Grow Baby Grow

Week 0

Estimated reading time: 9 min reads

first-trimsterIf you are planning to become pregnant and are able to plan ahead of time, consider changing your diet and exercise routine, start taking a prenatal vitamin and visit your dentist. Research suggests that a prenatal vitamin containing folic acid taken just six months prior to conception can be beneficial for a soon-to-be growing baby. If possible, consider getting yourself in optimal physical shape so you can create the healthiest environment for your baby. Remember, that by following PAK’s proactive forty-week gestational guidelines, an expectant mom will never walk into a doctor’s office in the same way again!

Please use our OPERATION DUE DATE MY EMPOWERED PREGNANCY CHECKLIST now so you can check off key markers of your pregnancy as you reach them.

Healthcare Insurance Coverage

With the ongoing changes in healthcare plans today, be sure to review your healthcare insurance plan regarding pregnancy coverage prior to conception. If you have any questions or concerns, call your healthcare provider for clarification.

The Cost Of Having A Baby

Planning a pregnancy and the arrival of your expected baby is an exciting mix of anticipation and anxiety. Your pregnancy is an amazing forty-week gestational journey with a tiny bundle of joy awaiting massive doses of TLC from you on delivery day. So how much does this journey cost?

piggy-bank

The newly published Baby Cost Guide for 2016 is comprehensive resource that will help you not only understand, but quantify the cost of your pregnancy and the needs of your expected baby. This guide not only identifies common expenses, but also provides helpful cost management strategies including a calculator to help estimate first year costs. Why not check it out now?

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Zika Virus

All women considering becoming pregnant must be aware of the Zika Virus. Current research on Zika is in its infancy globally. There is a correlation with pregnant women infected with Zika and microcephaly; babies born with abnormally small heads.

How does it spread?

It is spread by Aedes mosquitoes. They are found throughout the Americas except for Canada and Chile where it is too cold for them to survive. The World Health Organization (WHO) expects Zika to spread throughout the Americas, but other scientists have warned that countries in Asia could face large outbreaks too.

The CDC updated its Zika virus guidance for pregnant women, advising them to protect themselves if their male sexual partner has traveled to or lives in an area where Zika virus is circulating as sexual transmission has been confirmed.

What are the symptoms?

Deaths are rare and only one in five people infected is thought to develop symptoms. These include:

  • Mild fever.
  • Conjunctivitis (red, sore eyes).
  • Headache.
  • Joint pain.
  • A rash

What is microcephaly?

The link between Zika virus, pregnancy and microcephaly has been confirmed. Microcephaly is when a baby is born with an abnormally small head, as their brain has not developed properly in utero. The severity varies, but it can be deadly if the brain is so underdeveloped that it cannot regulate the functions vital to life. Children that do survive face intellectual disability and developmental delays.

What can people do?trimester-img-2

As there is no treatment, the only option is to reduce the risk of being bitten. Health officials advise people to:

  • Use insect repellents.
  • Cover up with long-sleeved clothes.
  • Keep windows and doors closed.

The mosquitoes lay their eggs in standing water, so people are also being told to empty buckets and flower pots. The US Centers for Disease Control (CDC) has advised pregnant women not to travel to affected areas including Latin America and the Caribbean.

What is being done?passport-img

The CDC issued an early-release Morbidity and Mortality Weekly Report (MMWR)(www.cdc.gov) in July, 2017 updating its short-term guidance for health care professionals that care for pregnant women with probable Zika virus exposure.

The report also acknowledges that the incidence of Zika virus disease in the Americas has lessened considerable since 2016 thereby increasing the possibility of false-positive test results. There is also new epidemiologic and laboratory data indicating that Zika virus immunoglobulin M (IgM) test results can’t always distinguish between infections that occurred before or while currently pregnant. Now the CDC no longer advocates IgM testing routinely.

Physicians are advised to consider these parameters when counseling expectant moms about the risks and benefits of testing for Zika virus infection during pregnancy.

Please remember “the CDC’s definition of possible Zika virus exposure(www.cdc.gov) — that is, from ‘travel to, or residence in an area with risk for mosquito-borne Zika virus transmission, or sex with a partner who has traveled to or resides in an area with risk for mosquito-borne Zika virus transmission’ — remains unchanged.”

The CDC’s MMWR offered the following key recommendations:

  • All pregnant women in the United States and U.S. territories should be asked at every prenatal care visit about possible Zika virus exposure before and during the current pregnancy.
  • Pregnant women with recent possible Zika virus exposure and symptoms of Zika virus disease(www.cdc.gov) should be tested to determine the cause of their symptoms. The revised guidance calls for concurrent Zika virus nucleic acid test (NAT) and serologic testing as soon as possible through 12 weeks after symptom onset.
  • Asymptomatic pregnant women with ongoing possible Zika virus exposure(www.cdc.gov) should be offered Zika virus NAT testing three times during pregnancy. The optimal timing and frequency of such testing is unknown.
  • Asymptomatic pregnant women who have recent possible Zika virus exposure but no ongoing possible exposure are not routinely recommended to have Zika virus testing.
  • Pregnant women with recent possible Zika virus exposure who have a fetus with prenatal ultrasound findings consistent with congenital Zika virus syndrome should receive Zika virus testing to help establish the etiology of the birth defects. Testing in this instance should include both NAT and IgM testing.

Director General Dr. Margaret Chan states that the priorities are to protect pregnant women and their babies from harm and to control the mosquitoes that are spreading the virus.

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Vaccinations Before Pregnancy

The best time to receive vaccinations is before you become pregnant according to the U.S. Department of Health and Human Services (DHHS) so discuss this possibility with your health care team if this pertains to you. Vaccinations will help safeguard your body from infection and this protection passes to your baby during pregnancy. You are encouraged to have a preconception exam to make sure you are up to date with your “adult” vaccines; bring a copy of your vaccination record with you. If you don’t have this record, a simple blood test will let your health care team know what vaccinations you need. If you aren’t current, ask your doctor for the requisite vaccines. Women are generally advised to wait one month following anyvaccinations to become pregnant. Your health care team may or may not advocate vaccinations during pregnancy.

According to the Centers for Disease Control (CDC), the “risk to a developing fetus from vaccination of the mother during pregnancy is theoretical. No evidence exists of risk to the fetus from vaccinating pregnant women with inactivated virus or bacterial vaccines or toxoids. Live vaccines administered to a pregnant woman pose a theoretical risk to the fetus; therefore, live, attenuated virus and live bacterial vaccines generally are contraindicated during pregnancy.”

There are a few vaccines that are usually recommended before pregnancy. You may be familiar with three of the most common ones. The first is Influenza IIV (Inactivated). “Inactivated” means the vaccine does not contain a “live” virus. Vaccinations containing “live” viruses are contraindicated and not given to pregnant women per the CDC. The second recommended vaccine is Tdap (tetanus, diphtheria and pertussis). This vaccine is not only recommended for you, but also relatives, close friends and caregivers who will spend time with your baby. The third is MMR (measles, mumps and rubella). Measles contracted during pregnancy may be dangerous to pregnant women and result in miscarriage.

Several vaccinations are given “if indicated” before or after pregnancy. One reason a vaccine may be indicated is because you have the potential for exposure to an infection. For example, your health care team may suggest you be vaccinated for rabies if you are a technician working in a veterinarian’s office and may possibly come in contact with a rabid animal. Another reason a vaccine may be indicated is that you have a medical condition that increases your risk for contracting an infection. One example is that you may have had your spleen removed (splenectomy). Your spleen helps your body fight infections so your health care team may recommend that you receive the Pneumococcal vaccine to prevent pneumonia. Some other vaccinations which may be given “if indicated” before or after pregnancy are Hepatitis A, Hepatitis B, Meningococcal Polysaccharide/Conjugate, HPV (human papillomanvirus), Varicella (chicken pox) and Tetanus/Diphtheria (TD). Tdap is the preferred vaccination of choice over TD as it also contains pertussis (whooping cough).

mom-imgThe CDC states that if you are pregnant and not up to date on your flu vaccine, you may be at a higher risk for developing flu and flu-related complications. They recommend that all women who are or will be pregnant during the influenza season be vaccinated with the Influenza (Inactivated) vaccine.

The National Institute of Health (NIH) acknowledges the concern among pregnant women receiving Influenza (Inactivated) in a “multi-dose” form as it contains a small amount of mercury (thimerosal), a preservative. Although this vaccine has not been shown to cause attention deficit hyperactivity disorder or autism, the fear among expecting moms still exists. Routine vaccinations are available without the preservative thimerosal added. It is important that all pregnant women know that they may request their vaccination be free of this preservative if they so wish.

Every woman must thoroughly research any medication or vaccination recommended to her during pregnancy. Any concerns or the possible side effects of any medication or vaccination should be discussed with her health care team. Please refer to the March of Dimes and the CDC for more information on vaccinations before, during and after pregnancy, Guidelines for Vaccinating Pregnant Women, and breastfeeding and vaccinations.

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Pre-pregnancy Caffeinecaffeine

A study conducted by the NIH and the Ohio State University recently published in the journal Fertility and Sterility found a worrisome link between caffeine consumption and miscarriage. Quite simply, the data proves that couples who drank more than two caffeinated drinks a day during the weeks prior to conception had a greater risk that the woman would miscarry.

That’s correct – the research found that both Mom’s caffeine and Dad’s caffeine consumption could play a role in miscarriage! This study also confirms previous research showing that women who drink more than two caffeinated beverages each day during the first seven weeks of pregnancy are also more likely to miscarry. On the bright side, this study did show that women who took a daily multivitamin before and after conception appeared to greatly reduce miscarriage risk!

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