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Archive for the ‘Pregnancy’ Category

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.

Pregnancy Related Deaths On the Rise in the U.S.

Friday, March 25th, 2011

According to MSNBC, the national rate of pregnancy-related deaths is on the rise. A new government study found that between 1998 and 2005, the rate of pregnancy-related deaths was 14.5 per 100,000 live births. While it may appear low, those figures are higher than the past few decades. In 1979 where were just under 11 maternal deaths per 100,000 live births.

Researchers at the U.S. Centers for Disease Control and Prevention found that the extent which the rise reflects a true elevation in women is unclear. Chronic medical conditions are exacerbated by pregnancy, including heart disease. Deaths from actual birth such as hemorrhaging are declining. Even high blood pressure that may occur during pregnancy appears to be declining in rates. Another factor is reporting of deaths, as a new cause coding system was implemented in 1999 and a system before it did not have a pregnancy or maternal checkbox.

For the study, the researchers looked at data on 4,693 pregnancy-related deaths reported to the agency between 1998 and 2005. A pregnancy-related death is any death occurring during or within one year of pregnancy that was attributed to pregnancy complications.

The new findings do not underscore the importance of women’s health before and during pregnancy. A lead researcher of CDC’s division of reproductive health suggests that all women should try to have a pre-pregnancy visit with their doctor and get any health issues under control before becoming pregnant. Doctors warn that our society sees more obese women in of childbearing age which raises the risk of diabetes and high blood pressure.

Study Finds Women With Rheumatoid Arthritis Have Issues Conceiving

Thursday, March 24th, 2011

According to MSNBC, a study by the Children’s Hospital Oakland Research Institute in Oakland California found that rheumatoid arthritis may hinder conception in some women. The study published in the journal Arthritis & Rheumatism, included 68,000 Danish women who became pregnant between 1996 and 2002, of those 112 had been diagnosed with rheumatoid arthritis before pregnancy.

The lead researcher Dr. Damini Jawaheer said that women who are trying to become pregnant are often told to stop using disease-modifying anti-rheumatic drugs such as methotrexate and infliximab as some can cause birth defects. The research team said it is unclear if the condition or stopping medication causes a flare-up in rheumatoid arthritis that somehow hinders a woman’s ability to conceive.

In general, women with rheumatoid arthritis take longer to conceive and are less likely to get pregnant within 2 months of trying. During the study, 48 percent of women without RA conceived within 2 months of trying, while women with RA had a lower percentage of a successful conception within 2 months of trying. When the researchers took into account age, body weight and other factors, women with RA were more likely to need more than a year to conceive.

Rheumatoid arthritis (RA) is an auto-immune disease occurring when the immune system mistakenly attacks tissue in the joints, leading to inflammation, pain and progressive joint damage. The disease is more common in women than men.