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Preventing Malposition before Delivery

Preventing Malposition before Delivery

The best way to avoid these complications is to make sure that the baby changes position well before delivery, and there are several ways of doing this.

You may be able to tell if your baby is breech if you can feel a hard head bruising your ribs or if you get sudden sensations of urgency when the baby kicks you in the bladder. If the baby seems to be fixed in this position at around 32 weeks if it is your first baby, or 35 weeks if you have already had a child, you can take the following steps to help yourself. You can try and persuade the heaviest part of the baby — the head — to shift downwards by inverting yourself and allowing more room for a change in position. The best way of doing this is by holding yourself upside down in a swimming pool as often and for as long as is possible...

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Improving the Chance of Successful Implantation of the Embryo

Improving the Chance of Successful Implantation of the Embryo

One technique that may improve, at least marginally, the chances of successful implantation of the embryo is called «assisted hatching.» A small opening is made in the outer layer of the embryo, by means of a tiny laser beam; this opening seems to enhance the embryo’s attachment to the wall of the uterus. The technique is similar to the gardener’s trick of pricking the hard outer shell of some seeds before planting, to encourage germination.

To help support the lining of the uterus during the time when the new embryo is implanting, progesterone is usually given for 10 to 14 days. Progesterone is the hormone produced naturally by the ovaries in the second half of a woman’s cycle, so this administration of progesterone mimics what happens in natural conception...

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How to Deal with Pregnancy Bleeding

How to Deal with Pregnancy Bleeding

Bleeding in pregnancy is always worrying. The conventional advice to women on discovering that they are bleeding is to call a doctor and immediately go to bed, or, if the bleeding is heavy, to call an ambulance. However, there are various reasons why some women prefer not to do this.

Firstly, for some women, especially those for whom it is not their first pregnancy, bleeding seems to be relatively normal. For example a small survey of women suffering from endometriosis, a common condition where uterine tissue grows outside the uterus, found that as many as 50 per cent experienced bleeding in pregnancy, sometimes on and off throughout the pregnancy. Although they may not feel happy about it, they may feel that they can cope with it and would rather manage at home than be hospitalised.

Other...

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Pregnancy Guide — DIY Delivery

Pregnancy Guide — DIY Delivery

«My husband and I are curious as to what the authorities could do if we decided at the time not to call the midwife, as I would very much like my husband to deliver my baby and I know that the midwife would not be prepared to take a back seat if we called her. This is something we feel very strongly about and I feel safe and more comfortable having my husband there instead of the midwife — who, incidentally, is still trying to make me go into hospital.»

It is difficult not to feel sympathy with the mother who wrote this. However, do-it-yourself delivery is not recommended because of the slight risk of either you or the baby needing the specialised skill or equipment of the midwife...

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Learn about Natural Conception

Learn about Natural Conception

The number of births to women in the United States over age 35 is declining with increasing age of the mothers. This is not merely a matter of choice. The fact is that fertility declines with age, and the currently popular notion that it is easy to conceive after 35 is too rosy. In fact, fertility starts a slow decline at about the age of 27, and by 42, according to the Centers for Disease Control, a woman’s chances of conceiving naturally and carrying to term a healthy baby are less than 10 percent. It is a disservice to you for us to try to sugarcoat these facts or for you to ignore them. Likewise, if you are having difficulty conceiving, do not think of it as your «fault.» It is a biological phenomenon. And it does not mean that you cannot become a mother, in one way or another.

Barbra ...

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Lack of Progress in Labor

Lack of Progress in Labor

This is defined as a failure of the cervix to dilate beyond a certain point, as a failure of the presenting part to descend, or as a failure of the woman to give birth after being in labor for a specified number of hours. Its only cause should be cephalo-pelvic disproportion (where the baby’s head is too large for your pelvis) but is more commonly due to tension, of which you may not consciously be aware, preventing you from dilating.

This is unlikely to happen at home, where women are more likely to be allowed to labor for as long as necessary without arbitrary time limits set upon the length of their labor. The only situation where home is not likely to be less inhibiting than hospital is where you have someone present who is clearly anxious or disapproving...

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Previous Obstetric Difficulties — Home Birth Tips

Previous Obstetric Difficulties — Home Birth Tips

This objection will depend very much on what happened before, but need not necessarily be discouraging, even if you have previously had a Caesarean section. You may, however, find it hard to get a booking, although it still remains your right. It is up to the health authority to make the best possible provision for your individual circumstances; this might include taking some blood for crossmatching in the event of your needing a blood transfusion, and making sure the midwife who attends you is experienced and has some back-up.

There are in fact a number of good reasons for having a baby at home after encountering difficulties with a previous birth, all of which contribute to reducing the chances of it happening again...

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Getting Pregnancy with ART

Getting Pregnancy with ART

We generally talk about ART as occurring in cycles. A cycle of ART begins with the stimulation of the woman’s ovaries to produce eggs (oocytes). Commercially produced gonadotrophin (ovary-stimulating) hormones are used in higher than usual doses to stimulate «super-ovulation,» or more eggs than would normally be produced and brought to maturity in one cycle. The development of these oocytes is monitored by ultrasound until they are ready to be released from the ovary (ovulation). Ultrasound checks are performed at least three or four times in the early part of the cycle, sometimes every day, along with measurements of estrogen and other hormones. Maturation of the oocytes is then brought about by giving a syntheric form of luteinizing hormone, a pituitary hormone related to ovulation...

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Dealing with Placental Insufficiency during Pregnancy

Dealing with Placental Insufficiency during Pregnancy

Placental insufficiency is a condition where there is a reduction in the placenta’s ability to sustain the baby. The placenta or afterbirth is the organ within the uterus where the baby’s blood vessels exchange waste products from the baby’s system for oxygen and other nutrients supplied by the mother’s blood. If the placenta either does not develop normally or starts to deteriorate for some reason, the baby will go short of essential materials for growth. This will be apparent if your uterus is not growing at the expected rate and may be demonstrated by ultrasound. Placental insufficiency can be caused by raised blood pressure, smoking, syphilis, diabetes and bleeding in pregnancy.

You can be reasonably sure that your placenta is functioning well if you are aware of the baby kicking frequ...

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Assisted Reproductive Technology — The Emotional Toll

Assisted Reproductive Technology — The Emotional Toll

Be mindful that a tremendous emotional toll can be exacted by the cycle-to-cycle swings of hopefulness and grief, even if they are eventually followed by triumph. It takes a strong relationship to hold up under these stresses. Besides the natural emotional aspects of all of this, you will also be subject to yo-yo mood swings because of the hormones used in ART. Here are a couple of stories of real people that illustrate what we’re talking about.

Sydney was a teacher, in fact she was head of a prestigious private high school. She and Tom had married in their mid-thirties and were busy with their careers until, when Sydney was 41, they realized that they wanted to have a family before it was too late...

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