Wednesday, December 2, 2015

What to Avoid During Pregnancy and Why

Unborn babies are resilient, otherwise the human race would have died out long ago.  However, there are many things that could affect your baby that you can work to avoid.  These things may cause premature birth, affect birth weight, or could even cause long-term effects to your child.  There are things that should be avoided at all if possible and things that can still be used, but with caution.

Avoid
Drugs, Cigarettes and Alcohol
Street drugs can pass through to your baby, causing illness or even addiction.  These types of drugs increase the risk of miscarriage, premature birth and still birth.  Even if your child survives childbirth, they face an increased risk of learning and behavioral problems as well as serious health problems.  They may also cause physical abnormalities.  Babies suffering from withdrawal because they were born with an addiction may experience greater irritability, sweating, shaking and seizures.  Needle use also increases the risk for mother and baby to catch diseases like HIV or hepatitis.

Although the French and others may disagree, smoking endangers your health and your baby’s.  While smoking, you inhale hundreds of chemicals including tar, nicotine, and carbon monoxide.  These chemicals can cross into the placenta.  Smoking affects your breathing, which may cause challenges during labor.  Carbon monoxide limits the amount of oxygen in your blood stream, which limits the amount that will reach your baby.  Smoking increases the risk of miscarriage, premature birth, and SIDS.  It may also cause abruption, which is when the placenta separates from the uterus.  Babies born from mother’s who smoke tend to be smaller and suffer from more health problems.  Babies exposed to smoke are more likely to get respiratory infections.  Smoking and co-sleeping should never be mixed as well, whether smoking while pregnant or after the baby is born.  Luckily, many women find the smell of smoke abhorrent while pregnant and find it easier to quit at this time.  And if you can make it through these 9 months, it may be easier to quit for good.

Alcohol is a trickier subject.  Experts know too much alcohol can be responsible for fetal alcohol syndrome, other birth defects, and learning problems.  Fetal alcohol syndrome often causes deformities of the face, head, heart, arms, and legs.  Fetal alcohol syndrome may cause the baby to grow slowly both in and out of the womb.  It’s possible that the baby may also suffer from alcohol withdrawal.  These effects are most often seen in babies whose mothers had at least 6 drinks per day.  The effects of a few small drinks here or there, or even moderate drinking, are less well known, but most experts will agree that it is best not to risk it by drinking any alcohol at all.

Prescription Medication without Doctor Approval
Prescription drugs, like over the counter drugs, should be run by your doctor to confirm that you should continue taking them.  Your doctor will help you weigh the pros and cons of continuing your medication.  It is possible for some medications to pass through your bloodstream and into your baby, while other medications are important for your health.  Your doctor may recommend alternatives that are known to be safer versions of some medications as well.  They may also be able to advise you about safe over-the-counters for some of the known side effects of pregnancy like nausea, heart burn and headaches.

X-rays
Although in some cases there are some medical reasons for you to have an x-ray, it is best to avoid x-rays when possible.  Discuss the fact you are pregnant with anyone ordering x-rays to weigh the pros and cons.  If you do have an x-ray, make sure the technician knows so they can shield your baby well.

Fever and External Heat Sources
There are many things that might raise your core body temperature, which could cause problems with your pregnancy.  Showers, warm baths, hot water bottles, and warm beverages are fine.  But things like electric blankets, saunas, hot tubs, and steam rooms could have unknown effects.  Heatstroke is known to be lethal to a fetus, so take caution with excessive sun and heat.  Also long-lasting fevers in the first trimester have been linked to miscarriage and spinal defects.  To help keep your fever down, drink plenty of fluids, take acetaminophen, and try showers or cool cloths.

Use Caution
Over-the-Counter Pain Medications
Most doctors will agree that aspirin should not be used during pregnancy.  There are a few studies that suggest that low-dose aspirin can help prevent certain conditions like preeclampsia, but there isn’t enough evidence to that.  As far as breastfeeding, 4-6% of the aspirin is transferred to breast milk and can build up in the body.  It has also been linked to Reye’s Syndrome, a rare disorder of the brain or liver.

Acetaminophen, most often taken in the brand name Tylenol, is most recommended by doctors.  There is a long history of women safely using acetaminophen during pregnancy.  It is also most safe to take while breastfeeding as very little passes into the breast milk.
Ibuprofen, often known of as Advil or Motrin, is more difficult.  Most doctors advise against its use, but studies do not always confirm this to be the case.  There is evidence that using ibuprofen in the third trimester could cause harm as it has been shown to cause heart or lung problems.  Some studies suggest an increased risk of miscarriage if taken during the first trimester while others find no such links.

Cat Litter and other animals
Sometimes it seems like people want you to give up your pets just because you are pregnant.  But with proper care, you can still keep your pets and have a healthy child.  In fact, some studies suggest that being pregnant with an animal may reduce your child’s risk of animal allergies.

The main worry with cats is toxoplasmosis.  Toxoplasmosis is a parasitic infection that you may not even notice or may appear to be an average flu, but could cause eye or brain damage in infants.  If you’ve had it before, which is likely if you’ve been around cats all your life, you are unlikely to get it again and unlikely to be able to pass it on to your baby.  But don’t assume this is the case and relax your hygiene standards.  Toxoplasmosis would be found in cat feces, mostly in the feces of outdoor cats.  So the litter box is the problem.  Your best option is to have someone else clean your litter box for you but if that isn’t an option, remember that it takes more than 24 hours for the litter to become infectious so if you clean the litter box every day, it should not become infectious.  Still, wear gloves and remember to wash your hands after cleaning the litter.  Also if your cat walks on your counters, make sure you wipe them down before you put any food items on them.

Cat feces can also be a problem in the garden, since outdoor cats may use it as a litter box.  So be sure to wear gloves and wash your hands after gardening.  And cat feces is not the only place where one may get toxoplasmosis.  Eating raw or undercooked meat could give you toxoplasmosis.

Amphibians and reptiles may carry salmonella in their feces.  Ask for someone else to clean their enclosure if possible.  If not possible, use gloves and wash your hands when cleaning the cages.  Clean the cage outside if possible.  If your animal needs a bath, bathe it in the tub then clean the tub.  Thoroughly wash your hands after handling the animals or their cages.  And don’t let your pet near food preparation areas.

Birds can transmit toxoplasmosis, like cats, or campylobacter, salmonella, chlamydiosis, and other protozoal infections.  The veterinarian is capable of telling you about any problems your bird may have, but to be on the safe side, always wash your hands after handling your pet.  And if no one else can clean the bird cage, use gloves and wash your hands afterwards.

Lying on Your Back
Throughout your first trimester, it is perfectly fine to lie on your back.  As your uterus gets heavier, you may find yourself struggling to get comfortable on your back though.  Doctors worry that your uterus may press down on a major vein responsible for returning blood from your lower body to your heart, which may cause you to feel dizzy or put your feet to sleep.  More importantly, the doctor is concerned that it could interfere with blood flow to your baby.  That means your baby may not be getting enough oxygen and nutrients.  You may find yourself suffering from backaches, breathing problems, digestive problems, hemorrhoids, and low blood pressure from this.  Doctors instead recommend that you sleep on your side, especially the left side.  Use pillows if needed to make yourself more comfortable. 

If you are suffering from heartburn, it might help to sleep with your head and shoulders propped up, which may also help with nasal congestion, which often is a problem in the third trimester like heartburn.

Whatever position you try to fall asleep in, don’t panic if you wake up on your back.  Just roll back to your original position.

Lunch Meats and soft cheeses
Lunch meats and soft cheeses could carry listeria, a dangerous foodborne illness.  Listeria grows best at room temperature, so deli meats that sit in display cases can be susceptible.  Listeria is known to cause miscarriage and stillbirth for some pregnant women when encountered. 

Also raw or undercooked foods could carry toxoplasmosis or other bacteria that could cause infection which may lead to miscarriage, stillbirth, or infection for your growing baby.  As long as the food is fully cooked, those bacteria should be killed in the cooking process.

Fish
Fish is low fat, especially saturated fats yet often contains the important DHA about which we hear so much as it is important for brain development.  The potential problem with fish is mercury though, which could damage a developing infant’s nervous system.  Most fish like salmon are fine, but others like marlin and shark are likely to contain high levels of mercury.

Caffeine
Research indicates that high levels of caffeine can result in a miscarriage or low birth weight.  Its main effect on you is increased alertness.  Other possible effects include an upset stomach from the stimulated release of stomach acid.  Caffeine is also a known diuretic, which means it increases the elimination of fluids, which can result in water or calcium loss.  While pregnant it is especially important to stay hydrated and you may be suffering enough from an upset stomach, but you may also find yourself dragging and longing for the energy kick from some caffeine.  You have to weigh the pros and cons for yourself.  And remember, some growing babies seem to get the same excited alertness from the caffeine and may be more active, which may keep you awake from discomfort.
Most experts recommend not exceeded 200 mg of caffeine, which is like a chocolate bar and a mug of regular coffee, or two mugs of tea and a can of cola.  Tea has less caffeine than coffee, and herbal teas are a nice pick me up, but remember that some herbal teas may increase blood pressure or cause other issues while pregnant depending on the herbs inside.

Various chemicals
Chemicals are all around us.  Some are benign, but some can cause birth defects and other problems.  Many chemicals have not been studied enough to know for certain what the problem is.  It is best to play it safe while pregnant for this reason. 

Most doctors will recommend you avoid oven cleaner, aerosol cleaners, dry cleaning agents, and spot removers.  When painting, avoid oil-based paints, varnish, shellac, turpentine, paint strippers and make sure the area is well ventilated.  Be careful if you are doing home repair around lead paint or asbestos.  Asbestos is linked to cancer, and lead can increase the risk of miscarriage and cause long lasting effects.    When working outside, avoid insecticides, weed killer, and fertilizer.  A more recent warning recommends you avoid BPAs, or bisphenol A and other phthalates found in plastics and other places.  To be safest, read all warnings and follow instructions on all chemicals you might be using around the home or at work. 

Hair color and perms are considered to be low risk.  There is minimal exposure to the chemicals and you are typically in a well-ventilated area.  Let your cosmetologist know that you are pregnant, and they should use the safest products.  They will also be able to best choose the products that will get you the result you desire, as you may find your hair reacts differently to dyes and perms while you are pregnant.

The Great Outdoors
While you are more pregnant, you may find you are more likely to get sunburn.  It’s recommended that you use sunscreen while outside.  Although you can use bug spray, it’s safer to wear long sleeves and apply the bug spray to that.  If you can find a DEET free bug spray, that’s the safest.  DEET has been linked to birth defects.  But tick bites can be just as bad, so weigh the pros and cons.

EMF
EMFs, which is basically the wireless signals all around us from cell phones to smart meters and everything in between, are a newer controversial topic not just for pregnant mothers but for many people.  Some people link these signals to headaches, anxiety, depression, fatigue, and nausea.  There is not enough scientific evidence to confirm this, but WHO does wonder if this needs to be studied further.  Some studies suggest that these magnetic fields may be connected to increased asthma, risk of miscarriage, or low birth weights in infants from exposure during pregnancy but there are too few of these to really confirm this.

Bibliography

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