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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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Itching During Pregnancy: Causes, Treatments and Home Remedies
Your body undergoes a lot of transformation, both hormonal and emotional, when you are pregnant. One common change nearly a quarter of all pregnant women undergo is bodily itching. Your stretching skin, increased blood supply to your skin and changes in the hormonal levels increase the urge to scratch. The itching is more prominent over your womb and your breasts.
Is this common? Yes.
Do I need to worry? No.
Mild itching is common and even expected. However, if you are experiencing severe itching, then there may be an underlying infection or a dysfunctional condition. In such a case, it is advisable to contact your doctor immediately The following article outlines some skin conditions which may cause severe itching. If you are experiencing a severe urge to scratch, then you may have contracted any one of the below conditions.
Causes of itching in pregnancy:
1. Pruritic Urticarial Papules and Plaques of Pregnancy (PUPPP)
PUPPP rash is an itchy rash which appears on your stomach during the later months of your pregnancy. Doctors believe the stretching skin to be a trigger for the rash but the actual cause is unknown.
Is there a risk to my child?
Netwellness.org reports that PUPPP occurs in 1 out of about 150 pregnancies. While PUPPP may be uncomfortable for the mother due to severe itch and rash condition, there is no risk to the child whatsoever.
PUPPP rashes occur during the third trimester and are more likely to occur in a first pregnancy. PUPPP rashes are extremely itchy and cause a lot of discomfort. They may spread to your thighs and even breasts.
So, what’s the cure for PUPPP rash?
PUPPP rashes usually disappear 1-2 weeks after you deliver your baby. For relief during the pregnancy, you can apply moisturizers, topical steroids, antihistamines and take itch relieving baths with baking soda or oatmeal. There are a number of other home remedies which you can try to sooth the ailing skin and to get comfort from the itch.
2. Prurigo of Pregnancy
This one is a non-specific benign itchy rash occurring during pregnancy. It is also referred to as early onset prurigo of pregnancy, popular dermatitis of pregnancy and prurigo gestationis. The rash occurs 1 in 300 pregnancies and usually appears during the second or third trimester. At present, the catalyst for the rash is unknown. The prurigo of pregnancy is clinically diagnosed via medical tests of dermatitis.
So, how is prurigo of pregnancy cured?
While there is no specific treatment for the condition, you can consult your doctor and implement individual respite for the symptoms with medication such as benzoyl peroxide, oral antihistamines and topical steroid ointments and creams. You can also try using homemade baking soda paste, basil leave paste or lemon water to sooth an itchy area.
The condition of prurigo of pregnancy usually resolves after your delivery, although the rashes may take several weeks and months to go back to normal. The recurrence of the rashes varies with each pregnancy, but the relief is, your baby is not at risk.
3. Impetigo Gestationis
A rare autoimmune skin disease associated with pregnancy, the impetigo gestationis is marked by an itchy rash that eventually converts into blisters. The condition occurs during the second and the third trimesters of your pregnancy. The condition was earlier known as herpes gestationis. However, it has no association with the herpes virus.
In autoimmune diseases, the immune system of an individual reacts against their own tissue. The condition is an autoimmune blistering ailment, and immunoglobulin type G auto antibodies, also known as the PG factor, are responsible for causing Pemphigoid Gestationis.
The antibodies target BPAG2 protein in the epidermis layer of the skin and cause inflammation and separation of the layer. The fluid fills up the space which was created due to separation, thereby causing the formation of a blister on the outer surface of the skin.
What are the symptoms of Pemphigoid Gestationis?
The initial symptoms for pemphigoid gestationis include itchy, red bumps around the belly button. Slowly and eventually, the rashes spread to other regions of the body including thighs, breasts and lower abdomen. Tense, large fluid filled blisters form after 2 to 4 weeks of appearance of rashes.
Well, is there a cure?
Pemphigoid gestationis requires a skin biopsy, which indicates the blistering of the epidermis layer of the skin. The condition usually resolves several weeks after childbirth. In some cases, however, the syndrome remains active for months, maybe years and the onset of menstrual cycle might flare the condition further.
The treatment, as in the conditions above, is mainly for individual symptoms, blisters and infections. Topical corticosteroids, oral corticosteroids and oral antihistamines are usually prescribed by your OB-GYN to relieve you of discomfort. You can also try natural home remedies such as aloe vera gel and oatmeal baths to get comfort from itching and urge to scratch.
4. Impetigo Herpetiform
Impetigo Herpetiform is a rare condition. This is a type of psoriasis which occurs when a woman is pregnant. The psoriasis usually develops during the third trimester but can start earlier too in some cases. Pregnant women suffering from this condition have small, pus-filled rashes that redden large areas on the body. The rashes gradually turn into larger, white, pus-filled blisters.
What areas are affected by Impetigo Herpetiform and what are the common symptoms?
The affected areas include thighs, groin, navel, breasts and armpits. Common symptoms of impetigo herpetiform are fever, nausea, chills and diarrhoea.
How is impetigo herpetiform treated?
Impetigo herpetiform is a slightly tricky condition. The mother and the unborn baby are monitored closely in this case as there might be complications in childbirth. To give the mother comfort from itching, systemic corticosteroids are used. The rashes disappear on their own after delivery, but there are chances that they may occur again the next time you are pregnant. To provide temporary relief from itching, women usually try using cold compresses and cold showers or oatmeal baths. These are natural remedies which soothe the ailing skin and provide relief from itching and scratching.
5. Intrahepatic Cholestasis of Pregnancy (ICP)
IPC is a serious condition. IPC or Obstetric Cholestasis (OC) is a liver disorder which occurs during pregnancy. This is not harmful for the mother but puts the unborn baby at risk of serious complications. There are chances of a baby being born prematurely or stillborn.
In Intrahepatic Cholestasis of Pregnancy, the bile from liver salts start accumulating inside your body, instead of flowing out to digest food. OC is believed to be genetic but there are chances of it occurring for the first time as well. Pakistani and Indian Women are more at risk from OC. Some studies show that women with OC are more likely to deliver stillborn or premature babies. This is why, women who are diagnosed with OC are advised to have a caesarean section after 37 weeks.
What are the symptoms of ICP?
The prevalent symptoms of ICP include itching without rashes on the feet. The symptoms occur around the 28th week of pregnancy. Other symptoms include jaundice, dark urine and pale bowel movements.
Is there a cure?
Sadly, no. There is no cure for OC but the condition resolves after childbirth. The diagnosis is done after studying your medical and family history carefully, along with performing liver function tests or LFTs.
To combat distinct symptoms, ointments and creams such as calamine lotion can be used. Some doctors also prescribe medication which reduces bile salts to some extent. If you suspect ICP, consult your doctor immediately.
While the above are some complex cases, do not stress yourself into thinking that you may have developed anyone of them. Itching can also be caused due to below common causes, which are curable and not that scary:
Eczema can cause itching on your body. You can have itchy scratches in the folds of your skin such as elbows and knees. You can use doctor prescribed ointments to sooth eczema. Always consult with your doctor before using any medication to avoid interference with your pregnancy medication.
Scabies, caused by mites, also causes itchiness during pregnancy. This is curable with doctor’s medications.
If your vagina feels itchy, you may have developed a fungal infection known as thrush. Your OB-GYN will direct you to the right prescriptions for thrush.
You can also go for home remedies to cure your body of itching. These are 100% natural, without any side-effects and easy to obtain and afford. You can try these to rid prickling during pregnancy.
Home Remedies to Treat Itching During Pregnancy:
1. Taking Oatmeal Baths
Taking oatmeal baths is a trusted practice to get rid of itching. Just add a bowl of oatmeal to warm water and use it to soothe any irritating, itchy parts.
2. Using a Cold Compress
You can also use a cold ice-pack to make itching go away. The cold compress is particularly helpful if you have inflamed body parts. The cold sensation will give you instant relief. This is particularly helpful in summer.
3. Using Herbs to make the itching go away
Herbs like dandelion roots and milk thistle work wonders to soothe itches. They are natural treatments for liver problems like cholesterol.
4. Aloe Vera Gel
Aloe Vera gel is a versatile natural product. It is used worldwide in treating various skin conditions. Simply apply the gel to affected areas and areas prone to itching. The gel will naturally decrease inflammations, soreness and the urge to scratch. The gel also provides a layer which protects the skin against any damage that is caused when you scratch the skin.
5. Application of cold, wet towel on inflamed areas
Wet, cold towels help in soothing tingling skin during pregnancy. Soak a small towel in a bowl of cold water and roll it up. Place the damp towel on the affected area and relax. You will feel much better and the scratching will stop, at-least for a while.
6. Calamine Lotion
Calamine lotion is an excellent remedy for women suffering with PUPPP syndrome. Apply the lotion to affected areas and you will have instant relief from irritation and inflammation. Unscented body power also works the same way to combat itching.
7. Calendula Creams
Calendula lotions and creams provide much needed respite from itching during pregnancy and are quite popular amongst pregnant women. You can simply rub the lotion on the areas which are inflamed.
8. Paste of Baking Soda
Baking soda is another effective home remedy for preventing itching during pregnancy. Make a paste of baking soda with water in equal parts and apply it all over the affected area and the areas more prone to itching to alleviate discomfort.
9. Oils for massage
For pregnant ladies who have dry skin, itching in a nightmare. You can use essentials oils such as lavender as well as olive and almond oils to massage your belly, thighs, breasts and other areas which cause irritation. However, make sure you consult your doctor before you start using essential oils.
10.Basil Tea for relief from itching
Basil, a popular herb in the Indian kitchens, is an excellent itch repellent. The herb has a compound called eugenol which is effective in controlling itching. To use the magic powers of basil, steep a few leaves in boiling water. Once the mixture has cooled, soak a cloth in it and place it on the affected area. You can also ingest a few leaves with your food.
11. Mint leaves for itchy skin
This cool herb provides relief from itching during pregnancy. Just like basil leaves, steep a few in boiling water and use the liquid on areas which itch. Do not apply directly as a paste as there may be burning of the skin. You can also use thyme leaves to get respite from itching.
12. Lemon Juice
Lemon is the king of natural home remedies! No wonder, it works on pregnancy itches as well. Dilute lemon juice with water and apply it on the affected areas with a cotton swab. You will immediately relax as the itching seizes.
13. Juniper Berry Lotion
Juniper berries have anti-inflammatory properties. Although hard to find, if you combine these with cloves which contain eugenol, you have a potent cure for itch. For a DIY paste, mix some beeswax in ground cloves and berries. Rub the paste on the places which itch and see the paste work wonders.
14. Besan Powder
Mix some besan and water into a bowl and apply it on your itchy skin directly. Not only will your skin be itch free, it will be fresh and baby soft.
15. Cool showers
You may feel itching due to hot temperatures too. Nothing soothes sensitive skin than a cool shower. Not only will you feel wonderful, your skin will be rid of the itch although temporarily. We hope these home remedies help controlling your urge to scratch yourself. While itching is a common occurrence during pregnancy, make sure you explain all symptoms to your doctor during regular checkups so that anything out of the ordinary can be investigated.
Still have doubts? Explore some of the common questions would be mothers wonder about:
1. I feel like itching all the time. Will it harm my baby?
In majority of cases, no. Itching is common and it does not harm you or your baby. However, if the symptoms persist, do get checked up for OC.
2. Doesitching in certain regions predict the gender of my baby?
This is an old wives’ tale. Itching is a physical symptom of blood reaching your stretching skin and in no way, can it predict the gender of your baby. Some cultures do believe that itching in a certain region may give you a boy or a girl but this is just superstition and not based on any scientific study.
3. Should I really see my doctor if it itches severely?
While you should definitely tell your doctor that you experience itching, be on the lookout for particular symptoms for any underlying skin conditions. In most cases, it is usually nothing or a mild reaction to prescribed medication. However, if the itching becomes severe, there are red blisters forming around the inflamed area and in some cases, if they are filled with pus, consult your OB-GYN immediately.
4. What are some other changes in the skin which are common during pregnancy?
During pregnancy, you may develop acne or spots and stretch marks. You may also see pigmentation or changes in your skin colour as well as broken veins. All of this is part of the hormonal changes your body is undergoing to nurture the new life in you.
Also Read: Stretch Marks During Pregnancy Read more
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Fibromyalgia During Pregnancy - Causes, Signs, Risks, and Treatment
Fibromyalgia and pregnancy affect twice as many women as males in the United States, accounting for 2% of the adult population. Despite this, relatively little study on the relationship between pregnancy and fibromyalgia has been conducted. Women with fibromyalgia, particularly first-time mothers, may find pregnancy’s first and second trimesters exceedingly tricky owing to their pain, fatigue, and stress.
What Is Fibromyalgia?
Fibromyalgia is a chronic musculoskeletal illness characterized by fatigue, sleep, cognitive, and behavioral issues. This illness may amplify pain by altering how the brain and spinal cord interpret pain and non-painful details.
What Triggers Fibromyalgia in Pregnancy?
“Can pregnancy cause fibromyalgia?” There is no reason to believe that pregnancy causes fibromyalgia; however, the disease may be triggered by physical or mental stress in any woman, regardless of pregnancy. With all that goes into pregnancy, labor, and delivery, it’s clear that this is an emotionally and physically draining period. Estrogen, progesterone, and other hormone levels fluctuate throughout pregnancy. Even if you do not have fibromyalgia when pregnant, you should anticipate that your pain and other symptoms will increase after delivery.
Effects of Fibromyalgia in Pregnancy
Throughout pregnancy, your body creates an abundance of hormones, and weight increase skews your body, resulting in a distinct physical form and appearance. Most pregnant women feel nausea and tiredness, particularly during the first three months. “How does fibromyalgia affect pregnancy?” is a common question. The symptoms of fibromyalgia were exacerbated during pregnancy. Pregnant women who have fibromyalgia experience severe physical pain, fatigue, and anxiety frequently, especially during the first three months of pregnancy.
Can Fibromyalgia Cause Any Effect on Delivery?
The impact of fibromyalgia on pregnancy and delivery is still a mystery. According to some research, the presence of the disease may harm the baby’s birth. The brain’s development may be affected by the disorder. Women with fibromyalgia are more likely to experience more pain during labor and delivery than those without the condition. Diagnosis of fibromyalgia in pregnancy may or may not be passed on to the kid, but no one is sure. Fibromyalgia may have a negative influence on the development of a baby. Therefore it’s crucial to be aware of this.
Fatigue and high-risk pregnancy problems are common in women with fibromyalgia, impacting labor and delivery. While the baby’s development will not be affected by the illness, but it may delay healing.
You should not postpone pregnancy because of fibromyalgia. Before the child’s birth, she should begin preparing for childbirth by making a detailed birth plan and staying away from stressful situations.
Symptoms of Fibromyalgia in Pregnancy
According to a study released in 2013, fibromyalgia symptoms were more prevalent around the time of delivery. However, they found that these ladies had no more discomfort during childbirth than the rest of the mothers. These different signs and symptoms are associated with both pregnancies and fibromyalgia. According to the following, they are:
A sense of unease
Head haze, fatigue, and labile emotions
Women with fibromyalgia who get pregnant may find that motherhood’s emotional and physical strain worsens their symptoms.
Risks of Fibromyalgia in Pregnancy
Fibromyalgia may increase a variety of pregnancy-related hazards for you and your child, some directly and others indirectly, resulting from co-occurring disorders. Women with fibromyalgia are at a higher risk of problems during pregnancy. The following are a few instances of fibromyalgia pregnancy complications that may raise the dangers of pregnancy:
Anxiety
Depression
Stress has an impact on the psyche
Fibromyalgia patients are more prone to acquire this illness, and studies indicate that it may have a detrimental effect on the placenta and the unborn child’s development. If you experience any of these signs or symptoms, you should see a physician, and they may be able to assist you in managing them more effectively and minimizing your risks. Pregnant women who have fibromyalgia may encounter the following difficulties:
Intrauterine growth limitation occurs during pregnancy when the fetus cannot reach average weight.
Recurrent miscarriage is defined as a miscarriage that happens more than twice in succession.
Although early birth is feasible, research on this subject is unclear.
There is no evidence that the illness is linked to an increased risk of birth abnormalities.
Obesity has been associated with an increased chance of cesarean delivery. However, the research results on the issue are inconsistent (C-sections). Furthermore, a spinal anesthetic may improve fibromyalgia symptoms, such as that used during C-sections. Consult your physician to determine if any alternatives to general anesthesia are available in the case of surgical delivery.
Treatment for Fibromyalgia in Pregnancy
Fibromyalgia may be treated and managed with medication and lifestyle adjustments. The following medications are used to treat fibromyalgia:
1. Acetaminophen
This drug is available over the counter, as are prescription pain relievers, anti-depressants, and anti-seizure medications (OTC).
2. Prescribed Pain Relievers
Prescription pain medication abuse is a significant public health concern. Addiction and abuse are possible dangers. It is critical to follow all medical directions and take medicine exactly as your doctor prescribes. However, this article will discuss these drugs in general. This is not intended to be medical advice.
3. Anti-depressants
Individuals suffering from depression often struggle with a job, family, and social circumstances. Individuals who have outbursts may face legal consequences due to their actions. Numerous anti-depressants are available on prescription. Choosing the appropriate drug for you will be determined by your unique circumstances.
4. Anti-seizure Medications
Numerous anti-seizure drugs are available. These medications exert three distinct pharmacological effects. The first is a rise in the threshold for motor cortex activity, making nerves less excitable and less likely to cause seizures. The second effect is a decrease in the conduction speed of nerve impulses inside a cell. Each anti-seizure medicine has several advantages and disadvantages, and it’s critical to understand what to anticipate from each.
Consult your physician before discontinuing any drug, including those used to cope with fibromyalgia during pregnancy. Apart from this, individuals who have fibromyalgia may benefit from a range of lifestyle adjustments, including the following:
1. Mild Exercise
Exercise is a critical component of the treatment strategy for any pregnant lady suffering from fibromyalgia. However, you should follow some measures before
starting the program. Whether you’re exercising in a pool or using a therapy ball for back pain, it’s critical to consult with your doctor first.
2. Coping Behavioral Treatments
Cognitive-behavioral therapy is a frequently used treatment of fibromyalgia. This treatment aims to assist patients in identifying negative thoughts and actions and enhancing their coping abilities. Its fundamental assumption is that we generate our own experiences and suffering. By altering our negative beliefs, we can change our perception of pain and enhance our coping abilities. This technique is particularly beneficial in people who suffer from low-level rumination and severe symptoms.
3. Adequate Sleep
Getting sufficient sleep during Fibromyalgia In Pregnancy is critical for your overall health and well-being, regardless of what your doctor tells you. After a long day’s work, your body needs appropriate rest to heal itself and refuel. Avoid taking extended naps throughout the day, and keep your caffeine consumption bare minimum.
4. Avoid Smoking
Smoking, a natural stimulant, should be avoided at all costs, and you should seek more sleep.
These techniques may also assist a pregnant woman in maintaining her health.
Are Fibromyalgia Medications Safe in Pregnancy?
During the delivery process, further pain control medication may be necessary. In the current state of affairs, fibromyalgia medications during pregnancy are not entirely risk-free. Physicians advise women with fibromyalgia to stop taking pain relievers and anti-depressants before becoming pregnant to avoid complications. If you decide to stop taking any medications, consult your physician first.
Does Fibromyalgia Affect the Baby?
It is unclear what should be expected regarding the influence of fibromyalgia on pregnancy from the perspective of medical professionals. For its part, according to a study published in 2011 by Trusted Source, there is some evidence to support the notion that people who have fibromyalgia are more likely to suffer from intrauterine growth restriction (IUGR). In this condition, the baby’s development is slowed while still in the womb, resulting in a significantly smaller stature of the child.
The condition in question may be associated with a higher risk of developing fibromyalgia that impacts pregnancy and delivery. An excessive amount of amniotic fluid can result in complications due to gestational diabetes and the termination of the pregnancy.
Tips for Fibromyalgia in Pregnancy
Pregnant women who have fibromyalgia experience significant pain, fatigue, and mental stress, particularly during the first three months of pregnancy. Following are a handful of valuable tips for fibromyalgia in pregnancy:
There are currently no medications available for the treatment of fibromyalgia that is considered safe for use during pregnancy.
It may be necessary to maintain the use of certain pain relievers and stimulants after consulting with your healthcare provider.
If you’re having trouble sleeping, try using relaxation techniques such as acupuncture and massage to help you relax.
If fatigue is your primary complaint, take a few twenty- to thirty-minute naps throughout the day.
If you are experiencing aches and pains in your body, moist heat treatments and massage may benefit your condition.
Stretching and acupuncture are two techniques that may be beneficial to certain women.
It is essential to engage in meditation and physical activity during your pregnancy to lower your stress levels, which will then assist with alleviating any symptoms you may be experiencing.
Sharing your symptoms with loved ones, friends, and your doctor is also crucial.
Can Fibromyalgia Go Away During Pregnancy?
If you have fibromyalgia, you may be wondering if discomfort would subside during pregnancy. Your musculoskeletal system is significantly stressed during pregnancy, and your sleep and exercise schedules will be disturbed, and you will almost certainly struggle to keep up with your new baby. Even if you are not aware of any symptoms throughout pregnancy, you should seek medical attention if you are in continuous discomfort.
Most women report feeling better throughout the second trimester regarding pregnant discomfort and weariness. This is because pregnancy hormones are beginning to take effect. However, since the disease may impact breastfeeding, you should see your doctor about your alternatives. If nursing is a priority, you may be forced to switch medications during the last trimester. If this is the case, individuals diagnosed with fibromyalgia might try nursing.
Your doctor will be able to provide you with the necessary medicines to assist you in coping with your condition throughout pregnancy. While most drugs used to treat fibromyalgia are not safe during pregnancy, some are. A specialist in perinatal physiology will be able to provide the most appropriate medicine to aid in your body’s recovery. You should also concentrate on stress management strategies, massage, and meditation throughout pregnancy. Additionally, you should seek assistance from other people with fibromyalgia.
Women with fibromyalgia can still become pregnant, although there may be extra difficulties. Whether a woman is pregnant or wants to become pregnant, she should talk to her doctor to see if further help is available. In addition, she should learn as much as possible about what it’s like to have fibromyalgia and be pregnant, as this may help motivate her to actively engage in the process of deciding on the best method to utilize at each stage of her pregnancy.
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Migraines in Pregnancy
Thalassemia during Pregnancy
Cystic Fibrosis when Pregnant Read more
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Coping With Postpartum Depression - A Guide
Postpartum depression affects one in 9 women. The symptoms are similar to depression. It can affect the day-to-day life of a mother and her ability to take care of the child.
Julie was excited to have a baby. Throughout her pregnancy, she prepared for the newborn. She delivered a healthy baby girl through C-section. She wanted to feel excited about her newborn but strangely felt no happiness. Everyone around her, including her parents, partner, and friends were excited but Julie felt nothing. She started feeling irritated and was crying for no reason. She wanted to run away to some faraway place away from everyone. The people around her were not able to understand this strange behavior. Julie herself was also bewildered. Her elderly grandmother dismissed her condition as ‘baby blues’. She said it will go away in a couple of days. However, days became weeks and Julie was still not feeling any better. Julie was suffering something that affects one in 9 new mothers; a condition known as Post Natal Depression (PND) or Postpartum Depression (PPD).How to Identify The Difference Between Baby Blues and Postpartum Depression?Baby blues affect almost 70% of new moms. It usually lasts between a few hours and a few days after childbirth. It is a feeling where you may suddenly feel cranky, irritable, restless, exhausted, and sad. You do not need any treatment for baby blues. It goes away on its own.Postpartum depression, on the other hand, is a more serious condition that can start even after a few months of delivery. It can last longer and you may have extremely strong feelings of anxiety, despair, sadness, and irritability. Postpartum depression can affect your day-to-day activities and may even interfere with childcare. PPD can make a mother suicidal. In extreme cases, postpartum depression can turn to postpartum psychosis which is a serious mental illness that needs hospitalization.Signs of Postpartum DepressionThe severity of postnatal depression depends on the number of symptoms that are visible in a new mother. The warning signs should not be ignored and immediate intervention of a therapist is advisable. The most common symptoms are:Mood swingsUnable to perform day-to-day activitiesCrying spellsInsomniaLack of concentrationLow libidoSocial withdrawalIrritability and crankinessLack of interest in caring for the childSense of guilt and despairLoss of appetiteHeadache, stomachache, and blurred visionRecurrent suicidal thoughtsTendency to cause self-harmIf a woman exhibits multiple symptoms from the above list, it indicates that her condition is severe.How to Cope with Postpartum Depression: Self Help TipsSevere postpartum depression needs medication and psychological counseling. The first step to treat PND is by being aware of the condition. The woman and her family should acknowledge that she is going through a phase. There should not be any denial. What is needed to cope with PPD is self-care. It may sound easy but self-care is often ignored. Be considerate of yourself. Learn to say ‘No’. If you feel sad then let others know. There is no point in suffering in silence. Here are few things that can help you cope with the situation.Get proper sleep. It is difficult to sleep with a small baby. Take turns with your partner and try to get an undisturbed sleep of 7-8 hours. Try to take small naps during the day when you feel tired or exhausted.Eat a balanced diet. Avoid sugar and junk food. Sugar can cause mood swings. Include fresh fruits and vegetables. Avoid skipping meals.Exercise helps release the happy hormones that help in dealing with depression. Try yoga and aerobics at home.Go out of the house. Fresh air can help you feel less stressed.Try meditation. Even 10 minutes of meditation and breathing exercises can help you release anxiety and stress.Take a break when you feel overwhelmed.Enjoy some me-time. Do things that you love like watching movies, reading, or meeting friends.Join a support group for new moms. These days lots of online groups are available. You can find support there.Visit a therapist. Usually, interactive sessions and mild medication help. Read more
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You are not alone mommy, Bullying mothers for under weight child is cruel .
Blessed with a baby girl ,in July 2020, yes delivered in peak pandemic situation.
I'm a doctor(was working as a RMO in Mumbai ) but left job after having very bad nausea and giddiness due to pregnancy in dec 2019. And went to native place during January 2020.
Everything was good until then. I was not planning to deliver baby in native place because of less medical facilities. I came back to mumbai in March and within a week first lockdown started.
Meanwhile in February my husband went to resume his duties in merchant navy for 6 months .
My in laws and parents both shifted to native places after retirements.
My brother works in ONGC and have duties which need him to go on rig.
Due to restrictions no one can come and stay with me when he need to resume duty.
neighbors are also scared which is actually not their fault ,they didn't want me to catch infection as I was pregnant.
I finally took decision to live at native place till situation comes under control.
And did necessary arrangements and I finally went to native in may again.
Till then no gynecologist was ready to do one on one examination unless absolute necessary. They were just asking to monitor the health of a mother and weightgain and other symptoms according to trimester. Which are upto the mark. I was gaining weight properly.
In native ,no private practitioner was ready to take my case because I went there from mumbai (high alert zone ).
I could take only one USG in institution level hospital in KARAD (1.5 hour travel from my native) . In that we got to know that baby was having borderline normal weight and other markers were absolutely normal ,many times baby gain weight in last trimester. The doctor asked me to keep watch on my weight. Which I did. I gained 6 kgs in last trimester. Baby's movement and all are normal throughout.
When I passed my EDD went to get USG only to found out that baby is IUGR and in distress and I need to get emergency cesarian done.
It's done, I took my baby in hands ,she was 1900 grams, all healthy but underweight. Tears rolled down in a frustration. I monitor many pregnant women ,gave them suppliments needed , prescribed them necessary meds. deliver healthy babies , and I couldn't keep track of my own baby because of lockdown . God is great he kept my baby alive in this stressed situation .
But our struggles just started after this. Bullying mother bcz her child is underweight is most cruel thing in the world...
We returned to mumbai when my baby is 1 month old to get good medical advice
My baby tripled her birth weight in 8 months without any suppliment . Exclusive breastfeeding till 6 months and then baby led weaning. We were happy. But then she had UTI. And weight got stucked between 5.8 -6.2 kg for almost 6 months. Pediatrician (30 years experienced ) is constantly telling me she is doing great according to her birth weight and condition. Just keep eye on milestones. She achieved all her milestones of that age perfectly. She is now 7.3 kg at 19 months age. Can speak almost 50 words, few two word sentences, identifies over 20 birds and animals , 10 transport vehicles , mimic everything possible. eat with her hands and know how to eat with spoon, she turns pages of baby board books as well as normal pages books. Mimics few of her rhymes. Least interested in TV and mobile. But all these things make happy only two people, me and her pediatrician. Everyone else is just concern about her weight.
I heard things like "stop breastfeeding then she will eat" ,"don't you feed her anything? She is so lean.", " Ask your pediatrician to give her tonics, she is so tiny. Don't you care for her? You should force doctor to give her tonics or meds for weight gain." Give her gripe water, give her cerelac, give her this give her that.
These comments make me sick. How can people say that mother don't feed baby properly that's why she is lean. Even if explaining her birth condition and advice by doctors they keep on stressing that I should give her weight gain meds/ remedies.
She is perfectly gaining weight according to WHO norms but just bcz people are used to have this idea in mind that any should be chubby and then only he is healthy they start bullying me. I wonder from where they get the nerves to give health advice to a doctor mother.
Society need to change the mindset , and need to understand that healthy baby is not always mean chubby baby. Read more
Dr Sameer awadhiya has added a new answer
Guardian of 0 children
20 mins ago
Q. #asktheexpert
My baby is 15 months old and he poops everytime after eating...is it normal???
he poops 3-4 times in a day
Dr Sameer awadhiya
Paediatrician
20 mins ago
A. potty training can be started after the age of two years for the child. Here you need to gradually develop a conditioned reflex in the child and it is done by fixing a particular time on a regular basis in which the child should be make seated over the potty seat to make the child comfortableg first for it. It should be a playful and friendly activity for the child, do not force the child, otherwise the child will be repulsive about it, and once the child is comfortable, the child will be able to pass motion easily, and gradually the child will learn to indicate for the same
Dr Ghouse has added a new answer
Expecting Mom due this month
18 mins ago
Q. Can someone pls help me what can be done to increase the FL at this point of the pregnancy
Dr Ghouse
Paediatrician
17 mins ago
A. discussion with doctor. 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
POOJA KOTHARI has added a new answer
Expecting Mom due this month
14 mins ago
Q. #asktheexpert
hi doctor,
am in 39th week of pregnancy, in 36th week baby moved to cervix as said by the doctor i consult. but in 39th week baby is still not stuck in the cervix, how to make it?
POOJA KOTHARI
Mom of a 7 yr 1 m old boy
13 mins ago
A. If you're not seeing any signs of labor at 39 weeks, it may mean you have some time left in this pregnancy
Dr Disha Patel has added a new answer
Trying To Conceive
12 mins ago
Q. #asktheexpert what ll do if my 5+ year kid eat only sweet in food not little bit of spice. it's not good when he eat daal chawal also he was drinking water at every bite of food. what's should I do?
Dr Disha Patel
Ayurvedic Physician
10 mins ago
A. deae mom.
do not take water during meal time.
and sone kuds do have liking for sweet food. better to use healthy source of sweetening her food.
but equslky offer nornal food too
Abhaya Rajput has added a new answer
Mom of a Newborn child
9 mins ago
Q. #asktheexpert
please suggest me
my baby was born on 17 April
iski nabhi par ye blood ana normal h ya koi problem h and iska kya treatment kare
Abhaya Rajput
Mom of a 14 yr 4 m old boy
8 mins ago
A. Hello there ma’am please do not worry about it too much. But it is really very difficult to say anything without proper examination of the baby. It is advisable to get the baby evaluated by a doctor and follow doctors advise properly. You can also book online doctor’s appointment on FirstCry where the doctor can help you and guide you properly
Thanks and take care
Dr Vandan H Kumar has added a new answer
Guardian of 0 children
5 mins ago
Q. hi mam my new born baby for body wash soap or body wash suggest me which is good for baby skin
Dr Vandan H Kumar
Paediatrician
5 mins ago
A. whenever you are choosing any baby product whether it is baby oil lotion soap powder shampoo or any product, you have to see whether the child is having any allergy after its usage or noxt.
so if the child is comfortable you can use it but if the child develops allergy or any other problem then go for another brand.
.
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