Pregnancy & infertility

 

Does being overweight interfere with fertility?

 

Packing extra pounds on your frame can disrupt the delicate balance of hormones that influence ovulation and fertilization, reducing your chances of getting pregnant.

Here's why: Extra fat cells don't just make your jeans feel tighter, they also produce a steady stream of the hormone estrogen. The result? "It's almost like being on a low-dose birth control pill," says Steven J. Ory, MD, immediate past president of the American Society for Reproductive Medicine and a reproductive endocrinologist in private practice in Margate, Florida. Low, constant levels of estrogen in turn suppress other hormones, most notably LH (luteinizing hormone) and FSH (follicle-stimulating hormone), which are needed to trigger ovulation.

Being overweight or obese also increases your risk of developing polycystic ovarian syndrome (PCOS), a complex condition where a hormone imbalance causes women to produce too much testosterone, a male hormone that can shut down ovulation at those high levels.

 

 How Much Will Your Baby Be Like You?

 early pregnancy
- man hugging
wifes belly. fotosearch
- search stock
photos, pictures,
images, and photo
clipart

Physical Traits

 

The instant our children are born, we look for reflections of ourselves in them. When Evie Crosby, of Tallahassee, Florida, delivered her son, Wyatt, she immediately asked her husband, Adam, "Does he have your chin?" Adam gave her a thumbs-up as the nurses cooed over Wyatt's deep cleft -- just as nurses had done when Adam was born 30 years earlier. Moments like these are more than a little profound. Seeing yourself -- and your spouse -- in your baby makes you truly feel like a family. Inheritance goes far beyond eye and hair color: Genes can even shape personality traits like leadership and spirituality. Despite startling advances in genetics, our understanding of how genes and environment interact is far from perfect. "Many traits have a large hereditary component, but genetics isn't destiny -- genes are just one influence on how kids turn out," says Joann Bodurtha, MD, professor of human genetics at Virginia Commonwealth University, in Richmond.


 
 

Mirror Image

It's easiest to spot similarities in your child's appearance. "Our 2-1/2-year-old daughter, Amber, is really a mix of both families," says Rose McKinney, of Oshawa, Ontario. "She has my face and my grandmother's stick-straight hair, but her dad's brown eyes and long, big toes." Amber's eye color isn't surprising: Brown eyes are considered a dominant trait, so if one parent has the gene for brown and the other has a recessive gene for blue, brown usually wins. Even so, nobody can predict eye pigment for sure: In some cases, both parents have blue eyes but still have a brown-eyed baby, which shouldn't happen if the trait followed the simple dominant-recessive rule.

"Most traits are actually determined by many genes working together, rather than a single gene," says Kate Garber, PhD, director of education in the department of human genetics at Emory University School of Medicine, in Atlanta. Take hair color, for example. If a father carries only a dominant gene for brown hair and the mother carries only a recessive gene for blond, their children should all have brown hair, but some of their grandchildren are likely to be blond. Reason: The kids inherit both sets of genes, which can combine with blond genes from their mates to produce fair-haired offspring. But don't blame the mailman if your child's hair is surprisingly red -- the interplay of genes can create all sorts of unexpected traits. And if your son eventually loses his hair, he can point a finger at either parent: Contrary to popular belief, the dominant gene for male-pattern baldness can be passed down by moms or dads.

Joseph Chisolm, of Secaucus, New Jersey, certainly knows how arbitrary inheritance can be. He's black and his wife, Donelle, is white, so they weren't surprised that their first child, 4-year-old Jaydon, was dark-skinned and brown-eyed. "He could pass for Hispanic," Chisolm says. But their 1-year-old son, Jordon, is startlingly different: "He's white, blond, and blue-eyed," says Chisolm. "You would never guess that he was the child of a mixed-race couple."

Even when your kids don't look exactly like you, there may still be subtle but striking resemblances. One study found that families tend to have similar facial expressions when they're happy, sad, angry, disgusted, surprised, or thinking hard. And kids don't just pick up these reactions from watching us: Blind members of 21 families in the study also grimaced, smiled, and scowled like their relatives 80 percent of the time. Other likenesses are quirkier. Both Kim Whorton, of Birmingham, Alabama, and her daughter Zoe, the oldest of 3-year-old triplets, have dimples in their shoulder blades -- a rare trait that's been traced to an abnormality on a specific chromosome.

In some cases, one genetic trait may be linked to others. Check the hair whorl at the top of your child's head: If it swirls counterclockwise, he has a 50-50 chance of being left-handed or ambidextrous, which suggests that both hair pattern and handedness are driven by some of the same genes.

courtesy of parents.com

 

7 Myths About Infertility

couple holding
pregnancy test
and pacifier.
fotosearch - search
stock photos,
pictures, images,
and photo clipart
 
 

What's the truth, and what are just old wives' tales?

 
 

Infertility is a complex and often misunderstood condition, which is why there's so much confusion surrounding it. Here are seven common myths to watch out for -- and help dispel.


 
 

Myth 1: It's easy for most women to get pregnant.

While it's true that many woman conceive without difficulty, more than five million people of childbearing age in the United States -- or one in every 10 couples -- have problems with infertility. Certain health conditions and factors, such as age, can affect a woman's ability to conceive. For instance, a healthy 30-year-old woman has about a 20 percent chance of getting pregnant each month; while by age 40, her chances drop to about 5 percent a month. But infertility can affect women of any age, and from any background.


 
 

Myth 2: Men don't have infertility problems.

Though it's commonly believed that infertility is a "women's problem," nothing is further from the truth. About 35 percent of all infertility cases treated in the United States are due to a female problem. But 35 percent (an equal number!) can be traced to a male problem, 20 percent to a problem in both partners, and 10 percent to unknown causes.


 
 

Myth 3: Infertility is a psychological -- not physical -- problem.

Well-meaning friends and relatives may suggest "infertility is all in your head" or "if you'd stop worrying so much, you'd get pregnant." But in reality, infertility is a disease or condition of the reproductive system -- and not a psychological disorder. In fact, one or more physical causes are identified in the vast number of infertile couples. So while relaxing, going on vacation, or finding positive ways to de-stress can improve your overall well-being, these lifestyle changes won't solve your infertility problems.


 
 

Myth 4: Couples who "work" hard enough at having a baby will eventually get pregnant.

New methods of diagnosing and treating infertility have improved many couples' chances of having a baby. According to the American Society for Reproductive Medicine (ASRM), more than half of all couples who pursue treatment will achieve a successful pregnancy. On the other hand, it's important to remember that infertility is a medical disease and that problems sometimes remain untreatable -- no matter how hard a couple "works" at solving them.


 
 

Myth 5: Once a couple adopts a child, the woman will become pregnant.

This particular myth is not only painful for infertile couples to hear, but it's also untrue. First of all, it suggests that adoption is simply a means to an end (a pregnancy), and not, in and of itself, a valid and wonderful way to form a family. Secondly, only about 5 percent of couples who do adopt later become pregnant. This success rate is the same for couples who don't adopt and become pregnant without further treatment.


 
 

Myth 6: Husbands often leave their wives if they're infertile.

As stated earlier, infertility is a medical condition that affects both men and women equally. In fact, about 40 percent of the time, the male partner is either the sole or contributing cause of infertility, according to ASRM. While many couples do find the process of infertility testing and treatment rigorous, stressful, and intrusive (not to mention costly), they do get through it -- together. Many partners also find new and deeper ways of relating to each other and discover that their marriage has become even stronger.


 
 

Myth 7: Infertile couples will never be happy or fulfilled.

Being unable to conceive a much-wanted child (or carry a pregnancy to term) can fill a couple with sadness, grief, anger, despair, and even a sense of personal failure. While it's normal for infertile couples to experience a range of powerful emotions, most people do move through this life crisis successfully and gradually put it into better perspective. For some couples, "moving on" means letting go of their initial dreams of having a baby. Other couples decide to adopt. But in either case, couples do learn that there is life after infertility and find myriad ways to fulfill themselves -- with or without children.

 

 

Sources: American Society for Reproductive Medicine; RESOLVE: The National Infertility Association; The Couple's Guide to Fertility by Gary S. Berger, MD, Marc Goldstein, MD, and Mark Fuerst (Broadway Books)

 

Diabetes in Pregnancy Is on the Rise

By Lindsay Lyon
Posted April 28, 2008


 

Having poorly controlled diabetes while pregnant can cause all sorts of harm, from stillbirths and miscarriages to birth defects. So experts are concerned that the number of women who already have diabetes by the time they conceive is rising rapidly: Between 1999 and 2005, the group doubled in size, growing significantly across all age, racial, and ethnic groups examined by Kaiser Permanent Southern California researchers, who report their findings in May's Diabetes Care. Different from gestational diabetes, a temporary type that some women develop well into pregnancy, prepregnancy diabetes can pose more of a threat to a developing fetus.

  
 

"A baby's organs form during the first five to eight weeks of pregnancy," says Steven Gabbe, dean of the Vanderbilt University School of Medicine and an obstetrician who specializes in diabetes and pregnancy. "If a mother's diabetes is poorly controlled, she can have up to a 25 percent risk of delivering a baby with a major malformation of the heart, brain, or skeleton."

The good news, says Gabbe: "With excellent care, these women have an excellent chance of having a healthy baby." The way for diabetic women to reduce the risks is to get their blood sugar levels in check before becoming pregnant, then keep those levels close to normal throughout. Although there's no known way to prevent type 1 diabetes—characterized by the body's inability to produce insulin, which converts blood sugar into energy needed for survival—type 2 diabetes can be warded off or controlled through a healthful diet, weight loss, and exercise. All are especially important as a defense for women who've had gestational diabetes during past pregnancies.

Before pregnancy, advises endocrinologist Sue Kirkman, vice president of clinical affairs at the American Diabetes Association, women should get tested for diabetes if they're overweight and have one of the following risk factors: an inactive lifestyle; a family history of diabetes; an African-American, Hispanic, American Indian, or Asian/Pacific Islander heritage; or a prior history of gestational diabetes. For women who've had gestational diabetes, Kirkman advises annual diabetes tests, as well as one at the first prenatal visit of each subsequent pregnancy.

"I think the main message is just for women to be aware of their risk factors and get tested hopefully before they get pregnant so there's plenty of time to know they have diabetes and get it under control," Kirkman says. Unfortunately, she notes, more than half of all pregnancies are unplanned, and many women unknowingly develop diabetes, as symptoms of type 2 aren't always obvious.

"For women who already have diabetes, the main thing is planning the pregnancy," Kirkman says. "The stakes are pretty high."

Since gestational diabetes usually develops late in pregnancy, it doesn't cause the birth defects that pre-existing diabetes can. However, "there are risks associated with having gestational diabetes as well," cautions study author Jean Lawrence, a research scientist at Kaiser Permanente. Marked by a buildup of glucose in the bloodstream, it can fatten babies, making them difficult to deliver and possibly necessitating a cesarean, and it can also set them up for future health problems. Even though gestational diabetes tends to disappear following delivery, women who have it are much more likely to do so again in later pregnancies; they're also more likely to develop type 2 diabetes down the road.

 

courtesy of U.S. News

 

10 Reasons to Choose VBAC

From Robin Elise Weiss, LCCE

Many women are choosing to try a vaginal birth these days and the literature is very supportive of this decision. Most studies and facilities are finding that over 80% of mothers who have had a previous cesarean birth are safely and successfully having a vaginal birth with subsequent pregnancies. Here are some reasons that you may wish to consider a vaginal birth after cesarean (VBAC) or you might have some of your own to add!

 
  
  • VBAC is usually safer for mom and baby.

     

  • VBAC reduces the risks of infection to the mother.

     

  • Labor is good for babies in most cases.

     

  • Not having surgery makes mom's recovery easier.

     

  • VBAC reduces the risks of respiratory problems in babies.

     

  • VBAC involves a shorter hospital stay.

     

  • More than 80% of women will be able to have a vaginal birth after a previous cesarean.

     

  • Breastfeeding is easier after a vaginal birth.
  • Usually for a variety of reasons, including faster and more direct access to your baby and less postpartum pain for mom. 
  • VBAC can help prevent injury to your internal organs, like your bladder, intestines, or even the need for an emergency hysterectomy.

     

  • VBAC is less expensive.

Topic: Pregnancy & infertility

No comments found.

Get the Giving Birth Naturally widget and many other great free widgets at Widgetbox!

Get the Baby Talkers widget and many other great free widgets at Widgetbox!

Adoption Information

Adoption: Things to Consider
Why do some pregnant women choose adoption? What kind of adoption would I want?...

Choosing A Waiting Family For Your Baby?
Choosing a family can actually be an exciting part of the adoption process and is a part of the process that should be fun. Before reaching this stage, many pregnant women struggle with...

Find The Perfect Family Now!
Statistics
Articles
Questions & Answers
Adoption Resources

Stories
Financial Assistance
Forum
Educational Scholarships
Pregnancy Choices
Glossary

Featured Articles

ABCs of Adoption

Learn about adoption in this review of the basics of the legal process, costs, types of adoption, who can adopt, waiting children, and special needs.... [more]

 

Navigating the Agency Maze

Adoption agencies are a flourishing presence on the Internet, but how do you know which ones are really best for you? Here are some tips to help navigate the maze.... [more]

 

Adoption Search

How to get started, reunion registries, state search information, tools for locating people and information, and support groups in the US and around the world.... [more]

How to

Adopt a Child

 

Domestic Information on Adoption: Ten Steps

Follow these 10 steps to your new family! These steps serve as an overview of the  basics you need to know in order to adopt a waiting child or teenager in the United States.

1. LEARN about Adoption
Being here is a good first step. Read through all of the information on adoption available in this section and in the All About Adoption sections. Check out our Online Courses. Our Bookstore also has many books pre-selected for their content value.

You can also look for books and magazines about adoption at bookstores, libraries and on other internet sites. Attend an adoptive parents' support group or adoption conferences. Visit for agencies' websites, asking for further information in the form of brochures or orientation sessions. Learn about the types of adoption, including how to adopt a child waiting in the U.S. through agencies in your state.

2. SELECT an Agency
You must work with an agency licensed in the state where you reside. Contact several agencies to ask about the type of children they place, their fee structure, how they assess and prepare families, and how long it will take. Get references: speak with other parents who have used the agency you are investigating. Check whether the agency is licensed by your state to provide adoption services. You do not need an attorney at this point, but you may want to ask which legal services will be provided by your agency and which services you may be responsible for on your own.

3. COMPLETE a Homestudy
A homestudy is a series of meetings between you and an agency social worker. Think of it as an ongoing conversation which is part of the approval process for adoption and also serves to prepare you for parenting. The social worker who prepares your homestudy will need certain documents such as birth certificates, marriage license, child abuse clearances and personal references before finalizing his or her report. At least one meeting will be at your home an all who live in your home will need to be in attendance. The social worker is not there to do a “white glove” test of your home, but is there to ensure that you and your family are prepared to have a child or youth in the home and are ready to parent. Your social worker can also answer questions for you and point you in the direction of further resources to support you as you move along on your journey.

4. SEARCH for a Child
You begin the search for a child, teenager or sibling group when your homestudy is complete and approved. Your agency will have children in its care or your worker will search by networking with other child placing agencies. You can also be active in the search. View our waiting children. Explore other exchanges' or agencies' photolistings of children.

5. EXCHANGE Information with Child's Agency
Each time you locate a child who seems like the right match to all parties involved, your worker and the child's worker exchange information. Your homestudy is sent. If the child's worker is interested in your family, you may receive the child’s profile. This step of the process may take some time and calls for both patience and persistence.

6. LEARN that You Have Been Selected for a Child
You and several other families may be considered at the same time. The child's worker makes the final decision on which family can best meet the child's needs. When you are selected, more confidential information is shared, so that you can be sure this is the child for you. If the child's parental rights are not legally terminated, it will be done at this time.

7. MEET and VISIT with the child
The first meeting with the child is followed by several visits over a few weeks or months. If the child lives in another state, the child's agency will work with you to arrange for at least one or two visits. Paperwork, such as the Interstate Compact or adoption assistance agreement is completed. You are getting ready to add a new child to your life.

8. RECEIVE a Placement
The placement date is when the child comes to live in your home. Your agency will visit and work with you for several months in post placement supervision. During this time you file a legal intent to adopt petition.

9. FINALIZE Your Adoption
Your child or teenager becomes a legal part of your family when you attend a court session where a judge finalizes your adoption. You will receive an amended birth certificate and a certificate of adoption.

10. LIVE AS AN ADOPTIVE FAMILY
Adoption doesn't end after finalization. You will continue to learn about adoptive parenting. Talk with your child and others about adoption, find support and services for your child's needs, and connect with other adoptive parents. And, when you are ready, consider adopting again.