pregnancy

To fight against teenage pregnancy, the president of the Poitou-Charentes wants to help high school students to finance their contraception and regret that the Ministry has not yet approved.

Why is the area she decided to fund contraception to young girls?
In Poitou-Charentes, 455 underage girls were pregnant in 2007 and only 30 to 40% of these pregnancies were carried to term. Furthermore, if the regional rate of voluntary termination of pregnancy (abortion) is below the national average among women aged 15 to 49 years (11.1 per 1 000 women against 14.5 on the whole in France 2006), it is higher among girls 15 to 17 years.

The president of the Poitou-Charentes, Segolene Royal, who is responsible for access to emergency contraception in the schools, wanted to go further in preventing teenage pregnancy. “We conducted an in-depth work with associations, parents, teachers, school nurses and physicians to develop an intelligent tool,” says she Cross.

Specifically, the “check contraception,” an amount of 82 € must allow minor girls to finance a medical consultation, blood tests if needed and the purchase of contraceptives over a period of six months .

This should be implemented in schools by school nurses and training centers for apprentices or rural family homes and through associations. With a budget of 300 000 € by Regional Council, the scheme provides co-funding by the Academy of Poitiers for the mobilization and training of school nurses.

This arrangement aims to facilitate access to contraception for young girls in confidence. “If the prescribing and dispensing of contraceptives are no longer subject to parental authority since 2001, only planning centers and family education permit issued anonymously and free, while consultations with practitioners involve an advance of funding and support by the parents ’social security’, says one of the region, noting that demand for “morning after pill” is steadily increasing in schools. About 1 000 requests from school nurses have been recorded on three school years.

When this device will he put in place?
Voted in March by the standing committee of the region for entry into force in the autumn 2009, the check contraception has not yet been implemented in the schools of the Academy of Poitiers.

According to Segolene Royal, the Ministry of Education refuses to endorse the implementation of this device. “It is outrageous that the Ministry is blocking this issue,” says the president of the regional council, which claims to have conducted a “substantive work with multiple partners in education for many target things.”

Without agreement with the rectory, the Region said that checks and contraception information posters will still be sent to schools next week, “including vocational schools that are particularly affected by the phenomenon.

The education minister, Luc Chatel, expressed its strong opposition: “We’re dealing with juvenile students. Parental authority is something that matters. The National Education does not substitute for family planning, only allowed to prescribe contraceptives to a minor child. ”

“In each school, is a board of health education and citizenship, with our personal health of Education, provides advice to students regarding sexuality,” continued the Minister.

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Some people want to do a DNA paternity test during pregnancy. Know that this is possible but not without risk.

Indeed, a paternity test during pregnancy means that you take cells directly into the womb, which can cause miscarriages. It’s the only way I would therefore strongly discourage you from this type of testing because you can make from the birth of the child and without any risk to his health.

Finally, if you still want to do a paternity test before birth, know that you’ll have to go directly in the laboratory to take a DNA sample of the baby because you can not do it alone (because the cells of the child for the test are obtained from a syringe, where the risk of miscarriage)

Analgesics may cause malformations in pregnancy

Consumption during early pregnancy containing opioid analgesics such as codeine, oxycodone or hydrocodone, may increase the risk of birth defects in children.

That’s the conclusion of a study conducted by the Centers for Disease Control and Prevention U.S.

The research, published in American Journal of Obstetrics and Gynecology (American Journal of Obstetrics and Gynecology), analyzed the records of some 17,500 women who participated in the National Study for Prevention of Birth Defects.

According to scientists, although the increase was observed is relatively small, between 2 and 3% – found an association “Consistent” among mothers who took opioids in the first months of pregnancy and birth defects in their children.

Serious disorders

Research, the largest ever conducted on the effects of analgesics during pregnancy was conducted among mothers who gave birth in ten states across the country between 1997 and 2005.

We found that among the 17,449 women whose babies showed a birth defect, 454 (2.6%) reported having used some type of opioid drug a month before becoming pregnant or during the first three months after conception.

Among the drugs most commonly used by participants included codeine and hydrocodone (Vicodin).

And the principal was observed congenital hypoplastic left heart syndrome, in which the left side of the body fails to develop fully.

This was followed by spina bifida, in which the neural tube fails to fuse and the spinal cord is bare bone, gastroschisis, in which the intestines develop outside the abdomen, hydrocephalus, cerebrospinal fluid accumulation in the brain, and congenital glaucoma, a form of blindness.

According to investigators, “Women who took prescribed opioids, just before or during the first months of pregnancy showed nearly twice the risk of having a baby with hypoplastic left heart syndrome than those who did not use these drugs”.

According to the CDC, congenital heart disease is among the most common birth defects. Only in the United States the disease affects about 40,000 babies each year. Most of them die during the first year of life and those who survive must undergo numerous surgeries and hospitalizations.

Researchers believe that the rates of birth defects associated with the use of opioids may be higher due to illicit or prescription of these substances.

“It is important to recognize that the increased risk of some types of congenital diseases due to exposure to opioid analgesics in relatively modest “Says Dr. Cheryl Broussard, who led the study.

“However, due to the serious and life threatening diseases such as congenital hypoplastic left heart syndrome, prevention of even a small number of cases is very important.”

“Ask your doctor if you are pregnant or plan to become pregnant and have taken or are considering taking any medication, whether prescription drugs, over-the-counter and dietary or herbal products,” advises Dr. Broussard.

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The choice of contraception varies depending on the period of life. Age, emotional situation, health status, lifestyle and having or not children’s needs change. If the pill is still today the most widely used contraceptive, they are growing after several years of use, to turn to alternative methods.

Criteria to consider in making the right choice

Your doctor or gynecologist will be your best advisor. Together, you can take stock of contraception that best suits your situation, according to a certain number of factors:

- The age plays its role according to whether one starts his sex life or that one approaches the quarantine. Diaphragm or progestin-only pills are also recommended for women over 35 years because they dismiss the risk of breast cancer and cardiovascular disease;

- The emotional situation is critical because the needs are different depending on whether you live with your partner or you are single with casual sex, frequent or multiple partners. In this latter case, the condom itself as the safest method;

- The health: The choice of contraception must be established with your doctor who will prescribe a method without indication-cons with your condition and your treatment;

- The breastfeeding: It is as a contraceptive that is exclusive. It becomes more when the food the child is diversifying. In this case, you can use an IUD (intrauterine device) or implants safe passage of hormones in breast milk;

- The Lifestyle: The pill-cons may be appropriate if you travel often or if you tend to forget. Diaphragm implants or patches may substitute advantageously.

If you smoke, pills to estrogen-cons are indicated because of the risk of venous thrombosis and embolism.

Hormonal contraceptives

The hormonal methods contraception prevent ovulation by releasing the body of synthetic hormones, similar to estrogen and progesterone occur naturally in the body.

The pill is very effective provided it is taken without forgetting! There are two kinds or combined estrogen and progestin pills containing both hormones and pills that do contain a progestin. They are issued in order, from 2 to 15 euros per month and reimbursed. See our article on good habits to have in case of forgetting Pill.

The implant remains effective for three years. Inserted under the skin under local anesthesia, it can be removed by a doctor at any time. It is obtained by prescription for about 160 euros and is reimbursed at 65%.

The IUD or hormonal IUD: is inserted by a doctor into the uterus and can remain there for 5 years. His action prevents the sperm cross the cervix. It also tends to reduce the duration, size and period pain. It must be obtained on prescription. This device costs around 125 euros and is reimbursed at 65%.

The patch is glued to the skin by its user and must be renewed each week. It stops after three weeks of use, causing the arrival of the rules. Its prescription costs 15 euros per month and is not reimbursed.

The vaginal ring arises in the vagina like a tampon and remains in place three weeks, after which its removal causes the rules. It is prescribed prescription for 15 euros per month, without refund.

Mechanical

They prevent fertilization by blocking the passage of sperm into the egg. There are several types of contraception:

- The male condom: Made of latex, it is at the start of sexual intercourse and must be kept until the end, being careful not to spill during removal. It is for single use is not repaid. It is marketed prescription from 20 cents each;

- The Female Condom: It is a flexible ring that is placed in the vagina several hours before intercourse. It should only be used once. It is found in prescription from 8 euros for three condoms. It is not reimbursed;

- The cervical cap and diaphragm: Placed in the vagina before intercourse, it prevents the passage of sperm. A doctor or midwife will learn to place them. They are only available on prescription from 33 euros and are not reimbursed.

Other contraceptive methods

There are alternatives for contraception:

- IUD or Copper IUD: It renders the sperm inactive after being placed in the uterus by a doctor. Its action can last for 10 years. It is calculated on order, is about 30 euros and is reimbursed at 65%.

- The spermicides: As egg, sponge or gel, they destroy the sperm. Considered unreliable, they are mostly used in addition to another contraceptive. They are sold from 7 euros without a prescription and are not reimbursed;

- The Natural Methods: They are based on observation and identification of the period of ovulation, so to avoid having sex to pollinators that time. Withdrawal, Ogino, Billings … these techniques are reserved for women who are very familiar with their bodies and are willing to accept, more or less long term a pregnancy.

- The sterilization: Tubal ligations and endoscopic methods are final types of contraception and are within a strict framework in the presence of doctors and after several months of action. Vasectomy for men, it is performed under local anesthesia: after three months the man has no active sperm.

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If a woman has been diagnosed with ulcerative colitis, it is important to know some issues in relation to pregnancy. please note the following tips for your ulcerative colitis and pregnancy treatment:

1. Their treatment and their disease may affect pregnancy, and pregnancy may modify the symptoms of his illness. At various points in the same (high activity, treatment with certain drugs such as methotrexate,) should not become pregnant. You must tell your doctor if you intend to become pregnant.
2. If you do not want to get pregnant, your doctor decides which method of birth control should be used with preference.
3. If you have become pregnant, immediately consult your doctor whether you can continue with your treatment or should stop.
4. If you are pregnant, please quote with your specialist ulcerative colitis even though it is well to plan monitoring and, if necessary, prepare information to take to the gynecologist.
5. Your gynecologist should know your complete medical history.
6. During pregnancy, it should cover possible deficiencies in vitamins, iron and other minerals, .
7. During pregnancy, an outbreak should be addressed even faster than if you were not pregnant.
8. It is desirable that the delivery is planned at a center that could pay attention to the child if the child was premature or had low birth weight.
9. You should ask your doctor about breastfeeding before you reach the time of delivery

The decision to have a child is always conditioned by multiple factors, not always rational and probably different from one individual to another. comprehensively analyze would be difficult and beyond the scope of this work, although we must also bear in mind that pregnancy with multiple sclerosis has physical and emotional implications, may influence the both positively and negatively. The disability can lead to disease and in any case, the mentality of the disabled of their limitations, can be an obstacle in the decision on a possible motherhood but, in response, may also be a stimulus to conduct a maternity and test their own femininity, denied on a social level.

Like anyone else, we also see people with multiple sclerosis are important to have the opportunity to choose freely and consciously.

This means, first, to understand and clarify to himself the reasons that lead to a particular choice and be aware and be informed about the changes that consequently experienced.

The relationship with your partner

The impact caused the birth of a baby in the couple in which one member is disabled is the same as any other couple. The period before birth, and then the discovery of the role of parenting, can sometimes lead to greater collusion between the couple, who are sharing daily in changes during pregnancy and then changes itself son. The mixture of joy and worry, waiting for the birth, the couple held each other: first, the mother finds support for the changes you are experiencing (physical and psychological), while the future father comes to perceiving through its partner, the strong emotions of motherhood.

However, we can say that the quality of the couple’s relationship reflects, perhaps amplifying some characteristics, the relationship previously described. However, pregnancy can be the occasion to seek a new balance within the couple, the birth of a child implies a restructuring of family dynamics precedent and common attitudes can be discovered previously.

Perhaps the most important aspect for pregnancy with multiple sclerosis is the need for women to support and understanding from family and one’s partner. Women who have the emotional support of living say the pregnancy of a more satisfactory way. For women with disabilities, the attitude of others is particularly important and may represent a useful support to overcome difficult times or, conversely, an added stressor to those directly linked to pregnancy. Below are some examples:

Many disabled women experience strong conflict to feel dependent on other people: these feelings can escalate during pregnancy because of the physical state because pregnant women often require help to perform activities previously performed by itself. Other women with disabilities, however, find any justification for these feelings during pregnancy, since you live from the psychological level as a normal feature of all pregnant women: all women during pregnancy with multiple sclerosis need extra help and attention, so the experience of a disabled woman is similar to that which is not.

Feelings of stress can be transmitted to future father women. The emotional and father’s work often is increased during pregnancy, especially in situations where disability is present, in addition to practical problems; there is a greater concern for the health of the mother. Perhaps the most stressful situations appear when the couple or other people living pregnancy have the feeling of not being able to help. Undoubtedly, in the field of pregnancy are uncontrollable and unforeseen situations, nevertheless, as we said before, this period may represent an opportunity for partners to share emotions, even if they are unpleasant.

Changes during pregnancy

During nine months of pregnancy are experienced significant physical changes and, consequently, psychological, the latter linked to a different perception of body image and emotions relating to the proximity of motherhood. In the course of pregnancy feelings are different, as the physical, so we can divide time into trimesters of pregnancy to superimpose better with the physical changes to the emotions causes.

The first trimester of pregnancy

It is the period known to be pregnant. Emotional reactions can be diverse: shock, satisfaction, surprise, fear, worry. A woman may experience one of these feelings or, sometimes, feel a plurality of emotional states. In the case of a disabled woman can amplify the initial reactions concern for their own fitness and health of the baby now many concerns arise urgency.

Surprise and sense of disbelief associated with moments of extreme happiness: the emotional ambivalence that period are not necessarily linked to disability , physical and hormonal changes that manifest during pregnancy often result in amplified reactions to everyday situations and changes Sudden mood.

The second trimester of pregnancy

In the first trimester pregnancy is private, the mother who decides she wants to communicate. In the second quarter is visible pregnancy, women should confront the curiosity of the people, congratulations, advice (often free and unsolicited) are not only friends and family but also strangers. It is also time to break the news to people outside, it can be difficult and sometimes embarrassing the news to people who may not understand this choice: a disabled woman pregnant can be seen as an unusual situation and therefore Cause for curiosity. In fact, because of lack of knowledge about disability, many people’s reaction to the news of the pregnancy of a disabled woman is surprise to people not related to disability can be difficult to include pregnancy in a woman for example, which is in a wheelchair.

Other people have no preconceived opinions, but simply note, for many disabled women it is an excellent opportunity to demonstrate the falsity of some beliefs about their condition. These beliefs are nothing but a manifestation of a complex bias linked to the sexuality of disabled people , often the denial of people ’s sexual behaviors are thought to have other problems to think about. Fortunately, as you begin to address this issue with more realism and less shame, thanks also to the disabled themselves, no longer hide their emotions and feelings related to sexuality.

Certainly, the behavior of bewilderment and incomprehension hurt women with disabilities, especially when it comes from family or friends, such feelings can range from fear for the health of the expectant mother into admiration for his courage.

A pregnant woman, regardless of their handicap, to receive from those around her emotional support and share the experience that is living , these feelings, linked to body image to be transformed and self-esteem, have little to do with disability and are shared by all women who experience a pregnancy with multiple sclerosis.

The third trimester of pregnancy

In this quarter are increased feelings about the upcoming birth. Such feelings can be released if the pregnancy is experienced as a period full of difficulty, of anxiety if the desire to see the baby and make sure it is healthy is very intense, scary for the responsibility that represents motherhood. It is, however, a period that also can be experienced as an intense waiting, enjoying all the positive emotions linked to the new birth and sharing with those who are closest.

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Postpartum depression symptom can also affect men

A study by a psychiatrist Murcia warns that up to 10 or 15% of mothers and fathers suffering from the disease.

Stress, insomnia and insecurity are three problems in that many mothers may suffer after giving birth. It’s a cocktail that, in addition to other conditions, can lead to postpartum depression symptom. But this problem is not only exclusive to them. Parents also increasingly involved in the upbringing of their children, may suffer. “The changing roles explain this trend,” says psychiatrist Belen Hernandez Herrera Murcia, Mallorca Manacor Hospital.

In addition, parents enjoy a much shorter leave than mothers, and the effort to balance work and tasks related to the children worsens the feeling of anxiety and insomnia. Several investigations suggest the existence of a postpartum depression in men. One of the latest is the Pulson Professor, Faculty of Medicine of Eastern Virginia (USA), who says the problem affects 10% of new parents.

The psychiatrist Belen Hernandez also has studied the depression that appears after the baby’s arrival. In the case of mothers, he notes, the incidence reaches 15%. In reality, the disease is under diagnosed. “It’s something that has always existed, but now that we’re detecting more, as with other psychiatric illnesses.”

Postpartum depression symptom arises in the case of women, the main affected “by the” guilt “that generates them” the feeling they are enjoying their motherhood, that they are not happy and they should be. “Stress, anxiety, insecurity, feelings of “worthlessness”, blocks these people from enjoying them and pulls them to depression. A psychosocial factors bind “the hormonal changes that occur during childbirth and postpartum.” That is, there is a physiological basis. The problem is that while in other women these hormonal changes are reflected only in the early days and a tiredness that ends up happening in these other mothers the situation degenerates into a depression.

The idea that the drop in estrogen and progesterone affect the appearance of a depressed state is not new. There may also be related to changes that occur in neurotransmitters. Specifically, Hernandez points to the possible influence of oxytocin, which acts as a neurotransmitter and as a number of investigations is related to what some call the ‘instinct’ maternal.

Some symptoms can help detect the problem: sadness, inability to enjoy the child and in general things that were pleasurable before, insomnia, guilt, anxiety, fatigue and stress.

Little research

There looked to many women with this disease and reviewed the published literature on the subject. Their findings, outlined in the X National Congress of Psychiatry, suggest that postpartum depression often goes undiagnosed, and it is a disease still little investigated. Belen Hernandez has identified several risk factors that increase the risk of this type of depression: lack of family support or partner and, in particular, a history of depression. Everybody who has experienced this disease is very probable that falls to the pressure from caring for a child, especially if you’re new mother. They can also influence the economic problems or conflicts between partners. Dr. Hernandez says that postpartum depression is under diagnosed and, moreover, is often detected late. The guilt felt by many women with this disease leads them to delay their visit to the doctor. When you decide to consult with the psychiatrist, the treatment comes too late.

Postpartum depression treatment

This treatment usually happens by inhibitors antidepressants and serotonin reuptake. Diagnosing depression time is crucial because the disease can lead to recurrent thoughts of death and suicide. In fact, some of the patients he has treated Dr. Hernandez had attempted suicide. But to detect cases early, it is also necessary that the very professional conscience.

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A private clinic in London on Wednesday raffle chance to win fertility treatment with donor eggs from a chosen according to personal preferences, British media reported Sunday.

According to reports, the clinic The Bridge Center is presenting the initiative to promote a new service that launched in collaboration with Genetics and IVF Institute in Fairfax, Virginia (USA), allowing women to get pregnant choose the profile of the egg donor.

The winner of the raffle will benefit from fertility treatment in the United States worth about 13,000 pounds (14,300 euros) and will choose the donor of the egg to personal preferences as to ethnicity, physical characteristics and education.

The service offered by the Anglo-American joint venture, aimed at women aged between 40 and 50, allows children to see pictures of the donors, university general between 20 and 30.

In the UK it is forbidden to pay for egg donation, except 250 pounds (about 276.3 million) in expenses, but in the U.S. donors can earn up to $ 6,600 based on their profile.

The partnership with the U.S. clinic will allow the British to circumvent the law in Britain, which prohibits both the marketing of eggs as the choice of those with the characteristics of the donor.

The Bridge Center, which tomorrow celebrates a day of “open door” channel the treatments to the U.S., where the eggs will also provide “custom made”.

As part of the service of choice of eggs, which may be the Internet, aspiring fertilization processes may see photos of the children of donors, who passed a shortlist and, for example, can not be overweight, “and when the process is more advanced, including current images.

The news has sparked debate in the British press about the ethical issues involved the possibility of “buying” as eggs.

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