Pregnancy Advice: What to Eat When You’re Pregnant?

Healthy nutrition is always important. Food is fuel for your body; it produces energy and provides vitamins and minerals your body needs to stay healthy. When you’re pregnant, foods you eat don’t influence your health only, but your baby’s health and development at the same time.

To make sure that your baby gets all the vitamins and nutrients he or she needs and to improve your health during pregnancy, this article brings you the list of foods you should at this time.

 

  1. Lean meat

Lean meat is rich in protein which is necessary for optimal health. Amino acids found in protein are building blocks of every cell in your and your baby’s body. Foods rich in protein e.g. lean meat help to stabilize your hunger and regulating blood sugar.

 

Besides protein, lean meat is an abundant source of iron which is essential for the development of red blood cell supply in your baby. Healthy levels of iron are also necessary for baby’s brain because they strengthen nerve connections. Iron is essential for you as well because anemia is a common symptom of pregnancy.

 

  1. Lentils

Lentils are very healthy, and they belong to the group of foods you should eat when pregnant. They are rich in Vitamin B, which is one of the most important nutrients for pregnant women. Folate is necessary for the development of baby’s brain and nervous system. It also prevents neural tube defects.

 

Lentils are also rich in protein, Vitamin B6, and iron. Another reason you should eat lentils is because they are intestine-friendly legume which absorbs the variety of flavors from foods and seasonings. Due to numerous health benefits, it is no wonder why eating lentils belongs to the group of healthy pregnancy tips you must follow.

 

If you aren’t a fan of lentils, you can get healthy levels of folate from other foods such as spinach.

 

  1. Eggs

Eggs are the nutritional powerhouse that contains 12 vitamins and minerals and protein which is essential for your and baby’s health. Furthermore, eggs are rich in choline which promotes baby’s overall growth and brain health while preventing neural tube defects. Steven H. Zeisel of the University of North Carolina published a paper on the importance of choline intake during pregnancy. The paper, published in the International Journal of Women’s Health, states that insufficient intake of choline during pregnancy increases the risk of having a baby with a neural tube defect or an orofacial cleft.

 

Another reason you should eat eggs is their versatility. Plus, it’s very easy to make them regardless of the manner which means you won’t have to spend too much time in your kitchen.

 

  1. Salmon

Although most women think fish and seafood are forbidden during pregnancy, that’s not the case. While you should avoid fish high in mercury, other fishes are considered safe to use. Fish like salmon are abundant in Omega 3 fatty acids which are crucial for baby’s brain development, and they also prevent miscarriages and preterm birth.

 

Jaclyn M. Coletta and team of scientists from the Columbia University Medical Center in New York published a study in the Reviews in Obstetrics and Gynecology in which they revealed that consumption of Omega 3 fatty acids during pregnancy is associated with improved neurodevelopmental outcomes in the child. It is recommended to eat fish at least twice per week.

 

  1. Greek yogurt

Everybody likes Greek yogurt and here’s the reason it should be a standard part of your diet – it contains twice as many proteins as regular yogurt, and it is abundant in calcium that is vital for pregnancy diet. Kate Geagan, a dietitian, and author of Go Green Stay Lean, explains that when you don’t take in enough calcium, the limited amount you already have in your body will go to your baby thus depleting the calcium in your bones. Eating Greek yogurt is a great way of supplying your body with much-needed calcium.

 

  1. Edamame

Edamame is rich in protein, calcium, folate and vitamins A and B. All these nutrients are crucial for your health and baby’s development. Plus, you can eat them as healthy snacks as a substitution for unhealthy items you eat or you can add them to just about anything you cook.

 

  1. Oats

Oats are rich in fiber, Vitamin B, iron and other minerals. Due to the fact they are rich in fiber; oats are particularly beneficial when you’re dealing with constipation. Fiber is necessary for digestion and weight management.

 

Conclusion

Foods you eat during pregnancy have a direct impact on your and baby’s health. It’s important to opt for a healthy diet and avoid intake of unhealthy foods which don’t have any nutritional value. Enrich your diet with salmon, lentils, Greek yogurt as well as many other healthy foods to support baby’s development.

 

References:

http://www.shapefit.com/diet/3-nutrient-dense-foods-eat-during-pregnancy.html

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3639110/

http://www.babycenter.com/101_the-10-best-foods-for-pregnancy_10392775.bc

http://www.whattoexpect.com/pregnancy/eating-well/week-11/big-nutrition-small-packages.aspx

 

A Guide to Achieving Successful Sleep During Pregnancy

More than 60% of all women experience sleep issues during pregnancy several times per week, says the National Sleep Foundation. But that doesn’t mean that nothing can be done to achieve successful sleep. Here are steps that can be taken in order to start enjoying more successful sleep than ever before:

 

  1. Develop a Consistent Bedtime Routine

 

One way to really see a difference in the quality of sleep experienced is to develop a bedtime routine that never wavers. This routine, of course, should be tailored to your lifestyle. Prepare the body for sleep the same way, such as brushing your teeth or taking a shower, and lie down for rest at the same time each night.

 

A quality bed and mattress can also help and investing in one can make all the difference to your rest. These Costco mattresses are getting a lot of positive reviews and could be worthy of consideration.

 

  1. Avoid Looking at Electronics or Watching TV Directly Before Bed

Viewing bright lights that emanate from electronics, including the television, can stimulate the mind and make it difficult to get to sleep at a reasonable hour.

  1. Wake Up Without an Alarm Clock

If you wake up naturally you will feel more rested and ready to tackle your day. Be sure to get to bed early enough so that you do not need to wake up with an alarm clock.

  1. Avoid Caffeine After 2 P.M.

You may find it difficult to get to sleep and feel rested if you have consumed caffeine after 2 P.M. So where possible, limit your intake of caffeine to only the morning.

  1. Power Nap 20 Minutes Each Day (When Needed)

If you need a little extra rest, take a power nap for no more than 20 minutes each day. This will help you to stay energized without jeopardizing your sleep at night.

 

If you hope to get better rest, be assured that it is definitely possible. Use these simple tips in order to begin experiencing much more enjoyable and successful sleep.

 

7 Dos and Don’ts when you are 4 months pregnant

Congratulations on passing the first (and most difficult) phase of pregnancy! Stepping into the second trimester can be overwhelming, especially when your bump starts showing. Now be prepared to have your belly tapped by strangers offering unsolicited advice!

There may come a time when you end up confused that who you should listen too. But, instead of listening to random myths and old wives’ tales, it is better to research and look up for a credible list of dos and don’ts that can help you in your second trimester of pregnancy until it’s time to pop.

We don’t want you to face undue stress and anxiety while you’re preparing to welcome your little bundle of joy. So here is a list of seven dos and don’ts that can help you understand nutrition, lifestyle tips, and working habits when you are 4+ months pregnant.

 

1- Make the right food choices

One of the most important nutrient during pregnancy is folate, which is the synthetic form of folic acid. It can reduce abnormalities like spina bifida, by a whopping 70 percent. In fact, you can get a healthy dose of folic acid from beans, citrus fruits and juices, whole grains, poultry, seafood and dark leafy vegetables such as spinach.

Apart from folate, pregnant women also need a daily minimum requirement of 1,200 milligrams of calcium to support a healthy pregnancy. Especially during the second and third trimesters when your baby develops bones and teeth. The fetus absorbs calcium from your body, so if you don’t take enough calcium, you can end up being calcium deficit and face risks like osteoporosis. Low-fat dairy products, dark leafy vegetables, and fortified orange juice are excellent calcium sources. However, don’t forget to take your prenatal vitamin too!

Did you know that the baby can taste food via the amniotic fluid? So, make sure you are getting enough nutrients and introduce your baby to a variety of flavors by choosing a healthy diet.

2- Have sex

Many couples are scared to have sex as the pregnancy moves forward. Well, there is nothing to be afraid of, as doctors often suggest being intimate with your partner, unless you are facing a complication like a placenta previa or a high-risk pregnancy. Don’t hesitate to talk with your doctor if you have any more questions related to sex during pregnancy.

3- Exercise and stay active

According to a research, active pregnant women are less likely to have a cesarean birth. Low-intensity exercises like brisk walking can reduce your risk of being overweight and developing gestational diabetes. Aim for simple stretches that improve muscle flexibility. It can help ease back pain and increase your stamina.

Don’t forget to do Kegel exercises to strengthen your pelvic floor muscles and prevent urinary stress incontinence, a common condition faced by many pregnant women. Here are some simple exercises that can boost your blood circulation during pregnancy, leaving you feeling refreshed and energized.

4- Get the essential tests done

After the 20-week mark, your gynecologist will recommend you to get an ultrasound done to check the growth of your baby. It helps in detecting birth defects, the location of the placenta, amniotic fluid and baby’s weight.

If the baby is on the bigger side, your doctor might ask you get a test for gestational diabetes (pregnancy-induced diabetes). So, don’t skip these essential tests as they can make labor easier.

5- Moisturize your belly

Now that your belly is stretching, you’ll notice thin red or pink lines across your belly, breasts, and thighs. Due to rapid weight gain, stretch marks can appear almost overnight. They may be itchy but avoid scratching and keep your skin as moisturized as possible. Not only will it reduce the itchiness, but a good moisturizer will also help lighten the stretch marks.

6- Get a stash of loose and comfortable clothes

Once you’ve crossed the 4th month, it is time to go shopping for maternity clothes. Your body’s shape and size will change rapidly in the coming months. Tight and uncomfortable clothes are a huge turn off during pregnancy and they can increase risks like pregnancy-related heartburn and vaginal yeast infections. So, be mentally prepared to shop for flowy and loose silhouettes.

7- Visit your dentist

Visiting your dentist during pregnancy may seem daunting. But it’s a must, as hormonal imbalances during pregnancy can leave your teeth more prone to cavities, plaque or gingivitis. The best time to visit your dentist is when you’ve crossed the 4-month mark as the doctor can detect any issues early on and fix them. It’s better to visit your dentist in advance before you have to face a serious dental concern later on during the pregnancy.

Don’ts

1- Don’t skip your prenatal multivitamins

While a balanced diet is the best way to nourish the body with essential vitamins and minerals, added nutrients are needed to support the growing baby. This is why, never skip your prenatal vitamins as they contain a high dose of important nutrients such as folic acid, calcium, zinc, and iron.

These vitamins are important to prevent birth defects and development of a healthy fetus. Ask your doctor to guide you that which multivitamin is the best for you and your baby.

2- Don’t gain extra weight

Gone are the days when pregnant women were expected to eat for two. In fact, doctors recommend all pregnant women to be careful about their food choices and portion size as a lot of weight during pregnancy can be harmful. You only need about 300 extra calories after you’ve crossed the 4th month.

3- Don’t sleep on your back

This one may seem difficult, especially if you are used to sleeping on your back. But, doctors advise pregnant women to sleep on their left side as this position promotes blood flow to the fetus. Don’t sleep on your back as it can block the blood flow to the baby and also cause other issues like lower back pain and shortness of breath.

Try to get your hands on a pregnancy pillow for ample support during nap time.

4- Don’t take over-the-counter medication without consulting a doctor

By now, you should know the fact that no medication should be taken without your doctor’s knowledge. Even the mildest over-the-counter medication can be a risk for your baby. Don’t hesitate to call your doctor and discuss your symptoms in detail so that he or she can guide you properly.

5- Don’t drink or smoke

Two of the most dangerous things in pregnancy are drinking and smoking. Smoking during pregnancy can cause the babies to have a lower birth weight and even puts them at a risk for future learning disabilities and physiologic nicotine addiction.

Women who drink alcohol during pregnancy are likely to deliver a baby with fetal alcohol syndrome (FAS) which includes symptoms like low birth weight, delayed achievement in milestones, behavioral problems and learning disabilities in the children.

The sooner you take control of the situation, the healthier your baby will be.

6- Don’t try strenuous physical activities or dangerous sports

After the fourth month, your belly gets bigger. Strenuous physical activities and other dangerous sports like tennis, football, horse riding, etc. can put you at a risk of a fall. Hence, it is strongly advised to avoid such activities.

7- Don’t take the stress

Your mental health during pregnancy reflects on your baby. It is natural to be tense at times but make sure you avoid situations that make you unhappy or sad for long periods of time. High levels of stress can release hormones that constrict blood and oxygen supply to the uterus and can impact your baby’s growth. This is why depression and stress should not be taken lightly during pregnancy.

If you are facing continuous bouts of anxiety and depression during pregnancy, talk to a doctor immediately. After all, a happy mama has the power to bring a happy baby into this world. You can contact a mental health counselor with the help of HIPAA compliant telemedicine apps.

Conclusion:

Every mom-to-be should know about these dos and don’ts as she crosses the 4-month mark and steps into the later months of pregnancy. In a nutshell, a healthy pregnancy is all about eating nutrient-rich foods and incorporating habits into your lifestyle. Stay away from drinking, smoking and undue stress and you’ll be prepared to deliver a healthy bundle of joy in the months to come.

Was this list helpful to you? Are there any other tips you’d to share with 4+ months, pregnant women? Let us know in the comments below and we’ll get back to you.

 

Author Bio:

James Crook is a passionate blogger who loves to write on health and fitness related topics. Currently, he is a working as a blogger for a Physical Fitness Dr. Wilson shoulder Surgeon. Follow @jamescrook911 for more updates.

 

 

How Eating Healthy During Pregnancy And Breastfeeding Is Important

First let us congratulate you for the opportunity to become a mother because even if you have not given birth yet, you are still somebody’s mother right from the beginning when that child has been conceived.

Now as a mother, feeling that motherly instinct, you feel the need to provide what is best for your child or children. And while you are pregnant or breastfeeding, you know that your body provides everything that your child needs at that moment.

This only means one thing – if you want to provide your child only with what is best for it, you need only the best things for your body. Cigarettes, alcohol, and drugs do not fit that picture for sure! But a healthy diet and a proper exercise plan sure do!

In today’s article, we want to concentrate on the importance of a healthy diet regarding your pregnancy and breastfeeding period. You will learn why it is essential only to intake natural, organic products and avoid any pesticides, saturated fats, and added sugars!

 

Why is it important to eat healthy during your pregnancy and breastfeeding period?

The one most common mistake that most women do is following the opinion that while you are pregnant or breastfeeding, you now are supposed to eat for two people. This often leads to women being overweight during their pregnancy.

Unfortunately, you being overweight during your pregnancy creates a certain risk for your baby. This is one of the reasons why you should eat healthy to maintain your weight during your pregnancy and breastfeeding period. This means that you should increase your calorie intake for only 300 calories a day during your pregnancy.

This is a small number of calories, and you should be careful not to overstep it. A healthy diet is one that includes all the essential nutrients – vitamins, minerals, proteins, unsaturated fats, and healthy carbohydrates. And a healthy diet is also defined as one that includes plant foods. This means fruits, vegetables, bread, potatoes, beans, lentils all of them accompanied by only small amounts of cheese, low-fat milk, fish, yogurt, etc.

It is important to search for organic fruits and vegetables whenever possible. Refer to eating only seasonal fruits and vegetables that is the only way to be sure that you are not consuming any fruits and vegetables that have been processed and filled with pesticides and GMO.

Your baby gets all the strength that it needs only by the food that you eat and that is both during the pregnancy and breastfeeding period. You would not like for your baby to intake any processed food, would you? Your baby deserves only the best!

A healthy diet is what will make sure that your baby develops properly. And while we are talking about a healthy diet, we should not forget to mention the important to hydrate your body as well. Do not forget to drink water, at least 8 glasses a day. Avoid coffee and tea since they can interfere with the iron absorption in your body.

Not to mention the need to stay away from alcohol since it is the one fluid that is both harmful but still able to pass through the placenta. Now let’s see which nutrients you should remember to include in your diet during pregnancy and breastfeeding period!

 

Which nutrients should you include more than usual in your diet?

  • Calcium – Make sure that you intake at least 1000 mg of calcium a day. Calcium will make sure that your baby develops strong and healthy bones. The best sources are low-fat milk, cheese, and yogurt!
  • Vitamin D – Vitamin D gets a whole new importance in the relationship between nutrition and pregnancy! Vitamin D will help prevent rickets in both your baby and your body. Plus, Vitamin D helps in the absorption of calcium in the body. It is for the best if you increase your Vitamin D intake by spending more time outdoors, enjoying the sunny weather. But you can also find it in eggs, fish, and butter. Since nutrition and pregnancy depend as a relationship of the production of Vitamin D, the doctors usually prescribe a Vitamin D supplement just to make sure.
  • Iron – Prevent iron-deficiency anemia by consuming the required amounts of iron during pregnancy and breastfeeding. Find it in leafy green vegetables, legumes, and lean meats!
  • Proteins – Since they take part in the development of your baby’s muscles, bones, and other tissues it is essential to make sure that you intake the recommended 71 gr daily! Eggs, lean meats, tofu, fish, and beans are the perfect sources.
  • Vitamin C – Vitamin C takes an important role in the pregnancy diet. No pregnancy diet is complete without the recommended 90 mg a day of Vitamin C intake. Fresh fruits and vegetables are where you can find it. And why it is important? Tissue growth and repair, as well as, bone and teeth development are what Vitamin C is there for. Vitamin C supplement can be recommended as well.
  • Vitamin B6 – Make sure that your baby’s brain, tissues, and red blood cells are developed properly with the help of Vitamin B6. Eating more whole grains, fish and bananas should do the trick in this case!

Conclusion

Going through morning sickness, strange food cravings and tender breasts are some of the pregnancy symptoms that you have to go through. But all of that is worth it, is it not? Well, morning sickness is not all that you can manage.

 

You can also manage your diet during the pregnancy and breastfeeding period to make sure that your baby is getting all the essential nutrients that it requires to develop properly. And in today’s article, we discussed why a healthy diet is important but also which nutrients you should remember to intake during these life periods!

Now do your homework and write a shopping list that will include all the products that will satisfy your body’s cravings for these nutrients! Give your baby what it deserves!

 

Author Bio:                              

Katleen brown is a popular beauty and fitness writer.  She is a long-time native of Virginia, USA. She is very passionate and posted articles on how to deal arthritis, weight loss and explore breast enhancers. Apart from work, she likes reading books and listening to music. Get in touch with her on Pinterest, Linkedin, Instagram, Facebook and Twitter

 

 

Amber Teething Necklaces for Expecting Moms

 

Pregnancy is an especially important time in a woman’s life. It can be an equally magical and confusing experience even for women who have gone through the phase before. Filled with aches, pains, hormonal fluctuations, bloating, and sundry forms of discomfort, pregnancy can sometimes be a traumatic experience for some women.

However, it does not need to be this way. You can go through all three trimesters of your pregnancy with as little discomfort as possible while looking forward to the arrival of your special little one. All you require is the right information in order to equip you with the knowledge to positively transform your pregnancy journey from a sour, dreary, and draining experience to a truly wonderful, rewarding, and magical experience.

Amber necklaces are especially useful for pregnant women to help them cope with some of the discomforts they face during pregnancy. Amber necklaces have proven to be effective for many pregnant women in achieving excellent relief from numerous pregnancy-related pain symptoms. As an expecting mom, wearing an amber necklace during the period of your pregnancy is a prudent course of action.



What Are Amber Teething Necklaces?

These are beaded necklaces made from Amber; a natural resin formed from fossilized tree saps (e.g., conifers like pine, fir, and cypress) millions of years ago. It has a translucent appearance and is usually yellow or brownish yellow in color. When polished, Amber can have the shiny appearance of gemstones.

Baltic Amber is the most popular of all the Amber variants, accounting for more than 70 percent of the known Amber in the world, and it has seen the most use throughout history. This amber is believed to have been resin formed from the sap of trees in the region around the Baltic Sea, hence the name “Baltic Amber.” Known also as succinum (succinite), Baltic Amber contains some of the highest concentration of naturally occurring Succinic Acid (also known as Amber acid). Succinic Acid has been known for many centuries to have powerful healing and restorative properties.

Healing and Restorative Benefits of Amber Necklaces for Expecting Moms

Amber necklaces, especially those made of Baltic Amber beads have been known to have excellent healing and restorative abilities. This is mainly due to the high concentration of Succinic Acid found in the Baltic Amber. Over the course of many centuries, many attempts have been made to understand the amber healing processes. Numerous medical and scientific studies have provided information that points to the conclusion that Succinic acid is beneficial to the human body. These studies have also revealed that there is no noticeable hazard associated with the accumulation of Succinic Acid in the human body.

For expecting mothers, there are a number of benefits that can be obtained by wearing amber necklaces, especially those made of Baltic amber beads. Pregnancy is a period characterized by a great deal of stress on the anatomy and physiology of the woman’s body. This stress manifests itself in a number of ways that can make pregnancy uncomfortable for expecting mothers. Amber can be used for healing purposes. Some of the benefits of wearing Baltic amber necklaces during pregnancy are as follows:

  1. Pain relief. One of the most common debilitating discomforts faced by women during pregnancy are the various aches and pains, which include migraines, joint pain, and muscle pain. The Succinic Acid present is Baltic Amber beads have natural analgesic (pain relieving) properties, which helps pregnant women deal with the pain. One very common pain experienced by expecting mothers is the pain of the leg and lower back, also known as “Sciatica.” Wearing Baltic Amber necklaces can help combat such pain as well.

 

  1. Managing pregnancy induced fatigue and stress. Succinic Acid found in Baltic Amber stimulates various cellular activities leading to the rapid replenishing of energy. Pregnant women are prone to fits of fatigue and stress. Amber necklaces can help manage these conditions effectively.

 

  1. Reducing inflammation. The high concentration of Succinic Acid in Baltic amber necklaces also provides powerful antioxidants for pregnant women to fight inflammation. This ensures that they are less prone to falling ill, as most illnesses are caused due to one form of cellular inflammation or another.

 

  1. Improves skin health. Amber necklaces also help prevent skin issues during pregnancy such as dehydration, acne, and hyperpigmentation. During pregnancy, there are a lot of hormonal changes that can manifest in the form of unsightly and potentially troublesome skin issues. Succinic Acid has excellent protein replenishing properties, which counteract the effects of hormonal imbalance on the expectant mother’s skin.

How Do Amber Necklaces Work for Expectant Mothers?

The process by which amber necklaces work is quite simple: once the amber beads come in contact with the skin, the Succinic Acid is released into the skin of the wearer and straight to the bloodstream where it is absorbed. Once absorbed, the acid begins to release all its natural benefits. For maximum utilization, amber necklaces should be worn for prolonged periods of time to ensure adequate absorption of all the Succinic Acid present in the beads.

How to Identify Authentic Amber Necklaces

Due to the popularity of amber necklaces based on their healing properties, there are a number of fake amber necklaces in the market. Many substances can be fashioned to mimic the appearance of Amber, such as glass, synthetic resins, and celluloid. There are, however, simple tests that can be conducted to verify the authenticity or otherwise of an amber necklace. The simplest test is the salt water test. Amber will float in a cup or bowl of warm salt water. Another easy test is to rub the beads gently in your palms. If they give off the characteristic whiff of pine trees, then they are indeed amber beads. Using these simple methods, you can always ensure that you are purchasing a necklace made of genuine amber.

 

 

 

The Pregnancy Diet Cheat Sheet

The diet a mother maintains during her pregnancy can have long-lasting effects on the child, from the moment of birthright into adulthood. Dietary deficiencies can not only affect the baby’s development inside the womb but can also have an effect on the mother too.

This handy infographic from Check Pregnancy looks at the most important food groups for expectant mothers and examines their significance for healthy development.

It covers everything from the vital nutrient sources needed for healthy central nervous system development, to food sources that can speed up the mother’s tissue repair post-birth. Although maintaining a healthy pregnant diet can seem overwhelming, this infographic provides mothers with all the information they need to have a healthy pregnancy and a well-developed child.

Pregnancy_diet_cheat_sheet

Everything about pregnancy – So you can welcome your baby peacefully

Some say that pregnancy is one of the most important phases of a woman’s life, and it is definitely not a lie. Growing life inside you, giving life, and turning that life into a person can be difficult, but it’s also one of the most beautiful things in the world. We all know that this is not easy, it’s tiring and can be scary sometimes, but the rewards are endless.

When you find out you’re pregnant, well, I’ll be honest: it scares the s**t out of you, and it should, since it’s a big responsibility. But it’s also one of the best times of your life; those next nine months, a person will be growing inside of you, a person who you will love unconditionally for as long as you are alive, because, in a way, they are part of you and of who you are.

okaymother 3

You will worry about them when they’re sick, you will help them do their homework for school, you will worry about them when they start dating, and the day they get married, you will still look at them and want to protect them from life, because they’re still that baby who sucked at your breast when they were first born

But first, before getting carried away with all this, let’s go over all the things you’ll need to know to have a swift, harmonious pregnancy. From pregnancy symptoms to pregnancy diets and workout, we tell you everything!

Are you pregnant? Those early signs say “HELL YEAH!”

Are you carrying a baby in your uterus or did you just have too much to eat? (Hey, it happens to the best of us, you know). This question can be quite scary, especially with all the contradicting answers you might get from your friends. Of course, getting a doctor’s opinion is the best way to know, but if you don’t have time for that or if you’re too busy to buy a pregnancy test, here are some signs that should ring your bells!

You have mood swings

One minute you’re all happy-go-lucky, you feel great, you think life is amazing and couldn’t be better, and then, suddenly, this shower of emotions pours over you, and you just feel like kicking someone in the face for no reason whatsoever (don’t do that, violence is bad, really). Don’t worry, you don’t have to call a therapist, but you might want to go to your nearest pharmacy and get a pregnancy test.

okaymother fearured image

If you’re not usually subject to mood swings when you’re on your period, then maybe your pregnancy is doing it. Indeed, when you’re pregnant, many hormonal changes occur in your body, which might make you more sensitive. This is why pregnant women cry easily and are more prone to bursts of anger (it’s not them, it’s their hormones y’all!)

You are disgusted by food you normally love

If the thought of that nice cup of coffee you enjoy every morning makes you want to throw up, you should probably take a doctor’s appointment. Research still doesn’t know yet why newly pregnant woman develops aversion to some kind of food, but most doctors think it’s because of the heightened level of estrogen in your body. So, if you find yourself disgusted by this burger you normally love so much, ring up your doctor!

You’re bloated

True, bloating also occurs when you’re on your period (no one knows this better than us women), but it can also be a sign of pregnancy (at this rate, it looks like all signs of the period are signs of pregnancy, which shows how crazy weird the human body is). If you can’t fit in your pants anymore, maybe it’s not because you’ve eaten too much (with your aversion to food, there are low chances that you’re just getting fat), but maybe because you have extra progesterone in you, which is known to slow digestion (great!).

You have sore breasts

Yes, another sign of getting your period (I guess it’s a 50/50 kind of thing). Because of the high level of hormones in your body, your breasts are sore and sensitive (truly a party, right?), they feel heavy, and putting on a bra feels like putting on one of those dark ages’ torture devices (you know what I’m talking about). Changing from a normal bra to a pregnancy supportive bra can help a lot with this sort of problems and diminish the pain.

You pee a lot

There’s no delicate way to say that, but you’ve been hitting the bathroom more frequently than usual these days, and that, my friend, might be a sign that you’re growing a baby inside of you! Maybe you can’t sleep through a night without peeing at least a few times, and it’s normal. When you’re pregnant, your system produces extra fluids, which means that you have to pee more.

You’re nauseous

Of course, this list would be incomplete without the infamous morning sickness (ironic, since it can occur at any hour of the day actually). Morning sickness can occur as early as two weeks into your pregnancy, and it’s one of the earliest signs that you’re maybe going to be a mom in less than a year. You will most likely have morning sickness for a month or two before being relieved from it, but in the meantime, try to eat food that will help settle your stomach and make nausea more bearable (if I may say).

If you’re still asking yourself “am I pregnant?” after reading this, well, you only have one thing to do (two things actually, but who’s counting, right?): either make an appointment with an OBGYN to be sure, or buy a pregnancy test and use it (it only takes a few minutes if you’re too busy to go to the doctor). And if you want to read more about early pregnancy symptoms,

What about the pregnancy weight gain?

After all, you’re eating for two, as people say. Weight gain is common during pregnancy, and even more, it’s encouraged. But let everything when it comes to human body, it should be moderate: too much weight gain, and you might have hypertension problems or issues during labor, no enough, and you might have a baby that’s too small or born prematurely.

All this might sound scary, but we’re here to accompany you during this journey, so trust us, listen to your body, and don’t be afraid of the signs it sends you. Here’s everything you should know to control your weight gain journey during pregnancy, from your diet to your workout routine, and much more.

When it comes to food

Always go for the healthy choice! We know, you’re pregnant, you have cravings, and you’d rather have a donut then another stupid salad! But you’re not only eating for you, you’re also eating for that baby growing inside your uterus, and a donut is not really going to cut it.

So, here is what you can do:

Eat often and with moderation

Studies have shown that an average adult female needs 2000 calories a day, and during pregnancy, this intake might need to become higher, but this doesn’t mean you can just give up and turn into the glutton. Eat more, but still moderately. One way to do this is to have 5 (or more) small meals throughout the day instead of 3 big ones. Go for fruits, vegetables, lean proteins, healthy fats (like Omega 3), and fiber.

Control your sweet cravings

When you’re pregnant, hormones are all over your body partying like there’s no other night (just imagine hormones with tiny party hats), which makes you crave food, especially the sweet kind. If you feel like you want to grab a bag of candy from the closest supermarket, grab a fruit instead: berries, apples, grapes, and watermelon are just as sweet as any bag of Skittles. Always have them at home, and maybe make some popsicles with blueberries and Greek Yoghurt to help you with those cravings.

Drink a lot of water

One of the most important things you should do when you’re with child is to drink a lot of water throughout the day to stay hydrated. Dehydration is a serious issue, and you should avoid it at all cost. Two to three liters of water are recommended daily, and always make sure to drink before or after a meal, and after physical activities, even the lightest ones.

Treat fruits and vegetables like your friends

Fruits and vegetables give you an important amount of vitamins, fibers, and even fat (avocados for example), so be sure to eat more than 5 portions of fruits and vegetables every day, to keep your baby and yourself healthy.

Know that fat is important too

Healthy fats are important, so don’t discard them. Even more, they’re one of the elements that help your baby’s brain grow, so always be sure to add them to your food. Healthy fats can be olive oil, organic butter, avocado, seeds, nuts etc…

Don’t go on strict diets

Going on a strict diet will deprive you and your baby of important nutrients. Maintaining your pre-pregnancy weight isn’t a good enough reason to stop eating carbs, fats, or anything your magazine deems unhealthy. You’re responsible for creating a new life, and part of this responsibility is giving this life all the nutrients it needs to grow and be born healthy.

Think about adding prenatal to your diet

Prenatal vitamins are important: they make sure your baby gets all the nutrients it needs to grow strong while in your womb. You can get folic acid, iron, vitamin D, and calcium. All of these are needed to help your baby grow strong.

Avoid drinking too much caffeine

A little bit of caffeine doesn’t hurt, and we all know you need your coffee fix before starting the day (I know I do), but do not overdo it. If you consume more than 200mg of caffeine a day, it might hurt the baby, so go easy on those espressos and lattes.

Don’t avoid seafood

 

Some people say that a pregnant woman shouldn’t eat seafood, but it is actually recommended to eat fish while pregnant since they’re rich with Omega-3, an excellent fat that helps the baby’s growth in the womb.

Avoid some kinds of food

Of course, for a pregnant woman, there are some kinds of food that should absolutely be avoided because they have a high risk of contamination: unpasteurized milk and cheese, processed meat, raw eggs and seafood, and sprouts.

 

What about exercise in all that?

course, exercise is important, and just because you’re pregnant, it doesn’t mean you can give up on keeping a healthy and strong body. Of course, not every type of exercise is good for pregnant women, you can’t box nor go to a Cross Fit class when you’re 8 months pregnant and feel like you’re going to explode. But here’s what you can do though:

Swim

Swimming is an exercise that makes all of your muscles work, but without putting pressure on them. It’s the perfect exercise for pregnant women, and if you have low back pain, well just try swimming, and thank us later *wink wink*.

Walk

One of the best and easiest cardiovascular exercises is walking. Doctors encourage pregnant women to walk because it’s safe to do throughout the whole pregnancy and doesn’t put too much pressure on your knees and ankles (contrarily to running).

Yoga and Pilates

Yoga and Pilates both will help you stay fit, toned, and flexible without impacting your joints. A great thing to do would be to add yoga to your routine cardiovascular activity (walking, aerobics, or swimming).

In the end

What you have to remember is that from now on, you’re responsible for a life, a life that you will love more than anyone else in the world. Pregnancy is a beautiful.

 

Written by Helena

Helena, a working woman, and a mother of 3 kids and founder of okaymother.com providing healthier and happier lifestyle for the kids and the family.

Pelvic Pain During Pregnancy, what is it and what you need to do?

 

Pelvic pain during pregnancy 

Pelvic Pain during pregnancy, many women are suffering. Pelvic pain refers to pain in the stomach, the area below the belly, and between the bones of the hip (pelvis). The pain may be acute or cramps (like menstrual cramps) and may appear and disappear. It can suddenly and terribly, is deaf and constant, or a combination of the same. Typically, temporary pelvic pain is not a problem. Usually, this can happen when the bones and ligaments move and stretch to fit the fetus.If it is caused by a disorder, pelvic pain may be accompanied by other symptoms, such as vaginal bleeding (vaginal bleeding during early pregnancy). In some diseases, such as bleeding is severe, dangerously low blood pressure sometimes resulting (shock).

Pelvic pain is different from abdominal pain, which occurs earlier in the chest in the region of the stomach and intestine. But sometimes women struggle to see if the pain, especially in the abdomen or pelvis. Causes of abdominal pain during pregnancy are not associated with pregnancy in general

 

What are the common reasons of pelvic pain during pregnancy?

From healthy pelvic joints to pressure from your growing baby’s weight, right here are the common culprits of good pelvic pain in during pregnancy. If the pain you’re experiencing does not go away, or when you have symptoms including bleeding, unusual discharge, or intense cramping, call your ob-gyn.

  • Accommodation pain
  • Ovarian cysts
  • Round ligament pain
  • Pressure from your baby’s weight
  • Braxton Hicks contractions
  • Relaxed pelvic joints
  • Constipation
  • Urinary Tract Infection (UTI)

[youtube http://www.youtube.com/watch?v=6eAYKojXmpA&w=400&h=225]

1. Accommodation pain 

8 to 12 weeks of pregnancy, you can feel the pain of the pain that appears as your period. Until there is bleeding, you are likely to just expand your uterus. They are less likely to feel their first pregnancy, as in later pregnancies, said Dr Greenspan.

2. Ovarian cysts

Functional ovarian cysts that form due to changes such as producing your ovaries release eggs or, very often, are not cancerous and harmless. You can grow during pregnancy, and uterus pressure on growth to the ovaries, sets can cause persistent pain. If the bursts of cysts, the pain may suddenly worsen. Remember, your gynecologist to know if you have a history of ovarian cysts, or if you suspect that you have developed during pregnancy. You can do an ultrasound to make sure the cysts do not grow.

Pelvic pain

Pelvic pain during pregnancy ,what is it and what you need to do?

In rare cases (called torsion) turn a cyst – a serious condition that usually after a sudden or severe type, how to catch a bus or to run occurs having sex. “A patient with a twist is usually without comfort,” said Dr Greenspan. “The pain is unyielding, heavy and constant, and can be nausea, vomiting and sweating. If you think you have a twist, call your gynecologist

3. Round ligament pain

As you begin your second term, you may start to feel pain on your side, such as the ligament that extends from the top of the uterus to the groin. “Women tend to feel when they get up on foot or chair,” says Suzanne Merrill-later, MD, an obstetrician in San Diego. “They rocked the belly and pulled the ligament.” Lying In Secondary that bothers you, you can let the pain go away – and it should so disappear for about 24 weeks.

4. Pressure from your baby’s weight

Once in the third trimester of pregnancy, you may begin to experience pressure in the pelvic area, which expresses the weight of the rapidly growing fetus in the nerves that extend from the vagina on your face. “This pain usually occurs with movement, like when you walk or drive, as the baby jumps,” said Dr Merrill-by. To relieve the discomfort, it is on one side and rests.

5. Braxton Hicks contractions

The pressure or tension in the basin, which comes and goes contractions can, but if they are sporadic and usually not painful, are more likely contractions of the practice, known as Braxton Hicks, rather than actual labor contractions. “Practical” contractions tend to occur at 20 weeks and can be triggered by dehydration, so be sure to drink plenty of water. (You will know it is a contraction, when you lie down and feel your abdomen, your uterus is hard, and then relax.) You should disappear from yourself, but if you have more than four contractions per hour for two hours, “When we talk about premature labor of 37 weeks in general, we have to wait for contractions every 15 minutes or more, the last more than two hours, even if the patient has an empty bladder and lie,” says Dr. Merrill-after.

6. Relaxed pelvic joints

Towards the finish of pregnancy, you will feel an increase in the hormone relaxin that your ligaments are born elastic help. Relaxin can also resolve your pelvic joint and even make it a bit isolated. It is common to feel pain near the pubic bone, and you may feel that your legs are unsteady. Some women like to use pelvis support belts that help stabilize the region.

7. Constipation   

Constipation is a common complaint during pregnancy can cause some pain or discomfort in the pelvis. (Hormones slow the digestive tract, such as iron supplements you can recommend gynecologist.) Drink lots of water and eat fibre – rich foods such as raw fruits and vegetables. If this does not help, consult your Gynecology and Obstetrics, if you can treat emollient or glycerin suppositories, suggests Dr Greenspan.

8. Urinary Tract Infection (UTI)

Pelvic Pain


Pelvic pain during pregnancy, what is it and what you need to do?

Up to 10 percentage of pregnant women have a urinary tract infection at any given time during pregnancy is obtained, according to the March of Dimes. The typical symptoms are a sudden urge to urinate, pain or burning when urinating and hematuria – but some patients with a urinary tract infection and abdominal pain, says Dr Chambliss. “The concern with urinary tract infections during pregnancy is that it can progress to an infection in the kidneys, which will increase the risk of preterm birth,” he adds. For this reason, your OB-GYN tests to check your urine at each visit for signs of bacteria that can cause urinary tract infections. The good news is that if a urinary infection is taken on time, it should be easy to treat with antibiotics.

Some Risk factor about pelvic pain in pregnancy

Various characteristics (danger factors) increase the risk of some birth disorders that cause pain in the pelvic region.

For miscarriages include risk factors

  • Age over 35 years
  • One or more miscarriages in previous pregnancies
  • Smoke cigarettes
  • The use of drugs including cocaine, alcohol consumption or consumption of a lot of caffeine
  • Abnormalities in the uterus, such as fibroids or scars, such as surgery, dilation and curettage(D and C), radiotherapy or infections can be caused for ectopic pregnancy include risk factors
  • Earlier ectopic pregnancy (the most important risk factor)
  • Previous abdominal surgery, especially surgery for female sterilization (tubal ligation)
  • Previous infection with a sexually transmitted disease or pelvic inflammatory disease
  • Smoke cigarettes
  • The use of an intrauterine device (IUD)
  • A history of infertility, the using of fertility drugs or the use of assisted reproductive technologies
  • Multiple sex partners
  • An abortion in a previous pregnancy
  • Douching

[youtube http://www.youtube.com/watch?v=cXazvDaQAwM&w=400&h=225]

Can pelvic pain during pregnancy be serious?

Some women develop severe complications during pregnancy that cause different types of pain. When pelvic pain associated with certain symptoms, such as fever and bleeding, you should call your doctor immediately. Here are the most severe causes of pelvic pain during pregnancy.

  •   Miscarriage
  •   Ectopic pregnancy
  •   Preterm labor
  •   Preeclampsia
  •   Placental abruption
  •   Uterine fibroid
  •   Uterine rupture
  •   Ovarian torsion
  •   Appendicitis
  •   Kidney stones

 

1. Miscarriage

If women in the first trimester of pregnancy have abdominal pain, they should always be careful of failures, “says Dr Duff, because the unfortunate fact that 15 to 20 percent of pregnancies end in miscarriage The symptoms of miscarriage are bleeding and cramping that rhythmically or may be similar to menstrual cramps.

2. Ectopic pregnancy

Pelvic pain

Pelvic pain during pregnancy, what is it and what you need to do?

Ectopic or tubal pregnancies in which egg implants other than the uterus, most often 50 pregnancies occur throughout the fallopian tube, in 1, according to the Mars of Dimes. In the unlikely event that you have an ectopic pregnancy, intense pain and bleeding from 6 to 10 weeks of pregnancy can occur because the tube is distended. Women with an increased risk of ectopic pregnancy include those who have had an ectopic pregnancy in the past or pelvic, abdominal, tubal surgery and those who had that had endometriosis, tubal ligation, a device Intrauterine (IUD) At the time of conception or pelvic infection. An abnormal form uterus and the use of artificial reproduction methods also seem to increase the risk.

Ectopic pregnancies can not continue and require immediate treatment. If you have a positive pregnancy test but have not yet confirmed your pregnancy, a medical examination, and you have experienced abdominal pain, you should be evaluated immediately by your Ob-Gyn, says Linda Chambliss, MD, head of obstetrics at The St. Joseph Hospital and Medical Center in Phoenix. Your Ob-Gyn or midwife carry out an ultrasound to verify if the egg has implanted into the uterus.

3. Preterm labor

If you experience persistent back pain and pelvic pressure coming and going, you may be at work. “My rule is that if four or more contractions per hour and continued for two hours, even after you have urinated and lying, you should come and check,” says Merrill after Dr .. If these symptoms are present it is taken into consideration before The 37 weeks of preterm labor.

4. Preeclampsia

According to the Preeclampsia Foundation of the United States preeclampsia and different hypertensive disorders 5 to 8 percent of all pregnant women experience. Preeclampsia can develop at any time after 20 weeks of pregnancy, which is one of the reasons your medical doctor checks your blood pressure at each visit and is characterized by blood pressure and protein in the urine. Since high blood pressure, the blood vessels in the uterus that supply the fetus with oxygen and nutrients, tightens, the growth of the baby may become slower. Preeclampsia also increases the risk of Plazentaabruption, in which the placenta separates before the birth of the uterine wall. If preeclampsia is severe, can, headaches, swelling and flashes of pain accompany blurred vision in the upper right abdomen and nausea. If you suspect you have preeclampsia, call your Gynecology and Obstetrics immediately.

5. Placental abruption

Your placenta is the supply of oxygen and nutrients to your baby. Usually, the implants discharge into the wall of the uterus and do not dissolve until your child is born. In rare cases (1 in 200 births), a dangerous complication that occurs most frequently in the placenta may be separated from the uterine wall. Dr Duff describes the pain of a placental demolition as “intense pain, constant, progressive abdominal worsening”. Your uterus can be as hard as a rock (when pressed on the stomach, it is not a dash) and you can also bleed dark, red blood that does not clot.

Pelvic pain

Pelvic pain during pregnancy, what is it and what you need to do?

In some cases, to go to work a woman when her placenta separates, in which case her Ob-Gyn usually the birth of the baby by an emergency cesarean. If the completion is mild, the physician may allow the pregnancy to continue or may cause labor and vaginal delivery. Women at risk for this condition are those who have a history of placental abruption, or who have high blood pressure, preeclampsia, and stomach trauma.

6. Uterine fibroid

Uterine fibroids are the noncancerous growth of the uterus. They are most often during your child’s years, and pregnancy can stimulate fibroids to grow; They may or may not hurt. “If a fibroid develops quickly, it can overtake its blood supply and degenerate, causing pain,” said Dr Greenspan. “Most of the time we observe them during pregnancy but once in a particular Time, they must be surgically excised, so that the pregnancy progresses. ”

7. Uterine rupture

It is rare. However, it is possible to tear the uterus, especially if you have a cesarean scar or other abdominal surgery. If this happens, it feels like “an intense and sudden pain in the midline, where a previous injury there”, and can be catastrophic and possibly fatal for mother and child, says Dr Greenspan. Advances that appear out of work, usually after some trauma to the abdomen. “There is no way to prevent uterine rupture,” said Dr Greenspan. “If the patient, but a risk factor for fracture, then it should be followed by his ISP correctly, and the symptoms should be taken seriously, it is especially when the pain develops later in pregnancy and deterioration.”

8. Ovarian torsion

Another cause of incredible but severe pain: the ovaries may become twisted. This can happen at any time but is more likely to occur during the early stages of pregnancy. “The ovary is like a hammock or a time, so you can come back to yourself and cut off your blood supply,” said Dr Greenspan. A risk factor for ovarian torsion is the induction of ovulation, as it can cause enlarged ovaries. Symptoms include low abdominal pain, nausea, and fever.

9. Appendicitis

You may experience inflammation of the appendix, even if you are pregnant. In general, you feel pain in the lower right part of your abdomen. “Appendicitis can be insidious in pregnancy because as it progresses further, the appendix is pushed up earlier into the abdomen,” says Dr Merrill-Nach. Appendicitis requires the emergency surgical operation to remove the appendix to avoid the danger of rupture.

10. Kidney stones

If you experience severe epidemic and gradually decreasing pain down on your side, you may have a kidney stone. “Usually we make women more comfortable and waiting for stone steps,” says Dr. Merrill-Nach. Talk to your doctor if you suspect you have kidney stones.

 What I able to do to help ease painful symptoms myself?

There are many things you can do to help reduce the signs and symptoms of being pregnant associated pelvic girdle pain and symphysis pubis dysfunction. Make a few little modifications to the way you move, sit and sleep.

here are my guidelines for assisting you to help yourself:

  • Take a hot bath – never hot – or stand in the shower and let the water hit your back.
  • Try pelvic support girdle, which can hold the uterus to push down into the pelvis.
  • Wear low-heeled shoes with good support for the bow.
  • Try to avoid little actions and sharp turns at the waist.
  • Receive an antenatal massage.
  • Regular exercise – it could help prevent pain in the first place.

 
[youtube http://www.youtube.com/watch?v=lxylVSubq3c&w=400&h=225]

When do I need to call my ob-gyn?

No longer hesitate to call your doctor if you think something is not quite right. “I prefer a patient call with any concerns because I do not want her not to call later and found that it was something important,” said Dr Greenspan. Call your doctor right away if you have any of these symptoms:

  •  Pelvic pain that can not be walked or talked
  •  Any bleeding
  •  Fever and/or chills
  •  Severe headache
  • Dizziness
  • Sudden swelling of face, hands, and/or feet
  • Persistent nausea and/or vomiting
  • Less than 10 lashes in one hour, 28 weeks until delivery
  • More than four contractions in one hour for two hours
  • Watery, green or bloody discharge

When do I need to go doctor?

Women with symptoms should see a doctor immediately. Women with no warning signs should try to see a doctor within a day or two if they have pain or burning when urinating or pain that interferes with daily activities. Women who only suffer from mild discomfort and do not have other symptoms should call the doctor. The doctor can help you decide if and how fast you have to be seen.

Pelvic Pain During pregnancy,  What the doctor does?

To determine if emergency surgery is needed, doctors first check blood pressure and temperature and ask about significant symptoms like vaginal bleeding. Then the doctors ask for other symptoms and medical history. They also do a physical exam. What they find in the history and physical examination often suggests a cause and tests that may be necessary.

  • Doctors learn about pain:
  • It starts suddenly or gradually
  • It occurs in a particular place or is more widespread
  • Be it in motion or change of position aggravates the pain
  • Whether it is cramped and whether it is constant or comes and goes

Doctors also ask about other symptoms, such as vaginal bleeding, vaginal discharge, need to urinate frequently or urgently, vomiting, diarrhoea, and constipation. In particular, previous pregnancy-related events (obstetric history), including previous pregnancies, miscarriages and intentional termination of pregnancy (induced abortions) for medical or different motives, as well as risk factors ectopic pregnancy.

Physical examination focuses on the pelvic exam. Doctors press gently on the abdomen to see if the pressure causes pain.Doctors use a Doppler ultrasound device in hand, placed on the woman’s abdomen, to check for a heartbeat of the fetus.

Pregnancy checks the use of a urine sample is almost always done. If the pregnancy test is positive, pelvic ultrasound is performed to confirm that the pregnancy is usually found in the uterus and not elsewhere (ectopic pregnancy). For this test, an ultrasonic handheld device is placed over the abdomen, vagina, or both.

Blood tests are usually done. If a woman has vaginal bleeding, screening usually includes a complete index of blood cells and blood plus Rh status (positive or negative is Rh incompatibility see), in case the woman needs a transfusion. Knowing the Rh status also help doctors prevent problems in later pregnancies. If doctors suspect an ectopic pregnancy, tests include a blood test to measure a hormone produced by the placenta during early pregnancy (human chorionic gonadotropin or hCG). If symptoms (such as very low blood pressure or a heartbeat) suggest an ectopic pregnancy may have burst, blood tests are performed to determine if women’s blood can clot normally.

Other tests are performed according to suspected disorders. Doppler ultrasound, which shows the direction and speed of blood flow, helps doctors identify a braided ovary, which can cut off the ovary blood supply. Other tests may include blood cultures, urine, or vaginal discharge, and urinalysis (urinalysis) to check for infections.

If the pain is persistent and the cause is still unknown, doctors make a small incision just below the navel and insert an observation tube (laparoscope) to see the uterus directly to identify the reason for the pain. Hardly ever, a larger incision (a procedure called laparotomy) is needed.

Specific disorders are treated. If analgesics are acetaminophen necessary Is safer for pregnant women, but if it is ineffective, an opioid may be needed.

[youtube http://www.youtube.com/watch?v=O8Plo9d7rWU&w=400&h=225]

Skin changes during pregnancy

 Changes in skin during pregnancy

During gestation, most women are not familiar with the possible occurrence of certain changes such as the mask of pregnancy or stretch marks. There are also other changes affecting the skin and nails, such as melasma, hair thinning, the appearance of spider and varicose, among others.
Variations in the skin can occur for many causes, some of them related to hormonal changes that happen in pregnancy. In other cases, skin problems may have been present at the time of gestation or evolved during pregnancy. That is why it is necessary to consult your doctor for these skin problems since he will be able to guide you about its causes and treatment.

What are some of the common skin changes during pregnancy?

  During Pregnancy your skin will shift in a different stage, due to increase in hormones and blood volume. 70% of the expectant mums will face these problems while in gestation. Not all pregnant women notice these changes. Here are some of the following skin changes that you may experience during pregnancy:

  1.  Spider and Varicose Veins
  2.  Acne or Pimples
  3.  Stretch Marks
  4.  Skin Tags

 

  •  Spider and Varicose Veins
Skin change during pregnancy

Spider veins and varicose veins

When we reach our fifties, most of us have had at least one spider vein or varicose vein, those purplish, twisted-looking threads that tend to show up more regularly in the legs and feet. However, while the same problem may cause both types of veins, they can result in symptoms that are clearly unlike. When we think of our cardiovascular system, we tend to think of the heart doing all the work in making sure the blood makes its way through the body – from the heart, out to the arms and legs and back again. However, the heart has some help. Inside your veins are tiny valves or “cusps.” These cusps are designed to work one way – to allow blood to move forward towards the heart, and avert it from backing up. As these valves open and close, blood is “helped along” in its tour back toward the heart and lungs. Over time, these small cusps can start to crash. When that happens, blood is allowed to pool behind the valves, causing weak spots in the threads that can eventually bulge and become purplish or bluish – the natural essence of varicose veins and spider veins. The “pooling-up” can also cause indication like pain, achiness, heaviness and fatigue in the affected area of the leg. Sometimes, the threads can become itchy and over-scratching results in sores or ulcers on the skin above the thread.

What causes Varicose and Spider veins to develop?

As specified, older age is one major risk factor, but there are others as well. People whose family members are vulnerable to varicose and spider veins are more likely to know them, even at younger ages, and so are the people who are fleshy. Pregnant women whose jobs require long periods of sitting or standing can also increase the risks of developing varicose veins and spider veins; that is because the pressure on the legs remains rose throughout the day, causing the vein walls to weaken as well as placing extra strain on the little threads. While varicose veins can cause painful indication, spider veins tend to be mainly cosmetic, which means that while they may look unappealing, they tend not to be lumped together with the sore, aching symptoms of varicose veins. However, that does not mean they do not need to be addressed and evaluated by an experienced vein specialist.

What is the treatment for spider and varicose veins?

Today, there are more choice than ever for treating varicose and spider veins safely and adequately. From minimally-invasive microphlebectomy procedures to remove the thread to laser-based and Sclerotherapy options that seal the seam off so circulation can be diverted to neighbouring veins, minimally invasive procedures are helping pregnant women to get rid of these unsightly veins quickly so they can look and feel better fast. With so many therapy options available, the best way to decide which procedure is right for you is to appoint an evaluation.

 

 

  • Acne or Pimples
Skin change during pregnancy

Acne during pregnancy

Pregnancy often leads to acne because of the increase in the levels of hormones in the body. The increase in progesterone which is an Androgenic hormone causes the oil glands to secrete excess oils which lead to a skin break out into acne. Another cause of acne is that due to the alterations of hormonal levels, many women drink lesser amounts of water than normal. Because of this, the excess hormonal secretions do not get diluted, thus leading to bad skin. It is possible for acne to develop at any time during the entire pregnancy period, it happens most often during the first trimester when the changes in the hormonal levels are the most pronounced. As the case of each woman is different, the acne too clears up according to the individual body conditions. Mostly, as the term continues, the acne clears up as the body begins to produce oestrogen. Also, in most cases, the acne is removed a few months after the birth.

How to deal with the acne?

Many medicines contain chemicals that can harm during the pregnancy. It is more advisable to follow some simple skin care routines. Exercising more often is important. It helps to improve blood circulation in the body and ensures healthy skin. Eating a lot of fresh fruits and vegetables is the next step as it improves nutrition and deflects that your body is getting all the nourishment that it needs. The third phase is to drink much water throughout the day. The water helps to keep the body hydrated, and it also contributes to dilute the hormonal secretions, thus minimizing the acne-causing effects of the increased hormones.

 

 

Skin change during pregnancy

Stretch marks on the belly

Stretch marks are linear scars that appear straight or wavy. They appear when the skin is subjected to more pressure than it can withstand and it comes in small pieces of violet-pink or white pearls. They usually appear during pregnancy or when there is a noticeable change in weight that causes excessive distention of the skin. People who are or were overweight tend to have stretch marks on the abdomen, hips, buttocks, breasts, or the inside of the arms. When the tissue rupture is unyielding, in the abdominal area or below the navel, they may even bleed.

Treatments for stretch marks

Although there are many treatments, none of them takes them entirely, but they can hide them. If they are first grade, they can be erased in a high percentage of cases, but as the healing progresses, the possibilities are greatly reduced. Stretch marks appear on our skin when something presses on it, stretches it and cracks it. It all depends on the strength of the tissues. Pregnancies and contraceptives also accelerate them. Ninety percent of pregnant women suffer from them.

How to prevent stretch marks?

Gymnastics, massages and using anti-stretch marks creams help fight this hard battle. Other measures include drinking plenty of water and eating with a little salt. Disciplines such as rowing and bodybuilding, where muscle tension is prolonged, often leave the skin defenceless and predisposed to stretch marks. Steroids, either in ointments, injectables or by mouth also facilitate the appearance of stretch marks. Any quality cream that feeds our tissues with moisturizing elements can protect our skin but does not stop the creation of a stretch mark when the traction is too much. A hydrated and nourished skin, protected with the right elements, is in better conditions than any other to defend itself. Moreover, remember to start with the use of appropriate creams from the beginning of pregnancy!

Some dermatologists recommend creams containing retinoic acid because it protects the epithelia and effects a gentle peeling. Others think that they serve creams with collagen, elastin or any moisturizing factor.

How to disguise stretch marks?

The tattooed method tries to correct its colour so that they look like the rest of the skin around them. A series of previously mixed pigments are popularized into the scar – with an apparatus called micropigmentor. Thus dyed, the only thing that makes it visible is its different texture. This system is not painful. During the first few days the skin will look reddish, but then it will deflate and return to normal. However, some women heal poorly, and the tattoo remains as another scar. Another solution is surgery. A good plastic surgeon should study where the stretch marks are based and how proper the healing of the skin is.

Another way to disguise them is to make them with base and powder. There are good waterproof makeups. The tonality should change according to the tone that the skin takes under the exposure of the sun. Better to prevent, Then to cure. A healthy diet, plenty of water and maintaining and stable weight are the best allies to prevent its occurrence. Physical activity is an excellent complement because it also helps to oxygenate the body better.

 

 

  • Skin Tags
Skin change during pregnancy

Skin tag during pregnancy

Most pregnant women will see changes in their skin while they are expecting, including these small growths. That cute baby may not be the only thing that came with your pregnancy. If you are like many women, you are experiencing a few unwanted skin tags.

Here is what you need to know about this harmless but less-than-aesthetic skin condition:

They are tiny pieces of hanging skin that develops in folds or in areas where skin rubs against skin or clothing. Skin tags usually appear along the eyelids, neck, underarms, under the breasts, and in the groin. Our doctors say skin tags are completely harmless. Skin tags can appear at any time and are mostly hereditary. Due to increased hormones during pregnancy, as well as hormonal fluctuations while nursing, also causes them. In some cases, mums may develop skin tags in their groin or on their belly while in gestation, but do not notice them until after their baby is born.

What can you do to remove skin tags?

Skin tags can be reserved in a routine office visit to your physician or dermatologist. Depending on their size and number, they can either be cut off with clippers, frozen with liquid nitrogen or burned off with an electric needle. Just be aware that after skin tags are removed, new ones can appear. As Berson says: “If you are prone to getting them, you have the potential to develop more.”Infrequently your pregnancy glow can dim when certain skin woes pop up. If you have observed any small, soft, flesh-colored growths pop up since your belly has grown out; they are most likely skin tags. These excess skin growths usually appear on skin surfaces that are hot, moist or frequently rubbed, including the folds of your neck, armpits, torso, beneath your breasts or in the genitals. The (only) good news: They are entirely benign.

   

 

 

 

The Ultimate Guide To Deal with Ectopic Pregnancy Challenge

ECTOPIC PREGNANCY can be scary and sad if you don’t have proper guideline. Normally we know that Ectopic pregnancy is pregnancy outside uterus. So while you will pregnant there are chances to be ectopic pregnancy. What will you do if you have this pregnancy? The ultimate guide to ectopic pregnancy will help you to deal with ectopic pregnancy at any age.

  1. What is an Ectopic pregnancy?

The meaning of Ectopic almost defines the nature of Ectopic Pregnancy. The word Ectopic (ec·top·ic) means displaced, located in abnormal position. Generally a fertilized egg implants in the uterus, but sometimes they find themselves somewhere else! When the fetus start growing somewhere else other than the uterus then it is called Ectopic pregnancy. Ectopic pregnancy is pregnancy outside womb or baby outside uterus. 

 ectopic pregnancy

What is an ectopic pregnancy

The definition of Ectopic pregnancy can be “a pregnancy with the fertilized embryo implanted on any tissue other than the uterine lining”. Physiologists also define Ectopic Pregnancy as a state of pregnancy in which fertilized egg implants itself outside the uterus. In most cases Ectopic pregnancies occur in the fallopian tube. Since fallopian tubes are not supposed to hold a human fetus it cannot grow properly. Thus this can result in to the burst of the fallopian tube and cause major bleeding.

Ectopic pregnancy is also called tubal pregnancy or fallopian pregnancy. Fallopian tubes are the tubes that connects the womb to the ovaries. As the name suggests in tubal pregnancy the baby is outside the uterus. Ectopic pregnancy or tubal pregnancy is also referred to as endoscopic pregnancy.

  1. Signs and symptoms of Ectopic pregnancy?

Once you know what is a tubal pregnancy, you must be thinking, “what are the signs and symptoms of tubal pregnancy?” or, “how does it feel like to have an Ectopic pregnancy?” Well, sometimes it is very difficult to distinguish Ectopic pregnancy from regular pregnancy. Usually the symptoms of an Ectopic pregnancy develop between the 4th and 12th weeks pf pregnancy. Other than the typical signs and symptoms of pregnancy there are few alarming signs that can help you recognize the symptoms of a potential Tubal (Ectopic) pregnancy. The early signs of Ectopic pregnancy are–

  • Vaginal bleeding : may be heavier or lighter than the usual period
  • Sharp lower abdominal pain of varying intensity
  • Sharp cramps in the abdomen
  • Having discomfort during the use of toilet
  • Pain in the shoulder or neck
  • Vomiting with pain
  • Pain in one side of the body
  • Unbearable pain in the case of rapture in to the fallopian tube
  • Fainting in pain
  • Ventricular ectopic heartbeat.

Types of Ectopic pregnancy

Different types of Ectopic pregnancies can be categorized as follows

  • Tubal pregnancy / ampullary pregnancy – Pregnancy occurring in the fallopian tube mostly located in the ampullary portion of the fallopian tube, almost 80% Ectopic pregnancies are tubal pregnancy
  • Interstitial pregnancy – a pregnancy that implants within the interstitial portion of the fallopian tube
  • Abdominal pregnancy—primarily implantation occurs on a peritoneal surface, secondarily, implantation originally in the tubal Ostia subsequently aborted and them re-implanted in the peritoneal surface
  • Cervical pregnancy – implantation of the developing conceptus in the cervical canal
  • Ligamentous pregnancy – a condition in which Ectopic and intrauterine pregnancies coexist
  • Ovarian pregnancy—a condition in which an EP implants within the ovarian cortex

Almost 95% of Ectopic pregnancies are in the tube, 1.5% abdominal, 0.5% ovarian and 0.03% are in the cervix

ventricular ectopic beat (VEB) is an extra heart-beat originating in the lower chamber of the heart. This beat, also called a premature ventricular contraction (PVC), occurs before the beat triggered by the heart’s normal function. Ectopic heartbeats are small changes in a heartbeat that is otherwise normal. These changes lead to extra or skipped heartbeats. Often there is not a clear cause for these changes. They are mostly harmless. The two most common types of ectopic heartbeats are: Multiple ventricular ectopic and Isolated ventricular ectopic

  1. Causes of Ectopic pregnancy

One of the most commonly asked questions about ectopic pregnancy is, “why does ectopic pregnancy occur?” Sadly enough, it is not always clear what causes an Ectopic pregnancy. However the following conditions are presumed to be some of the main causes of Ectopic pregnancy

  • Scarring or damage of the fallopian tubes due to infection, surgery or a previous medical condition.
  • Hormonal imbalances
  • Genetic complications
  • Abnormal growths or Birth defects
  • Any disease affecting the shape and condition of the fallopian tubes
  • Medical complications with reproductive organs
  • Adhesions caused by previous surgery in the pelvic are or on the tubes

A damaged fallopian tube can increase the chance of tubal (ectopic) pregnancy. A damaged fallopian tube does not let a fertilized egg into the uterus. As a result the fertilized egg cannot finish its journey to the uterus and implants somewhere outside the uterus. Most commonly it is the fallopian tube where the eggs stop.

Who is at risk of Ectopic pregnancy?

Unfortunately it is hard to exclude anyone from the risk on an Ectopic pregnancy. Rather all sexually active women are at some risk for an Ectopic pregnancy. The following are some potential risk factors that increase the threat of Ectopic pregnancy

  • Women who are getting pregnant at a later stage, with a maternal age of 35 or more
  • Women who had multiple abortions
  • Women with previous abdominal or pelvic surgery
  • Previous record of Tubal pregnancy
  • Previous record of Pelvic Inflammatory Disease (PID), The rate of Ectopic pregnancy in women with previous known PID is about 10 times higher than in women with no previous history of PID.
  • Conceiving despite having a tubal ligation
  • Conceiving while having an Intrauterine Device (IUD) in place
  • Undergoing fertility treatments or are using fertility medications
  • History of sexually transmitted diseases (STDs), such as gonorrhea or chlamydia
  • Having structural abnormalities in the fallopian tubes that make it hard for the egg to travel
  • Smoking
  • Endometriosis
  • After non-laparoscopic tubal ligation about 12% of pregnancies are Ectopic
  • After laparoscopic tubal coagulation about 50% of pregnancies are Ectopic
  • About 2% of In vitro fertilization (IVF) pregnancies are Ectopic

4. how to diagnose Ectopic pregnancy?

So, “how do I know if I am pregnant in my tubes?” Well, there are several ways to diagnose Ectopic pregnancy. In most cases a pelvic exam, pelvic ultrasound and blood tests are used to detect Ectopic pregnancy.

A pelvic exam can detect the extent of tenderness in the uterus or in the fallopian tubes; usually uterus is less enlarged than expected for a pregnancy or a mass in the pelvic area.

A pelvic ultrasound produces a picture of the organs and structure in the lower abdomen using the sound waves. However the most dependable way to show where a pregnancy is can be a trans-vaginal ultrasound. Six weeks after the last menstrual period a pregnancy in the uterus is visible. If there are no signs of an embryo or fetus in the uterus despite having an elevated or rising HCG level it can be presumed to be an Ectopic pregnancy.

Although much is made of blood hCG levels and ultrasound studies, the clinical impression of the gynecologist or reproductive endocrinologist is the most important factor in making a timely diagnosis of Tubal (Ectopic) pregnancy.

 

Peak HCG level % of Ectopics
<1000 45%
1000-3000 21%
3000-5000 15%
5000-10,000 10%
> 10,000 9%

Trend of hCG titers with Ectopic pregnancies

Trend of HCG levels % of cases
Falling 57%
Abnormally rising 36%
Normally rising 7%

(Reference for the above tables: Daus et al, Journal of Reproductive Medicine, February, 1989, p.162)

General rules often used for hCG levels:

  • The hCG level should rise at least 66% in 48 hours, and at least double in 72 hours
  • Plateauing hCG levels with either a half-life of > or = 7 days or a doubling time of > or = 7 days have the highest predictive value for Ectopic pregnancy of any hCG pattern

An important point is that the lower limit in these “formulas” for hCG doubling times, etc., is usually the 15th percentile for symptomatic but viable pregnancies. Therefore, we must be careful to give pregnancies with slow hCG rise every chance possible – they may turn out to be normal.

Sometimes a surgical procedure using laparoscopy is used to look for an Ectopic pregnancy. An Ectopic pregnancy after 5 weeks can usually be diagnosed and treated with a laparoscope. But laparoscopy is not often used to diagnose a very early Tubal pregnancy, because ultrasound and blood pregnancy tests are very accurate.

How early can you detect Ectopic pregnancy?

One of the most sought question about Ectopic pregnancy is “how early can you detect Ectopic pregnancy?” It is important that you find the answer of this question because if you can detect an Ectopic pregnancy early, you are much more likely to save your fallopian tube and may be your own life. As we have stated earlier, one of the first symptoms of Ectopic pregnancy is abdominal or pelvic pain or vomiting, in addition to vaginal spotting or bleeding. You might also suffer an odd pain in your shoulder or any side of your body. The pain in shoulder is caused by internal bleeding that irritates nerves that travel to your shoulder. If you have any of these symptoms that may indicate an Ectopic pregnancy contact to your doctor or health care provider immediately. The doctor may take any of the following steps—

  • A urine test that can confirm you are pregnant.
  • A blood test that indicates the changing level of a pregnancy hormone known as HCG or human chronic gonadotropin.
  • An ultrasound can also confirm an Ectopic pregnancy. Ultrasound is a painless internal (transvaginal ) scan that shows a view of the fallopian tubes. Sometimes if the pregnancy is too early the scan may not be clear. In that case a repeat scan may be required.

If the ultrasound shows no signs of an embryo or fetus in the uterus but there are still elevated levels of hCG, taken at 2 days interval, there is much more likely to be an Ectopic pregnancy. The earliest time to detect Ectopic pregnancy may vary person to person. However in some cases an Ectopic pregnancy can be detected as early as 4 to 5 week and up to 12 week or even later.

Can you have a period during Ectopic pregnancy?

In an Ectopic pregnancy you are less likely to have a period. However there is vaginal bleeding during Ectopic pregnancy but it should not be mistaken as late period. The vaginal bleeding during Ectopic pregnancy is often different from the bleeding of a period. In most cases the bleeding may be lighter or heavier than a monthly period. Sometimes the blood may look darker.

  1. What are the Risk factors of Ectopic pregnancy?

There are several complications of an Ectopic pregnancy that may take pare during or after the pregnancy. In most cases an Ectopic pregnancy can be treated without surgery if diagnosed early. But in an uncommon event of fallopian tube rupturing in Tubal pregnancy, there may be severe consequences. Serious medical problem can be caused by heavy bleeding and occasionally failure to stop bleeding immediately can cost a life. Hopefully most women are diagnosed in the early stages. In that case Tubal (Ectopic) pregnancy can be detected at an early stage before the fetus grows large enough to cause the fallopian tube rupture. If this happens most women recover very well. However, like all other medical surgery there may be some rare complications after surgery and there are always some chances of side-effects from taking the medical treatment option.

Often women are curious to know if they will be able to have a normal pregnancy after an Ectopic pregnancy. The answer is, YES. There is almost 7 in 10 chance of having a normal pregnancy after suffering from an Ectopic pregnancy. But there is chance that a record of Tubal pregnancy may lead to another Tubal pregnancy in 1-2 women in 10.

Therefore in future pregnancies it is important to see a doctor early for the women who have had an ampullary (Ectopic) pregnancy.

 

Depression is also a common scenario after ampullary (Ectopic) pregnancy. It is important to consult with a doctor to avoid depression caused by worries about possible future ampullary pregnancy, the effect on fertility and sadness over the loss of pregnancy.

What are the symptoms of a ruptured fallopian tube?

In the worst cases of Ectopic pregnancy the fetus in to the fallopian tube can grow large enough to split the fallopian tube, popularly known as rupture. Ruptures are very serious and sometimes it can be life threatening. If any symptoms of rupture show up, an emergency surgery is required to repair the fallopian tube immediately. One or more of the following can be an indication of a ruptured fallopian tube:

  • A sudden sharp and intense pain in the lower abdomen
  • Feeling very dizzy suddenly
  • Fainting
  • Feeling sick looking very pale

An immediate operation after the fallopian rupture can be lifesaving.

Where are the fallopian tubes located?

Fallopian tubes also known as oviducts or uterine tubes are the tubes in female structure that are lined with ciliated epithelia leading from the ovaries into the uterus via the utero tubal junction. Fallopian tubes transport the ova from the ovary to the uterus each month. For proper implantation it is essential that the fallopian tubes transport the fertilized eggs to the uterus.

  1. How to treat an Ectopic pregnancy?

While talking about the treatment of ectopic pregnancy, most women want to know, “can an ectopic pregnancy survive?” or “can an ectopic pregnancy be moved to uterus?’’. Frustrating enough, the answer is most likely to be a “No”. Usually a baby in an ectopic pregnancy cannot survive, though in extremely rare cases he or she might. Unfortunately, currently no medical technology exists that can move an ectopic pregnancy from the fallopian tubes to the uterus.

That is why the ectopic pregnancy treatment mainly deals with the damage occurred in the fallopian tubes. There are several Ectopic pregnancy medication options. The treatment of an Ectopic pregnancy often depends on the stage in which Ectopic pregnancy is detected. If diagnosed early an Ectopic pregnancy can be treated without surgery. In case of fallopian tube rupture you may need a surgery.

  • Ectopic pregnancy treatment – Methotrexate: in case of early detection of an Ectopic pregnancy you may be given a medicine called Methotrexate, often as an injection. The drug remove the abnormal pregnancy tissue by killing the cells of the pregnancy growing in the fallopian tube. Normally methotrexate is prescribed in very early stage of pregnancy. While it can save you from surgery, it is important to have a close observation for several weeks with a repeated blood tests and scants to check it is working.
  • Laparoscopic surgery for ectopic pregnancy: you may need to go through a surgery if the Tubal (Ectopic) pregnancy is diagnosed later, or you are in severe pain or having heavy bleeding. Through the surgery you may need to open the tube and get the pregnancy extracted or you may need to remove part of the fallopian tube.
  • Salpingostomy for ectopic pregnancy: Salpingostomy is a surgical incision into a fallopian tube. A Salpingostomy is applied to repair a damaged fallopian tube or to remove an ectopic pregnancy. Salpingostomy may also be performed in an effort to restore fertility to a woman whose fallopian tubes have been damaged, such as by adhesions.
  • Salpingectomy for ectopic pregnancy: in Salpingectomy a fallopian tube segment is removed. The remaining healthy fallopian tube may be reconnected. Salpingectomy is needed when the fallopian tube is being stretched by the pregnancy and may rupture or when it has already ruptured or is very damaged.
ectopic pregnancy

salpingostomy of ectopic pregnancy

Both salpingostomy and salpingectomy can be done either through a small incision using laparoscopy or through a larger open abdominal incision (laparotomy). Laparoscopy takes less time than laparotomy.

Wait and see: luckily Tubal (Ectopic) pregnancies are not always life threatening. In many cases Tubal pregnancy is likely to resolve by itself without any future problems. It often ends in a way similar to that of a miscarriage.

 

Nursing care plan for Ectopic pregnancy

  • Addressing the appropriate physical needs and monitoring for complications.
  • Assessing vital signs like bleeding and pain
  • Proper orientation to relieve anxiety
  • Learning self-care measures depending on the treatment.
  • Addressing emotional and physical needs.
  1. After an Ectopic Pregnancy

         How soon after an ectopic pregnancy can you conceive again?  :

Some women are desperate to try to conceive again after an ectopic pregnancy while some others are scared and feel they need more time to recover emotionally and physically. But getting pregnant too early after an ectopic pregnancy can be difficult and there are risks. Women often have a damaged, scarred or blocked tube after an Ectopic pregnancy.

Those who are trying to conceive after an ectopic pregnancy must take some precaution. Most women are often advised to wait a few months for the damaged area to heal. It’s the best if your wait for three months or two full menstrual cycles before trying to conceive. But the bleeding in the first week of treatment for an Ectopic pregnancy must not be mistaken as the first period. The chances of having a successful pregnancy after an ectopic are very satisfactory. Some women are also advised in vitro fertilization, putting 1 or 2 embryos into the middle of the uterine cavity with a very low risk for ectopic.

Though it’s true that the pregnancy can never survive, a planned treatment before rupture can save you from future complication. Most women with Ectopic pregnancies do not need surgery. No doubt it’s scary to have an Ectopic pregnancy. But remember this: More than half of all women who had an Ectopic pregnancy in the past go on to have one or more healthy pregnancies in the future.