Tuesday, April 30, 2013

About Pregnancy & Childbirth: Anesthesia Might Help with External Versions for Breech Babies

About Pregnancy & Childbirth
Pregnancy & Childbirth
Anesthesia Might Help with External Versions for Breech Babies
Apr 30th 2013, 08:07

Frank and Complete Breech

A new study shows that using regional anesthesia, like an epidural or a spinal, may be cost effective for breech babies. The heart of the study says that if you use the anesthesia for an external cephalic version (ECV), manually turning a breech baby from the outside, it is more comfortable for mom and more likely to work. Then you lower the cesarean rate and save the risks associated with cesarean birth as well as money for at least some of these mothers and babies.

The study was really aimed at discussing the costs alone, citing that some providers say that the cost increase is not justifiable. Though there is more to consider than simply the cost.  There is also the effectiveness of the procedure (One small study shows it is much more effective with anesthesia.) as well as mom's satisfaction, which is also higher with anesthesia. So, doctors should not consider costs when talking about doing the ECV procedure. Complication rates were very low for both groups (with and without anesthesia), but overall vaginal birth is safer and more cost effective.

Were you offered an epidural or other form of anesthesia when you had an external version?  Share the details in the comments.

Related:

Sources:

Birnbach, David J. M. D., Matut, Jay M. D., Stein, Deborah J. M. D., Campagnuolo, Joanne D. O., Drimbarean, Calin M. D., Grunebaum, Amos M. D., . . . Thys, Daniel M. M. D. (2001). The Effect of Intrathecal Analgesia on the Success of External Cephalic Version. Anesthesia & Analgesia, 93(2), 410-413.


Carvalho, Brendan MBBCh Frca, Tan, Jonathan M. M. D. M. P. H., Macario, Alex M. D. M. B. A., El-Sayed, Yasser Y. M. D., & Sultan, Pervez MBChB Frca. A Cost Analysis of Neuraxial Anesthesia to Facilitate External Cephalic Version for Breech Fetal Presentation. Anesthesia & Analgesia.

LifeART (and/or) MediClip image copyright (appropriate year) Wolters Kluwer Health, Inc.- Lippincott Williams & Wilkins. All rights reserved.

Anesthesia Might Help with External Versions for Breech Babies originally appeared on About.com Pregnancy & Childbirth on Tuesday, April 30th, 2013 at 08:07:14.

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Monday, April 29, 2013

About Pregnancy & Childbirth: What causes twins?

About Pregnancy & Childbirth
Pregnancy & Childbirth
What causes twins?
Apr 29th 2013, 10:15

Newborn Twins

Mariah Carey. Jennifer Lopez. Angelina Jolie. Julia Robert. Celine Dion. Marcia Cross. Rebecca Romijn. Molly Ringwald.  What do they all have in common? Twins!

I was reading a blog post the other day that had a long list of celebrities with twins.  It was talking about how these celebrities had probably used fertility drugs and didn't want to talk about it.  Most people were of the belief that these celebrities had used some sort of help to get pregnant with twins. Though the one thing that wasn't pointed out was that there could also be a logical explanation - as you get older, it becomes more likely that you'll have twins.

There are some other things that can increase the likelihood of having twins, including:

  • Breastfeeding when you conceive.
  • Be a twin.
  • Being older when you get pregnant.
  • And more...

Related:

Photo © iStockPhoto

What causes twins? originally appeared on About.com Pregnancy & Childbirth on Monday, April 29th, 2013 at 10:15:08.

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Wednesday, April 24, 2013

About Pregnancy & Childbirth: What NOT to Tell the Kids About Pregnancy

About Pregnancy & Childbirth
Pregnancy & Childbirth
What NOT to Tell the Kids About Pregnancy
Apr 24th 2013, 10:07

Toddler and Mom's Pregnancy Belly

When you're having a baby it is very common to have people want to take part in your pregnancy. This includes strangers touching your belly and more advice than you could ever want. But there is another part of it, the questions that kids ask and the things that we inadvertently say...

Sometimes I hear parents not being very kind with their words about pregnancy, labor, birth and babies, sometimes it's just frustration. (Hey, I've been that mom with hyperemesis and a toddler!) But most of the time, I think it's just us simply not thinking about how the child will take the information and retain it.  So here are: 6 Things You Shouldn't Say to a Kid About Pregnancy

What would you add?  Tell us in the comments.

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What NOT to Tell the Kids About Pregnancy originally appeared on About.com Pregnancy & Childbirth on Wednesday, April 24th, 2013 at 10:07:29.

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Tuesday, April 23, 2013

About Pregnancy & Childbirth: How an Experienced Mom Packs for Labor

About Pregnancy & Childbirth
Pregnancy & Childbirth
How an Experienced Mom Packs for Labor
Apr 23rd 2013, 12:06

Pregnant Woman Packing her Hospital Bag

So I have a dear friend who is expecting her third baby any day now.  I was talking to her today and I wanted to remind her to pack something I'd given her on Saturday. (In fairness, she asked me to remind her so that she wouldn't forget it!)  She said, "Don't worry!  It's in the pile of stuff for the labor bag."  This really made me chuckle.

The funny thing is, this is exactly what happens when you've been through this before. There are no check lists typically involved. You don't pack at week 34 or even week 36.  You simply have a pile of stuff that should probably get shoved into a bag at some point in early to active labor, lest one of you forget it. It's just the product of having a baby before.

If you're a second or more time mom, is this how you pack?  Share your secrets in the comments.

More on Hospital Bags:

Photo © Fotolia

How an Experienced Mom Packs for Labor originally appeared on About.com Pregnancy & Childbirth on Tuesday, April 23rd, 2013 at 12:06:43.

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Sunday, April 21, 2013

About Pregnancy & Childbirth: Adorable Baby Hats

About Pregnancy & Childbirth
Pregnancy & Childbirth
Adorable Baby Hats
Apr 21st 2013, 10:23

Willow's Garden Baby Hat

I love baby hats. (Not quite as much as I love baby blankets, but that's another discussion.) A dear friend of mine is pregnant with her third baby and was due yesterday.  She's the queen of gender neutral baby clothes and also has a thing for baby hats.  So she showed me this adorable hat she purchased from Willow's Garden on Etsy.

While you might looks at it and think it's not gender neutral - there's a trick!  The bow comes off!  I thought that was the perfect idea for my friend.  If you get a chance go look around the neat things here for your newborn. Whether you use it for newborn photos or just fun stuff, I had a blast.  I think my favorite is the baby mermaid!  What's your favorite?

Do you have an item you've found and love from places like Etsy?  Drop us a line and tell us what it is, why you love it and where you found it! pregnancy@aboutguide.com

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Adorable Baby Hats originally appeared on About.com Pregnancy & Childbirth on Sunday, April 21st, 2013 at 10:23:39.

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Saturday, April 20, 2013

About Pregnancy & Childbirth: Choosing a Birth Center Birth

About Pregnancy & Childbirth
Pregnancy & Childbirth
Choosing a Birth Center Birth
Apr 20th 2013, 09:25

Water Birth - Oh it's a baby!

Having your baby at a birth center is something many moms chose to do. This is a nice step between a hospital and a home birth. When I say birth center, I usually think of what is specifically known as a free standing birth center, a facility to have a baby, but outside of a hospital.  This provides the most autonomy for the practitioners (doctors or midwives) as well as the moms and their families.

There are a few true birth centers that are within the walls of a hospital. Though many find it is really hard to have birth center in this manner, because the hospital mindset is so pervasive. It is possible but simply harder.

The problem for me comes in the marketing departments of hospitals who choose to call their standard labor and delivery floors - birth centers. This has fooled more than one mother into believing that she was going to have a different mindset for her care. Don't be fooled.

If your hospital calls itself a birth center, ask if they are accredited by the American Association of Birth Centers (AABC). Think of this as consumer protection from false advertising.

Does your hospital do this? Do you have access to a real birth center?

Related:

Photo © April's Grapevine Photography

Choosing a Birth Center Birth originally appeared on About.com Pregnancy & Childbirth on Saturday, April 20th, 2013 at 09:25:54.

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Friday, April 19, 2013

About Pregnancy & Childbirth: Pregnancy Symptoms That Come and Go

About Pregnancy & Childbirth
Pregnancy & Childbirth
Pregnancy Symptoms That Come and Go
Apr 19th 2013, 10:07

Pregnant Woman Hands on Head

I got an email from a worried mom this week. She's pregnant. (Yay!) Though she was concerned over what she calls pregnancy symptoms that "come and go." While there are many ways to interpret this, I know that many pregnant women obsess over the state of their pregnancy symptoms. Have you ever caught your self asking any of these questions?

  • Do I have pregnancy symptoms?
  • Do I have enough pregnancy symptoms?
  • Do I have too many pregnancy symptoms?
  • Do I have the symptoms today that I had yesterday?
  • Is this a pregnancy symptom?

Think about this in terms of breast tenderness.  Yes, it's a sign of pregnancy when your breasts hurt.  But then you wind up spot checking during the day; you surreptitiously bring your arms up to your breasts and press slightly. If you wince in pain, you think, "Yes!" Though if you're not in pain you either: A) Worry B) Press Harder to Double Check or C) All of the Above. After a few checks of this nature, you begin to worry if your breasts are in pain, namely because you think perhaps it's not a pregnancy symptom, but rather, something you caused by all that pressing.

Have I adequately addressed some of the crazy mental gymnastics pregnant women do?  What's your crazy line of thinking in regard to signs and symptoms of pregnancy?

P.S. It can be perfectly natural to have a cycle of pregnancy symptoms that are not constantly present. It's also normal to have no symptoms. You want to worry when you had symptoms and they completely disappear.

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Photo © iStockPhoto

Pregnancy Symptoms That Come and Go originally appeared on About.com Pregnancy & Childbirth on Friday, April 19th, 2013 at 10:07:33.

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Tuesday, April 16, 2013

About Pregnancy & Childbirth: No Fewer than Eight Prenatal Visits Might be the Ideal

About Pregnancy & Childbirth
Pregnancy & Childbirth
No Fewer than Eight Prenatal Visits Might be the Ideal
Apr 16th 2013, 10:29

Prenatal Care

Prenatal care. We talk a lot about prenatal care and not a lot about what it means and how it is implemented. In fact, we've spent a lot of time arguing about how much prenatal care is enough prenatal care. Certainly routine visits to a practitioner can be tiresome in the fact that you have to take time away from work or your regular schedule. In the early months of pregnancy, you may not notice as much because it's only once a month. As you progress through to later months, the visits get more frequent. This is when it can really take a bite out of your life.

While most moms don't have qualms with doing what's right for their baby, it is still troublesome in terms of employment, time management and just life. The truth is, we had little evidence that prenatal care, in those numbers, were really what the ideal was for pregnancy. But today some data was released looking at many women and the best number of prenatal visits. Ideally the number should be at least eight according to this data. They found that if the number dropped below four, there was an increased risk of fetal demise between 32-36 weeks. We still don't know why this works out, but the theory is that in the third trimester, there are more silent diseases like preeclampsia that can sneak up. Being seen more frequently gives you a chance to be screened or ask questions that might trigger some care that helps prevent tragedy. While there is still not an ideal maximum, it's best if that's worked out between a woman and her practitioner.

How many prenatal visits will you have by the end of your pregnancy?

Related::

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Sources:

Joshua P Vogel, Habib Abu Ndema, João Paulo Souza, Metin A Gülmezoglu, Therese Dowswell, Guillermo Carroli, Hassan S Baaqeel, Pisake Lumbiganon, Gilda Piaggio, Olufemi T Oladapo. Antenatal care packages with reduced visits and perinatal mortality: a secondary analysis of the WHO Antenatal Care Trial. Reproductive Health, 2013; 10 (1): 19 DOI: 10.1186/1742-4755-10-19

G Justus Hofmeyr, Ellen D Hodnett. Antenatal care packages with reduced visits and perinatal mortality: a secondary analysis of the WHO antenatal care trial - Comentary: routine antenatal visits for healthy pregnant women do make a difference. Reproductive Health, 2013; 10 (1): 20 DOI: 10.1186/1742-4755-10-20

Photo © Fotolia

No Fewer than Eight Prenatal Visits Might be the Ideal originally appeared on About.com Pregnancy & Childbirth on Tuesday, April 16th, 2013 at 10:29:46.

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Monday, April 15, 2013

About Pregnancy & Childbirth: Old Fashioned Baby Names

About Pregnancy & Childbirth
Pregnancy & Childbirth
Old Fashioned Baby Names
Apr 15th 2013, 06:59

Smiling Newborn

I am really fascinated by what people choose to name their babies. I'll ask just about anyone. I even ask people what the middle names are for their babies, and I do mean everyone. One thing that fascinates me particularly is baby names form years past and how what we think sounds great changes. I'm thinking of my grandma who would have been 90 today. Her name was Carolyn. She had no middle name. Her maiden name was Rose, so she just used that once she was married. Her husband was Chester. They had a lot of siblings with a variety of names from Paul to Florence, Katherine to Louis. Obviously not all of these names rank very highly in many of the most popular baby name charts. But they were fairly common names for when they were born.

Here is a really fast quiz to see how well you know your top baby names from decades past. Here's the "cheat sheet" for the most popular names from 1900-2000. How well do you score?

Related:

Photo © Grapevine Photography

Old Fashioned Baby Names originally appeared on About.com Pregnancy & Childbirth on Monday, April 15th, 2013 at 06:59:38.

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Sunday, April 14, 2013

About Pregnancy & Childbirth: Missing Pregnancy

About Pregnancy & Childbirth
Pregnancy & Childbirth
Missing Pregnancy
Apr 14th 2013, 09:22

Newborn Baby on Mother's Lap in Hospital

I became a great aunt a year ago. It's a really fun feeling in some respects.  While she was still pregnant, my niece posted on Facebook about how much the baby kicked and wondered out loud about what it would be like after the pregnancy. Before I could even really think about it, I posted that she would miss the movements of the baby after she was no longer pregnant.

It was interesting to see the folks who chimed in who had kids agreeing with me, and the younger (probably kidless) crowd saying the opposite. My niece agreed she'd probably missed it, but also said it would be good to meet the baby. Definitely something anyone who has been pregnant can remember feeling.

Did you miss pregnancy? What specifically did you miss? Or were you just glad to be done, never to look back?

Related:

 


Photo © Fotolia

Missing Pregnancy originally appeared on About.com Pregnancy & Childbirth on Sunday, April 14th, 2013 at 09:22:53.

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Saturday, April 13, 2013

About Pregnancy & Childbirth: What Men Have to Say About Lack of Sex in Pregnancy

About Pregnancy & Childbirth
Pregnancy & Childbirth
What Men Have to Say About Lack of Sex in Pregnancy
Apr 13th 2013, 09:28

Pregnant Couple in Bed

Ever have a post that just out of the blue causes a bunch of responses?  I feel like that's what's happening to a post on Advice for Not Wanting Sex in Pregnancy. While it's a part of a piece on whether or not it's normal to not want sex while pregnant, I've recently heard from a bunch of dads on the topic of no sex in pregnancy. I'll admit, I was pretty surprised by some of the thoughts and language.  Here's some of what I got:

"This is a serious topic. If women aren't feeling good because of symptoms, okay. But cutting us off because you don't 'feel' like it? Guess what. Someone else does feel like it..."

"Your feelings and your vagina don't equate to being special, all women have hormones, and periods and give birth."

" My girl is pregnant with our second child and won't sex with me. I can't even touch her it really kills my self esteem as a man. I'm starting to lose self control."

But I think Tess sums it up nicely:

"Wow...most of the men that have responded here are bottom of the barrel. I loved reading the ones that call their pregnant wives selfish, or the ones that talk about their shattered relationships and changed feelings, but the icing on this cake was reading about the men saying they are more inclined to cheat. Yes. How dare we be so selfish as to grow a human life inside our bodies for 9 months and selfishly deny your physical needs. You all should be ashamed of yourselves. You were lucky enough to find a woman to carry your child who most likely wants to spend the rest of her life with you and you call her selfish or want to cheat or think about other women while she bares your child?? Being pregnant is the hardest thing I've ever done and it certainly does not get my motor running. I have a patient loving husband who would go to the moon and back for his family amd understands that I hurt. He doesn't want to put me in anymore pain even for '2 minutes'. That's a real man."

So which is it?  Are you claiming that pregnancy has killed your libido or do pregnancy symptoms make it near impossible at times?  Or are these men just cold hearted?

Related:

 

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Photo © Dreamstime

What Men Have to Say About Lack of Sex in Pregnancy originally appeared on About.com Pregnancy & Childbirth on Saturday, April 13th, 2013 at 09:28:24.

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Friday, April 12, 2013

About Pregnancy & Childbirth: What do you do with the siblings when you give birth?

About Pregnancy & Childbirth
Pregnancy & Childbirth
What do you do with the siblings when you give birth?
Apr 12th 2013, 08:53

Sister and Newborn Sibling

It's time for you to have your next baby. Your bags are packed. You are ready to go! But what are you going to do with Big Brother and Big Sister? This is a question that many people ask themselves.

Sometimes having your older children with you at the birth is the best advice. Other times, they need to be someplace else. That's a personal decision both for you and your child. Where will your child go?

Related:

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Photo © Fotolia

What do you do with the siblings when you give birth? originally appeared on About.com Pregnancy & Childbirth on Friday, April 12th, 2013 at 08:53:09.

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Thursday, April 11, 2013

About Pregnancy & Childbirth: Why You Should Know the Cesarean Rates at Your Hospital

About Pregnancy & Childbirth
Pregnancy & Childbirth
Why You Should Know the Cesarean Rates at Your Hospital
Apr 11th 2013, 11:26

Cesarean Awareness Month

More and more research is showing us that having an unnecessary cesarean is more dangerous for mom and baby. The key here being the word unnecessary. That is the hard thing to define, both in labor and out. While new research has shown us that the cesarean rates are high and that intervention in labor is probably turned to too quickly, what they agree on is that your choice of practitioners is important.

When you've chosen a practitioner, you might think that the work stops there, but many moms don't give consideration to where their practitioner works catching babies. Many hospitals have policies that may not be in line with what you are wanting and may not be on the radar of your midwife or doctor. One key statistic to know is what the cesarean rate is at your hospital.

Jill of The Unnecesarean has been advocating for transparency in maternity care for a long time. Her dedication has lead her to create a new website that will help you figure out what the local cesareans rates are at facilities near you.  Please check out her new site and share this link: CesareanRates.com

Look at the hospitals in your area. How is the cesarean rate compared to other local hospitals? How is it compared to national cesarean rates? What questions can you ask your doctor or midwife about their personal cesarean rates?

Related:


Why You Should Know the Cesarean Rates at Your Hospital originally appeared on About.com Pregnancy & Childbirth on Thursday, April 11th, 2013 at 11:26:35.

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Tuesday, April 9, 2013

About Pregnancy & Childbirth: Ideas for a Blessingway

About Pregnancy & Childbirth
Pregnancy & Childbirth
Ideas for a Blessingway
Apr 9th 2013, 09:28

Burning Fears at Blessingway

Blessingways are not a new idea but one that is being reinvented in modern times as a positive and uplifting version for expectant mothers. (Sometimes you might hear them called Mother Blessings.) The problem for some people who want to experience a blessingway is that they don't even know where to start when it comes to planning.

I've been fortunate enough to plan, attend and be the guest of honor at several blessingways. So I thought it would be helpful to talk about some general ideas of the types of things that can happen at a blessingway and why its done and what it means. I've also added some helpful tips from things I've learned along the way.

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Photo © MaybeCakes

Ideas for a Blessingway originally appeared on About.com Pregnancy & Childbirth on Tuesday, April 9th, 2013 at 09:28:48.

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Saturday, April 6, 2013

About Pregnancy & Childbirth: A Baby Named Facebook

About Pregnancy & Childbirth
Pregnancy & Childbirth
A Baby Named Facebook
Apr 6th 2013, 11:14

Baby with Blue Eyes

I will admit that I was only a bit surprised to hear that someone had named their baby Facebook.  So it wasn't to terribly surprising that Twitter is also a name. (Personally as baby names go, I have to admit, I think Twitter has more possibilities as a baby name.) At least one of the babies named Facebook has a story behind it, her Egyptian father says it's to honor the role that social media played in the Arab Spring. There are also babies named Google and Hashtag.

So, let's not pick on baby names. But let's explore the name possibilities from social media:

  • Pinterest (nickname Pinny)
  • LinkIn (nickname Link)
  • Reddit (nickname Red)

What other names could you come up with that fit this category? (If you're looking for some more traditional baby names, I can help you there too.)

Related:

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Photo © Fotolia

A Baby Named Facebook originally appeared on About.com Pregnancy & Childbirth on Saturday, April 6th, 2013 at 11:14:29.

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Friday, April 5, 2013

About Pregnancy & Childbirth: Dealing with Pregnancy Insomnia

About Pregnancy & Childbirth
Pregnancy & Childbirth
Dealing with Pregnancy Insomnia
Apr 5th 2013, 04:31

Sleeping in Pregnancy

When you're pregnant and fatigue is a way of life, it can be down right cruel to be plagued with insomnia. Whether you have trouble falling asleep or trouble getting back to sleep in the middle of the night, there are a couple of things you can do to make it easier to fall asleep, rather than falling into some nasty habits.

  1. Be very leery of pulling out electronics. While it's temping to get on Facebook or Pinterest, rather than lulling you to sleep, your body becomes more stimulated by the light from the electronics.
  2. Don't toss and turn forever. If you're up and you can't get to sleep, consider something non-electronic to do for a bit. Consider reading a real book or magazine, or even writing a to do list.
  3. Some of the old wives tales like taking a warm bath and drinking warm milk may be helpful and are worth a try.
  4. Consider leaving your bedroom and laying down elsewhere. More than one mom-to-be has said that her fear of keeping her partner up was a huge factor in her physical discomfort. Sometimes it's okay to sleep on the couch.

What are your tips for dealing with insomnia in pregnancy?

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Photo © iStockPhoto

Dealing with Pregnancy Insomnia originally appeared on About.com Pregnancy & Childbirth on Friday, April 5th, 2013 at 04:31:40.

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