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!!

Posted in Fitness Instructors, baby, pregnancy | Tagged , , , , , , , , , , , , , , , , , , , | Leave a comment

Pregnancy Pathway, Pregnancy — Maternal Immunological Response

Today: Mater­nal Immuno­log­i­cal Response…or…the Mother/Fetus Dance!

Maternal Immune Response During Pregnancy

Mater­nal Immune Response Dur­ing Pregnancy

Back to work! Thank you for your fore­bear­ance while we wrote a chap­ter for a nurs­ing textbook!

Dur­ing the course of preg­nancy, the mother/fetus dance is ongo­ing. The mater­nal immune sys­tem and the tro­phoblast cells con­tinue to influ­ence each other even beyond the implantation.

Because the mother’s immune response mod­u­lates near the start of each trimester, the fetus is affected to some degree and mounts a response, as well. For a long time it was thought that mater­nal and fetal DNA mate­r­ial was not exchanged across the pla­cen­tal mem­brane, how­ever recent find­ings indi­cate that there is some exchange of mate­r­ial. Thus, we all carry some por­tion of our mother’s DNA and our mother car­ries some of ours.

What is the impact of this chimeric effect? It depends on how well our DNA gets along!

How does this affect the fetus in utero? The fetus may be affected by clot­ting issues. Depend­ing on mater­nal health sta­tus s/he may be sub­ject to a stronger or weaker immune system.

How does this affect the mother? Women are more likely than men to develop autoim­mune dis­or­ders (preg­nancy play­ing a role here), and those who bear male off­spring are more likely than those who only have girls to have these disorders.

The maternal/fetal dance goes on.…

Be Prepared for Birth!

Be Pre­pared for Birth!

Posted in 1, Genetics, Pregnancy Pathway, fetus, placenta, pregnancy, trophoblast | Tagged , , , , , , , , , , , | Leave a comment

Pregnancy Pathway, Conception — Prior Sperm Exposure

Today:  Sperm!!!

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

The mother's prior sperm exposure can affect her pregnancy.

The mother’s prior sperm expo­sure can affect her pregnancy.

Not every sperm is your friend! Sperm expo­sure — like so many expo­sures — affects our immune sys­tem. Women who have babies with more than one father may be at risk for dis­or­ders of preg­nancy because the chal­lenges to their immune sys­tem have been exten­sive. And, very young women who become preg­nant are at increased risk of some dis­or­ders because they have had very lit­tle expo­sure to sperm.

In addi­tion, women who have pri­mar­ily and exten­sively used bar­rier meth­ods of con­tra­cep­tion may be at risk for dis­or­ders for rea­sons sim­i­lar to young women with lit­tle expo­sure. Unlike women whose immune sys­tem has had too much chal­lenge due to preg­nan­cies by sev­eral men, women with lit­tle expo­sure may not have a strong defense against for­eign DNA. Please do not take this as a rea­son to not use a con­dom — one of the bar­rier meth­ods along with a diaphragm and cer­vi­cal cap. Rather, if you use a bar­rier method of con­tra­cep­tion, keep in mind that your body’s adjust­ment to preg­nancy may take time.

For more infor­ma­tion on bar­rier meth­ods, to go the Amer­i­can Col­lege of Obste­tri­cians and Gyne­col­o­gists’ online pam­phlet: ACOG Pam­phlet on Bar­rier Con­tracetp­tion.

Another way sperm can affect the preg­nancy is that the com­bi­na­tion of the mother’s and father’s nat­ural immune responses may be strong against the tro­phoblast implan­ta­tion. This is not some­thing  you can know ahead of time. Also, women are eight times more likely than men to develop autoim­mune dis­or­ders. One rea­son may be the pre­na­tal expo­sure to for­eign DNA encoun­tered in pregnancy.

Keep in mind that by get­ting good pre­na­tal care, exer­cise, suf­fi­cient rest, stress man­ag­ment and healthy nutri­tion, you do all within your power to have a healthy preg­nancy. Your health care provider will deter­mine your risk fac­tors that may affect preg­nancy out­come and treat you in an appro­pri­ate manner.

Moms and babies enjoy exercise together!

Moms and babies enjoy exer­cise together!

Once your baby comes, there will be time to max­i­mize health for both of you. Exer­cis­ing together is great fun!

Get­ting there may require some patience, but the reward is well worth it.

When you are look­ing around for sperm, use your head. The same behav­ior that pro­tects you from infec­tions you never want to get, pro­tects you from sperm you don’t really want to meet. When the time comes to adopt some sperm, find out about it’s credentials!

Posted in Genetics, baby, conception, exercise, trophoblast | Tagged , , , , , , , | 1 Comment

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!

Posted in conception, exercise, pregnancy | Tagged , , , , , , , , | 3 Comments

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!!

Posted in 1 | Tagged , , , , , , , , | 2 Comments

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.

Posted in Pregnancy Pathway | Tagged , , , , , , , , , | Leave a comment

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.

Posted in Pregnancy Pathway | Tagged , , , , , , , , | Leave a comment