Архив января 2013 года

Pregnancy and Previous Thromboembolism

Pregnancy and Previous Thromboembolism

DVT is a risk for any pregnant woman, because in pregnancy, there are physiologic changes that enhance the blood clotting mechanisms of the blood, preparing the body for the separation of the placenta and the minor tearing that accompanies most normal deliveries. These changes set the stage for one of the significant causes of maternal mortalityЎЄpulmonary embolism. (A thrombus or thrombosis is a blood clot forming within a vein, usually a vein of the legs or pelvis. An embolus is a thrombus that breaks free of its attachment to the blood vessel wall and travels in the bloodstream to a major organ, such as the brain, lungs, or heart, causing serious illness or even death...

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Breast Cancer and Pregnancy

Breast Cancer and Pregnancy

It is not common for a woman under 50 to have cancer, but it is not rare, either, and the frequency of cancer is increasing. Breast cancer and cervical cancer and precancer are the most common types. In the United States, there are approximately 3,500 cancer-complicated pregnancies each year.

Most women who have had cancer have an acutely heightened sense of their own mortality and fear that they may not live to see their child grown. For a woman whose overall prognosis is good, the increased risk of early death is not tremendous. However, each cancer survivor should visit this issue and come to peace with it. If you wish to get pregnant, consider these questions...

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Tips on Returning to Work after Giving Birth

Tips on Returning to Work after Giving Birth

Every mother is a working mother, but some also work outside their homes. If you are already established in your work, you may have the status and the accrued salary advances that come with experience; you may have seniority or the benefits of a unionized job; you may have accrued additional weeks of vacation and other advantages of long employment. Wherever you are in your work life, your employment situation and goals will have to be considered as you approach motherhood, whether for the first time or again.

Which Path to Take?
There are three basic questions you need to ask yourself before you bring your baby homeЎЄlong before. They are:

— Do I want to work full time after I have my baby?
— Do I want to be a stay-at-home mother?
— Do I want to work, but with reduced hours and perhaps ...

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Home Birth and Doctors

Home Birth and Doctors

Remember that you do not have to consult a doctor at all about having your baby at home. In fact not consulting one might be a wise precaution; GPs’ reactions can be surprisingly fierce, even when such doctors are normally mild-mannered and considerate.

However, it is worth analysing the reasons for such reactions. In most cases it will not be a result of sheer bloody-mindedness, although it can seem like it. It can be due to apprehension and a genuine belief that you are proposing something that will endanger you and the baby and of course the doctors reputation, notwithstanding the current evidence.

Part or all of this apprehension will stem from the doctors previous experience of childbirth during his or her training, and may even go back further than that — to the type of person that h...

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Learn about the Fathers Role during Pregnancy

Learn about the Fathers Role during Pregnancy

Fathers today are generally much more involved in the process of rearing children than they were a generation or two past. Most (but not all) fathers want to have a voice in all decisions regarding their children. Many want equal partnerships with the baby’s mother, and are willing to shoulder equal division of the chores. Many people, women and men, have preconceived ideas of how child care should be organized. It can be hard to realize that different styles and approaches may be equally workable and beneficial. Prospective parents need to talk about these issues without either being judgmental of the other’s ideas.

Single mothers will need to decide if possible how much a part of the child’s life the biological father will be...

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Having a Home Birth after Caesarean Section

Having a Home Birth after Caesarean Section

There should be no automatic repeat Caesarean sections. In every case the need for this type of delivery should be assessed individually and in relation to the particular baby. The chances of having a vaginal birth following a Caesarean birth are good, although it will usually be described as a ‘trial’ of labor.

Such a birth is normally expected to take place in a consultant unit with facilities available for an emergency Caesarean section if necessary; this is because of the fear that your uterine scar may not stand up to the pressure of labor, and separate or rupture as a consequence. This happens only rarely — once in every 500 cases where the incision is of the lower-segment ‘bikini line’ kind. It is more common, 1-3 per cent, with classical up-and-down scar...

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