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Archive for March, 2011

Study Finds Weight and IVF Treatment May Increase Miscarriages

Thursday, March 31st, 2011

According to MSNBC, a study found that overweight women have a much higher risk of a miscarriage after having in-vitro fertilization than slimmer women who had undergone the same procedure. British doctors tracked 318 women at a London clinic who became pregnant after having in-vitro fertilization from 2000-2009.

The researchers then separated women by their Body Mass Index. Women who had a BMI of 18 to 24 were classified as normal. Women with a BMI of 25 or more were classified as overweight, and those over 30 as obese.

The study also took into consideration factors such as age, smoking and medical history. With all those factors, the study found overweight and obese women were much more likely to have a miscarriage than thin women. Women within the normal weight range who had undergone in-vitro fertilization had a 22 percent miscarriage rate. Women who were considered overweight and obese had a risk of miscarriage by 33 percent.

Depending on age and health history, women who had conceived naturally have a 4 percent to 23 percent risk of miscarriage during the first trimester. Overweight and obese women conceiving naturally have a three to four times higher risk of miscarriage.

Doctors not connected to the study recommended women include weight loss in their fertility treatment. It is unclear why excess body weight affects pregnancies, but suspect fat may have effects on the lining of the uterus, making it difficult for embryos to implant.

Study Finds C-Sections Deliveries Are On The Rise

Wednesday, March 30th, 2011

According to MSNBC, government scientists report that birth by C-Section will continue to increase, citing a study into the causes of a trend that may trouble maternal health experts. Researchers with the National Institutes of Health found that nearly one third of first-time moms deliver by C-section. A lead author of a study, Dr. Jun Zhang, researched 230,000 deliveries in 19 nationwide hospitals. Dr. Zhang reported the findings were surprising, especially that doctors found a woman who had already had a cesarean birth will always have a repeat c-section.

The study referenced hospital policy to always repeat c-sections, also suggesting a link between chemically induced labor and higher chances of c-section. Women who had their labor induced were twice as likely to have a cesarean. It is unclear if medication or forcing Mother Nature to deliver a child had an effect on higher surgical deliveries.

Medical experts argue that cesarean deliveries are an over treatment in procedures and tests that provide little or no benefit while subjecting patients to additional health risks. A surgery carries its own risk of infection and medical errors, with experts arguing vaginal births are safer even for women who have had a first c-section.

Since the mid-1990s, the c-section rate in the U.S. increased by more than 50 percent. Some of it may be to prevent medical malpractice and other lawsuits, experts claim. In Scandinavian countries, surgical deliveries hover at 20 percent range with no evidence of ill-effects to mothers or babies.

Study Examines Effects of Epilepsy Medications on Pregnant Women

Tuesday, March 29th, 2011

According to MSNBC, women with epilepsy face a difficult decision when they decide to have children, as they either must their medicine to prevent a seizure or they risk hurting the fetus. A new study from researches at the Karolinska Institute in Sweden found that children of mothers receiving polytherapy – a combination of epilepsy drugs – had 3 times greater odds of not finishing school.

The study examined 1,235 children born to mothers with epilepsy between 1973 and 1986. Children of mothers who were only taking a single medication did not seem to be as effected and were able to complete school just like their peers, although they were less likely to pass classes with excellence.

Doctors not involved with the study claim it is important for mothers to know that they are able to have normal kids. Childbearing is an important consideration for women with epilepsy, as drugs may have an effect on fetus development. Besides drugs, seizure can injure the fetus, and a woman with epilepsy cannot be off medication completely.

Epilepsy is a chronic neurological disorder characterized by recurrent seizures that may be brief muscle jerks or severe and prolonged convulsions. Anticonvulsant drugs are most commonly prescribed to treat epilepsy, with about 20 drugs available on the market right now. Most anticonvulsant drugs have side effects such as dizziness and fatigue, but some carry a higher risk of suicidal acts.

A different study found that women with epilepsy may have an increased risk of infertility due to taking multiple anti-seizure medications.

Makena Drug Prices May Increase Premature Births

Monday, March 28th, 2011

According to MSNBC, a drug preventing preterm labor is about to have a major price change that could negatively impact pregnant women at risk of going into labor too early. KV Pharmaceutical received government approval to be an exclusive seller of the drug Makena. The change prompted the company to skyrocket the price, from $10 per injection to $1500 per injection. Pregnant women at risk of preterm labor may start the drug early in the pregnancy, which means the total cost during a pregnancy could be as much as $30,000 for Makena shots.

The March of Dimes and many medical experts supported KV Pharmaceuticals attempts at getting exclusive government approval. The groups believed it would help with quality and availability of the medication. However, no one suspected that such a major price change would take effect.

Some medical experts and patient-safety advocates fear this drastic new price will have a negative impact on low income families and may lead to an increase in preterm births, instead of helping families avoid the mental and physical disabilities that can come with very premature births. The cost of a newborn preemie baby is estimated at $51,000 during the first year alone. Other concerns are that some insurance companies will not be able to cover Makena or will raise premiums. Perhaps, the state run Medicare programs will drop the preterm labor drug and choose not to cover the outrageous new costs. Many pregnant women depend on Medicare programs, denying to pay for an important prenatal drug could significantly increase preterm births, instead of preventing them.