Chronic diseases and pregnancy

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Speaking about health before pregnancy, we mean way of life, nutrition, physical activity, habits, and also possible chronic diseases, such as heightened blood pressure or diabetes. If you have such diseases, then you just have to visit a doctor beforehand. You know, this may complicate pregnancy, bring harm to an unborn baby. Tell your doctor which medicinal preparations and in which doses you take. Doctor will recommend you tests and observations you should pass, for example, X-ray photography. Try to discuss all questions you have for the moment


Speaking
about health before pregnancy, we mean way of life, nutrition, physical activity,
habits, and also possible chronic diseases, such as heightened blood pressure
or diabetes. If you have such diseases, then you just have to visit a doctor
beforehand. You know, this may complicate pregnancy, bring harm to an unborn
baby. Tell your doctor which medicinal preparations and in which doses you
take. Doctor will recommend you tests and observations you should pass, for
example, X-ray photography. Try to discuss all questions you have for the
moment.
 
It is much
simpler to think over a strategy of treatment before pregnancy and then
worrying about complications.
 
Diabetes
Diabetes A?A?A?
it is a disease, appearing as a result of lack of insulin in organism, this
hormone is produced by pancreas. If you have diabetes, it will be more
difficult for you to become pregnant. Moreover, diabetes can influence passing
of pregnancy seriously. First of all, it can become a reason of miscarriage or
giving birth to a dead baby. Secondly, women suffering from diabetes can give
birth to babies with inborn defects.
You can
reduce risk of such complications due to constant control of sugar content in
blood during pregnancy. If you donA?A?A?t care of your state, then diabetes while
pregnancy may turn out to be dangerous both for you and your future baby.
Majority of complications, connected with diabetes, are displayed during first
trimester, i.e. during first 13 weeks of pregnancy.
 
Pregnancy
may cause complications of state while diabetes, what will require increase of
insulin doses. This can be easily determined with help of test on sugar content
in blood. Majority of doctors recommend taking a special care of this disease
development during at least 2-3 months before conception. This will help to
reduce probability of risk of miscarriage or other problems. Probably, you will
have to pass tests on sugar content in blood several times per day, to control
disease completely and avoid possible complications. Past experience shows that
women, suffering from diabetes, had serious problems with conception and
passing of pregnancy. But die to complete and constant control even women-diabetics
can count on successful result of pregnancy and delivery.
 
If in your
family there were cases of diabetes or you have slightest suspicions as for
your own health, pass tests before pregnancy surely.
 
Asthma
About 1%
of pregnant women suffer from asthma. It is impossible to predict influence of
pregnancy on asthma. Half of women, suffering from this disease, notice no
changes during pregnancy, about 25% feel even slight improvement, and the rest
(25%) observe worsening of state.
 
Majority
of anti-asthma remedies are safe for pregnant, but it is still better to
consult a doctor as for preparation to take. Almost all who suffer from asthma
know what may become a reason of fit, so avoid contact with allergens before
getting pregnant and during whole pregnancy. Try to control your state yet
before pregnancy.
 
Hypertension 
Hypertension,
or high blood pressure, can cause complication both of motherA?A?A?s and unborn
babyA?A?A?s health. For women it is connected with risk of refusal of kidneys work,
probability of hypertensic crisis or headache. Increase of a future
motherA?A?A?s blood pressure may become a reason for decrease of blood inflow to
placenta, what will lead to delays of fetus development, i.e. a baby will weigh
less, than normal while birth.
 
If you had
high blood pressure before pregnancy, then you just have to take care of it
during all 9 months. Probably, gynaecologist will send you to therapeutistA?A?A?s or
family doctorA?A?A?s observation with this purpose.
Before
making a decision to become pregnant, women, suffering from hypertension,
should consult a doctor. Some remedies against high blood pressure are safe for
pregnant, some are not. On no account quit taking pills and reduce dose without
a doctorA?A?A?s prescription! This can be dangerous. If you plan giving birth to a
baby, ask you doctor about remedies you are taking against high blood pressure,
and about safety of taking these medicines during pregnancy.
 
Heart diseases
During
pregnancy load on heart increases about 50%. If you have sick heart, it is
necessary for your doctor to know about it before you become pregnant.
 
Some heart
diseases, such as mitral valve prolapse, can seriously complicate
passing of pregnancy. Probably, you will even have to take antibiotics before
delivery. Other heart diseases, such as inborn heart disease, may seriously
influence state of health. In this case pregnancy and delivery are sometimes
contra-indicated.
 
Consult your doctor as for heart diseases before you become
pregnant.
 
Kidneys and urinary bladder diseases
Infections
of urinary system, in particular urinary bladder, often appear during
pregnancy. If you donA?A?A?t cure disease in time, infection may pass to kidneys,
causing pyelonephritis.
 
Infections
of urinary bladder and pyelonephritis may lead to premature birth. If you ever
suffered from pyelonephritis or repeating infections of urinary system, this
should be determined before pregnancy.
 
Stones in
kidneys also may complicate passing pf pregnancy. This disease is accompanied
by severe pains in lower part of belly, so it is quite difficult to diagnose it
during pregnancy. Moreover, stones in kidneys may become a reason of appearance
of infections of urinary system and pyelonephritis.
 
If you
ever had some only infection of urinary bladder, you should not worry a lot.
But you still should inform your doctor about it. He will decide whether you
need to pass more careful observation before pregnancy.
 
Thyroid gland diseases
Thyroid
gland diseases may appear both because of excess or lack of thyroid hormone.
Excess of hormone is called thyrotoxicosis. In this case metabolism in human
organism is speeded up. This may be caused by Graves’ disease. Thyrotoxicosis
is usually cured with help of operation of medicinal remedies, reducing content
of thyroid hormone in organism. If you donA?A?A?t cure this disease, thereA?A?A?s
rather high level of risk premature birth and giving birth to a baby with low
weight.
 
You can
carry our treatment during pregnancy too: thereA?A?A?re quite safe preparations,
which pregnant women may take.
 
Lack of thyroid hormone
A?A?A? hypothyroidism A?A?A? is usually caused by disease of autoimmune origin. In this
case thyroid gland is damaged by anti-bodies, which are produced by your
organism. While hypothyroidism taking of thyroid hormones is prescribed.
Not cured hypothyroidism threatens with sterility or habitual noncarrying of pregnancy.
 
If you
have thyrotoxicosis or hypothyroidism, you need to pass through observation
before pregnancy, to determine doses of medicinal remedies, necessary for
treatment. In the process of pregnancy your necessity in preparations may
change, and then you will have to pass another observation. 
 
Anemia
Anemia
means that thereA?A?A?s lack of haemoglobin in your organism. ThereA?A?A?re several
reasons and in connection with this several kinds of anemia. Symptoms of anemia
are weakness, giddiness, lack of air and pale skin.
During
pregnancy necessity of organism in iron and iron-containing substances
increases. If in the beginning of pregnancy you suffer from lack of iron in
blood, anemia increases this lack. So you need to take vitamins and
preparations, containing full choice of microelements, necessary for organism.
 
One of
specific types of anemia - sicle-cell disease, which is passed
genetically: it is mainly spread among black population. If you suffer from sicle-cell disease,
your organism is deprived of oxygen. Passing of this kind of anemia can be very
painful, and it also may serve as a reason for other diseases and complications
during pregnancy. Sicle-cell disease cannot be cured and may be passed to
your baby. Women, suffering from sicle-cell disease, have very high
percent of miscarriages and infections of urinary system. They also may suffer
from high blood pressure and painful hypertension strokes.
 
Another
kind of anemia A?A?A? thalassanemia is also passed genetically. If some of your
relatives suffers from thalassanemia or you suppose you can have it, check it
before pregnancy.
 
Lupus
Lupus is a
vascular disease of autoimmune origin. This means your organism produces
anti-bodies that may destroy your organs or influence functions of these organs
negatively. Lupus can affect different organs, including joints, kidneys, lungs
and heart.
 
This
disease is hard to diagnose. One woman of 700 in the age from 15 to 64 years
suffers from lupus. Among black women it is met more often, in one case of 254.
As a rule, lupus more often strikes women, than men, especially women of genital
age, i.e. from 20 to 40 years.
 
Lupus
treatment is highly individual and usually means taking if steroids. It is
better not to become pregnant during fit of this disease, as miscarriages are
extremely often among women suffering from lupus. Risk of giving birth to a
dead baby also increases.
 
Babies,
born from mothers, suffering from lupus, can have rash. They also can have
different heart diseases. Premature birth and delay of pre-natal development of
fetus are also quite possible.
If you
suffer from lupus, consult your doctor before pregnancy definitely.
 
Epilepsy and epileptic seizures
Epilepsy A?A?A?
is a chronic disease, characterized by different kinds of seizures (fits). Most
often epilepsy is displayed by big and small epileptic seizures. Chance of
giving birth to a baby with epileptic disease can be 1 of 30 for women,
suffering from epilepsy. Such babies have risk of in-born diseases, probably,
connected with medicines, which a future mother took during pregnancy.
 
If you
take medicines against epilepsy, it is very important to consult your doctor
before pregnancy. Discuss doses and type of medicines, which you take, as many
preparations, relieving seizures of epilepsy, cause in-born diseases in babies.
However, there are safe remedies for fetus, for example, Phenobarbital.
 
Seizures
can be dangerous both for mother and fetus. So it is especially important to
take remedies precisely according to a doctorA?A?A?s prescription during pregnancy.
On no account reduce dose or quit taking medicine yourself, without a doctor!
 
Migraine
About
15-20% of all pregnant women suffer from migraine. Many women notice
improvement of health during pregnancy. If you are going to take pills against
headache during pregnancy, check with your doctor how much they are safe for
you and future baby.
 
Cancerous growths
A question
of probability of cancerA?A?A?s influence on pregnancy depends on the fact which
organ it stroke and how wide is growth. Breast cancer is most often form of
cancer, met among women. If you had breast cancer, this will not influence
pregnancy anyway, and pregnancy, in its turn, will not cause breast cancer.
Many
doctors advice to wait 2-3 years with childbirth after breast cancer treatment.
It is very important to discuss case history and method of treatment with your
doctor yet before pregnancy. Situation may become quite complicated, if you are
pregnant and pass treatment at the same time. Many medicines and remedies
against cancer are not safe for future mother and baby.
 
Other diseases
We examined
only some chronic diseases. However, any disease can be dangerous for future
baby. So if you suffer from some chronic disease or have to take medicines
constantly, discuss it with your doctor.
General
rule is following: it is better not to take medicines or pass any medical
treatment at the moment of conception and on early stages of pregnancy. Laying
of all organs and tissues of a baby takes place during 1st trimester
of pregnancy, and during this period you need to protect a future baby from
harmful influences of medicines or observations. You will feel better and
calmer, if you solve all these problems before pregnancy.


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