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Bleeding in Pregnancy: When Should I Be Concerned?

If you are pregnant, and you notice a small amount of blood on your underwear… Try not to panic. It’s quite common to have bleeding during pregnancy and it’s not always a sign that something is wrong with your baby.

Yes, vaginal bleeding in pregnancy is more common than you think and has many causes. Some are quite serious, while most are harmless and should not cause concerns. We know that the sight of blood on your underwear is unpleasant and frightening, but that doesn’t always mean there’s something wrong. However, if you do notice vaginal bleeding in your pregnancy it’s best to consult with your health provider and make an appointment. Better safe than sorry right?

Causes of Bleeding in Pregnancy

As we mentioned earlier, there are many causes of bleeding in pregnancy. However, it’s important to note that there are two vastly different types of bleeding during pregnancy. The first type is called „spotting“. It’s usually harmless, light bleeding and occurs early in the pregnancy. It mostly happens when the embryo attaches itself to the uterine lining, and the bleeding is not that worrisome. However, the most common causes of bleeding in the second and third semesters are placental abruption, preterm labor, or miscarriage.

Pregnancy is a delicate period in every woman’s life and even the pregnancy itself can cause changes to the already sensitive cervix. During this time pap smear exams, and sexual intercourse during pregnancy can cause vaginal bleeding, and of course even urinary tract infections. Those are quite common as well.

Bleeding in the first trimester may also be a sign of ectopic pregnancy, molar pregnancy, or simply a miscarriage. Women who miscarry may have some type of bleeding before the miscarriage, but not always.

What Type of Bleeding Is Normal?

The light bleeding (or spotting) is quite normal in pregnancy. Bleeding in the first trimester happens in 15 to 25 of 100 pregnancies. However, the heavy bleeding in the later stages of pregnancy is not. Make sure to inform your health provider if there’s heavier bleeding than usual or if it’s accompanied by pain, fever, or cramping. Also, make sure to check the color of the blood, and check the flow of bleeding as well. If it’s getting heavier, it’s usually a sign that something is not right and you need to go to a doctor.

The most common treatment for vaginal bleeding is a medicine called progesterone, and you may have to take the progesterone until the 16th week of pregnancy, or even longer. A scan will follow the progesterone therapy, but you’ll be also advised to get plenty of rest as well. Make sure you don’t do any type of strenuous activities in this period, and make sure to drink plenty of fluids. Out of the things you shouldn’t do, don’t take any medication that is not prescribed by a doctor, and don’t use tampons as well. And finally, try to stay calm throughout it all. Make sure to stay positive and reach out to your doctor if you need any medical advice.

During your pregnancy or even after childbirth, some symptoms are not quite worrisome, but others can mean that something might be seriously wrong. Try to stay calm in the midst of it all. Good or bad, this too shall pass.

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Importance of Folic Acid in Pregnancy?

What is Active Folic Acid and what are its advantages?

Here’s an interesting fact ladies. Folic acid is good for any woman. No matter the age, and it doesn’t matter if you’re trying to get pregnant or if you’re already pregnant.

Folic acid is especially important for pregnant women. You might ask why. Well, because A) it is not an acid per se, but a vitamin from the group B (B9). And B) because mother’s low level of folic acid is a risk factor for the development of neural tube defects in the developing fetus. The neural tube forms the baby’s brain and spinal cord, necessary for the structure and the proper function of the nervous system.

The realization that taking folic acid in the form of a dietary supplement reduces the percentage of defects to the nervous system of a newborn by more than 70% is one of the most important medical discoveries of the 20th century. So, you can understand why it is recommendable for pregnant women to take it.

It also is important to know that major development of the brain and spinal cord occurs in the first trimester of pregnancy. Those first 12 weeks are crucial and that’s why additional intake of folic acid is recommended during that period. Ideally, you’ll start taking folic acid at least 3 months before you get pregnant, but the general rule of thumb is… It’s never too early to start taking folic acid.

A beneficial effect is achieved with an additional daily intake of at least 400 micrograms of folic acid during one month before conception and during the first three months of pregnancy.

And what about Active Folic Acid?

Active folic acid is actually the form in which our body utilizes folic acid. This means that folic acid itself and folates from food are not biologically active. They must go through the process of conversion into the metabolically active form of 5-methyltetrahydrofolate (5-MTHF), with the help of the enzyme methylenetetrahydrofolate reductase (MTHFR). Part of the population, due to unique genetic patterns, has polymorphic forms of this enzyme and does not produce adequate or effective MTHFR.

By taking an active folic acid through a food supplement actually means that you are taking a readily prepared, biologically utilized form of folic acid and needn’t worry whether your body might or might not be having the right capacity to convert non-active forms to active folic acid.

Now, all active folic acid forms are not the same.

The Quatrefolic® form belongs to the fourth generation of folic acid. It is considered an innovative form of active folic acid, with high level of solubility in water, and by this is expected to have a high level of bioavailability which means high utilization in the body.

So, our dear ladies, if you are planning a baby, or you are already pregnant, your gynecologist or pharmacist will most probably recommend a food supplement specially developed for your needs. It is recommendable it contains an active form of folic acid, and Quatrefolic being the innovative one is expected to provide adequate amounts of folic acid to your body.

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Advice for mothers

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Weight Gain in Pregnancy: How Much Is Normal?

First and foremost, let us put your mind at ease future mama. Weight gain in pregnancy is completely normal. There we’ve said it. All pregnant women go through it, and most likely you are as well. It is expected for a pregnant woman to gain between 10 and 12.5 kilograms, and most are putting the majority of the weight after week 20 in their pregnancy.

However, there’s one thing to consider when talking about weight gain in pregnancy. It’s important to maintain a healthy weight gain. That means eating healthy and nutritious food and staying active during the entirety of your pregnancy will ensure that the weight gain stays in the healthy weight gain range.

What Are the Possible Health Complications If You’re Having an Unhealthy Weight Gain?

Gaining too much weight during pregnancy may increase the chances of developing serious complications that can potentially be harmful to you and your baby. One such complication is hypertension which can occur during pregnancy, or even pre-eclampsia.

Gestational diabetes is another potential complication in pregnancy. It means you have too much glucose in your blood during pregnancy, and it may result in delivering a very large baby.

Nevertheless, even if no health issues may appear, the more weight you gain, the more difficult it would be for you to lose afterwards.

We already mentioned that gaining too much weight during pregnancy can be a problem. But at the same time gaining too little weight can become a possible problem as well. Gaining too little weight may result in the premature birth of your baby or the delivery of an underweight baby.

So, What’s Recommended for A Healthy Pregnancy Weight Gain?

Experts advise that you maintain a healthy and balanced diet during your pregnancy. They also recommend not eating more than additional 350 calories (on top of the usual recommended caloric intake for women) in the first and second trimesters. And they also recommend not eating more than additional 450 calories, during the final stages of your pregnancy.

The amount of calories changes if you’re pregnant with twins or other multiples so there needs to be a consideration to adjust your diet accordingly. You may also want to consider limiting the intake of processed foods and added sugars or fats in your diet. At the same time, try to stay physically active during the entirety of your pregnancy.

Another think to have in consideration when defining how much weight you should gain during your pregnancy is your starting BMI. The higher the BMI, the less weight you should gain, the lower the BMI, the more weight you should gain during pregnancy.

Talk to your health provider about any questions and concerns you might have. And enjoy your pregnancy. You’re at the start of one beautiful journey called motherhood and try to make the most of it during the 9 months of your pregnancy.

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Advice for mothers

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Waking Up A Baby for Feedings: A Good or Bad Idea?

There’s an old saying: „Never wake up a sleeping baby “. And the older generations love to say it to new mothers, don’t they? But nowadays that old saying belongs solely in the past. New recommendations from the leading pediatricians and health providers say otherwise… We’ll get to that in a second.

Baby’s Sleep Is Different from Grown-Up Sleep

First and foremost, it’s important to understand that most babies sleep a lot in their first year. Like, a lot, lot. And that’s perfectly normal because they’re growing so quickly. Their brains and their bodies need rest and good sleep in order to properly develop.

Next, day and night confusion are quite common among babies, as your baby’s circadian rhythm is still underdeveloped. However, if your baby sleeps more during the day than at night, it can be a bit of a problem. You don’t want your child sleepy all day, and up all night? Well, then you have permission to wake up your sleeping baby if the day naps exceed the 3-hour mark.

Experts recommend that babies up to 12 months should sleep from 12 to 16 hours a day. Naps are included in this time of course. So, don’t be afraid to let your baby sleep. However, there are exceptions to this rule.

So, Is It A Good Idea to Wake Up Your Baby?

Yes. It’s perfectly OK to wake up your baby, and there are several instances where that is very much allowed.

As we mentioned previously, you should wake up a sleeping baby during the day, especially if the baby’s nap exceeded the 3-hour mark.

Most newborns need up to 12 feedings a day, which means they should nurse every two or three hours. Also, frequent feedings are good both for the baby and the mom. The baby is getting fed, while the mom is getting her milk supply regulated. Remember, breastfeeding is all about supply and demand. The more you breastfeed your child (or pump) the more milk you’ll produce.

The babies who are fed with formula may extend the stretches between 3 hours, but that’s only because the formula needs more time to digest in the baby’s little tummy.

Another thing to remember is that most babies tend to lose 10% of their birth weight after they’re born, so frequent feedings are recommended for getting to a healthy weight.

And finally, a good reason to wake up a sleeping baby is a dirty or wet diaper. You definitely don’t want to leave your baby in a dirty diaper for too long. It can cause a diaper rash, and it’s not pleasant for the baby.

But How to Stretch Your Baby’s Sleep During the Night?

Through consistency and routine. Before bedtime, set a routine and stick to it every night. You may try a calming bath, a diaper change, a new clean set of clothes, feeding, and then off to the crib. Also make sure not to get your baby into an overtired state. Because overtired, cranky, and fussy babies are not easy to settle. So, start the routine, follow your baby’s sleep ques, be consistent. Your baby will love it.

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