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Tramadol in Pregnancy - Complications and Precautions to Follow
Most medicines that mothers take during pregnancy will cross the placenta and reach their babies. This can sometimes be beneficial to the child, but not always; there are some medications that can be quite harmful to your baby’s growth and development. It really depends on the type of medication prescribed and at what stage of pregnancy a woman is at. All the changes in the body that take place during pregnancy are bound to cause a lot of stress, and everyone already knows that hormonal changes often bring with them unwanted aches and pains. This is why some women would rather be on some kind of medication for the pain rather than not have anything at all. Tramadol is used to treat pain in some situations.
What is Tramadol (Ultram)
Moderate to severe pain during pregnancy can be treated by Tramadol, a medication that works by affecting the balance of mood chemicals in the brain. This is often prescribed to patients who are suffering from an injury or when recovering from surgery. Sometimes it is used as a recreational drug, but in doses much higher than that required when it is only used as a painkiller.
Why Do Pregnant Women Require Pain Medication
During pregnancy, the body undergoes physiological and hormonal irregularities that result in different symptoms. Sometimes the symptoms are trivial and do not require any kind of pain medication, but there are also times when the pain is quite severe, and it requires some kind of action. Here are some reasons why pregnant women may need to take something for the pain:
The diameter of blood vessels changes due to the hormonal changes during pregnancy and results in headaches and migraines. The intensity of these can vary, but they have been known to be severe enough to warrant some kind of medication for relief.
Pressure on the spine caused by your expanding foetus can result in backaches that can sometimes become unbearable. Those who are carrying multiples will find this especially relevant in their case.
The stability and strength of the ligaments changes as the body tries to prepare the pelvis for delivery. This results in a lot of pelvic pain that may sometimes require medication.
Your lower limbs have had to deal with a lot of extra weight, and this causes pain from all the nerves and ligaments that have been bearing the strain of your baby’s additional weight.
Is Tramadol Safe in Pregnancy
Though there are some medications out there with more serious side effects of dependency due to their higher opioid content, Tramadol is also known to cause addiction and neonatal dependency on the drug. A change in the diameter of the umbilical vessels is caused due to the painkillers, and this will have an effect on the flow of blood to your baby. This is why it is best to stay away from painkillers in general during your pregnancy unless you have no choice but to take them.
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) in particular are known to cause this problem. If the blood flow is restricted, your baby will not get enough nutrition, which will either result in restrictions in growth and in extreme and unfortunate cases, the death of the child.
So, can you take tramadol while pregnant? Only if prescribed by your doctor when there is no other choice. It is best to stay away from it as it is not considered safe due to lack of proper study. In tests done on animals, it showed that Tramadol has the possibility of causing moderate to severe damage in the foetus. Respiratory depression and collapse in the foetus is a very serious threat, and so the use of Tramadol is strictly forbidden during delivery.
What If a Pregnant Woman has Already Taken Ultram In Pregnancy
If you have taken Tramadol, let your doctor know about it and so that you can get the proper advice on how to go about it from there. If at all your doctor feels you need it, the smallest possible dose will be prescribed to you. But most doctors will prescribe something that is less harmful. If you take them frequently and you want to stop, it is not advised that you stop taking it cold turkey. Instead, bring this to your doctor’s attention so that you can get professional help in weaning yourself off the drug without incurring the sudden withdrawal symptoms that can take place from such a sudden action. If the drug is stopped cold turkey, you are likely to experience irritation, anxiety or panic, diarrhoea, chills, hallucinations and so much more.
Complications & Side Effects of Taking Tramadol during Pregnancy
Here are some of the complications or side effects associated with taking Tramadol during pregnancy:
1. Easily Abused
The central nervous system responds to pain differently because Tramadol changes this aspect, making it very easy to abuse the drug.
2. Maternal and Foetal Addiction
Due to the potent and opioid components in this drug, it is addictive in nature, something that is very dangerous for babies. If this drug is used consistently, there is a high chance that babies will become dependent on it. Even after the drug is discontinued, babies will still experience withdrawal symptoms one month after birth. Babies can also experience birth defects or premature births. A few other symptoms include irritability, jitteriness, seizures and abnormal muscular activity.
3. Dangerous Combos
If this drug is mixed with other medication it may cause uncontrollable shaking and seizures can result.
4. Simply Problematic
Even when taken in the correct dose, Tramadol has been known to cause side effects such as abdominal pain, itchiness and rashes, joint pains, depression, severe headaches, nausea and more.
5. Learning and Behavioural Problems
Your baby’s brain is developing even until the end of your pregnancy. Taking medications during your pregnancy can have lasting effects on your child’s learning and behaviour.
6. Tramadol and Breastfeeding
Like some other medications, Tramadol can be transferred into the breast milk. If babies consume too much of it through breast milk, they are likely to show signs of increased sleepiness, sedation, difficulty breastfeeding, difficulty breathing and limpness, and will need to see an expert.
Precautions to Follow While Taking Tramadol
If you do need to take this drug for some reason, keep the following precautions in mind:
It is not meant to be used along with MAO inhibitors.
Avoid alcohol during treatment.
When it comes to patients who suffer from drug dependence, central genesis, liver dysfunctions and increased sensitivity to opioid components, treatments with this drug should be avoided.
Avoid it for treatment of narcotic withdrawal syndrome.
It should not be used for more than the specific amount of time needed as prolonged use can cause dependency on the drug.
It should not be used for children under 14.
FAQs
Here are some frequently asked questions:
1. Will baby require extra monitoring during pregnancy or after delivery?
At around twenty weeks, most women are offered scans as a part of their antenatal care. Here they will check for birth defects in the baby. Though using Tramadol is not actually expected to cause any problems that would require the need for extra monitoring, those who need to take the drug for a particular medical condition are watched more closely so that you can be sure that your baby is growing and developing the correct way. Women who tend to use the drug for recreational purposes are watched even more closely. Those women who have had to take Tramadol during their late pregnancy will have babies who will need to be kept for observation after birth for any kind of signs of withdrawal.
2. Does it affect the baby's health if the father has taken Tramadol?
So far we have seen how tramadol and pregnancy go together from the maternal side. Though there has been no study dedicated to investigating what the effects of Tramadol in the father have on the unborn child, most experts say that it is not likely that the drug can cause any harm to the baby through the sperm. More study in this area is needed, especially on the effects the drug has if the father takes it at the time of conception.
Always keep a record of any medications you take so that you can inform your doctor about them if and when needed. If you have any need to see a doctor for your own health, make sure that the doctor knows that you are pregnant so that this can be taken into consideration when medication is being prescribed for you.
Being prescribed medication like Tramadol, something that has been known to cause some unpleasant side effects, you will have to examine the benefits and disadvantages before deciding on whether it is worth taking the risk. How medications affect your baby is important, and you need to be very careful about what medication you decide to put into your body.
Also Read: List of Unsafe Medicines Pregnant Women Should Avoid Read more
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Gianna Name Meaning and Origin
The name Gianna is primarily a female name of Italian origin that means ‘God Is Gracious.’ A diminutive for Giovanna and a Latin feminization of John, it might originate from the Hebrew root name Yochanen, meaning “the Lord is gracious.” Other forms of Gianni include Gia, Gina, Jane, and Jenna. The name is also used in honor of Saint Gianna Molla, who died in 1962 because she had a problematic pregnancy and chose to risk her life rather than abort her baby.
What Does Gianna Mean?
Gianna is a female Italian given name translated as Joann or Joanna in English. Derived from the Latin ‘Iohannes,’ which comes from the Greek name ‘Ioannes,’ which ultimately originates from the Hebrew ‘Yochanan,’ the meaning of Gianna is Yahweh or ‘God is gracious.’ A diminutive for Giovanna and the Latin feminization of John, the meaning of Gianna is the same ‘God is merciful’ in the Arabic language.
Origin
The Americans have arbitrarily dropped one of the ‘n’s from the Italian version of Gianna to form the new spelling Giana. Despite its English form Joanna, Gianna is slowly and rapidly gaining favor outside the confines of Italian culture and increasing in popularity throughout America. This common classic name entered the U.S. list in 1989, breaking into the Top 100 in 2006.
Gender
Female
Pronunciation
jee-ah-nah
Gi(an)-na
JAHN-nah
Syllables
3 Syllable
Length/Letter
6 letters
Name Variations/Spellings
Gianna name variations are different alternatives that have flowered beautifully in other languages and cultures worldwide. They can be in the form of other spellings of Gianna and pronunciation yet unique in their ways.
Name
Origin
Ana
Hebrew
Gia
Italian
Gina
Italian
Geonna
Italian
Giana
Italian
Gianella
Italian
Jiana
American
Elianna
Hebrew
Rihanna
Arabic
Kianna
American
How Popular Is the Name Gianna?
Gianna has been used in the United States ever since 1951, with over 73313 girls given the name in the past 200 years. Gianna gained maximum popularity as a baby name in 2001 when its usage went up by 133.88%. According to Social Security Administration data, the Gianna popularity index climbed the ranks each year after entering the top 100 in 2006. The Gianna baby name ranking made a remarkable jump in 2020, landing in the 12th spot after placing 79th in 2019. Gianna gained notability outside the Italian community after the basketball legend Kobe Bryant chose the name for his daughter.
Interest in Gianna - Worldwide
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A consistent search value of over ten has been recorded on interest for the name Gianna reaching 100 in Jan 2020. The lowest recorded value was at 16 in Nov 2020 and Sept 2021.
Interest in Gianna - the US
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Search trends for the name Gianna show a search value of over ten, reaching 100 in January 2020. It scored the lowest value of nine in March 2018.
Popularity of Name Gianna
URL: https://www.ssa.gov/cgi-bin/babyname.cgi
Where Is the Name Most Searched?
Search Trends of Gianna - Worldwide
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Interest in the name Gianna has been highest in Italy in the past ten years. Other countries like Greece, Egypt, Cyprus, and Tunisia have made their way into the top five positions. This Latin feminization of the Hebrew name John has widely been accepted in Italy with its religious and social landscape is deeply influenced by the Roman Catholic tradition.
Search Trends of Gianna - the US
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Among the sub-regions in the US, Rhode Island leads in the search trends for the name Gianna over the last ten years. New Jersey, Pennsylvania, New York, and Connecticut have found a place in the top five positions.
Middle Names That Go With Gianna
Middle names may be used to honor a loved one, an older relative, a dead person, or a personal hero. Here are some of the best double names with Gianna that might be versatile enough to give your child’s name a unique identity:
Greta
Lisa
Eleanor
Stephanie
Roxana
Margot
Fanny
Sophie
Isabella
Elisa
Ruth
Aurelia
Jules
Jade
Dove
Natalia
Gwen
Veronica
Pearl
Julieta
Zoe
Luciana
Famous People Named Gianna
Most parents are inspired by successful people from different walks of life, like celebrities, politicians, and business people, before choosing a name. Here is a list of some of the most popular personalities named Gianna, who are considered living legends.
Celebrity Name
Profession/Famous For
Gianna Maria Canale
Italian actress
Gianna Galli
Italian soprano
Gianna Beretta Molla
Italian pediatrician
Gianna Jessen
American singer
Gianna Jun (Jun Ji-hyun)
South Korean actress
Gianna Manzini
Italian writer
Gianna Rolandi
American soprano
Gianna Talone
Italian-American pharmacist and writer
Gianna D’Angelo
American soprano
Gianna Gigi Bryant
Basketball player
Gianna Angelopoulos-Daskalaki
Greek businesswoman
Similar Names & Last Names
Baby-names like Gianna can have a trendy vibe that would match the taste of new-age parents. Family names for Gianna uphold the dignity and honor of an individual without depriving the star-appeal of the name. Here are some of the other names for Gianna that might be a worthy contender in your final list of favorite baby names:
Other Baby Names
Suitable Family Names
Briana
Miller
Juliana
Davis
Eliana
Smith
Giselle
Taylor
Natalia
Jones
Yana
Knight
Juana
Wilson
Fiona
Grant
Liana
Perry
Jayna
Gibson
Vienna
Page
Names That Sound Like Gianna
Names that rhyme with Gianna can complement the formal name. Here are some of the names that sound like Gianna that sound sweet enough for girls of all ages.
Gannon
Ganya
Gemma
Gene
Giacomo
Gin
Gina
Gwen
Guzman
Gokmen
Gonen
Gemi
Gowan
Gesine
Gwennan
Giona
Gwyn
Genna
Gemini
Gezana
Sibling Names Related to Gianna
Sibling names clearly show the nature of the sibling relationship status. Here are some of the best sibling names that go with Gianna that might be crafted based on similar origins or meaning:
Sister Names for Gianna
Brother Names for Gianna
Arianna
Benjamin
Gia
Caleb
Aria
Dominic
Rowena
Liam
Minerva
Dylan
Santana
Fabian
Theodora
Andrew
Evanna
Leo
Stella
Aldo
Georgia
Marco
Nadia
Andreas
Amelia
Dante
Nicknames for Gianna
Parents can choose nicknames based on attributes they see in their children. Here is a list of some of the best nicknames for Gianna that might be useful suggestions:
Gigi
Ani
Nina
Giada
G Girlie
Nia
Lil G
Gna
Giaga
Gs
Gigi Bear
Baby G
G Bo
Hey G
Ghetto Gucci Girl
G the Genie
Gianna Bear
Gina
GG
Geepers
Gmoney
Ana
Gianna is a gorgeous Italian pick with Mediterranean vibes. It brings all the drama of her longer variant in a smaller package. While this name has seen a spike in popularity, it still seems remarkably fresh without reaching the point of overuse. Gianna is easy to spell and pronounce despite its international flavor, most suitable for a girl of today who can always turn heads with her grace and style.
Sources/References
Social Security Administration: https://www.ssa.gov/cgi-bin/babyname.cgi
Gianna Name Popularity in the United States: https://trends.google.com/trends/explore?date=2011-11-11%202021-11-11&geo=US&q=Gianna
Gianna Name Popularity Across the World: https://trends.google.com/trends/explore?date=2011-11-11%202021-11-11&q=Gianna
Gianna Name Interest in the United States: https://trends.google.com/trends/explore?date=2011-11-11%202021-11-11&geo=US&q=Gianna
Gianna Name Interest Across the World: https://trends.google.com/trends/explore?date=2011-11-11%202021-11-11&q=Gianna Read more
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Preparing Healthy Breakfast for Toddlers
Giving a healthy breakfast to your toddler is important for his overall development. Feed him breakfast loaded primarily with protein, calcium, iron, and other nutrients like vitamins and essential fatty acids.
A growing child’s developmental and nutritional needs can be met by providing him with an ideal breakfast. Commonly considered as the most important meal of the day, breakfast ensures that your toddler gets an energy boost to keep him going through the day. A few quick and healthy breakfast recipes will help you stir up a nutritious and tasty meal in a no time and provide essential minerals and vitamins to your growing child.
Breakfast Recipes for Toddlers
1. Orange-Banana Smoothie
A blend of orange, banana and some low-fat or non-fat yoghurt is all what you need to prepare a delicious smoothie. It is abundant in carbohydrates, calcium, vitamins and minerals. Keep a note of the amount given to the toddler as doctors recommend not to give more than ½ to ¾ cup of smoothie per day.
2. Berry-Mango Shake
Add ½ cup of low-fat milk and crushed ice, 1 tablespoon honey, a pinch of ground nutmeg, 1 cup yoghurt and 1 cup ripened mango cubes and a handful of mixed berries in a blender. Blend the ingredients well for at least 2 minutes to make a smoothie. This protein-rich smoothie is surely going to be enjoyed by your toddler.
3. Power Granola
Mix some oats, flaxseed, almonds, ground cinnamon and walnuts in a bowl. In a heated saucepan, add honey, orange juice and brown sugar. Cook until the sugar dissolves. Turn off the heat and add 2 teaspoon canola oil and 1 teaspoon vanilla extract and stir well. Pour this mixture over the oats mixture and bake at 300 degrees for 10 minutes until it is golden brown. After baking, cool it down and add cranberries. Let your toddler munch on the mixture or add milk to it, this nutrient-packed breakfast is healthy for kids.
4. Fruit Salad
Mix your toddler’s favourite fruits in a bowl to prepare an amazing salad, loaded with nutrients. Apples and bananas are enriched with fiber and potassium respectively. A fruit salad in the morning helps maintain blood sugar levels in your toddler. You can also add a scoop of yoghurt to each serving to provide extra protein and calcium.
5. Chicken and Cheese Sandwich with Mango Chutney
Cook chicken slices on a nonstick skillet over medium-high flame till the time it turns light brown. Remove them and cook eggs in a pan for 1 minute on both sides. Put muffin halves on a baking sheet and spread mango chutney over bottom half of both the muffins, place 2 chicken slices on it with the prepared egg and 1 cheese slice. You can also spread some cheese over top half of each muffin. Microwave the sandwich for 1 & ½ minutes and place two halves of muffins over each other. This healthy and tasty sandwich will provide your toddler with protein, soy, calcium and vitamin B.
These easy to make healthy breakfast dishes will be enjoyed by your toddler and would also provide him with sufficient nutrients and minerals for his growth. Read more
Rashmi has added a new answer
Expecting Mom due this month
3 hours ago
Q. can we get all item in one parcel which I orderd
Rashmi
Mom of a 9 yr 7 m old girl
3 hours ago
A. This is a place which is associated with parenting if you have any questions associated with parenting I can help you with that but if you have any associated with your orders kindly check with the concerned department that they can give clarity about these things
Dr Laxmi Chavan-Sawant has added a new answer
Trying To Conceive
2 hours ago
Q. hi have one question
LT 10x18mm and RT 18x20mm and ET 6.5
what it mean??? and should I start intercourse
Dr Laxmi Chavan-Sawant
Ayurvedic Gynaecologist
1 hour ago
A. since you are right follicle is 18 mm yes of course you can start with your intercourse for conception as in 1 to 2 days
their maybe rupture of the follicle by which your sperm should be present there for conception
Dr Ghouse has added a new answer
Guardian of 0 children
1 hour ago
Q. #asktheexpert
why baby vomit
Dr Ghouse
Paediatrician
1 hour ago
A. for babies less than 6 months may not be a problem. small babies will be having lot of gas because of various reasons it is advisable to do burping of the baby immediately after feeding please give colimex DF drops to the baby they are safe
Rashmi has added a new answer
Expecting Mom due in 1 month
1 hour ago
Q. i am 35 weeks 3 days pregnant... my ultrasound report shows that "fl and hl are shorter compared to bpd"... is this anything to worry
Rashmi
Mom of a 9 yr 7 m old girl
59 mins ago
A. I cannot assist you on that because other things are also associated with the particular particular report so I think it’s better that once a gynaecologist is available she’s going to take up your query and she will be able to give you a better clarity as per the situation
Abhaya Rajput has added a new answer
Guardian of 0 children
1 hour ago
Q. I am 9 week pregnant and I have runny nose very badly can I use cetirizine tablet?
Abhaya Rajput
Mom of a 14 yr 4 m old boy
1 hour ago
A. Hello there ma’am please do not worry about it too much. Please do not take any medicine without consulting with your gynaecologist. It is advisable to get yourself 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
Rashmi has added a new answer
Trying To Conceive
1 hour ago
Q. hi,
my LT 10x18mm and RT 18x20mm and ET 6.5 , what if I intercourse after 2 days, can I do intercourse in ovulation day can become a pregent .
on ovulation day if we intercourse can become a pregent..pls advice..
Rashmi
Mom of a 9 yr 7 m old girl
54 mins ago
A. Actually on the ovulation time only you can conceive so yes if things are right with you you can go ahead with the conception but with what the details you have mentioned it would be better to have a discussion with your gynaecologist prior to you proceed to your ovulation and conception
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