Follow our Yolanda throughout her pregnancy as she talks about what she is experiencing. Here she talks about weeks 1 through 14. This is the start of the second trimester, where the pregnant mother may experience an increased appetite, varicose veins, and a stuffy nose.
The CDC (Centers for Disease Control and Prevention) recently updated its guidelines concerning the testing of pregnant women who have a possible Zika virus infection or exposure. It must always be noted that most people with the Zika virus infection are either asymptomatic or have mild clinical symptoms. Mild clinical symptoms can be an acute onset of a fever, a rash, joint pain, and/or conjunctivitis.
There is new data suggesting that the virus can be detected in the blood and urine for 2 weeks after the infection begins. This testing of the urine and blood for the virus should be performed for:
Symptomatic pregnant women in less than 2 weeks after the symptoms begin
Asymptomatic pregnant women in less than 2 weeks after a possible exposure
After this 2-week window, blood testing should begin for the Zika virus IgM antibody, which the body makes in response to a new Zika virus infection. If this is found to be positive, there was definitely an infection and close fetal evaluation should begin.
As always, you should discuss the Zika virus problem with your health care provider so you can get the best possible care.
Over the past decade, there has been a large increase in the incidence of pertussis (whooping cough) in the United States, with over 40,000 cases being reported in 2012. What is of great concern is the large number of infants being affected.
The CDC (Centers for Disease Control and Prevention) reports that most pertussis hospitalizations and deaths occurred among children under 3 months old. Babies do not receive their first pertussis vaccine until two months of age, and they are not fully protected until after their third shot, which comes at about six months. Over the first six months of life our babies are at a high risk of getting very sick if they develop this bacterial infection.
In order to combat this new outbreak of pertussis, in January 2013, the CDC released a new immunization schedule. This recommended that a dose of Tdap vaccine be given to all women during each pregnancy whether or not she had received the vaccine previously. This was a change from their previous recommendations which suggested that the vaccine be given only to pregnant women who had never received this vaccine.
When a pregnant woman “breaks her water” usually it is the start of an exciting time of her pregnancy because labor has started or is about to begin. This is fine if the pregnancy is near the due date, but if the water breaks and the pregnancy is not near the due date, then there is a problem. Preterm premature rupture of membranes (PPROM) is a bad problem and is a leading factor in premature births.
About 12% of births in the US are preterm
Most pregnancies last about 40 weeks
Babies born between 32 and 37 weeks are considered preterm, and babies born before 32 weeks are considered early preterm
About 5% of births in the US are complicated by PPROM
Since the most common outcome of PPROM is delivery of the baby within 1 week of the water breaking, information about this potential complication must be available to everyone.