought that once a woman goes through a Caesarean delivery, she would have to opt for Caesarean delivery for rest of the pregnancies. However, recent studies have debunked this theory and proved that it does not hold true.
VBAC is mostly done and preferred because it is a hassle-free process that eliminates the complications associated with the Caesarean delivery. It is the most natural way of delivering the baby. Also, there are negligible post-delivery troubles in the case of VBAC. Like in a Caesarean delivery, you will need to be in the hospital for more number of days as compared to the normal delivery as the surgery requires more healing hours.
One positive is that postpartum troubles in the case of VBAC are less as compared to a Caesarean delivery. The wound and incision may take longer to heal in the case of a Caesarean delivery and there may be some ongoing troubles and pain that may continue for life. For example, many women complain of back ache after the surgical delivery. This is not a pain which deteriorates quickly, but it is more permanent in nature. Also, for the baby, the chances of respiratory infection are higher. This is primarily because respiration is triggered in babies by the contractions of labour, and when amniotic fluid is expelled from the lungs as the baby passes through the birth canal, processes which does not take place in a caesarean delivery. In the case of VBAC, the baby passes well through the birth canal which results in lesser neonatal breathing problems.
Hence, along with the American College of Obstetricians and Gynecologists, the National Institutes of Health also recommends VBAC for the women who have a low transverse uterine incision and no medical problem. Technologies like the fetal monitor help track the progress of labour and increases the success rate of VBAC. They also eliminate the complication of fetal distress. The process of VABC may involve the administration of medications to induce labour or improve contractions.
How Shall I Prepare for It?
You may be a little hesitant towards opting for a VBAC but rest assured that most women who have had a C-section can successfully deliver vaginally. After a thorough discussion with your doctor, you may take your time to get prepared for VBAC in the following suggested ways:
1. Speak to Your Doctor and Discuss Your Case
The doctor is the best person to find out whether you should go for it or not. Don’t shy away from voicing any concerns you may have and getting any doubts clarified
2. Get Updated about VBAC
You may read a lot on the internet and through journals and related studies. The more aware you are, the more confident you will be
3. Know Your Options
There are medicines available to stimulate labour and also epidurals and medication to manage labour pains. You must know that epidurals do not affect the chances of a successful VBAC. However, be aware that some medical studies have documented increased uterine rupture rates in women who undergo labour induction. Thus, you should discuss any possible complications of induction with your doctor.
4. Be Prepared
You can take classes on the childbirth especially relating to VBAC. They may guide you on the exercises to prepare for VBAC.
What is the VBAC Success Rate?
The VBAC success rate depends largely on factors including the following:
1. The Reason for Your Earlier C-Section
If you had a Caesarian delivery earlier because of a complicated reason like a uterine abnormality, then you may have to go for a Caesarian delivery again. But if your previous C-section was done because of a non-recurring and less severe issue like a low-lying placenta, etc., you can successfully opt for VBAC.
2. If You Have Had a Previous Vaginal Birth
If you have ever had a vaginal birth in any of your previous deliveries the chances of a successful VBAC increase. The chances are very bright and almost up to 80% if you've had one or more vaginal delivery in the past or especially if it was VBAC.
3. If Your Pregnancy is Not Complicated
if you already have problems in your ongoing pregnancy, then you may be prescribed to go for a Caesarean delivery by your doctor, but in the absence of any complications, the success rates of VBAC are high.
The chances of successful VBAC are low if you have given birth only by C-section delivery, or you had your BMI more than 30 at the start of the pregnancy. In these cases, the chance of a successful VBAC drops down below 40%.
For other specifications pertaining to your unique case, it is best to get in touch with your doctor to find out the expected VBAC success rate in your case.
Can I Have VBAC after 2 C-Sections?
VBAC can be successful for women who had one, two, or three C-sections in the past. The chances of VBAC after two C-sections are brighter if:
If the head of the baby is positioned down
The baby is not too large
If you have ever had a successful VBAC in the past
No serious medical problem in this pregnancy
Low transverse uterine incision
Labour beginning naturally
The due date has not already passed
No vertical incision
No history of uterine rupture
In any other case of complication, there are always increased VBAC risks after 2 C-sections, and your doctor may prescribe another Caesarean delivery for you.
How to Increase the Chances of VBAC?
You can always try to deliver you next baby naturally after one or more previous C-sections. Some suggested ways are:
Make sure that you conceive at such a time so that the delivery time is at least after 18 months of the previous C-section delivery
You must reduce your weight if you are already obese
Keep your BP within a recommended range. High BP can affect the success of the VBAC
Low-stress levels help. You must perform some relaxation or breathing exercises to prepare for VBAC.
You need to keep yourself patient and cheerful
Is It Possible to Have VBAC at Home?
Yes, you can have a VBAC delivery at your home in the presence of a midwife or a doctor. In fact, in some cases it may be a better option as it keeps the stress level low and gives better care. In addition, there is lesser risk of emotional dystocia, a condition where blood circulation in the placenta reduces as a result of a rise in catecholamines due to the mother’s emotional stress during labour.
But having a baby in the hospital has its own advantages and may have lesser VBAC complications due to the provision of continuous Electronic Fetal Monitoring (EFM), immediate scar treatment, etc. in the hospital.
It is best to get in touch with the doctor or an expert midwife to explore the chances of natural VBAC at home. They will be able to tell you if you are a good candidate for VBAC. Read more
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Anxiety Attacks During Pregnancy: Causes, Symptoms & Treatment
Pregnancy can be a time of both excitement and anxiety for all women regardless of whether it's their first time or another addition to their family. It’s natural for expecting mothers to fret about everything from eating to drinking to recurring thoughts and feelings or even panicking over trivial things. Anxiety is not only a part of being pregnant but also a part of being human in general. But it can become a serious issue if it becomes a part of a person's regular thought process. Read on to understand the causes and effects of anxiety disorders that occur during pregnancy and how they can be treated.
What is an Anxiety Disorder during Pregnancy?
An anxiety disorder makes you worry or afraid of things more often. Although fear and worry are natural responses to threats and situations in people, an anxiety disorder would make those feelings much worse than what most people would feel in the same situation. If your anxiety is stopping you from doing things you would normally do with ease, then it could be that you have an anxiety disorder.
It is estimated that women are 60 percent more likely than men to experience anxiety disorders and 1 in 10 pregnant women suffer from anxiety at some point. Anxiety disorders are characterized by anxiety attacks that involve various physiological responses like sweating, racing heart, shakiness and restlessness.
1. Normal Anxiety Attacks
Anxiety attacks occur when feelings of intense fear or terror erupt without warning. They usually last between a few minutes to about half an hour and can be triggered by certain situations, places or people. They involve some or all of these:
Heart palpitations or a racing heart
Discomfort and chest pain
Feeling dizzy and nauseous
Shortness of breath and choking
Feeling like you’re losing your mind or going crazy
Serious Anxiety Attacks
A serious anxiety attack can be much worse. The symptoms mentioned above are heightened in this case, and hospitalization might be necessary in order to control the situation. Patients report the following sensations:
Having a heart attack
Fear of dying
A detached feeling from oneself
Types of Anxiety Disorders
Anxiety disorders come in different forms, and it’s not unusual to have more than one disorder at the same time. It often coincides with other mental health issues such as depression.
Some of the most common ones include:
Generalized Anxiety Disorder (GAD): Women with this condition worry a lot about everyday situations which in turn interfere with their day-to-day activities. The common characteristics are irritability, inability to concentrate, tension in the muscles, difficulty in sleeping and a general sense of apprehensiveness.
Panic Disorder: Recurring panic attacks that occur out of the blue without an apparent cause is a sign of a panic disorder. It involves an intense feeling of fear accompanied by physical symptoms such as sweating, dizziness, shaking, racing heart and nausea.
Phobia: A phobia is a feeling of extreme fear and anxiety about specific objects or events which are harmless. Some of the phobias such as fear of heights or fear of poisonous insects relate to moderate risk, but the fear is exaggerated. People go to great lengths to avoid these things.
Posttraumatic Stress Disorder (PTSD): Experiencing or seeing a traumatic or distressing event can cause PTSD which involves intense feelings of anxiety, flashbacks, nightmares etc. Losing a baby in a previous pregnancy can cause PTSD in some women and can bring back extreme fear and anxiety in a subsequent pregnancy.
Obsessive-Compulsive Disorder (OCD): Women can sometimes experience OCD during pregnancy, and it can get worse after the baby is born. Women with OCD have recurring obsessions such as unwanted thoughts, sensations and ideas which lead to compulsions that are repetitive behaviours that relate to the obsession.
Other Health Conditions: In a few cases a health condition such as a heart disease, hyperthyroidism or a respiratory illness can also cause anxiety.
What Causes Anxiety Attacks when Pregnant
The exact trigger for anxiety attacks is uncertain and is different for different women. The bodily changes that women go through during pregnancy may cause an anxiety attack in some women.
Some of the significant causes of anxiety attacks can be:
The hormonal changes during pregnancy.
Stress, worries and over thinking during pregnancy.
Pre-existing anxiety issues that start to re-occur during pregnancy.
The woman is at an age where anxiety attacks are common.
Anxiety disorders can also be genetic, or hereditary.
How does Anxiety Affect your Baby?
There hasn’t been much research on effects of anxiety during pregnancy to tell conclusively about its impact on the child. However, it has been observed that women with high anxiety and stress during pregnancy have a slightly higher chance of preterm birth. Anxiety is also linked to complications such as slow labour, fast labour and forceps delivery. Some research suggests that children whose mothers have experienced anxiety disorders during pregnancy reach developmental milestones slower.
Is it Anxiety or Baby Blues?
Baby blues occur in all women after they give birth due to the sudden change in hormones following the stress of delivery, sleep deprivation, stress and fatigue. Women often feel tearful and emotionally overwhelmed. This typically starts a few days post delivery and reaches its peak at about one week and tapers off eventually by two weeks postpartum. On the other hand, anxiety is characterised by panic attacks, thoughts and physiological symptoms that interfere with their normal functioning.
Symptoms Of Prenatal Anxiety
The symptoms of prenatal anxiety are often excessive and seemingly uncontrollable. They include:
Constant worry and a feeling that something terrible will happen
Uncontrollable thoughts
Difficulty in sitting still
Physical symptoms such as heart palpitations, hot flashes, dizziness and nausea
Disturbed sleep and appetite
Available Treatments for Anxiety Disorders
Non-Medicinal Approaches
There are a few approaches to treatment that do not involve the usage of medications.
1. Psychotherapy
Guided by a skilled therapist, techniques such as Cognitive Behavioral Therapy (CBT) are used. The therapist teaches new ways of looking at the stress factors and how to come up with better responses.
2. Omega 3
The Omega 3 essential fatty acid acts as a natural mood booster and is found in foods such as walnuts and oily fish.
3. Light Therapy
Light therapy is a method where an artificial source of bright light resembling the sunlight is used on the patient. Sitting by the side of the light at specific times of the day or having it set up in the living room can relieve depression symptoms.
4. Acupuncture
This is an ancient Chinese practice that involves placing tiny needles on specific points on the body. The meothod is used to influence mood and treat stress.
5. Talk Therapy
The method where a patient talks to a therapist or a counsellor about the thoughts and feelings that generate anxiety is called talk therapy. It acts as a release and helps find new ways to think about the anxiety triggers.
Medications For Prenatal Anxiety
Since anxiety medications can cross the placenta, doctors are always cautious about prescribing them during pregnancy. Prescribed medicines include:
Selective Serotonin Reuptake Inhibitors (SSRIs): Similar to their usage with depression, they are used to treat anxiety in pregnancy. Some of the commonly used ones are; Fluoxetine, Sertraline, Citalopram, Paroxetine etc.
Benzodiazepines: These drugs are used to manage severe anxiety and panic attacks but are known to cause congenital disabilities in babies when taken during pregnancy. If you are already on benzodiazepines, your doctor would slowly lower the dosage and switch to a different drug once you’re pregnant.
Herbal and Home Remedies
Kava is a commonly used root to alleviate anxiety but isn’t recommended during pregnancy as it can weaken the muscles of the uterus. There is very little research on herbal remedies, and since they are unregulated, it’s advisable to stay away from them.
Who is at Risk?
While anxiety is normal during pregnancy, there are risk factors that put a few women at higher risk. These include:
Having a family history of mood disorders
History of Premenstrual dysphoric disorder
Being a young mother who is single, having poor support or low income
Living alone or divorced, separated or widowed
Pregnancy complications
Having experienced stressful or traumatic events before
Preventing Anxiety during Pregnancy
Talk to your partner or a trusted friend about your feelings often
Learn simple relaxation techniques and maintain a regular practice
Look after yourself and read a self-help book for better understanding
Try not to feel embarrassed or guilty. It is not your fault.
FAQs
1. What will Happen if my Anxiety is Left Untreated?
Both you and your child are at risk in this case. The baby might be preterm with low birth weight and score low on APGAR. The baby might also have problems with adaptation outside the womb. Risks to you include pregnancy termination, postpartum depression, substance addictions etc.
2. Will Anxiety Result in Depression?
Anxiety disorders often coincide with other conditions such as depression. About half of the women who develop postpartum depression start noticing early signs during pregnancy.
3. Where Can I Get Help?
If you are pregnant and start having symptoms of anxiety, it’s best first to consult your ob-gyn or midwife.. There are international groups such as Postpartum Support International (www.postpartum.net), Women’s Mental Health Consortium (http://womensmentalhealthconsortium.org/), and The MGH Center for Women's Mental Health (www.womensmentalhealth.org)
Anxiety need not hold you back from experiencing the joys of early motherhood. With a better understanding of your condition, the appropriate treatment can be prescribed, thereby making it possible for you to enjoy your pregnancy to the fullest.
Also Read:
Stress during Pregnancy
Depression while Pregnant
Migraines in Pregnancy Read more
Suggested for you
Suggested for you
Mix Fruit Puree
Pass on the benefits of different fruits by blending them into a puree. The best part is every time you can change the combination of fruits used and introduce a lot of variety in terms of color and flavor in your child's diet. Pitch in both the pulpy and the juicy fruits to get a mix consistency.
Serves
Preparation Time
Cooking Time
2 People
10 Minutes
15 Minutes
Ingredients
1/2 pear
1/2 apple
1/2 chikoo
1/2 banana
1/4 mango (if in season)
Method
Step 1
Peel, core and chop the pear and apple.
Step 2
In a small saucepan, boil water.
Step 3
Simmer fruits for 10-15 minutes or until tender. Test by piercing a fork.
Step 4
Drain and transfer fruit to food processor when cooled.
Step 5
Peel, core and chop mango and chikoo. Peel and chop bananas too.
Step 6
Add these to the fruits in food processor.
Step 7
Puree for 60 seconds until smooth.
Step 8
Serve immediately or transfer to ice cube tray for freezing.
Nutritional Information
1 serving = 4 oz.0%
Calories
190
Sodium
90 mg
Total Fat
0 g
Potassium
0 mg
Saturated
0 g
Total Carbs
47 g
Polyunsaturated
0 g
Dietary Fiber
0 g
Monounsaturated
0 g
Sugars
40 g
Trans
0 g
Protein
0 g
Cholesterol
0 mg
Vitamin A
4%
Calcium
0%
Vitamin C
2%
Iron
*Percent Daily Values are based on a 2000 calorie diet.
Your daily values may be higher or lower depending on your calorie needs.
Read more
Dr Ghouse has added a new answer
Guardian of 0 children
3 hours ago
Q. #asktheexpert
Can we have sex during pregnancy and is it safe?
Dr Ghouse
Paediatrician
3 hours ago
A. okay no problem if you don't have any risk factors ko. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Dr Ghouse has added a new answer
Trying To Conceive
3 hours ago
Q. Dr meri baby 12 month running hai uska weight 6 kg hai uska growth nahi ho pa Raha hai to kya kare or over active hai
Dr Ghouse
Paediatrician
3 hours ago
A. ok see c. if the baby is not having proper height and weight it means that baby is having failure to thrive baby needs investigations like TSH and other related test to find out the reason
Dr Sameer awadhiya has added a new answer
Guardian of 0 children
3 hours ago
Q. mere twins baby hai boy nd girl one month 8 days when I check eye and ear which month
Dr Sameer awadhiya
Paediatrician
3 hours ago
A. For the query asked needs consultation with doctor for proper guidance so it is better that the doctor will guide you the correct way .
Online consultation can also be taken jjand the expert will give you the proper answer .
Ankita Mehta has added a new answer
Guardian of 0 children
1 hour ago
Q. is white discharge in 8th month normal?
Ankita Mehta
Mom of a 8 yr 7 m old girl
1 hour ago
A. hi
yes
but if it is too thick or clear like water,if there other symptoms like itching, irritation, redness,foul smell from vagina, please visit your gynecologist
Dr Vandan H Kumar has added a new answer
Guardian of 0 children
1 hour ago
Q. My son is 5 months old is suffering from cough..what to do?
Dr Vandan H Kumar
Paediatrician
29 mins ago
A. give nasal saline drops every few hourly to the child in the nasal cavity.
try to prevent temperature variations around the child
you can go for indirect steam inhalation which will again help in decreasing both cough and cold
continue the regular diet of the child
if there is no improvement in few days then meet your doctoru
for fever and pain give paracetamol.u
anti-cold medicines at this age have got side effects so can be given only after medical consultation.
POOJA KOTHARI has added a new answer
Expecting Mom due in 6 months
1 hour ago
Q. hi. in Feb my period was last and I did pregnancy test in March its positive results but my belly is not being bigger
POOJA KOTHARI
Mom of a 7 yr 1 m old boy
57 mins ago
A. Typically, your bump becomes noticeable during your second trimester. Between 16-20 weeks, your body will start showing your baby's growth. For some women, their bump may not be noticeable until the end of the second trimester and even into the third trimester. The second trimester starts in the fourth month.
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