Skin care during pregnancy

Pregnancy is a time of changes in the hormonal profile of the body that may contribute to changes in the skin. Since skin is the outermost layer of the body, even a slight change from the normal is evident. Pregnancy is also a time when special care should be taken to keep the skin healthy and glowing.

Many women frequently complain of dry skin due to over stretching but it is often taken as a normal part of pregnancy and no treatment is sought. However, some may also suffer from other skin conditions like herpes, itchy rashes, and mild discolouration.

Common skin conditions during pregnancy:

  • Melasma or ‘mask of pregnancy’ – it is a condition caused due to hormonal imbalance in the body during pregnancy. It is characterised by a discolouration of the skin, mostly on the forehead, nose and the upper lip. The skin on these areas becomes darker in colour (looking like a tan) and may be wrinkly and may fall off easily. This condition may affect as many as 70 percent of all pregnant women, especially those with darker complexions.

    The condition is normally seen at the end of the second trimester or the beginning of the third. It does not have a specific modality of treatment, but exposure to the sun makes it worse. Thus women suffering from melasma should protect themselves against the sun by using potent sunscreens. In most cases, the marks vanish after the baby is born.

  • Urticaria of pregnancy – medically called puerperal urticaria of pregnancy (PUP), it is a condition of itchy rashes or hives that erupt usually in the third trimester of pregnancy. These rashes can be mildly or severely itchy, but usually disappear after delivery. Though they do not harm the mother or the baby, they are very irritating for the patient.

    Hives during pregnancy is usually soothed with ointments that provide relief. Calamine lotion is usually able to provide much relief. Though drugs are usually not prescribed during pregnancy, anti-histamines may have to be given for itching in some cases.

  • Herpes gestationis – herpes infection during pregnancy is called herpes gestationis. It is characterised by the eruption of intensely itchy lesions on the skin that may be pus filled. This condition can occur anytime during the pregnancy but is most common during the second trimester. The rashes mostly begin on the abdomen and, then, spread to other parts of the body.

  • Acne and psoriasis – acne, in people who are prone to it, usually worsens during pregnancy. Psoriasis, on the other hand, tends to improve during pregnancy, but may flare up after delivery. Acne during pregnancy is usually ignored. Some drugs may be given to treat psoriasis, but they have to be taken only under the physician’s supervision.

  • Varicose veins – they are one of the most common complaints of pregnancy. Due to excess weight, most women develop varicose veins in their legs. Some may even have ‘spider veins’ on their face and chest. They usually vanish after delivery.

Tips for skin care:

Apart from the medical conditions of the skin that may affect a pregnant woman, that have to be medically treated, some basic skin care methods can be adopted that will help to maintain healthy skin tone.
  • Sleep well – a proper sleep pattern during pregnancy is one of the best ways to maintain good and healthy skin. A well rested person appears healthier and this is especially so when a woman is pregnant since she gets tired easily.
  • Always use a sunscreen.
  • Clean face thoroughly – the face should be cleaned thoroughly since the skin of the face is usually oilier than the rest of the body. The pores of the face thus get clogged easily with dirt and cause pimples or acne. Cleaning the face regularly with a mild soap or face wash helps to prevent these conditions.
  • Moisturise often – since the skin is drier than usual during pregnancy, it helps to keep moisturising it often.
  • Women with oily skin could use a water-based moisturiser while those with dry skin can use an oil-based one. It is always necessary to follow a cleaning and moisturising routine for healthy skin.
  • Get a facial massage – facial and body massage with mild and fragrant oils may help to relax apart from increasing blood circulation to the area.
  • Drink plenty of water – the water balance in the body should be maintained. This also affects the tone of the skin. Water cleanses the skin and removes the toxins from the body.
  • Smile and remain happy – the age old belief that smiling exercises more muscles of the face than a frown may also help. Happiness increases the blood flow inside the body and, thus, reflects in the form of a healthy and glowing skin.
Taken From : Doctor NTDV

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Depression during Pregnancy

Pregnancy is supposed to be one of the happiest times of a woman's life, but for many women this is a time of confusion, fear, sadness, stress and even depression. About 10-20% of women will struggle with some symptoms of depression during pregnancy, and a quarter to half of these will suffer from major depression.

Depression is a mood disorder that affects 1 in 4 women at some point during their lifetime, so it should be no surprise that this illness would also touch women who are pregnant. But all too often, depression is not diagnosed properly during pregnancy because people think it is just another type of hormonal imbalance; this assumption can be dangerous for the mother and the unborn baby.

Depression is an illness that can be treated and managed during pregnancy, but the first step of seeking out help and support is the most important.

What is depression during pregnancy?

Depression during pregnancy, or antepartum depression, is a mood disorder just like clinical depression. Mood disorders are biological illnesses that involve changes in brain chemistry. During pregnancy hormone changes can affect brain chemicals, which is directly related to depression and anxiety. These can be exacerbated by difficult life situations, which can result in depression during pregnancy.

What are the signs of depression during pregnancy?

Women with depression usually experience some of the following symptoms for 2 weeks or more:

  • Persistent sadness
  • Difficulty concentrating
  • Sleeping too little or too much
  • Loss of interest in activities that you usually enjoy
  • Recurring thoughts of death, suicide or hopelessness
  • Anxiety
  • Feelings of guilt or worthlessness
  • Change in eating habits

What are possible triggers of depression during pregnancy?

  • Relationship problems
  • Family or personal history of depression
  • Fertility treatments
  • Previous pregnancy loss
  • Stressful life events
  • Complications in pregnancy
  • History of abuse or trauma

Can depression during pregnancy cause harm to my baby?

Depression that is not treated can have potential dangerous risks to the mother and baby. Untreated depression can lead to poor nutrition, drinking, smoking, and suicidal behavior, which can then cause premature birth, low birth weight, and developmental problems. A woman who is depressed often does not have the strength or desire to adequately care for herself or her developing baby, which is why problems arise.

What is the treatment for depression during pregnancy?

If you feel you may be struggling with depression, the most important thing is to seek help. Talk with your health care provider about your symptoms and struggles. Your health care provider wants the healthiest choice for you and your baby and may discuss options with you for treatment. Treatment options for women who are pregnant can include:

  • Support groups
  • Private psychotherapy
  • Medication
  • Light Therapy

If your symptoms are severe, your health care provider may want to prescribe medication immediately. There are medications that have been used during pregnancy without adverse affects. Discuss with your health care provider what they feel is safest for your baby, but still beneficial to you.

If you do not feel comfortable talking with your health care provider about your feelings of depression, find someone else to talk with. The most important thing is that someone knows what you are dealing with and can try to help you. Never try to face depression alone. Your baby needs you to seek help and get treatment.

Taken From: American Pregnancy Association

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About Pregnancy Weight Gain

Talking to your health care provider about your weight gain is important. Try not to worry if you're slightly above or below these weights.

Facts about weight gain:

  • The American College of Obstetricians and Gynecologists recommends a weight gain of 25 to 37 pounds during pregnancy for women who were a normal weight before pregnancy.
  • Women who are underweight should gain between 28-40 pounds unless your health care provider says differently.
  • Women who are overweight should gain between 15-25 pounds unless your health care provider says differently.
  • Eating healthy meals will allow you to gain adequate weight during your pregnancy. Putting on weight that is unnecessary is easy to do when eating junk food and foods that are higher in fat.
  • Eating a well-rounded diet is important. According to the American College of Obstetricians and Gynecologists, pregnant women should have 3 servings of milk, yogurt, and cheese, 3 servings of protein, 3 servings of fruits, 4 servings of vegetables, and 9 servings of whole grain products each day.

Weight distribution:

  • 7 1/2pounds is about how much the baby will weigh by the end of pregnancy.
  • 1 1/2pounds is how much the placenta weighs.
  • 4 pounds is attributed to increased fluid volume.
  • 2 pounds is the weight of the uterus.
  • 2 pounds is the weight of breast tissue.
  • 4 pounds is because of increased blood volume.
  • 7 pounds is attributed to maternal stores of fat, protein and other nutrients.
  • 2 pounds for the amniotic fluid.
  • Total: 30 pounds

On a trimester basis:

  • First trimester: 3-5 pounds
  • Second trimester: 1-2 pounds per week
  • Third trimester: 1-2 pounds per week

Remember this is just an average; you and your health care provider need to decide what is best for you.

Taken from: American Pregnancy Association

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Arthtritis

Definition

Arthritis is a disease characterized by the inflammation of the cartilage and lining of the body�s joints. Inflammation causes redness, warmth, pain and swelling. There are about 40 million Americans who suffer from arthritis. The National Institute of Arthritis and Musculoskeletal and Skin Diseases, estimates that by the year 2020, about 60 million Americans will have arthritis. The primary targets for arthritis are people over the age of 50. Arthritis is a major cause of foot pain because each foot has 33 joints that can become affected by the disease.

Osteoarthritis

There are many different types of arthritis. The most common type is called osteoarthritis. Osteoarthritis causes excessive strain and the wearing away of cartilage in the joints of the foot. Movement becomes very difficult and painful. The pain and swelling worsens while standing or walking, and stiffness usually occurs after periods of rest.

Gout

Gout is another form of arthritis that also leads to foot complications. Excess uric acid crystals collect in and around the joints of the big toe. The big toe joint is commonly the focal point due to the stress and pressure it experiences during walking and other weight bearing activities. This often leads to severe pain in the big toe. Men are more likely to develop gouty arthritis than women.

Rheumatoid Arthritis

Another type of arthritis is rheumatoid arthritis. It can develop at any age and there is no known cause for this condition. Rheumatoid arthritis is the most crippling form of the disease that can affect people of all ages. It can cause severe deformities of the joints with associated fatigue of the entire body. People who suffer from rheumatoid arthritis often develop severe forefoot problems such as bunions, hammer toes, claw toes, and others.

Cause

There are many causes of arthritis. Heredity plays a major role. However, arthritic symptoms can develop due to many other factors. Some of these include bacterial and viral infections, prescription and illegal drugs, traumatic injuries, and bowel disorders such as ileitis and colitis.

Forefoot problems such as hammer toes, claw toes, mallet toes, and bunions often develop as a result of arthritis, particularly Rheumatoid arthritis. Problems can also develop in the heel and ankle area due to the erosion of the involved joints.

Treatment and Prevention

Conservative treatment (non-surgical treatment) of the arthritic foot includes proper footwear, orthotics, and/or forefoot supports. Arthritic footwear should provide the following benefits:

  • High, wide toe box (high and wide space in the toe area)
  • Removable insoles for fitting flexibility and the option to insert orthotics if necessary.
  • Rocker Soles designed to facilitate ambulating (walking) and to reduce stress and pain at the ball-of-the-foot.

Arthritic footwear should also accommodate swelling of the foot. Orthotics designed to provide comfort, support and extra cushioning are also recommended. Orthotics made with a material called Plastazote are often recommended because they mold to your feet to provide customized comfort. The proper footwear and orthotics will reduce pressure to provide a comfortable and healthy environment for the foot.

Forefoot supports such as gel toe caps, gel toe shields, gel toe straighteners and others can often provide relief.

If the problem persists, consult your foot doctor.


Taken From: Foot.com

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Garlic and Cholesterol

Cholesterol - a white, waxy substance found in the blood plasma - is essential to life. However overly high cholesterol levels can have serious health implications on the cardiovascular system in particular leading to atherosclerosis. Excessive levels can be an indicator of increased risk of heart attack and/or stroke.

If you suspect that you have a cholesterol problem it is essential that you discuss it with your doctor.

Whilst all cholesterol was once considered harmful, it is now recognised that it comes in two distinct forms: one "good", the other "bad".

Good and Bad Cholesterol

HDL and LDL

Cholesterol comes in two forms: high-density lipoproteins (HDLs) and low-density lioproteins (LDLs). Of these, HDLs are generally called "good" cholesterol whilst LDLs are "bad". For more detail see the LDL & HDL cholesterol page.

2005 UK recommendations (from the Joint British Societies - JBS2) are total cholesterol below 4.0mmol/l, "bad" cholesterol below 2.0mmol/l (1). Obviously these are general guidelines which may not be appropriate for everyone.

The Possible Effect of Garlic on Cholesterol Levels

Garlic has been reputed to assist the heart for centuries and has been used in herbal medicines for all manner of conditions. Garlic & cholesterol reduction are frequently mentioned together.

Modern medical science suggests one reason garlic might reduce cholesterol: garlic is a proven anti-oxidant (2). This property might help to prevent LDLs from being oxidised. In this way the cholestrol build-up that clogs the arteries could perhaps be reduced by garlic.

In recent decades, numerous scientific studies have been conducted to test the claims that garlic can help lower cholesterol levels. These studies involve measuring the cholesterol and triglyceride levels of patients taking garlic supplements compared with a control group of patients taking a placebo. Unfortunately the results are not conclusive (3).

Some studies have shown a reduction in total cholesterol levels and/or LDL levels in those taking garlic. Other medical studies have shown no significant difference between the levels of those taking garlic and those taking a placebo. A study published in 2007 (4) tested raw garlic and two popular garlic supplements (Garlicin and Kyolic). The study concluded that: "None of the forms of garlic used in this study, including raw garlic, when given at an approximate dose of a 4-g clove per day, 6 d/wk for 6 months, had statistically or clinically significant effects on LDL-C or other plasma lipid concentrations in adults with moderate hypercholesterolemia."

Cholesterol and Garlic: The Verdict

Can Garlic Lower Cholesterol Levels?

Whilst some individual studies have shown that garlic can be effective in reducing "bad" cholesterol (LDLs), the overall body of evidence is inconclusive. In particular the 2007 study appears to shed serious doubt on the reality behind garlic's reputation in this area. Thus it would be unwise to draw a definite conclusion that garlic can be used to combat "bad" cholesterol.

How then do we explain those studies that do show garlic works as a cholesterol treatment? Do we simply discard them as using flawed methodology? If - for the sake of argument - we assume there is some validity in those that found links, how do we explain the different findings? One possibility is that the efficacy of garlic in combatting cholesterol etc depends upon some other, unknown factor - for example the exact variety or manner of preparation of the garlic. Since this factor is unknown, it is not possible to design tests to eliminate it. Another possibility is that the reputed cholesterol lowering properties of garlic are effective only for specific subgroups of the population.

If you are concerned about elevated cholesterol levels then you should not turn to garlic as an alternative to medical treatment - get advice from your doctor. However if your doctor approves then you might like to consider eating more garlic as part of a balanced diet "just in case". If nothing else it's a tasty alternative to salt.

Taken From: Garlic Central

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