Tag Archives: pregnancy

Doctor vaccinating pregnant woman in clinic; blog: Preventing Infections During Pregnancy
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Preventing Infections During Pregnancy

For nearly forty years, the National Institute of Child Health and Human Development has recognized the importance of reducing prenatal infections in the US. They first focused on preventing mother-to-child transmission (MTCT) of HIV, but their efforts have expanded to other harmful infections during pregnancy. 

Prenatal Infections to Be Aware Of

Our goal at Raleigh OB/GYN Centre is to take care of our prenatal patients like our own family. When you choose to partner with us for your obstetrical care, you will be in wonderful hands at every step of your journey. Some of these infections during pregnancy are rare in the US but can be dangerous and have serious effects on both mother and baby.

Listeriosis

Listeriosis is one of the rare but potentially serious infections during pregnancy caused by bacteria called Listeria. Listeria is spread through contaminated food. The symptoms of listeriosis are similar to the flu and may include fever, muscle aches, and unusual fatigue. However, listeria infections in pregnant women can lead to miscarriage, premature delivery, and even stillbirth. The infection can be passed on to the baby, which can be life-threatening.

The following foods have been linked to listeriosis and should be avoided during pregnancy:

  • Unpasteurized/raw milk and dairy products (cheese, yogurt, ice cream, etc)
  • Undercooked meat
  • Luncheon meats and deli meat
  • Any type of sprouts that are raw or not completely cooked
  • Cut melon that has been left at room temperature for more than 4 hours

According to the Centers for Disease Control and Prevention (CDC), pregnant women are 10 times more likely than other people to get listeriosis. Other groups at elevated risk include newborns, people with weakened immune systems, and older adults.

Zika Virus

Zika virus is primarily spread by infected mosquitoes, but you can become infected by having unprotected sex with someone who already has the virus. Zika infection during pregnancy may cause serious birth defects like microcephaly and brain defects. To prevent Zika infections during pregnancy, you exercise caution when traveling to areas with a high incidence of Zika infection. The CDC has a Zika Travel Recommendation Map for individuals to consult. Women who are pregnant or are planning to get pregnant should avoid regions where the virus is prevalent. Other ways to protect yourself against Zika if you might be at risk include following recommendations on preventing mosquito bites and using a condom to prevent sexual transmission.

Group B Streptococcus

Group B strep (GBS) is a common bacteria that approximately 1 in 4 women carry. Most women do not feel sick when they carry these bacteria. GBS can be passed to a baby during childbirth, which can be life-threatening to newborns and infants. Complications can include fever, meningitis, breathing difficulties, pneumonia, and blood infection (sepsis). However, GBS infection in babies can be prevented. Doctors recommend getting tested for GBS near the end of pregnancy. If the test is positive for a group B strep infection, the mother will be given antibiotics during childbirth to protect the baby.

Cytomegalovirus (CMV)

Like GBS, Cytomegalovirus (CMV) is one of the more common infections during pregnancy that many people have. According to the CDC, more than half of adults have had a CMV infection by the time they reach 40. Most people do not know they have it. Pregnant women can pass CMV to their babies. Babies with congenital CMV infections are often healthy and show no signs of infection. However, some babies will have long-term health problems like hearing loss, vision loss, developmental delays, and seizures.

Since CMV spreads through bodily fluids, women can reduce their risks by avoiding contact with the urine and saliva of babies and young children (who are more likely to spread CMV than older kids and adults). Food or utensils shouldn’t be shared with babies and young children, and good hand hygiene should be practiced, especially after changing diapers.

General Tips for Preventing Infections During Pregnancy

Along with following specific guidelines for the above prenatal infections, there are some other things you can do to prevent infections during pregnancy, including

  • Practice good hygiene
  • Avoid people with infections
  • Get tested for sexually transmitted infections (STIs)
  • Ask your doctor about getting vaccinated
  • Only take vitamins and supplements approved by your doctor.
  • Do not touch dirty cat litter.
  • Avoid contact with rodents, lizards, and turtles. This includes both wild animals and those kept as pets.

Raleigh OB/GYN Centre has been serving the women of the Raleigh, NC, area for more than 40 years. Our team of healthcare providers offers personalized and comprehensive care for women in all stages of life, including during pregnancy. If you have concerns or questions about having a safe and healthy pregnancy, or for more questions about infections during pregnancy, call our office at (919) 876-8225 to make an appointment.

Pre-Pregnancy Considerations
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5 Pre-Pregnancy Considerations

When it comes to women’s health, preparing for pregnancy is as important as the lifestyle and dietary changes you make during pregnancy. We strongly believe that if you prepare yourself both physically and financially before conceiving a child, you will be able to give birth to a happy, healthy baby. Pre-pregnancy considerations take into account a number of steps you can take to ensure that when you’re ready to get pregnant, everything goes as smoothly as possible.

Pre-Pregnancy Considerations

Ready to welcome a new little miracle into the world? Planning for pregnancy is an important step in your journey to motherhood. We’ve outlined some of the key steps you can take before becoming pregnant to help ensure that you are as ready as possible for all the changes that are about to take place in your life. Continue reading to learn more about pre-pregnancy considerations.

1. Limit Your Intake Of Alcohol And Caffeine

One of the best things you can do for your body when planning for pregnancy is to limit your intake of caffeine and stop your consumption of alcohol altogether. According to the Centers for Disease Control and Prevention, there is no known safe amount of alcohol use during your pregnancy or when you are trying to get pregnant. Additionally, experts recommend limiting your caffeine intake while trying to get pregnant and during pregnancy.

2. Find Your Healthiest Weight

Another one of our key pre-pregnancy considerations is to find and maintain your healthiest weight. The Centers for Disease Control and Prevention suggests people who are overweight or obese have a higher risk for complications during pregnancy, including heart disease, type 2 diabetes, and certain cancers. Additionally, having a high BMI can interrupt regular ovulation, sometimes leading to difficulty falling pregnant. To assess your weight, visit your healthcare provider, or check out this resource.

3. Hit The Hay

Sleep is incredibly important for anyone, but especially for those getting ready to host a baby for the next nine months. Sleep affects fertility and hormone production, and a lack of it can result in producing less of certain hormones and too much of others. The same part of the brain that is responsible for regulating sleep-wake hormones like melatonin and cortisol also regulates reproductive hormones. Sleep deprivation will signal the body to produce more stress hormones, which is bad for overall health and can throw off levels of estrogen, testosterone, and other reproductive hormones. For more on how lack of sleep can affect your fertility, reference one of our earlier blogs: Can Lack Of Sleep Affect Your Fertility?

4. Get Moving

Exercising is one of the best pre-pregnancy considerations, as it not only can help balance hormones, improve insulin, and ward off levels of stress but can also help you get a better night’s rest. Some of the best ways to get moving before trying to conceive are running or walking, resistance training, yoga, pilates, pelvic floor exercises, and more. 

5. Visit Your OB/GYN

Visiting your OB/GYN for a preconception appointment is an important step for pre-pregnancy considerations. At this appointment, your doctor will review your medical history, medications and vaccinations, lifestyle behaviors, and complete a physical exam. If you are at risk of a medical condition that can make pregnancy dangerous or difficult, such as diabetes, heart disease, or certain birth defects/disorders, then your doctor may recommend additional tests or treatment in preparation for pregnancy.

 

Pre-pregnancy considerations have the ability to set you up for a happy and healthy pregnancy. Here at Raleigh OB/GYN, we are dedicated to helping you understand every step of your unique pregnancy journey— from making a plan to execution. If you have questions about pre-pregnancy considerations, set up an appointment to talk to your doctor. You can schedule an appointment through our website or give us a call at (919) 876-8225.

infertility
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5 Signs You Should Speak To Your OB/GYN About Infertility

Infertility is a complex and private subject that often goes undiscussed, yet it affects millions of people yearly. The first step when you’re struggling with conceiving is to consult your OB/GYN. Your gynecologist is equipped to perform a fertility evaluation and make further recommendations. Some common reasons for infertility include age, your partner’s fertility, sexually transmitted diseases, being underweight or overweight, and other lifestyle factors. 

When To Speak To Your OB/GYN About Infertility

According to the American Society for Reproductive Medicine, irregular or abnormal ovulation accounts for approximately 25 percent of all female infertility problems. Here at Raleigh OB/GYN, we know infertility is a complicated topic and can be easily misconstrued — luckily, we are here to help you through this journey.

1. Endometriosis

Endometriosis is a disease in which the presence of tissue resembling the lining of the uterus (endometrium) grows outside the uterus. Signs of endometriosis include painful periods, abnormal bleeding, pain with intercourse, pain with bowel movements, changes in urination, and infertility. An estimated 40% of women with infertility have endometriosis. Seeking treatment for infertility is often how many women are first diagnosed with endometriosis. If you have any of the symptoms above or are diagnosed with endometriosis and trying to conceive, it is recommended that you set up an appointment with your OB/GYN.

2. Irregular Menstrual Cycles

Irregular periods do not directly cause infertility, however, the lack of these cycles can make it difficult to fall pregnant. Irregular or abnormal ovulation accounts for 30% to 40% of all infertility cases. This condition is known as anovulation and includes irregular periods, abnormal bleeding, or no period at all. Any signs or symptoms of irregular menstrual cycles warrant a visit to your OB/GYN.

3. Sexually Transmitted Diseases (STDs)

Sexually transmitted diseases have been associated with directly or indirectly causing infertility in both men and women. Specifically, chlamydia and gonorrhea can affect fertility as they can turn into pelvic inflammatory disease (PID) in women. STDs often present with no symptoms and, when left untreated, can result in more damage. Getting regular STD screening through your OB/GYN can help prevent complications, including infertility.

4. Uterine Fibroids

Uterine fibroids are growths in the uterus made of uterine muscles. Fibroids can cause infertility due to a blockage of the uterus and fallopian tubes. Symptoms of uterine fibroids include 

  • Pelvic pressure or pain
  • Constipation
  • Heavy menstrual bleeding
  • Menstrual periods lasting more than seven days
  • Frequent urination

Fibroids have been linked to infertility and pregnancy complications such as placental abruption, preterm delivery, and growth restriction. Luckily, a procedure known as a myomectomy can be performed to remove fibroids while preserving the uterus. 

5. Failure To Achieve Pregnancy After 12 Months Of Unprotected Sex 

According to the Centers for Disease Control and Prevention, the medical definition of infertility is the inability to get pregnant after one year or longer of unprotected sex. If you are having trouble conceiving, the first step is to visit your OB/GYN. From there, your provider will go through your medical history, vaccinations, dietary guidance, lifestyle and behaviors, and exam health screenings. 

 

At Raleigh OB/GYN, we believe that patient education is an invaluable tool. For that reason, our doctors and staff provide patients with the information necessary to make informed decisions about their health and body, along with screenings and tests that can help detect underlying causes of infertility. We want to ensure you understand everything about your fertility journey and how having a healthy cycle impacts your overall well-being. If you have been struggling with infertility, set up an appointment to talk to your doctor. You can schedule an appointment through our website or give us a call at (919) 876-8225.

planning for pregnancy
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Planning For Pregnancy: Your Preconception Checklist

Are you ready to bring your own little miracle into the world? Many women believe that modifying their lifestyle only begins once they fall pregnant. Even though there is some truth behind this, there are a number of steps you can take before trying to conceive that can help better prepare you for the lifestyle, financial, and bodily changes you are about to undergo. Planning for pregnancy can be equally important as the steps you take to promote a healthy lifestyle during your pregnancy.  

Your Preconception Checklist

Planning for pregnancy means spending time making healthy lifestyle changes that can have a lifetime of impact on you, your baby, and your family. Raleigh OB/GYN has outlined a few boxes to tick off before trying to conceive. 

Schedule A Checkup

One of the most critical steps to take when planning for pregnancy is to schedule a preconception appointment with your OB/GYN. During this appointment, your doctor may review your health history, pre-existing medical conditions, current lifestyle behaviors, medications/ vaccinations, and perform a physical exam. Usually, the physical exams include a pelvis exam or pap smear.  

Alter Lifestyle Choices

When planning for pregnancy, it is crucial to consider your lifestyle choices, such as drinking alcohol, smoking, nutrition, and body weight. The Centers for Disease Control and Prevention suggests people who are overweight or obese have a higher risk for complications during pregnancy, including heart disease, type 2 diabetes, and certain cancers. Additionally, smoking and drinking alcohol can also cause complications, including premature birth, congenital disabilities, and stillbirth. In planning for pregnancy, ensure you reach and maintain a healthy weight, avoid toxic substances, and eat a nutritious diet. 

Make A Budget

It is important to keep in mind that you will need to have several doctor visits throughout your pregnancy. This may leave you wondering, how much will this cost? A great way to ease the angst and get a better idea of the number going into pregnancy is to make a budget. We suggest calling your insurance company to find out what they will cover, such as OB/GYN appointments, ultrasounds, prenatal vitamins, prenatal screenings, genetic testing, and labor and delivery. Other pregnancy costs include, but are not limited to, maternity clothing, medications, nursery costs, baby clothes, stroller, car seat, etc.  

Start Prenatal Supplements 

Prenatal supplements contain essential vitamins for both mom and baby. The American College for Obstetrics and Gynecology suggests the most important vitamins and minerals during pregnancy include:

  • Calcium
  • Iron
  • Iodine
  • Choline
  • Vitamin A, C, D, B6, and B12
  • Folic acid

Eating well and ensuring you are getting an adequate dose of the nutrients listed above is one of the best things you can do while planning for pregnancy and during your pregnancy.  

Learn Family History

Your family health history is vital to your child’s health. History that includes birth defects, developmental disabilities, or other genetic conditions is all crucial to know and relay to your doctor while planning for pregnancy. Depending on your family history, your doctor may suggest genetic testing or counseling to maximize your chances of a healthy and successful pregnancy and baby. Learning about your and your partner’s health history before getting pregnant is a highly recommended precautionary measure.

 

Here at Raleigh OB/GYN, we understand the importance of planning for pregnancy— and we’re here to guide you the whole way! From making a plan to execution, we are dedicated to helping you understand every step of your unique pregnancy journey. If you have questions about preconception health, set up an appointment to talk to your doctor. You can schedule an appointment through our website or give us a call at (919) 876-8225.

Pregnancy and nutrition
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Pregnancy And Nutrition: The Basics

The rush of emotions after finding out you are pregnant can leave you feeling on top of the world. Suddenly, you want to do everything in your power to help protect and grow your little one. That may leave you questioning the best ways to balance pregnancy and nutrition. Ideally, a healthy diet before pregnancy is best, but it is never too late to start! 

The Benefits Of Proper Nutrition During Pregnancy

When you’re pregnant, a healthy and balanced diet becomes more important than ever. Here at Raleigh OB/GYN, we understand that nutrients are what help your baby grow and develop. Don’t know where to start when it comes to pregnancy and nutrition? Continue reading to learn the basics!

Ensure A Balanced Diet

During your pregnancy, you need more of certain vitamins and nutrients such as protein, folic acid, iron, iodine, and calcium. Eating a balanced diet full of variety is a great way to ensure you are meeting you and your baby’s nutrient needs. Some foods that are sure to help you meet your dietary needs include:

 

  • Fortified cereals: High in folate or folic acid, calcium, and iron
  • Milk: High in calcium, vitamin D, and protein
  • Fish: High in calcium and vitamin D
  • Spinach: High in iron, calcium, and folic acid
  • Beans: High in vitamin B, iron, folic acid, and protein

 

The specific nutrients listed above are among some of the ones that deserve special attention throughout your pregnancy. However, if you aren’t getting a sufficient amount from food, there are ways to make up for it— like prenatal vitamins. 

Appropriate Vitamin Supplements

Generally speaking, pregnant women should be taking a prenatal vitamin every day. This, along with a healthy and balanced diet, should supply all the vitamins and minerals you need during pregnancy. A prenatal vitamin, according to the American College of Obstetrics and Gynecologists, should contain these 11 nutrients: folate, iron, choline, omega-3 fatty acids, vitamin C, vitamin A, vitamin B6, vitamin B12, calcium, and vitamin D. 

 

These vitamins may help to prevent major congenital disabilities, support the development of the placenta and fetus, develop healthy skin, gums, and eyesight, and helps to build your fetus’s bones and teeth. At a very minimum, mothers-to-be should be ensuring they are taking the suggested intake of roughly 600mcg of folic acid and 27 mg of iron daily. 

Dietary and Caloric Recommendations

ACOG suggests that women pregnant with one baby should be consuming an extra 340 calories per day starting in the second trimester and a bit more in the third trimester. Women carrying twins should consume roughly 600 extra calories daily, and women with triples should consume an extra 900 calories daily. 

 

Keep in mind the saying “eat for two” is not true, and eating an excess amount of calories can lead to serious health implications. Some reasons to avoid unrestricted calorie intake while pregnant are:

 

  • Excess weight gain
  • Gestational diabetes
  • Emergency C-section
  • Heartburn
  • Pre-eclampsia

 

In order to limit overeating, try exercising daily, keeping yourself hydrated, and sticking to a healthy and well-rounded diet. 

Eating Safely During Pregnancy

Did you know that some foods contain harmful bacteria and viruses that can affect the health of your unborn baby? The Mayo Clinic suggests steering clear of certain foods during these nine months: 

 

  • Raw, undercooked, or contaminated seafood, poultry, and eggs
  • Unpasteurized foods
  • Unwashed fruits and vegetables
  • Excess caffeine, herbal tea, and alcohol

 

Have no fear, once your baby makes its grand entrance, you can return to eating sushi and drinking all the coffee your heart desires.

There are often a lot of questions revolving around pregnancy and nutrition, including what and how much you should be eating. Raleigh OB/GYN has over 45 years of experience serving the women in our communities. If you have questions about how to best fuel your body, especially during pregnancy, set up an appointment to talk to your doctor. You can schedule an appointment through our website or give us a call at (919) 876-8225.

c-sections
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C-Sections: What Are They And Why Are They Needed?

For many, the act of giving birth remains a mysterious and somewhat taboo topic. Yet, this magical bodily function is what brings our children into existence and fills our world with more joy than one thought imaginable. All types of birth should be celebrated, not shrouded. In fact, information on pregnancy, labor, and c-sections should be accessible to all, as it is vital to the health and well-being of all expecting mothers.    

What Are C-Sections?

C-sections are used to deliver a baby through surgical incisions made in a woman’s abdomen and uterus. It’s estimated that nearly 30% of births in the United States are by c-sections. That number is much higher in older women and women who have multiple children. While there is no single reason why c-sections may be necessary, a few factors can tip the scales to this option being most suitable. Raleigh OB/GYN would like to take this opportunity to help address some of these questions and concerns.

Prolonged Labor

Prolonged labor, commonly referred to as “failure to progress,” is when labor stalls or occurs too slowly. Labor that continues for an extended period of time is dangerous and may cause conditions in the baby, such as low oxygen levels or an abnormal heart rhythm. According to WebMD, if your baby is not born approximately 20 hours after regular contractions, you are thought to be in prolonged labor. If the baby has not progressed far enough down the birth canal and medication does not help to speed up and strengthen the contractions, the doctor may suggest a c-section. 

Abnormal Positioning In The Womb

The ideal position for a baby to be in for labor is head down while facing the mother’s back with its chin tucked to its chest. Most babies end up positioned here within the 32nd to the 36th week of pregnancy. Unfortunately, not all babies are ideally positioned like this when it comes time to give birth. Other positions a baby can be in before childbirth include:

 

  • Occiput or cephalic posterior position
  • Frank breech
  • Complete breech
  • Transverse lie
  • Footling breech

 

In many cases, if your baby is in a breech position or transverse lie, your doctor may recommend a c-section instead of a vaginal birth. 

Cephalopelvic Disproportion (CPD)

Cephalopelvic disproportion is rare, yet another reason c-sections may be necessary. CPD occurs when a baby’s body or head is too large to fit through the mother’s pelvis or birth canal. According to the American College of Nurse-Midwives (ACNM), CPD occurs in 1 out of 250 pregnancies. When an accurate diagnosis of CPD is made, the safest option for delivery is a c-section.      

Chronic Health Conditions

Sometimes, a vaginal birth may not be suitable due to pre-existing medical conditions that could harm the mother, baby, or both. Some chronic health conditions that may warrant a cesarean delivery include conditions like high blood pressure, heart disease, or gestational diabetes. Additionally, a c-section may be suggested if the mother has infections that could be transferred to the baby through vaginal delivery, such as HIV or genital herpes. 

Twins Or Carrying Multiples

What’s better than one baby? Two or more! It’s been estimated that roughly 60% of twins are born via cesarean delivery. Many women expecting twins will often choose to have a planned c-section delivery. Other reasons your doctor may recommend a non-vaginal birth with twins or multiples include:

 

  • The first baby is breeched
  • One baby is lying transverse 
  • Low-lying placenta
  • Your twins share a placenta
  • Troubles with previous births

 

It is important to keep in mind that a cesarean delivery is not the only way to welcome your twins or multiples. In many circumstances, a vaginal delivery is just as safe.

 

At Raleigh OB/GYN Centre, we offer a full range of obstetrical care from preconception to delivery. We have provided state-of-the-art care for mothers, daughters, and now granddaughters since 1974 and have since grown to three locations to best serve our patients in Raleigh, North Carolina. For more information about c-sections or to schedule an appointment with our team of dedicated providers, call 919-875-8225.

Exercise and Pregnancy
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5 Myths About Exercise and Pregnancy

When you’re pregnant, especially for the first time, you naturally start to worry about the health of yourself and your growing baby. So when it comes to exercising during pregnancy, you may wonder, is it safe? When should you start? How much is too much? Unfortunately, the internet is flooded with contradictory and misleading information. The good news is that exercise and pregnancy are perfectly safe and even beneficial! 

Myths About Exercise During Pregnancy

Because the fitness industry is so crowded, it is understandable why there are so many myths revolving around women, exercise, pregnancy, and weight loss. Here at Raleigh OB/GYN, we want to ensure you are provided with reliable information regarding your pregnancy journey. We’re here to bust 5 myths about exercise and pregnancy:

Myth #1: Lifting Weights During Pregnancy Is Dangerous

Lifting weights has been shown to increase your overall health while decreasing your risk for a heart attack, stroke, and osteoporosis. In fact, studies have found that lifting weights may reduce your risk for a heart attack by 40 to 70 percent. The benefits of lifting weights don’t reverse when you fall pregnant. The American College of Obstetrics and Gynecology lists resistance exercises, which includes lifting weights, as safe during pregnancy. Light to moderate weight lifting three to four times a week has great benefits such as strengthening your muscles, protecting your core and lower back, and building or maintaining endurance. 

Myth #2: Only Low-Impact, Gentle Workouts Are OK

As long as your doctor clears it and your pregnancy is not high risk, by no means does exercise during pregnancy have to be limited to walking or gentle yoga. Running, indoor cycling, interval training, cross-training, and similar activities are all encouraged. And between those types of exercise, low-impact and gentle workouts are great for keeping your body moving too! Keep in mind that pregnant women are not encouraged to participate in contact sports such as kickboxing, karate, soccer, or softball.

Myth #3: If I Didn’t Workout Before Pregnancy, I Shouldn’t Start Now

You can run a half marathon or practice gentle yoga– there is never a “right” way to move your body. Even if you were sedentary before falling pregnant, working out during pregnancy is almost always recommended. The only reason it is not recommended is if your doctor does not clear it or if there is a possibility of a high-risk pregnancy. Studies show many benefits, as exercise reduces: 

 

  • The risk of excessive weight gain
  • Preterm birth
  • Low birth weight
  • Risk of C-section and developing diabetes
  • High blood pressure during pregnancy.

 

Additionally, physical activity may help ease the aches and pains of pregnancy and even reduce the risk of postpartum depression. Remember that because every woman and pregnancy is different, it is essential to listen to your body during exercise and not push it too far past its limits. 

Myth #4: It’s Not Safe To Do Abdominal Workouts

A strong core helps with everyday activities, from tying your shoes to walking upstairs. Abdominal muscles promote a healthy back, good posture, balance, and stability. These reasons alone may be enough to get you doing sit-ups. Whattoexpect.com suggests strengthening your abs when you’re expecting supports your pelvic organs as your baby bump gets bigger. Some pregnancy-safe abdominal exercises include:

 

  • Forearm planks and side planks
  • Bird-dogs
  • Glue bridge
  • Squat with rotation 
  • Knee lift
  • Cat-cows
  • Incline mountain climbers

 

With clearance from your doctor, adding abdominal exercises into your workout routine has many benefits and can even be done from the comfort of your own home!

Myth #5: By Working Out Too Much, I Will Pull Nutrients From My Baby

Although it may make sense on paper, working out will not pull nutrients from your baby. In fact, according to WebMD, if your body is going to draw nutrients from somewhere, it will be your own nutrient store and not the babies. To ensure you and your baby are getting adequate nourishment, try eating small, frequent, and nutritious meals. This will also help you keep your blood sugar levels balanced which is essential for optimum health and functionality, pregnant or not!

Do you have more questions about exercise and pregnancy? Our team of physicians, nurses, and medical staff are committed to answering all your questions regarding your unique pregnancy journey. For more information, give us a call at 919-876-8225 or request an appointment.

Pregnancy Symptoms
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Pregnancy Symptoms You Haven’t Heard Of

Pregnancy symptoms are not one-fits-all. In fact, pregnancy symptoms hardly will ever look the same from woman to woman. Some women begin to experience pregnancy symptoms as early as 2-3 weeks, while others may experience little to no symptoms throughout their pregnancy. Either way, there are a host of pregnancy symptoms that, although bizarre, are totally normal.

Unexpected Pregnancy Symptoms 

Although every pregnancy is a unique and memorable journey, some pregnancy symptoms are more frequent than others. Some of the most common early pregnancy symptoms, according to the American Pregnancy Association, include:

 

  • Nausea with or without vomiting
  • Missed period
  • Tender and swollen breasts
  • Increased urination
  • Fatigue

 

As conventional as these symptoms seem, as your pregnancy continues, the hormonal changes in your body may lead to unusual pregnancy symptoms beyond the first signs and symptoms. Here at Raleigh OB/GYN, we want to ensure you are prepared for anything pregnancy might throw your way.

Nosebleeds

Though alarming, nosebleeds are relatively common during pregnancy. When pregnant, your blood volume increases to support the growing baby, and the pressure from the extra blood may sometimes cause vessels to rupture. These ruptures often happen in the nasal cavity because the nose has tiny blood vessels that can irritate and dry out from normal breathing. 

Dysgeusia

Dysgeusia, or distortion in taste, is caused in pregnant women due to hormone changes. Many women describe having a metallic taste in their mouth or complete aversions to the foods they liked pre-pregnancy. Even though there isn’t a specific way to avoid dysgeusia, some tricks to try include:

 

  • Eat what you can, and don’t feel bad about avoiding certain foods  
  • Drink citrus juices like lemonade to combat the metallic taste
  • Stay consistent in brushing your teeth
  • Try rinsing your mouth with a mild salt or baking soda solution
  • Considering switching your prenatal vitamin 

 

It is important to remember that dysgeusia doesn’t last forever and usually subsides by the second trimester. You’ll be back to eating your favorite foods in no time!   

Increased Heart Rate

Around the 8-10 week mark of pregnancy, your heart may begin to pump faster and harder. This is usually no cause for concern, as having heart palpitations and arrhythmias are frequent side effects of pregnancy. When pregnant, your blood volume increases significantly, and your heart must work harder to pump the blood throughout your body. Healthline suggests your blood flow will increase between 30 and 50 percent during pregnancy. 

 

If you experience palpitations accompanied by chest pain, trouble breathing, dizziness, or confusion, seek medical help immediately. 

Carpal Tunnel Syndrome (CTS)

Carpal Tunnel Syndrome is a condition of the hand and fingers caused by the compression of a major nerve that often causes pain, tingling, numbness, or burning through the carpal bones, wrist, and flexor tendons of the hand. When pregnant, your hormones trigger fluid retention, which causes swelling. This swelling can push against the carpal tunnel’s median nerve, which increases pressure in the carpal tunnel and may lead to pain in the wrist and hand. Approximately 31% to 62% of pregnant patients experience carpal tunnel syndrome. Typically, CTS starts during the third trimester of pregnancy and will subside after your baby is born.

Sore And Bleeding Gums

As other symptoms, sore and bleeding gums, often referred to as pregnancy gingivitis, occur due to hormonal changes in the body and result from plaque build-up on the teeth. The best way to combat sore and bleeding gums is to practice good oral hygiene. Some other remedies include:

 

  • Use an anti-gingivitis toothpaste or mouthwash
  • Floss at least once a day
  • Fully remove plaque when brushing your teeth

 

If pregnancy gingivitis becomes painful and unmanageable, it is always recommended to consult your dentist or hygienist.

 

Becoming pregnant is followed by an array of different symptoms, some of which are more common than others. Raleigh OB/GYN is dedicated to helping you understand every step of your unique pregnancy journey. If you have been struggling with pregnancy symptoms, set up an appointment to talk to your doctor. You can schedule an appointment through our website or give us a call at (919) 876-8225.

Understanding The Fertility Journey
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Understanding The Fertility Journey

The body works in magical yet mysterious ways. The phases of the fertility journey can often be confusing, from understanding the timing and length of your menstrual cycle to what changes can happen during the different stages of your cycle. Learning the ins and outs of the fertility journey is an important first step in your adventure to motherhood.  

The Fertility Journey

Falling pregnant is easy for some, but it can be a long and distressing process for many. It can be difficult to feel hopeful amid fertility challenges, but fortunately, there are many things that you can do on your side to improve your chances of getting pregnant. Here at Raleigh OB/GYN,  we can help aid you through your fertility journey. 

 

Infertility And Reproductive Health

According to the American Pregnancy Association, fertility is the natural capability to conceive. On the other hand, infertility prevents the conception of children due to a condition of the reproductive system. Infertility affects roughly 10-15% of couples throughout the United States. It is also essential to note that several factors contribute to conception and pregnancy success. Some of these factors include

 

  • The production of healthy sperm by the man and healthy eggs by the women
  • Ovulation: The ovary releases an egg
  • Fertilization: Sperm meets the egg
  • Implantation: The fertilized egg attaches to the lining of the uterus

 

When implantation occurs, pregnancy officially begins. If one of these factors is impaired or compromised, infertility can result. 

Timing Is Key

Each month, your body prepares for pregnancy. Women are born with about 1 million eggs, yet only release 300 to 400 during ovulation throughout the span of their lifetime. When trying to get pregnant, timing intercourse is crucial for improving the likelihood of millions of sperm meeting one single egg. According to PubMed research, a study of 625 women found conception only occurred when intercourse took place during a six-day period that ended on the estimated day of ovulation. In other words, knowing when you are ovulating can help you plan to have intercourse when you are most likely to conceive.

Infertility Treatments

With ever-advancing technology, infertility continues to be successfully treated in a multitude of women. Two of the most common fertility treatments are Intrauterine Inseminations (IUI) and In Vitro Fertilization (IVF). IUI is when healthy sperm is inserted directly into a woman’s uterus during ovulation, while IVF is when eggs are taken from a woman’s ovaries, fertilized by sperm, and then transferred into a woman’s uterus. The national average for women younger than 35 able to become pregnant by in-vitro fertilization (IVF) on the first try is 55%, yet drops as the women ages. The success rate of IUI is lower at around 10-20% each cycle, but your chances increase the more cycles you go through.   

Additional Options

Aside from IVF and IUI, there are other great options for women struggling with infertility. Common fertility medications include:

 

  • Clomifene – Encourages ovulation in women who do not ovulate regularly
  • Tamoxifen – An alternative to Clomifene if you have irregular ovulation
  • Metformin – For women who struggle with polycystic ovary syndrome (PCOS)
  • Gonadotropins – Can help stimulate ovulation in women and improve fertility in men

 

Additionally, there are several surgical procedures that women can undergo to help with infertility, such as fallopian tube surgery, laparoscopic surgery, and surgery to correct an epididymal blockage. 

Here at Raleigh OB/GYN, we’re all about helping you understand everything about your fertility journey and how having a healthy cycle impacts your overall well-being. If you have been struggling with your fertility journey, set up an appointment to talk to your doctor. You can schedule an appointment through our website or give us a call at (919) 876-8225.

Pregnant this Summer? Here are 8 Ways to Beat the Heat
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Pregnant this Summer? Here are 8 Ways to Beat the Heat

Summertime is officially here, and while this season brings tons of fun in the sun for many, it can create some discomfort for those who are pregnant this summer. Taking care of yourself while pregnant can be a challenge in and of itself, but powerful UV rays and hot temperatures can create an even higher risk of health issues, like dehydration, heatstroke, and more. To help keep you comfortable and safe while pregnant this summer, we’re sharing our top tips to help you beat the heat. 

Sip on something cold 

While alcoholic beverages are out of the question this summer, it doesn’t mean you have to miss out on all of the fun drinks of summer. Get crafty with some summer mocktails, enjoy some freshly squeezed lemonade, or cool down with a smoothie or slushie. Lowering your internal temperature is a great way to find relief on sweltering days. Even finding time to enjoy a popsicle can provide a quick moment of reprieve.

Relax in the pool

Spending time in the pool is a staple activity that you don’t have to miss out on just because you’re pregnant this summer. In fact, you may find that pool time is even more relaxing, as being weightless in the water helps take pressure off of your feet and lower back. 

Don’t forget the sunscreen

While time spent at the pool is a great way to beat the heat when you’re pregnant this summer, be sure not to skip the SPF! In many women, pregnancy increases sun sensitivity, making pregnant women more susceptible to sunburns and sunspots. While spending time and tanning outdoors is generally considered safe during pregnancy, it’s essential that you take the proper sun care precautions.

Wear lightweight clothing

Summertime is the perfect season to wear loose-fitting, breathable clothes like flowing dresses, skirts, and tops. Not only do these styles align with the summer trends, but they’re also readily available in the maternity section. 

Hydrate 

Increased water consumption is recommended for just about everyone during the hot summer months, and this includes pregnant women. Staying hydrated helps regulate your body temperature, keep your systems functioning properly and flush out any toxins. During pregnancy, drinking enough water helps ​​form amniotic fluid, produce extra blood, build new tissue, and carry nutrients to your growing baby. Stay cool and healthy by prioritizing your hydration.

Rest 

The sun can drain you of your energy, and if you’re pregnant this summer, you have probably already noticed a decrease in your normal energy levels. Take time to rest this summer, especially during the hottest parts of the day. Elevating your feet can help reduce swelling and restore some of your energy. 

Enjoy the fresh fruits and vegetables

Eating well is essential to a healthy pregnancy, and one of the best parts of the summer season is the abundance of fruits and vegetables. Create a refreshing salad with seasonal produce, enjoy a newly harvested watermelon, or create a juicy (and hydrating) fruit salad and indulge in all of the summer flavors.

Plan your physical activities 

Getting regular exercise throughout your pregnancy is recommended, but hot summertime temperatures can have an impact on your routine. Take advantage of the longer days by waking up early and getting some exercise in the morning while the temperatures are still mild. Staying physically active can have numerous benefits, including better sleep and improved mood.

Contact Raleigh OB/GYN Centre

At Raleigh OB/GYN Centre, we offer a full range of obstetrical care from preconception to delivery. We have offered state-of-the-art care for mothers, daughters, and now granddaughters since 1974 and have since grown to three locations to best serve our patients in Raleigh, North Carolina. For more information about how to stay cool while pregnant this summer or to schedule an appointment with our team of dedicated providers, call 919-875-8225.