High Risk Pregnancy | Fit Pregnancy

High Risk Pregnancy

Twins Galore

If you think you're seeing double a lot more often these days, you're not alone. The Centers for Disease Control and Prevention says that the number of twins born each year in the U.S. has more than doubled since 1980, MSNBC.com reports

OB or Midwife?

Eight years ago when I had my first son, I initially met with an OB-GYN recommended to me by a friend. I adored him—as well as his partners: a dynamic team of certified nurse-midwives. After learning that midwives tend to spend a lot of time with patients, have relatively few patients who require Cesarean sections and also encourage medication-free deliveries, I decided to have a midwife from the practice deliver my baby.

The Truth About Bed Rest

While many doctors and women feel that bed rest can't do any harm and might do some good during certain high-risk pregnancies, a recent review of research suggests otherwise. Often-overlooked side effects include muscle atrophy, cardiovascular deconditioning, potential bone loss and depression, says study author Judith A. Maloni, Ph.D., R.N., a professor of nursing at Case Western Reserve University in Cleveland.

Weighty Questions

Three decades ago, maternal-fetal medicine specialist Yvonne Thornton, M.D., was determinedly shedding the 67 pounds she gained during her first pregnancy when she found out she was expecting another baby. Thornton vowed not to let that derail her healthy eating habits again. “There was a strong dictum back then that no matter what you weighed, you should gain 26 to 35 pounds during pregnancy or risk fetal death,” says Thornton, now an OB-GYN professor at New York Medical College.

The Importance of Counting Kicks During Pregnancy

Paying attention to a fetus’s movements in utero has been linked with a decrease in stillbirth. That’s why First Candle, the nonprofit group behind the Back to Sleep SIDS-prevention campaign, encourages women to monitor or chart their babies’ kicks beginning in the 28th week of pregnancy.

Miracle Babies, Miracle Doctor

Fit Pregnancy has always viewed Sean Daneshmand, M.D., a high-risk OB-GYN in San Diego, as our own personal hero. An advisory board member to the magazine, he puts in countless hours reviewing articles and guiding us in topics that need attention.

We're not alone, apparently, in our appreciation for this amazing doctor: He's been named a CNN Hero for his work in establishing Miracle Babies, a nationwide nonprofit organization that provides financial assistance to families with babies in a neonatal intensive care unit.

Birth Complications

“After my emergency Cesarean section, I was shell-shocked that I wasn’t pregnant anymore.” Jennifer O’Brien, East Greenbush, N.Y.

Stillbirth Risk is Higher for Black Women

African American women are twice as likely to suffer a late-pregnancy loss as white women, says a study published in the American Journal of Obstetrics & Gynecology.

Do I have preeclampsia?

Just when I thought we were in the clear, we’ve been thrown another curveball. At my last two prenatal appointments, my blood pressure has been "too high" (140/90 or above)--out of the acceptable range to deliver at the birth center.

After Infertility

After-Infertility

The treatments themselves don’t make a pregnancy high risk; the medical issues that often cause female infertility, such as diabetes, endometriosis, fibroids or simply being older, may. (“Male factor” issues are responsible for the infertility approximately 40 percent of the time, but treatment is often the same.)

However, up to 40 percent of such pregnancies result in twins. These pregnancies carry a three to six times higher risk for problems, such as high blood pressure, preterm delivery and low birth weight babies.

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