Pregnancy Archives - Health Beat

Pregnant Women And The COVID-19 Vaccination

Posted on April 21, 2021 by Joann Ariola

One of the most Frequently Asked Questions regarding the COVID-19 vaccine is, “Should pregnant women receive the vaccine?”

According to the Centers for Disease and Control (CDC), although the overall risk of severe illness is low, pregnant people are at an increased risk for severe illness from COVID-19 when compared to non-pregnant people. Severe illness includes illness that results in intensive care admission, mechanical ventilation, or death. Additionally, pregnant people with COVID-19 might be at increased risk of adverse pregnancy outcomes, such as preterm birth, compared with pregnant women without COVID-19.

The best answer is, getting vaccinated is a personal choice and, although not required, should be made with the advice of your Ob/Gyn.

If you are pregnant or thinking about getting pregnant and would like to learn more information about receiving the COVID-19 vaccine, you can make an appointment at the Flushing Hospital Medical Center’s, Department of Obstetrics and Gynecology by calling 718-670-5239.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Pregnancy and Gastrointestinal Issues

Posted on January 15, 2019 by Xavia Malcolm

Gastrointestinal issues are common during pregnancy. This may be due in part to several factors such as an increase in hormones or the limited amount of abdominal space available for digestive organs to function normally.

As your baby grows, your organs will rearrange themselves to accommodate uterine growth. The enlarged uterus displaces the stomach, esophagus and intestines which can contribute to reflux of gastric contents or other digestive problems.

Hormonal changes can also contribute to digestive problems. Pregnant women produce high levels of the hormone progesterone. This hormone causes bowel muscles to relax and can affect their ability to work efficiently.

These changes in a woman’s body during pregnancy may cause the following symptoms to develop:

Nausea and vomiting
Constipation
Acid Reflux
Diarrhea

If you are experiencing these symptoms, speak with your doctor right away. Your doctor will determine if they are pregnancy-related and recommended the best treatment options for your health.

To schedule an appointment with a doctor at Flushing Hospital Medical Center, please call 718-670-5486.

Can Smoking Affect Your Ability to Conceive?

Posted on September 28, 2018 by Michael Hinck

There are many awareness campaigns designed to urge people to quit smoking. Some of these messages attempt to educate smokers about the many dangers smoking can have on your health or the health of your unborn child, but did you know that if you smoke, it can affect your ability to even have a baby?

There have been multiple studies to support the theory that smoking has an adverse effect on fertility. Research has found that the prevalence of infertility is higher, and the time it takes to conceive is longer in smokers as compared to nonsmokers. It has also been proven that smoking can affect every stage of the reproductive process in both sexes because the chemicals in cigarettes can cause damage to both male sperm and female eggs.

In women, smoking can lead to many fertility problems, including:

Problems with the fallopian tubes, including blockages (preventing egg and sperm from meeting) and an increased risk of ectopic pregnancy.
Damage to the eggs as they develop in the ovaries.
Increased risk of miscarriage, possibly due to damaged eggs, damage to the developing fetus, or unfavorable changes in the uterine lining, which may make healthy implantation of an embryo less likely.

In addition, smoking can cause a woman’s eggs to age prematurely, leading to an earlier onset of menopause and a shorter window to conceive.

But men should be equally concerned about how smoking can affect their chances of conceiving a child. Studies have concluded that smoking affects sperm in a variety of ways, including:

Concentration, which refers to the number of sperm found in a measured quantity of semen. Studies have shown a 23 percent decrease in sperm concentration in men who smoke.
Mobility, which measures the swimming capabilities sperm. If sperm cannot swim properly, they may have trouble reaching the egg.
Morphology, which relates to the shape of the sperm. Non-smokers have more healthy shaped sperm, which have a better chance to fertilize an egg.
DNA damage, which can lead to problems with fertilization, embryo development, embryo implantation, and increased miscarriage rates.

The good news is that the damage done to both the male and female reproductive system as a result of smoking is reversible. For men, it takes approximately three months for new, healthy sperm to mature. For women, quitting smoking can improve natural fertility within less than a year.

If you want to have a baby, but you are a smoker, quit now! If you need help, Flushing Hospital Medical Center offers smoking cessation services to help you. For more information, please call 718-206-8494.

Is There an Underlying Cause for Your Hypertension?

Posted on April 6, 2018 by Michael Hinck

Over 75 million or one out of every three adults in the United States has high blood pressure, or hypertension. For most, hypertension is the result of either genetic or lifestyle factors such as obesity or smoking, but for approximately 10% of Americans, hypertension is caused by the existence of another disease.

When hypertension is the result of another medical condition it is referred to as secondary hypertension. Secondary hypertension can be caused by a variety of conditions that affect any number of different systems and organs. Some of the most common causes for secondary hypertension include:

Kidney disease -Secondary hypertension can be related to damaged kidneys or to an abnormal narrowing of one or both renal arteries.
Coarctation of the aorta.With this congenital defect, the body’s main artery (aorta) is narrowed (coarctation). This forces the heart to pump harder to get blood through the aorta and to the rest of your body. This in turn, raises blood pressure — particularly in your arms.
Adrenal disease – The adrenal glands sit on top of the kidneys and produce several hormones that help regulate blood pressure. Sometimes, one or both adrenal glands make and secrete an excess of these hormones.
Hyperparathyroidism – The parathyroid glands regulate levels of calcium and phosphorus in your body. If the glands secrete too much parathyroid hormone, the amount of calcium in your blood rises — which triggers a rise in blood pressure.
Pregnancy – Pregnancy can make existing high blood pressure worse, or may cause high blood pressure to develop (pregnancy-induced hypertension or preeclampsia).

Like primary hypertension, secondary hypertension usually has no specific signs or symptoms, even when your blood pressure has reached dangerously high levels. Secondary hypertension can also worsen an underlying medical condition and lead to other serious complications, such as heart attack or stroke, if left untreated.

In most cases, once an underlying medical condition causing hypertension is identified and appropriate treatment is provided, your blood pressure will return to normal.

If you have a condition that can cause secondary hypertension, it is important to see your doctor and have your blood pressure checked regularly.

If you have hypertension and believe there is an underlying cause, schedule an appointment with your doctor. If you do not have one, please call Flushing Hospital’s Ambulatory Care Center at 718-670-5486 to schedule an appointment.

Can Pregnancy Increase Your Chances of Developing Gum Disease?

Posted on November 3, 2017 by Michael Hinck

Hormonal changes during pregnancy can affect a woman’s body in many different ways; one such change occurs inside a woman’s mouth.

It is estimated that forty to fifty percent of all pregnant women will develop what is referred to as “pregnancy gingivitis,” a mild form of gum disease that is caused by increased production levels of the hormone progesterone. These hormonal changes make it easier for certain gingivitis-causing bacteria to grow in your mouth and it makes your gums more sensitive to the build-up of plaque.

Taking care of your gums during pregnancy is very important. There have been multiple studies that have linked gum disease and premature birth. A study conducted by the Journal of the American Dental Association concluded that women with chronic gum disease were four to seven times more likely to deliver prematurely or have low birth weight babies than mothers with healthy gums.

Symptoms of pregnancy gingivitis can range from a slight reddening of the gums and mild inflammation to severe swelling and bleeding gums, especially after brushing or flossing. Pregnancy gingivitis can occur anytime between the second and eight month of pregnancy.

The best way to avoid pregnancy gingivitis is to maintain proper oral hygiene. It is recommended that women brush twice a day or after every meal with a soft-bristled brush and toothpaste containing fluoride. Flossing as well as using an alcohol-free, antimicrobial mouthwash daily is also suggested. In addition, don’t skip your dental visits just because you are pregnant. In fact, it is more important to see your dentist when you are pregnant. They can provide a professional cleaning and check-up. Your dentist can also prescribe antibiotics if necessary.

By following these preventative measures, you can reduce your chances of developing pregnancy gingivitis as well as well increasing the probability of delivering a full-term baby.

If you are pregnant and would like to schedule a routine visit at Flushing Hospital’s Dental Center, please call 718-670-5521.

Will Having Shingles Effect My Pregnancy?

Posted on March 27, 2017 by Zakiya Hazel-Jemmott

Almost 1 out of every 3 people in the United States will develop shingles. Shingles is the term used for a skin rash that is caused by the herpes-zoster (varicella) virus, the same virus that causes chickenpox. In some cases it can reactivate and cause shingles. Anyone who has had chickenpox may develop shingles, including pregnant women and even children.

As a new or expecting mother there are a lot of concerns for staying as healthy as you can for you and your baby during pregnancy. Although you can’t give anybody shingles, you can pass the virus on as chickenpox. Whereas shingles is harmless in pregnancy, chickenpox can cause problems for an unborn baby. For this reason, stay away from other pregnant women while you have shingles.

If you are pregnant or trying to get pregnant:

First, get a blood test to find out if you’re immune to chickenpox. If you’re not immune, you can get a vaccine. It’s best to wait 1 month after the vaccine before getting pregnant.
If you’re already pregnant, don’t get the vaccine until after you give birth. In the meantime, avoid contact with anyone who has chickenpox or shingles.
If you’re not immune to chickenpox and you come into contact with someone who has it, tell your doctor right away. Your doctor can treat you with medicine that has chickenpox antibodies.
Tell your doctor if you come in contact with a person who has shingles. Your doctor may want to treat you with an antiviral medication. Antiviral medication will shorten the length of time that the symptoms will be present.

There isn’t a cure for shingles but a physician will usually prescribe medications to make the symptoms less intense. If you have questions about shingles send them to AskUs@marchofdimes.org

To learn more about prenatal treatments please call the Department of Obstetrics and Gynecology at Flushing Hospital Medical Center, 718-670-8994.

Why is the cesarean rate so high, and how can I increase my chance of a natural birth?

Posted on March 3, 2017 by Georges Sylvestre MD

In the field of obstetrics and gynecology, there is no more debatable topic than the increased rate of cesarean (C-section) deliveries. The C-section rate is the percentage of all births that take place surgically, whereby a baby is delivered via an incision on the abdomen. Over the last few decades, this rate has increased tremendously. Up to the 1970’s, the rate of cesarean in the U.S. was less than 5% but in the subsequent few years, it climbed to 33%.

While the cesarean delivery has become a safer operation than it used to be, it is still a major abdominal surgery which should be avoided when a vaginal delivery is an option for both baby and mother. Sadly, rates of complications such as cerebral palsy have not decreased much despite the 600% increase of cesarean deliveries in the last three decades. So why then, has the cesarean rate climbed so much?

There are several factors explaining the increase the cesarean rates and there is no single answer. because so much has changed in the last two of three decades, in terms of medical, social and legal aspects. Let’s look at a few factors:

Breech babies: Few doctors deliver breech babies vaginally because recent studies suggested that C-section births are less risky for them.
Fewer patients attempt a VBAC (vaginal birth after cesarean): Women with a previous C-section are either not interested or not encouraged in having a vaginal birth after cesarean. There are risks involved in attempting a VBAC, but very often, they can be minimized by close fetal surveillance in labor.
Less patience for prolonged labor: Although 24-48 hour labors are often ultimately rewarded by a natural birth, many women prefer to have a cesarean now as opposed to waiting several more hours for a possible natural birth. Sometimes, it’s best to let nature do its work and wait, but physicians and women are often impatient, not tolerant of long (but natural) labor.
C-section delivery has become a much safer operation than it used to be decades ago: Long-term complications or serious short- term complications remain rare. This is mainly attributed to proper use of antibiotics, better and safer anesthesia techniques, and safe blood banking.
Women wait longer to have children: Increasing age is linked to a higher risk of developing complications such as high blood pressure, placenta previa and diabetes, just to name a few. These conditions increase the risk of cesarean.
More multiple births: The rates of twins and triplets have increased by 200-300%. 3-5% of all pregnancies are now twins (or triplets) as opposed to 1% years ago. These high risk pregnancies are associated with a much higher risk of cesarean. The majority of twin pregnancies and nearly all triplets are born via cesarean.
Cesarean delivery on maternal request: Some women feel that women should be entitled to make decisions about their body, and about how they want to deliver and at times, women ask for a cesarean delivery In the absence of a medical indication.,

The WHO (World Health Organization) has been advocating since 1985 to reduce the C-section to10-15 percent since 1985. Here are some tips for women who want to achieve this goal and reduce their chances of having a C-section.

Don’t be tempted to have a “scheduled” induction: while sometimes, labor inductions are medically necessary to prevent an adverse maternal or fetal outcome, many physicians and patients are tempted to “schedule” a delivery at a set time, without a medical reason.
If your baby is breech (baby’s bottom is down instead of the head): attempt an external version. A simple procedure called External Cephalic Version may turn the baby from breech position to head down, simply by turning the baby externally, by an experiences obstetrician.
Be patient. Labors can be long, sometimes very long, so be prepared for it and be patient. Bring a good book, movies, music and try to rest when you can (this is especially possible when you have a well working epidural).
Bring a coach: Having a supportive person during your labor (your spouse, your mother or a trained labor coach, called a Doula) has been shown to decrease the risk of cesarean and also to improve your perception of labor. They will keep you distracted during the often very long process.
Good life habits: women who are physically fit and are within their ideal body weight are less likely to develop diabetes, high blood pressure and excessively large babies during their pregnancy. So if you have healthy life habits, keep up with them! There is no reason to stop exercising during your pregnancy.
Don’t eat excessively: your baby is a magnet for the calories you ingest, so there’s no reason to eat excessively to feed your baby. Don’t believe your mother, aunts or anyone else who force you to eat in order to have a big baby and tell you that “a big baby is healthier”. It simply isn’t true. Six pounds babies are just as healthy as a ten pound ones.

OB/GYN or Midwife: Which Is Right For You?

Posted on February 9, 2017 by Zakiya Hazel-Jemmott

When you decide to try to conceive, it is important to start looking for a practitioner to care for you during pregnancy and the birth of your baby. Deciding between an OB/GYN doctor and Midwife depends on what kind of experience you want, where you plan to give birth, what your insurance covers and the risk level of your pregnancy. Here are a few factors to consider in making your decision:

If you have a medical condition such as high blood pressure, epilepsy, heart disease, or diabetes, or had certain serious complications in a previous pregnancy, your pregnancy will probably be considered high risk. In this case, you will need to see an obstetrician who will monitor your body as it adapts to pregnancy along with monitoring the development of your baby.
If you’re looking for a practitioner who is more likely to take a holistic approach to your care – and to see birth as a normal process, intervening only when necessary and not routinely – you may prefer a midwife.
If you have no health problems or pregnancy complications and you have your heart set on giving birth in a birth center or at home, you’ll want to find a midwife who practices in these settings. In the event you want the option for an epidural, or are anxious about any possible complications then you’ll want to be in a hospital. For a hospital birth, you can choose an ob-gyn, a family physician, or a certified nurse-midwife as your primary caregiver.

Obstetricians are by far the most chosen option for expecting mothers in the United States, although certified nurse-midwives are becoming more popular. Some women choose practices that have both ob-gyns and midwives. The most important thing to consider when choosing a delivery option is your comfort.

Flushing Hospital Medical Center’s Department of Obstetrics and Gynecology has a full program to provide total health care to women. For more information about the many services offered by the Department of Obstetrics and Gynecology at Flushing Hospital, please call 718-670-8994.

Posted on January 9, 2017 by Zakiya Hazel-Jemmott

January is National Birth Defects Prevention Month. Among the most common birth defects is cleft lip. Cleft lip is a birth defect that occurs when a baby’s lip or mouth does not form properly in the womb. Collectively, these birth defects commonly are called “orofacial clefts”.

The lip forms between the fourth and seventh weeks of pregnancy. A cleft lip develops if the lip tissue does not join completely before birth, resulting in an opening of the upper lip. The opening in the lip varies in size from a small slit or a large opening that goes through the lip into the nose.

The causes of orofacial clefts among most infants are unknown. However, they are thought to be caused by a combination of genetics or other factors, such as things the mother comes in contact with in her environment, or what the mother eats or drinks, or certain medications she uses during pregnancy. Recently the Center for Disease Control reported findings from research studies about risk factors that increase the chance of infant orofacial cleft:

Smoking―Women who smoke during pregnancy are more likely to have a baby with an orofacial cleft than women who do not smoke
Diabetes―Women with diabetes diagnosed before pregnancy have an increased risk of having a child with a cleft lip with or without cleft palate, compared to women who did not have diabetes
Use of certain medicines―Women who used certain medicines to treat epilepsy during the first trimester (the first 3 months) of pregnancy are at greater risk

Orofacial clefts, especially cleft lip with or without cleft palate, can be diagnosed during pregnancy during a routine ultrasound. Services and treatment for children with orofacial clefts can vary depending on:

The severity of the cleft
The child’s age and needs
The presence of associated syndromes
Other birth defects

Surgery to repair a cleft lip usually occurs in the first few months of life and is recommended within the first 12 months of life. Children born with orofacial clefts might need other types of treatments and services, such as special dental or orthodontic care or speech therapy.

If you are an expecting mother in need of a doctor, Flushing Hospital Medical Center’s Department of Obstetrics offers a wide variety of services to expectant mothers. For more information or to schedule an appointment, please call 718-670-8994.

Pregnancy and Cleaning: What are the Dangers?

Posted on September 17, 2016 by Michael Hinck

Many expecting moms develop a nesting instinct; and uncontrollable urge to clean their home in preparation of their new baby’s arrival. Flushing Hospital wants moms to know that while tackling most chores is totally safe, there are some tasks that may pose a risk to your health and the health of your baby.

• Moving heavy furniture when you’re pregnant can be dangerous. Hormonal changes during pregnancy can make your connective tissue and ligaments looser, which increases the risk of muscle strains and injury. In addition, your center of gravity can shift as your pregnancy progresses which can throw off your balance. These changes make lifting more challenging, further raising your chance of injury. Your best bet is to let someone else do the moving.

• Changing your cat’s litter box can lead to a condition known as toxoplasmosis, a parasitic infection that can be transmitted through infected cat poop. If you’ve never had toxoplasmosis before, you could possibly become infected while pregnant and pass the illness on to your baby. Toxoplasmosis can cause flu-like symptoms in adults, but in a baby during the early stages of pregnancy it can cause serious birth defects such as eye and brain damage.

• While there is still a debate about the effects paint can have on pregnant women and their babies, it’s generally considered a good idea to limit your exposure to paint and paint fumes while pregnant. Most paint contains solvents that can cause health problems when inhaled too much. Having a room in your home painted is probably not a high risk for you or your baby, but if painting needs to be done, have someone else do it and make sure there is good ventilation to avoid inhaling paint fumes.

• It’s not ideal to use ant and roach spray during pregnancy. The low exposure of occasional use is unlikely to pose a risk, but some studies have indicated there may be a link between exposure to these products and child development problems. While these studies are inconclusive, it’s probably best to play it safe and minimize use. Instead of using sprays, it is recommended to use baits or other products that are not likely to be inhaled.

With all other cleaning products, it is best to practice safe use. Wear gloves and other protective clothing to protect your skin from exposure and use a mask to prevent inhaling unnecessary chemicals. Attempt to open windows or use a fan to ventilate the area you are cleaning and always read manufacturer’s labels before using a cleaning product. If you are unsure about a household cleaning product, speak with your doctor first before using.

Flushing Hospital’s Women’s Health Center has an expert team of doctors and nurses to guide you through every step of your pregnancy. For more information, or to schedule an appointment, please call 718-670-8992.