Holistic Health Pillars

What is Holistic Health? Holistic health practitioners work with clients to achieve specific health goals. This may include improving athletic performance, disease prevention, and the treatment of symptoms. Holistic nutritionists may help implement anti-inflammatory diets. Holistic health practitioners work with both medical professionals and the public to implement a personalized plan of action. Holistic health…

What is Holistic Health? Holistic health practitioners work with clients to achieve specific health goals. This may include improving athletic performance, disease prevention, and the treatment of symptoms. Holistic nutritionists may help implement anti-inflammatory diets. Holistic health practitioners work with both medical professionals and the public to implement a personalized plan of action. Holistic health practitioners are available in many locations, and many practices are affiliated with local hospitals and clinics.

Eight pillars that support holistic health

A balanced diet is a key component of the physical wellness pillar. In addition to eating more fruits and vegetables, you should also be eating a variety of whole grains. Avoid foods with high amounts of sodium, cholesterol, or added sugar. Likewise, you should avoid fried foods. These foods can contribute to high cholesterol levels, which can have negative effects on your overall health. A healthy diet can improve many of the other pillars.

The physical and emotional aspects of health go hand in hand. Holistic health acknowledges the role of mental, spiritual, and social aspects of health. As a result, it takes the whole person into account, focusing on the connections between the body, mind, and environment. Emotional wellness is an important component of holistic health, and it can be cultivated through the eight pillars of holistic health. Listed below are the eight pillars of holistic health.

Physical health: Exercise, diet, sleep habits, hygiene, and personal hygiene are important aspects of physical health. Physical health requires adequate exercise, good rest, and a clean environment. Physical health is just the tip of the iceberg, though. It also requires that you understand your body’s chemistry and how to balance it. Nutrition is an essential part of physical health, and it gets its own pillar. Taking care of your body’s chemistry is important when making dietary and lifestyle decisions.

Cost control

There are two methods of cost control in holistic health care. One is to measure the cost of an entire system and implement changes in management based on results. Cost control in holistic health care is often difficult to achieve because costs vary according to the type of treatment provided. The other method is to identify the cost of an individual patient, and to measure the proportion of that patient who will need further care. Although holistic health care is more expensive than usual medical care, it is cost effective and can reduce mortality.

The first strategy is a health share plan, which requires the members to pay a portion of the cost of their care. These plans are more expensive than traditional medical care, but are often more effective because they treat the whole person and encourage preventative care. This approach also keeps costs low and satisfaction high, leaving more money for major medical events. The most common holistic health care costs are due to chronic illnesses and other conditions. The costs of a health share plan are shared by all members.

Another strategy for cost control in holistic health care is to use health policy commissions. The Maryland commission, for example, has been focusing on the total cost of care and hospital budgets. It has a history, and stakeholders have a vested interest in working with it. In Maryland, a Medicare waiver encourages health care providers to offer services to all payers, such as Medicare and Medicaid. These charges are then offset by increases in commercial rates.

Prevention of disease

The American Holistic Health Association advocates for the prevention of chronic disease. The emphasis on holistic health entails treating the entire person, incorporating the mind, body, and spirit into a health-promoting lifestyle. The most difficult aspects of incorporating holistic practices into the client’s life are often changes to food, which can be hard for clients to accept. However, the benefits of holistic health far outweigh the negative effects.

One of the most significant benefits of preventive medicine is lower healthcare costs. The Centers for Disease Control and Prevention report that the practice of prevention can reduce costs by more than $1 trillion annually. In fact, 90 percent of healthcare expenditures are related to chronic conditions. Preventive care focuses on the prevention of chronic disease by emphasizing long-term health, healthy pregnancy, and aging. Health screenings are an important component of this holistic approach.

The benefits of holistic medicine are numerous. First, holistic doctors focus on the whole person, rather than simply treating the symptoms of an illness. Holistic physicians believe that the mind-body connection is the key to healing. As such, holistic doctors help patients develop an understanding of their entire health profile. By integrating complementary therapies and Western medicine, holistic physicians can treat the whole person and prevent or improve disease symptoms. In addition to reducing disease risk, holistic health also emphasizes a strong doctor-patient relationship.

Medicinal plants

Medicinal plants can be used to treat various illnesses and diseases. Using them can be a natural way to improve your overall health and well-being. Here are some tips for maximizing their benefits. Read on to learn how to use medicinal plants in your daily life. We are going to go over a few examples of the most popular ones and how they can improve your health. Listed below are some of their most important benefits.

Traditional medicines have their place, but plants play a vital role in drug development. Modern scientific techniques have helped verify the ancient knowledge of the healer. These traditional remedies incorporate many aspects of the body, including their chemical composition and their psychological effects. As a result, the study of traditional medicine is helping to discover future drug leads. Medicinal plants are used in many countries and have played a vital role in traditional healthcare systems for thousands of years. Today, about 50% of all drugs that are used in clinical practice are made from natural products.

Besides examining their properties, medicinal plants can also be used for cancer treatment. The research study documented the different plant species used in cancer management among Tswana speakers. The study also provided baseline data for further studies. Future studies will focus on the phytochemical and pharmacological profiles of these plants. The findings of this study have opened the door to further investigation into the effects of these plants on the human body. It also highlights the growing popularity of natural products.

Dietary supplements

The goal of dietary supplements for holistic health is to help people improve their health and well-being by addressing the root causes of the disease. Researchers and practitioners of holistic nutrition know that the body’s chemical processes are continuously occurring. They are affected by synthetic chemicals, which disrupt these processes. They also know that abnormal substances can interfere with decision-making and brain functions. Consequently, these substances may cause long-term damage. Instead of taking synthetic chemicals, holistic nutritionists recommend natural foods and herbal supplements.

A good source for dietary supplements is the Office of Dietary Supplements. This organization helps consumers find information on dietary supplements and answers questions about their efficacy. You can also contact the manufacturers to find out more about the supplement’s ingredients and efficacy. In addition, you can visit the National Center for Complementary and Integrative Health (NCCIH) or Office of Dietary Supplements, which have websites designed to help consumers make informed choices.

Some people have tried using dietary supplements for holistic health. However, their use is not recommended for everyone. These supplements are not meant to diagnose or treat diseases and are not as safe as medicines. However, they are effective in enhancing the current routine of a person. They are not a replacement for good eating habits. A healthy diet and exercise are important factors for holistic health. And you should not neglect your diet and your health if you want to see significant results from dietary supplements.

Alternative medicine

Holistic health is all about using the correct methods to achieve optimal health. Alternative medicine attempts to achieve the same effects as medicine, but is not scientifically proven. It has no biological plausibility and has been proven ineffective. Nonetheless, many people swear by it and use it for a wide variety of conditions. Below are some common examples of complementary and alternative medicine. Read on to learn more about the benefits and limitations of alternative medicine.

A holistic philosophy views the mind, body, and spirit as one. A dysfunction in one area affects the whole person. Complementary medicine is guided by this philosophy. Many Australians seek out alternative medicine after feeling dissatisfied with conventional medical care. They don’t believe in the harsh side effects of conventional drugs. It may be more gentle and safer. In addition, it involves a collaborative approach with both the patient and provider.

The holistic health care provider may prescribe medicines and surgical procedures to treat acute or chronic pain, or recommend exercise to boost the production of endorphins. Regardless of the condition, a holistic health care provider may also ask about your diet and lifestyle, identifying foods that contribute to inflammation and stress. If you suffer from pain, your holistic health care provider may recommend acupuncture or massage therapy, or even mindful meditation to relieve tension and stress.

Pregnancy Symptoms & Stages Week by Week

Facts you should know about pregnancy week to week*

A typical pregnancy lasts for 40 weeks.
A typical pregnancy lasts for 40 weeks.

*Pregnancy facts medical author: Melissa Conrad Stöppler, MD

  • A normal pregnancy lasts about 40 weeks and is grouped into three stages, or trimesters.
  • Symptoms and early signs of pregnancy that begin in the first semester include:
  • A pregnancy test measures the level of hormone human chorionic gonadotropin (HCG) in the urine or blood. The test may be positive before the first signs of pregnancy develop in some women.
  • Symptoms of late second and third trimesters of pregnancy can include:
  • Many of the later symptoms result from the weight gain and enlarging uterus in late pregnancy.
  • By the end of 37 weeks, a baby is considered full term and its organs are ready to function on their own.
  • As you near your due date, your baby may turn into a head-down position for birth. Most babies "present" head down.
  • Babies at birth typically weigh between 6 pounds 2 ounces and 9 pounds 2 ounces and are 19 to 21 inches long. Most full-term babies fall within these ranges.

Pregnant or Not?

Pregnant or Not? How to Know

To learn whether you are pregnant or not, a pregnancy test may provide you with the answer. This test can be done in the privacy of your home using one of several available test kits. Or the test can be performed in your doctor?s office or clinic. Home pregnancy tests are always done on urine while those in a doctor?s office or clinic may be done on urine or blood.

Read more about pregnancy tests »

How many weeks is a normal term pregnancy?

Pregnancy lasts about 40 weeks, counting from the first day of your last normal period. The weeks are grouped into three trimesters.

What is the first trimester of pregnancy (week 1-week 12)?

Extreme Tiredness during the first trimester
Your period stopping is a clear sign that you are pregnant. Other changes may include extreme tiredness, tender, swollen breasts, and your nipples might also stick out.

During the first trimester, your body undergoes many changes. Hormonal changes affect almost every organ system in your body. These changes can trigger symptoms even in the very first weeks of pregnancy. Your period stopping is a clear sign that you are pregnant. Other changes may include:

As your body changes, you might need to make changes to your daily routine, such as going to bed earlier or eating frequent, small meals. Fortunately, most of these discomforts will go away as your pregnancy progresses. And some women might not feel any discomfort at all! If you have been pregnant before, you might feel differently this time around. Just as each woman is different, so is each pregnancy.




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Pregnancy (Week By Week, Trimesters)
See pictures of a growing fetus through the 3 stages of pregnancy
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What is the second trimester of pregnancy (week 13-week 28)?

Most women find the second trimester of pregnancy easier than the first. But it is just as important to stay informed about your pregnancy during these months.

You might notice that symptoms like nausea and fatigue are going away. But other new, more noticeable changes to your body are now happening. Your abdomen will expand as the baby continues to grow. And before this trimester is over, you will feel your baby beginning to move!

As your body changes to make room for your growing baby, you may have:

  • Body aches, such as back, abdomen, groin, or thigh pain
  • Stretch marks on your abdomen, breasts, thighs, or buttocks
  • Darkening of the skin around your nipples
  • A line on the skin running from belly button to pubic hairline
  • Patches of darker skin, usually over the cheeks, forehead, nose, or upper lip. Patches often match on both sides of the face. This is sometimes called the mask of pregnancy
  • Numb or tingling hands called carpal tunnel syndrome
  • Itching on the abdomen, palms, and soles of the feet. (Call your doctor if you have nausea, loss of appetite, vomiting, jaundice or fatigue combined with itching. These can be signs of a serious liver problem.)
  • Swelling of the ankles, fingers, and face. (If you notice any sudden or extreme swelling or if you gain a lot of weight really quickly, call your doctor right away. This could be a sign of preeclampsia.)

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What is the third trimester trimester of pregnancy (week 29-week 40)?

You're in the home stretch! Some of the same discomforts you had in your second trimester will continue. Plus, many women find breathing difficult and notice they have to go to the bathroom even more often. This is because the baby is getting bigger and it is putting more pressure on your organs. Don't worry, your baby is fine and these problems will lessen once you give birth.

Some new body changes you might notice in the third trimester include:

  • Shortness of breath
  • Heartburn
  • Swelling of the ankles, fingers, and face. (If you notice any sudden or extreme swelling or if you gain a lot of weight really quickly, call your doctor right away. This could be a sign of preeclampsia.)
  • Hemorrhoids
  • Tender breasts, which may leak a watery pre-milk called colostrum
  • Your belly button may stick out
  • Trouble sleeping
  • The baby "dropping," or moving lower in your abdomen
  • Contractions, which can be a sign of real or false labor

As you near your due date, your cervix becomes thinner and softer (called effacing). This is a normal, natural process that helps the birth canal to open during the birthing process. Your doctor will check your progress with a vaginal exam as you near your due date. Get excited — the final countdown has begun!




QUESTION

Nothing can relieve the symptoms of morning sickness.
See Answer

How will my baby develop week by week?

First Trimester (week 1-week 12)

At 4 to 5 weeks:

  • Your baby's brain and spinal cord have begun to form.
  • The heart begins to form.
  • Arm and leg buds appear.
  • Your baby is now an embryo and one-twenty-fifth inch long.

At 8 weeks:

  • All major organs and external body structures have begun to form.
  • Your baby's heart beats with a regular rhythm.
  • The arms and legs grow longer, and fingers and toes have begun to form.
  • The sex organs begin to form.
  • The eyes have moved forward on the face and eyelids have formed.
  • The umbilical cord is clearly visible.
  • At the end of 8 weeks, your baby is a fetus and looks more like a human. Your baby is nearly 1 inch long and weighs less than 1/8 of an ounce.

At 12 weeks:

  • The nerves and muscles begin to work together. Your baby can make a fist.
  • Eyelids close to protect the developing eyes. They will not open again until the 28th week.
  • Head growth has slowed, and your baby is much longer. Now, at about 3 inches long, your baby weighs almost an ounce.

Second Trimester (week 13-week 28)

At 16 weeks:

  • The external sex organs show if your baby is a boy or girl. A woman who has an ultrasound in the second trimester or later might be able to find out the baby's sex.
  • Muscle tissue and bone continue to form, creating a more complete skeleton.
  • Skin begins to form. You can nearly see through it.
  • Meconium (mih-KOH-nee-uhm) develops in your baby's intestinal tract. This will be your baby's first bowel movement.
  • Your baby makes sucking motions with the mouth (sucking reflex).
  • Your baby reaches a length of about 4 to 5 inches and weighs almost 3 ounces.

At 20 weeks:

  • Your baby is more active. You might feel slight fluttering.
  • Your baby is covered by fine, downy hair called lanugo (luh-NOO-goh) and a waxy coating called vernix. This protects the forming skin underneath.
  • Eyebrows, eyelashes, fingernails, and toenails have formed. Your baby can even scratch itself.
  • Your baby can hear and swallow.
  • Now halfway through your pregnancy, your baby is about 6 inches long and weighs about 9 ounces.

At 24 weeks:

  • Bone marrow begins to make blood cells.
  • Taste buds form on your baby's tongue.
  • Footprints and fingerprints have formed.
  • Real hair begins to grow on your baby's head.
  • The lungs are formed, but do not work.
  • The hand and startle reflex develop.
  • Your baby sleeps and wakes regularly.
  • If your baby is a boy, his testicles begin to move from the abdomen into the scrotum. If your baby is a girl, her uterus and ovaries are in place, and a lifetime supply of eggs have formed in the ovaries.
  • Your baby stores fat and has gained quite a bit of weight. Now at about 12 inches long, your baby weighs about 1½ pounds.

Third Trimester (week 29-week 40)

At 32 weeks:

  • Your baby's bones are fully formed, but still soft.
  • Your baby's kicks and jabs are forceful.
  • The eyes can open and close and sense changes in light.
  • Lungs are not fully formed, but practice "breathing" movements occur.
  • Your baby's body begins to store vital minerals, such as iron and calcium.
  • Lanugo begins to fall off.
  • Your baby is gaining weight quickly, about one-half pound a week. Now, your baby is about 15 to 17 inches long and weighs about 3 to 412 pounds

At 36 weeks:

  • The protective waxy coating called vernix gets thicker.
  • Body fat increases. Your baby is getting bigger and bigger and has less space to move around. Movements are less forceful, but you will feel stretches and wiggles.
  • Your baby is about 16 to 19 inches long and weighs about 6 to 6½ pounds.

Weeks 37-40:

  • By the end of 37 weeks, your baby is considered full term. Your baby's organs are ready to function on their own.
  • As you near your due date, your baby may turn into a head-down position for birth. Most babies "present" head down.
  • At birth, your baby may weigh somewhere between 6 pounds 2 ounces and 9 pounds 2 ounces and be 19 to 21 inches long. Most full-term babies fall within these ranges. But healthy babies come in many different sizes.

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What are the changes that happen to a woman's body during the 1st, 2nd, and 3rd trimester of her pregnancy?

Everyone expects pregnancy to bring an expanding waistline. But many women are surprised by the other body changes that pop up. Get the low-down on stretch marks, weight gain, heartburn and other "joys" of pregnancy. Find out what you can do to feel better.

Body aches

As your uterus expands, you may feel aches and pains in the back, abdomen, groin area, and thighs. Many women also have backaches and aching near the pelvic bone due the pressure of the baby's head, increased weight, and loosening joints. Some pregnant women complain of pain that runs from the lower back, down the back of one leg, to the knee or foot. This is called sciatica. It is thought to occur when the uterus puts pressure on the sciatic nerve.

What might help:

  • Lie down.
  • Rest.
  • Apply heat.

Call the doctor if the pain does not get better.

Breast changes

A woman's breasts increase in size and fullness during pregnancy. As the due date approaches, hormone changes will cause your breasts to get even bigger to prepare for breastfeeding. Your breasts may feel full, heavy, or tender.

In the third trimester, some pregnant women begin to leak colostrum from their breasts. Colostrum is the first milk that your breasts produce for the baby. It is a thick, yellowish fluid containing antibodies that protect newborns from infection.

What might help:

  • Wear a maternity bra with good support.
  • Put pads in the bra to absorb leakage.

Tell your doctor if you feel a lump or have nipple changes or discharge (that is not colostrum) or skin changes.

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Constipation

Many pregnant women complain of constipation. Signs of constipation include having hard, dry stools; fewer than three bowel movements per week; and painful bowel movements.

Higher levels of hormones due to pregnancy slow down digestion and relax muscles in the bowels leaving many women constipated. Plus, the pressure of the expanding uterus on the bowels can contribute to constipation.

What might help:

  • Drink 8 to 10 glasses of water daily.
  • Don't drink caffeine.
  • Eat fiber-rich foods, such as fresh or dried fruit, raw vegetables, and whole-grain cereals and breads.
  • Try mild physical activity

Tell your doctor if constipation does not go away.

Dizziness

Many pregnant women complain of dizziness and lightheadedness throughout their pregnancies. Fainting is rare but does happen even in some healthy pregnant women. There are many reasons for these symptoms. The growth of more blood vessels in early pregnancy, the pressure of the expanding uterus on blood vessels, and the body's increased need for food all can make a pregnant woman feel lightheaded and dizzy.

What might help:

  • Stand up slowly.
  • Avoid standing for too long.
  • Don't skip meals.
  • Lie on your left side.
  • Wear loose clothing.

Call your doctor if you feel faint and have vaginal bleeding or abdominal pain.

Fatigue, sleep problems

During your pregnancy, you might feel tired even after you've had a lot of sleep. Many women find they're exhausted in the first trimester. Don't worry, this is normal! This is your body's way of telling you that you need more rest. In the second trimester, tiredness is usually replaced with a feeling of well being and energy. But in the third trimester, exhaustion often sets in again. As you get larger, sleeping may become more difficult. The baby's movements, bathroom runs, and an increase in the body's metabolism might interrupt or disturb your sleep. Leg cramping can also interfere with a good night's sleep.

What might help:

  • Lie on your left side.
  • Use pillows for support, such as behind your back, tucked between your knees, and under your tummy.
  • Practice good sleep habits, such as going to bed and getting up at the same time each day and using your bed only for sleep and sex.
  • Go to bed a little earlier.
  • Nap if you are not able to get enough sleep at night.
  • Drink needed fluids earlier in the day, so you can drink less in the hours before bed.

Heartburn and indigestion

Hormones and the pressure of the growing uterus cause indigestion and heartburn. Pregnancy hormones slow down the muscles of the digestive tract. So food tends to move more slowly and digestion is sluggish. This causes many pregnant women to feel bloated.

Hormones also relax the valve that separates the esophagus from the stomach. This allows food and acids to come back up from the stomach to the esophagus. The food and acid causes the burning feeling of heartburn. As your baby gets bigger, the uterus pushes on the stomach making heartburn more common in later pregnancy.

What might help:

  • Eat several small meals instead of three large meals — eat slowly.
  • Drink fluids between meals — not with meals.
  • Don't eat greasy and fried foods.
  • Avoid citrus fruits or juices and spicy foods.
  • Do not eat or drink within a few hours of bedtime.
  • Do not lie down right after meals.

Call your doctor if symptoms don't improve after trying these suggestions. Ask your doctor about using an antacid.

Hemorrhoids during pregnancy

Hemorrhoids are swollen and bulging veins in the rectum. They can cause itching, pain, and bleeding. Up to 50 percent of pregnant women get hemorrhoids. Hemorrhoids are common during pregnancy for many reasons. During pregnancy blood volume increases greatly, which can cause veins to enlarge. The expanding uterus also puts pressure on the veins in the rectum. Plus, constipation can worsen hemorrhoids. Hemorrhoids usually improve after delivery.

What might help:

  • Drink lots of fluids.
  • Eat fiber-rich foods, like whole grains, raw or cooked leafy green vegetables, and fruits.
  • Try not to strain with bowel movements.
  • Talk to your doctor about using products such as witch hazel to soothe hemorrhoids.

Itching

About 20 percent of pregnant women feel itchy during pregnancy. Usually women feel itchy in the abdomen. But red, itchy palms and soles of the feet are also common complaints. Pregnancy hormones and stretching skin are probably to blame for most of your discomfort. Usually the itchy feeling goes away after delivery.

What might help:

  • Use gentle soaps and moisturizing creams.
  • Avoid hot showers and baths.
  • Avoid itchy fabrics.

Call your doctor if symptoms don't improve after a week of self-care.

Leg cramps

At different times during your pregnancy, you might have sudden muscle spasms in your legs or feet. They usually occur at night. This is due to a change in the way your body processes calcium.

What might help:

  • Gently stretch muscles.
  • Get mild exercise.
  • For sudden cramps, flex your foot forward.
  • Eat calcium-rich foods.
  • Ask your doctor about magnesium supplements.

Morning sickness

In the first trimester hormone changes can cause nausea and vomiting. This is called "morning sickness," although it can occur at any time of day. Morning sickness usually tapers off by the second trimester.

What might help:

  • Eat several small meals instead of three large meals to keep your stomach from being empty.
  • Don't lie down after meals.
  • Eat dry toast, saltines, or dry cereals before getting out of bed in the morning.
  • Eat bland foods that are low in fat and easy to digest, such as cereal, rice, and bananas.
  • Sip on water, weak tea, or clear soft drinks. Or eat ice chips.
  • Avoid smells that upset your stomach.

Call your doctor if you have flu-like symptoms, which may signal a more serious condition.

Call your doctor if you have severe, constant nausea and/or vomiting several times every day.

Nasal problems

Nosebleeds and nasal stuffiness are common during pregnancy. They are caused by the increased amount of blood in your body and hormones acting on the tissues of your nose.

What might help:

  • Blow your nose gently.
  • Drink fluids and use a cool mist humidifier.
  • To stop a nosebleed, squeeze your nose between your thumb and forefinger for a few minutes.

Call your doctor if nosebleeds are frequent and do not stop after a few minutes.

Numb or tingling hands

Feelings of swelling, tingling, and numbness in fingers and hands, called carpal tunnel syndrome, can occur during pregnancy. These symptoms are due to swelling of tissues in the narrow passages in your wrists, and they should disappear after delivery.

What might help:

  • Take frequent breaks to rest hands.
  • Ask your doctor about fitting you for a splint to keep wrists straight.

Stretch marks, skin changes

Stretch marks are red, pink, or brown streaks on the skin. Most often they appear on the thighs, buttocks, abdomen, and breasts. These scars are caused by the stretching of the skin, and usually appear in the second half of pregnancy.

Some women notice other skin changes during pregnancy. For many women, the nipples become darker and browner during pregnancy. Many pregnant women also develop a dark line (called the linea nigra) on the skin that runs from the belly button down to the pubic hairline. Patches of darker skin usually over the cheeks, forehead, nose, or upper lip also are common. Patches often match on both sides of the face. These spots are called melasma or chloasma and are more common in darker-skinned women.

What might help:

  • Be patient — stretch marks and other changes usually fade after delivery.

Swelling

Many women develop mild swelling in the face, hands, or ankles at some point in their pregnancies. As the due date approaches, swelling often becomes more noticeable.

What might help:

  • Drink 8 to 10 glasses of fluids daily.
  • Don't drink caffeine or eat salty foods.
  • Rest and elevate your feet.
  • Ask your doctor about support hose.

Call your doctor if your hands or feet swell suddenly or you rapidly gain weight — it may be preeclampsia.

Urinary frequency and leaking

Temporary bladder control problems are common in pregnancy. Your unborn baby pushes down on the bladder, urethra, and pelvic floor muscles. This pressure can lead to more frequent need to urinate, as well as leaking of urine when sneezing, coughing, or laughing.

What might help:

  • Take frequent bathroom breaks.
  • Drink plenty of fluids to avoid dehydration.
  • Do Kegel exercises to tone pelvic muscles.

Call your doctor if you experience burning along with frequency of urination — it may be an infection.

Varicose veins

During pregnancy, blood volume increases greatly. This can cause veins to enlarge. Plus, pressure on the large veins behind the uterus causes the blood to slow in its return to the heart. For these reasons, varicose veins in the legs and anus (hemorrhoids) are more common in pregnancy.

Varicose veins look like swollen veins raised above the surface of the skin. They can be twisted or bulging and are dark purple or blue in color. They are found most often on the backs of the calves or on the inside of the leg.

What might help:

  • Avoid tight knee-highs.
  • Sit with your legs and feet raised.

Is It Normal to Have Swollen Feet During Pregnancy?

Introduction

Swollen feet are normal during pregnancy, but swollen feet occasionally serve as a warning sign of more significant pregnancy and health concerns.
Swollen feet are normal during pregnancy, but swollen feet occasionally serve as a warning sign of more significant pregnancy and health concerns.

Women can experience a wide array of uncomfortable symptoms when pregnant, including normal swelling, called edema, that can affect the face, hands, legs, ankles, and feet

Every pregnancy experience is different, but many report a general trajectory that includes:

While swollen feet can occur at any time during pregnancy, they are most common during the third trimester, when a variety of factors make it suddenly difficult for women to fit in their favorite shoes or stand for significant periods of time.

Swollen feet may be common during pregnancy, but they occasionally serve as a warning sign of more significant concerns. Identifying these distinctions early on could prove vital when major health problems come into play.

Signs and symptoms of swollen feet during pregnancy

Also known as edema, swollen feet represent a noteworthy pregnancy symptom in and of themselves. Some women struggle to determine when the issue is a mere annoyance or warrants urgent medical attention. Signs of swollen feet include:

Your shoes no longer fit

While the need for larger shoe sizes may feel like a cliche to pregnant women, this can be a top sign of pregnancy-induced edema. To reduce discomfort, women can try compression stockings and minimizing time on your feet. You might also invest in flat, supportive footwear half a size above your pre-pregnancy shoes.

Discomfort while standing

Gravity can cause excess fluid to accumulate in the legs and feet, especially after standing for long periods of time. This can cause pregnant women to feel uncomfortable while on their feet. 

Changes in the appearance of your skin

While swelling is sometimes obvious at first glance, not all women notice it right away. Upon closer inspection, however, the skin may appear tighter than usual. The proportion of the feet and ankle to the rest of the leg may also look different.

Causes of swollen feet during pregnancy

A variety of circumstances can lead to swollen feet during pregnancy. Some of these accompany common pregnancy concerns, while others may be indicative of dangerous conditions such as preeclampsia. Common causes of swollen feet include:

Fluid retention

During pregnancy, blood volume increases dramatically. The extent of this rise can vary from one woman to the next, with some seeing an increase of up to 100% above prepregnancy levels.

Expected increases in fluid, combined with hormonal changes, can lead to an increase in your blood plasma compared to your red blood cells. This results in what researchers refer to as physiological anemia. As a result, up to 80% of healthy pregnant women experience edema to some extent. This can be present in many areas of the body but often manifests in the feet. 

Dehydration

Fluid retention is sometimes a sign of dehydration, which is common due to significant increases in the need for water while pregnant. Women who do not drink enough water can suffer a variety of ill effects including constipation and anemia in addition to edema. Research suggests that dehydration during pregnancy can lead to fetal growth problems. 

Certain medications

Many prescription and over-the-counter medications can increase the potential for swelling. Nonsteroidal anti-inflammatory drugs (NSAIDs), for example, can lead to fluid retention and peripheral edema in some people.

Many pregnant women take antacids for heartburn. This can lead to swelling if medications contain sodium bicarbonate and are consumed in excess.

Preeclampsia

Preeclampsia is one of the most alarming causes of swollen feet during pregnancy. This condition involves a sudden increase in blood pressure for women who previously had normal readings. It is also marked by the development of protein in the urine. This affects approximately 1 in every 25 pregnant women in the United States. 

If left untreated, preeclampsia may lead to seizures. Because swelling of the hands and feet are common in women with preeclampsia, it’s important to take these symptoms seriously.

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When to see the doctor for swollen feet during pregnancy

Although annoying, swollen feet should not always be cause for concern among pregnant women. Often the problem simply occurs in response to hormonal changes or natural fluid retention. 

If, however, this accompanies other signs of preeclampsia, urgent medical attention is crucial. Visit a doctor if severe swelling arrives suddenly or alongside issues such as headaches, vomiting, blurred vision, or the perception of flashing lights. These are all common signs of preeclampsia.

Diagnosing swollen feet during pregnancy

When they aren't a preeclampsia warning sign, you can talk to your doctor about swollen feet during regularly scheduled checkups. At that time, doctors or specialists conduct physical assessments, which may include checking blood pressure or heart rate. They may ask questions about other symptoms and dietary and exercise habits.

If swelling does not appear to be an urgent concern, you’ll receive basic advice for limiting the problem and associated discomfort. If your doctor suspects your swollen feet point to a bigger concern, such as preeclampsia, additional monitoring or even a hospital visit could be necessary.

Treatments for swollen feet during pregnancy

While delivery may be the only solution that permanently reduces swelling, it’s still possible to address the problem with a few simple lifestyle changes. You can try a few of these approaches: 

  • Drink plenty of water. 
  • Limit salty foods. 
  • Avoid standing on your feet for long periods of time. 
  • Try light exercise, including swimming
  • Elevate your feet when sitting in chairs or resting in bed.
  • Wear supportive stockings or compression socks.
  • Pick flat-soled shoes with good support.
  • Use a cold compress, like an ice pack, on your feet.

What Are the Signs of Ovulation in a Woman? 6 Ways

How can you tell if you are ovulating?

Ovulation is the release of a mature egg or ovum from the ovary. The ovum is released from the ovary and it travels to the tube-like structures called the fallopian tubes. Ovulation generally occurs in the middle of the menstrual cycle. Some of the ways that tell you are ovulating are by measuring basal body temperature, observing a change in cervical mucus, testing hormone levels, performing a transvaginal ultrasound or by observing other signs.Ovulation is the release of a mature egg or ovum from the ovary. The ovum is released from the ovary and it travels to the tube-like structures called the fallopian tubes. Ovulation generally occurs in the middle of the menstrual cycle. Some of the ways that tell you are ovulating are by measuring basal body temperature, observing a change in cervical mucus, testing hormone levels, performing a transvaginal ultrasound, or by observing other signs.

Ovulation is the release of a mature egg or ovum from the ovary. The ovaries are a pair of organs attached to the womb that create eggs or ova and secrete female sex hormones (estrogen and progesterone). The ovum is released from the ovary (generally one ovary releases the egg during a menstrual cycle) and it travels to the tube-like structures called the fallopian tubes. The ovum takes about five days to travel from the ovaries to the uterus through the fallopian tubes. This phase is associated with the increase of the hormone progesterone, which prepares the uterus for pregnancy. The ovum can get fertilized if sperm reaches it in the fallopian tube. In the absence of fertilization, the ovum is released out of the body during the menstrual period.

Ovulation generally occurs in the middle of the menstrual cycle. Thus, if you have a 28-day cycle, ovulation may occur on the 14th day, day one being the first day of the period. If you have the cycle shorter than 21 days, then ovulation may occur as early as the 7th day. Knowing the signs of ovulation can help you plan or prevent pregnancy. The period during the menstrual cycle when the possibility of pregnancy is high is called the fertile window. The sperm can survive in your reproductive tract for about five days. The egg or ovum can be fertilized within around 24 hours after being released from the ovary. Thus, your fertile window starts five days before ovulation occurs.

Some of the ways that tell you are ovulating are

  1. Basal body temperature (BBT): The basal body temperature is the body temperature when you are at rest. BBT is an easy and inexpensive but inaccurate method to know whether you are ovulating. Take your temperature at the same time every day before you leave the bed. Charting daily BBT will help you know if ovulation has occurred. Your body temperature dips a bit just before ovulation. Your temperature rises around 24 hours after the egg is released. This temperature stays up for several days. The average BBT before ovulation is between 97 and 97.5 degrees Fahrenheit. The BBT after ovulation increases to about 97.6 to 98.6 degrees Fahrenheit. The minor temperature change can be accurately recorded with a digital or basal thermometer.
  2. Change in cervical mucus: Ovulation causes a change in the secretions produced by the glands of the cervix (the neck of the uterus). Just before ovulation, the secretions become thin, clear, and stretchy with a consistency like raw egg whites.
  3. Blood tests for hormone levels: Your doctor may suggest tests to measure the levels of certain hormones in the blood. The luteinizing hormone or LH levels in the blood may help predict ovulation. Since LH is released in pulses, multiple tests may be needed to predict or confirm ovulation. Other hormones whose levels change with ovulation are estrogen and progesterone.
  4. Urine test for luteinizing hormone (LH) levels: OTC kits are available to measure LH levels in the urine. You can easily perform the test at home. Ovulation generally occurs within 12 to 24 hours after LH is detected in urine. You can ask your doctor when to perform the test based on the length of your menstrual cycle.
  5. Transvaginal ultrasound: Ultrasonography done by passing a probe through the vagina (transvaginal ultrasound) may help predict ovulation by looking at the size and structure of the ovarian follicles (the sac-like structure containing the ovum).
  6. Other signs: Breast tenderness, bloating, increased sex drive and swollen vaginal lips (vulva) may indicate ovulation. These signs, however, are not specific to ovulation.

What Are the Risks of Natural Birth After C-Section? VBAC

vaginal birth after cesarean (VBAC)
Is a vaginal birth after cesarean (VBAC) an option for you? Learn about the possible risks and factors that may affect your decision

If you have delivered a baby by C-section and you are pregnant again, you may be able to choose between another C-section or a vaginal birth after cesarean (VBAC).

VBAC may be attempted if the previous C-section was performed more than 18 months before the current pregnancy. However, there are risks associated with VBAC, especially if there is uterine scarring, a history of uterine rupture, or complicated delivery during the previous cesarean delivery. 

Risks associated with VBAC delivery include:

  • Uterine rupture
    • This is a life-threatening complication for both mother and baby. If a uterine rupture occurs, a hysterectomy (surgical removal of the uterus) may be required. Following a hysterectomy, a woman would not be able to get pregnant again.
  • Blood clots in the blood vessels
  • Extensive bleeding
  • Infection
  • Fetal distress

Some hospitals may not have the resources to perform VBAC or emergency cesarean deliveries. It is therefore important to discuss your options with your doctor to understand the pros, cons, and risks of natural birth after C-section.

Why is VBAC done?

Reasons for choosing VBAC may include:

  • Positive effects on future pregnancies: If you are planning to have more children, VBAC can help reduce the risks of multiple cesarean deliveries in the future.
  • Lower risk of surgical complications: A successful VBAC is associated with a lower risk of complications, such as excessive bleeding, infection, or formation of blood clots in one or more deep veins in the body (deep vein thrombosis). These blood clots in the veins can travel to the lungs, heart or brain, causing fatal complications. VBAC may also reduce the risk of surgical removal of the uterus (hysterectomy), as well as injury to surrounding abdominal organs (such as the bladder or bowel), muscles, nerves, and other tissues.
  • Shorter recovery time: The hospital stay following VBAC is shorter than a repeat cesarean delivery since the recovery time is often shorter, allowing the mother to resume her normal activities sooner.
  • Personal choice: Some women may simply want to experience a vaginal delivery.

Who is VBAC ideal for?

You may be a candidate for VBAC if you are:

  • Pregnant with one baby and:
    • Have a history of cesarean delivery with low transverse (horizontal) incision without complications
    • Have no other contraindications
  • Pregnant with one baby and:
    • Have a history of cesarean delivery and an unknown uterine incision
    • Have no other contraindications
    • VBAC may not be done if it is suspected that you had a high vertical (classical) uterine incision in the previous cesarean delivery
  • Pregnant with twins or triplets and:
    • Have a history of low transverse cesarean delivery
    • Are a candidate for twin or triplet vaginal delivery

When is VBAC not done?

VBAC is not recommended if you have a history of:

  • High vertical (classical) uterine incision during the previous cesarean delivery
  • Cesarean delivery with an unknown type of prior uterine incision or suspected classical incision
  • Uterine rupture due to scarring from previous uterine surgeries
  • Certain uterine surgeries, such as fibroid removal
  • More than 2 previous cesarean deliveries

Other factors that may mean you can’t have a VBAC include:

  • Your body mass index (BMI) is 40 kg/m2 or higher at the time of delivery and you have never had a single vaginal delivery in previous pregnancies.
  • Labor is not progressing.
  • You are at an advanced age.
  • Your pregnancy continues longer than 40 weeks.
  • You have preeclampsia (a dangerous complication of pregnancy characterized by high blood pressure).
  • You have had previous cesarean delivery within the past 18 months.
  • You have a closed cervix requiring labor induction.

If a trial of labor or VBAC fails or complications (such as uterine rupture) occur, your doctor may perform an emergency cesarean delivery to deliver the baby.

What Is the Most Common Complication of Childbirth?

most common complication of childbirth
The most common complication of childbirth is labor that does not progress

During labor, a surge of hormones called oxytocin causes the muscles in the mother’s uterus to contract to allow her cervix to dilate and male room for the baby to pass through. Delivery can occur in two ways: vaginal (through the birth canal) or cesarean (surgical).

With the advent of modern medicine, most complications of childbirth can be anticipated and managed in time. However, a few complications may occur unexpectedly, and some may be life-threatening to both mother and child.

Labor that does not progress

By far, the most common complication during childbirth is labor that does not progress. Sometimes, labor starts fine but over time the contractions slow down, the cervix doesn’t dilate enough, and the baby’s descent in the birth canal is hindered. 

Who is at risk?

This complications occur in the following conditions:

  • First-time pregnancies
  • Women over 35
  • Baby weighs more than 8.82 pounds in utero
  • Baby is in an abnormal position in the utus (breech position)
  • Mother has weak uterine contractions due to exhaustion and dehydration or in cases of prolonged labor

If your labor is nonprogressive, your doctor may put you on a Pitocin drip, or synthetic oxytocin, to increase contractions and speed up labor. If that fails, you may need to be taken for a cesarean delivery.

What are other complications of childbirth?

Other common childbirth complications include:

  • Premature rupture of the membranes: Labor proceeds within 24 hours of a woman's water breaking. If your water breaks before 34 weeks of pregnancy, this is known as early rupture of the membranes and can cause infection to the baby or further complications.
  • Perineal tears: Your vagina and the surrounding tissues are likely to tear during delivery. Usually they heal fine, but in some cases, the tears are deeper and may need stitches. This can cause your pelvic muscles to weaken, causing future problems such as urinary incontinence.
  • Eclampsia: A sudden increase in blood pressure during labor can cause seizures in the mother. This condition is more common if you have had an increase in blood pressure at any time during your pregnancy.
  • Excessive bleeding: If delivery results in tears to the uterus or if the uterus does not contract to deliver the placenta, it can result in heavy bleeding. This is called postpartum hemorrhage and is a leading cause of maternal deaths in many countries.
  • Preterm labor: Preterm labor means the mother goes into labor before week 37 of pregnancy, before the baby’s organs have matured. A preterm labor needs special interventions for the baby, such as the neonatal intensive care unit (NICU).
  • Postpartum sepsis: Infection of the uterus after delivery is common in people with compromised immunity, such as those with human immunodeficiency virus (HIV), diabetes, etc. The condition presents with foul-smelling vaginal discharge and high fever, and the mother may end up with sepsis.

What complications can occur with the baby?

The following complications can arise in the baby:

  • Umbilical cord around the neck: The umbilical cord may get caught on an arm or leg or wrap around the neck as the infant moves through the birth canal.
  • Abnormal heart rate: An abnormal heart rate in the baby during labor is not always an issue if it is temporary. If the heart rate remains low for a longer time, the baby may suffer, requiring emergency cesarean delivery.
  • Shoulder dystocia: This is typically seen in big babies, if the mother has diabetes, or if the infant's head has come out of the vagina but one of their shoulders becomes stuck. In such cases, the mother will need a lower segment cesarean section (LSCS).

What are complications of cesarean delivery?

In a cesarean delivery (C-section), the baby is surgically removed through an incision in the mother's abdomen and then a second incision in the uterus. Rates of cesarean deliveries have increased exponentially and been linked with different factors, from increasing rates of obesity and diabetes to multiple births and increased maternal age. 

Once delivery and afterbirth are complete, doctors repair the incisions made to the mother's uterus with stitches, which will eventually dissolve under the skin. They close the abdominal skin with stitches or staples, which will be removed before the mother leaves the hospital.

Complications of cesarean delivery include:

  • Infection (After a C-section, the mother might be at risk of endometritis, which is an infection of the lining of the uterus)
  • Postpartum hemorrhage (constant bleeding from the uterus)
  • Reactions to anesthesia
  • Blood clots
  • Wound infection
  • Surgical injury
  • Increased risks during future pregnancies

Why Is an Epidural So Bad?

An epidural is a form of regional anesthesia that blocks pain in a particular region of the body. Most epidural side effects are rare and may include soreness, nausea, shivering, drop in blood pressure, ear ringing, difficulty urinating, backache and soreness.
An epidural is a form of regional anesthesia that blocks pain in a particular region of the body. Most epidural side effects are rare and may include soreness, nausea, shivering, drop in blood pressure, ear ringing, difficulty urinating, backache and soreness.

The immense pain that a woman undergoes during labor is the reason they opt for epidurals. Pain management is a critical aspect during delivery, which can be achieved by medical (epidural or spinal block) or complementary methods (breathing techniques or acupuncture). Recent studies report that about 60 percent of women receive an epidural for pain management during hospital deliveries.

Most epidural side effects are mild and rare and can be minimized if a trained anesthesiologist administers them. Some common side effects of an epidural include

Some of the rare serious side effects include:

  • Severe headache caused by leakage of spinal fluid
  • Decrease in the fetal heart rate if the mother doesn’t alternate sides
  • Delayed labor because the epidural makes pushing more difficult
  • Numbness of the lower body for a few hours after childbirth
  • Rarely, permanent nerve damage can occur at the site of catheter insertion
  • Some babies may have latching problems. Babies might also experience
    • Respiratory depression (the lungs fail to exchange carbon dioxide and oxygen effectively).
    • Fetal malpositioning (the back of the fetal head is in an abnormal position)
    • Increase in fetal heart rate variability (a sign of fetal distress)

Thus, if you wish, you can choose other alternatives for pain management, including

  • Breathing
  • Water birth
  • Massage
  • Visualization
  • Hypnosis
  • Acupressure and acupuncture
  • Opioids
  • Relaxation exercises

Medications may have side effects, but natural therapies are devoid of side effects. However, natural therapies won’t cut through your pain. Based on your pain tolerance and comfort, you can choose any of the above methods. However, make sure to learn about the procedure in detail from your physician.

What is an epidural?

An epidural is a form of regional anesthesia that blocks pain in a particular region of the body. It combines analgesic and anesthetic pain relievers, which are delivered through a catheter (fine tube) in your lower back. The function of an epidural is to block pain signals before they reach  your brain. After receiving an injection, you’ll lose sensation below the waist. However, you’ll be awake and capable of pushing when you’re ready to deliver your baby.

The most commonly used anesthetics include

The most commonly used analgesics include

There are two types of epidural

  1. Regular epidural: After placing a catheter, the anesthesiologist administers a combination of narcotic and anesthesia either by a pump or by periodic injections into the epidural space.
  2. Combined spinal-epidural (CSE) or walking epidural: The anesthesiologist may sometimes combine a spinal block with an epidural to provide instant pain relief. With a spinal block, the medications are injected into the spinal fluid to numb the lower half of the body. The effect of a spinal block lasts for one to two hours.

Although an epidural makes your delivery less laborious and painful, it isn’t devoid of side effects. Therefore, discuss the procedure in detail with your doctor before you decide to have one.

How is an epidural given?

Before placing an epidural, the anesthesiologist will start you on intravenous fluid. Before giving an epidural, you will have to sit and arch your back. The anesthesiologist then cleans the site and administers the epidural.

How Do You Know If You Have Mastitis?

What is mastitis?

Mastitis is an inflammation of breast tissue common in new mothers that are breastfeeding. In addition to significant discomfort or pain, common signs include breast tenderness, lumps in breast tissue, and flu-like symptoms. Mastitis is an inflammation of breast tissue common in new mothers that are breastfeeding. In addition to significant discomfort or pain, common signs include breast tenderness, lumps in breast tissue, and flu-like symptoms.

A common condition among new mothers, mastitis affects approximately 1 in 10 breastfeeding women. It involves the inflammation of breast tissue and is often accompanied by moderate to severe infections.

In addition to causing significant discomfort or pain, mastitis can increase the likelihood of your prematurely quitting breastfeeding. What’s more, the condition can make you feel run down to the point where you find it difficult to properly care for or bond with your baby.

Considering the physical and emotional issues associated with mastitis, it’s important to recognize the signs early on. With prompt treatment, discomfort can be reduced so that breastfeeding becomes more enjoyable for both you and your children.

Signs and symptoms of mastitis

The most common signs of mastitis often appear without warning. These can vary from one mother to the next, but may include the following:

Tenderness

If you have mild or moderate mastitis, you might find that your breasts feel unusually tender, even when compared to what you might have experienced when you first started breastfeeding. For some, this sensitivity is accompanied by the breast being warm to the touch. Swelling of the breast is also common.

Lumps in the breast tissue

You may experience a general thickening of the breast tissue, or you might notice some defined lumps. These lumps may feel sore or painful. Mastitis-related lumps also oftentimes have a wedge-like appearance to them.

Pain while breastfeeding

Breastfeeding may feel extremely uncomfortable if you have mastitis. Many women complain of pain while breastfeeding. Mastitis can be difficult to detect because women with this condition may already be experiencing pain due to latching issues.

Flu-like symptoms

It’s possible you might mistake signs of mastitis for flu symptoms. If clogged ducts aren’t quickly addressed, the problem could evolve into issues such as achiness, chills, or fatigue.




QUESTION

Newborn babies don’t sleep very much.
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Causes of mastitis

In most cases, mastitis occurs when an infection forms because milk is trapped within the breast. However, the reasons for this problem can differ between women. Common causes include:

Blocked ducts

Prior to suffering mastitis, women often experience blocked ducts. This prevents milk from flowing properly. Blocked ducts may occur as babies’ breastfeeding habits or schedules change. This problem often happens as babies begin to sleep through the night, as you might not empty your breasts as often as you did previously. 

Signs of blocked ducts include localized pain or tenderness. If left untreated, this concern can progress to full-on mastitis. This development may occur due to bacteria entering the breast through ducts or cracks in the nipple. Diagnosis and treatments for blocked ducts are mostly the same as those recommended for mastitis, but mostly focus on localized concerns within the breast as opposed to general signs of infection. 

Milk blisters

Also known as blebs, milk blisters involve plugged nipples. They often occur in response to blocked ducts and can further increase the likelihood of eventually developing mastitis. These blisters block milk from flowing and can cause the milk to thicken. Skin sometimes grows over these blisters, thereby backing up the milk even more. 

Smoking 

A specific type of mastitis known as periductal mastitis may occur due to smoking. This version of the condition is believed to develop due to chemicals within cigarettes which cause inflammation and may damage milk ducts.

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When To see the doctor for mastitis

Prompt medical attention is crucial as it can address not only current symptoms, but also underlying factors that may cause future problems with breastfeeding. Rather than waiting until a problem develops, it’s important to visit a doctor as soon as the signs of a clogged duct appear. For many women, it’s worth checking in with a lactation consultant if latching issues or other breastfeeding concerns prompt unusual sensations such as fullness or tenderness. 

Diagnosing mastitis

A mastitis diagnosis typically involves a combination of a physical exam and questions about signs and symptoms. Conversely, detection can also be prompt, as the infected breast may appear inflamed or swollen.

Inflammatory breast cancer is sometimes confused with mastitis so some physicians may take extra precautions by recommending mammograms or ultrasounds. Should antibiotics and other common mastitis treatments fail to resolve symptoms, a biopsy may prove necessary.

Treatments for mastitis

Mastitis treatments fulfill two main purposes: resolving the blocked ducts or milk blisters responsible for the condition and addressing the resulting infection. Infections can be resolved with a simple course of antibiotics. 

Over-the-counter pain medications can ease tenderness or swelling of the breasts. Mothers with mastitis should take care to use breastfeeding-safe medications such as acetaminophen.

Treatments should also aim to prevent future blocked ducts. Physicians may recommend strategies for relieving breast fullness including:

  • Switching nursing positions to drain the breast more evenly.
  • Pumping to drain excess milk.
  • Applying heat to clogged breasts to encourage the proper flow of milk.
  • Wearing loose clothing. 

Doula vs. Midwife: Do You Need Both? What’s the Difference?

Doula vs. midwife quick comparison of differences

Doulas and midwives both assist with childbirth and provide support to a pregnant mother.

Doulas and midwives both assist with childbirth and provide support to a pregnant mother.

Doulas and midwives are both professionals who assist with childbirth and women’s reproductive health. A doula provides support to the mother before, during, and shortly after childbirth, but does not deliver the baby. A midwife may offer gynecological examinations, birth control counseling, prescriptions, and labor and delivery care.

The laws of each state regarding certification and licensing affect the exact types of services that a midwife can perform.

What is a doula? Can a doula deliver babies?

A doula provides physical, emotional, and informational support to an expectant mother before, during, and after childbirth. A doula focuses on an expectant mother’s own needs, which enables her to have a memorable and empowering experience while giving birth. While in most cases the term “doula,” implies a professional who is present during the birth, there also are doulas who specialize in antepartum (before birth) care and postpartum care. A doula typically helps a woman prepare a birth plan.

A birth doula remains with the mother during birth, offering relaxation and breathing technique support, as well as comforting services like massage, and assistance with labor positions; however, doulas are not medically trained, and cannot deliver babies. A doula is not a substitute for having a woman’s partner at the birth. Doulas encourage participation from the partner, and offer support and reassurance to the partner as well.

What is a midwife? Can a midwife deliver a baby?

A midwife is a health care professional. Depending upon the laws of the US state in which the midwife practices, a midwife may perform gynecological examinations (for example, Pap smears, pelvic exams, and breast exams), write prescriptions, care for a woman during labor and delivery, perform fetal monitoring, and provide information about contraception. A midwife usually seeks to eliminate or minimize unnecessary technological interventions, believing that pregnancy and birth are normal life processes. However, a midwife also is skilled at identifying and referring women who need the services of an obstetrician during the birth. A midwife is medically trained and qualified to deliver babies.

Some midwives also are trained as nurses. A nurse-midwife usually can offer the greatest variety of health-care services to women.

Do doulas and midwives require certifications?

The American Midwifery Certification Board (AMCB) is the US national certifying body for certified nurse-midwives (CNMs) and certified midwives (CMs). Midwifery education programs involve graduate study and usually require a Bachelor's Degree for entry. Some programs will accept applicants with a Bachelor’s degree in a field other than nursing, while others require a Bachelor’s degree in nursing. Midwifery education programs in the United States are accredited by the Accreditation Commission for Midwifery Education (ACME). According to the AMCB, legal recognition for CNMs and CMs varies among states.

A doula does not necessarily have medical training, and there is no formal licensing required. However, many doulas choose training and certification by organizations that oversee doula training programs, such as DONA International™ and the Childbirth and Postpartum Professional Association (CAPPA).

Similarities between doula vs. midwife

Both a doula and a midwife are professionals that assist a woman in the birthing process.

What Is a Home Birth?

Only about 2% of women in the U.S. opt for a home birth. It can be a safe and relaxing natural childbirth delivery method for women with a normal, low-risk pregnancy. Home births are vaginal deliveries with no medication, and a variety of mind-body techniques and preparation methods are used to reduce childbirth pain and promote easy labor and delivery.

Home births are attended by a certified professional midwife, a licensed nurse-midwife, or a naturopathic midwife. Sometimes a support professional called a doula attends home births. These birth professionals also work in birth centers.

Read about the different childbirth methods »

Differences between a doula vs. midwife

A doula and a midwife offer different types of services, even though both may support the childbirth experience.

Midwives have medical training and during the birth process, focus on delivering a healthy baby.

Doulas, on the other hand, focus on the needs of the mother, offering mental, physical, and emotional support. Doulas do not have medical training or experience and cannot be used a substitute for a midwife or doctor.

Can I use both a doula and midwife for my pregnancy and birth?

Yes, many women opt to use both a doula and midwife, although it is not required that a woman use both if using one or the other.

When should a doctor be consulted during pregnancy or assisted birth?

A midwife is trained to recognize an emergency or situation that requires medical care from a doctor. Midwives are trained to handle normal pregnancies, but obstetrical care is required for certain situations, and for pregnancies deemed to be at high risk. Many doctors have nurse-midwives in their practices that work alongside your doctor’s team, and may manage normal pregnancies if the woman wishes.

Obstetricians (OB-GYN physicians) can manage high-risk pregnancies and can perform surgeries, including C-sections, when necessary. Midwives are prohibited from performing C-sections or using forceps and vacuums during the delivery process. The midwife will seek obstetrical care by a doctor should a birth complication arise that requires one of these interventions, or an emergency that threatens the mother or baby.

How much does a doula cost? How much does a midwife cost?

The costs for doulas and midwives, as for any health-care service, vary according to the specific provider and the geographic location. A doula typically charges a flat fee for service, meaning an agreed-upon number of prenatal visits, being on-call for support during your pregnancy, support during your labor and birth, and at least one postpartum visit. Other services may be included in the package. The costs for a doula can be $1,000 or more in major cities and substantially less in other areas.

For a midwife, the cost also varies by location. An average cost of a midwife is around $2,000, but midwives’ fees may be covered by some insurance policies. These fees typically cover all prenatal visits, the birth, and postpartum visits. Some midwives may offer sliding scales, reduced fees, or payment plans for some women.

Is It Normal to Lose Appetite in 2nd Trimester Pregnancy?

For many women who've experienced morning sickness or food aversions in the first trimester of pregnancy, the second trimester is a welcome relief. You may start to have more energy as the tiredness common in the first trimester starts to fade. This is often when the pregnancy begins to seem more real. Your bump may be noticeable, and you'll soon start to feel your baby move.

However, nausea, vomiting, loss of appetite, and food aversions continue well into the second trimester for some women. Losing your appetite in the second trimester can have a number of different causes. While it's perfectly normal, you need to ensure you and your baby get enough nutrition.

What causes loss of appetite in the 2nd trimester?

Many different issues can cause a loss of appetite in the second trimester of pregnancy. Some of these, such as morning sickness, may carry over from the first trimester. Others, like your baby growing, may start for the first time. Some of the most common causes include:

Morning Sickness

Although it's usually thought of as a first-trimester problem, 15% to 20% of women experience nausea and vomiting into the third trimester. Nausea can occur at any time of the day or night. On the bright side, women who have nausea and vomiting during pregnancy are less likely to have a miscarriage or stillbirth than those who don't.

Most women experience some degree of nausea and vomiting during pregnancy, although people who experience these symptoms more severely may need to be hospitalized. This is called hyperemesis gravidarum and it can cause dehydration as well as vitamin and nutrient deficiencies if left untreated.

Constipation

Like many pregnancy symptoms, constipation is related to your hormones and may serve a purpose. During the second and third months of pregnancy, your progesterone levels start increasing. This relaxes the muscles in your digestive tract and slows your bowel movements. Because your food stays in your digestive tract longer, your body is able to absorb more nutrients from it. The iron in your prenatal supplement may also contribute to your constipation.

Heartburn

Gastroesophageal reflux disease (GERD), or heartburn, in pregnancy can also be related to increased progesterone levels. Progesterone relaxes the muscles at the top of your stomach, causing stomach acid to flow back into your esophagus. Your growing uterus can also put pressure on your stomach, making heartburn worse.

Tips for getting enough to eat during pregnancy

Regardless of what's causing you to lose your appetite, it's important that you and your baby get enough to eat during your pregnancy. You don't have to worry if you're not that hungry for a week or two. As long as you're keeping fluids down, taking your prenatal vitamins, and getting something to eat, you should be fine. If you're so sick that you can't eat at all, or you're losing weight quickly, call your doctor.

Here are some tips to help you stay healthy and nourished during your pregnancy:

  • Drink plenty of fluids, although you may need to separate eating and drinking so you don't overfill your stomach.
  • Eat high-fiber foods to help with constipation.
  • Stay active to help relieve constipation.
  • Eat small, frequent meals.
  • Keep crackers near your bed and eat a few before you get out of bed.
  • Eat high-protein meals and snacks.
  • If you can't take your prenatal supplement, make sure you take at least 0.4 to 1 milligram of folic acid daily.
  • Drink smoothies made with high-protein, healthy ingredients such as yogurt, peanut butter, and frozen fruit.
  • Try ginger tea or ginger ale to help with nausea.
  • Avoid spicy, acidic, and fried foods if you're having heartburn.
  • Avoid lying down for at least 45 minutes after eating to help reduce heartburn.
  • Avoid eating for 2 to 3 hours before bed to avoid heartburn.

When to call your doctor

You should talk to your doctor about your symptoms, although you may not need medical treatment. Your doctor can offer suggestions to help you decide if medicine is appropriate. If you're having any of the following symptoms, call your doctor right away:

  • Vomiting repeatedly throughout the day
  • Blood in your vomit
  • Inability to keep down food or fluids for 12 hours or more
  • Abdominal pain or cramping
  • Pelvic pain or cramping
  • Losing more than five pounds
  • Fever or diarrhea
  • Infrequent or dark-colored urination
  • Dizziness when standing
  • Feelings of hopelessness, wanting to end the pregnancy, or suicidal thoughts