Pregnancy Questions

Where and how to give a birth?

The question “Where and how to give a birth” is excites the overwhelming majority of pregnant woman. At the end of the pregnancy this thoughts became very urgent. There is no doubt that everyone would like to have healthy mother and child after birth, and there are many ways to rich this.

First decide how to give a birth before choosing the place of birth. There are not many options, just 2 possible ways – natural birth or caesarean section. By the way it is not easy to deicide do caesarian section. This surgery will be suggested if: narrow pelvis, retina dystrophy, very big fetus, pelvic presentation, exacerbation of chronic illness, gestosis and other conditions. Sometimes 2 conditions should be present at the same time for caesarean surgery.

Many future moms think that by choosing caesarean section they will not have any problems such birth pain, extension of vagina and perineum breaks, but they will face other serious problems such as: neurologic problems for baby, prolonged period after surgery, lactation problems and later on impossibility of give a birth by natural way.

For the question “how to give a birth?” we can refer the choice of position for birth. It is not a secret that vertical position is more logical for woman in childbirth. This position promotes to effective muscular contractions and perfect for uterus opening. This is very essential point for the future moms, because not all clinics provide vertical birth position.

What about “Where to give a birth?”, again mainly we have 2 chances, at maternity hospital or at home. There are several criteria when choosing place of birth:  good conditions of rooms, presence of child’s reanimation point, possibility of staying with or without baby, possibility to choose the position of giving birth, presence or husband during the birth process, and the distance of hospital to the house. Everyone will have it’s on preferences, it is important for future mom’s to be confident and satisfied with conditions of chosen maternity hospital.

There are free of charge chances to have a baby and service you need to pay. By the way it does not mean to have bad service when you give a birth free of charge. If the hospital and doctors have good reputation the chances of good birth are very high. If you choose the chargeable service for birth, you will have some VIP conditions, but the doctors and personnel are the same.

Basically you pay the money to insurance company or directly to doctor, that will in charge of the birth. There are pluses and minuses in this field. When paying to the insurance company you cannot depend on “personal” attention from doctors, they just will do their job as usual, but at the same time you will be able to demand all issues that included in the agreement (presence of husband, room conditions, staying with baby or separately, relatives visits and so on).

When you pay directly to doctor (usually it costs less than to insurance company), you are able to choose your preferable doctor and more carful relations to you. It is very obvious when you agree to pay after the birth. In this case you can’t demand all initial arrangements, because for example they can put you in shared room.

There are very cute wishes like: to not cut the umbilical cord until it pulsates; or to give a birth in the water; not cutting perineum; do not wash origin lubrication; do not do vaccination and so on. Basically people with this kind of desires did not find any maternity hospitals, and the birth took place at home.

Giving birth at home became more popular now and possibly soon in our country people will be able to organize birth processes at home, like in the Nederland, England, Germany and Finland. You have to do very careful preparation if you choose to give a birth at home. You need to have all necessary medicines, to order a duty medical ambulance just in case, to be familiar with nearest hospital. You need to pass all tests in details, and choose professional doctor.

We advise you to not be concentrated in one option. There might be changes, and all process will go by other scenario. You have to be ready for changes. We always say “God bless!”.

If husband and wife did all necessary preparations, more likely everything will go by good scenario, nice memories will be with you and the baby will be born healthy and strong. Good childbirth is not very difficult as it seems to be. If you clearly imagine your childbirth process, easier you will have the baby, and in most cases it works!

How should one treat herpes during pregnancy

As you know, there are several types of herpes. The most wide-spread of them are genital herpes and herpes simplex. If you have been infected with a herpes virus, it will stay in your body forever, only becoming active every now and again. Every future mother and every pregnant woman is worried by question: can herpes be transmitted from me to my child? Though neonatal herpes is rare, herpes in pregnant women should be treated, and the best alternative to do this is Zovirax. Herpes simplex is usually expressed as cold sores on lips or nose. It easily passes if you use Zovirax ointment or Zovirax cream. However, if you are also HIV infected, or have depressed immunity, you may require additional treatment with Zovirax pills to minimize frequency of outbreaks. This may especially concern you if you suffer from herpes outbreaks more often than 5-7 times a year. Herpes simplex cannot be transmitted to your baby through placenta, but it is necessary to treat it with safe and effective medicine like Zovirax in order to avoid infecting newborn. HSV-2 or genital herpes gives greater probability for infecting your baby. However, the chance of infecting the baby is still small, because even if you have the outbreak of genital herpes during pregnancy or labor, the baby has developed antibodies which help him or her to fight with herpes.But to be sure that your baby won’t be infected it is recommended to accept an anti-herpes treatment with acyclovir-based pills like Zovirax.

How the baby will be?

Probably there is no any female, that bear baby is not nervous and worry about baby’s health, and for many this not a rhetorical question. Some special tests are designed to answere these kind of issues.

First of all it is for females that are over 35 and waiting their first baby. The greatest danger at this age is hidden in chromosomes with anomalies, that afterwards lead to Down’s syndrome (mongolism). At the age the quantity of diseased chromosomes becoe more and more, and besides that they lose very essential body reaction: the body discontinue recognition of healthy embryo from not healthy embryo. Young females body is capable to reject ill chromosomes right after fecundation. The genetic examination will be assign if previous pregnancy came to not good ending, miscarriage or baby dies soon after birth. As to the majority of hereditary diseases, so the modern geneticist are well informed about after effects in future.

The doctor will count the risk of baby after case history study of both father and mother. During examination for any fetus genetic defect, the doctor will detect the gender of future baby. This is very essential for certain cases when it possible to have only boy baby or girl. There is a reason to do genetic examination if husband or wife before pregnancy had intensive X-ray treatment course, if they are bloo-relatives, or if they have handicapped children before.The same concerns to females, that have been virus infection ill at early age.

The most common genetic test is the examination of gum piece from parents. More serious indication demand more complicated procedures, that somethimes may generate indisposition, or cause miscarriage or premature birth.

Dear future mom’s! We did not call you to go right away to do examinations, but we give you an idea to think about. May be you should take into your consideration some issues before became pregnant. One of my friend (gynecologist) said: don’t try to find illness where it does not exist. I agree with him, but a always remember the huge amount of examinations that American mom’s do. For sure they do it for some reason. Perhaps it is for baby that they are waiting for.

The perfidious viruses

The virus infections such as flu or Chlamydia are very dangerous, because they attack the DNA, and therefore the patology formation of the fetus. For sure it is very desirable to exclude these viruses before impregnation. Also you have to take HIV and WR (Wasserman reaction) examinations.

It is reasonable to be cheked up on sexually transmitted infections (the clamidiosis, a bacterial vaginosis, etc.), espetially if unpleasant symptoms occure: discharge, itching or any other vagina inflammatory process.Many of infections are not shown in outward appearance, and therefore illness often remains unnoticed. Uncured Chlamydia transferes from mother to baby in a way of lungs inflamation or eyes infections.The herpes is usually more obvious: the high temperature, painful feelings in genitals, pain during urination and skin changes.

The primary infection at early stage of pregnancy higher the miscarriage and premature birth risk. More often we see the chronic infection, which is less dangerous for the newborn, but sometimes it have a serious impact on not well developed immune system of the fetus.You need to immediately the treatment course if any of these tests have positive result. Usage of antibiotics is helpful to protect the baby from viruses during the birth process.Today the hepatitis B type and C type tests are included in the list of mandatory examination. If baby born from an infected mother, he is at high infection risk, and after 12 hours he takes anti-hepatitis vaccination.Rubella (German measles) at the first 3 month of pregnancy may have very serious consequences: for example heart defect, blindness and deafness, mental diseases, and fatal end. If you never be rubella ill and never take vaccination against rubella, so consider the risk level of probable infection. For this you to pass special blood test that will define your immunity level against the rubella. The doctors say if you don’t have constant contact with children, you have very low chance to be infected with rubella. As a norm the will do a vaccination for the pregnant woman that have no immunity to rubella and had contact with ill baby.

Blood type

Dissimilarity or difference of blood type between parents and baby may lead to Rhesus factor dispute and Rhesus factor incompatibility. Very often the dispute happens when one of the parents have 1^st type of blood. The Rhesus factor incompatibility take place when female has negative Rhesus factor and male positive. If the Rhesus factor for both the same, it is ok.

The problem occurs when the positive Rhesus factor of baby that comes from father goes to mother. As a result natural immunological reaction the mother’s body generates antibodies that pass through the placenta and may cause the fetus anemia. But this does not mean that females with negative Rhesus factor can not give a birth. If the doctor assume the Rhesus factor incompatibility – it is necessary to do appropriate serum vaccination, and consequently to stop antibodies generation in the blood. Also after abortion and miscarriage it is mandatory to do inoculation, because it is possible that the embryo blood mix with mother’s blood, which later on can harm the next baby.