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Nausea and Vomiting in Pregnancy

What is it?

Up to 75% of pregnant women suffer from nausea and/or vomiting in pregnancy. It is very, very common, and sometimes eferred to as “morning sickness”. This unfortunate side effect of pregnancy probably occurs secondary to a being very sensitive to the hormones of pregnancy. You can have varying severity of disease from mild intermittent nausea, to severe debilitating disease. The onset occurs at about 4-6 wks gestational age, peaks around 12-14, and subsides by about 20 wks.
A severe persistent form of nausea and vomiting of pregnancy occurs in about 1% of women and is called. Hyperemesis Gravidarum. This occurs when you have at least 3 episodes of nausea and vomiting and lose at least 6.5lbs, or 5% of your pre-pregnancy weight.
There are a few maternal conditions that may present with nausea and vomiting as the primary symptom. These include: ovarian torsion, hyperthyroidism, gastroenteritis, intestinal obstruction, kidney infection, molar pregnancy, appendicitis, pancreatitis, hepatitis…your physician will rule these out first before considering a diagnosis of nausea and vomiting of
pregnancy.

 

How It Affects the Mother

With nausea and vomiting of pregnancy, there are minimal effects on the mother. Loss of work is common, and treatment centers around avoidance of triggers, dietary modifications, and medication.

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Triggers include foods that are high in acidity. Vitamin C containing foods such as orange juice, fruit, pizza, spaghetti sauce, caffeine, carbonated drinks, all can trigger acid release in the stomach which can cause acid reflux. These symptoms are worse while lying down, and can cause vomiting. Avoidance of these foods can be helpful as can proton pump inhibitors (PPI) such as Nexium.

Early treatment of symptoms with lifestyle modifications and possibly medications will result in the most success and least amount of work loss. There are however extreme cases of hyperemesis gravidarum in which the mother cannot tolerate anything orally, and needs an IV to get hydration and nutrition. Treatments that are beneficial in treating nausea and vomiting in pregnancy are as follows ginger, Vitamin B6, Diclectin,, Benadryl (diphenydramine), Zofran. Reglan.

There is up to 15% recurrence of nausea and vomiting with subsequent pregnancy.

 

How It Affects the Fetus
Most cases of nausea and vomiting of pregnancy are not associated with adverse pregnancy outcome. Hyperemesis Gravidarum involving maternal IV for nutrition has been associated with fetal growth restriction and possible adverse fetal outcome.

This blog post is presented to you by VSacharMD.com the worlds first and only cosmetic company that makes safe non-toxic cosmetics that can be used in pregnancy, or by anyone who wants safe cosmetics. Note this post is for entertainment purposes only, and is not meant to be taken in the place of medical advice. Discuss your condition with your obstetrician. Visit us at VSacharMD.com for more posts and information about our products.

 

All Rights Reserved, Copyright V Sachar MD, 2014

Why is Non-toxic, Safe Makeup in Pregnancy Important?

Congratulations!! You are pregnant! This is one of the most exciting and special times in a woman’s life. Now it’s time to plan for a safe pregnancy.

Everybody is concerned about toxins. Pesticides, cigarette smoke, pollution, bisphenol A (BPA), organic, gluten-free…these phrases are thrown at us countless times per day in magazine ads, news reports and commercials.

What about in pregnancy? What should you do? Does it matter?

In 2004, and 2009, two different studies from the Environmental Working Group examined newborn’s blood, and found over 200+ toxins in newborn’s blood! Some of these toxins were pesticides, Bisphenol A, mercury, some are known to cause cancer, and some are known to be neurotoxic. The babies were exposed in utero to these chemicals directly from the mother’s exposure.

Some of these toxins can have an immediate affect, such as low birth weight. But some cause problems later in the child’s life. There is a phenomenon called bioaccumulation,where small amounts of toxin are absorbed, but as the baby grows, these small amounts build up and become toxic to the child.

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These toxins can come from multiple sources; food, air, and even makeup.

A healthy environment is important during pregnancy. In a recent study released in February 2013, it was found that pregnant women who were living in cities with higher pollution were more likely to give birth to underweight babies. Clearly, exposure to a high toxin burden, can adversely affect your babies growth.

What about toxin exposure through skin? Is your makeup safe for your pregnancy?

In March 2013 the Safe Cosmetics and Personal Care Products Act was introduced in the US Congress. It aims to ensure that all personal care products are safe by establishing a system to assess the safety of makeup and cosmetic ingredients and to phase out the most harmful substances that are suspected of causing cancer, reproductive harm or other adverse health effects. Toxin exposure in makeup has got the attention of the US Government!

Did you know that there is lead in many brands of makeup in the USA today!The lead content comes from the use of dyes to give color. The FDA tested commonly used lipsticks and reported their findings in this detailed report:
http://www.fda.gov/cosmetics/productandingredientsafety/productinformation/ucm137224.htm

This report will surprise you!! There is no safe level of lead. Lead should not be in any of our products. Even though the individual amounts in each lipstick maybe small, a phenomenon of bioaccumulation occurs. This is when repeated levels of low amounts,build up over time, and can become toxic levels. In pregnancy, lead can be transferred to the fetus as early as the first trimester, and is associated with neurodevelopment delay.

We carefully choose every ingredient to ensure that there is no lead in any of our products.

How can a fetus get exposed to toxins in makeup? This is described as transdermal absorption or across the skin absorption.

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Figure 1:  Chemical Absorption by Fetus

After the chemicals pass through the skin, they get absorbed into the bloodstream. The mothers blood directly goes to the baby along with nourishment, oxygen etc. The mother’s blood goes to the placenta which is the interface between the mom and the baby. Nourishment, oxygen and other substances get transferred to the placenta, and then from the placenta to the baby via the umbilical cord.

 

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Figure 2: Fetal blood circulation

Chemicals found in cosmetics have been found to affect both the mother and the baby in a number of ways. Most commonly, they interfere with hormonal balance amounting to what is commonly known as endocrine disruption. This can occur in the mother, and the baby. For instance, in pregnancy, exposure to parabens, and phthalates may be associated with reproductive anomalies in the baby later in life. For the mother, prolonged exposure to certain chemicals such as parabens may be associated with breast cancer. The European Union classifies pthalates as a suspected endocrine disruptor on the basis of evidence that it interferes with hormone function, and as toxic to reproduction on the basis that it may cause harm to the unborn child and impair fertility. As well, Health Canada notes evidence suggesting that exposure to phthalates may cause health effects such as liver and kidney failure in young children when products containing phthalates are sucked or chewed for extended periods. Parabens can mimic estrogen, the primary female sex hormone. They have been detected in human breast cancer tissues, suggesting a possible association between parabens in cosmetics and cancer. Parabens may also interfere with male reproductive functions.

You probably have parabens and a number of other toxins in your makeup, and aren’t even aware! Check the labels of your cosmetic products.

Pregnancy is the most important time to protect yourself agains toxin exposure. Limit yourself from pesticides by washing all produce, don’t expose yourself to pollution and cigarette smoke, and try to choose safe makeup.

Now there is a safe makeup alternative for pregnant women. To give women a choice in their makeup, I have created the world’s only safe, non-toxic makeup exclusively for pregnancy. I have removed potential toxins, lead,allergens, and irritants from our ingredients. This is the world’s safest makeup for the mother AND the baby. We feel that our makeup is the best natural, and toxin free makeup that is safe in pregnancy. Go to www.VSACHARMD.com to get more information.