Dr Joe Whittington, who goes by Dr Joe on his social media platforms is a certified MD in Emergency Medicine based in Apple Valley, California is a social media medical educator. He uploads many real-life health-related stories and cases to educate general public about it. In one such videos, he featured a woman who just had her baby four days ago and found out that she was four months pregnant.

Is This Possible?

Dr Joe says, "technically, yes". This phenomenon is known as superfetation that occurs when a woman releases an egg and it gets fertilized and implanted after she is already pregnant.

He says, "Usually pregnancy changes such as hormonal changes, changes in the uterus, and the cervical mucous plug all work to prevent this. So superfetation is extremely rare with only about 10 documented cases. But, it is possible."

What Is Superfetation?

It is a rare phenomenon where a second pregnancy occurs alongside an existing one. This happens when another ovum or the egg is fertilized by sperm and implanted in the womb days or weeks later than the first one. Babies born from superfetation are often considered twins as they may be born on the same birth on the same day. However, not always does it happen. In the case that Dr Joe picked up, the baby had a difference of four months.

ALSO READ: Pregnancy Trimesters, Everything You Need To Know About It

So, How Does It Happen?

In humans, pregnancy occurs when an egg is fertilized by sperm and implants in the uterus. For superfetation to happen, a second egg must be fertilized and implanted separately while a pregnancy is already underway.

For this to occur, three highly unlikely events must take place:

Ovulation during an ongoing pregnancy – This is rare because pregnancy hormones typically prevent further ovulation.

Fertilization of the second egg – Once pregnant, a woman’s cervix forms a mucus plug that blocks sperm from entering, making fertilization extremely unlikely.

Implantation in an already pregnant uterus – Implantation requires specific hormonal changes that usually don’t occur once pregnancy has begun.

Additionally, a growing fetus takes up space, making it harder for another embryo to implant.

Because these conditions are so improbable, superfetation is considered nearly impossible in natural pregnancies. However, a few reported cases exist, primarily in women undergoing fertility treatments like in vitro fertilization (IVF). In such cases, an embryo is transferred into the uterus, but if ovulation unexpectedly occurs and the egg is fertilized, superfetation might happen a few weeks later.

Could There Be Any Complications?

The biggest complication with superfetation is premature birth. The baby maybe born before time and could have the following medical conditions:

• trouble breathing
• low birth weight
• movement and coordination problems
• difficulties with feeding
• brain hemorrhage or bleeding in the brain
• neonatal respiratory distress syndrome, which is a breathing disorder caused by underdeveloped lungs

Women too could have complication, which includes high blood pressure and protein in the urine, a condition called preeclampsia, and gestational diabetes.

As per the American Psychological Association (APA), only 58.5 per cent of US teens always or usually receive the social and emotional support they need, as per the report by the US Centers for Disease Control and Prevention (CDC).

Another National Institutes of Health (NIH, US) report notes that the most mental health disorders among children ages 3 to 17 in 2016 to 2019 were attention deficit disorder (9.8%, approximately 6 million), anxiety (9.4%, approximately 5.8 million), behavior problems (8.9%, approximately 5.5 million), and depression (4.4%, approximately 2.7 million). For adolescents, depression is concerning because 15.1% of adolescents ages 12-17 years had a major depressive episode in 2018-201.

However, not all are able to receive the help, in fact, parents too find themselves struggling when it comes to helping their children.

Despite growing concern about a mental health crisis among young people in the United States, a large national study suggests the care system continues to fall short for many families.

Researchers from the Harvard Pilgrim Health Care Institute in Boston found that nearly one quarter of children who require mental health treatment are not receiving it.

The findings come from survey data collected from more than 173,000 households between June 2023 and September 2024.

Many Families Recognize the Need but Cannot Get Help

The analysis showed that about one in five households, or 20 per cent, had at least one child who needed mental health support. Yet among those families, nearly 25 per cent said those needs were not met.

Even families that eventually obtained care often faced significant hurdles. Nearly 17 per cent described the process as difficult and exhausting.

The research letter was published February 16 in JAMA Pediatrics.

Household Structure Shapes Access

The study found that family circumstances strongly influenced how easy it was to navigate the health care system.

Families with multiple children reported higher unmet needs at 28 per cent, compared with 21 per cent in households with only one child. Single parent households also reported more difficulty securing appointments.

Education setting played a role as well. Homeschooled children had higher unmet needs at 31 per cent compared with 25 per cent among children attending public school. Researchers suggest this may reflect the absence of school counselors and other school based support systems.

Insurance and finances created additional barriers. About 40 per cent of families covered by Medicaid or without insurance said they could not get care specifically because it was too hard to access.

In a news release, lead author Alyssa Burnett said nearly one quarter of parents reported that at least one child did not receive needed mental health care, highlighting persistent access gaps.

Cost, Availability and Logistics Remain Major Obstacles

Researchers noted several common barriers. Families cited treatment costs, a shortage of clinicians and logistical issues such as scheduling and travel.

The study also found disparities among racial and ethnic groups. Families from minority backgrounds had higher rates of unmet needs compared with non Hispanic white households. However, Black households reported less difficulty accessing care at 13 per cent compared with 17 per cent among white households.

Bringing Care Closer to Families

Experts involved in the study say improving access may require shifting where care is delivered.

Senior author Hao Yu, an associate professor of population medicine at the institute, said states should expand the child mental health workforce and integrate mental health services into primary care settings to remove barriers and improve access to needed treatment.

A majority of women may experience infections during the crucial phase of pregnancy. Some infections during pregnancy may also not show clear symptoms. However, timely awareness and prevention can protect both the mother and the baby.

Pregnancy is a special and sensitive phase in a woman’s life. While most women focus on nutrition and regular check-ups, infections during pregnancy can often be neglected.

Some infections may cause only mild symptoms in the mother but can seriously affect the unborn baby if not detected early. Hence, regular screening, good hygiene, and timely medical care are crucial to prevent most pregnancy-related infections and ensure a safe and healthy pregnancy.

Common Infections During Pregnancy

• Urinary Tract Infections (UTIs)

• Vaginal infections

• Respiratory infections

• TORCH infections

• Hepatitis B and C can be passed from mother to baby during childbirth if not properly managed.

Tips To Follow To Prevent Infections During Pregnancy

• Pregnant women should go for regular antenatal check-ups, maintain good personal hygiene, and not use any chemical-laden products.
• Stay hydrated and drink enough water, eat home-cooked food, avoid raw or undercooked items, wash your hands frequently, and get vaccinated as recommended by the doctor.
• Take a flu shot on a priority basis. Avoid contact with rodents and pets.
• Make sure to consult the expert in case of symptoms such as fever, pain, or unusual discharge for prompt intervention.
• Get tested for sexually transmitted diseases (STDs) such as HPV, chlamydia, gonorrhea, herpes, syphilis, and trichomoniasis.
• Early detection and treatment will be beneficial in safeguarding both mother and baby and ensuring a healthy pregnancy.

Motherhood is not easy to navigate from, while there are many telling you what to do after becoming a parent, rarely do mothers get the guidance they need, especially about disease transmission. Some infections in mothers can pass on to babies during pregnancy, delivery or even while breastfeeding. Know which ones are they:

HIV

It is human immunodeficiency virus that attacks cells that help the body fight infections and makes the person vulnerable to diseases. The virus can be transmitted through contact with infected blood, semen or vaginal fluids.

HIV can be transferred to the baby during birth or even while breast feeding, notes the Centers for Disease Control and Prevention (CDC). The risk of transmission is highest in the early months of breastfeeding and the rate is estimated to be at least 16%, and prolonged breastfeeding nearly doubles the chances.

Hepatitis B

Also known as HBV is a viral infection that, as per the World Health Organization (WHO) causes live infection and can lead to short term or chronic disease. It can be spread by exposure to infected bodily fluids.

It can be passed on to the child at birth, however to prevent this, the babies can receive the HBIG/HBV vaccines at birth. CDC also mentions that the risk of HBV mother-to-child transmission through breastfeeding is negligible if the vaccine is received.

Syphilis

As per WHO, it is a preventable and curable bacterial sexually transmitted infection that can cause serious health issues if it is left untreated. Many people with syphilis do not have any symptoms, or do not notice them. It can be transmitted during oral, vaginal, and anal sex, in pregnancy and through blood transfusion.

Cytomegalovirus (CMV)

CDC notes that this is the most common infectious cause of birth effects in the United States and can spread through body fluids like saliva and urine. It is a genus of viruses in the order Herpesvirales, in the family of Herpesviridae.

Zika Virus

As per WHO, Zika virus infection during pregnancy can cause infants to be born with microcephaly and other congenital malformations as well as preterm birth and miscarriage.

It is a mosquito-borne virus that can cause serious birth defects, notes the CDC.

Toxoplasmosis

Toxoplasmosis is an infection with a parasite called Toxoplasma gondii, which can be found in uncooked meat. This can also be contacted by cat feces and the parasite can be passed down to a baby during pregnancy.