ESHRE2015: Females With Endometriosis Are at Greater Risk of Complications in Pregnancy

According to the data from ESHRE2015 by Dr Lucky Saraswat, females with endometriosis have an increased risk of miscarriage and ectopic pregnancy. Besides, women with a history of endometriosis disease were found to be at a higher risk of complications than average when their pregnancies progressed beyond 24 weeks. Through nationwide analysis of over 14,600 females, it shows that rate of miscarriage and ectopic pregnancy is higher in women with endometriosis.

Generally speaking, one in five pregnant women are likely to perform miscarriage. Though it’s rare for ectopic pregnancy in the world, basically one in 100, the risk is higher than doubled in women with endometriosis. Thus, Dr Lucky Saraswat, a consultant gynaecologist from Aberdeen Royal Infirmary (UK), sponsored a research to analyze reproductive and pregnancy outcomes in women with a confirmed surgical diagnosis of endometriosis.

There were 14,655 women included in the research in total. After adjustments for age and previous pregnancy, results showed that women with endometriosis had a significantly higher risk of early pregnancy complications than the controls. This risk was 76% higher for miscarriage (odds ratio 1.76) and nearly three times higher for ectopic pregnancy (OR 2.7). It was also significantly increased in women with a previous diagnosis of endometriosis for the risks of adverse pregnancy outcomes, including ante- and postpartum haemorrhage and preterm birth.

Dr Saraswat said that women with endometriosis are associated with increased inflammation in the pelvis, as well as structural and functional changes in the lining of the uterus. “We believe such changes in the pelvic and uterine environment could influence implantation and development of the placenta, which may predispose them to adverse pregnancy outcomes.” Said Dr Saraswat.

Obviously, when counselling women with endometriosis about their family plans and care during pregnancy, the findlings above should be taken into account. About 60-70% of women with endometriosis will get pregnant spontaneously and have children, said Co-investigator Professor Andrew Horne who is consultant gynaecologist at the MRC Centre for Reproductive Health of the University of Edinburgh (UK), and the Chair of ESHRE’s Special Interest Group on Endometriosis.

Since endometriosis is associated with so many complications, it’s suggested to accept treatments as soon as possible once been diagnosed. The treatments include antibiotics, laparascopy, herbal medicine, etc. However, antibiotics can’t relieve all the symptoms caused by endometriosis and laparascopy can cause physical damage to some extent, which has been confirmed by lots of clinical cases. So the best treatment may be herbal medicine, like Fuyan Pill which is made from Chinese herbs without any side effects and drug resistance. Besides, one should exercise on a daily basis, such as running, swimming, practicing yoga, etc. It’s also recommended to reduce the intake of refined carbohydrates and processed sugars and eat a variety of healthy foods.

Exclusive Pumping

For the sake of this article, I will be using the terms breastfeeding and nursing.

Aren’t they the same thing? Well, technically, yes, but I like to think about it this way:

When you nurse your baby, you are feeding her right from your breast. She snuggles in close. The skin of her mouth and her face is right up against your skin. As she gets older, she may pat or stroke your breast, bury her head deep into your breast, or wrap her arms around your breast in a big boob hug. Regardless of how much milk is coming out of your breast, if your baby is suckling, you are nursing. I often explain this analogy to mothers who have a low milk supply and need to supplement with a bottle after breastfeeding. In no way does supplementing lessen your nursing relationship. Those mothers have a nursing relationship and a partial breastfeeding relationship.

Breastfeeding, however, is providing breastmilk for your baby either directly from your breast or via bottle. Some mothers do this when they are separated from their infants while at work. Some mothers choose to pump and bottle feed for personal reasons. Some mothers are forced to exclusively pump because their babies are not able or not willing to nurse.

What a gift it is to be able to breastfeed and nurse your baby. If you are reading this and you are able to latch your baby directly on to your breast and provide her with 100% of her daily nutritional needs, stop, take a deep breath, and have gratitude for this gift. Some women get to nurse, some get to breastfeed, but you get to have it all.

Some women may identify themselves as “EPers” or Exclusive Pumpers. These mamas don’t directly nurse their babies at all. Here are a few reasons why a mom may become an EPer.

Her baby was born with special needs and is not able to effectively suck at the breast.

A few examples of this are cleft lip and palate, Down’s Syndrome, or another chromosomal error that often leads to a weak suck. Now, it should never be automatically assumed that a baby born with special needs cannot breastfeed. In fact, once it is deemed safe for such babies to breastfeed, they should be encouraged to breastfeed because it does an amazing job strengthening oral tone.

But, if a baby cannot create the suction necessarily to pull the milk out of the breast properly, moms have the choice to pump and give that milk to baby in a bottle.

Her baby is in the Neonatal Intensive Care Unit and is too premature to effectively breastfeed.

This mama may temporarily be an EPer while her baby grows in the NICU and her baby may transition to direct nursing once he is mature enough, or she may never successfully achieve direct nursing.

Personal choice.

Some moms just don’t want to directly nurse. Perhaps they tried it for a few days or weeks and found she preferred the EPing method.

Mama/Baby mismatch.

Big nipples, little mouth. Recessed chin, short tongue, high palate. Or, the ultimate stumper: the breastfed baby that just can’t get milk out. After extensive work with a skilled IBCLC, nothing is working. After weeks or months, in desperation for some kind of normalcy, we have to make a decision stop trying to make nursing work and embrace breastfeeding.

Breast Refusal aka “stubborn baby syndrome”

Last, but certainly not least is the stubborn baby that Just. Won’t. Nurse.

So, if you see a woman feeding her baby a bottle, resist the urge to judge her. Know that there just may be breastmilk in that bottle and she just may have had to pump-a lot-to be able to breastfeed her baby.

Most importantly, and I will say this again and again, each and every baby is a person. Some babies have much stronger personalities than others and to deny this is to ignore your baby’s uniqueness. You have the opportunity to learn so much from your child by breastfeeding. He will teach you lessons about how to be his mother that you apply for decades to come. So, ask yourself, “What is my baby trying to tell me about who he is and what he needs?”

Principles of Exclusive Pumping

Set short term goals. EPing is more work than nursing with less reward. It is really hard. Set monthly goals. Celebrate every time you hit a major milestone.

Start as strong as possible in the first two weeks after you deliver your baby.

Focus of daily total pumping sessions, not intervals between pumping sessions. It is more important for you to get in eight or more pumps in 24 hours than for you to perfectly space them to every two to three hours. That said, ideally you shouldn’t go longer than five to six hours overnight without pumping if your baby is waking up at night.

Be willing to improvise and have a lot of tools at your disposal. Hand pump (I like Medela Hand Pump), Hands Free Pumping Bra (Simple Wishes is the best one!), a car adaptor to pump while driving or while someone else is driving. A nursing cover so you can pump in public or in front of others.

Know what to do if your supply tanks. Accept the fact that it will Don’t freak out about it, just ride the wave, pay attention and make efforts to boost your supply as soon as you see your supply decreasing.

Know your daily total output. Focus a little less on how much you get from each individual pumping session and a little more on how much you get from all of your pumps combined. Once you know this number and find it is fairly consistent within an ounce or two, you can start to mess with how many pumps you have to get in each day.

Consider experimenting with decreasing the number of times you pump per day. Once you feel confident about your daily total output, drop one pump in a 24 hour period. For three to five days, watch your total daily output closely to make sure it doesn’t decrease. For some women, they will put out the same daily total with one fewer pump. For others, their supply dips. If it dips, put that pump back in. If it stays the same, keep that pump out. When you are feeling brave again, drop another pump. At some point you will hit a threshold where you can’t decrease your total daily pumps any further without affecting your milk supply.

Be a good bottlefeeder.

Seek Community. Often times EPers feel like they don’t belong at breastfeeding support group, which makes me really sad. A well run support group should make all moms feel welcome, no matter if they are nursing, supplementing with formula, or pumping and bottle feeding. You need community as much as, if not more than, every other new mama. You may also enjoy being a part of online EPing communities.

What Are The Risks of Uterine Fibroids and Pregnancy?

One of the most important things you should know about fibroids and pregnancy is that if you are suffering from myoma now, it may not be wise to conceive. However, if you have realized you have fibroids when you are already pregnant, and you are wondering about the problems that may arise as you get towards the last month of your pregnancy; we are here to offer you all the necessary information that you may need regarding your health. This vital information will help you make an informed decision concerning your condition.

Fibroids are unusual growths that tend to occur inside and outside your uterine walls. There are those rare occasions when a fibroid fixes itself on another organ that’s nearby (this is known as parasitic fibroid). Myomas are simply muscle tissue and some compact connective tissues. This is the problem though: these growths keep enlarging and they can even multiply in your body. Often, fibroids are quite small and they do not pose any significant risks, especially if the patient is not pregnant during the time she is diagnosed with myoma.

Nevertheless, when a woman suffering from fibroids conceives, she should be closely monitored by a doctor since they can lead to a host of other problems during pregnancy. Some of the most common problems may include:

Conception

Large tumors in the uterus can prevent a woman from getting pregnant. From the above, fibroids are not really good for women who would like to get pregnant and give birth in future since they affect the same place where an unborn baby stays for nine months.

During Pregnancy

Fibroids have been known to result to abrupt miscarriages. Women who are expecting should really limit their stress levels and circumstances that may result to excessive physical strain especially if they are suffering from fibroids since they are at higher risks of suffering from miscarriages.

Not every woman who is pregnant and dealing with fibroids ends up losing their pregnancy. However, one should bear in mind that if they do not miscarry, the expectant woman can still suffer from premature labor. Early labor occurs when the membranes found inside the uterus suddenly rupture. Any form of rupturing in the uterus can result to early labor.

Postpartum

In some known cases, myomas have also been known to cause problems even after a woman has already given birth. The placenta may fail to come out posing danger to the mother especially if she has big fibroids in the uterus.

These are just some of the worst cases of uterine fibroids and pregnancy. If you are a fibroids patient, it’s important to be aware of what may happen to you if you get pregnant before you get a fibroids cure. There are different forms of fibroids cures that women can choose from.

It’s usually a great idea to remove your fibroids before you conceive so that you can decrease any problems that may occur. You wouldn’t like to gamble with life by getting pregnant when you know you already are suffering from large fibroids.

Discuss with your doctor about a myomectomy or any other similar forms of treatments so that only the abnormal tumors in your uterus are eliminated. After you have gotten a perfect fibroids cure, you can go ahead and get pregnant without worrying about the dangers of uterine fibroids and pregnancy.

Ways to Naturally Cure Vaginal Odor

Nothing can be more embarrassing than a foul odor emanating form your yoni. Do you sniff your yoni sometimes to ensure it’s freshness? Vaginal odor can have many causes and it’s best to fully identify and treat the cause to avoid the odor from coming back or from getting worse. The two most common causes for vaginal odor is yeast infection or bacterial vaginosis. Vaginal odor however can also be caused by poor hygiene, sexually transmitted diseases, irregular PH balance, foreign objects, diet or illness. Being in tune with your body and knowing what your yoni smells like regularly can help you identify when a odor may be of special concern. There are many ways to naturally cure vaginal odors and we’ll help identify a few and specify uses.

White Vinegar:

Your yoni has its own environment with unique bacteria in it to help do it’s job and keep it healthy. Sometimes those bacteria can get out of control and cause the normally balanced PH of the yoni to be out of wack. White vinegar can help restore the PH level and reduce the odor. We recommend a cup of white vinegar added to a hot bath. Soak about 30 minutes daily for 3 days.

Neem Bark Extract:

Neem Bark Extract can fight off infections, keep digestive systems in check and has antifungal and antibacterial properties. These characteristics can help get rid of the cause of the vaginal odor and Neem Bark has the ability to encourage white blood cells to be unleashed which will seek out foreign invaders of the body. Neem Bark Extract can be taken orally as a diet supplement or can be applied directly to the yoni.

Baking Soda:

Yes this little box of white powder that your granny keeps in the fridge is a good, natural option to get rid of vaginal odor. Taking a half of a cup of baking soda then adding to a hot bath to soak helps get the PH balance of the yoni back on track, which in turn will eliminate vaginal odor. Use this method for up to 5 days.

Guava Leaves:

This fruit is common in Asia. The leaves of the fruit has many healing properties that are beneficial to different parts of the body. Take 8-10 guava leaves and boil them in 1 liter of water for about 20 mins. Once the water has cooled down,Wash the yoni with the solution at least twice a day for 3 days.

Boric Acid:

Popular as a form of poison for bugs, it is actually a good antiseptic. Boric acid, when used as a suppository can help target problem bacteria in the yoni, which can rid the vaginal odor. Boric acid is not recommended to be taken orally. As a suppository use once a week or follow instruction if they are enclosed.

Fenugreek:

This herb has been noted by being useful for women’s health overall. A notable benefit is regulation of the menstrual cycle and it’s also antibacterial. Add about 3 TSP of fenugreek seeds to 1 liter of boiling water. Boil for about 30 minutes. Let the water cool and wash the yoni with solution at least 2 times a day for up to four days.