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A Delicate Matter: Handling Hemorrhoids During Pregnancy

hemorrhoidsAs if you do not already have enough going on between your legs, there is a very good chance that during pregnancy you will get hemorrhoids.

If you’re lucky you may only get one. If you’re not lucky, you may get several.

If you’re lucky, your single hemorrhoid will be about the size of a grape.

If you’re not lucky, you may have several hemorrhoids almost as large as golf balls. But what are hemorrhoids really? And more importantly, how do you treat them and make them go away?

Basically, a hemorrhoid is a varicose vein in your rectum, a strangulated blood vessel. Your body’s response to these can be a mild itching to extreme pain. And during a bowel movement, they can even lead to rectal bleeding.

Hemorrhoids are especially common with first pregnancies. And if you have them in an earlier pregnancy, the chances are very good that you will have them again.

And another thing, even if you have avoided them for the whole of your pregnancy, they tend to develop in the second stage of labor. All that pushing, remember? [Stages Of Labor]

The happy thing is that after the birth, they often go away on their own.  It is a simple matter of pressure. The growing uterus exerts a lot of pressure on the veins of the pelvis and that can slow the return of blood from the lower half of the body. When the ones in the rectum are involved, they can become swollen and, hello, hemorrhoids.

And into this little mix is the ever present danger of constipation, common in pregnancy [Constipation During Pregnancy]. The straining to pass a stool can cause a hemorrhoid in the best of situations and pregnancy does not help the matter. Not that anybody has to tell you if you have them already.

But what to do about them? Get an ice pack, especially one covered with a soft cloth and apply gently. Be sure to do this many times during the day. You can try putting some witch hazel on the cold compress. A lot of people find that very soothing.

Do not discount the warm bath. The gentle heat of the water will dilate the constricted vessels and relieve some of the pain. Good results have been gained from alternating between the hot and cold treatments.

If you haven’t already changed, be sure to use only white, unscented toilet paper. It is less irritating. Pre-moistened wipes are another good idea. Many women find them very comfortable.

Make sure you are drinking plenty of liquids and eating a diet rich in fiber to avoid constipation. If you do have trouble with constipation, try using a small footstool while you are sitting on the toilet; prop your feet up so your knees are higher than your hips. This can help you have a bowel movement without straining. Practice your pelvic rocks and kegel exercises as well.

By following these suggestions, you should be able to find some relief from this delicate condition. If your hemorrhoids are especially large, painful, or bleed, talk to your health care provider.

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Low Birth Weight Linked To Kidney Disease Risk

low birth weightRecent research review suggests that infants born with low birth weight are eventually more prone to develop kidney disease in their adulthood. Many studies found link between low birth weight and life threatening health problems like high blood pressure, kidney disease and possibly diabetes.

One theory suggests that restricted fetal growth during gestational period, whether it is due to lack of good nutrition and due to any other factor, can make certain organs in our body to become more vulnerable to diseases.

Some researchers speculate that low-birth-weight infants — those weighing less than 5.5 pounds at birth — may become susceptible to kidney disease as adults because they have fewer and smaller kidney structures called nephrons.

Normally, each kidney has roughly one million nephrons, which are the basic filtering units of the kidneys, extracting waste from the blood and producing urine.

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Planning For The Unexpected: How To Write A Birth Plan?

pregnancy tip1The birth of your baby will be a wonderful and exciting event.

You may have specific desires for how the birth of your baby will be handled.

You will communicate these desires by using a birth plan. Although you should begin thinking about your desires early in your pregnancy and discussing them with your health care provider, you should begin to put something down in writing around the beginning of your eighth month of pregnancy.

There are two things you should always keep in mind when it comes to birth plans. The first is that birth seldom goes according to plan.

While you should anticipate things that might happen and think about how you would like them handled, e.g. would you want spinal or epidural anesthesia for a Cesarean section, you cannot anticipate every eventuality.

Birth is a natural process, but there are sometimes medical issues which arise and must be addressed. Your care providers will do all they can to help you have the birth experience you hope for.

However, this brings us to the other thing you must remember, your health and the health of your baby are what matters most. If your original plans conflict with what is necessary to keep you and your baby safe and healthy, then health and safety must triumph.

Keeping those things in mind, what kinds of things might you want to include in your birthing plan? First consider who will be present in the room.

Do you want only your partner and doula? Or do you want other friends or family members to be present if possible?

How will you manage pain? Some women opt for an epidural injection. Others opt for a non-medicated birth, and prefer that their care providers not bring up pain medication unless they are specifically asked for it.

How active do you want to be during labor? Staying active will help your labor progress and help your baby move into the proper position for birth.

Do you want to walk in the hall ways, or would you prefer to stay in your room? If you plan to leave your room, you need to find out what kind of monitoring will be required; for example, is remote telemetry monitoring available? If you want a birthing ball to labor on, will you need to bring your own? Can you take a shower or labor in the bathtub? These are all things to consider.

These are just a few considerations to get you started on the task of developing your birth plan. Spend some time thinking and talking with your partner about the birth experience.

And keep our two most important points in mind: be flexible, and remember that a safe and healthy delivery is everyone’s goal.

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Moderate Exercise During Pregnancy Healthy For Mom And Child

exercise during pregnancyAccording to a report published in the Journal of the American Academy of Orthopaedic Surgeons (JAAOS), doctors should recommend moderate levels of exercise to their patients who are pregnant, even if they have not exercised before pregnancy.

According to this report, exercise can improve pregnancy related symptoms as well as strengthen overall musculoskeletal and physiologic health.

Exercises such as aerobics, impact and nonimpact activities, resistance training and swimming eases back and other musculoskeletal pain, lowers maternal blood pressure, reduces swelling and improves post-partum mood, including sadness.

According to study author Capt. Marlene DeMaio, M.D., M.C ., U.S.N., Research Director, Naval Medical Center, Portsmouth, Virginia, data shows that the pregnant woman’s body can compensate for the changes with no harm to the fetus during low to moderate intensity exercise.

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Breast Changes In Pregnancy: What’s Normal, What’s Not?

physical changesFor many women, one of the first indications they have that they are pregnant is increased breast tenderness.

Your breasts will undergo a number of changes while you are pregnant, all designed to prepare you to breastfeed your baby.

Here are some of the changes you should expect.

Expect your breasts to increase in size and become tenderer. This is because your milk glands are growing and preparing to make milk for your baby.

While there is always some difference in the size of your breasts, be sure to point out any unusual changes in size to your doctor. It is also normal to see your veins through the skin of your breasts.

Expect your nipples to increase in size and become tenderer. They may also become more prominent. Many women experience the leaking of some colostrum from their nipples in later stages of pregnancy.

You may not notice the colostrum itself, but only a crusty residue on your nipples; colostrum is a clear, yellowish liquid. This is normal. If you notice a bloody discharge from your nipples, talk to your doctor.

Expect your areolas to grow larger and darker in color. This is also normal. The increased contrast in color between your areola and skin actually helps your baby find your nipple and latch on more successfully.

You may notice small bumps on the surface of your areola. These are called Montgomery’s tubercles, and they produce oil which helps keep your nipples healthy. To preserve their antibacterial effect, do not wash your nipples with soap; just rinse them with water.

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London has some of the highest teen pregnancy

The Health & Public Services Committee today publishes a report into the sexual health of young Londoners, and it’s not good news.

Young Londoners’ sexual health is still among the worst in the country, despite projects and improvements to the way services work. Teenage pregnancy rates in 18 London boroughs are higher than the national average, and in some London boroughs, 1 in 13 young girls is falling pregnant.
The rates of sexually transmitted infections (STIs) such as chlamydia, gonorrhoea and herpes have increased and are still above national levels. In addition, 16-24 year olds account for nearly half of all STIs diagnosed in London’s Genitourinary Medicine (GUM) clinics.

To help address this problem, the report recommends:
* Sex and relationship education should be a core component of the soon-to-be mandatory personal, social and health education curriculum
* Pan-London branding and improved sharing of good practice and joint working for the chlamydia screening programme and sexual health media campaigns.
* The Mayor’s forthcoming Health Inequalities Strategy should include measures to improve young Londoners’ sexual health and reduce rates of teenage pregnancy.
* A sexual health champion should be appointed to encourage the implementation of good practice across the capital.

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