Pregnancy Pathway, Pregnancy — Behavior: Avoiding Risks

Some­times it seems like preg­nancy is a time of restric­tions. Avoid­ing risks can be one thing that makes it seem that way. But, bear with us here in an inter­est­ing trip through dan­ger and find­ing you find ways of enhanc­ing your pregnancy!

Risk Fac­tor #1:

Lack of pre­na­tal care. More than any­thing else, be sure you have care. Hav­ing some­one mon­i­tor your health and that of your baby dur­ing preg­nancy is vital to a good out­come.

Exercise! Avoiding it is a risk factor for diabetes and preeclampsia.

Exer­cise! Avoid­ing it is a risk fac­tor for dia­betes and preeclampsia.

Risk Fac­tor #2:

Not exer­cis­ing. Seden­tary behav­ior increases the risk for meta­bolic, car­dio­vas­cu­lar and immune disorders.

I know, I know, you don’t have time to exer­cise. Well, pay now or pay later, as they say. Make time to go to a class (make sure it includes 20 –30 min­utes of aer­o­bics) a cou­ple times a week. A class will also pro­vide social sup­port, another fac­tor that enhances your preg­nancy. Take a walk at lunch time. Prac­tice relax­ation techniques.

Risk Fac­tor #3:

Breath­ing dan­ger­ous fumes. Yes, this includes smok­ing and second-hand smoke. But, it also means avoid­ing envi­ron­ments where there is a lot smog (near high­ways), liv­ing with mold or dust, and fancy cleansers that may have dan­ger­ous chem­i­cals in them. Stick with vine­gar, ammo­nia or bleach as cleansers.

Smog can endanger your fetus!

Smog can endan­ger your fetus!

We are learn­ing that com­bus­tion exhaust from cars and trucks can neg­a­tively affect birth weight and pre­ma­tu­rity. If you live or work near a high­way or in an area where smog is preva­lent, what are your options? Can you trans­fer or move? Can you wear a mask? Talk to your care provider and fig­ure out the best pro­tec­tion for you and your fetus.

Risk Fac­tor #4:

Poor Nutri­tion. Yup, just go back one entry and find out how food affects preg­nancy. If you don’t eat enough pro­tein and drink enough water, you don’t make suf­fi­cient blood vol­ume to nour­ish your pla­centa and thus your fetus.

Read labels!

Read labels!

Eat whole foods and learn to read labels when you buy processed foods. What is a “processed” food? Any­thing with more than one ingredient!

Some pro­cess­ing (ex: home­made soup) takes lit­tle nutri­tion away, but some pro­cess­ing (ex: potato chips) takes every­thing good away and replaces it with unsafe sub­stances. Look for low sodium, low sugar, high vit­a­min and min­eral con­tent items with no sat­u­rated or trans fats.

Read the ingre­di­ents; if you don’t know what the words mean, maybe you want to pass it up.

Risk Fac­tor #5:

Alco­hol and Drugs. Com­mon items can be as dan­ger­ous as street drugs, which

There is plenty of time in life for a glass of wine...later.

There is plenty of time in life for a glass of wine…later.

No. No. No. Only meds from your prenatal care provider are okay.

No. No. No. Only meds from your pre­na­tal care provider are okay.

Caffeine? Only one cup & only if you must.

Caf­feine? Only one cup & only if you must.

can severely com­pro­mise you baby’s future. If you have a drug or alco­hol habit, get help.

Risk Fac­tor #6:

Genet­ics. You can have genetic pre­dis­po­si­tions for many preg­nancy issues. How­ever, that does not nec­es­sar­ily mean you will develop a given dis­or­der. For exam­ple, nutri­tion and exer­cise greatly reduce the risk and sever­ity of meta­bolic issues. Some genetic issues are unavoid­able how­ever, and your care provider will alert you to these, if they are relevant.

Risk Fac­tor #7:

Social issues — iso­la­tion, lack of sup­port, abuse, poverty. All of these fac­tors can have neg­a­tive effects.

If iso­la­tion is a sim­ple mat­ter of need­ing to meet other moms-to-be, join an exer­cise pro­gram. That way, you get both sup­port and exer­cise; just be sure it includes aer­o­bics, along with cen­ter­ing, relax­ation and appro­pri­ate strength.

If your sit­u­a­tion is more dire, seek the help of a care provider or social worker at your local hos­pi­tal or clinic. Safety and sup­port are crit­i­cal for you at this time. Get the help you need. There are peo­ple who care. And, if you know of some­one who needs help, help them.

If you have other risk fac­tors to offer, please post them in the com­ments. Thanks!

What’s next?  BIRTH!!

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Pregnancy Pathway, Pregnancy

Time for an entre: Preg­nancy!!

Up for discussion…

Health Influences in Pregnancy

Health Influ­ences in Pregnancy

Let’s start at the begin­ning…in the first trimester you feel sick and tired, right? Three things:

1) your immune sys­tem is pro-inflammatory (caus­ing nau­sea and fatigue), 2) your body is pro­tect­ing your fetus from some tox­ins (if you eat some­thing not so great for the fetus, you throw up), and 3) you have extreme swings in blood sugar lev­els so that after you eat, the level soars and you feel sick.

Num­ber 3 can be fixed with behav­ior, but you may have to wait out 1 & 2. To fix num­ber 3 eat very small meals fre­quently (6 or 8 times a day) and be sure to eat pro­tein, that is, eggs, meat, fish, fowl, cheese, nuts, rice & beans, soy, etc. with each small meal. This sta­bi­lizes blood sugar and pre­vents dra­matic ele­va­tions that can cause nausea.

In most healthy preg­nan­cies, the immune sys­tem will rebound in the sec­ond trimester so that you feel good; it is pro­tect­ing you again!  But, those wicked tox­ins and infec­tions are still out there in the envi­ron­ment, so the mes­sage is beware bad air (smog, smok­ing, indus­trial air pol­lu­tion), highly processed foods (lunch­meats, things with names you can’t pro­nounce), any drugs or meds not pre­scribed or okayed by your ob or mid­wife, alco­hol, and dan­ger­ous bac­te­ria, viruses and other microbes!

Exer­cise wisely…no sky-diving or scuba div­ing! Eat healthy food and get enough sleep. De-stress through relax­ation and med­i­ta­tive tech­niques. Don’t take risks with your health, but do stay active and start to pre­pare for birth and bring­ing home a baby (or two?).

Third trimester & the immune sys­tem goes on the fritz again — can’t keep this baby in here for­ever; must expel! You may feel sick and tired again. BUT, keep your pre­na­tal care appoint­ments, keep mov­ing, get good nutri­tion, rest and stay focused. Before you know it the real work begins, not to men­tion the 18 years of sleep deprivation.

Get­ting from here…

Being Fully Present in Your Pregnancy...

Being Fully Present in Your Pregnancy…

…to here..

Being Fully Present as Mom

Being Fully Present as Mom.

…is a jour­ney like no other. The adap­ta­tions of your body to the demands of preg­nancy are amaz­ing. If you pay atten­tion, you will learn more about the mean­ing of exis­tence from this than from any­thing else.

BE HERE NOW!!

Sign up for this Blog (top tool­bar, click blog info and sub­scribe)!! Learn from our more than 30 years of help­ing make healthy moms & healthy babies.

Visit our web­site:  www.dancingthrupregnancy.com

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Pregnancy Pathway, Conception — Review & Small Rant!

REVIEW: Evi­dence is clear - pre-pregnancy mater­nal health sta­tus, includ­ing phys­i­cal fit­ness, healthy nutri­tion and an uncom­pro­mised immune sys­tem affect the health and well-being of both mother and off­spring, in both short and long term.

This is the mes­sage sum­mary from our first two areas of dis­cus­sion:  Pre­con­di­tions and Con­cep­tion — the green and sand col­ored sec­tions on the chart below.

pregnancy_pathway

COMING ATTRACTIONS: We are about to move on to the blue sec­tion — Preg­nancy!!  So, book­mark this Blog for future reference!

Also, you can sub­scribe to this Blog by click­ing on Blog Info in the upper right cor­ner and then click­ing on Sub­scribe in the drop down menu.

But, yes, you guessed it, first we have a small rant!

SMALL RANT: When we note that fit­ness, nutri­tion and a healthy immune sys­tem play sig­nif­i­cant roles in the out­come of preg­nancy and the future health of mother and child, we are appeal­ing to young peo­ple of child­bear­ing age to be care­ful about your bod­ies. The alliance of egg and sperm shapes the world. With 6.5 Bil­lion egg/sperm com­bi­na­tions (yes, peo­ple) presently liv­ing on earth, our resources are stretched. With time, either we get more picky about doing this, or the 3rd rock from the sun (remem­ber that show?) is cooked.

Humor­ous incur­sion: In case you need fur­ther enlight­en­ment on this whole area, there is a great web­site that will help you out. Be pre­pared to be amused and amazed!

The Truth about Eggs and Sperm

Hope­fully, this gets you in the right mood and keeps you smil­ing. After all, once you actu­ally are preg­nant, we have more seri­ous mat­ters to discuss.

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Pregnancy Pathway, Conception — Health Status

Today: How the mother’s health sta­tus at the time of con­cep­tion affects the pregnancy.

For com­plete graphic, see Feb. 5 or 23 post.

The Impact of Health Status at the time of conception.

The Impact of Health Sta­tus at the time of conception.

When a woman becomes preg­nant, her health can be a major fac­tor how her preg­nancy will pro­ceed. If she has been exposed to a vir­u­lent infec­tion, it may have an impact on how well the implan­ta­tion goes. If she has meta­bolic syn­drome, she is at risk for com­pli­ca­tions such as ges­ta­tional diabetes.

On the other hand, if she has taken care of her­self, is phys­i­cally fit and well nour­ished, is well rested and has not been exposed to ill­nesses that induce dra­matic changes in her immune sys­tem, she has done her best to cre­ate a sit­u­a­tion in which her body is best pre­pared for the rig­ors of pregnancy.

There are still genetic and envi­ron­men­tal fac­tors that can affect the course of the preg­nancy, but behav­ior is the one fac­tor that women have con­trol over. At Danc­ing Thru Preg­nancy we are fond of the notion that if you know a cer­tain behav­ior is the best for a sit­u­a­tion, it is smart to chose that behav­ior; if you do not, you are sab­o­tag­ing yourself.

So, if preg­nancy is in your head­lights, eat right, exer­cise, and be cau­tious about expo­sure to ill­ness and infec­tion. Wash your hands, use one of the hand cleansers, prac­tice safe sex (okay, so if you are try­ing to get pg, this may change, but in the meantime!).

We wel­come com­ments on what you are doing to be healthy for pregnancy!

Curl-up! Strong abs are part of physical fitness!

Curl-up! Strong abs are part of phys­i­cal fitness!

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Small Rant, Review, References & Coming Attractions

Small Rant — Women, their preg­nan­cies, births and moth­er­ing styles are all unique. The big issue in child­bear­ing these days is con­trol. Fear of los­ing con­trol, who con­trols birth (do YOU give birth or are you deliv­ered by oth­ers?), hav­ing the self con­fi­dence and skills to know when to let go of con­trol yet be okay. It’s inter­est­ing to hear what hap­pened to some­one else, but (here’s the rant part) this can often be fright­en­ing because — let’s face it — cat­a­stro­phe gets our atten­tion. What­ever you’ve heard, you still have to do it your­self. Preg­nancy, birth and par­ent­ing cre­ate a steep learn­ing curve.

Review — Our job at the DTP Blog is to help with the learn­ing curve through evidence-based infor­ma­tion. We are mov­ing along a path­way. Here it is, in a small ver­sion (see Feb. 5 for full ver­sion):
pregnancy_pathway

So far, we have dealt with Pre­con­di­tions (the Green items). If you under­stand what you can and can­not con­trol along your Preg­nancy Path­way it can help pre­vent you from spin­ning your wheels or wast­ing money. Some things are worth doing (self care, good food, exer­cise) and some are not (self-indulgence, tox­ins, stress). Pre­con­di­tions to preg­nancy — genet­ics, envi­ron­ment and behav­ior — are worth pay­ing atten­tion to if you are of child­bear­ing age and think or know you are mov­ing along this pathway.

Ref­er­ences - We have used hun­dreds so far and will use many, many more, but only some of you will find the sci­ence some­thing you want to pur­sue, so please go to our DTP web­site (use the Blogroll) for more infor­ma­tion on research in this field. Here are some texts that explain much more: “Women and Exer­cise” in Varney’s Mid­wifery (edi­tions 3, 4 & 5), Jones & Bartlett Pub.; Women’s Fit­ness Pro­gram Devel­op­ment by Ann Cowlin, Human Kinet­ics Pub.; and Immunol­ogy of Preg­nancy by Gil Mor, Springer Pub.

Com­ing Attrac­tions — next, we talk about con­cep­tion. Yes, this is an excit­ing part, though not per­haps why you think (!). It turns out con­cep­tion is fraught with many twists and turns.

Humor­ous incur­sion:
Q: Why does it take a mil­lion sperm to fer­til­ize just one egg?
A: Because none of them will stop and ask direc­tions.
[Sorry, couldn’t resist.]

After that we will likely rant and review again, have more humor­ous incur­sions, pro­ceed on to the preg­nancy and birth expe­ri­ences, then dis­cuss health out­comes for mom and baby in the short and long term.

Why do we spend our time on this? From a bio­log­i­cal per­spec­tive, humans can do noth­ing more impor­tant than cre­ate healthy off­spring. Wars may be fought, the banks fail or cars become a thing of the past; we might even become post-racial; but, hav­ing babies doesn’t really change. It remains a pri­mal expe­ri­ence. It’s nes­tled in a high tech world, but its still pri­mal. Women have always had guides; we take this role seriously.

Stay tuned!!

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Pregnancy Pathway, Preconditions — Environment

Please refer to Feb­ru­ary 5 entry for entire graphic. Today: Envi­ron­men­tal Pre­con­di­tions to Preg­nancy.
bubblus_preconditions-environment
Our envi­ron­ment is with us all the time. Even if we think we are pre­vent­ing or con­trol­ling envi­ron­men­tal fac­tors that impinge on our bod­ies and minds, they are lurk­ing here, there, every­where, and they are myr­iad. Our envi­ron­men­tal influ­ences are every­thing from the air we breathe to the per­sons who raise or teach us, from the food avail­able to our hous­ing, from our job stresses to cul­tural forces or even the weather in our part of the world. These things help shape who we are phys­i­cally and men­tally, over the long term and from moment to moment.

08-4Are you pre­pared to become a par­ent? One way to tell is to look at your environment…is it healthy? Are you liv­ing in a sit­u­a­tion that you can count on? What about clean air, safe paint or safe food? What about water? What about peo­ple around you? Are they sup­port­ive? Does your envi­ron­ment help you stay healthy?

What about your body? Fac­tors in the envi­ron­ment that affect fer­til­ity (or lack of it) may deter­mine if  you can even become preg­nant, or when you can become preg­nant. Think about this:  Women who work together often cycle together. What if you work alone, say at home…does this affect your ovu­la­tion? One fac­tor iden­ti­fied in the low­er­ing age of men­stru­a­tion in girls is the increas­ing num­ber of hor­mones in var­i­ous meats. Another fac­tor is the pres­ence of non-biologically related older males in the house­hold. If these things are known, imag­ine what is not known about sit­u­a­tions, chem­i­cals or peo­ple in our envi­ron­ment that affect our reproduction!

There is not an absolute sep­a­ra­tion of genet­ics, envi­ron­ment and behav­ior. If we are genet­i­cally pre­dis­posed to cer­tain dis­or­ders, for exam­ple, we may or may not develop them, depend­ing on envi­ron­ment. Some per­sons are inclined toward autoim­mune dis­or­ders, but they may do well or poorly depend­ing on the air pol­lu­tion where they live. Some indi­vid­u­als may develop immune dis­or­ders. And, this sit­u­a­tion may adversely impact inflam­ma­tory responses dur­ing implantation.

Peo­ple who strive to take care of them­selves even if they live in hor­ri­ble con­di­tions can use their behav­ior to improve their chances for suc­cess in every­thing from a healthy preg­nancy to a mean­ing­ful exis­tence. Even if genet­ics and the envi­ron­ment are against the process, behav­ior can some­times over­come the odds. Granted, it’s not likely you can pro­duce 6’5″ off­spring (see last post on genet­ics!) if the egg per­son is 5’2″ and the sperm per­son is 5’7″, but much is pos­si­ble beyond that.

So, what do you do about your envi­ron­ment if you are think­ing about becom­ing preg­nant? Take stock. Ask your­self what, if any­thing, might have to change. Ask what you can or can’t accept for your off­spring, if you know there are envi­ron­men­tal fac­tors that aren’t per­fect. Fetuses are amaz­ing crea­tures; the pla­cen­tas that sup­ply and defend them are ruth­less and will pro­tect a fetus at all costs. But, you can give your body and poten­tial baby a good chance to do well by pro­vid­ing a six month span of a healthy envi­ron­ment lead­ing up to con­cep­tion. And, healthy for mind as well as body.

When your baby comes into the world, a door opens in your heart to a room you didn’t even know was there. In that room is a cer­tain kind of love and car­ing that can­not be described. It is love for this being who is and isn’t you. As a mother, you have been her/his envi­ron­ment for nine months or how­ever long you have shared. The womb is a small, pro­tected, orga­nized envi­ron­ment, one that reflects your larger envi­ron­ment. So, take stock now, ahead of time.

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Pregnancy Pathway, Preconditions

Please refer to Feb­ru­ary 5 entry for com­plete graphic. Today we turn to the ques­tion of pre­con­di­tions to preg­nancy and how they might affect mater­nal and off­spring health.

Preconditions

Pre­con­di­tions

Pre-existing fac­tors that can influ­ence health out­comes include genetic fac­tors (fam­ily risk for heart dis­ease, for exam­ple), envi­ron­men­tal fac­tors (liv­ing in a build­ing with mold, for exam­ple), and behav­ior (eat­ing well and exer­cis­ing, for exam­ple). In each cat­e­gory, fac­tors will con­tribute to the health of the mother and even­tu­ally to off­spring health.

It is impor­tant to under­stand what major genetic fac­tors may affect your off­spring and whether the envi­ron­ment or behav­ior can help off­set neg­a­tive fac­tors. For exam­ple, there may be a his­tory of preeclamp­sia dur­ing preg­nancy in your fam­ily, but vig­or­ous aer­o­bic exer­cise in the six months prior to preg­nancy pro­vides a high degree of pro­tec­tion from this risk. Preeclamp­sia puts both mother and off­spring at risk for complications.

Other genetic fac­tors that may be of con­se­quence include autoim­mune dis­or­ders, aller­gies, and meta­bolic syn­dromes. For exam­ple, so-called “thrifty genes” may pre­dis­pose you to a high weight gain in preg­nancy. But, you may be able to off­set health prob­lems asso­ci­ated with this by stay­ing active and eat­ing well.

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Pregnancy Pathway, introduction

Please refer to the Preg­nancy Path­way chart in the Feb­ru­ary 5, 2009 entry. Dur­ing preg­nancy, there are some fac­tors within our con­trol and some that are not. The Preg­nancy Path­way, designed by Danc­ing Thru Preg­nancy® founder and Yale Uni­ver­sity Move­ment Spe­cial­ist Ann Cowlin, and Cer­ti­fied Nurse Mid­wife Robyn Bran­cato, is intended to describe the flow of fac­tors that influ­ence preg­nancy and its outcome.

In the weeks to come, we will focus on indi­vid­ual areas. Our goal is to help women under­stand how they can opti­mize their preg­nancy by focus­ing on what they can con­trol that results in ben­e­fi­cial outcomes.

Ann and Robyn are also found­ing mem­bers of the Women’s Health Fit­ness Insti­tute, a non-profit orga­ni­za­tion whose mis­sion is research and pub­lic edu­ca­tion out­reach in women’s health fit­ness. Our com­ments for this blog are based on sci­en­tific evi­dence and 30 years of track­ing indi­vid­ual preg­nancy out­comes from women through­out the world. Some entries will include ref­er­ences to the rel­e­vant studies.

By help­ing women under­stand what endeav­ors are effec­tive in pro­duc­ing ben­e­fits for moth­ers and their off­spring, we hope to aid moms-to-be and those con­sid­er­ing preg­nancy to be fully present and active in the empow­er­ing process of becom­ing a mother.

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