Lugolya during pregnancy

You are probably here because you had unprotected sex while you were still having your period. You thought it was a “safe” time, but now you are concerned about the possibility of getting pregnant. While you can get pregnant at that time, it isn’t likely. It all depends on how your cycle works.

How You Get Pregnant – The Bare Bones Basics

It is surprising how many women do not fully understand the mechanics of getting pregnant. For the majority of women, their menstrual cycles are 28 days long. Menstrual bleeding is only the beginning of the full cycle. Finding out how long your cycle is, is easy.  All you need to do is count the days between when two previous periods started.   Most women have cycles that are between 23 – 35 days long. Having unprotected sex around the time you are ovulating can result in you getting pregnant.  For women with a 28 day cycle, ovulation usually happens around day 14 or two weeks before your next period starts. The possibility of getting pregnant is present if you have sex during days 11 to 15 of your cycle.

Let’s take a look at what really happens in a woman’s body. At ovulation, an egg is released into the fallopian tubes. This happens at about 14 days after a woman’s period starts. The egg travels to the uterus (or womb), and can be fertilized anywhere along the route. The life of an unfertilized egg in the womb is a short one and in the absence of sperm will begin the process that leads to menstruation.

If You Have a 28 Day Cycle

The chances of getting pregnant during your period are very small if you have a 28 day cycle. If you aren’t sure how long your cycle actually is, you can calculate the length if you know when your period started during the last two months.  As long as you have normal 4 to 7 day menstrual bleed, you should not be fertile during that time.

Having Sex During Your Period Can Result In Pregnancy IF…

While uncommon, it is possible to get pregnant from having sex during your period. Cycle length and how long the menstrual bleeding lasts can play a part in an unexpected pregnancy. It all comes down to a numbers game. Women usually will ovulate about 14 days before their next period starts.

If your cycle is shorter in length than 28 days, there could be an increased chance of getting pregnant from having sex during your period.

For example, let’s say your cycle lasts 25 days instead of 28 days and your period bleeding lasts for 6 days. Healthy sperm can survive up to 5 days after ejaculation in the woman’s reproductive system. If ovulation occurs 14 days before your period is due, it would occur on day 11 of your cycle. If you had sex on day 6 of your period bleeding, the sperm could potentially survive until day 11, ovulation day. Having the sperm present and waiting at the time of ovulation could most definitely end up in a pregnancy.

Another time when you could get pregnant from period sex is when you have irregular cycles. When a female is in the early and late years of menstruation, her cycle often varies from month to month as well. Any one of these reasons, combined with unprotected sex, makes it possible for a woman to get pregnant during her period.

Sources:

Length and variation in the menstrual cycle–a cross-sectional study from a Danish county. Münster K, Schmidt L, Helm P

Br J Obstet Gynaecol. 1992 May;99(5):422-9.

www.babyhopes.com

A Baby Infected at Birth Can Have Complications

Herpes simplex virus (HSV) infection is very common in women of childbearing age. During pregnancy, the major problem if you have a HSV infection is transmission to the baby at birth. A newborn baby infected at time of birth can result in serious complications.

Herpes simplex virus type 1 (HSV-1) and herpes simplex virus type 2 (HSV-2) are common infections and; both can cause genital sores. The sores are usually open, multiple and appear as blisters.

The herpes simplex virus is passed from person to person by vaginal, oral, or anal sex. Many people who have herpes do not know that they are infected with the virus because they do not have any symptoms. But other people can develop symptoms within a few weeks of being infected with the herpes virus. The blisters can become painful open sores which then crust over as they heal.

In people with herpes, symptoms usually go away and come back. A return of symptoms is called an “outbreak that is recurrent”. In most people, the first outbreak is the worst and can last as long as 14 to 21 days. Outbreaks that happen later (recurrent herpes) are usually not as severe and do not last as long.

Outbreaks might occur every few weeks, or just once or twice a year. Certain things, called “triggers”, can make outbreaks more likely to occur. These include stress, sunlight, menstrual periods, or getting sick.

Pregnancy and HSV Infection

Pregnant women who acquire herpes for the first time during their pregnancy and have their first or primary outbreak of genital herpes around their due date are at an increased risk of having their newborn baby acquire the infection. Careful planning between you and your healthcare team can reduce the possible exposure for your baby to the virus.

Since herpes infection for the newborn baby is a very serious problem, all pregnant women should let their doctor know that they have a history of herpes infection. While rare the transmission from mother to your baby can happen if you have a recurrent sore at the time of delivery.

Because of this, antiviral treatment with acyclovir is often recommended for all pregnant women with one or more recurrences sores during pregnancy. A caesarean birth is usually recommended if you experience an outbreak of symptoms at the time of labor.

Pregnant women with no history of genital herpes, but whose partner has a history of cold sores (generally HSV type 1) or genital herpes (generally HSV type 2) should avoid oral, vaginal, and anal sex during the last trimester of pregnancy. Condoms are recommended during the entire pregnancy.

Management of Pregnant Women with Herpes Simplex Virus (HSV)

Treatment for pregnant women with primary or first episode genital infection should always be offered during pregnancy. This is because the treatment of herpes during pregnancy decreases the risk of the severity and duration of symptoms for mom and decreases the risk of infecting your newborn at birth.

Treatment may also be indicated for pregnant women that have recurrent infections to give relief of the symptoms associated with a herpes sore. Suppressive antiviral therapy for all recurrent infections should begin at 36 weeks of pregnancy to reduce the risk of lesions at the time of delivery.

Safety of Antiviral Drugs in Pregnancy

The main antiviral medication used to suppress herpes in pregnancy is acyclovir. Acyclovir during pregnancy is safe, including its use in the first trimester. Acyclovir can be used at any week of pregnancy.

Treatment of a Primary or First Genital Infection

Even though a newly acquired genital HSV sore will go away on its own, in pregnancy we recommend antiviral treatment with acyclovir (400 mg orally three times daily for 7 to 10 days) to reduce the duration of active lesions and viral shedding. For pain control, analgesia with acetaminophen can be considered along with xylocaine 2% topical jelly.

Treatment Options for Recurrent Herpes Infection

Treatment of recurrent herpes outbreaks in pregnancy are short lived and do not require treatment before 35 weeks of pregnancy. Thus many physicians do not treat the recurrence unless it is after 35 weeks.

Treatment to Suppress a Herpes Outbreak at the Time of Delivery

In both primary and recurrent herpes suppressive therapy is started at 36 weeks of pregnancy and continued to delivery. This will reduce the frequency of HSV outbreaks, decrease the chance of a recurrence at the onset of labor, and decrease the need for cesarean birth.

Suppressive therapy will also significantly reduce the risk of asymptomatic viral shedding at the time of birth. That is treatment with acyclovir will decrease viral shedding even if you do not have an active sore, thus decreasing your baby to exposure of the virus.

Treatment Recommendations by ACOG

American College of Obstetricians and Gynecologists (ACOG) recommends that “suppressive antiviral therapy be offered at 36 weeks of gestation through delivery for all women with a history of genital HSV to reduce the risk of recurrence at term, and thus the risk of cesarean delivery.”

There are three safe antiviral medications (acyclovir, famciclovir, valacyclovir), the oldest treatment and greatest clinical experience has been with acyclovir, dosed at 400 mg orally three times daily from 36 weeks of pregnancy until delivery.

Monitoring Mom with HSV during Pregnancy

The drug of choice to treat herpes in pregnancy, Acyclovir, is generally well-tolerated and does not require any special monitoring for you and your baby.

Weekly herpes cultures or polymerase chain reaction (PCR) testing for herpes during pregnancy are not recommended, as they do not predict shedding at the time of delivery. Maternal HSV is not an indication for antepartum fetal monitoring since the fetus and placenta are typically not infected.

Herpes Infection and Childbirth

The most serious complication of herpes in pregnancy is the transmission of the virus to the baby during delivery. The neonatal infection is due to contact with the virus shed from the area around the vagina as well as from the cervix. Cesarean birth does prevent the transmission to the baby and is recommended when an active sore in the genital area is present.

All women with a history of herpes when they present to the hospital to give birth should be asked if they have any prodromal symptoms of a sore starting and examined for herpes. If an active sore is found or if you have the typical prodromal symptoms such as, pain or burning, then a cesarean birth should be offered immediately with labor onset.

If your first herpes infection is during the last weeks of pregnancy, the best management is uncertain in the absence of active genital sores because viral shedding can be prolonged with the first outbreak. Most physicians will recommend cesarean birth for all women who develop herpes for the first time in the last part of their pregnancy, regardless if an active sore is present or not. The recommended cesarean birth is performed to avoid transmission to the newborn baby.

Cesarean birth is not recommended for women with recurrent HSV that do not have an active sore. This is because the risk to the baby is very low.

Cesarean birth is also not recommended for pregnant women that have an active sore, but not around the genital area. The sores on the back, buttock, and thigh should be covered with an occlusive dressing.

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www.womenshealthcaretopics.com
By huyensau – February 5, 2015 9:00 AM –

When pregnant, people need to add suitable vitamin to their body to ensure the development of baby inside and fruits are obviously sources of various types of vitamin. However, be careful! Not all fruits are good for pregnant time. Some fruits if provided for your body every day may cause high risk of miscarriage.

In this article, Toplisttips would like to introduce 6 fruits that pregnant women should avoid to ensure the health of both mom and baby. Be a smart mother by stop eating these following fruits during pregnant period:

  • Read: 5 Neccessary Foods to Eat on The First Month of Pregnancy
  • Read: 7 Essential Foods to Eat during First Trimester of Pregnancy

6. Pineapple

Eating pineapple during pregnancy is not good so resist yourself from consuming pineapple during pregnancy. Pineapples are rich in bromelain, which can cause the softening of the cervix leading to early labour. One can have pineapple in moderate quantities as it will have no effect on labor and delivery, however, its intake should be restricted during the first trimester to avoid any unforeseen event such as softening of the cervix. For this reason Pineapple is in list of foods to avoid during pregnancy. A lot of women opine that drinking lots of pineapple juice can help them achieve labor. So you must stop yourself and your dear ones from eating pineapple while pregnant.

5. Grapes

Medical professionals suggest that pregnant women should avoid eating grapes especially in the last trimester due to their heat content. In fact, raisins, which are dried grapes, have also been labelled as foods to avoid during pregnancy. The main bone of contention is the high amounts of resveratrol present in grapes. This chemical can cause toxicity fir the expectant mother.

The excessive heat in the stomach can lead to loose motions and diarrhea in pregnant women which is a dangerous condition because it causes loss of fluids in their body.

Sour grapes are acidic and especially can cause problems for pregnant women who are anyways more prone to heartburns. This acidity caused by eating too many grapes might lead to nausea and vomiting.

In addition, the high amounts of resveratrol in grapes can cause toxicity in hormonally imbalanced pregnant women. It can lead to severe complications though, this condition occurs only if the pregger woman eats too many grapes. For these above mentioned reasons, grapes are in list of fruits to avoid during pregnancy.

4. Unripe papays

If you are pregnant or trying to become pregnant, avoid eating unripe papaya. Papaya that is unripe contains a latex substance that may cause contractions of the uterus. Papaya or papaya enzymes are sometimes recommended for soothing indigestion, which is common during pregnancy.

The papaya enzyme that helps soothe indigestion is called papain, or vegetable pepsin. Papain is found in the fruit’s latex and leaves. Unripe papaya latex may act like prostaglandin and oxytocin, which the body makes to start labor. Synthetic prostaglandin and oxytocin are commonly used to start or strengthen labor contractions. Therefore, raw/ unripe papaya is listed as fruits to avoid during pregnancy.

However, a well-ripened papaya has nutrients that help prevent and control constipation and heartburn for pregnant women. So you can include it in your diet in moderate amounts.

3. Peach

Peach contains the plentiful content of Fe. Moreover, it is also rich in protein, sugar, zinc, pectin… However, peach is a kind of fruit that has hot feature. If pregnant women eat this fruit, they will have the risk of bleeding. In addition, hair of peach can cause effect to throat, and as a result, pregnant women easily have allergy, raspy throat. So, pregnant women should pay attention not to eat a lot of peaches, especially they should peel before eating to avoid hair of peach.

2. Longan

According to oriental medicine, longan has sweet taste. It is very useful, helps you tranquillize. Many people like longan; however, pregnant women shouldn’t eat this kind of fruit a lot. The reason is that pregnant women often have inside hot phenomenon, fetal derangement, bleed and have bellyache, have pain in low belly. It can even cause harm for fetus and lead to miscarriage

1. Plum

Plum contains a lot of carotene and when this substance goes into body, it will convert into vitamin A that is very good for eyes. In addition, plum’s pip also contains a lot of necessary nutrients for the body such as protein, fat, phosphor, Fe, potassium… that have effect on detoxifying.

However, pregnant women shouldn’t overuse this kind of fruit because plum has hot feature. If pregnant women eat a lot, it will make their body hot and as a result, they can easily break out in the rash, have spot. It isn’t good for health of mothers and babies.

Above are fruits to avoid during pregnancy. You should not try to eat them in pregnancy period in order to prevent unwanted effects for your baby. 

You may also like these following articles:

  • 5 Neccessary Foods to Eat on The First Month of Pregnancy

  • 7 Essential Foods to Eat during First Trimester of Pregnancy

  • 4 Books Worth Reading to Prepare for Pregnancy 
  • Top 100 Most Popular Baby Boy Names Of 2014

  • Top 100 Most Popular Baby Girl Names Of 2014

  • 6 Powerful Foods to Eat to Conceive a Boy

  • Power Foods to Eat to Conceive a Girl

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