Tag Archives: Pregnancy

Q&A: How Can Doctors Reduce the Risk in a Pregnant Woman with Diabetes? | HCPLive | Instant News

Women with diabetes have a higher risk of several diseases complications if they are pregnant, including preterm birth, low or high birth weight, stillbirth, and congenital abnormalities.

Existing evidence has shown that lifestyle interventions can help reduce complications and improve outcomes in diabetes patients, but whether pregnancy-related complications can be reversed is poorly understood. The problem is very troublesome in terms of type 2 diabetes (T2D), which is a growing problem in many parts of the world.

Helen R. Murphy, MD, of the University of East Anglia, and colleagues, recently completed a Population-based cohort study over 5 years more than 15,000 pregnancies in Great Britain, Wales and the Isle of Man completed between 2014-2018 and were included in the UK’s National Pregnancy Database for Diabetes.

HCPLive asked Murphy to discuss what his findings were and what they had to say about the benefits of the intervention.

HCPLive: Diabetes in pregnancy has been studied before, but your research is well known for its size and scope. Half of the pregnancies occur in women with type 1 diabetes (T1D) and half in women with type 2 diabetes. What are the implications of having such a large study population?

Murphy: Yes, by far the largest contemporary study in diabetes pregnancy. Historically, there have been several studies of 5,000 pregnancies in women with type 1 diabetes but usually over a time period of 15 years (eg Sweden 1991-2003), so at the time of publication this was outdated. Our data are contemporary and highly relevant to current clinical practice. In particular, none of the previous studies included large numbers of women with type 2 diabetes, which is a growing concern among women of childbearing age, especially those from disadvantaged ethnic groups or blacks and minorities.

Your study identifies maternal glycemia and body mass index (BMI) as the main modifiable risk factors in pregnant women with diabetes. How do doctors advise women with diabetes who are planning to become pregnant?

There is an important impact of the mother’s pre-pregnancy BMI on glucose levels during pregnancy, so I think encouraging women to optimize their dietary intake and enter a healthy pregnancy as close as possible before pregnancy is a very important component of pregnancy planning. both on T1 and T2D.

Should the emphasis be on making interventions before pregnancy, or can meaningful changes be made during pregnancy too?

During pregnancy, efforts can be made to limit excessive pregnancy weight gain, but it is too late to ‘undo’ the effects of BMI of being overweight / obese in early pregnancy.

Is there anything in particular that surprises you?

I was shocked about the impact of maternal weight on T1D. We already know that maternal glycemia is important, but I did not realize that early BMI has a strong influence on the glucose level of the mother during pregnancy and also on pregnancy outcome.

In T2D, I expected maternal obesity to have an impact, but was surprised by the impact of maternal glucose – which was much stronger than expected.

What is the main key for doctors?

The good news is that maternal glucose is relatively easy to change in T2D pregnancy, so the take-home message for me is to focus more on pre-pregnancy weight in T1D and on maternal glucose levels during pregnancy in T2D pregnancies.

Another key message is that changes are needed in all clinics to intensify glycemic management. In T1D that means recognition [continuous glucose management] for all pregnant women in all maternity clinics, and for T2D we need to be serious about pre-pregnancy diabetes prevention and weight management programs.


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Neeti Mohan, the mother-to-be, looks gorgeous in a maternity outfit with a tie-dyed dress | Instant News

  • Neeti Mohan delivers the news of her pregnancy to fans on her second wedding anniversary to husband Nihaar Pandya and fashionistas can’t help but faint over her maternity outfit in a thigh-high yellow tie and dye dress that seals a boho chic vibe too | Check the pictures in it

By Zarafshan Shiraz

UPDATED ON 18 FEB 2021 11:29 AM IST

Fans can’t stay calm and we don’t blame them as singers Neeti mohan recently took the Internet by storm with news of her pregnancy. On her second wedding anniversary, Neeti announced that she and husband Nihaar Pandya were expecting their first child and the adorable photo shoot made netizens radiate.

Taking to the grip of her social media, Neeti shared numerous photos featuring her in a tie-dye dress that paints the Internet yellow with joy and fashionistas couldn’t help but faint from her easy-to-wear ensemble. Posing against a backdrop of the sea, the excited parent-to-be can be seen caressing Neeti’s stomach as the photographers snap their intimate moments.

Needless to say, we added Neeti’s sultry outfit to our maternity diary which is already steeped in fashion inspiration from Anushka Sharma and Kareena Kapoor Khan’s murderous style from earlier this year. Thigh-high dresses come with half sleeves and button-down front with sharp collars.

Neeti complements the shirt dress with a pair of gold earrings, a gold chain pendant, a funky finger ring and a charm bracelet, all from The Jewel Gallery. Leaving her mid-parted hair open in her signature hairstyle, the diva complements the outfit with a pair of multi-colored sandals that seal the boho chic vibe.

Wearing a hint of nude pink lipstick, Neeti enhances the glam quotient with her neutral makeup, mascara-filled lashes and filled brows. The overall breesy look is also perfect as a resort or beach day outfit.

This tie-dye dress is credited to Indian fashion label Fuss Pot which offers boho and unique garments with an interesting mix of Western clothing and utility. Neeti Mohan is styled by stylist and curator Saachi Vijaywargia.

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Dairy products and sprouts were identified as the main risks of food poisoning based on New Zealand government data | Instant News

It is based on a report published by the New Zealand Department of Food Safety (NZFS) under the Ministry of Primary Industry, called Food Safety During Pregnancy, which draws on data from government research examining ‘c person complicated changes in mothers’ immune systems.

This is the first time the NZFS risk communication material on food safety during pregnancy has been updated in 14 years.

“NZFS wants to ensure food safety advice for pregnancy remains up to date with the latest dietary science and practices for New Zealand – previous advice available on the NZFS website]was published in 2007 and is based on information available at that time,”MPI said in official documents.

“Since then new foods have been introduced and have become popular in the New Zealand diet, while there is a better understanding of which foods may be at risk.” person

MPI identified listeria and toxoplasma bacteria as the main causes of foodborne infections, or food poisoning ‘very dangerous for pregnant women‘.

“Listeriosis can cause miscarriage or early delivery or the baby may be born with an infection and requires treatment with antibiotics, while toxoplasmosis can cause eye or brain damage in an unborn baby,”The ministry said.

In the updated guidelines, Listeria has been specifically found to be at high risk for pregnant women based on recent scientific research, and this has led to a change in pregnancy consumption advice for some cheeses and sprouts from milk.


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What Pregnancy Food Rules Should You Actually Follow? | Instant News

“During the first trimester, you don’t really have any extra calorie needs, and then you just need about 340 more calories per day in the second trimester and 450 in the third trimester,” says Tucker. (The ACOG guidelines are higher if you are pregnant with multiple babies – about 300 more calories per additional fetus.) You can meet those needs by adding one or two. extra snacks All day. Of course, everyone’s calorie needs vary depending on things like body size and activity level, so it’s important to think of these as 340 or 450 calories. more rather than your non-pregnancy norm, rather than looking for a specific number everyone pregnant should go to.

Navigating calorie situations during pregnancy can be very difficult, to say the least. “We know you gain too much weight [above the recommendation] harm someone [for conditions like hypertension and gestational diabetes]. On the other hand, try avoid gaining weight with behaviors such as a strict diet can also increase the chance of pregnancy complications, ”says Dr. Valent.

What is meant by healthy weight gain during pregnancy depends largely on the weight you put into it. For example, someone with a body mass index (BMI) of 18.5-24.9 who is going to become pregnant should gain about 25-35 pounds if they are pregnant with one baby, according to Centers for Disease Control and Prevention (CDC). The figure is lower for someone with a BMI higher than this, and higher for someone with a BMI lower than this. The problem is that BMI is far from a measure of perfect health (more so, here), and in the end, guidelines are just guidelines.

What’s more, the weight situation becomes more complicated as some people may actually end up defeat weight gain in the first trimester due to food aversion, nausea, or vomiting. Plus, weight gain isn’t always consistent throughout pregnancy, and some of it is what you got is an increase in fluid and blood volume.

Dealing with confusing pregnancy guidelines around the topic of being overweight is extremely stressful. Focusing on developing a healthy lifestyle and an overall healthy pregnancy is very important to worry about a certain calorie count (and if you really don’t like “healthy” foods, getting fuel is more important than being strict about what you eat). This broader approach can also be very helpful if you have problems or difficulties tracking your weight and calories.

Therefore, you should always work with your health care provider whenever possible to make sure what you do with food during pregnancy is helping instead of hurting you. (Although some healthcare providers can be unhelpful and stressful in any way weight-related, which only makes this more complicated.) As long as your baby is growing well on ultrasounds and you don’t exclude entire food groups or are consistently deficient in a single nutrient, then you’re probably fine, says Tucker.

It’s true there is some foods that you should avoid during pregnancy.

The following foods make up this short list because they are associated with an increased risk foodborne illness or other potential risks to the development of a healthy baby. Foodborne illnesses, such as listeriosis, salmonella, and E. coli, can make a person very sick and dehydrated, which can lead to poor pregnancy outcomes such as preterm labor and contractions and even cause a person to faint and fall, says Dr. Kamyar. Listeriosis, in particular, has been linked to more serious complications, including miscarriage and stillbirth.

Raw and smoked seafood, raw meat, raw eggs, deli meats, hot dogs, and unpasteurized dairy products

The reason experts recommend avoiding these foods is because they all have a higher than normal risk of contamination. “Sushi made from raw fish can contain parasites that can make you sick; “Unpasteurized dairy products (such as some soft cheeses, although you can eat the pasteurized version) can carry listeria and other ailments,” says Dr. Kamyar. Same is the case with raw meat, smoked seafood, deli meat, and yes, even hot dogs. “The problem with hot dogs and lunch meats is that if they are left unchecked and not handled hygienically, that’s when you run the risk of getting a bacterial infection,” says Dr. Kamyar. It’s also important to note that some conventionally “healthy” foods such as sprouts, celery, and cantaloupe also cause listeria outbreaks, CDC the word.


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The sander in the hat lost seven stones | Instant News

A commentator made her lose her confidence and was asked if she lost a 7 stone while wearing the scrub on “Hope”.

Hannah Stewart, 42 years old, was encouraged because her belly was bulging out of the XXL scrub, and then colleagues and patients asked “when will she expire?”

The mother of two children pushed the scales to 21 stones and admitted that she had eaten surgical cereals and biscuits for breakfast, a buttered sandwich for lunch, and a bowl of sauce for dinner.

After Hannah’s daughters Evi (12) and Lottie (8 years old) were born, the balloon inflated to 24 yards.

What do you think of Hannah’s successful weight loss?Let us know in the comments

When people started asking if Hannah was pregnant, Hannah was shocked
Picture: Hannah Stewart / SWNS)

As a full-time mother, her work at Birmingham University Hospital kept her balance, which made her tired, and she turned to convenience food-but her unhealthy meals made her even more tired.

After Hanna fell asleep at her desk, she knew that she had to make changes and set a good example for the children and patients-so she undertook a comprehensive inspection of her diet in May 2017.

A super slim diet can eat nutritious foods, such as fruit and yogurt for breakfast, rice and couscous and vegetables for lunch and dinner-now, she weighs 13 pounds (9 pounds) healthy and can be relaxed Lean to 12 pounds.

After losing weight, 42-year-old Hannah Stewart (Hannah Stewart)
Hannah is now healthy at 13 pounds, weighing 9 pounds, slim, and 12
Picture: Hannah Stewart / SWNS)

Hannah, a senior clinical photographer from Birmingham, West Midlands, said: “My patients and colleagues used to ask me if I was pregnant and when.

“I used to laugh at it, but deep down I definitely feel ashamed.

“I would say’No, I’m just a fat man’, but it makes me feel bad.

“At work, I have to wear scrubs often, and I always have to wear XXL size.

“When I became very big, my paper roll overflowed with the largest paper roll, which made me cry.

After losing weight, 42-year-old Hannah Stewart (Hannah Stewart)
Mom can’t wait to become healthier for her daughters
Picture: Hannah Stewart / SWNS)

“Sometimes there won’t be anything, and I have to compress it to a smaller size-it’s horrible.

“It’s frustrating inside, it really upsets me mentally, and it happened many times.”

Hannah also wants to make her daughter healthier-to keep up with them-because she may feel that her body shape is putting pressure on her body and making asthma and sleep apnea worse.

Hannah said: “I didn’t realize how old I was, but before I knew it was 21 stones and was denied.

After losing weight, 42-year-old Hannah Stewart (Hannah Stewart)
Hannah admits unhealthy food before deciding to change her eating habits
Picture: Hannah Stewart / SWNS)

“My girls and I were in the Drayton Manor theme park, and I rode a draft because they couldn’t sit well in the place of my stomach.

“The lady had to ask me to get out of the car politely. Everyone was watching. I knew they were thinking:’That’s because she is too fat.’

“That was the moment I just hoped the earth would swallow me.

“This is a full journey. It’s so embarrassing. I have to leave my eight-year-old daughter on it alone and look around.

Hannah Stewart compares before and after
Hannah had health problems before losing weight
Picture: Hannah Stewart / SWNS)

“I also suffered from a chest infection, which made my asthma worse, and because of being overweight, I had sleep apnea, so I didn’t sleep.

“I got hurt everywhere, I just thought:’Enough.’

“I need to keep my children healthy.”

In May 2017, Hannah joined Slimming World and found that it could help her eat better and encouraged her to start Pilates and walk as best she could-and lost weight.

Hannah said: “I have eaten so many potato chips, they are my real regret.

“I put full-fat butter on my sandwiches, put on condiments for lunch, and convenient greasy meals for dinner.

“Then at night, I will eat some salty, sweet, salty, sweet chocolate and potato chips.

“So Slimming World is great, like a small family. I went through all the highs and lows with them. This gave each family a Tuesday night.

“The things I can eat are amazing. I’m never hungry and I still add carbohydrates.

“This is any meat without fat, rice, couscous, pasta, potatoes, and then you have to eat salads and vegetables to speed up your metabolism.

“I always eat yogurt and fruit for breakfast, because it is so important. I make a lot of homemade soup for lunch.

“Then in the evening, I can have a snack to stop any cravings.

“I also do Pilates, which greatly strengthened my core strength and walked as best I could at the beginning of the first lock.

“I used to struggle even to get from the car to the front of the hospital.

“I feel good now.

“I asked the staff to ask,’Where have you been?’ Accepting these compliments is new to me, so it’s really cute.

“Now I can slip in a medium-sized scrub-fortunately, no patient or colleague now mistakenly thinks I am pregnant.”


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