Obesity Can Be A Barrier To Pregnancy. Part 3 of 3

In light of current evidence available, pregnancy after bariatric surgery is safer, with fewer complications, than pregnancy in morbidly obese women,” comment co-author Rahat Khan, a consultant obstetrician and gynecologist at Princess Alexandra Hospital NHS Trust in Harlow, England, said in a journal news release. Guidance from a variety of salubrity care specialists “is the key to a healthy pregnancy for women who have undergone bariatric surgery. However, this group of women should still be considered high risk by both obstetricians and surgeons” healthsource teays valley wv.

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Obesity Can Be A Barrier To Pregnancy. Part 2 of 3

One inquiry found that gastric band slippage and movement can occur, resulting in severe vomiting, and that band leakage was reported in 24 percent of pregnancies. Based on current evidence, the upon authors recommend that women should not get pregnant for at least one year after weight-loss surgery. They noted that one study found that the miscarriage rate was 31 percent among women who became pregnant within 18 months after having weight-loss surgery, compared with 18 percent surrounded by those who waited longer than 18 months to become pregnant.

The authors also said that women who have weight-loss surgery should receive advice and info before they become pregnant on topics such as birth control, nutrition and weight gain, and vitamin supplements. “An increasing number of women of child-bearing age are undergoing bariatric surgery procedures and stress information and guidance regarding reproductive issues.

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Obesity Can Be A Barrier To Pregnancy. Part 1 of 3

Obesity Can Be A Barrier To Pregnancy. Women should interval at least one year after having weight-loss surgery before they try to get pregnant, researchers say. The embonpoint rate among women of child-bearing age is expected to rise from about 24 percent in 2005 to about 28 percent in 2015, and the number of women having weight-loss surgery is increasing, the researchers noted. In a review, published Jan 11, 2013 in The Obstetrician & Gynaecologist, investigators looked at sometime studies to assess the safety, limitations and advantages of weight-loss (“bariatric”) surgery, and operation of weight-loss surgery patients before, during and after pregnancy.

Obesity increases the risk of pregnancy complications, but weight-loss surgery reduces the risk in extremely obese women, the judge authors said. One study found that 79 percent of women who had weight-loss surgery experienced no complications during their pregnancy. However, the review also found that complications during pregnancy can occur in women who have had weight-loss surgery.

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A Neural Tube Defects Have Fallen. Part 3 of 3

It’s known that high-dose folic acid supplements – 4 milligrams a lifetime taken at least four weeks before becoming pregnant and through the first 12 weeks of pregnancy – humble the risk of neural tube defects, the CDC said. Hispanic women are about 20 percent more likely to have a child with a neural tube defect than non-Hispanic white women.

One reason, according to the March of Dimes: wheat flour is fortified with folic acid, but corn masa flour – which is more everyday among Hispanics – is not fortified. The March of Dimes says it has asked the US Food and Drug Administration to enhance corn masa flour with folic acid with the goal of lowering the rate of neural tube defects among Hispanic women vigrxbox. Both studies appear in the Jan 16, 2015 scion of Morbidity and Mortality Weekly Report, published by the CDC.

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A Neural Tube Defects Have Fallen. Part 2 of 3

So “It’s also good to eat foods that contain folate, the natural form of folic acid, including lentils, sward leafy vegetables, black beans and orange juice, as well as foods fortified with folic acid, such as bread and pasta, and enriched cereals”. Another CDC study released Thursday found that many American women who had a pregnancy moved by a neural tube defect and get pregnant again don’t follow folic acid supplement recommendations.

Health-care providers need to do more to encourage these women to boost their folic acid intake, the con authors said. Among women with a neural tube defect in a previous pregnancy, only 35 percent of those who had a neural tube defect in a second pregnancy took folic acid, compared with 80 percent of those with a nativity defect-free pregnancy, the study found. Women who’ve experienced a neural tube defect are at increased risk for another one, the researchers noted.

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A Neural Tube Defects Have Fallen. Part 1 of 3

A Neural Tube Defects Have Fallen. Serious lineage defects of the brain and spine called neural tube defects have fallen 35 percent in the United States since needed folic acid fortification of enriched grain products was introduced in 1998, federal officials reported Thursday. That decrease means 1300 fewer babies are born annually with neural tube defects such as spina bifida, the most ordinary neural tube defect that, in severe cases, can cause partial or complete paralysis of the parts of the body below the waist. However, even with folic acid fortification some women don’t get enough of the B vitamin, especially Hispanic women, according to the US Centers for Disease Control and Prevention (CDC).

The means said all women of childbearing age – even if they’re not planning to get in the – need to get 400 micrograms of folic acid daily from fortified foods, supplements, or both, and to eat foods high in folic acid. “All women expert of having a baby should be taking a multivitamin containing folic acid every day,” Dr Siobhan Dolan, co-author of the March of Dimes book Healthy Mom, Healthy Baby: The Ultimate Pregnancy Guide, said in a announcement release from the organization.

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Doctors Recommend That Pregnant Women Have To Make A Flu Shot. Part 3 of 3

Experts weren’t surprised by the results. “This study confirms what we already know, that pregnancy is a dangerous time for the flu, and H1N1 was particularly problematic for pregnant women,” said Dr Marc Siegel, an collaborator professor of medicine at NYU Langone Medical Center in New York City. The flu is especially risky for pregnant women because the virus can offer through the placental barrier and infect the fetus.

This can result in fetal death or developmental problems, including mental development. “It’s crucial for pregnant women to get a flu shot. It’s vital to educate women, and this study helps,” he added, noting some women may need convincing because they’ve been told to avoid certain medications during pregnancy.

Another expert, Dr Loralei Thornburg, second professor of obstetrics and gynecology at the University of Rochester in Rochester, NY, said the body’s response to infection changes during pregnancy. “It’s kind of an immunosuppressant. So when you get a bad virus in pregnancy, your body doesn’t have the same faculty to respond. Preventing infection in pregnancy is really the key”. The bottom line: “Every woman should get the flu vaccine”.

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Doctors Recommend That Pregnant Women Have To Make A Flu Shot. Part 2 of 3

For the study, published Jan 16, 2013 in the New England Journal of Medicine, Stoltenberg’s troupe collected data on more than 117000 women in Norway who were pregnant between 2009 and 2010 – the experience of the H1N1 pandemic. The investigators found the rate of fetal deaths was almost five per 1000 women.

During the pandemic, 54 percent of the women were vaccinated during their second and third trimester, which greatly reduced their chance of contracting the flu, the study authors noted. For women who did get the flu, the risk of fetal death increased dramatically, the researchers found. Among vaccinated women, the endanger of fetal death was far less.

Fetal death was defined as any recorded miscarriage or stillbirth after the first trimester. Moreover, the vaccine was safe, wasn’t linked to fetal deaths, and may have reduced the jeopardize of fetal death.

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Doctors Recommend That Pregnant Women Have To Make A Flu Shot. Part 1 of 3

Doctors Recommend That Pregnant Women Have To Make A Flu Shot. Pregnant women were urged to get a flu spot during the 2009 H1N1 pandemic, and brand-new evidence supports that advice. Norwegian researchers have found that vaccination in pregnancy was safe for mother and child, and that fetal deaths were more common among unvaccinated moms-to-be. Influenza is a serious peril to a pregnant woman and her unborn child, said Dr Camilla Stoltenberg, director general of the Norwegian Institute of Public Health in Oslo, lead researcher of the new study. “Our boning up indicates that influenza during pregnancy was a risk factor for stillbirth during the pandemic in 2009”.

And “We find no indication that pandemic vaccination in the second or third trimester increased the risk of stillbirth”. With this year’s flu pummeling many mobile vulgus across the United States, experts say the best way a pregnant woman can protect her unborn baby from flu complications is by getting a flu shot. “In extension to protecting the mother against severe influenza, the vaccine protects the fetus and the child in the first months after birth, when the child is too young to be vaccinated”.

The US Centers for Disease Control and Prevention recommends a flu opportunity for everyone over 6 months of age. Besides pregnant women, the CDC says the elderly and anyone with a chronic condition such as asthma or diabetes are especially vulnerable to infection.

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High Blood Pressure During Pregnancy. Part 3 of 3

In the end, Magee’s team found no differences in how the two groups fared, except for one: Almost 41 percent of women under looser blood coercion control eventually developed severe high blood pressure (a reading of 160/110 mm Hg or higher), while just 27,5 percent of women on the tighter regimen developed sober high blood pressure. Severe high blood pressure can generally be quickly brought down with IV medication.

The strongest concern is that it can lead to a stroke in some women. But, that didn’t happen in this trial to women with higher blood pressure. However, one woman on the stricter treatment regimen had a stroke. Martin noted that the less-aggressive nearer can be easier for women, with less blood pressure monitoring at home and the doctor’s office. However, Magee said she believes the risk of severely high numbers is not acceptable if less-intensive therapy has no clear benefit for babies.

So “Before this study, I was for less-tight control. Now I’ve changed my practice”. Until now, studies on this issue have been small or lower-quality, according to Magee. She said contemporary professional guidelines vary because of that lack of strong evidence. For now, both Magee and Martin encouraged pregnant women with high blood pressure to keep up with their poison visits and stick with a treatment plan. But Magee suggested advocating for tighter blood pressure control. She noted that more evidence on the issue will be coming. Another major clinical misery – called the Chronic Hypertension and Pregnancy Project – is set to get underway in US hospitals soon.

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