Pregnancy and Chronic Diseases

Pregnancy and Chronic Diseases

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It's not easy being a mother. Especially if it is a chronic disease… Bahçeci Obstetrics Diagnosis and Treatment Center Op. Dr. Esra Aksoy. “The fact that the mother has a chronic illness does not prevent her from having children,“ she answers.

: A woman with a chronic disease can not be a mother?
Op. Dr. More professionals named esra aksoy The fact that the mother has a chronic disease does not prevent her from having children. However, in some rare cases, termination of the current pregnancy may be recommended. If the mother has a long-term chronic illness and is taking medication for this, she should talk to her doctors and inform them about the problems that may arise and take the necessary measures to eliminate them. Thus, pregnancy can be completed with minimal complications.

: How should an asthmatic mother behave?
Op. Dr. More professionals named esra aksoy If the expectant mother has asthma; In order to meet the oxygen demand for herself and her baby during pregnancy, the disease should be kept under good control. Most asthma medications do not pose a danger to the baby. Therefore, the doctor can continue to use the drug under the control of pregnancy. The mother should take care to protect herself from infectious diseases and allergens that trigger the disease during her pregnancy.

Some asthma patients report an increase in their symptoms due to the baby's pressure during pregnancy. In some, complaints are reduced due to the steroid hormone released from the placenta and used in the treatment of asthma. Most women do not change the course of the disease.

: Is the pregnancy of a prospective mother with diabetes at risk?
Op. Dr. More professionals named esra aksoy Pregnant women with diabetes need to be monitored very well. In many patients, blood sugar levels increase due to hormones that adversely affect insulin secreted from the placenta. In addition, in the second half of the pregnancy, maternal gestational diabetes, known as mild gestational diabetes, can develop completely after birth.

: How does diabetes affect the expectant mother and the baby?
Op. Dr. More professionals named esra aksoy If the blood sugar of the expectant mother is kept under strict control, the pregnancy will be uneventful and the baby will not be affected. Otherwise, there may be many complications for both the mother and the baby.

Along with diabetes, problems such as high blood pressure, preeclampsia, polyhydromniosis (excess fluid of the baby) are common. Urinary tract infection is more common in these patients.

In some diabetic patients, the threat of spontaneous preterm delivery develops, while in others, complications may need to be initiated early due to complications. If blood glucose control is not achieved before pregnancy and in the first 3 months of pregnancy, the risk of having an anomaly increases 3-4 times. The most common anomalies are spina bifida and heart anomalies.

For this reason, blood glucose measurements should be made before pregnancy and the mother should start taking folic acid.

If blood glucose monitoring during pregnancy is not performed well, the lung development of the baby at birth may be incomplete, especially if it is a premature baby. These babies are likely to be large, which increases the need for intervention delivery (forceps, vacuum application) and caesarean section delivery. Since hypoglycemia may develop in these babies after birth, blood glucose monitoring should be performed. In mothers with poor blood glucose control, the risk of losing the baby due to placental insufficiency is high.

: How can the expectant mother know that she has diabetes?
Op. Dr. More professionals named esra aksoy Gestational diabetes; it is often seen more frequently in older women who are older, with diabetes and obese women. A sugar loading test should be performed in the second half of pregnancy to make a diagnosis.

Blood sugar control should be provided with light exercise, diet and medications if necessary during pregnancy. If the mother is already diabetic and is on insulin, dosage may need to be adjusted.

: Can pregnancy be possible for the mother who has epilepsy?
Op. Dr. More professionals named esra aksoy The effect of pregnancy on epilepsy is varied. While 50% of epileptic patients did not change during pregnancy, 40% improved and 10% increased seizures.

Most drugs used to treat epilepsy have a detrimental effect on the embryo and fetus. As these drugs reduce folic acid absorption, the risk of spina bifida increases in the baby. Some drugs affect clotting factors and may cause various bleeding in the newborn. On the other hand, if the mother stops taking epilepsy medications, there is a risk that the seizures will increase and the baby will be deprived of oxygen. Pregnant mothers with epilepsy should discuss this with your doctor. The dose of your medication may need to be reduced or changed.

: What can the expectant mother with epilepsy encounter in her pregnancy?
Op. Dr. More professionals named esra aksoy Pregnant mothers with epilepsy should be followed more closely during pregnancy. The dose of medication can be changed. As blood volume increases during pregnancy, old drug doses may not be able to control seizures and dose increases may be achieved. Sometimes the medications used may need to be replaced.

Folic acid 5 mg per day must be taken. In fact, starting before conception will further reduce the risk of anomalies. In cases where the risk of prenatal bleeding is high, prenatal vitamin K injection is recommended to the mother.

: What should mothers with heart disease pay attention to?
Op. Dr. More professionals named esra aksoy Pregnant mothers with heart disease should discuss their condition with a cardiologist before becoming pregnant. Make various recommendations according to the condition and type of the disease. Heart disease may be due to previous rheumatic fever, or acquired later if congenital or older. With the regulation of the treatment, most of the mothers with heart disease have pregnancy and delivery without problems, but delivery is likely to end by caesarean section.

In some serious heart diseases, pregnancy can adversely affect the condition of the mother and threaten her life. Therefore, the expectant mother should inform her doctor about her pregnancy plan. Since the burden of the heart that pumps blood to the baby increases during pregnancy, the expectant mother should not tire herself and rest more.

: Can high blood pressure cause problems during pregnancy?
Op. Dr. More professionals named esra aksoy High blood pressure can cause problems during pregnancy. During pregnancy, headache, visual impairment, vomiting and edema may be complaints. Your chronic high blood pressure in the second half of pregnancy can cause serious problems with hypertension due to pregnancy.

If you know that you have blood pressure patients before pregnancy, you should tell your follow-up doctor about your pregnancy request and have your urine and blood analysis done. Your medicines may need to be changed and their dosage adjusted. In your routine pregnancy examination every month, your blood pressure will be checked to see if you have edema in your legs and your urine analysis for protein. Your doctor may call you for a more frequent checkup.

If your blood pressure is too high, you may need to be hospitalized and monitor you and your baby more closely. When your baby's development is complete, your doctor may recommend starting your labor or performing a caesarean section.

: Is infection dangerous in pregnancy?
Op. Dr. More professionals named esra aksoy Most infections do not affect the development of the unborn baby. they cause miscarriage, preterm labor and various congenital anomalies in the baby, especially if you have been exposed to them in the early pregnancy. For this, if you have an infectious disease during pregnancy or have contacted someone who is already undergoing this, you should tell your doctor.

Your first pregnancy examination will check whether you are immune to certain infections, especially those that pose a risk during pregnancy. If you are not immune to rubella before pregnancy, you should be vaccinated against multiple vaccines and become pregnant at least 3 months later. If the infection is detected in the early period, the risk of problems in your baby will be reduced with medications.

: Can there be infections due to renal function in pregnancy?
Op. Dr. More professionals named esra aksoy Renal function during pregnancy increases to ensure the excretion of waste materials. In women prone to urinary tract infection, the possibility of infection reaching the kidneys and pyelonephritis increases during pregnancy. Because in pregnancy, there is an enlargement of urinary tract due to hormones. During your pregnancy follow-up examinations, urine protein control will be performed and if it is found high, culture will be done. Urinary tract infections usually respond quickly to antibiotics.

If you have a kidney disease before pregnancy, you need to be strictly monitored as the burden of the kidneys increases during your pregnancy. Patients with kidney disease have a high risk of high blood pressure and preeclampsia during pregnancy.

: What should a woman with goiter do during pregnancy?
Op. Dr. More professionals named esra aksoy The need for iodine increases during pregnancy due to hormonal changes and the need of the baby. The baby synthesizes its own thyroid hormones. Women with goiter problems are advised to use iodine-containing salt during pregnancy.

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