Because hormone action that occurs during pregnancy, pelvic joints undergo a process of relaxation and movement that ends up producing pain. The diagnosis of this disease is not difficult if we consider the existence of this problem and its symptoms.

What are the symptoms of the disease?

Women with pelvic arthropathy of pregnancy complain of pain in the pubic region, these pains are irradiated (target) to the English and the top of both thighs (front and back). The pain usually will increase progressively throughout pregnancy, exceptionally by suddenly. The pain of pelvic arthropathy can be as important to limit the mobility of the patient and her ability to walk, was forced to make small steps and the difficulty is even greater than the rise or fall. Pain may be worse when taking certain positions, such as spins in a lying position.Women should know that his troubles will persist for an indefinite period after birth, disappearing afterwards. We note that in the latter stages of pregnancy all women will suffer a pelvic arthropathy to a greater or lesser extent.

What causes pelvic arthropathy in pregnancy?

As mentioned above, the joints of the pelvis, not pregnant, suffer little change through the motions, remaining fixed on an axis formed by the gravitational sacrum and iliac bones. Under hormonal influence during pregnancy exists, these joints are changing and allow movement and displacement, causing the symptoms mentioned. Moreover, the weight of the uterus and fetus itself cause a shift added these joints.

What can women with this disease?

Pregnant women who have this kind of pain should consult with your obstetrician so you can rule out other pathologic added complication. Treatment of Pelvic arthropathy in pregnancy is based on pain and exercises recommended by the physiotherapist. Sometimes symptoms can be relieved with a belt, yet some patients need the help of a cane to cushion the pain triggered by walking.

What happens after delivery?

The chances of a successful delivery and a favorable increase convalescence when the pelvic arthropathy has been previously diagnosed and treated. The discomfort does not disappear immediately after delivery, although during the first weeks after it will produce a gradual improvement. Every woman who has suffered a pelvic arthropathy during pregnancy was asked whether a future pregnancy will have the disease, but unfortunately we can not predict.

credit to: Dra. Berta María Martín Cabrejas, Dr. Erik Fangel Poulsen, Dr. Philip Owen

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This disease is usually mild and no sequelae. Exceptionally there may be complications such as encephalitis (inflammation of the brain), myocarditis (inflammation of the heart muscle) or retinitis (inflammation of the retina).

When an infection occurs, the body reacts by producing antibodies against the parasite, which provides immunity to the same infection.

If a woman becomes infected during pregnancy can transmit the infection to the fetus (the risk is estimated at 20%, but varies according to length of gestation). Infection in the first trimester of pregnancy tends to be very serious for the fetus and often ends with a spontaneous abortion or serious illness in the newborn. Infection in late pregnancy usually does not cause specific symptoms, except the aforementioned retinitis.The newborn may have an infection at birth, but no symptoms. These may manifest themselves after a while. In these cases, early treatment can prevent relapse.

How is toxoplasmosis?

Many cases do not require specific treatment, but those who require it to be treated by specialists using appropriate drugs such as pyrimethamine, sulfadiazine and spiramycin.

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Pregnant women who do not know if in the past have had the disease or have been infected should take some precautions to minimize the risk of infection during pregnancy, and prevent the disease could pass to the fetus:

- Wash hands after contact with raw meat or vegetables.

- Wash hands after being in a park or garden, etc..

- Do not eat raw eggs, and avoid unpasteurized milk (especially goat).

- Avoid any contact with cat feces or objects contaminated by them.

- Do not eat meat that has not been well cooked by heat. Eating properly cooked meat. Remember that many sausages have not been previously cooked.

- The control of flies and cockroaches are also useful.

Pregnant women who have cats are more easily infected than those who do not.How does the doctor diagnose toxoplasmosis?

When there is suspicion that there may be a toxoplasmosis is usually a blood sample taken for analysis of antibodies to toxoplasma. This establishes whether an infection and whether it is new or old.

Other methods are used less, as is the isolation of the parasite in certain cell types, or the study of samples (biopsies, body fluids, etc.)., Which are stained and viewed under a microscope. There are other more complex techniques.

If a pregnant woman is infected during pregnancy, amniocentesis can determine whether the fetus is also affected.

For the early diagnosis of congenital toxoplasmosis is no evidence, for which uses a blood sample from the heel of the newborn, which is the same type of sample that is routinely used in Spain for the diagnosis of other diseases such as congenital hypothyroidism or phenylketonuria.

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The two main routes are oral, and congenital and more rarely can be acquired through transfusions, organ transplants or accidents in the laboratory.

Cats eliminate a form of the parasite in the feces, called oocysts, which can remain viable in soil for many months. Under certain environmental conditions, the oocysts mature and form the so-called tachyzoites, which when ingested by a person, it can cause infection. Therefore, soil or food contaminated with cat feces can be a source of infection.

As in humans, in many other animals tachyzoites spread throughout the body and eventually forming in their tissues third form of the parasite we call tissue cyst. Ingestion of meat from an animal containing cysts, if undercooked, is also a source of infection.The congenital form is acquired by the fetus in the womb, from parasites that happens her mother.

What are the manifestations of toxoplasmosis?

- In almost 90% of cases infection occurs without symptoms.

- In rarer cases of disease symptoms (acute toxoplasmosis), it is usually manifested by enlarged lymph nodes, especially the neck, but also in the groin, armpits etc. May be accompanied by fever, malaise, muscle aches, night sweats, sore throat, and sometimes a rash with patches on the skin.

- In cases of acute toxoplasmosis in patients with impaired immune systems, symptoms usually occur in the cerebral involvement (seizures, impaired motor skills, sensory or speech, weakness, psychiatric symptoms, etc.).. In patients with lung disease often have fever, cough and difficulty breathing.

- Ocular toxoplasmosis causes alterations in vision.

- Congenital toxoplasmosis results varied manifestations, among which can be found: impaired vision, epilepsy, mental retardation, skin disorders, blood disorders, etc..

credit to: Dr. Juan Álvarez Orejón, Dra. Hanne Korsholm, Dr. Court Pedersen, Dr. John Pillinger

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In most of the people whose immune system is normal, Toxoplasma causes no illness as such but only an infection without symptoms. Subsequently, the parasite can stay in the body as cysts, causing a chronic infection that usually causes no consequences (even if there is an alteration of the immune system, the parasite could be “reactivated”). In these cases, treatment is generally required.

In humans, Toxoplasma can cause any of the following conditions:Acute toxoplasmosis

- In people with normal immune systems.

- In people with impaired immune system, such as patients with cancer or who take immunosuppressive drugs. In patients with AIDS disease mainly affects the nervous system (especially the brain) and more rarely the lung, eye or other organs.

Congenital Toxoplasmosis

Which is transmitted from mother to fetus, when that has an infection during pregnancy. Not all fetuses whose mother is infected during pregnancy will be infected, of which only some will suffer a disease, but if it occurs, its consequences can be serious. The probability of disease in the fetus depends on the time of pregnancy when maternal infection occurs and depends on whether the mother was administered against toxoplasma treatment (which reduces the risk of congenital infection).

Ocular toxoplasmosis

Also called toxoplasma retinochoroiditis. Usually the result of a congenital disease, although it may be that the symptoms it produces not develop until adulthood.

credit to: Dr. Juan Álvarez Orejón, Dra. Hanne Korsholm, Dr. Court Pedersen, Dr. John Pillinger

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How much weight will add to?
Do you have to eat for 2 a pregnant? Have to eat, with few exceptions, depending on your appetite. Appetite (according to the Royal Academy is an “instinctive”) has made us survive over millions of years, so that no pregnant woman will forget to eat, and no one would forget to blink. Above the appetite to eat can lead also to obesity. And this leads to weight: how much weight you have to win? If you, like most women, had a normal weight before pregnancy, are advised to earn a minimum of 11.5 kg. But there are women who earn only 7 kg and another 18 kg, and both can have a healthy and regain their previous weight. You must remember, in any case, it is absolutely forbidden to restrict the calories you take. The “ketones” that are generated by making low-calorie diets, reach the fetus through the placenta and can harm their fragile nervous system.

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Heartburn or feeling sore / pain in my solar plexus is a commonly experienced by pregnant women either in their first month of pregnancy and beyond. Even the usually increased by close during labor.

Heartburn during pregnancy occurs because the health body produces the hormone progesterone and relaxing that serves to make the organs of the body so relaxed.

This also occurs in the stomach so that the digestive process occurs more slowly which resulted in the accumulation of health food and stomach acid up into Bakeshops. This is why heartburn occurs. To overcome this, the following tips can try to make it more convenient Mother underwent an amazing pregnancy.

* Avoid wearing clothes that are too tight.

Consuming * Avoid spicy foods, coffee, chocolate, sour, carbonated foods and alcohol. This food can be a trigger heartburn.

* Try sitting or upright position after meals to minimize foods that tend to accumulate and rise to the top.

* Do not Stress. If the mothers are experiencing stress, the increased production of stomach acid so that the higher the risk of heartburn.

* Eat more often with less consumption. Mother can eat up to 6 times a day but with a smaller portion of the note. This will help because system performance tends to slow digestion.

* Eat slowly to avoid too much air entering which could lead to a sense of stomachaches.

* Consumption of antacids. If the pains are happening so you can uncontrollably Antacids neutralize stomach acid consumption for you. Remember to always consult with a physician.

* Positive Thinking. The process of slower digestion, absorption of nutrients and beneficial process mother to the fetus. To think positive even though it still felt uncomfortable Mother

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When you enter the gestational age 20 weeks, your baby in the womb you are able to interact with the outside world. He has started to recognize her mother’s voice and sound from outside and from the gentle touch.

How do you become a parent type is determined since he is still in your womb. Starting from the womb, you can certainly stimulating a positive effect and establish communications, and love saying as early as possible. This time mangetout want share tips for stimulating your baby from the womb.

* Encourage your child to listen to soft music that will provide a comfortable atmosphere for the fetus.
* Provide a light touch on the health skin of the abdomen with fun sayings.
* Read a book or sing to him.
* Perform minor body movements so that your baby can feel the form of movement and balance.

Ok Lady, make your pregnancy the happiest period

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1. Usually be felt from the beginning that you are carrying more than one baby. Do not ignore the feelings of the heart or intuition. Many mothers of the twins said they had learned early on that they contain more than one baby.

2. Generally, if a pregnant woman has signs such as dizziness, stomach, sat / not feeling comfortable, even until the vomiting in the morning. But if it contains more than one baby, you generally will be more suffering, namely in the morning till night. Even during the day.

3.Symptom pregnancy more pronounced and is considered exaggerated for health.
Many of the expectant mother of twins who say they feel more uncomfortable, excessive vomiting, nausea, and very quickly exhausted. Anyway, the symptoms of pregnancy “terrible” that it is often considered far-fetched by the people around.

In fact, all of it due to the extra hormones circulating in the jhealth body. Breasts are very sensitive, more frequent urination, feeling hungry all day, and feel very tired. When the contents begin six months of age, may be having trouble breathing, stomach feels very heavy, swelling in the hand also in the legs, weight gain very much (not normal), the stomach is very big, and the fetus moves too much. Mother of the twins was suffering from anemia or low iron content of the substance.

4. Weight increased rapidly in the first three months of pregnancy. Increase higher than the average weight of the babies of pregnant women. These symptoms may be cited as the first sign contains more than one baby. If a good appetite, it means there is no problem, because good nutrition is needed fetus in the age of the first three months of pregnancy.

5. Large content size for her age. On first inspection, it can be said that the belly is bigger than pregnancy. The doctor says your 8 weeks pregnant (counting from the last time a menstrual period), but when seen with the unseen, big belly / content such as aged 10-12 weeks of pregnancy.

If things like this, it is usually advisable to check with an ultrasound device to see how a fetus in the womb. If in fact contain more than one baby, the size of the content will continue to grow larger. Containing a single mom baby can reach a height of 38-40 cm, starting from the pubic bone, whereas twins can reach 48 cm.

6. The doctor said, the AFP are high. Alpha fetoprotein AFP is a protein that infants issued at the time of growth and is also present in maternal blood. This protein can be high because more than one baby. Normal AFP blood test performed 16-18 weeks after last menstrual period. This test is often used to identify twin pregnancies or not.

7. The doctor said the level of HCG (Human Chorionic gonadotrophin) rose very quickly. HCG is a hormone produced fertilized eggs. This hormone is needed to maintain the pregnancy until the placenta develops. The hormone can be detected in blood or urine even before you stop menstruating.

In normal pregnancy (one baby), the blood concentration of HCG rise rapidly in the first weeks of pregnancy, doubling every two or three days. HCG levels may be higher with the existence of the twins.

8.from means “listener”, detected two pulses of the heart. Two heartbeats can be distinguishable by a special tool that is used doctor after approximately 12 weeks of pregnancy. Approximately 28 weeks of pregnancy, has been able to distinguish if indeed there are two fetuses.

9.With using ultrasound, multiple pregnancies can be better ensured. This tool will show / demonstrate the existence of two bags of pregnancy, two fetuses, and two heartbeats that can be seen six weeks after the first day of the menstrual period ends. Even twins can be diagnosed much more quickly, about 1-5 weeks after stopping a menstrual period.

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Sex is an essential part of human life, and besides being instrumental in perpetuating the species, implies pleasure, affinity, safety and personal fulfillment, and during the course of pregnancy strengthens the relationship of the parents. However, there are pregnant couples avoid sexual practice for fear of affecting the fetus, but also because interest by discomfort and even respect, depending on the type of beliefs that are taken.

If a few years ago the issue of sexual practices during pregnancy was little attention in prenatal care, there is now greater openness, so that the orientation of the couple or the pregnancy is more objective and takes into account their sexual and reproductive.

Obviously the physician must have a thorough knowledge of the topic of sexual activity during pregnancy, especially if it presents a risk.

Normal pregnancy

Normal pregnancy occurs when the sperm fertilizes the egg, in the first ten weeks after fertilization form organs and organ system are different, the duration of pregnancy is 266 days, or nine months, with three quarterly periods. During this time, mother and baby bond and create a microenvironment of life and harmony until birth, to physiological changes in the different stages that promote normal development of pregnancy.

Risk pregnancy clinic

Although human reproduction is a natural process from both a biological standpoint as physiologically occurring adverse events involving the loss of up to 15% of pregnancies in the first quarter, caused by many different factors that have nothing to do with sexual activity during therapy; addition, 85% of pregnancies that continue to evolve, a third have some type of complication or risk.

The clinical high-risk pregnancy is defined as the potential state of complication for mother and fetus, and is a consequence of preexisting illness or previous pregnancies were issues that pose a threat to the mother, child, or both, and that the new pregnancy forced to make very detailed preventive care.

Risk Situations

The most common risk situations that may pose clinical risk to the binomial mother son are:

• Vaginal bleeding after having sex at any stage of pregnancy. Abnormal or low insertion of the placenta (ie, when the placenta is not located correctly) with or without the presence of vaginal bleeding. Uterine bleeding at any stage of pregnancy without apparent reason.

• Cervical incompetence or weakness of the cervix before treatment with cerclage (a procedure that consists of giving a stitch in the cervix to dilate it is not before time, the point is removed at the time of delivery).

• Rupture, or suspected rupture of the amniotic sac or water source.

• Uterine contractions of moderate to severe at any stage of pregnancy. Repeated pregnancy loss in the first quarter.

• History of preterm delivery. Studies were performed amniocentesis corial biopsy, which involved taking samples of the placenta.

• Have been at risk or have suffered disease in past pregnancies. Have suffered abdominal trauma during pregnancy.

In all these cases the couple or pregnant should ask their doctor whether they can have sex. As the pregnancy progresses satisfactorily, but there was some risk factors or pathology in the previous pregnancy, you should make a clinical assessment and prenatal testing, so the doctor can say if sexual activity is allowed. However, there is no doubt that the. final decision lies with the partner or one of its members.

Sexual and reproductive health

According to the World Health Organization (WHO), sexual reproductive health is the overall and comprehensive physical, mental and social related to the reproductive system and their specific operation, which enables individuals to enjoy a satisfying sex life without risks and violence, with absolute respect and freedom to decide their sexual exercise and the number of children they want to have (if you want them) and when.

Prenatal Care

Prenatal care refers to the set of actions that are performed médicoa Insistencial a pregnant woman to promote normal development of pregnancy, as well as more specialized attention that brings to prevent, diagnose and treat diseases or complications of pregnancy may endanger the life of the mother and child. According to WHO, half of all pregnancies in the world was unplanned and 25% are unwanted. This scenario allows in principle to assess the potential impact it can have on the mother and the child’s rejection of pregnancy and the importance of care before birth.

In response to questions related to sexual activity das in pregnancy medical responses should be clear and precise. Below is a list of frequently asked questions with their answers.

Can sex during pregnancy?

Most commonly, the couple have sex without even suspecting that the woman is pregnant, so early in pregnancy sexual activity has the same frequency and intensity than before. However, after learning the diagnosis, there might be several situations that range from continuing the activity until there is none, either through fear or for other reasons and without any of it affect the pregnancy. But usually when it is approaching its end, relations are hampered by the normal changes of the process themselves, they have to do with fatigue, vaginal secretions and discomfort by increased volume and weight.

In the first weeks of conception, “sexual activity or favors abortion causes malformations in the fetus?

Not at all, sexual activity does not cause abortions or malformations generates, if any of this happens is due to other causes, too often abortion is precisely the existence of irregularities or defects in the product.

Is it normal for pregnant women experience changes in their sexual appetite?

Yes, it is very common especially during the first trimester because women feel less desire due to nausea, vomiting, fatigue or headache. In the second quarter, when usually these symptoms have passed, both the desire and sexual activity resumes, so it is considered an equilibrium. And although there is no contraindication whatsoever with respect to sex, the third quarter is usually very uncomfortable for the mother, so the man whom pregnancy is not affecting your desire, your sexuality will, we hope that the couple had mutually agreed.

Will sex cause labor or that this is going?

Not at all. There is not any support for them to say that sex can trigger labor in the third quarter by uterine contractions that women have during orgasm, and although there may be a change in fetal heart rate is only temporary and harmless. Moreover, semen does not moV fies the cervix dilates or É | uterus because insufficient quantity is 1. This doubt may arise because prostaglandin is a substance (present in semen) that is used to induce labor.

The man is sexually partner away for safety of mother and child?

On the contrary, man must be closer to his pregnant partner to enhance the bonds of love, sympathy and security to motivate the mother to care, especially if there are clinical situations of risk, the love and closeness of the couple’s favor pregnancy outcome and provide a huge benefit to mother son.

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