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Showing posts with label Coping with an Unplanned Pregnancy. Show all posts
Showing posts with label Coping with an Unplanned Pregnancy. Show all posts

Wednesday, April 27, 2011

Pregnancy Test Kit for Home

Wednesday, April 27, 2011
The first pregnancy test is easy to be done at home, than going to the doctor each time you get any symptoms of pregnancy. The task is made easy by the kit to test yourself of pregnancy.

Pregnancy test is what that will confirm whether you have conceived. Most women around the world are at a greater risk of ill reproductive health than anything else. Women, who are in the age group of 16-48 years, have lesser threats from diseases like tuberculosis, or respiratory infections or heart diseases. This is because women have risks that come with their pregnancy. There can be risks of childbirth, unsafe abortions and the like. Women are very prone to sexually transmitted diseases (or STDs), infections in reproductive tracts. As soon as you get symptoms of early pregnancy you must conduct a pregnancy test on yourself to be sure of it.

If you are tested positive by the pregnancy test there is a long way for you to go. The dedication of government, towards the voluntary, informed and the consent of citizens as they avail health care when they are pregnant, is affirmed by the National Population Policy (India), in the year of 2000. the government also have taken initiative to help the women in their family planning.

The MOHFW or the Ministry of Health and Family Welfare has introduced a pregnancy test kit (Nishchay) which is home based. They not only target to promote the pregnancy test home based kit, but also is an access point to family planning services. It sought to help the women who are looking for good and reliable RCH and FP services. There are certain important factors of concern that are addressed by these home based pregnancy test kit Nischay. They are:

* Due to a late detection a low percentage of women start ANC in their first trimester.
* Contraceptive Provision (IUD/Pill) not adopted at the right time, even after deciding not to go for any more issues.
* A high percentage of abortions take place which may be life threatening, as the detection of pregnancy was late.

Nischay, the home based pregnancy test kit helps the women to conduct the tests at home. This would also help the women to make good utilization of RCH and FP services. This pregnancy test kit is introduced in Indian states and the union territories. The first phase of the program was launched in ten states of high priority: Chattisgarh, Jharkhand, Uttarakhand, Rajasthan, Bihar, Madhya Pradesh, Uttar Pradesh, Assam, Nagaland, Mehghalay.

The demand generation of this home based pregnancy test kit is done through the platform of mass media. A lot of other forms of media like folk songs, dramas, dance dramas, and education are used as a tool to market this pregnancy test kit. The rural women have started realizing the benefits of early detection of their pregnancy, and thus this kit is hugely gaining popularity. Even the health care officers and doctors find it easy to offer treatment and guidance when the woman is detected as being pregnant in the initial stages.

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Wednesday, February 16, 2011

What are some reasons that a person might have an abortion?

Wednesday, February 16, 2011
The most common reason for an abortion is that the pregnant girl or woman doesn't want to have a baby. Other, less common, reasons might be that the fetus isn't developing correctly (for example, it might have Down syndrome) or the pregnant girl or woman might have health problems that make pregnancy very dangerous to her health.

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Thursday, February 3, 2011

Is it true if you pee or wash your vagina after sex you can prevent pregnancy?

Thursday, February 3, 2011
No it is not.

Let's dissect this so that you understand why not.

You don't urinate from within your vagina, but rather from your urethra, a very small, barely visible opening on your vulva between your vaginal opening and your clitoris. To get a better idea of what I'm talking about, have a look at the first illustration here: Pink Parts - Female Sexual Anatomy.

During vaginal intercourse, if a partner ejaculates, that ejaculate is going into or around the vaginal opening, and then the sperm in that semen move up through the vagina into the cervix. Urine doesn't go anywhere near your cerix nor into your vagina, so it can't wash away semen. It also, for the record, can't wash away any viruses, bacteria or parasites when it comes to sexually transmitted infections.

In terms of washing, again, when we wash our genitals, we wash the outside: our mons, outer labia, inner labia, maybe right around our anuses. Even if you try and wash the inside or douche -- which is always a bad idea, and it can cause imbalances in the vagina which can lead to discomfort or infection -- water, soap or a douche solution isn't going into your cervix. Sperm swim fast. Even if you did an Olympic sprint to the bathroom after sex to try and wash out your vagina, you couldn't beat them to the punch.

The opening to the cervix (and you saw where that is if you read the whole of that article I linked you to: it's the neck of your uterus that juts into the very back of the vagina), is incredibly small. Part of why that is is to protect your reproductive organs. If that opening wasn't small, it'd be really easy for us to wind up with cervical or uterine infections that made us infertile and very ill. It's too small for water, but not too small for sperm, which are microscopically teeny-weeny. After ejaculation, they head through the vagina, through the cervix and into the uterus, not inside the vagina, seeking out or trying to fertilize an egg. Urine or water from washing can't get into your uterus.

For more information on how pregnancy happens, check this out: Where DID I Come From? A Refresher Course in Human Reproduction.

If you want to prevent pregnancy and have vaginal intercourse, then you need to use a reliable method of birth control that is highly effective. Condoms are a very easy method for anyone to find, afford and use and when used properly, are very effective. They also protect you from sexually transmitted infections. Other options are female barrier methods -- like a diaphragm, which blocks the entrance to the cervix -- or hormonal methods -- like the birth control pill, which changes your fertility cycle continuously so you don't release eggs to be fertilized, and so it's tougher for sperm to get to the cervix in the first place. You can talk to your doctor or healthcare provider about any of these methods, and figure out which is best for you.

And if you or your partner aren't ready to deal with any method of birth control? Then if you don't want to become pregnant, the only right choice is to abstain from sex until you both ARE ready.

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Tuesday, January 25, 2011

Ovulation Cramps

Tuesday, January 25, 2011
Fourteen days after the menstrual cycle is over, eggs are released from the ovary and this phase is known as ovulation. A woman can know about her ovulation from various ovulation symptoms that may develop in her body. One of the most important ovulation symptoms is developing a cramp in the body. There will be some pain due to cramp and it will mainly occur in the abdominal region of the woman. The duration of this pain may vary across different patients and it may last for few hours to two days.

If the abdominal pain occurs and if it is found to be continuing, then you can follow some natural remedies which can give you relief from the pain. First of all, when ovulation symptoms develop, one may feel that the urge to drink water has gone down to a great extent. So, one can feel quite relieved by taking eight or ten glasses of water everyday. Water will keep the body well hydrated which will give the woman a great relief from cramp pain.

If you have got heating pads at home, you can also make well use of that. Just place the heating pad for no more than 15 minutes in the abdomen. Slowly you will feel that the pain from the cramp is going down. You will feel a soothing effect at the place of the pain.

There is no reason to get worried if you do not have heating pad at home. You can sit in a tub filled with warm water and take hot water bath.

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Tuesday, September 14, 2010

Pregnancy Test

Tuesday, September 14, 2010
Strange subject for a child page
No, not at all. Who wants to be pregnant is usually keen to know as early as possible, whether you have worked or not. This leads not infrequently to the corresponding application errors and disappointments. So here is some info on the function and use of pregnancy tests.

How do pregnancy tests?
A pregnancy test detects the hormone hCG, which is produced from an embryo taken root. The hormone is exclusively produced by a pregnancy. It is possible this hormone in blood and urine.

Urine
The urine tests are less sensitive than a test from the blood as achieved, the concentration of pregnancy hormone in urine, the blood levels only after a lag of two days. Therefore, one can
perform a urine test is reasonably well until the day of the absence of rule, that is less than 14 days after ovulation. For only then are the concentrations in the urine is high enough for a reliable test. This is indicated by reputable manufacturers of pregnancy tests out explicitly.

So-called Frühtests or pre-tests are never reliable, and should not be performed if you want to have a reliable result. As the morning urine is more concentrated than the urine during the day (due to fluid intake diluted), for such a test morning urine should be used.

The tests usually consist of a control strip that changes color every time the test is usable (eg not
yet expired) and the actual test strip, which reacts specifically to the hCG. Thus if both color strips, then this means that first the test is working and 2 a pregnancy. The result is a yes / no result. The amount of urine contained hCG can not be determined, however, the test strip of the more intense the higher the concentration of the pregnancy hormone is.

Blood test
In this test directly determines the concentration of hCG in the blood. So I can not specify exact levels of the hormone. Theoretically, the evidence from the blood is already quite possible one week after ovulation or the puncture of the egg cells. But at such an early date the statement is too vague, so the earliest reasonable time after ovulation seems to be for such a provision for 12 days. Usually people wait 14-15 days after ovulation. In a test tube fertilization, the calculation refers to the day of puncture, which corresponds to the ovulation.


Other pregnancy signs
Reliable other signs of early pregnancy are not. Only in the late 5th Week of pregnancy (Pregnancy Calendar) can pregnancy be detected by ultrasound. Until then the pregnancy is detected, therefore only through the blood or urine and, therefore, a so-called biochemical pregnancy.

Error

  • As hCG and ovulation-inducing hormone (LH) biochemically very similar, it can at the time of LHPeak, so come the rise of this hormone to a positive test. Conversely, one with test strips to Ovulationsnachweis hCG detected in the urine, they should not be exploited as pregnancy tests. They are too unreliable.
  • It is often a hormone treatment in the second half of the cycle yet given hCG to trigger ovulation at first, later to support the luteal phase. If the distance is such a hiss and a test injection of short (one week or less), then there is a positive result, even though no pregnancy.

Dilemma of the "hold"
After a fertility treatment one would naturally like to know as early as possible, whether it "worked". Not only after a fertility treatment even among those couples who try naturally (which is often forgotten here in the forum) on hold after ovulation / sex with a lot of patience is to be seen. If, however, so a urine test at a very early stage, then this is either a positive one and ponders whether this is possibly the remains of an hCG injection, or it is negative and it is hoped that it is so due to the early stage .

In a child forum you have very rarely seen women who made a test and then did not start to brood of such. Therefore, there exists the sometimes legitimate view that 'pee tests are stupid. " This is certainly unfair to those tests, as they for the early stage of their deployment so can anything. Here is a table showing the average hCG values (from the blood) in early pregnancy.


HCG table. Normal values in early pregnancy
Time value of normal range















To assess whether the pregnancy is intact, so much the absolute HCG values of significance, but the increase of the hormone. They say most of that was to take place at the beginning of a pregnancy, a doubling of blood every two days.

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Wednesday, April 28, 2010

My partner and I have been trying for a baby, and I'm a few days late. This morning I saw small spots of blood when I went to the toilet. Is this my p

Wednesday, April 28, 2010
It's impossible to say for sure at this stage. If your period is usually right on schedule and you are now late, you might well be pregnant. On the other hand, it's not uncommon for women to get their period a few days late sometimes.

If the suspense is too much for you to bear, consider taking a home pregnancy test. Pregnancy tests detect the presence of human chorionic gonadotropin (hCG), a hormone produced around the time the fertilised egg implants in your womb. Your hCG levels rise sharply thereafter.

Home tests are able to detect fairly low levels of hCG. It's best to do them with your first urine of the day because it's more concentrated, so should contain more hCG. Follow the directions carefully, and you might get a result this early. If you get a negative result, but your period still doesn't arrive, you might want to try doing another test after a few days.

Lots of women have pregnancy symptoms early on, though not usually until two weeks after a missed period. Sore, tingly or tender breasts may be your earliest indicator of pregnancy, although some women feel this way before each period. Nausea and fatigue are other common pregnancy symptoms, and so is a need to wee more frequently.

It is thought that implantation (when the embryo attaches itself to the lining of the womb) can sometimes cause spotting. One small prospective study, of 151 pregnant women in the US, found that nine per cent of women had at least one day of bleeding in early pregnancy (Harville et al 2006). The authors of this study concluded that bleeding was associated more strongly with the day when a woman's period was due, rather than implantation.

If you have other symptoms, such as a one-sided pain low down in your tummy, see your midwife or doctor immediately; you could have an ectopic pregnancy (when the embryo implants in the fallopian tube rather than the womb). Bleeding with abdominal pain may also be a sign of an impending miscarriage, but that certainly isn't true in every case.

Finally, it's possible that the blood you saw may have nothing to do with pregnancy. Your cervix could be inflamed and bleed easily, especially after cervical smears, internal examinations or sex. Or you may have an infection. Either way, it's always important to report any bleeding between periods or after sex to your doctor.

If you do get your period and haven't yet scheduled a pre-pregnancy visit to your GP, consider doing so now. She will examine you and take you and your family's medical history to identify any potential problems or genetic risks. She can also check that you are immune to rubella (which can be harmful to newborn babies) with a simple blood test.

Use this time to re-evaluate your lifestyle; smoking, drinking, and drugs are not compatible with pregnancy. On the other hand, exercise and a good diet will help you now and throughout your pregnancy.

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Sunday, April 25, 2010

Improve your chances for embryo implantation

Sunday, April 25, 2010
Here are the factors that affect embryo implantation:

1. oocyte (egg) quality
Implantation is more likely to occur when a healthy embryo is present, and the best predictor for a healthy embryo is a healthy egg. Egg quality comes from a number of factors.

2. sperm quality
We now know that paternally imprinted DNA is disproportionately expressed in developing placental tissue. In other words, sperm quality matters a lot when it comes to implantation. For a successful pregnancy, sperm should have stable, well balanced DNA.

What you can do:
There are many ways that sperm quality can be maximized. Antioxidant vitamins are a popular intervention.

3. Embryo quality
Embryo quality is a reflection of both egg and sperm.
If you are doing an IVF cycle, embryo quality can be determined by grading systems. The embryos most likely to continue to develop will have 6, 7, or 8 cells by day 3 of development in the lab.

If you are considering a frozen embryo transfer (FET), embryo quality is also a reflection on the laboratory’s freezing-and-thawing success rates. In general, FET cycles have a pregnancy rate of one-quarter to one-half that of fresh cycles, but the rates vary by clinic. Embryos may be frozen with the traditional slow-freeze protocols, or with the new, flash-freeze vitrification methods. There is still some debate as to which is better.

What you can do:
Maximize egg and sperm quality before you start treatments.
Consider a repeat fresh IVF cycle instead of multiple frozen cycles.

4. The number of embryos transferred
There are some suggestions that embryos help each other to implant. In other words, the more embryos that you transfer, the greater the chance that each one will stick

What you can do
Be very careful with this one. The movement in our field is away from multiple-embryo-transfer, not towards it, because the risks associated with multiple pregnancy are very real. Some clinics even advocate for elective single embryo transfer.

But if there are other impediments to implantation -say, embryo quality is a known concern- then our standard of care is to transfer multiple embryos in the hope that one will take.

5. The woman’s overall health
Tests commonly ordered as part of the overall health screen include thyroid function and prolactin levels.

Depending on your situation and family history, you may also be screened for other systemic diseases that can affect implantation. For example, we might look to rule out diabetes, autoimmune conditions such as elevated Natural Killer cells, a pre-disposition to hypercoagulability, markers for celiac disease….and many more.
If you and your immediate family are otherwise healthy, many of these tests are not routinely offered.

What you can do:
Eat well, exercise moderately, don’t smoke, and continue seeing your family doctor for annual checkups even when under active fertility care.

If you have or suspect a specific medical condition, ask your doctor if further testing is warranted.

6. Shape of the uterus and fallopian tubes
Some women have an anterverted uterus, some women have a retroverted uterus. Both are fine: the terms simply refer to which direction your uterus tips. Of more importance, we need to confirm that the uterine cavity is a normal size and shape for implantation to be successful.

To confirm the structure of your uterine cavity, the gold standard of imaging is a 3-dimensional sonohysterogram. Hysteroscopy (surgery) may also be suggested when necessary. Indications for hysteroscopy include fundal polyps, impinging or submucosal fibroids, and/or a uterine septum extends 10mm or more.

The shape of your fallopian tubes should be confirmed by ultrasound, a hysterosalpingram, or (less often) surgery. I also screen for chlamydial antibodies, as a history of this infection can affect tubes. We know that dilated tubes (”hydrosalpinges”) may compromise implantation, and we sometimes suggest that they be surgically removed before IVF.

What you can do:
Make sure that you have had all the imaging tests available to you updated before starting your treatments.
If your doctor suggests uterine surgery, a second opinion may be warranted. But don’t be too hesitant: the surgery is often a day procedure, and the benefits can be profound.

7. Lining of the uterus
We look at the uterine lining itself, to judge whether or not implantation may be expected. The endometrial lining can be assessed in the following ways:

Appearance on transvaginal ultrasound
An ideal lining will be at least 7mm thick on day of ovulation trigger (HCG).
Ideally, it will also have a “triple line” appearance (an ultrasound finding that denotes a good response to estrogen).
After ovulation, the endometrium compresses somewhat, and the triple-line pattern will be less distinct. These are normal findings.
Luteal endometrial biopsy
An endometrial biopsy is not part of every cycle, but it may be done in the luteal phase of a cycle before IVF, in an effort to confirm that the implantation window exists.

This “window” describes the idea that the lining itself is only receptive to embryo implantation for a short period of time. Various markers for this implantation window have been identified, including histologic appearance & grading, specific findings seen only by electron microscopy, and the staining for various markers that are thought to be associated with implantation.

Probably the best tests for the markers of implantation are being run by Dr Harvey Kliman, associated with Yale. He calls his set of tests the “Endometrial Function Test (EFT)”. I offer the EFT through my office in partnership with Dr Kliman.

But even the EFT is less than ideal. We simply do not know what all the markers are for implantation. This causes great frustration for patients and clinicians alike, for sometimes we suspect a small, or even absent, implantation window yet cannot prove it. In the end, the EFT alone cannot predict implantation failure or success with 100% certainty.

What you can do:

When endometrial thickness is concerning low (the lining is never more than 6mm thick), you should talk to your fertility doctor, for management is highly individualized. Many authorities recommend a BMI of >18.5; a healthy lifestyle that involves no smoking and limited caffeine; and ask that you consider red meat to be part of your diet. Supplemental estrogen is regularly used and acupuncture may also be suggested. But as I said: you should really speak with your doctor.

If you have irregular cycles and a tendency towards a thick lining (>12mm), you might benefit from an endometrial biopsy to rule out hyperplasia.

Even if the EFT is limited, the very act of getting an endometrial biopsy may help with implantion. The proper studies have not yet been done to support this statement, but many smaller ones suggest that implantation may be boosted by as much as 20% in some cases. For more, see this Globe & Mail article.

8. Embryo transfer technique during IVF
In an IVF cycle, embryo(s) selected for transfer will be collected into about 0.020cc of fluid and inserted into the womb. The process of insertion is highly physician dependent: this means that it matters who does your embryo transfer. The following issues will be considered by your doctor:

(a) Transfer medications like progesterone, antibiotics, and steroids.
(b) Cervical preparation
(c) Use of a tenaculum
(d) Catheter type
(e) Ultrasound guidance
(f) Post transfer instructions

What you can do:

Work with a doctor, and a clinic that you trust implicitly. Embryo transfer is very important. Some physicians suggest a mock transfer prior to the IVF cycle itself. It has been my experience that the uterus is lying in a slightly different position every time. In other words, the mock transfer did not help as much as I would have hoped for. I now judge the value of a mock transfer on a case-by-base basis.

9. Luteal Support
We support the luteal (post ovulatory) uterine lining with progesterone whenever we are worried about natural progesterone levels. Progesterone may be taken orally, intramuscularly, vaginally, or rectally.

Other medications that you may read about for the luteal phase, and into early pregnancy, include estrogen, ASA, dexamethasone, Fragmin, Lovenox, IVIG, HCG, and others. We are very cautious here: some of these medications have side effects that, in some circumstances, could be of real concern to you 0r your baby.

What you can do:

Talk to your doctor. The medications that you take in the luteal phase, and into pregnancy, must be compatible with bringing a healthy child into this world. That said, the ideal balance will keep your endometrial lining stable. If you find that you consistently have your period before the planned pregnancy test day, your luteal support may need to be re-examined.

10. Lifestyle
You need to minimize caffeine, quit smoking, and avoid alcohol. Intercourse during the “two week wait”? I believe it to be fine, but I would ask your doctor, as everyone has a different opinion on this subject.

Conclusions

To be successful, your clinic must focus on implantation. Many protocols and techniques are well standardized across fertility clinics, but implantation standards are not. Consequently, there remain great differences in implantation rates between clinics, and between doctors.

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Tuesday, April 14, 2009

Coping with an Unplanned Pregnancy

Tuesday, April 14, 2009
Perhaps you are secretly glad that fear to say, but your man Maybe you're not married, and fear of motherhood alone. Maybe you do not want more children, and the prospect of another child is the worst thing you can imagine now. There are many scenarios that are up to unplanned pregnancies. Errors in sentencing happen, condoms break, birth control pills, even Tubal League Center and vasectomies not.

When the first shock to discover that you are pregnant, you have some difficult decisions to face. Would you like this pregnancy, how can you tell your friends and family, how do you do with the emotions and stresses that people on you. The first thing you should do is try not to panic. Although this may be an extreme hardship, in reality you will have time to make a decision. Try to take some time for yourself and about your options. They are not the first parent is not thrilled at the news of a new baby. Try not to beat yourself. Responsibility for your actions but wallowing in guilt is not helping the situation. Before you apply for any of your decision, take some time to decide what you want to do. If you do not want this child, an abortion, or an assumption is that your decision and talk to someone about the situation may cloud your mind. Yes, your partner, you may wish to participate in decisions, ultimately, you are a person you have to live with your choices. Try to make some plans in mind about what you want to do before you talk with everyone.

When you have time to think about things, and collect yourself, you can some advice from friends, family, or perhaps a minister. Find someone who you know will support your decision to trust in. They need help at this time. You do not want to be surrounded by people who found you on your mistakes or pressure you to do what they want. Surround yourself with a group. If you do not have one to help you from supporting groups in this situation. If you do not have plans to get an abortion, you can use to control groups, such as this and perhaps find a faith support group.

Finally, some people. You do not need to tell anyone and you can tell people about it in your own time. Your partner may not be the first person you want to say and that is okay. When you are ready, a time to sit down and talk with him. The longer you are with him, the more difficult it becomes. Sometimes it's easier to say earlier, and led him to the situation than to wait for him and not tell him angry before. Regardless if you think he is unhappy is difficult to tell him the news. Prepare yourself for the reactions and when you're ready, just him. There are no right words to say. Try to avoid guilt or blame. This situation does not happen with just one person. It is not all your fault or all his fault. It is a joint responsibility that the two of you to do.

If your partner, friends and family are initially not support that's okay. It is not their life or their pregnancy. You are not those who have to live with your decision. You are. Try not to let unwanted comments get to. You can use humor to ease the mood. If you are excited about this and they are not, to share your enthusiasm. You can use I statements to let them know how you feel. If others do not respect your decision and has nothing positive to offer, you can simply explain that the discussion is off limits and refuse to talk about it with them. Whatever your choice may be, in the end it is your decision.

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