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Frequently Asked Questions:
Conception and Pregnancy
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| Q. |
I have had 2 miscarriages
in 15 months and possibly a 3rd, as I'm pregnant, now 6 weeks and
3 days, and was told in an ultrasound that it's 4 weeks and so far
no heartbeat. They also told me that I have a double uterus (bio???).
I have done some quick research on the internet and am not too
happy with what I've read. Is that the cause of miscarriages? Can
anything be done?
I already have a beautiful 2 year old girl and apart from some
early spotting everything went well with that pregnancy. So why
am I struggling to hold on to a pregnancy now!
Please help me!!!
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| A. |
I don't know how much information you
have been given about Bicornate Uteri so I will cover it quickly so
I can explain why you may be having miscarriages now after carrying
normally with your first baby.
A bicornate uterus is something that you are born with. There is
a division (septum) in the uterus dividing it into two halves. This
septum may be marginal giving the uterus a heart shaped appearance,
it may be complete, from top to bottom, ending with one cervix,(there
have been cases of women having two cervix,) or it may be partial,
which means it could be of any length.
The successful outcome of a pregnancy depends on where the embryo
implants and the placenta grows. If the embryo implants on the septum
it will result in a miscarriage because of the inadequate blood
supply. It is insufficient to support a pregnancy. Unfortunately,
there is no way of controlling the site of implantation but when
you do have a successful pregnancy, there is every reason to expect
to have another normal vaginal birth.
I understand the heartache and grief of the loss a baby but I hope
that by knowing why it is happening will lessen your heartache and
enable to keep trying.
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| Q. |
I am 16 weeks pregnant
and have been using a scalp lotion recently as my psoriasis has flared
up since being pregnant. When I ordered the lotion - I asked whether
it was OK to use when pregnant and was advised that it was fine. I
also queried my GP about the use of a scalp lotion and she said it
wouldn't be a problem, although she didn't see the bottle or ingredient
list.
I have checked with a pharmacist today who advised me that the lotion
has Vitamin A in it (listed as Retinyl Palmitate) and that I should
avoid this while pregnant. I am very concerned about this now as I
have already used it and as I have also checked the body moisturiser
that I have been using and this also lists Retinyl Palmitate as an
ingredient.
Should I be concerned about this? Would this have had in effects on
my baby? What should I do from here?
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| A. |
Vitamin A is contraindicated in pregnancy
in doses of 5,000 IU or above a day. The amount absorbed through the
skin from the lotions you are using is not likely to exceed that amount.
I do not believe you should be concerned or that your use of this
product will have any effect on your baby. If you are still uncomfortable
with using this product, ask your doctor to prescribe you an alternative
product that does not contain Retinyl Palmitate. Have you considered
consulting a homoeopath or herbalist about your psoriasis? |
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| Q. |
When I first found
out I was pregnant my doctor said according to my last menstrual period
(29april 2005) that my baby was calculated to be born on the 3rd February
of 2006
But when I went for my 18 week scan, they said the baby was due on
the 10th of February I was just wondering, which is the accurate date
for my baby to be born? |
| A. |
The expected date of birth is usually
calculated from the first day of the last period. Most midwives will
also take into account the length of a woman's cycle and adjust accordingly.
Ultrasounds rely on various measurements that are then assessed against
average measurement for various gestational ages. A predicted date
is given using this information. Unfortunately neither one of the
dates given will tell you when your baby will decide to make an appearance.
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| Q. |
Thank you firstly
for reading this.
I have just returned to work after having a curette due to what I
can gather was two blighted ovum. Can you please give me some information
on this and the chances of it occurring again? Is there anything that
I can do to stop this from happening again? I am a Physical Trainer
in the Navy and I eat well and look after myself. I don't smoke and
only have one or two drinks on a weekend occasionally.
Can you also give me advice on counselling or groups to help talk
about this sort of thing? Thanks again,
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| A. |
A blighted ovum (also known as "anembryonic
pregnancy") happens when a fertilized egg attaches itself to
the uterine wall, but the embryo does not develop. Cells develop to
form the pregnancy sac, but not the embryo itself. A blighted ovum
occurs within the first trimester. A pregnancy test will give a positive
result because the placenta will develop to a certain stage before
the pregnancy miscarries.
Unfortunately, in most cases, a blighted ovum cannot be prevented.
Fortunately, a blighted ovum is often a one time occurrence and
rarely will a women experience more than one. In order for your
hormones to return to balance, I would recommend that you wait at
least 1-3 regular menstrual cycles before trying to conceive again.
I have not been able to find any information on support groups
for early pregnancy loss. Your G.P. should be able to refer to an
appropriate counselling service. I wish you well in the future.
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| Q. |
I'm not sure if this
would be an appropriate question for your website or even if you can
help me. I'm trying to find out information in relation to irregular
menstrual cycles. If you are unable to answer, could you please direct
me to somewhere that might be able to give me some information? I'm
23 years old and my partner is 26.
We have been trying to get pregnant for about a year now and have
had no success. My partner has been tested and results came back normal.
My periods are quite irregular with some months being missed all together.
I've started on Serophene to regulate my periods but that is not working
either. The question I wanted to ask that might be a bit naive but
I'm just wanting to know if I'm regular in having a period for just
say a 2 month time frame, i.e. have a period each month is there just
as much chance to get pregnant between those times as it would be
if I was regular all the time? I just want to know if it is too difficult
to become regular is it still a possibility to get pregnant with irregular
cycles if you have your timing right. |
| A. |
It is possible to become pregnant with
irregular periods. It may be that you are not ovulating every cycle.
If you can learn to recognise your fertile period, it will help you
to become pregnant. This can be done by using a basal temperature
thermometer, (available from the chemist,) taking and charting your
temperature before you get out of bed in the morning. I believe there
will be a chart and instructions with the thermometer. A few thinks
can affect the accuracy of the temperature such as being unwell, having
a disturbed night. The other sign that would indicate you were fertile
is the quality of the vaginal mucus. It is quite slippery when you
are ovulating. You would probably need to speak to someone about this
to get it clear. There is a book called "A Cooperative Method
of Natural Birth Control" by Margaret Nofziger. Don't be put
off by the name as it gives a good explanation of how to tell when
you are ovulating. I have had the book for quite some time and am
not sure if it is still available. Have you considered trying acupuncture
to regulate your periods? I am sure that would be a great help in
getting pregnant. If you live in Sydney I would be happy to recommend
an acupuncturist who specialises in women's' issues.
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| Q. |
I am 5-6 weeks pregnant
and have been told that my implantation is quite low lying. Is this
dangerous? This is my first pregnancy and I want to have a healthy
child. Is there anything I can do to help?
Please email me back as I am very concerned about the possibility
of miscarriage due to a low-lying implantation? I don't want to
lose my baby.
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| A. |
There is every chance that the embryo
will move up as your pregnancy progresses. There are two parts to
the uterus. The upper segment and the lower segment. The lower segment,
where your fertilised ovum has implanted, is the area of the uterus
below the utero-vesical reflection of the peritoneum. The formation
of the lower segment starts at approximately 26 weeks and is not completed
until after 32 weeks. You may not see any significant changes on ultrasound
until the lower segment has had a chance to grow. I would caution
you not to subject the growing foetus to frequent ultrasounds for
two reasons. Firstly, it is not helping the baby to be constantly
bombarded with ultrasound and secondly you may be disappointed because
there does not seem to be any significant change. Give the baby a
chance to grow in the quiet solitude that is normal and check it again
later in your pregnancy. In the mean time keep yourself healthy and
look forward to a normal pregnancy and a wonderful birth |
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| Q. |
I am expecting twins in Jan 2005 and I am having problems finding
any correspondence relating to this either on the net or from books.
Do you have any suggestions? The only thing I can really find is
information on the Vanishing Twin Syndrome and that is making me
more nervous than anything.
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| A. |
You are past the time in your pregnancy
when the vanishing twin syndrome is of any concern. This is something
that will happen early in the pregnancy if it is going to happen at
all. Below I have listed some web addresses that may be of interest
to you.
http://www.pregnancymd.org/multiple-birth.htm
http://www.twinsmagazine.com
(an American online magazine)
http://www.twins.org.au
(an Australian site)
http://www.usyd.edu.au/su/sutton/twin1.html
http://www.amba.org.au
(Australian Multiple Birth Association)
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| Q. |
Thankyou so much
for your return email. The midwife I've been seeing said it can happen
up to 20 weeks with little or no signs or symptoms. As I have not
been feeling movement (I think) this is constantly been on my mind.
This is my 2nd pregnancy and some say that you should feel movement
by this time. I had an Ultrasound done at -6 weeks and then again
at 7 weeks and what they could see looked ok. At my 14 week clinic
visit the midwife tried to hear their heartbeats but what she could
hear she said was the placenta. When I had the ultrasound they told
me I was 7 weeks pregnant going from measurements. Is that from gestation
or my LMP?
Sorry for so many questions but thankyou kindly for your help.
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| A. |
You have not said what the midwife was
using to listen to the babies heart beats but it is a little difficult
to hear them at 14 weeks with a hand held Doppler. You have mentioned
that they are due in January so that means you are somewhere between
15 1/2 and 19 1/2 weeks pregnant. Depending on your body mass, it
is possible that you will not feel them move until about 20 weeks.
If you were slightly built then I would expect that you could feel
them move sooner. The heartbeats can be more reliably differentiated
at about 20 weeks. The due date is calculated from the first day of
your last period. It is done this way because the average woman is
more certain of that date than the possible date of conception. The
length of pregnancy takes into account the two weeks between the date
of the last period and conception working on the average of a 28 day
cycle. I would urge to trust your body to do the job it was designed
to do and enjoy your pregnancy. Focus on eating well, keeping yourself
fit and healthy and look forward to holding your beautiful babies
in your arms. |
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| Q. |
Last year I had a
miscarriage and didn't find out until I went for the 12 week ultrasound.
It had died at 9 weeks. I hadn't planned this baby but was getting
used to the idea and starting to look forward to it and the miscarriage
came as a bit of a shock. I have a beautiful 2yr old daughter (at
the time she was about 18mths). My daughter was planned and my husband
and I had quit smoking 6mths before we conceived and were on a cleansing
diet etc. I had the perfect pregnancy with her -no morning sickness
or any other complications. When she was born I got mastitis 4 times
and tried everything to reduce my milk and that's when I started smoking
again, because I'd heard it reduces milk production (as well as drinking
coffee). Anyway, I was smoking when I conceived again and wanted to
know what effects smoking has on reproductive organs and a newly developing
foetus. Recently, I thought I was pregnant again and was very happy
but also still smoking. As it turns out
I had a blighted ovum. I wanted to know if smoking could have caused
the dud egg and any other possible causes.
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| A. |
Please let me assure you that there is
no proven connection between blighted ovum and smoking. A blighted
ovum is a fertilised egg that fails to develop for unknown reasons.
If you have ever had the experience of growing bean sprouts you will
have noticed that there are usually some that simply do not sprout
in spite of the conditions (moisture, temperature,) being the same
for all. This is the same with pregnancy and as mentioned earlier
the reasons are not known. The problem could be with the ovum, the
sperm or simply the timing of the conception that does not allow it
to develop completely.
Use of nicotine and caffeine are not the most appropriate treatments
for mastitis. Hopefully the next time you are breast feeding you will
be able to get better advice to manage the problem. In answer to your
question on the effects of smoking when pregnant, I have copied the
following except from a medical web site: http://www.eumom.com/uk/new/index.asp
"Nicotine exposure in the womb
Maternal smoking during pregnancy is a recognised risk factor for
sudden foetal and infant death as well as respiratory disease in childhood.
Now a new study indicates that nicotine on its own also affects organ
development in the foetus. This is an important finding as nicotine
replacement therapy in the form of patches and inhalers is often recommended
to pregnant women trying to give up smoking.
The study, published in the American Journal of Respiratory and Critical
Care Medicine, looked at the effects of foetal exposure to nicotine
on the lung function of young lambs. The lambs were exposed to a similar
amount of nicotine to that of a human foetus whose mother smoked moderately.
Researchers compared the lung function of nine lambs which had been
exposed to nicotine in the womb with that of 12 non-exposed lambs.
The animals' lung functions were tested repeatedly for five weeks
after birth.
The nicotine exposed lambs had a significantly different breathing
pattern to the control group. At five days and 21 days after birth
the nicotine exposed lambs had lower tidal volumes (amount of air
in and out of the lungs during normal breathing) and higher respiratory
rates than the control group. The effects at five days were more pronounced
than at 21 days.
Dr. Hakan Sundell and colleagues from the Department of Paediatrics
at Vanderbilt University School of Medicine in Nashville, Tennessee,
concluded that prenatal nicotine exposure appeared to have long-term
effects on the postnatal breathing pattern, suggesting altered lung
function and that, while the changes were most marked close to birth,
they persisted during the initial postnatal period."
I hope you find this information useful and I wish you well with your
future pregnancies and children.
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| Q. |
This may not be your
area but I was searching the net for information and came across your
site.
I have PCOS and have had a baby on clomid. I don't ovulate naturally
at all except since I have had my baby I do ovulate but irregularly
so I have been using an ovulation kit to determine when I am ovulating.
We were told to abstain from sex before I ovulate because this would
help. Do you know how long you can abstain for before the sperm is
too old? If there is such a thing as old sperm.
Hope you can help or direct me in the right direction. |
| A. |
I would agree with the advice that you have been given. Sperm will
stay healthy and vital for as long as necessary. Abstaining until
ovulation is a way of increasing the total volume of sperm. It may
sound silly because it only take one sperm to fertilize the egg
but it is a fact that the higher the sperm count in a man's ejaculate
the more likely a pregnancy will result. The best way to increase
the sperm count is to abstain. It does take the spontaneity out
of the physical intimacy and can be a cause of nervous anxiety but
try to think of it as saving a good wine for a special occasion.
In your situation, you are celebrating a positive result from the
ovulation kit. I wish you all the best and hope you have all the
children that you want.
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| Q. |
I am 6 1/2 weeks
pregnant. I have read several places on the Internet that hot baths
and spas may not be good for pregnant women due to overheating. How
hot is too hot? We have a spa which is 38 degrees Celsius. Is that
too hot?
Also, can ginger essential oil be used as aromatherapy in a bath?
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| A. |
There has been a lot of concern about
the use of heat in pregnancy since the use of the American style "hot
tub" came into common usage. The general discussion has been
that it is probably not appropriate for women to subject themselves
to excessive heat during the first 10 to 12 weeks of pregnancy. This
advice is has been cautionary rather than based on any scientific
evidence until recently. One fact that is known to medical science
is that if a woman suffers a high body temperature due to a fever
in the first weeks of her pregnancy, there is an increased risk of
miscarriage or physical problems for the developing baby. A study
by Dr De Kun Li, published in the American Journal of Epidemiology,
has indicated that there may be a link between the use of hot tubs,
which are usually heated to between 110 and 120 Fahrenheit (43 - 49C),
and miscarriage . He puts the risk at 2.7 times. The study is inconclusive
due to the considered bias of the study group and other causative
factors. If you are using a spa at 38C, it is below the level considered
inadvisable for early pregnancy so the decision to continue to use
it would be up to you. The use of Ginger is frequently recommended
in in early pregnancy to control nausea so I would suggest that the
essential oil could be used quite safely as aromatherapy. |
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| Q. |
I was just wondering if you offer some advice of the following
situation. My gyno recommended that in addition to doing a basal
temp check and recording mucus changes that I should also try and
monitor the changes in the position of my cervix in order to determine
if I am ovulating properly. I am currently at day 21 of my cycle
and have noticed that my cervix is quite far down in my vagina,
where as last week it was quite high, I have never notice this before
and was wondering if you could tell me why this is. On day 3 of
this cycle I did have a D and C and a Lap done. Could this be a
sign that my period is coming? Also can you tell if you've conceived
from the position of you cervix.
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| A. |
The level of oestrogen increases just
before ovulation and this is what causes the cervix to rise. The cervix
is at its highest when you are most fertile. The consistency of the
cervix will chance during your cycle. When you are in the pre and
post fertile part of your cycle the cervix is low and firm, similar
to the feel of the tip of your nose. During your fertile phase the
cervix is high and has a consistency similar to the feel of your lips.
What you have described seems to be consistent with being post fertile.
If you normally have a 28 day cycle then you should expect your period
in a week or so. After conception the cervix will return to its normal
post fertile position. |
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| Q. |
I have a question
regarding Toxoplasmosis.
My cat had Toxoplasmosis and I fear it may be in the Garden.
Unfortunately, my cat passed on from the disease and now I have
a new Kitten. I don't want my new kitten to contract the Toxoplasmosis,
so how do I know if it has gone from the Garden.
Does it take a certain amount of time? Alternatively, are there
chemicals to treat the garden, OR are there any tests to see if
it still exists in the garden?
Please help. I have tried looking for the answers with no success.
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| A. |
I have cut and pasted the following information that I believe
addresses your question. The simple answer is that the parasite
will last for up to 18 months in the soil. What it does not say
is how you can treat the soil to remove it. You may want to address
this question to a vet or a gardening expert.
"The life cycle of T gondii is quite complex and involves two
types of host: definitive and intermediate. Wild and domestic felids,
including the domestic cat, are the definitive host for T gondii,
which means that the organism can only produce oocysts ('eggs')
when infecting a cat. Kittens can be infected in utero and by suckling
their mother's milk but this is uncommon, and most cats are infected
by eating meat containing T gondii cysts - this can include raw
or inadequately cooked meat (e.g. beef, lamb, pork) or, more commonly,
prey species (e.g. voles, mice). A few days after a cat has been
infected for the first time it will start to shed millions of oocysts
('eggs') in its faeces. The oocysts are only shed for a short period
of time, typically less than 14 days, before the body's immune response
stops oocyst production altogether. Although infected cats can start
shedding oocysts again in the future, this is rare and when it does
occur it usually results in a much smaller number of oocysts being
shed. Even cats that are frequently re-exposed to T gondii probably
rarely shed large numbers of oocysts after their first infection
(Lappin 2001). Experimental studies have shown that drug therapy
to profoundly suppress the cat's immune system is rarely effective
in triggering re-shedding (Dubey and Lappin 1998).
Other animals, including humans, are intermediate hosts of T gondii.
These hosts can become infected but do not produce oocysts. Oocysts
passed in a cat's faeces are not immediately infectious to other
animals and must first go through a process called sporulation that
takes between 1 and 5 days, depending on the environmental conditions.
Once sporulated, oocysts are infectious to cats, people and other
intermediate hosts and can survive in the soil or water for prolonged
periods (up to 18 months) even in extreme weather conditions. Intermediate
hosts become infected through ingestion of sporulated oocysts, and
this infection results in formation of tissue cysts (bradyzoites)
in various tissues of the body. Tissue cysts remain in the host
for life and are infectious to cats, people and other intermediate
hosts if eaten. Dogs (and perhaps other animals) can also transport
sporulated (infective) oocysts and spread these to other places
if they eat the oocysts and then pass them in their faeces where
they remain infective."
If you would like to read the full article go to http://www.fabcats.org/toxo.html
another very interesting article can be found on http://gsbs.utmb.edu/microbook/ch084.htm
although it may be a little more than you wanted to know.
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