Prenatal Care Archives - Health BeatHealth Beat

Group B Strep Awareness Month

Posted on July 5, 2024 by Patrick Hercules

Group B Strep (GBS), or Strep B, is a bacteria that lives naturally in our bodies and comes and goes without showing symptoms or causing harm unless it enters a part of the body free from bacteria. If the bacteria infects the lining around the brain it causes it to swell resulting in meningitis.

GBS bacteria live in the gastrointestinal and genital tracts. It can cause many types of infection which can be life-threatening. These infections and their symptoms include:

Bacteremia (bloodstream infection)

Fever
Chills
Low alertness.

Sepsis (the body’s extreme response to an infection)

Fever
Chills
Low alertness.

Bone and joint infections

Fever
Chills
Swelling
Stiffness or inability to use the affected limb or joint.

Urinary tract infections

Pain or burning while urinating.
Frequent urination.
Feeling the need to urinate despite having an empty bladder.
Bloody urine.
Pressure or cramping in the groin or lower abdomen.

Meningitis

Fever
Headache
Stiff neck.
Nausea and vomiting.
Sensitivity to light.
Confusion

Pneumonia

Chest pain when breathing or coughing.
Confusion
Cough
Fatigue
Fever or chills.
Nausea, vomiting, or diarrhea.
Shortness of breath.

Skin and soft tissue infections

Fever
Red skin.
Swollen skin or infected area.
Skin or infected area is warm to the touch.
Skin or infected area is full of pus or other drainage.

GBS bacteria most commonly causes bacteremia, sepsis, pneumonia, and meningitis in newborns. This occurs when bacteria is passed on to the newborn as it goes through the birth canal during vaginal delivery.

GBS disease symptoms in newborns and babies include:

Fever
Difficulty when feeding.
Irritability or lethargy in the infant.
Difficulty breathing.
A blueish color to their skin.

Doctors diagnose GBS disease by taking samples of a patient’s blood, urine, or spinal fluid depending on the type of infection.

Treatment for GBS depends on the type of infection. Doctors usually treat GBS disease with antibiotics. People with soft tissue and bone infections may need surgery.

It is important to start treatment as soon as possible.

If you would like to get screened for GBS bacteria, you can schedule an appointment with an OB/GYN at Jamaica Hospital Medical Center’s Women’s Health Center. To learn more, please call (718) 291-3276.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What is Eclampsia?

Posted on June 28, 2023 by Jacob Lobosco

Eclampsia is a condition that causes seizures during pregnancy. It is a rare complication in people with preeclampsia, which causes high blood pressure and protein in urine during pregnancy. Eclampsia generally occurs after the 20^th week of pregnancy and requires emergency medical care.

Aside from seizures, people with eclampsia may also experience severe distress, confusion, or loss of consciousness. Before the onset of these symptoms, certain warning signs may occur, such as:

Severe headaches
Nausea and vomiting
Distorted vision or loss of vision
Swelling of the hands, face, or ankles
Difficulty breathing or urinating
Abdominal pain, particularly on the upper right side of the abdomen

A few factors may increase a person’s risk of developing eclampsia. These include:

A family or personal history of preeclampsia or eclampsia (though most people with preeclampsia do not develop this condition)
Being pregnant for the first time
Twins or triplets
Autoimmune conditions
Obesity
Diabetes
Kidney disease
Pregnancy at an age younger than 17 or older than 35

While certain factors that increase your risk of eclampsia may be beyond your control, there are steps you can take to manage many of them. You should attend all of your pre-natal medical appointments and get prompt care from your doctor as needed, particularly if you experience symptoms of preeclampsia. Additionally, maintaining a healthy weight through a balanced, moderate diet and regular exercise can help to control your blood pressure.

If you have been diagnosed with eclampsia, your doctor may suggest inducing labor if the fetus is at 37 weeks gestation or more, as this is the most effective means of treating the condition and protecting the health of yourself and your baby. During pregnancy, you may also be prescribed medication to prevent seizures, lower blood pressure, and strengthen the fetus’ lungs.

You can receive treatment for eclampsia at Jamaica Hospital Medical Center’s Women’s Health Center. To schedule an appointment, please call (718) 291-3276. If you are experiencing a medical emergency, please dial 911 immediately.

Spina Bifida Awareness Month

Posted on October 13, 2022 by Jacob Lobosco

Approximately 1,400 babies are born with spina bifida in the United States each year. It can affect every child differently, but typically comes in three main forms: spina bifida occulta, meningocele, and myelomeningocele.

Spina bifida occulta, or “hidden” spina bifida, is the most common form of the condition, affecting up to 15% of the general population. It’s also the mildest form of spina bifida; a gap forms in the spine, but no opening or growth develops in a baby’s back and the spinal cord and nerves are left relatively unaffected.

Another form of spina bifida, meningocele, causes a sac of fluid to develop in a baby’s back, but does not contain any part of the spinal cord and causes little to no nerve damage, leading to only minor disabilities.

The most serious form of this condition, myelomeningocele, typically involves a sac of fluid forming within a gap in a baby’s back which may contain part of the spinal cord and nerves, potentially leading to severe disabilities in a person’s lower body.

Spina bifida is usually diagnosed within the first 28 days of pregnancy through an alpha-fetoprotein test, an ultrasound, or an amniocentesis test, though in certain cases, it may be diagnosed after birth.

Several comorbidities are associated with spina bifida. Approximately 68% of children diagnosed with the condition develop a latex allergy. Additionally, it increases a child’s risk of experiencing mental health issues such as anxiety or depression. Eighty percent of children with spina bifida also develop hydrocephalus, a condition which causes an abnormal buildup of fluid in the ventricles of the brain.

Due to the symptoms of spina bifida and the various conditions that may accompany it, people with this condition undergo an average of at least eight surgeries by 18 years of age. Many babies will require spinal surgery to prevent further injury and infection, and babies who also develop hydrocephalus will require a ventricular shunt, which may need to be replaced once they reach two years of age as well as several years later.

While there is no cure for spina bifida, surgery can prevent the condition from worsening. Additionally, pre-natal care can help prevent spina bifida from developing. Four hundred micrograms of folic acid are recommended for new mothers every day before and during early pregnancy. Controlling fevers, body heat, and chronic conditions such as diabetes or obesity can also help.

A doctor can help you identify potential risks and create a treatment plan to prevent spina bifida and other congenital conditions at Jamaica Hospital Medical Center’s Women’s Health Center. To schedule an appointment or receive more information, please call (718) 291-3276.

Sudden Infant Death Syndrome Awareness Month

Posted on October 5, 2022 by Jacob Lobosco

Sudden Infant Death Syndrome (SIDS) is the leading cause of sudden unexpected infant death, typically affecting babies between one month and one year of age. The cause of SIDS is unknown, but it occurs most frequently in children aged between one and four months, typically while they’re sleeping.

It can be difficult to properly diagnose SIDS as a cause of death in many cases due to the fact that it’s often only determined once other potential causes of death have been ruled out. Although its frequency has drastically decreased in recent years, it still remains a serious threat to newborn children.

Most SIDS deaths occur in boys during the fall, winter, and early spring seasons. Babies that are most often affected are also premature or underweight, have a sibling that died due to SIDS, live in a household with people who smoke, and often sleep on their stomach or side on a sleeping surface that’s too soft. Many of these babies may also overheat during sleep.

Additionally, certain risk factors are linked to a child’s mother, including childbirth at under 20 years of age, smoking while pregnant, and receiving minimal prenatal care.

The best way to prevent SIDS is to eliminate as many of these risk factors as possible. You can:

Make sure the baby sleeps on their back
Remove soft surfaces, such as fluffy blankets and toys, from sleeping areas
Prevent smoking in the presence of the baby and the household in general
Breastfeed your baby or provide the closest possible alternative, such as donated milk or formula

If your baby becomes unresponsive during sleep, please dial 9-1-1 to get emergency medical assistance immediately.

Jamaica Hospital Offers A Virtual Prenatal Experience For Women

Posted on January 26, 2021 by Xavia Malcolm

Being pregnant can be very challenging, and even more so during the COVID-19 pandemic. One of the issues that a growing number of pregnant women are encountering at this time is loneliness.

Studies show that over 50% of expecting mothers admit to feeling extremely lonely and isolated because they are spending more time at home, and away from others. These factors are believed to be contributors to a rise in prenatal depression.

Jamaica Hospital Medical Center hopes to provide a solution to this problem by offering pregnant women a safe place where they feel supported. By moving its CenteringPregnancy program to a virtual space, patients of the hospital can receive prenatal care and actively engage with a community of healthcare providers and fellow moms on Zoom.

In the CenteringPregnancy program at Jamaica Hospital, patients with similar due dates are invited to participate in group sessions facilitated by doctors or midwives. Participants meet every two or four weeks (depending on gestational age) and interact with nutritionists, lactation consultants and other healthcare providers. A variety of topics including mental health, breastfeeding and labor preparation are discussed. Special guest speakers from organizations such as Safe Sleep and Queens Healthy Start are also invited to share information and connect moms to helpful resources.

Before their first group session, patients attend an in-person orientation where they are given a Centering prenatal kit. This consists of a scale, blood pressure monitor, fetal Doppler, books and other materials, all of which are needed to participate in the program. Participants are trained on how to use each item to monitor their baby’s development and record vital health information. Patients report this information to their providers in a private session before the start of every group meeting.

While engagement and group discussions are encouraged among participants, there are 1-on-1, break-away sessions during each meeting. Here, mothers can speak privately with facilitators about any concerns or questions they may have. If a patient’s needs cannot be addressed via Zoom, an appointment will be scheduled to see their doctor at the Women’s Health Center where strict COVID-19 safety protocols are followed.

Jamaica Hospital’s virtual CenteringPregnancy program has been highly successful. The program has earned recognition from leading institutions and is used to demonstrate the benefits of virtual prenatal care to other medical facilities.

“The COVID-19 pandemic has changed the pregnancy experience for a lot of women, and we are constantly thinking of ways to make it as positive as we can,” said Patricia Fox, Certified Midwife. “Our team has established this unique, virtual platform so that we can provide our patients with a healthcare service that is convenient, safe and supportive. We understand how important these things are during these unprecedented times,” shared Thalita Viruet, Practice Manager for the Women’s Health Center.

To learn more about Centering at Jamaica Hospital, please call our Women’s Health Department at 718-291-3276.

Should You Speak to a Genetic Counselor Before Getting Pregnant?

Posted on February 20, 2020 by Michael Hinck

Choosing to start a family can be a complex decision for many. You need to balance your desire to have a baby with an assortment of real-life concerns about raising one. For some, a real concern is the risk of passing on a genetic disorder to their child. If this is an issue for you, a genetic counselor can be helpful.

Genetic or “hereditary” conditions are diseases that run in families. If you or your partner has a parent or grandparent with one of these types of conditions, there is an increased chance that your baby is predisposed to developing it as well.

Genetic counselors are specialists that can help you understand the causes of genetic conditions, what types of screenings and diagnostic tests are available to you, and what your chances are of having a baby with a genetic condition. In addition, genetic counselors can help potential parents deal with how genetic conditions can affect your family emotionally.

Genetic counselors can help determine the likelihood of your baby developing a wide range of conditions, including:

Single gene disorders, such as cystic fibrosis, sickle-cell anemia, Tay-Sachs disease or hemophilia
Chromosomal abnormalities that can lead to conditions such as Down syndrome
Complex disorders such as heart defects, spina bifida, or cleft palate which can be caused by a combination of genetic predispositions and environmental factors

There are multiple factors that can increase a person’s risk of passing along a genetic disorder, including:

A family history of a genetic disorder
A prior child with a genetic disorder
One parent with a chromosomal abnormality
Advanced maternal age (35 or older)
Advanced paternal age (40 or older)
Multiple miscarriages or prior stillbirth

To help prepare for your appointment, a genetic counselor may ask you to collect the medical histories of you and your partner’s parents, grandparents, aunts, uncles, and siblings, including a history of birth defects in your family. You may also be asked to provide a history of all other known medical conditions in your family, the age at which your family members were diagnosed and of any deaths resulting from these conditions.

If you are planning a pregnancy a genetic counselor can help you assess your risk-factors, review testing options, provide education and resources, and help you make informed decisions.

To make an appointment with a genetic counselor at Jamaica Hospital’s Women’s Health Center, please call 718-291-3276.

January is National Birth Defects Prevention Month.

Posted on January 11, 2019 by Michael Hinck

January is National Birth Defects Prevention Month. Jamaica Hospital would like to join the national effort to increase awareness about birth defects and what can cause them.

While not all birth defects are preventable, there are certain healthy behaviors that can be practiced to increase your chances of having a healthy baby.

The Centers for Disease Control and Prevention (CDC) recommends the following tips for preventing birth defects:

Take 400 micrograms of folic acid every day. Folic acid is important because it can help prevent some major birth defects of the baby’s brain and spine. Most vitamins contain the recommended amount of folic acid, but women should check the label to be sure it contains 100% of the daily value (DV) of folic acid.
Speak with your healthcare provider before you begin or stop taking any medicine. If you are planning to become pregnant, discuss your current medicines with a healthcare provider, such as your doctor or pharmacist. Creating a treatment plan for your health condition before you are pregnant can help keep you and your developing baby healthy.
Remain up to date with all vaccines, including your flu shot. Vaccines help protect you and your developing baby against serious diseases. Get a flu shot and whooping cough vaccine (also called Tdap) during each pregnancy to help protect yourself and your baby.
Attempt to reach a healthy weight before getting pregnant. Obesity increases the risk for several serious birth defects and other pregnancy complications. If you are overweight (or underweight), speak with your healthcare provider about ways to maintain a healthy weight before you become pregnant.
Avoid harmful substances, such as alcohol, tobacco, and other drugs during pregnancy. Smoking during pregnancy can harm the developing baby and can cause certain birth defects. Alcohol can also cause problems for a developing baby throughout pregnancy. Using certain drugs during pregnancy can cause health problems for a woman and her developing baby.

By following these recommended tips, you will be doing what is best for you and your baby.

Speak to your doctor about other ways to increase your chances of having a healthy baby. To make an appointment at Jamaica Hospital’s Women’s Health Center, please call 718- 291-3276.

Pregnancy Myths

Posted on November 27, 2018 by Xavia Malcolm

Learning that you are pregnant can be one of the most exciting times in a woman’s life. After receiving the great news, you are likely to go on a quest for information that will help you to have a healthy pregnancy.

During your search for information, you may encounter a lot of helpful facts and just as many myths. To help you to separate fact from fiction, here are a few common myths debunked:

You cannot dye your hair- There is no data that supports the harmful effects of dying your hair during pregnancy.
You are eating for two- Most women will only need to consume 200 extra calories each day during their pregnancy. There is no need to consume an excessive amount of calories.
You should not exercise- Exercise is encouraged throughout your pregnancy. However, as your pregnancy advances, some types of exercise can be harmful. Consult with your doctor to determine a workout routine that is safe for your health.
You can drink a little while pregnant – No amount of alcohol consumption is safe during pregnancy. It is best to completely avoid drinking alcoholic beverages.
You should avoid vaccinations- It is highly recommended that you receive the vaccinations needed to keep you and your developing baby healthy. One vaccination that is highly recommended is the whooping cough vaccine; it protects your baby from developing pertussis.

If you have questions or concerns about your pregnancy, your Ob/Gyn is a great source of information. Your doctor can advise you about exercise, diet, medications and other factors of your health. To schedule an appointment with an Ob/Gyn at Jamaica Hospital, please call 718-291-3276.

What Pregnant Women Should Know About the Whooping Cough Vaccine

Posted on October 2, 2018 by Xavia Malcolm

Whooping cough or pertussis is a highly contagious bacterial infection that affects the respiratory system. It is spread person-to-person by coughing, sneezing, or sharing the same breathing space as someone who is infected.

Complications of pertussis can lead to serious illnesses or death in babies. Infants under the age of one are at the greatest risk because their immune systems are not fully developed. According to the Centers for Disease Control and Prevention (CDC), “About half of babies younger than 1 year who get the disease need care in the hospital.” Complications of whooping cough may vary by individual and can result in:

Pneumonia
Seizures
Brain damage
Apnea (slowed or stopped breathing)

The best way to protect babies from whooping cough is for pregnant women to get the diphtheria-tetanus-pertussis (DTaP) shot. The CDC recommends that, “women get the whooping cough vaccine between 27 and 36 weeks of each pregnancy.” By receiving the vaccine during this time, mothers can pass on protective antibodies to their babies before birth. This will offer protection to babies during their first few months of life before they are able to get vaccinated.

If safety is a concern, the CDC advises that getting the vaccine is very safe for mothers and babies. Severe side effects are extremely rare. The most common side effects women may experience include:

Feeling tired
Pain, redness or swelling of the area the vaccine was given
Body aches
Headaches

If you are pregnant, speak with your Ob/Gyn about getting the DTaP vaccination, as well as other vaccinations needed to protect your baby. To schedule an appointment with an Ob/Gyn at Jamaica Hospital Medical Center, please call 718-291-3276.

Benefits of Prenatal Massage

Posted on August 14, 2018 by Joann Ariola

Having a baby is a beautiful time in a woman’s life, but the pregnancy itself isn’t always a pleasant experience. Can a prenatal massage help?

The goals of a prenatal massage are the same as a regular massage – to relax tense muscles, improve circulation, offer relaxation, and to re-energize the body and mind.

Many women experience joint pain, neck and back pain, leg cramping, and sciatica during pregnancy. Massage therapy addresses the inflamed nerves by helping release tension in nearby muscles.

A prenatal massage also improves blood circulation and reduces the risk of edema, or swelling of the joints during pregnancy by stimulating soft tissue. This reduces fluid build-up around joints. Improved blood flow also helps the body’s lymphatic system work more efficiently by aiding in the removal of toxins and tissue waste.

By ridding the body of certain stress hormones, a prenatal massage can reduce anxiety and improve an expecting mother’s overall mood. Other benefits include the alleviation of headaches, reduced instances of insomnia, decreased levels of depression, and even improved labor outcomes.

When choosing a massage therapist, be sure to pick one who is certified in prenatal massage. Certified Prenatal Massage Therapists are trained to provide relief to known sore spots and also know to avoid applying pressure to very sensitive pressure points. They know the appropriate techniques to use and positions to recommend and may even have a specially designed massage table for pregnant women.

A prenatal massage may not be for everyone. Women with certain conditions, such as preeclampsia, pregnancy induced hypertension or with a history of pre-term labor should not receive a prenatal massage. All women should consult with their prenatal care provider before scheduling a massage.

If you have questions about prenatal massage or would like to schedule an appointment with an OB/GYN at Jamaica Hospital’s Women’s Health Center, please call 718-291-3276.

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