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	<title>Pregnancy Week by Week &#187; Pregnancy</title>
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	<link>http://www.pregnancyweekbyweek.co.za</link>
	<description>Your Online Pregnancy Guide</description>
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		<title>Is it safe to paint or be around paint fumes during pregnancy?</title>
		<link>http://www.pregnancyweekbyweek.co.za/2011/12/is-it-safe-to-paint-or-be-around-paint-fumes-during-pregnancy/</link>
		<comments>http://www.pregnancyweekbyweek.co.za/2011/12/is-it-safe-to-paint-or-be-around-paint-fumes-during-pregnancy/#comments</comments>
		<pubDate>Wed, 14 Dec 2011 07:05:46 +0000</pubDate>
		<dc:creator>Kate</dc:creator>
				<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[Your Wellbeing]]></category>
		<category><![CDATA[paint fumes]]></category>
		<category><![CDATA[paint fumes during pregnancy]]></category>

		<guid isPermaLink="false">http://www.pregnancyweekbyweek.co.za/?p=4615</guid>
		<description><![CDATA[Painting during pregnancy is not recommended, because the exact effects of the paint fumes are not yet well-understood. Latex or acrylic paints aren&#8217;t made using solvents, and for this reason, they are generally considered safe if the area is ventilated thoroughly. Oil-based paints, on the other hand, contain harsh solvents and require chemicals for clean-up. [...]]]></description>
			<content:encoded><![CDATA[<p>Painting during pregnancy is not recommended, because the exact effects of the paint fumes are not yet well-understood.</p>
<p>Latex or acrylic paints aren&#8217;t made using solvents, and for this reason, they are generally considered safe if the area is ventilated thoroughly. Oil-based paints, on the other hand, contain harsh solvents and require chemicals for clean-up. They are not recommended for use by women who are expecting.</p>
<p><strong>Latex (or acrylic) paint</strong></p>
<p>This is the most common type of paint. It doesn&#8217;t contain solvents, can be cleaned up with soap and water, and is generally considered safe to use and be around while you&#8217;re pregnant as long as the area is well ventilated.</p>
<p><strong>Oil-based paint</strong></p>
<p>Oil-based paint contains solvents and requires turpentine or mineral spirits for clean-up. Some studies over the years have shown that exposure to solvents may increase the risk of having a miscarriage so using oil-based paint or being around the fumes during pregnancy is generally not recommended.</p>
<p><strong>Lead paint</strong></p>
<p>Lead based paint was commonly used prior to the 1970’s. Pregnant women should avoid removing old paint because of the risk of lead exposure. Exposure to lead paint increases the likelihood of lead poisoning and mental retardation. Scraping or sanding any kind of old paint, or being in a place while scraping or sanding is taking place, should be avoided.</p>
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		<title>Common skin changes during pregnancy</title>
		<link>http://www.pregnancyweekbyweek.co.za/2011/09/common-skin-changes-during-pregnancy/</link>
		<comments>http://www.pregnancyweekbyweek.co.za/2011/09/common-skin-changes-during-pregnancy/#comments</comments>
		<pubDate>Thu, 01 Sep 2011 08:33:25 +0000</pubDate>
		<dc:creator>Kate</dc:creator>
				<category><![CDATA[Body Matters]]></category>
		<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[Featured]]></category>
		<category><![CDATA[Pregnancy skin changes]]></category>
		<category><![CDATA[revive skin]]></category>

		<guid isPermaLink="false">http://www.pregnancyweekbyweek.co.za/?p=4361</guid>
		<description><![CDATA[A growing tummy is probably the best known change that occurs during pregnancy. But while many women experience this time in their lives as pure bliss, many others have to deal with a number of changes which are not so welcome. While there are a variety of changes that occur during pregnancy, some of the [...]]]></description>
			<content:encoded><![CDATA[<p>A growing tummy is probably the best known change that occurs during pregnancy. But while many women experience this time in their lives as pure bliss, many others have to deal with a number of changes which are not so welcome.</p>
<p>While there are a variety of changes that occur during pregnancy, some of the most significant are skin changes. To name but a few, some pregnant women have to deal with <strong>acne, melasma, dry skin, stretch marks and PUPP.</strong></p>
<p>During the <strong>first trimester</strong> of pregnancy, the increase in hormone levels tend to be the highest, thus resulting in more <strong>acne </strong>during this phase. At least breakouts tend to disappear after giving birth! It is important for pregnant women to avoid cleansers which are formulated for acne. These often contain Salicylic Acid and other ingredients which are not recommended during pregnancy. One should rather aim merely to keep skin clean and follow a healthy diet.</p>
<p>The second condition, <strong>melasma</strong>, is a common concern and it is characterized by dark spots on the forehead, nose, upper cheeks and lips. It is also known as the <strong>mask of pregnancy.</strong> The precise cause is unknown, but it is believed that excess hormones during pregnancy may stimulate pigment-producing cells, which produce more melanin. Fortunately, it is typically just a cosmetic concern and not a health issue. The sun causes melasma to worsen, so it is important to use an SPF 15 or higher daily. Pregnant women should avoid products with “lightening” ingredients, especially those containing Hydroquinone and Vitamin A. Fortunately, melasma often gets better after giving birth and one can also try chemical peels, Lactic Acid products or laser treatments to help clear up the marks after breast feeding.</p>
<p>Another common pregnancy problem entails dry,<strong> itchy skin.</strong> This is caused by the skin expanding beyond its normal capacity or by hormonal changes which deprive the skin of oils and elasticity. One should use non-soap cleansers on the face and body to avoid stripping the skin of any more moisture. Remember, proper moisturising is a must!</p>
<p><em> </em></p>
<p>If a woman experiences excessive itching late during her pregnancy, possibly accompanied by nausea, vomiting, loss of appetite, fatigue and possibly jaundice, she should contact a doctor. It could be a sign of cholestasis, which is related to the function of the liver.</p>
<p><strong>Pruritic urticarial papules and plagues (PUPP)</strong> is an outbreak of pale red bumps on the skin. PUPP occurs in about one in every 150 pregnancies. These bumps could be itchy, may burn or even sting. Luckily, this too usually clears up after pregnancy. Treatment for PUPP may consist of oral antihistamines, topical antihistamines, some steroids and other medications such as moisturizers and antibiotics.</p>
<p><strong>Stretch marks</strong> are another very common skin problem during pregnancy. These are either the result of skin not “bouncing back” to its original state after rapid growth, or it could be caused by glucocorticoids. Glucocorticoids are hormones which break down the skin supporting materials in the dermis. Pregnancy causes glucocorticoids to circulate in higher concentrations, and thus, pregnant women experience more stretch marks. Genetics play a major role in determining the severity. It is generally recommended to only treat stretch marks after pregnancy as many treatments penetrate the skin and could lead to birth defects. After breast feeding, vitamin A creams, anti-stretch creams and laser treatments are great options to try out.</p>
<p>According to Karina Els, Skin Therapist and Managing Director of Revive Skin Lounge, one of the most important things is to use sunscreen. “I cannot stress the importance of sunscreen enough!” she says. “Sunscreen must be at the top of the list.”</p>
<p>Also, a gentle, non-abrasive exfoliator can be used once or twice a week to aid the sloughing off of dead skin cells and to assist with skin product absorption.</p>
<p>This article is courtesy of Revive skin lounge. For more information visit them at <a href="http://" target="_blank">www.reviveskin.co.za.</a></p>
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		<title>Amniocentesis</title>
		<link>http://www.pregnancyweekbyweek.co.za/2011/05/amniocentesis/</link>
		<comments>http://www.pregnancyweekbyweek.co.za/2011/05/amniocentesis/#comments</comments>
		<pubDate>Thu, 05 May 2011 10:00:01 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[Prenatal Care]]></category>
		<category><![CDATA[Amniocentesis]]></category>
		<category><![CDATA[Featured]]></category>
		<category><![CDATA[Prenatal care]]></category>
		<category><![CDATA[prenatal test]]></category>

		<guid isPermaLink="false">http://www.pregnancyweekbyweek.co.za/?p=3865</guid>
		<description><![CDATA[Expecting a baby is thrilling. There are so many moments to look forward to: the birth, the first smile, first tooth, first steps... But, as wonderful as pregnancy may be, there is certainly a serious side to it.
In the past, the expectant mother would go through her pregnancy unaided and, to a large degree, unchecked. This “wait and see” approach obviously had its drawbacks, with things often going awry during the 9-month wait or during the birth itself. Fortunately, huge medical advancements have been made since then, and pregnant women have never before had access to better prenatal care than they do right now. As a result of this progress, there has been an increase in prenatal diagnostic testing. One of these tests is a procedure known as amniocentesis. You’ve probably heard about this test already, but - if you’re anything like us - you probably still have an impressive list of questions.]]></description>
			<content:encoded><![CDATA[<p><span style="color: #3095c9;"><strong>A Definite prenatal test. </strong></span></p>
<p>Expecting a baby is thrilling. There are so many moments to look forward to: the birth, the first smile, first tooth, first steps&#8230; But, as wonderful as pregnancy may be, there is certainly a serious side to it.</p>
<p>In the past, the expectant mother would go through her pregnancy unaided and, to a large degree, unchecked. This “wait and see” approach obviously had its drawbacks, with things often going awry during the 9-month wait or during the birth itself.</p>
<p>Fortunately, huge medical advancements have been made since then, and pregnant women have never before had access to better <strong>prenatal care</strong> than they do right now.</p>
<p>As a result of this progress, there has been an increase in prenatal diagnostic testing. One of these tests is a procedure known as <strong>amniocentesis</strong>. You’ve probably heard about this test already, but &#8211; if you’re anything like us &#8211; you probably still have an impressive list of questions.</p>
<p>To put you in the picture, we’ve answered the <strong>10 most common questions about amniocentesis</strong>.</p>
<p><span style="color: #6dab40;"><strong>1. What is amniocentesis?</strong></span></p>
<p>Amniocentesis is a specialized diagnostic procedure done during pregnancy whereby <strong>amniotic fluid</strong> is removed from the uterus and then tested for specific abnormalities that the baby may have. The procedure is also sometimes done to determine whether or not the foetus’s lungs are developed enough for birth. It also identifies the baby’s gender.</p>
<p>The procedure has an accuracy level of around 99.4% and is considered to be one of the most reliable prenatal tests available.</p>
<p><span style="color: #6dab40;"><strong>2. What are the problems that an amniocentesis can detect?</strong></span></p>
<p>The procedure can identify hundreds of defects, problems and genetic disorders, including:</p>
<p>-          Down’s syndrome</p>
<p>-          Sickle cell disease</p>
<p>-          Cystic fibrosis</p>
<p>-          Muscular dystrophy</p>
<p>-          Edwards’ syndrome</p>
<p>-          Spina bifida</p>
<p>-          Rhesus incompatibility</p>
<p>-          Infection</p>
<p><span style="color: #6dab40;"><strong>3. Who should have an amniocentesis?</strong></span></p>
<p>Specialists advise that you have an amniocentesis if:</p>
<p>-          You’re 35 or older</p>
<p>-          You’ve had abnormal results from other prenatal screening tests</p>
<p>-          Previous babies had chromosomal abnormalities or other defects</p>
<p>-          You have a family history of genetic disorders</p>
<p>-          You or the baby’s father is a carrier of any genetic disorders</p>
<p>-          Infection is suspected in mom or baby</p>
<p>-          It’s necessary to identify severity of amnesia should the foetus have Rh disease</p>
<p>-          Your doctor advises decreasing the volume of amniotic fluid</p>
<p>-          It’s necessary to determine whether the baby’s lungs are mature enough for birth</p>
<p><strong> </strong></p>
<p><strong> </strong></p>
<p><span style="color: #6dab40;"><strong>4. What are the risks?</strong></span></p>
<p>Because amniocentesis is an invasive procedure, there are risks, although these are low.</p>
<p>Current research shows that miscarriage occurs in less than 1% of women.</p>
<p>Other risks include:</p>
<p>-          Cramping</p>
<p>-          Vaginal bleeding</p>
<p>-          Preterm labour</p>
<p>-          Needle injury to baby</p>
<p>-          Leaking of amniotic fluid</p>
<p>-          Infection</p>
<p>-          Infection transmission</p>
<p><span style="color: #6dab40;"><strong>5. How is amniocentesis performed?</strong></span></p>
<p>The procedure is performed on an outpatient basis, lying still on your back with a full bladder.</p>
<p>Generally, a local anaesthetic isn’t necessary, but may given.</p>
<p>These are the steps your doctor will follow:</p>
<p>-          Baby’s position will be detected with ultrasound</p>
<p>-          Antiseptic is applied to clean your abdomen</p>
<p>-          A thin, hollow needle is inserted into the uterus via the abdominal wall</p>
<p>-          A sample of amniotic fluid is extracted into a syringe</p>
<p>-          The needle is withdrawn</p>
<p>-          The baby’s heart rate is monitored for a while after the procedure</p>
<p><span style="color: #6dab40;"><strong>6. At what stage of pregnancy is the procedure done?</strong></span></p>
<p><strong>Genetic amniocentesis</strong> is usually carried out after week 15 of pregnancy (the second trimester), by which stage sufficient amniotic fluid will surround the baby.</p>
<p>The procedure is also done when early delivery is best for the mother. This test to assess the development of the baby’s lungs is known as <strong>maturity amniocentesis</strong>.</p>
<p><span style="color: #6dab40;"><strong>7. Does it hurt?</strong></span></p>
<p>Amniocentesis causes discomfort more than it does pain.</p>
<p>You could possibly experience:</p>
<p>-          A stinging sensation</p>
<p>-          Mild cramping of the uterus</p>
<p>-          Vaginal bleeding<span style="color: #6dab40;"> </span></p>
<p><span style="color: #6dab40;"><strong>8. How long will I have to wait for the results?</strong></span></p>
<p>Generally, results will be available 2-3 weeks following the procedure. This delay is due to the sample going through <strong>karyotyping</strong>, a process which involves growing the baby’s cells to the point where diagnosis is possible.</p>
<p><span style="color: #6dab40;"><strong>9. What happens if the outcome is worrying? </strong></span></p>
<p>Should your baby present with an untreatable condition, you’ll need to decide whether to continue or terminate the pregnancy. This is extremely heart-wrenching, so you will need the love and support of friends and family during this time, as well as a session with your genetic counsellor.</p>
<p><strong> </strong></p>
<p><strong> </strong></p>
<p><span style="color: #6dab40;"><strong>10. Is there anything else I should know about amniocentesis? </strong></span></p>
<p>-          Make sure you have a full bladder before the procedure</p>
<p>-          Get a friend to drive you home afterwards, then rest</p>
<p>-          Call your doctor in the case of fever, heavy bleeding, discharge or severe cramps</p>
<p><strong> </strong></p>
<p><strong> </strong></p>
<p><strong><br />
</strong></p>
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		<title>Preparing siblings for the arrival of the new baby</title>
		<link>http://www.pregnancyweekbyweek.co.za/2010/10/preparing-siblings-for-the-arrival-of-the-new-baby/</link>
		<comments>http://www.pregnancyweekbyweek.co.za/2010/10/preparing-siblings-for-the-arrival-of-the-new-baby/#comments</comments>
		<pubDate>Thu, 21 Oct 2010 07:39:20 +0000</pubDate>
		<dc:creator>Elzet</dc:creator>
				<category><![CDATA[Planning & Preparing]]></category>
		<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[Featured]]></category>
		<category><![CDATA[preparing siblings for baby]]></category>

		<guid isPermaLink="false">http://www.pregnancyweekbyweek.co.za/?p=3598</guid>
		<description><![CDATA[Younger kids will without doubt be jealous when a new baby arrives while older kids will be filled with immense pride and would want to show off their new brother/sister at every opportunity. But with clever planning, some initiative and a bit of juggling, you can ensure that your toddler feels that she is still [...]]]></description>
			<content:encoded><![CDATA[<p>Younger kids will without doubt be jealous when a new baby arrives while older kids will be filled with immense pride and would want to show off their new brother/sister at every opportunity. But with clever planning, some initiative and a bit of juggling, you can ensure that your toddler feels that she is still special.</p>
<ul>
<li> <strong>Being clingy:</strong> It’s normal for a child to get quite clingy and irritable in the last month of your pregnancy. Explain the situation and what’s about to happen, even if you have to do it a couple of times. Perhaps use a book to illustrate, but don’t overdo it. Rather use this time to spend some quality time with your toddler and focus on her.</li>
<li> <strong>New playmate:</strong> Don’t make promises of a new playmate, as toddlers are often disappointed in the fact that all this new, selfish family member does is sleep and cry.</li>
<li> <strong>Stick to the routine:</strong> Try to keep the siblings&#8217; lives as unchanged as possible by fitting your baby’s routine in with theirs as far as possible. Make a list of all the activities you share with your toddler – bath time, trips to the park, cuddle time, routine etc. and keep these going. It&#8217;s important that she doesn&#8217;t feel as if her whole life came to a stand still and that she doesn&#8217;t matter.</li>
<li> <strong>Test run: </strong>Arrange a trip to the hospital to show your her where you’ll be having the baby and remind her of the arrangements a week before the time – such as “you will be staying with daddy and granny”. When the big moment arrives, don’t slip away to avoid conflict, tell her what’s going on. Tip: Give her a wrapped gift box with loads of interesting goodies to make the going away a bit easier.</li>
<li> <strong>New baby and sibling gifts:</strong> When your toddler is visiting you in the hospital keep in mind that she is visiting you and not the baby, so make some special time but keep the visit short and sweet. Arrange for the exchange of small gifts from baby to toddler and the other way around, beforehand.</li>
<li> <strong>One on one time:</strong> See to it that your toddler is on an outing when you and baby get home. Get baby and yourself settled in so that you can be there for her when she arrives.</li>
<li> <strong>Her time to shine:</strong> Let your toddler show the visitors her new baby brother or sister.</li>
<li> <strong>Feeding time tricks: </strong>Plan a drink or a snack in advance for her to enjoy while you are feeding your baby so she doesn&#8217;t feel left out. Another idea is to keep some special activities like a puzzle, play-dough or a DVD exclusive to feeding times.</li>
<li> <strong>Discipline:</strong> Stick to the old rules and discipline your toddler like you would always do – don’t feel guilty.</li>
<li> <strong>Baby mode:</strong> Your toddler might want to go back into old habits like nappies, bottles or dummies. Explain that she has already done all of these and create distractions. Be patient.</li>
<li> <strong>She&#8217;s special:</strong> Work at it to make her feel that the baby likes her.</li>
<li> <strong>Don&#8217;t pair off:</strong> When asking dad to help out by taking your toddler for an outing, be careful not to make pairs such as mom and baby, dad and toddler. Your toddler will start to resent this. Swap often and keep the balance.</li>
</ul>
<p>It&#8217;s just a matter of time before they will be best friends!</p>
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		<title>What is a Doula and Do I Need One?</title>
		<link>http://www.pregnancyweekbyweek.co.za/2010/08/what-is-a-doula-and-do-i-need-one/</link>
		<comments>http://www.pregnancyweekbyweek.co.za/2010/08/what-is-a-doula-and-do-i-need-one/#comments</comments>
		<pubDate>Fri, 06 Aug 2010 06:35:09 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Planning & Preparing]]></category>
		<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[doula]]></category>
		<category><![CDATA[Featured]]></category>

		<guid isPermaLink="false">http://www.pregnancyweekbyweek.co.za/?p=3344</guid>
		<description><![CDATA[Pregnancy, childbirth and mothering are some of the most amazing, life-altering and mind-blowing accomplishments that a woman can experience. Even though many expectant moms enjoy the support of their partners, some may appreciate or need the support of other women, especially someone experienced or older that can provide comfort and valuable input. How ideal would [...]]]></description>
			<content:encoded><![CDATA[<p>Pregnancy, childbirth and mothering are some of the most amazing, life-altering and mind-blowing accomplishments that a woman can experience. Even though many expectant moms enjoy the support of their partners, some may appreciate or need the support of other women, especially someone experienced or older that can provide comfort and valuable input.</p>
<p>How ideal would it be if we could get back to basics and have most moms <strong>experience natural birth the way it was intended to be</strong>! With the high caesarean rate, natural births have taken a back seat. The reason for this may, to some extent, be due to <strong>fear and a lack of knowledge</strong>. Some busy-busy-busy moms also find it more convenient to schedule the birth date in order to get on with life. All that’s needed is a tick in their diary to show that the task as complete and then life goes on as planned. Although we respect every single mom’s choice of birth, we’d like to encourage you to try and go natural. From our side we’ll offer support in the form of solid information to help you decide what birth option will be best suited for you.</p>
<p><strong><span style="color: #3095c9;">So, what exactly is a doula?</span><br />
<span style="color: #6dab3f;"><em>Mommy’s little helper</em></span></strong></p>
<p><strong>Origin: </strong>Doula is a Greek word and means ‘woman caregiver’. <strong> </strong></p>
<p>The short and sweet is that a doula is an <strong>assistant that provides non-medical support</strong>. The support may be during your prenatal period, childbirth or postnatal, depending on your preference and her experience and background. Most importantly, she provides emotional support and an objective viewpoint, something any woman can appreciate!</p>
<p><span style="color: #3095c9;"><strong>What does a doula do</strong></span><strong><br />
<span style="color: #6dab3f;"><em>What doesn’t she do?</em></span></strong></p>
<ul>
<li>She offers continuous physical, emotional and informational support during your pregnancy, birth (home, hospital or clinic) and postpartum period.</li>
<li>She understands the birthing process and general medical interventions and can keep you posted on what’s happening at all times, which usually relieves some tension.</li>
<li>Provides emotional support throughout your pregnancy, birth and thereafter.</li>
<li>Gives tips and advice on physical fitness to ensure a more comfortable pregnancy and birth.</li>
<li>Assists in preparing the birth plan; Acts as the your voice during labour and makes sure that the parents’ wishes are respected at all times.</li>
<li>Provides massage and other non-pharmacological pain relief measures.</li>
<li>Suggests different birth positions and assists with the birth.</li>
<li>Provides support to the partner so that he can in turn encourage you.</li>
<li>Helps to avoid unnecessary medical intervention where possible.</li>
<li>Assists with breastfeeding.</li>
<li>Is present during the birth and afterwards for as long as you might need her.</li>
</ul>
<p><strong><span style="color: #3095c9;">Questions to ask a doula</span><br />
<span style="color: #6dab3f;"><em>Her pedigree</em></span></strong></p>
<ul>
<li>What is your education for providing labour support?</li>
<li>Are you certified by a labour support training program?</li>
<li>How long have you been in practice and how many births have you attended?</li>
<li>Do you have education and experience in any other type of care such as childbirth education, midwifery care, nursing care, breastfeeding support or postpartum doula support?</li>
<li>What is your philosophy with regards to birth? How do you view your role at the birth?</li>
<li>Can you supply us with recent references?</li>
<li>What services do you provide during labour and birth? What do you bring with you?</li>
<li>How do you help women cope with labour pain?</li>
<li>At what stage would you be with me in labour? How long would you stay after the birth?</li>
<li>Do you offer any postpartum services? Breastfeeding advice and assistance?</li>
<li>Are you available by phone? In person?</li>
<li>Where would my husband fit in?</li>
<li>What is your fee, what does it include and how is it payable? Any hidden costs?</li>
<li>Are you available at all times and if not, what is the back-up plan? Can I meet the back-up individual?</li>
<li>Do you know of anything that may cause you to be unavailable?</li>
<li>Do you have any other clients that are due around the same time as me?</li>
<li>What is your relationship with midwives, medical caregivers, hospitals etc.? Have you ever worked with my caregiver of choice?</li>
<li>What do you expect from us?</li>
<li>If you were looking for a doula to assist at your birth, what would you look for?</li>
<li>How do you feel about……. (list any concerns).</li>
</ul>
<p><strong><span style="color: #3095c9;">Interesting facts</span><br />
<span style="color: #6dab3f;"><em>Did you know?</em></span></strong></p>
<p>A world wide study involving more than 1500 women found that moms that made use of doulas were the ones with the <strong>shortest labours</strong> (can life get any better?!) More interesting stats with regards to doulas:</p>
<ul>
<li>Greater than 50% drop in caesarean births</li>
<li>30% reduction in the mother’s need for medication</li>
<li>60% reduction in epidural requests</li>
<li>40% reduction in forceps delivery</li>
</ul>
<p>There you have it. It’s important to be informed so that you can make an educated decision when it comes to choosing a winning pregnancy and childbirth team.</p>
<p><strong><br />
</strong><span style="color: #3095c9;"><strong>“If a doula were a drug, it would be unethical not to use it.”</strong></span><strong><br />
</strong><em><span style="color: #808080;">- </span></em><em><span style="color: #808080;">Suzanne Arms ‘Birthing the Future’</span></em></p>
<p><span style="color: #6dab3f;"><strong><span style="text-decoration: underline;">Click here</span></strong><strong> if you want to list your services as a doula on our website</strong></span></p>
<p><strong>References:<br />
</strong><span style="color: #808080;"><a href="http://doula.org.za/">Doula.org</a><strong><br />
</strong><a href="http://www.wombs.org.za/">Wombs.org.za</a></span></p>
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		<title>What to Expect from Antenatal Classes</title>
		<link>http://www.pregnancyweekbyweek.co.za/2010/04/what-to-expect-from-antenatal-classes/</link>
		<comments>http://www.pregnancyweekbyweek.co.za/2010/04/what-to-expect-from-antenatal-classes/#comments</comments>
		<pubDate>Fri, 30 Apr 2010 07:04:39 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Planning & Preparing]]></category>
		<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[antenatal classes]]></category>
		<category><![CDATA[breathing exercises]]></category>
		<category><![CDATA[caesarean]]></category>
		<category><![CDATA[childbirth classes]]></category>
		<category><![CDATA[natural birth]]></category>
		<category><![CDATA[preparing for your baby]]></category>

		<guid isPermaLink="false">http://www.pregnancyweekbyweek.co.za/?p=3165</guid>
		<description><![CDATA[First time moms often approach the birth and initial care of their babies with mixed emotions. Regardless of the amount of books you devour or magazines you browse, the enormity of it all can be overwhelming. Attending an antenatal class should provide you with some peace of mind; knowing that you have prepared yourself for [...]]]></description>
			<content:encoded><![CDATA[<p>First time moms often approach the birth and initial care of their babies with mixed emotions. Regardless of the amount of books you devour or magazines you browse, the enormity of it all can be overwhelming. Attending an antenatal class should provide you with some peace of mind; knowing that you have prepared yourself for this life-changing journey to the best of your ability. The rest is up to your motherly instinct.</p>
<p style="text-align: center;"><a href="http://www.pregnancyweekbyweek.co.za/wp-content/uploads/2010/04/antenatal-classes.jpg"><img class="size-full wp-image-3169 aligncenter" title="antenatal-classes" src="http://www.pregnancyweekbyweek.co.za/wp-content/uploads/2010/04/antenatal-classes.jpg" alt="" width="310" height="235" /></a></p>
<p><span style="color: #3095c9;"><strong>Antenatal classes</strong></span><br />
<strong><span style="color: #6dab3f;"><em>Inside Info</em></span></strong></p>
<p>When you visualise a <strong>childbirth class</strong>, you probably see a serene mom sitting crossed-legged on the floor with the hands-on dad right behind her, ready to support her every move while they lovingly smile at each other. Whilst this is what may happen in the movies, real life is somewhat different. The level of structure and approach of these classes differ from clinic to clinic, but they mostly cover the same content:</p>
<ul>
<li>Normal delivery and labour</li>
<li>Breathing exercises</li>
<li>Caesarean section</li>
<li>Pain relief</li>
<li>Breastfeeding</li>
<li>Post delivery body changes and caring for your baby during the first few weeks</li>
</ul>
<p><span style="color: #3095c9;"><strong>Benefits of antenatal classes</strong></span><br />
<strong><span style="color: #6dab3f;"><em>This is why</em></span></strong></p>
<p>Attending an antenatal class can be beneficial in many ways. It will:</p>
<ul>
<li><strong>Prepare you</strong><br />
These classes will give the new parents-to-be a healthy expectation on what to expect from birth and the first few weeks at home.</li>
<li> <strong>Inform you</strong><br />
It will provide you with practical tips and advice on pregnancy, birth and caring for your newborn.</li>
<li> <strong>Connect you</strong><br />
An antenatal class is a great way of meeting new people; many a lifelong friendship is born this way. It can be extremely comforting comparing notes with these moms once your babies are born.</li>
<li><strong>Calm you</strong><br />
Attending an antenatal class will fill you with a sense of peace, knowing that you have done everything possible to prepare yourself for the arrival of the new addition to your family and give you the opportunity to ask the questions that have been haunting you.</li>
</ul>
<p><strong><span style="color: #3095c9;">When to book</span><br />
<span style="color: #6dab3f;"><em>You snooze you lose</em></span></strong></p>
<p>Even though you will probably only attend an <strong>antenatal class</strong> later on in your pregnancy, it is important to book early in advance to avoid disappointment and to ensure your place.</p>
<p><strong>To find classes closest to you we suggest you  contact your  Gynaecologist. They will be the best person to gain this knowledge from. </strong></p>
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		<title>What Foods to Avoid when Pregnant</title>
		<link>http://www.pregnancyweekbyweek.co.za/2009/12/what-foods-to-avoid-when-pregnant/</link>
		<comments>http://www.pregnancyweekbyweek.co.za/2009/12/what-foods-to-avoid-when-pregnant/#comments</comments>
		<pubDate>Mon, 07 Dec 2009 07:48:39 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[Your Wellbeing]]></category>
		<category><![CDATA[alcohol during pregnancy]]></category>
		<category><![CDATA[foods to avoid during pregnancy and why]]></category>
		<category><![CDATA[foods to avoid when pregnant]]></category>
		<category><![CDATA[unsafe foods duringpregnancy]]></category>

		<guid isPermaLink="false">http://www.pregnancyweekbyweek.co.za/?p=2821</guid>
		<description><![CDATA[When you&#8217;re pregnant being concerned about what could be bad for you and your growing baby is natural. There are certain precautions you should take when it comes to foods to avoid during pregnancy. Let&#8217;s take a look at those who could pose a risk to you or your baby&#8217;s health while you are pregnant. [...]]]></description>
			<content:encoded><![CDATA[<p>When you&#8217;re pregnant being concerned about what could be bad for you and your growing baby is natural. There are certain precautions you should take when it comes to <strong>foods to avoid during <a href="http://www.pregnancyweekbyweek.co.za/category/pregnancy/" target="_blank">pregnancy</a></strong>. Let&#8217;s take a look at those who could pose a risk to you or your baby&#8217;s health while you are pregnant.</p>
<p style="text-align: center;">-+<a href="http://www.pregnancyweekbyweek.co.za/wp-content/uploads/2009/12/strawberries.jpg"><img class="size-full wp-image-2825 aligncenter" title="strawberries" src="http://www.pregnancyweekbyweek.co.za/wp-content/uploads/2009/12/strawberries.jpg" alt="strawberries" width="235" height="310" /></a></p>
<ul>
<li>When it comes to <strong>seafood</strong>, you&#8217;ll need to avoid those <strong>high in mercury</strong>. It&#8217;s perfectly safe and even advisable to eat seafood which is full of protein, and fish which provides you with essential omega-3 fatty acids. Some seafood contains high levels of mercury, however, and should be avoided during pregnancy because it could damage your baby&#8217;s developing nervous system. The bigger and older the fish is, the higher levels of mercury it has. Avoid <strong>swordfish, shark, king mackerel and tilefish</strong>. And limit your intake of <strong><strong>canned </strong></strong><strong><strong>tuna fish</strong></strong><strong><strong>.</strong></strong><strong><strong> </strong></strong></li>
<li><strong><strong>According to the US Food and Drug Administration you can safely eat up to </strong></strong>170g albacore (white) tuna fish as part of your <strong>weekly total limit of 340g seafood</strong> low in mercury. This weekly allowance can include salmon, shrimp, canned light tuna, cod, pollock and catfish.</li>
<li>Avoid fish caught in rivers, lakes and streams as recreational anglers may hook fish contaminated with bacteria or chemicals. Also remember to cook seafood properly &#8211; <strong>avoid raw seafood</strong> completely.</li>
<li>Certain types of <strong>cheeses</strong> should be avoided as they are more prone to allow bacteria growth which can be harmful to your unborn baby. Avoid Roquefort, Brie, Blue Wensleydale, Danish Blue, Pont L&#8217;Eveque , Chaumes, Pyramide, Cambozola, Torta del Cesar, Camembert, Chèvre, Taleggio, Vacherin-Fribourgeois, Bergader, Bleu d&#8217;Auvergne, , Shropshire Blue, Dolcelatte, Gorgonzola,  Stilton and Chabichou.</li>
<li>Other foods to avoid during pregnancy are <strong>undercooked meats, poultry and eggs</strong>. Your metabolism and circulation changes when you are pregnant and your reaction to bacterial food poisoning might be more severe. Be aware of <strong>hot dogs</strong> and <strong>deli meat</strong>; rather avoid them completely if you haven&#8217;t cooked them yourself. Also avoid refrigerated <strong>pates</strong> and <strong>meat spreads</strong> &#8211; but canned versions are ok. Also, don&#8217;t buy raw poultry that&#8217;s been pre-stuffed, and always cook eggs until yolks and whites are firm.</li>
<li>Avoid <strong>unpasteurised foods</strong> when pregnant; try sticking to low-fat products such as skim milk, mozzarella and cottage cheese. Unless brie, feta, camembert, blue cheese and Mexican-style cheeses are clearly labelled as being made with pasteurised milk, don&#8217;t eat them. <strong>U<strong><strong>npasteurised juices</strong></strong></strong> &#8211; such as cider purchased from roadside stands, at farms or in stores are prone to germs &#8211; should also be avoided.</li>
<li>Be careful with <strong>unwashed fruit and vegetables</strong> during pregnancy &#8211; always wash them thoroughly and cut away damaged portions. Avoid raw sprouts as well as large quantities of liver &#8211; which is very high in vitamin A.</li>
<li>Too much <strong>caffeine</strong> can cross the placenta and affect your baby&#8217;s heart rate. Because of the potential effects on your developing baby, it is recommended limiting the amount of caffeine in your diet to less than <strong>200mg a day</strong> during pregnancy.</li>
<li>Some gynaes recommend that you avoid <strong>herbal tea</strong>, while others don&#8217;t. It&#8217;s entirely up to you and what you feel comfortable with, but if you do decide to drink herbal tea remember to stick to small amounts and to those herbs considered safe for pregnant women.</li>
<li>We all know that <strong>alcohol</strong> shouldn&#8217;t be consumed in large amounts when you are pregnant; beer, wine, and spirits rob developing cells of oxygen &#8211; making normal development impossible. But a glass of wine every now and then is not going to hurt you or your baby. However those who drink too much alcohol have a higher risk of miscarriage and stillbirth. Too much <strong>alcohol during pregnancy</strong> may also result in foetal alcohol syndrome, which can cause facial deformities, heart problems, low birth weight and mental retardation.</li>
<li>Depending on your family history, your child may be at risk for developing <strong>food allergies</strong>. Avoiding foods including peanuts and peanut products during pregnancy may reduce allergy risk in susceptible children.</li>
</ul>
<p><strong>References:<br />
</strong><a href="http://www.mayoclinic.com">www.mayoclinic.com</a><br />
<a href="http://www.webmd.com">www.webmd.com</a></p>
<img src="http://www.pregnancyweekbyweek.co.za/?ak_action=api_record_view&id=2821&type=feed" alt="" />]]></content:encoded>
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		<title>What is a D&amp;C &#8211; Dilation and Curettage?</title>
		<link>http://www.pregnancyweekbyweek.co.za/2009/11/what-is-a-dc-dilation-and-curettage/</link>
		<comments>http://www.pregnancyweekbyweek.co.za/2009/11/what-is-a-dc-dilation-and-curettage/#comments</comments>
		<pubDate>Fri, 13 Nov 2009 10:29:21 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[Your Wellbeing]]></category>
		<category><![CDATA[after miscarriage]]></category>
		<category><![CDATA[D & C]]></category>
		<category><![CDATA[D&C]]></category>
		<category><![CDATA[d&C advantages]]></category>
		<category><![CDATA[d&c miscarriage]]></category>
		<category><![CDATA[D&C operation]]></category>
		<category><![CDATA[d&c procedure]]></category>
		<category><![CDATA[d&c risks]]></category>
		<category><![CDATA[d&c surgery]]></category>
		<category><![CDATA[miscarriage d&C]]></category>
		<category><![CDATA[sex after d&c]]></category>
		<category><![CDATA[what is a d&c]]></category>

		<guid isPermaLink="false">http://www.pregnancyweekbyweek.co.za/?p=2690</guid>
		<description><![CDATA[Even though it&#8217;s hard enough having to deal with all the emotions you go through after a miscarriage, you&#8217;ll want to make sure that you avoid excessive blood loss and prevent infection. In the case of an incomplete miscarriage you&#8217;ll need to empty the uterus surgically with a D&#38;C procedure. In most cases, however, women [...]]]></description>
			<content:encoded><![CDATA[<p>Even though it&#8217;s hard enough having to deal with all the emotions you go through after a miscarriage, you&#8217;ll want to make sure that you <strong>avoid excessive blood loss and prevent infection</strong>. In the case of an incomplete miscarriage you&#8217;ll need to <strong>empty</strong> <strong>the uterus surgically </strong>with a<strong> D&amp;C procedure</strong>.</p>
<p>In most cases, however, women miscarrying in the first trimester of <strong><a href="http://www.pregnancyweekbyweek.co.za/category/pregnancy/" target="_blank">pregnancy</a> </strong>who are otherwise stable (with no fever or excessive bleeding) can choose to have <strong>non-surgical treatment</strong>. You can <strong>wait and see</strong> if your miscarriage progresses over days, weeks or even months &#8211; to complete itself. In this case you&#8217;ll eventually need your gynae to use ultrasound to confirm that all pregnancy tissue has been passed from your uterus. Another option is taking <strong>medicines</strong> which can cause the uterus to contract and empty &#8211; but this takes longer than surgical treatment and can be painful and have bad side-effects. And it&#8217;s not always effective, which means you might end up needing surgical treatment after all.</p>
<p style="text-align: center;"><a href="http://www.pregnancyweekbyweek.co.za/wp-content/uploads/2009/11/dc.jpg"><img class="size-full wp-image-2691 aligncenter" title="dc" src="http://www.pregnancyweekbyweek.co.za/wp-content/uploads/2009/11/dc.jpg" alt="dc" width="308" height="232" /></a></p>
<p><span style="color: #3095c9;"><strong>What is a D&amp;C and why is it necessary?</strong></span></p>
<p>Dilation and curettage refers to <strong>the dilation of the cervix and the surgical removal of the contents of the uterus</strong> &#8211; assisting women in managing<strong> </strong>a miscarriage that is causing severe bleeding. It is a therapeutic gynaecological procedure, and the first step in a D&amp;C is to dilate the cervix &#8211; often done a few hours before the surgery. The woman is usually put under general anaesthesia before the surgery begins, and then a curette &#8211; a metal rod with a handle on one end and a sharp loop on the other &#8211; is inserted into the uterus through the dilated cervix. The curette is used to gently scrape the lining of the uterus and <strong>remove the remaining pregnancy tissue</strong>. This tissue is then examined for completeness. The procedure usually takes about 10-20 minutes, and you won&#8217;t have to stay in hospital overnight.</p>
<p><span style="color: #3095c9;"><strong>What are the advantages of having a D&amp;C?</strong></span></p>
<p>There are a few advantages of having a D&amp;C that are worth pointing out. First of all, <strong>on the</strong> <strong>emotional side</strong>, it helps you get over a miscarriage faster. Most miscarriages occur in your first pregnancy trimester, but your body might only expel the foetus three months later, and waiting for this to happen can be traumatic. A D&amp;C completes and ends the miscarriage without dragging out a painful incident any longer than necessary. <strong>On the physical side</strong>, because a D&amp;C completes a miscarriage faster, it shortens the amount of time you experience bleeding, cramping and other <a title="Symptoms of a Miscarriage" href="http://www.pregnancyweekbyweek.co.za/2009/11/miscarriage-symptoms-statistics-and-emotions/" target="_blank"><strong>symptoms of a miscarriage</strong></a>.</p>
<p><span style="color: #3095c9;"><strong>What are the risks involved with a D&amp;C?</strong></span></p>
<p>Although <strong>very rare</strong>, especially with the increased use of suction over actual scraping, there are some <strong>risks involved with having a D&amp;C</strong>. They include possible reactions to anaesthetic medicines, infection and puncture of the uterus.</p>
<ul type="disc">
<li>The risk of sharp curettage is <strong>uterine perforation</strong>. Although normally no treatment is required for uterine perforation, a laparoscopy may be done to verify that bleeding has stopped on its own.</li>
<li><strong>Infection of the uterus or fallopian tubes</strong> is also a possible complication, especially if the woman has an untreated sexually transmitted infection.</li>
<li>Another risk is intrauterine adhesions, or <strong>Asherman&#8217;s syndrome</strong>. One study found that in women who had one or two sharp curettage procedures for miscarriage, 14-16% developed some adhesions. Women who underwent three sharp curettage procedures for miscarriage had a 32% risk of developing adhesions.</li>
</ul>
<p><strong></strong></p>
<p><span style="color: #3095c9;"><strong>How soon can I have sex after a D&amp;C?</strong></span></p>
<p>The recovery period following a D&amp;C is short, and most women are able to return to work and other normal activities within one or two days. During the <strong>recovery period</strong>, however, you might experience:</p>
<ul type="disc">
<li>Mild pelvic cramping</li>
<li>Small amounts of vaginal bleeding</li>
<li>A slight vaginal discharge</li>
</ul>
<p>You might also find that your next period will be early or late, and you should <strong>stay away from intercourse, douching and the use of tampons</strong> for at least two weeks.</p>
<p><span style="color: #3095c9;"><strong>References:</strong></span><br />
<a title="Pregnancy Today" href="http://www.pregnancytoday.com" target="_blank">www.pregnancytoday.com</a><br />
<a title="Wikipedia" href="http://www.wikipedia.org" target="_blank">www.wikipedia.org</a><br />
<a title="Web MD" href="http://www.webmd.com" target="_blank">www.webmd.com</a></p>
<img src="http://www.pregnancyweekbyweek.co.za/?ak_action=api_record_view&id=2690&type=feed" alt="" />]]></content:encoded>
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		<title>Miscarriage: Symptoms, Statistics and Emotions</title>
		<link>http://www.pregnancyweekbyweek.co.za/2009/11/miscarriage-symptoms-statistics-and-emotions/</link>
		<comments>http://www.pregnancyweekbyweek.co.za/2009/11/miscarriage-symptoms-statistics-and-emotions/#comments</comments>
		<pubDate>Wed, 11 Nov 2009 09:31:29 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[Your Wellbeing]]></category>
		<category><![CDATA[after a miscarriage]]></category>
		<category><![CDATA[after miscarriage]]></category>
		<category><![CDATA[causes of miscarriage]]></category>
		<category><![CDATA[D & C]]></category>
		<category><![CDATA[dealing with miscarriage]]></category>
		<category><![CDATA[miscarriage]]></category>
		<category><![CDATA[miscarriage causes]]></category>
		<category><![CDATA[miscarriage myths]]></category>
		<category><![CDATA[miscarriage risk]]></category>
		<category><![CDATA[miscarriage risks]]></category>
		<category><![CDATA[miscarriage signs]]></category>
		<category><![CDATA[miscarriage statistics]]></category>
		<category><![CDATA[miscarriage symptoms]]></category>
		<category><![CDATA[pregnancy after miscarriage]]></category>
		<category><![CDATA[risk of miscarriage]]></category>
		<category><![CDATA[signs of miscarriage]]></category>
		<category><![CDATA[spontaneous abortion]]></category>
		<category><![CDATA[symptoms of miscarriage]]></category>

		<guid isPermaLink="false">http://www.pregnancyweekbyweek.co.za/?p=2674</guid>
		<description><![CDATA[A miscarriage or a spontaneous abortion is the spontaneous end of a pregnancy at a stage where the embryo or foetus is incapable of surviving, generally defined in humans at prior to 20 weeks of gestation. Stillbirths and premature births are not generally considered miscarriages, though usage of the terms and causes of these events [...]]]></description>
			<content:encoded><![CDATA[<p>A <strong>miscarriage</strong> or a <strong>spontaneous abortion</strong> is the spontaneous end of a pregnancy at a stage where the embryo or foetus is incapable of surviving, generally defined in humans at prior to 20 weeks of gestation. <strong>Stillbirths</strong> and <strong>premature births</strong> are not generally considered miscarriages, though usage of the terms and causes of these events may overlap. A foetus that dies while in the uterus, after about the 20-24th week of pregnancy, is termed a stillbirth. Labour resulting in live birth before the 37th week of pregnancy is termed premature birth &#8211; even if the infant dies shortly afterward.</p>
<p>Dealing with a miscarriage is not easy, as a woman often feels that a child or the dream for this child is lost. Let&#8217;s take a closer look at <strong>miscarriage symptoms</strong>, <strong>miscarriage statistics</strong> and what to do <strong>after a miscarriage</strong> &#8211; both physically and emotionally.</p>
<p style="text-align: center;"><a href="http://www.pregnancyweekbyweek.co.za/wp-content/uploads/2009/11/sad_friend2.jpg"><img class="size-full wp-image-2679 aligncenter" title="sad_friend2" src="http://www.pregnancyweekbyweek.co.za/wp-content/uploads/2009/11/sad_friend2.jpg" alt="sad_friend2" width="308" height="232" /></a></p>
<p><span style="color: #3095c9;"><strong>How common is miscarriage?</strong></span></p>
<p>Miscarriage is the most common complication of early <strong><a href="http://www.pregnancyweekbyweek.co.za/category/pregnancy/" target="_blank">pregnancy</a></strong>. Most cited references estimate that about <strong>15% of clinically recognised pregnancies</strong> will end in miscarriage.</p>
<p>According to <strong>Amazing Pregnancy</strong> the statistics regarding miscarriage vary widely depending on the source. But here are some of the basic numbers:</p>
<ul type="disc">
<li>Almost <strong>20%</strong> of pregnancies end in miscarriage, with the majority occurring during the first 12 weeks.</li>
<li>There is a <strong>75%</strong> chance of miscarriage in weeks 1-2 of pregnancy, when you do not know you are pregnant.</li>
<li>There is a <strong>10%</strong> chance of miscarriage in weeks 3-6 and this number drops to <strong>5%</strong> during weeks 6-12.</li>
<li>During the second trimester the chance of miscarriage drops again to <strong>3%</strong>.  After you&#8217;ve reached 20 weeks gestation, it is no longer considered a miscarriage &#8211; but a stillbirth or premature birth when you loose the baby.</li>
</ul>
<p>For <strong>repeat miscarriage</strong> the statistic are as follows:</p>
<ul type="disc">
<li>If you have had a miscarriage during your first pregnancy, your chances of another miscarriage are <strong>10-13%.</strong></li>
<li>If you have had one or more live births and one miscarriage your chance of another miscarriage is around <strong>10%</strong>.</li>
<li>There is a <strong>40%</strong> chance of a repeat miscarriage if you have had two pregnancies and two miscarriages.</li>
<li>The chance of multiple miscarriages is lower, at around <strong>13%</strong>, if you have had one or more live births.</li>
<li>If you have had three pregnancies and three miscarriages there is a <strong>60%</strong> chance you will miscarry again. If you have had four miscarriages with no live births your chances of a healthy pregnancy drop to <strong>0-5%.</strong></li>
</ul>
<p><span style="color: #3095c9;"><strong>What are the symptoms of a miscarriage?</strong></span></p>
<p>If you experience symptoms such as <strong>bleedings</strong> which progress from light to heavy, <strong>abdominal pain</strong>, <strong>cramps</strong>, <strong>weakness</strong>, <strong>fever</strong>, <strong>vomiting</strong> and <strong>back pain</strong>, you should contact your gynae straight away. In some cases, however, these symptoms will not result in a miscarriage, and your gynae will ask you to rest in bed for several days and monitor your baby closely until the bleeding stops.</p>
<p>Causes of a miscarriage are not well understood, but in your first trimester they mostly occur because of <strong>chromosomal abnormalities in the baby</strong>. Factors related to mom &#8211; such as infections, hormonal problems, cervix and uterine problems, certain medication and severe malnutrition &#8211; can also cause miscarriage. When you are planning to fall pregnant it&#8217;s advisable that you speak to your gynae about what to avoid, and that you lead a healthy lifestyle.</p>
<p><span style="color: #3095c9;"><strong>When do I go for a D&amp;C?</strong></span></p>
<p>Your gynae will <strong>confirm the miscarriage</strong> by performing a pelvic exam or a scan. If the miscarriage is <strong>complete</strong> (which is more likely in an early pregnancy) your uterus should be clear. But an <strong>incomplete</strong> miscarriage generally requires a <strong>dilation and curettage</strong>. A D&amp;C entails dilating your cervix and gently removing placental and foetal tissue in your uterus. Sometimes medication can cause your body to expel the tissue on its own, however, which can be an option for those wanting to avoid a D&amp;C.</p>
<p><strong></strong></p>
<p><span style="color: #3095c9;"><strong>How to reduce the risks of miscarrying again?</strong></span></p>
<p>According to <strong>Web MD</strong> at least <strong>85% of women who have miscarriages have subsequent normal pregnancies</strong> and births. If you have two miscarriages in a row, however, it&#8217;s advised that you stop trying to conceive for a while and allow your gynae to perform tests to determine the cause of your miscarriages.</p>
<p>After one miscarriage, it&#8217;s recommended that you <strong>wait 1-3 months before trying to fall pregnant again</strong> &#8211; depending on your particular miscarriage and what your gynae advices you to do. As for prevention of another miscarriage, treatment with progesterone &#8211; a hormone needed for implantation in the uterus &#8211; could be helpful.</p>
<p><span style="color: #3095c9;"><strong>How do I deal with the stress of a miscarriage?</strong></span></p>
<p>Miscarriage can bring great psychological pain. Although medical terminology does not consider the developing embryo or foetus as a child, most mothers attach to the pregnancy early on. When the miscarriage occurs, the woman <strong>loses not just a pregnancy, but a child</strong> and her dreams for that child. It&#8217;s important to take time to heal properly after a miscarriage, both physically and emotionally. Keeping it to yourself will not help in the long run, so talking about it with your partner, with other women having gone through the same thing or even with a counsellor, can help you deal with it and heal quicker.</p>
<p><span style="color: #3095c9;"><strong>What are common miscarriage myths?</strong></span></p>
<p>There are many myths about causes of miscarriage, so let&#8217;s take a closer look at the most common ones and banish your worries once and for all.</p>
<ul type="disc">
<li><strong>Drinking before you know you are pregnant</strong> can not cause miscarriage. Most women do this, as they obviously don&#8217;t give it up until they know for a fact that they are pregnant. The baby doesn&#8217;t receive much blood from you in the first few weeks anyway, so this is nothing you should worry about.</li>
<li><strong>Having sex</strong> can not cause miscarriage. Sometimes you will experience spotting after sex, but this is perfectly normal because your cervix is soft and filled with blood. Unless your gynae asks you to avoid sex &#8211; in cases of particular high-risk pregnancies &#8211; it is perfectly safe.</li>
<li>Mothers worry about their babies or have traumatic things happen to them when they are pregnant. Some people say that <strong>stress</strong> can cause miscarriage, but this is not a fact. Unusual, chronic stress might be a negative factor in some cases, but in most cases you and your baby can get through anything!</li>
<li><strong>Exercise</strong> does not cause miscarriages, and neither does getting kicked in the stomach (by accident). The baby is well protected, and exercise benefits your body and health which in turn benefits your growing baby. There are of course rules you should follow, so take a look at our pregnancy exercises article <a title="Pregnancy Exercise" href="http://www.pregnancyweekbyweek.co.za/2009/06/popular-pregnancy-exercises-fit-for-foxy-moms-to-be/" target="_blank"><strong>here</strong></a>.</li>
<li><strong>Lifting toddlers or something heavy </strong>is not a cause of miscarriage. Your body will complain and naturally drop whatever you are carrying before it causes any harm.</li>
<li><strong>Bad eating habits</strong> will not cause miscarriage. Bad eating habits will cause more harm to your own body than your baby&#8217;s, as your body will rob from you what it needs for the developing baby.</li>
</ul>
<p>According to <strong>Pregnancy Loss</strong> &#8220;over half of all miscarriages are caused by chromosomal factors that are completely out of our hands. The majority of the rest are also unrelated to anything we personally did, but some infection that got us, a poorly formed placenta or umbilical cord, a hormone problem, or a health condition we didn&#8217;t know about.&#8221; So if you are dealing with a miscarriage, always remember that <strong>you did nothing wrong</strong> and it was not your fault at all. Focus on healing and moving on, and before you know it you&#8217;ll be pregnant again and ready to welcome a healthy, happy child into the world!</p>
<p><strong></strong></p>
<p><span style="color: #3095c9;"><strong>References:</strong></span><br />
<a title="Wikipedia" href="http://www.wikipedia.org" target="_blank">www.wikipedia.org</a><br />
<a title="Web MD" href="http://www.webmd.com" target="_blank">www.webmd.com</a><br />
<a title="All About Life Challenges" href="http://www.allaboutlifechallenges.org" target="_blank">www.allaboutlifechallenges.org</a><br />
<a title="Amazing Pregnancy" href="http://www.amazingpregnancy.com" target="_blank">www.amazingpregnancy.com</a><br />
<a title="Pregnancy Loss" href="http://www.pregnancyloss.info" target="_blank">www.pregnancyloss.info</a></p>
<p><strong></strong></p>
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		<title>Severe morning sickness &#8211; when to call the doctor</title>
		<link>http://www.pregnancyweekbyweek.co.za/2009/11/severe-morning-sickness-when-to-call-the-doctor/</link>
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		<pubDate>Tue, 10 Nov 2009 08:58:38 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[Your Wellbeing]]></category>
		<category><![CDATA[extreme nausea]]></category>
		<category><![CDATA[Featured]]></category>
		<category><![CDATA[hyperemesis gravidarium]]></category>
		<category><![CDATA[morning sickness end]]></category>
		<category><![CDATA[morning sickness in pregnancy]]></category>
		<category><![CDATA[severe morning sickness]]></category>
		<category><![CDATA[signs of dehydration]]></category>
		<category><![CDATA[when to call the doctor]]></category>

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		<description><![CDATA[ Morning sickness in pregnancy is a common side-effect and although the severity differs, it makes an appearance in about 90% of all pregnancies. It&#8217;s enough to leave you feeling sapped and may dampen your excitement quite a bit. The good news is that, in most pregnancies, the morning sickness monster will pack up and leave by [...]]]></description>
			<content:encoded><![CDATA[<p> <strong>Morning sickness in <a href="http://www.pregnancyweekbyweek.co.za/category/pregnancy/" target="_blank">pregnancy</a></strong> is a common side-effect and although the severity differs, it makes an appearance in about 90% of all pregnancies. It&#8217;s enough to leave you feeling sapped and may dampen your excitement quite a bit. The good news is that, in most pregnancies, the morning sickness monster will pack up and leave by the end of the first trimester.</p>
<p><span style="color: #3095c9;"> <strong>What happens if there is no end to your morning sickness?</strong></span></p>
<p> A small percentage of moms-to-be suffer from excessive morning sickness called <strong><a href="http://www.hyperemesis.org/">hyperemesis gravidarium</a></strong>. HG is branded by severe vomiting and nausea that can lead to dehydration, dietary deficiencies and weight loss.</p>
<p><a href="http://www.pregnancyweekbyweek.co.za/wp-content/uploads/2009/11/nausea.jpg"><img class="aligncenter size-full wp-image-2661" title="nausea" src="http://www.pregnancyweekbyweek.co.za/wp-content/uploads/2009/11/nausea.jpg" alt="nausea" width="235" height="310" /></a></p>
<p> <strong><span style="color: #3095c9;">Symptoms of hyperemesis gravidarium</span></strong></p>
<ul>
<li>Severe nausea</li>
<li>Extreme vomiting (3 &#8211; 4 times per day)</li>
<li>Dehydration</li>
<li>Weight loss</li>
<li>Rapid heartbeat</li>
<li>Decrease in urination (due to dehydration)</li>
<li>Headaches</li>
<li>Pale/dry skin</li>
<li>Confusion</li>
</ul>
<p><strong><span style="color: #3095c9;">Signs of dehydration</span></strong></p>
<ul>
<li>Flushed, dry skin</li>
<li>Covered/layered tongue</li>
<li>Confusion</li>
<li>Touchy and irritable</li>
<li>Decreased urination</li>
<li>Urine dark in colour</li>
<li>Skin &#8220;snaps back&#8221; slowly when pinched</li>
</ul>
<p>Your gynae should be notified right away as this condition must be treated; it can lead to life threatening complications for both mom and baby.</p>
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