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Thursday, July 02, 2015

GETTING PREGNANT AFTER MISCARRIAGE STATISTICS

Pregnancy After Miscarriage

I've posted a number of studies about pregnancy after recurrent miscarriage.
I, myself, had six miscarriages before having a totally natural conception and normal pregnancy and deliver. Here is a study that looked at not only the pregnancy success rate, but also the length of time it took to conceive naturally. Read more:

213 women became pregnant during the period February 2004 to July 2009. 139 had a live birth, 69 a miscarriage, two an ectopic pregnancy, two a termination of pregnancy and one had an intra-uterine foetal death. The median time to a subsequent pregnancy, irrespective of outcome, was 21 weeks. The cumulative incidence of natural conception was 56% after six months, 74% after 12 months, and 86% after 24 months of which 65% resulted in a live birth.

SEE ALSO: TEN THINGS YOU MAY NOT KNOW ABOUT PREGNANCY LOSS AND MISCARRIAGE (getpregnantover40.com)

"These women were all randomised to receive one of the treatments or placebo, but further analysis showed that these made no difference to the outcome. Even such factors as maternal age, BMI, the number of previous miscarriages and the presence or absence of a previous live birth did not alter results significantly...

..."Our results mean that women with RM can be reassured that their time to a subsequent conception is not significantly longer than that for fertile women without a history of miscarriage. RM is extremely stressful for these women and we hope that our study will give them hope and encourage them to keep trying for the baby they want so much," he concluded."

from: 
news-medical.net

Tuesday, June 30, 2015

CHINESE MEDICINE FOR MISCARRIAGE

Trying To Conceive 

As I've previously mentioned, I did not go the herbal route when I was trying to conceive or pregnant.
 I also believe you should talk with your doctor before taking herbs especially if you're already pregnant. However, I thought I'd link to this site seemed very informative and talks about miscarriage both from the Chinese and Western perspective (keep in mind this is a commercial site, but still worth reading):

See Also My Site On Alternative Medicine and Home Remedies For Miscarriage
From the article:

Causes of “Threatened miscarriages”:

1. “Kidney Qi Vacuity”, either because of a weak constitution, depleted “Kidney” essence from overindulgent sexual activity or to a history of frequent miscarriages.
2. Impairment of the “Spleen” and “stomach” leading to “Qi” and “Blood Vacuity”.
3. Internal heat disturbing the fetus, often resulting from stagnation because of emotional stress.
4. Fetal qi can also be adversely affected by the development of another illness during pregnancy. In addition the effects of traumatic injury, surgery and herbal and pharmaceuticals can threaten miscarriage

Chinese Herbs Must Address the Underlying Cause of the Threatened Miscarriage.

1. Threaten miscarriage cause by “Kidney Qi Vacuity”
Clinical Manifestations: Slight vaginal bleeding during pregnancy, dark discharge, lower backache and in some cases a bearing down sensation and pain in the abdomen; accompanied by dizziness, vertigo, tinnitus, frequent urination, night time urination, even urinary incontinence in sever cases. Tongue: Pale with white coating Pulse: deep, weak, slippery

Treatment Method: Secure the Kidney, Boost the Qi, Calm the Fetus Chinese herbal formula to treat a threatened miscarriage caused by “Kidney Qi Vacuity”:Fetal Longevity Pill (Shou tai wan)

2. Threaten miscarriage cause by “Qi and Blood Vacuity”
Clinical Manifestations: Slight vaginal bleeding during pregnancy, discharge that is thin and pale red, and in some cases, pain and a bearing down sensation of the lower back and abdomen with tireness, fatigue, pale complexion, palpitations and shortness of breath.
Tongue: Pale with thin white coat Pulse: Thready, slippery

Treatment Method: Supplement Qi, nourish the blood, secure the kidney and quiet the fetus. Chinese herbal formula to treat a threatened miscarriage caused be Qi and Blood vacuity: Fetal Origin Decoction (Tai Yuan Yin)

3. Threaten miscarriage cause by “Blood Heat”
Clinical Manifestations: Vaginal bleeding during pregnancy, discharge that is bright red in color: pain, distention, and bearing down sensation of the lower back and abdomen accompanied by irritability, dry mouth and throat, dark scanty urine and constipation.
Tongue: Red with dry yellow coating Pulse: Rapid, slippery or wiry, slippery

Treatment Method: Nourish Yin, cool blood, clear heat, quiet the fetus Chinese Herbal Formula to treat Threatened Miscarriage caused by “Blood Heat”: Yin-Safeguarding Decoction (Bao Yin Jian)

4. Threaten miscarriage cause by a traumatic injury
Clinical Manifestation: History of falling, twisting the back or overstrain during pregnancy, resulting in vaginal bleeding; or lower backache and abdominal distention and bearing down sensation.
Tongue: Normal; in some cases dark Pulse: Slippery, forceless.

Treatment Method: Supplement the qi, regulate the blood, quiet the fetus. Chinese herbal formula to treat Threatened Miscarriage caused by a traumatic injury: Sagely Cure Decoction (Sheng Yu Tang)


excerpted from:
 fertilityformulas.com

Sunday, June 28, 2015

PRAYER FOR MISCARRIAGE

Although I have readers from many different backgrounds and faiths, I thought a miscarriage prayer may be of interest to those from a Christian background. Many women who have had a miscarriage may want a prayer not only for themselves, but perhaps for others to pray for them.  Here is a touching prayer from Vienna Cobb Anderson for a woman who has had a miscarriage:

SEE ALSO: INFERTILITY IN THE BIBLE (getpregnantover40.com)

Prayer for a Woman Who Has Had a Miscarriage

O God of love, source of life,
Hear our prayers for _____.
Her baby died before it ever came to birth.
The blessing of your love
was torn from her body,
leaving her empty and devastated.
Comfort her now in her sorrow.
Restore her hope for a child to come.
Give her courage and new delight
in the days ahead.
In good time, grant her a new life
that her soul may rejoice
and her body give birth;
in Christ's name we pray. Amen.

By Vienna Cobb Anderson

Thursday, June 25, 2015

MISCARRIAGE AND NATURAL KILLER CELLS

Miscarriage and natural killer cells

I've read many articles about how miscarriage may be related to immune system problems.  We all probably learned about lymphocyte in our science classes.

 These are a type of white blood cell that protect our bodies from invaders.  The uterus also has it's own type of "natural killer cells" which can be problematic is some women.


SEE ALSO: MISCARRIAGE AND WHAT YOU MAY NOT KNOW (getpregnantover40.com)


 Right before we threw in the towel on fertility treatments, my RE wanted to do an immune system work-up. I declined due to the high cost and I frankly wasn't willing to undergo more procedures with no results. But here is a recent article on something called "natural killer cells" and how they may negatively impact pregnancy:



From the article:

Until now, scientists were unable to shed light on the mystery of the role of the NK cells. Under normal circumstances, NK cells act to safeguard the person's health but NK cells found in the uterus act in a different way. The researchers believe these cells produce cytokines, proteins that regulate the immune systems. In this case, the maternal arteries supplying the foetus with blood, oxygen and nutrients are modified, according to them.

The team explained that the tissue changes must be arranged in the context of the genetic diversity between the maternal immune cells and the paternal genes expressed on the developing placenta. The potential for problematic pregnancies - which generally result in recurrent miscarriages - is intensified when hostile interactions between maternal uterine NK cells and paternal MHC molecules emerge.

The interaction between uterine NK cells and MHC only came to light recently. But the researchers noted that there still isn't substantial information as to how maternal immune cells recognise paternal molecules in the developing placenta, effectively hindering an attack. The research team showed that the differences between uterine NK cells and blood NK cells are found in adhesion, activation and MHC recognition capacities.

'Not enough is known about these unique cells and their important role in pregnancy,' explained Babraham Institute's Hakim Yadi, PhD student and lead author of the report. 'This unprecedented and in-depth analysis of uterine killer cells is the necessary groundwork upon which we can build new knowledge. This will aid us in determining the factors that regulate reproductive success.'

 

from:     (www.cordis.europa.edu)

Tuesday, June 23, 2015

DOES NAUSEA AND VOMITING INCREASE RISK OF MISCARRIAGE?

Pregnancy Over 40, Nausea and Miscarriage

I had terrible nausea along with some vomiting with my successful pregnancy.
 I also had many flu-like symptoms. I'm glad I didn't work at the time because I would have had to take off my entire first trimester. Here is an article about nausea and vomiting in pregnancy (NVP) and pregnancy outcomes:


SEE ALSO: TEN THINGS AND MORE YOU MAY NOT KNOW ABOUT MISCARRIAGE OVER 40 (getpregnantover40.com)

From the article:

In summary, our epidemiological study of a large, diverse population showed that NVP was only associated with a decreased risk of miscarriage and in cases of threatened miscarriage, NVP was associated with a decrease in subsequent miscarriage. Our meta-analysis indicated that the only association of NVP with perinatal and neonatal mortality that was generalizable across populations was a decreased risk of mortality during the first 20 weeks of gestation (i.e., miscarriage) due to NVP

from: 

Nausea and vomiting in pregnancy and pregnancy outcome: An epidemiological overview

Sunday, June 21, 2015

FATHER'S DAY AND MISCARRIAGE

Men Suffer From Miscarriage too

Some of you may want to share this article with the man in your life.  We all know how hard miscarriage is for women, and most of the sympathy and attention is focused on them after a miscarriage.
Men need support after a miscarriage too and this article gives one man's experience and advice:

Understanding a Father's Road to Recovering From a Miscarriage

Guest Post By Russell Mosley

If you have ever wondered how a father feels when he has suffered the loss of his child through a miscarriage, I Thank You. Though a father does not encompass the ability to carry his child within the depth of his body, he carries his child in the depth of his soul. Very similar to when a mother feels the kick of her child within her womb, so does the father feel his child within his soul.
Hidden within that exterior of masculine control is a spirit suffering from its greatest loss. As fathers we are suppose to protect. We are supposed to encourage and support the lives of those that mean the most to us. Though we may be silent in our expressions of this disconnect in our spirit, as our child moves on to fulfill their new purpose in God's comforting arms. We are angry, not angry because the world may not understand how we feel or the world may expect difference in our emotions. It is because we could do nothing to stop this horrible event from happening.

SEE ALSO: THINGS YOU MAY NOT KNOW ABOUT MISCARRIAGE (getpregnantover40.com)


We lost more than the world will ever understand. A part of our soul will forever remain in that very spot in which we lost our child. Whether it was in a hospital, home or vehicle, it doesn't matter. That very spot will forever hold the worst of our memories. I can personally recall the very first day that I drove passed the hospital in which my child departed into God's arms. It was as though my entire life had just been summed up into one 2 minute period as I recalled the moment in which the doctor announced that my wife and I had lost our child.
Though it was more than 2 weeks later, I felt compelled to visit the outside of the hospital and pray for my child. I am sure that in these emotions I am not alone. I share no special gift that I alone have been rewarded. I know that what I was feeling exists in the spirit of any father that has lost his child.
In the tragedy of a miscarriage, there exists tremendous loss in the lives of any family. In many cases the expectations of this loss is minimized to physical tragedy. Others tend to forget that as parents our spiritual connection to our children is just as strong as our connection to their physical existence.
As a father who has personally experienced this tragedy, I can honestly tell you that I would give up all that I have accomplished in my life to be able to reverse the tragedy of those 2 minutes in which the doctor announced my family's loss.
But I also realize that even in the depth of tragedy there exist opportunity. In the remainder of this article I would like to offer my awareness of these opportunities to those fathers that have also shared in this life changing tragedy.
In that moment, at that time, for many reasons, we as fathers feel an overwhelming thrust of loss visit our bodies. This loss is not because we are ill, confused or angry. It is because we realize that we were given a few of God's greatest gifts. These are the gifts of sharing our spirit with the unseen, loving the idea of the unknown and believing in the existence of the soon to come. Each of these gifts encourage God's greatest opportunity, the opportunity to love and be loved unconditionally. At that moment, we convince ourselves that this love has left our bodies and nothing feels worse than this disconnection of its unconditional embrace.
But I have learned that our children never leave, they never exit and they never separate their embrace. Their fight to remain in our hearts and linked to our spirits never end. Only we can disconnect their embrace. Contrary to what the world may recommend in our healing, the physical absence of our children does not have to encourage a spiritual disconnect.
The love that is shared between a father and his child can withstand any circumstance that life can offer and is more powerful than the sadness that this tragedy can encourage. We as fathers must embrace the strength that exist within this unconditional love that we share with our children, and through this embrace we must live our lives in the manner that would represent our existence in fatherhood for the short period that our children's physical existence blessed our lives.
I believe that wherever we will go, our children will forever gaze into the vision of our lives with the same innocence that we could imagine to exist when we think of them spreading their arms for their father to embrace them with the love in which they are most familiar.
How do you feel about a father's road to recovery from a miscarriage? I'd like to know....
Russell Mosley
Positive Share LLC
http://www.positiveshare.com
Great News - The Positive Share Newsletter is now available on our website. Enjoy a free copy of Positive Share's Personal & Accountability Development Series's eBook "Father Not Present" when you sign up for our free semi-monthly newsletter. http://www.positiveshare.com
Positive Share offers a creative approach in Personal and Leadership development through illustrations that encourage those thoughts and ideas that impact life through wisdom and experience.
Article Source: http://EzineArticles.com/?expert=Russell_Mosley
http://EzineArticles.com/?Understanding-a-Fathers-Road-to-Recovering-From-a-Miscarriage&id=3580383

Thursday, June 18, 2015

WHAT CAUSES PLACENTA PREVIA?

Causes of Placenta Previa

Guest Post By Sriram Ravichandran

Placenta Previa is defined as implantation of the placenta either partially or completely over the lower uterine segment. The lower uterine segment is the lower part of the uterus adjoining the cervix which is produced by thinning of the uterine wall with growth of the uterus during later stages of pregnancy. Hence this diagnosis is most accurately made during the second and third trimesters when the lower uterine segment is well formed. The word previa refers to the position of the placenta in relation to the presenting part of the baby.
This condition accounts for around a third of all cases of bleeding during pregnancy, with the other third being caused by abruption and another third due to unexplained causes. The incidence of this condition is around 1 in 100, but these statistics are derived from hospital cases which only reflect the tip of the ice berg.

SEE ALSO: TRYING TO CONCEIVE WITH AN ARCUATE OR MISSHAPED UTERUS (getpregnantover40.com) 

The exact reasons for the implantation of the placenta in the lower uterine segment are not clearly known. But the following theories have been postulated:-
  •  Dropping down theory: It is believed that poor decidual reaction in the upper part of the uterus may force the fertilised ovum to drop and implant itself to the lower part of the uterus.
  •  Lesser degrees of this condition can be explained by the persistence of chorionic activity in decidua capsularis, which leads to formation of a large capsular placenta. This large capsular placenta on contact with the decidua vera of lower segment implants in it.
  • Defective decidua can result in compensatory proliferation of the placenta. This leads to a large placenta which can encroach into the lower segment.
  • A very big placenta (as in twin pregnancy) can encroach into the lower segment of the uterus.
Some of the conditions which predispose to placenta previa are as follows:-
  • Multiparity: This is a very important predisposing factor. It has been observed that rates of this condition increases with parity (Parity refers to the number of times a woman has given birth).
  •  Increased maternal age: This is another important contributing factor. Women over the age of 35 years have the greatest chance of developing placenta previa.
  • Previous C Section: Previous C section or any other surgery to the uterus which leads to a scar is known to increase the risk of placenta previa by around two times.
  • Placental size and abnormalities: As mentioned above placental size affects the incidence of placenta previa. Apart from this many placental abnormalities like succenturiate lobes also lead to increased risk.
This article was a brief description of the causes of Placenta previa
Article Source: http://EzineArticles.com/?expert=Sriram_Ravichandran
http://EzineArticles.com/?Causes-of-Placenta-Previa&id=6604640


Monday, June 15, 2015

DIABETES, MISCARRIAGE AND PREGNANCY COMPLICATIONS

Diabetes and Pregnant Women


Guest Post By Jeremy Parker

There are two important issues regarding diabetes and pregnancy. The first concerns the diabetic who wants to conceive and carry a healthy baby to full term and delivery (pre-existing diabetes). And the second issue involves the development of gestational diabetes in a woman who previously showed no sign of the disease.
For the first issue: It is important that any woman with pre-existing diabetes, who either wants to conceive or finds herself pregnant, strictly control her glucose levels, this is particularly important in the early months of pregnancy. The risks of serious birth defects are increased by poor control of pre-existing diabetes, and it is also suggested to be a major cause of miscarriage.
Those women who develop gestational diabetes usually have no increased risk for birth defects although it is important that glucose levels be carefully monitored and controlled to reduce the risk of stillbirth.

SEE ALSO: FOODS FOR FERTILITY AND PREGNANCY (getpregnantover40.com) 

All female diabetics who are pregnant tend to deliver much larger babies than the average. It is known that the babies grow larger because some of the additional sugar from the mother passes through the umbilical cord into the blood stream of the baby. Insulin then converts this sugar into fat cells. In many cases, these large babies have to be delivered by caesarian section as they are too large for a vaginal delivery.
Provided diabetes is properly controlled there is no reason why diabetic women should not enjoy uncomplicated pregnancies and deliver healthy babies. It is when the diabetes is not controlled that complication can happen. Unfortunately, these complications can lead to miscarriage, high blood pressure, premature delivery, and stillbirth.
Pregnant women who have pre-existing diabetes are given a blood test to measure the level of glycosylated haemoglobin before conception. This blood test provides an accurate measure of how well glucose levels have been controlled in the preceding months, and it can indicate the safest time to conceive. This test can also be used throughout the pregnancy to measure how well the diabetes is being controlled.
The current recommendation is for all women to take folic acid before conceiving to avoid the baby developing with neural tube defects. This advice is particularly important for diabetic women as diabetes can increase the risk of this type of birth defect.
Currently, oral medications used to control type 2 diabetes are not approved for use during pregnancy. For this reason, women who are using these drugs will need to switch to insulin before conceiving and during pregnancy.
Most pregnant women are tested for gestational diabetes at some stage between the 24th and 28th week of pregnancy. Those who develop this gestational diabetes normally discover that blood glucose levels return to normal after the birth of the baby.
Moderate exercise is believed to help cells make better use of available insulin and is recommended during pregnancy.
Blood sugar levels must be monitored carefully during pregnancy as insulin requirements can vary significantly from those required before conception. Urine can also be checked for ketones as the presence of these can be an indication that the diabetes is not being adequately controlled.
For both the safety of the mother and the baby, it is important that all precautions be taken when diabetes is found in the mother. Failure to do so can lead to devastating problems.
________________
For more information and resources on type 1 and type 2 diabetes, symptoms, treatment, diet, diabetes research, facts and solutions, visit Jeremy Parker's complete reference guide on Diabetes.
Article Source: http://EzineArticles.com/?expert=Jeremy_Parker
http://EzineArticles.com/?Diabetes-and-Pregnant-Women&id=454494




Saturday, June 13, 2015

WHEN THE PLACENTA IS TOO LOW IN PREGNANCY

Placenta Placement Important In Pregnancy

Low lying placentas can create a number of problems in pregnancy - it can even cause a miscarriage.
 A low lying placenta can restrict blood flow to the baby However, many times it will resolve itself by migrating up. Read more:


The upper part of the uterus is the most favorable area for placental implantation because it is rich in blood and, therefore, nutrients and oxygen. The lower uterine segment is not and, therefore, it is possible that if the baby implants too low (low-lying placenta), risks of intrauterine growth restriction and preterm labor are much higher.

SEE ALSO: MISCARRIAGE OVER 40 (getpregnantover40.com)

If the diagnosis is made before the 28th week of pregnancy, chances are excellent that, as the uterus grows upward, the placenta will migrate (move up) with the uterus and no longer be low-lying. If the diagnosis is made in the third trimester, this migration becomes less of a probability. Then what matters is "how low is low?"

During the last trimester, and especially in the last month, the lower uterine segment thins appreciably and pulls up a bit, which is what causes cervical effacement (thinning) and early dilatation. If the placenta is impinging on the lower segment and is not up in the fundus where it is supposed to be, then part of the placenta may dislodge and hemorrhage may occur.

from:
parenting.ivillage.com

Thursday, June 11, 2015

PREGNANCY FEVER AND BIRTH DEFECTS

I was sick multiple times during my pregnancy and I have heard that your immune system is somewhat depressed in pregnancy to avoid it attacking the fetus.  However, it's a little scary that a high body temperature may be associated with some birth defects.  Read more:

READ MORE ABOUT INFECTIONS IN PREGNANCY HERE (getpregnantover40.com) 


The analysis revealed elevated risk for poor health outcomes among children exposed to maternal fever in utero for 3 common classes of problems: neural tube defects, congenital heart defects, and oral clefts. The researchers identified a 1.5- to nearly 3-fold increased risk with exposure during the first trimester for 9 case-control studies of neural tube defects, 5 case-control studies of oral clefts, and 7 fixed-effects meta analyses of congenital heart defects.
Neural tube defects had the strongest relationship to temperature exposure (odds ratio [OR] pooled, 2.90; 95% confidence interval [CI], 2.22 - 3.79) compared with oral clefts (ORpooled, 1.94; 95% CI, 1.35 - 2.79) and congenital heart defects (OR
Other outcomes included limb deficiencies, renal defects, anorectal malformation, ear defects, cataracts, and allergic diseases, but few studies were available. The analysis did not find an association between exposure to elevated maternal temperature in utero with spontaneous abortion, stillbirth, or preterm delivery.

Tuesday, June 09, 2015

MISCARRIAGE DUE TO SLOW EGGS

Pregnancy and Miscarriage Over 40 and Slow Eggs

I have heard before that eggs that are late to fertilize and implant are more likely to miscarry, however, this article talks about how these eggs may be defective in some way to begin with.
Read more:

Eggs are usually fertilised in the fallopian tubes and then travel to the uterus, where they embed themselves to grow.

Those that implanted nine days after fertilisation had a 13% chance of being miscarried, the scientists found.

But if implantation occurred on the tenth day, the risk increased to 26%. On the eleventh day, it rose to 52%.


See also: Alternative Medicine and Home Remedies For Miscarriage (www.getpregnantover40.com)

Any later and the risk of miscarriage was 82%.

However, the researchers could not explain why eggs that attach later are more likely to miscarry.

Possible defects

Publishing their findings in the New England Journal of Medicine, they suggested eggs that take a long time to implant are defective in some way, and would be unlikely to last a full pregnancy.

"The uterus may be receptive to pregnancy only during a limited time-window, shutting out defective embryos that get there too late," they said. 

from: news.bbc.co.uk

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