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Pregnancy is a life-transforming journey and while there is so much changes that happens during this time, you cannot always be prepared for everything. Here are 10 surprising facts that you did not know were true during pregnancy.
If you have seen animals look for paper scraps, or take fur out of their own body or collect small twigs and stem to build a nest for their upcoming babies, even if the animals are domesticated, humans do the name. Humans do not take fur or hair out of their body, but we too experience a powerful urge to prepare our home for the baby. We clean it, decorate it and thanks to modern homes, we can now baby proof it do!
This happens in the first trimester, when tiredness, morning sickness and other symptoms can make the mother feel worn out and mentally fuzzy, often called the mommy brain. The National Institutes of Health also notes that cognitive function decline in the third trimester of pregnancy, leading to memory problems.
Premenstrual syndrome (PMS) and pregnancy share several symptoms, such as breast swelling and tenderness, hormonal fluctuations, and mood swings. If you’ve experienced severe mood swings due to PMS, you may notice an intensification of these emotions during pregnancy. It's common to feel joyful one moment and tearful the next as your body adjusts to hormonal changes.
An increase in breast size is one of the earliest signs of pregnancy apart from your missed period. It happens in the first trimester due to the higher levels of hormones like estrogen and progesterone. The growth continues throughout pregnancy.
Have you heard about pregnancy glow? This happens because pregnancy women have an increased blood volume, this happens to provide extra blood flow to the uterus and other organs, especially the kidneys. This greater volume brings more blood to the vessels and increases oil gland secretion.
During pregnancy, many women notice changes in their hair texture and growth. Hormonal shifts can make hair grow faster and reduce hair loss. However, these changes are typically temporary, and many women experience some hair loss during the postpartum period or after they stop breastfeeding. In some cases, hair growth may also occur in unexpected areas like the face, belly, or around the nipples. Additionally, hair texture can shift, becoming drier or oilier, and some women even notice a change in hair color.
Nails can also undergo changes during pregnancy. Increased hormone levels may cause nails to grow faster and become stronger, but for some women, nails may become more brittle, splitting and breaking more easily. Like hair changes, these nail changes are usually temporary. If your nails are more prone to splitting or tearing, it’s helpful to keep them trimmed and avoid exposure to chemicals in nail polish and nail polish remover.
If you have heard about it, then you already know that it is not just the clothes that do not fit you, it is your shoes too. Extra fluid in the pregnant body also leads to swollen feet. The joints also tend to be looser during pregnancy.
Your body also releases hormones like relaxin that prepares your body, especially the cervix for the birth. This loosens the ligament in your body, which may make you less stable .
Varicose veins, common in the legs and genital area during pregnancy, result from blood pooling in veins enlarged by pregnancy hormones. They often disappear after delivery. To prevent them, avoid prolonged sitting or standing, wear loose clothing and support hose, and elevate your feet when seated.
Hemorrhoids, which are varicose veins in the rectum, may develop due to increased blood volume and uterine pressure. They can cause pain, itching, bleeding, or stinging, especially during bowel movements. Constipation, caused by hormonal changes and uterine pressure on the large intestine, can worsen hemorrhoids by straining during bowel movements.
Prevent constipation and hemorrhoids by eating a fiber-rich diet, staying hydrated, and exercising regularly. If needed, consult your doctor about stool softeners, laxatives, or creams for relief.
When you are in labor, your amniotic sac, that has fluid that surrounds the baby, breaks or ruptures, which is what is also known as water breaking. For most women contractions start before their water breaks, if not, then the doctor may have to rupture the amniotic sac, in case the cervix is already dilated. Some women may feel the urge to pee, while for some it may feel a trickling their leg.
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The UK today began the first phase of its flu vaccination program, offering jabs to millions of children and pregnant women ahead of winter.
Nearly 19 million people received their flu jab in England last year, helping prevent an estimated 104,000 hospitalizations.
Flu season typically peaks in December and January. Starting vaccinations earlier for children and pregnant women aims to protect those most vulnerable to serious illness and limit the spread of the virus before it circulates more widely.
Starting vaccination in September gives children and pregnant women time to build protection before flu begins circulating more widely. As per the NHS, the children’s flu vaccine can take up to 14 days to work.
Children and pregnant women are among the first groups offered vaccination because they are more vulnerable to serious illness from flu.
Most school-aged children will receive their vaccine, via nasal spray, at school.
Parents of two- and three-year-olds, as well as children in clinical risk groups, will be invited to arrange vaccination through their GP practice.
Pregnant women can receive the flu jab at any stage of pregnancy through their maternity team, GP practice or participating pharmacy.
NHS teams are also taking vaccines into local communities, including through high street pharmacies and mobile vans.
Why Are Young Children and Pregnant Women More Vulnerable?
Flu can be much more serious than a bad cold. Every winter, thousands of children require hospital care because of the virus, while pregnant women also face a higher risk of serious illness.
Flu can spread quickly among younger age groups, which means vaccinating children can also help limit transmission to people who may be more vulnerable, including babies, grandparents and pregnant women.
Vaccinating pregnant women can also help protect their newborn babies in their first weeks.
“Flu can really knock you for six, and for some children and pregnant women it can mean becoming seriously ill or ending up in hospital. Getting vaccinated only takes a few minutes, but it can make a real difference – helping protect you and the people around you from getting seriously unwell,” said Dr Amanda Doyle, National Director for Primary Care and Community Services at NHS England.
From 1 October, flu vaccinations will be offered to other eligible groups, including:
Parents of two- and three-year-olds will also be able to book appointments at participating community pharmacies through the National Booking Service from October.
The NHS’s year-round RSV vaccination program is also expanding from today to include people aged 65 to 74 with a weakened immune system or certain long-term lung conditions.
RSV can make babies and adults with long-term lung conditions seriously unwell and increase their risk of hospitalisation.
Eligible people can receive the vaccine through their GP practice or, in some areas, a participating pharmacy. Those eligible should expect an invitation from their GP.
Pregnant women can also receive RSV, whooping cough and flu vaccines to help protect their newborn babies in their first weeks.
“Vaccinations play a vital role in protecting those most at risk from flu and they are also crucial for relieving pressures on our NHS over the winter months,” Secretary of State for Health and Social Care Yvette Cooper said.
“Everyone who is eligible for a free vaccination will be notified through their phone or in the post,” Cooper added.
Credit: Kaiser Permanente South Bay Medical
A US woman has naturally conceived and given birth to a healthy set of triplets, a rare pregnancy that medical professionals described as an uncommon occurrence.
Nyla Craft from South Bay region in Los Angeles, already a mother of two — a daughter and a son — gave birth to three boys: two identical twins and a third who is their fraternal sibling, said chief of neonatology Dr Rohit Passi at Kaiser Permanente South Bay Medical Center, as reported by the Los Angeles Times.
“This is a very rare pregnancy and a rare outcome,” Passi said.
The triplets were conceived naturally, Passi said, which happens in only about one in 10,000 pregnancies.
They were carried for 36 weeks, which is considered a good gestational period for triplets. All three were born at a healthy weight, with a combined weight of about 19 pounds — around three pounds short of the reported world record total weight for triplets, according to the Guinness Book of World Records.
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Craft said she first learned she was expecting triplets during a doctor’s appointment earlier this year.
“Earlier this year, I went to the doctor and I saw like two different sets,” she said. “I was like, oh my goodness, I’m having twins. And she was like, no, there are three. And I was like, oh my gosh, triplets.”
Craft said the physical demands of carrying the triplets were unlike anything she had experienced before.
When she learned the three babies weighed a combined 19 pounds at birth, the figure put her difficult pregnancy into perspective, ABC7.com reported.
Quynh Vo-Hanser of Kaiser Permanente South Bay said the pregnancy was especially unusual.
“This is a really rare event,” Vo-Hanser said. “This is what we would refer to as a mixed triplet. This is a spontaneous pregnancy, which meant that it was achieved naturally. And within this triplet set, there’s an identical twin set, and then the fraternal sibling.”
Vo-Hanser emphasized the rarity of the birth. “Within the United States, there are 3.5 million deliveries and about 2,400 are triplets,” she said.
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The rare delivery on August 18 required a larger-than-usual medical team to care for both the mother and the three babies.
There were three NICU nurses, one for each baby, along with two doctors caring for the babies and additional doctors and nurses looking after Craft. “There were about 15 people in the delivery room when we normally have about five,” Passi said.
The trio’s combined birth weight of about 19 pounds also put them close to the reported world record for the heaviest set of triplets at birth, which stands at 22.7 pounds.
The combination of a naturally conceived triplet pregnancy, an identical twin pair and a fraternal sibling, all born at 36 weeks and of the same sex, made the delivery particularly unusual, according to the medical team.
Credit: AI
A fever in an infant or young child is often dismissed as a routine infection. However, recurrent or unexplained fever could sometimes point to a urinary tract infection (UTI), which, when associated with an underlying abnormality, may put the kidneys at risk. Identifying UTIs early is particularly important in infants and toddlers who cannot communicate their symptoms.
Unlike older children, infants and toddlers cannot explain symptoms such as pain or burning while urinating. A UTI may therefore present only as fever, poor feeding, reduced milk intake or irritability.
Whenever a child has a febrile UTI, we should look for an underlying cause. One such condition is vesicoureteral reflux (VUR), where urine flows backwards from the bladder towards the kidneys.
When bacteria are present in the bladder, this backward flow can carry infection towards the kidneys. Repeated kidney infections can cause renal scarring, particularly in young children.
Repeated scarring can affect kidney growth and function and, in severe cases, contribute to chronic kidney disease later in life. This makes timely evaluation and management important.
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After a documented febrile UTI has been treated, children may require evaluation for an underlying cause based on their age, history and clinical findings. If VUR is identified, treatment depends on its severity. Not every child with reflux needs an operation. Management depends on the grade of reflux and the child’s clinical condition.
VUR is graded from 1 to 5. Low-grade reflux, particularly Grades 1 and 2, can often be managed through monitoring and, in selected cases, antibiotic prophylaxis. Many children may outgrow the condition as the urinary system matures.
Higher-grade reflux, especially when associated with recurrent infections or renal scarring, may require intervention. Options include minimally invasive Deflux injection or laparoscopic and robotic-assisted surgery in selected cases.
Constipation, bowel and bladder dysfunction, and improper toilet habits, which can contribute to recurrent UTIs, should also be given attention. Encouraging children to void regularly and managing constipation can help reduce infections.
In the present era, urinary abnormalities may be suspected during an antenatal ultrasound (TIFFA scan) allowing early postnatal evaluation and monitoring.
The message for parents is simple: recurrent fever in a young child should not always be dismissed as a routine infection. Identifying a UTI and investigating an underlying problem such as VUR at the right time can help prevent recurrent infections, reduce renal scarring and protect kidney health in the long run.
By Dr. G. Ravindra Varma, Managing Director and Senior Consultant Urologist, Andrologist, Uro-Oncologist, Laparoscopic and Robotic Surgeon, AINU, Visakhapatnam
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