Tag: pregnancy

  • What Are The Early Signs Of Pregnancy?

    What Are The Early Signs Of Pregnancy?

    Pregnancy is the carrying of one or more embryos or fetuses by female mammals, including humans, inside their bodies. In a pregnancy, there can be multiple gestations (for example, in the case of twins, or triplets). Human pregnancy is the most studied of all mammalian pregnancies.

    Human pregnancy lasts approximately 9 months between the time of the last menstrual cycle and childbirth (38 weeks from fertilisation). The medical term for a pregnant woman is genetalian, just as the medical term for the potential baby is embryo (early weeks) and then fetus (until birth).

    Early Signs Of Pregnancy

    A woman who is pregnant for the first time is known as a primigravida or gravida 1: a woman who has never been pregnant is known as a gravida 0; similarly, the terms para 0, para 1 and so on are used for the number of times a woman has given birth.

    In many societies medical and legal definitions, human pregnancy is somewhat arbitrarily divided into three trimester periods, as a means to simplify reference to the different stages of fetal development.

    The first trimester period carries the highest risk of miscarriage (natural death of embryo or fetus). During the second trimester the development of the fetus can start to be monitored and diagnosed. The third trimester marks the beginning of viability, which means the fetus might survive if an early birth occurs.

    Before pregnancy begins, a female oocyte (egg) must join, by male spermatozoon in a process referred to in medicine as “fertilisation”, or commonly (though perhaps inaccurately) as “conception.”

    In most cases, this occurs through the act of sexual intercourse, in which a man ejaculates inside a woman, thus releasing his sperm. Though pregnancy begins at implantation, it is often convenient to date from the first day of a woman’s last menstrual period. This is used to calculate the Estimated Date of Delivery (EDD).

    Traditionally (according to Naegele’s rule, which is used to calculate the estimated date of delivery, or EDD), a human pregnancy is considered to last approximately 40 weeks (280 days) from the last menstrual period (LMP), or 37 weeks (259 days) from the date of fertilization. However, a pregnancy is considered to have reached term between 37 and 43 weeks from the beginning of the last menstruation.

    Babies born before the 37 week mark are considered premature, while babies born after the 43 week mark are considered postmature.

    According to Merck, the norm for human pregnancy is that it lasts 266 days from the date of fertilization. This is 38 weeks, or approximately 8 Gregorian months and 22.5 days, or 9.0 lunar months). Counting from the beginning of the woman’s last menstrual cycle, the norm is 40 weeks (the basis for Naegele’s rule).

    According to the same reference, less than 10% of births occur on the due date, 50% of births are within a week of the due date, and almost 90% within two weeks. But it is not clear whether this refers to the due date calculated from an early sonograph or from the last menstruation (see further down).

    Though these are the averages, the actual length pregnancy depends on various factors. For example, the first pregnancy tends to last longer than subsequent pregnancies.

    An accurate date of fertilization is important, because it is used in calculating the results of various prenatal tests (for example, in the triple test). A decision may be made to induce labour if a baby is perceived to be overdue. Due dates are only a rough estimate, and the process of accurately dating a pregnancy is complicated by the fact that not all women have 28 day menstrual cycles, or ovulate on the 14th day following their last menstrual period. Approximately 3.6% of all women deliver on the due date predicted by LMP, and 4.7% give birth on the day predicted by ultrasound.

    The beginning of pregnancy may be detected in a number of ways, including various pregnancy tests which detect hormones generated by the newly-formed placenta. Clinical blood and urine tests can detect pregnancy soon after implantation, which is as early as 6-8 days after fertilization. Home pregnancy tests are personal urine tests, which normally cannot detect a pregnancy until at least 12-15 days after fertilization. Both clinical and home tests can only detect the state of pregnancy, and cannot detect its age.

    In the post-implantation phase, the blastocyst secretes a hormone named human chorionic gonadotropin which in turn, stimulates the corpus luteum in the woman’s ovary to continue producing progesterone. This acts to maintain the lining of the uterus so that the embryo will continue to be nourished.

    The glands in the lining of the uterus will swell in response to the blastocyst, and capillaries will be stimulated to grow in that region. This allows the blastocyst to receive vital nutrients from the woman. Pregnancy tests detect the presence of human chorionic gonadotropin.

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  • Preterm Causes

    Preterm Causes

    What triggers normal, full-term labor is not yet fully understood, so the actual cause of preterm labor is not completely understood. In over half of preterm labors, the cause is unknown. However, there are some factors which are known to increase a woman’s risk of experiencing preterm labor.

    Many preterm births (30-40%) are the result of preterm premature rupture of the membranes (PPROM), in which the amniotic sac that holds the baby breaks too soon, leading to preterm labor. Preterm labor usually begins shortly after PPROM occurs. Sometimes, when a slow leak is present and infection has not developed, contractions may not start for a few days. On occasion, a leak high up in the amniotic sac may reseal itself so that preterm labor does not start or subsides.

    A mother’s age may play a role in preterm labor. Women in their teens or women over 35 are at an increased risk. Also, some recent studies have found a link between severe stress and stressful life situations (including things like: domestic violence or death of a close family member) and preterm labor, as well as standing for long periods of time or extremely tiring jobs.

    Infections can cause preterm labor, including certain sexually transmitted diseases (STDs) such as: gonorrhea, syphilis, chronic active hepatitis, trichomoniasis and chlamydia, as well as any illness with a fever. Severe urinary tract infections (UTI), undetected or untreated, Group B Strep and bacterial vaginosis (BV) are also possible triggers of labor before term. Other conditions that may be related to preterm labor include certain chronic maternal illnesses such as: diabetes, high blood pressure, kidney disease/infection and sickle cell anemia.

    Illegal or non-prescription drug abuse (especially cocaine), cigarette smoking, alcohol consumption are all risk factors for delivering a preterm baby. Not gaining enough weight during pregnancy, having a pre-pregnancy weight of less than 100 pounds, and inadequate nutrition and prenatal care may cause preterm labor and delivery of a premature infant.

    A multiple pregnancy (expecting twins, triplets or more) puts you at a much higher risk for preterm labor. The increased size of the mother plays a role in the increased risk. Women who’ve had a previous preterm labor or premature baby, 3 or more first-trimester miscarriages or 1 second-trimester miscarriage are considered at a higher risk as well.

    Cervical trauma is a major cause for preterm birth, the most common being from cervical injury due to elective abortions. Women with a history of multiple first-trimester abortions or one or more second-trimester abortions are at a considerably increased risk of delivering before term. Uterine defects due to an incompetent cervix, uterine fibroids, excesses amniotic fluid (making the uterus extra large), previous cervical cone biopsy surgery, placenta previa and diethylstilbestrol (DES) exposure can lead to preterm labor, as well as a pregnancy that occurred while using an IUD (contraceptive device).

    Back to Labor Stages

  • Preterm Labor and Complications

    Preterm Labor and Complications

    asthma-pregnancy1-163x140Prematurity is the most common cause of sickness and death among newborns. Babies born before the 37th week of pregnancy are often called preterm or “premature”, babies born before the 32nd week are considered very premature, babies born before the 28th week are considered extremely premature. Generally, babies born after the 25th week of pregnancy have a survival rate of between 50-60% (although they will stay an extended period of time in intensive care), which increases dramatically to over 90% after the 28th week.

    Premature Babies

    Babies born earlier at the 22nd week of pregnancy have less than a 2% chance of survival, while babies born before the 20th week are said to be miscarried and cannot survive outside the womb, even with our improved medical technology. The more mature babies are at birth, the more likely they are to survive and the less likely they are to have health problems. In addition to age, the baby’s size tends to influence how well he or she does; larger babies generally do better.

    Many times, babies born preterm face weeks and sometimes even months in the neonatal intensive care unit (NICU), depending on their gestational age, size and overall medical condition. Usually, premature babies are too sick and too small to go home until close to their original estimated due date.

    Preterm Health Problems

    Preterm babies are at risk for a variety of health problems, serious complications and even death. Some have lasting disabilities (depending on their degree of prematurity) such as cerebral palsy, mental retardation, reading and learning problems (or developmental delay), chronic lung disease and blindness or deafness.

    Other babies, usually those born closer to term, have no long-term problems and grow up completely healthy. Sometimes, babies born closer to term (34-36 weeks) still have certain complications, as well as suffer 2-3 times the infant mortality rate during the first year as full-term babies. Mortality rates during the first year for babies 32-33 weeks are 6 times higher than those born full-term.

    Preterm Labor Treatment

    Babies born before 34 weeks often need to be on a ventilator (and may need a medication called surfactant) to help them breathe, because of respiratory problems. A common condition for these preterm babies is called respiratory distress syndrome (or hyaline membrane disease), which is a serious breathing problem caused by immature lungs, making it difficult or impossible for their air sacs to stay open, due to the lack of surfactant in the lungs.

    Apnea is also common, especially in babies born before 30 weeks. Apnea causes babies to stop breathing for short periods of time, due to their immature respiratory and nervous systems. Intraventricular hemorrhage (IVH) sometimes happens in the first few days of life and is quite common in very premature babies. This condition is when bleeding in the brain occurs, which can potentially cause seizures and brain damage.

    Certain blood and metabolic problems may occur in babies born before term. Anemia (low blood counts), which may require a blood transfusion is not uncommon.

    Early babies may develop jaundice, due to their livers being too immature to normally process bilirubin, which may turn them yellow or orange in color. Cardiovascular conditions may occur, such as patent ductus arteriosus (PDA), which is a heart condition that causes blood to divert away from the lungs. With this, a blood vessel near the heart (that normally closes after delivery) stays open and may need to be closed with surgery, if medication doesn’t work.

    Feeding difficulties are common for preterm babies, since many are unable to suck, due to undeveloped suck and swallow reflexes. Often, they require tube feedings, in which a tube is placed in the mouth or nose that goes down into the stomach. You can still pump your breast milk for your baby, which is ideally the best for your tiny little one. Preterm babies typically are cared for under special heaters or in enclosed incubators that help maintain a stable body temperature, due to temperature instability from low body fat and thin skin.

    Back to Labor Stages

  • Preterm Labor

    Labor that begins anytime before the 37th week of pregnancy is preterm labor (or “premature labor”). Ideally, pregnancies (under normal circumstances), last for approximately 40 weeks from the first day of the last menstrual period, give or take 2 weeks. Most babies are considered “full-term” if they are born after the 37th week of pregnancy. If you have contractions sufficient enough in strength and frequency to start to efface (thin out) and dilate (open up) your cervix or if your water breaks (preterm premature rupture of the membranes or “PPROM”) between 20-37 weeks along, you’d be considered in preterm labor.

    It is estimated that as many as 10-12% of pregnant women in the U.S. will suffer from preterm labor, not including twin or triplet pregnancies. Approximately 60% of twins and about 90% of triplets are born preterm. Overall, the rate of preterm births are rising, mainly due to the large numbers of multiple births in recent years. Twins and other multiples are six times more likely to be preterm than single birth babies. The rate of premature single births is slightly increasing each year. Between 1992 and 2002, the rate of babies born before 37 weeks increased almost 13%. In 2002, there were over 480,000 preterm births (about 1 in 9 live births). The preterm birth rate was highest for black babies (over 17%), followed by Native American babies (almost 13%), Hispanic babies (over 11%), Caucasian babies (over 10%) and lowest for Asian babies (over 9%).

    Early detection of preterm labor is very important, so steps can be taken to stop labor from progressing and to prevent preterm delivery. Being informed and aware of early warnings signs can make all the difference. The early signs of labor can be subtle and hard to detect; some women experience preterm labor without noticing any uterine contractions at all. Don”t hesitate to call your doctor or midwife immediately if you think you are experiencing any symptoms of labor and you are less than 37 weeks along. Always call if you have any reason to suspect you might have preterm labor or you are confused or concerned about what you are feeling. Some symptoms can be especially confusing, because they may occur normally as typical pregnancy discomforts (including pelvic pressure and lower backache).

    Symptoms of preterm labor that you want to watch for include: uterine contractions that are fairly regular (whether they are painless or not) that occur 4 times or more within an hour and abdominal menstrual-like cramping (constant or occasional), with or without diarrhea. It may be difficult to tell the difference between Braxton-Hicks (or “practice”) contractions and the real thing. Monitor your contractions, by timing them (from beginning of one to the beginning of the next) and writing down your results. More than 4 in an hour, especially accompanied by other symptoms definitely warrants a call to your doctor or midwife, to be on the safe side. Other common preterm labor symptoms include: persistent, lower back pain (especially if you don’t typically have back pain), sudden increase in vaginal discharge (particularly gushes or a trickle of watery, mucus-like or blood-tinged fluid), any vaginal bleeding or spotting (some spotting is common after pelvic exams), persistent and/or increased pelvic pressure (painless or not) and frequent diarrhea.

    Back to Labor Stages

  • Preterm Labor Treatment

    Depending on how far along you are in your pregnancy, your doctor or midwife may not attempt to stop your preterm labor. If you aren’t close to term, one of the first things that may be done is re-hydration. You may be given fluids and possibly an IV. Preterm contractions can many times be directly related to dehydration. If your contractions stop after re-hydration, you will more than likely be discharged with orders to increase your fluid intake and follow up with a visit with your doctor or midwife, without any medications. If you are thought to be in labor preterm (before the 37th week of pregnancy), you may be given antibiotics to prevent (or treat) possible infection, especially if your membranes have ruptured.

    If re-hydrating you doesn’t stop contractions, then you will most likely be given medication. There are typically two types of medications given to women who are having preterm labor. The first type helps to slow down or stop labor contractions if given early enough (they are called “tocolytics”) .The second type helps the baby’s lungs mature before birth (“corticosteroid” medications).

    Tocolytic medications often used include terbutaline (or brethine), ritodrine, nifedipine, magnesium sulfate, or indomethacine. Each of these medications work in a different way, but the goal is to minimize the strength and number of contractions which may cause the cervix to dilate and efface. They may be given in an injection, by IV, under the skin or in the form of a pill. Your doctor or midwife may prescribe your medication to be administered by a ‘pump’, which delivers a small amount automatically through a device similar to that used by insulin dependent diabetics, while you stay in the hospital. Tocolytic medications are not as successful later in labor, if your membranes have broken, or if your cervix is already dilated beyond 2 centimeters. Tocolytics are not used if you have chorioamnionitis (an infection in the membranes around the baby), bleeding, abruptio placenta, severe preeclampsia or eclampsia, cardiac disease or other severe medical illnesses.

    Like other drugs, these medications are associated with side effects for you, as well as your baby. Before choosing a medication, you and your doctor or midwife must weigh the risks and benefits of each. Possible side effects of some of these drugs include (but are not limited to): drowsiness, dizziness, headaches, muscle weakness, irregular or fast heartbeat, nausea, vomiting, nervousness, restlessness, insomnia, shaking, shortness of breath, hyperglycemia (high blood sugar) and hypokalemia (low blood potassium), double vision, fluid in the lungs, fever, hallucinations and heart attack. Possible side effects for the baby include: fast heart rate, high or low blood sugar after birth, loss of muscle tone, slow breathing, drowsiness, enlarged heart, jaundice and bleeding within the brain or heart. You and your baby should be monitored very closely while taking any of these medications.

    By delaying preterm labor with tocolytic medications, doctors and midwives can use other medications to help speed up the baby’s lung development and improve the baby’s chance of survival. Corticosteroid (or steroid) medications are given, particularly if delivery appears to be inevitable. Betamethasone (also called celestone) or dexamethasone are given by injection into muscle tissue.

    Sometimes, if an incompetent cervix has been diagnosed, a cervical cerclage may be done. This is a procedure where the cervical opening is stitched to keep it closed. Early cerclage placement has a significantly higher success rate than those performed after effacement and dilation have occurred. Bedrest (either at home or in the hospital) may be recommended, with varying levels of activity (from limited to none). It is important for you to discuss with your doctor or midwife what range of activity you may participate in when bedrest is prescribed.

    Back to Labor Stages

  • 6 Pregnancy Tips for 2015

    6 Pregnancy Tips for 2015

    skinGood advice is hard to come by as what’s considered good advice today may not be considered good years later.  Take for example, Teflon, the biggest craze in the 70’s due to the non-sticking nature of the coating, replaced most all coating .  Today, Teflon is looked down upon by some who say it is linked to cancer, thyroid disease, ulcerative colitis, and high cholesterol.  That wonderful product that was raved about is now something to stay away from. That said, we’ve gathered a few things on a list for the expectant mom that are considered good tips for 2014!

    Pregnancy Tip 1Exercise is good in pregnancy and can lower the risk of miscarriage, so that’s really good news.  It is said to reduce complications when in labor and even reduce the time of your labor, but don’t overdo it.

    Pregnancy Tip 2Start taking prenatal vitamins before you’re pregnant.  Prenatal vitamins help nail and hair health even when not pregnant.  I take them and I’m not expecting.  In fact, some recommend prenatal vitamins after cancer treatments to help hair return faster and healthier.  There you have it! I get mine from Walmart because they are cheaper at just $8 a pop. Check with your doctor for a prenatal vitamin suggestions.

    Pregnancy Tip 3When cleaning around the house, opt for organic or natural cleaners instead of harsh ones or those full of chemicals and toxic ingredients.  If you must use a chemical cleaner, be sure to wear rubber gloves as the toxins can penetrate your skin and enter the bloodstream and reach your baby. We found a great natural cleaner tips at Mother Earth News that seems perfect for an expectant mother.

    Pregnancy Tip 4If you have a cat, don’t change your cat litter. Have someone else do it for you. Coming into contact with the feces or urine of a cat may infect you with toxoplasmosis.  One more chore off your list!  From Wikipedia, “Toxoplasmosis is a parasitic disease caused by the protozoan Toxoplasma gondii.[1] The parasite infects most genera of warm-blooded animals, including humans, but the primary host is the felid (cat) family. ”

    Pregnancy Tip 5Do leg and foot stretches before heading to bed.  I still remember the pain of waking up in the middle of the night with a horrible foot cramp that my husband could only fix if he grabbed my foot and pulled it up toward me.  I didn’t know that you’re supposed to stretch before bedtime.

    Pregnancy Tip 6Lastly, be prepared to order a dinner while out and by the time the plate comes out from the kitchen, you’ve decided you want your husband’s meal instead.  The funny thing is, I could never get away with this when not pregnant.  But when pregnant, my husband would gladly give in knowing there was absolutely no rhyme or reason to it, nor could I change that craving.

  • Celebrity Pregnancy Rumors – Is Beyonce Pregnant

    Celebrity Pregnancy Rumors – Is Beyonce Pregnant

    pregnancy-beyonceAlthought several sources close to Beyonce’  had released statements saying that the singer and husband Jay-Z are indeed expecting another baby, it is not true.

    Several tabloids have been reporting the news since last week that the power couple are expecting, but Beyonce and Jay-Z had remained tight-lipped about their ever-growing family.  These rumors aren’t really all that unusual since Beyonce has been pregnant every other month for years according to the tabloids. Shouldn’t she have given birth to several children by now?

    Beyonce isn’t the only one prone to pregnancy rumors, repeatedly. I don’t know how many times I’ve read that Jennifer Aniston was pregnant.  In fact, she did a comedic pretend pregnancy commercial for Smart Water where she was expecting triplets.  I can’t imagine it but expect those reports to increase given her upcoming marriage to Justin Theroux which may be on hold given Brad Pitt and Angelina Jolie are said to be planning to tie the knot this summer.

    Speaking of Angelina. She has also had her fair share of pregnancy rumors. Seems I read one not that long ago.  It’s kind of hard to be pregnant and go through breast surgery and reconstruction.  Don’t you think?

    Brad and Angelina said that they will marry sooner rather than later since their children keep asking them for a wedding date. No date has been announced as of yet since Brad is in the process of filming “World War Z “and his schedule is crazy right right now.

    The couple got engaged in 2012 after Brad gave Angelina a $500,000 engagement ring. Now that’s a ring! Again, at that time they said their wedding would be soon.  I expect an announcement will be pretty soon.  Seems they are in the news a bunch right now.  They are on a roll.

    Update:  They did it!  Brad and Angelina finally tied the knot.

  • Women: Infertility

    The most common female infertility factor is ovulation disorders. Disruption in the part of the brain that regulates ovulation can cause deficiencies in luteinizing hormone (LH) and follicle-stimulating hormone (FSH). Even slight irregularities in the hormone system can affect ovulation. Along with hormonal imbalance, medical problems such as a pituitary gland tumor can cause ovulation problems. Age is another important factor in female infertility. The ability of a woman’s ovaries to produce eggs decline after age 35. About 1/3 of couples where the woman is over 35 have problems with fertility. Without ovulation, eggs are not available to be fertilized. Signs of ovulation problems include irregular periods or no periods.
    Other causes of female infertility include blocked or damaged fallopian tubes, which may occur when a woman has had pelvic inflammatory disease, sexually transmitted diseases (especially Chlamydia), an ectopic pregnancy, prior surgeries or endometriosis (a painful condition causing adhesions and cysts). If the fallopian tubes are blocked at one or both ends, the egg can’t travel through the tubes into the uterus.

    Uterine problems and abnormalities can interfere with embryo implantation. Adhesions, scar tissue, fibroids and defects in the shape of the uterus can all result in repeated miscarriages. A condition called Asherman’s Syndrome, where the walls of the uterus adhere to each other is another problem that can lead to infertility. Exposure to diethylstilbestrol (DES), used in the 50s and 60s to prevent miscarriage, can cause abnormalities in women’s reproductive organs such as deformities of the vagina, uterus or cervix, as well as many other complications.

    Cervical problems can cause your cervical mucus to be of poor quality. Sometimes your cervical mucus may even contain antibodies which immobilize or kill the sperm. Usually around the time of ovulation, your cervix produces clear, stretchy mucus, which allows sperm to penetrate the cervix on their journey to meet up with the egg. If you have poor quality mucus or not enough mucus, sperm cannot get through your cervix.

    There are many causes that can lead to temporary infertility in women including obesity and certain medications. In most cases, fertility is restored when the medication is stopped. Excess weight can lead to elevated estrogen levels which may prevent a woman from ovulating. Thyroid problems (either too much or too little thyroid hormone) can interrupt the menstrual cycle and cause infertility.

    Infertility and Men
    Treatment of Infertility

  • Your Physical and Emotional Symptoms

    In addition to cervical changes, temperature fluctuations, and changes in your cervical mucus during your monthly cycle, many women experience other fertility signals as well. Sometimes these additional symptoms are referred to as “secondary” fertility signs, because they don’t occur in all women, or even in every cycle in individual women. You can increase your chances of conceiving by familiarizing yourself with your emotional and other physical changes that occur each month and recording them on your chart in addition to your BBT, mucus and cervix signals. By doing this, you will get a more accurate picture of when you are most fertile.

    Physical Fertility Symptoms
    Emotional Fertility Signs

  • Teen Options

    Being a teen and pregnant may seem like a difficult experience now, but with the right support and information, you will be able to make a decision and feel that you can feel good about. There are crisis pregnancy centers (most likely in your town or very close by) that can help support you in your pregnancy decisions, as well as offer many other valuable services. They have trained counselors that can help you sort through the pros and cons of each option and explore the solutions that would work best in your life. There are 24-hour crisis pregnancy hotlines you can call and countless crisis pregnancy sites to help you on-line.

    You have three basic options: parenting, adoption or abortion. In order to make the right decision for you and your baby, you need to know everything about each of these options. This is a decision no one else should make for you. You can consider other people’s thoughts and ideas, but don’t make a decision because you think it will please your parents, your baby’s father or anyone else. Ultimately you are the one who has to live with the final decision. This may be the biggest decision you have to make, so take plenty of time to think things through carefully. Whatever you decide, please remember that your choice will affect you for the rest of your life – physically and emotionally.

    Parenting

    Parenting is a difficult but extremely rewarding experience that requires both patience and strength. If you choose to continue your pregnancy and parent, not only will you be able to watch your child grow up, you will be preparing yourself for one of the greatest and most rewarding experiences ever. However, a lot of responsibilities come with parenting, which you must realize now and accept. Parenting is a lifelong commitment to your child, promising him or her the best care possible, undying love, financial, physical, emotional, and spiritual support. It takes time and hard work to be a good parent, but it can happen. There are many resources available to help you, if you choose to parent your child.

    Read more on teen pregnancy:

    Teen Options (continued)
    Teen Pregnancy
    Teen Statistics

  • Teen Adoption

    When a teen becomes pregnant, some very serious decisions need to be made and those decisions should not be made lightly as they will affect her for the rest of her life rather she realizes it or not.

    Adoption

    For many teens facing an unplanned pregnancy, adoption is a positive option. Adoption can give you the freedom to pursue your goals and know that you have made a caring decision for your child. Choosing life for your baby and giving a wonderful gift to another family is a very courageous and wonderful thing. There are many couples that can’t have their own children and are waiting to adopt a child. Counselors and support groups are available through most adoption agencies to help with the emotions surrounding adoption. If you decide on adoption, you can choose to have it open or closed. An open adoption is when you get to choose the parents who will be raising your baby and a closed adoption is when everything is kept private.

    Abortion

    Many pregnant teens decide to have an abortion because they believe it will be a quick resolution to a difficult situation. Often teens who give in to the idea of abortion are pressured into it by their partners. In a survey taken of women who have had abortions, 63% of them felt “forced” by other people into the abortion, and 74% of the women surveyed said they would not have the abortion again. Make up your own mind based on factual information. You have time. Don’t make any quick decisions based on fear, panic or pressure.

    Read more on teen pregnancy:

    Teen Pregnancy
    Teen Statistics

  • The Second Stage of Labor

    During the second stage of labor, your cervix is fully-dilated to 10 centimeters and as your baby makes his or her way down the birth canal, your contractions may actually space out to about 2-4 minutes apart and become more regular. This may allow you to rest and take a breather briefly between contractions. Although it may be difficult, rest and save your strength for pushing.

    Pushing and Delivery

    At this point, the pressure on your rectum increases and the urge to push becomes overwhelming, as your baby descends. You may feel more in control once pushing begins, as well as a sense of relief to be able to play a more active role in the birth process. You may also experience a burst of renewed energy as delivery draws ever-so-close. The urge to push usually feels the strongest at the peak of a contraction, then fades toward the end.

    Positioning and breathing will impact your pushing. Unless you are making significant progress, you may be advised to change positions about every half hour, which may enhance progress. Allow your partner (or support person) to help you into a semi-sitting or a semi-squatting position, which allows gravity to work for you, not against you. Squatting utilizes gravity, helping your pelvis to open up and make more room for your baby. It can also take some pressure off your back. Some hospitals even have squat bars that you can hold onto, or you can use your partner for added support.

    The side-lying position may also help ease back pressure, if you are experiencing “back labor” during pushing. For this position, you or your partner may hold up your top leg. A common position for pushing is having your feet in stirrups, while lying on your back. This position is most convenient for your doctor or midwife if you need an episiotomy, although gravity doesn’t help you out much while using this position.

    Whatever position you choose when pushing, take a deep breath, hold it in, bear down and concentrate. Curl into the push as much as you can, rounding your shoulders, putting your chin to your chest, allowing all of your muscles to work to help ease your baby into the world. Don’t be alarmed if you pass small amounts of urine or feces during the pushing stage, because many women do and it’s completely normal. It can even mean you are pushing effectively. Remember, every push brings you that much closer to holding your baby in your arms.

    Birth

    Some women want to use a mirror to see their baby’s head and may want to touch it as well. Seeing or feeling your baby’s head crown may give you added inspiration to keep pushing. Just before your baby is born, you may feel a burning, stinging or stretching sensation at the opening of your vagina. This often happens as your perineum widens to allow your baby’s head to descend (often called “crowning”) and your baby to pass through the birth canal.

    As your baby’s head emerges, it typically turns to one side to allow the shoulders to align. Once your baby’s head is delivered, you may be asked to stop pushing, so his or her airway can be cleared of excess mucus, by suctioning your baby’s nose and mouth. After that’s done, your doctor or midwife may assist the rest of the body out, usually with one last push. Congratulations! You have a brand new baby!

    Back to Labor Stages