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- Nurse Barb
Genetic testing in pregnancy with Amnio and CVS carries risk of miscarriage, but what about the non-invasive tests that most women have that lead to the recommendation to have an Amnio or CVS?
Right now, genetic testing in pregnancy is undergoing a seismic shift. There are many different tests that are offered to pregnant moms to screen for genetic conditions.
These combined and integrated screens rely upon a combination of ultrasound plus a series of blood tests for pregnancy hormones and proteins.
While these tests are much better than just estimating risk and recommending amnio and CVS just based upon a mom’s age, they aren’t perfect.
What is involved with Amnio and CVS?
Many couples ask me what is involved with amniocentesis and CVS. These 2 tests are considered diagnostic to detect serious genetic conditions in a pregnancy. Many couples wrestle with whether they should have these tests, even if they wouldn’t consider any option but continuing the pregnancy.
My position is that this is a highly personal choice. There’s no 1 right way or wrong way that is right for every situation. My goal is to provide information so that you can make a more informed choice.
If you’re wondering what it could mean if you see Red discharge at 8 weeks to 12 weeks of pregnancy.
In my practice, I care for many women who experience red discharge early in the first 8 to 12 weeks of pregnancy. Seeing blood when you wipe or on your underwear is very scary. This often occurs in healthy pregnancies and may not mean that miscarriage is going to occur.
Before you panic, let me just say that up to 10 to 15% of normal pregnancies will have some bleeding or brown discharge in the first few weeks. If you do have any bleeding or brown discharge, it’s important that you call your health care provider right away. It’s also important to call immediately if you have any severe pelvic pain with or without bleeding. (more…)
Kate Middleton was no birthzilla with a birth plan guaranteed to lead to disappointment and frustration. No doubt she and the palace had a birth plan, and you can learn a lot about how yours can be more like Duchess Kate’s, so that you to can Keep Calm and Carry on.
If you’re wondering about how she envisioned her birth with help of the Royal palace, the heir to the throne of England and dozens of trusted advisors, I can guess that she was more Zen-like and calm than the dreaded hormonally driven Birthzilla.
No doubt, Kate kept calm and carried on. You can too as long as you avoid 3 of the most common pitfalls when creating your very own royal birth plan.
When women find out they’re pregnant it’s normal to feel overwhelmed by the volume of information available and number of decisions that you’re being asked to make about everything from testing options to whether you’re going to use a doula.
Having 1 or more ultrasounds during pregnancy is a way for moms and families to feel more reassured about the health of their baby, and now there are more options to screen for possible genetic conditions.
One of the first questions many pregnant moms have is what kinds of tests are available and what should they have for possible genetic conditions in their pregnancy. (more…)
During pregnancy, there’s so many changes in your body, that it can be difficult to figure out if what you’re feeling is normal. You may have heard about “practice” or Braxton Hicks contractions, but how do you know what is real labor and what is just your body practicing for the big day?
We don’t want babies to be born too early. They need to develop and grow in their mom’s tummies. Unfortunately, 1 in 8 babies are born too early. Though 50% of moms who deliver prematurely have no known risk factors, there are some things we’ve identified that put women at slightly increased risk. (more…)
? 5 Quick Tips You Need to Know Now
Moms who are carrying twins have twice the concerns and many wonder how their pregnancy will be different from a mom who’s carrying one. Your pregnancy will be similar to that of someone carrying a single baby in some ways and different in others. Here are a few quick tips to remember:
We haven’t heard a lot lately about food borne illness, but the fact is, 1 in 6 Americans gets sick from contaminated food each year. Most cases aren’t reported, as the person recovers on their own without treatment, but about 130,000 are hospitalized each year, with 3,000 deaths.
Pregnant women and children under the age of 5 are most susceptible. I’ve cared for many pregnant women who thought that soft cheese was safe and developed listeriosis.
This is part 2 of my post on Gestational Diabetes
In part 1, you’ll find a review of what Gestational Diabetes is, who is at higher risk and how we test for it.
In this part, I’ll continue discussing what happens when the first screening tests come back elevated.
If the HgB A1, Fasting glucose and/or 1 hour tests are elevated, then many providers will ask the pregnant mom to have a 3 hour glucose tolerance test. (more…)
Just like Gold-i-locks and the 3 bears, the key with epidurals are these: