Complications
Suggested articles for you
20 Natural and Safe Home Remedies for Abortion
Pregnancy is a beautiful phase in a woman’s life, especially when it comes as a blessing when she has decided to start a family. Those two lines on a pregnancy test can bring so much joy and happiness to those who have been waiting! But what about women are not able to feel the same happiness with a pregnancy? For them, it can turn into a nightmare.
There are many reasons as to why a woman’s journey with pregnancy can get derailed. You may not have been planning for a pregnancy. You may be in the prime of your career. You could be too young to be a mommy. You could have a health condition or another such medical reason. All of these reasons can lead you to deciding to terminate your pregnancy. Though it may sound unethical at first, it’s important to understand that unwanted or nonviable pregnancies can bring nothing but despair to a couple.
You can choose to go in for medical or surgical procedures to terminate your pregnancy as recommended by a doctor, but these may have side effects on your health. On the other hand, going the natural way and using home remedies for an abortion is not only effective and convenient, but allows you to keep the entire abortion procedure hush-hush. Here, we shall be discussing how to follow various home remedies effectively for an abortion.
Precautions to Take Before Abortion
There are home remedial measures available for almost any medical condition. However, you need to exercise great caution while following natural methods, especially for procedures of abortion. Here are some of the things that you should keep in mind before adopting any home remedial measures for abortion:
You have to be extremely sure of your decision of terminating your pregnancy. It can be emotionally scarring for a mother, so it is advised to get on with the abortion procedure only if you are sure of your decision of termination.
Make sure you are in a healthy state before adopting any home remedial methods of abortion. Not being in the pink of health may lead to more discomfort and complications.
You should not use any home remedy for abortion if you have crossed ten weeks of pregnancy. Using home remedial measures beyond this point in your pregnancy may cause severe complications.
Some home remedial methods may lead to complications. Therefore, it is recommended to seek expert advice. Improper methods of abortion may lead to serious side effects.
In case of unsuccessful efforts of abortion using home remedies, you should seek immediate medical assistance, as there could be some complications.
You may have to try one or more methods of abortion when using natural methods. This is because what may work for one woman, may not work for the other.
Once you take care of all the above-mentioned precautions, you can choose which remedy to follow for your abortion. Home remedies are extremely cost-effective as compared to medical and surgical procedures, and if practiced in the correct way and at the right time, you can achieve the desired results.
Home Remedies to Abort Pregnancy Naturally
If you are wondering about how to terminate your pregnancy at home in a uncomplicated method, following any of these home remedies will prove to be effective:
1. Papaya for Abortion
Papaya is best known for its great nutritive value. This wonder fruit is rich in Vitamin A, Vitamin C, iron, magnesium, potassium, carotenes, riboflavin, dietary fibre and other vital nutrients. However, once you get pregnant, this is amongst the few food items from which you should strictly stay away.
Both ripe and unripe forms of papaya have abortion-inducing properties. The milky, white fluid – latex – in raw papaya has high levels of prostaglandin and oxytocin present that are effective in boosting labour contractions. Along with this, the presence of the papain enzyme hampers the production of progesterone, which can hinder the progress of pregnancy, and result in an abortion. Consuming papaya is an effective way to terminate a pregnancy.
2. Pineapple for Abortion
Pineapple is known for its tangy and sweet flavour. This yummy fruit is loaded with immense health benefits, as they are a rich source of Vitamin C, iron, folate and other important nutrients. Thus, it might surprise you to know that this fruit is one of the most effective home remedies for an unwanted pregnancy!
If you want to try this home remedy for abortion, it is recommended that you opt for greener and unripe pineapples rather than the yellow ripe ones. Proteolytic enzyme or bromelain, which are present in the greener pineapples, are responsible for breaking down protein. In the initial stages of pregnancy, the embryo is mainly made of protein. Consuming ample amounts of pineapple in early stages of pregnancy (up to 10 weeks), can cause bleeding by softening the cervix, which results in a natural abortion.
3. Goji Berry for Abortion
Goji berry is an effective home remedy to terminate a pregnancy. These small berries, also known as wolfberry, have been popular in Chinese medicine for a long time. Various parts of the goji plant, like the leaves, fruits and even the bark, are used for medicinal purposes.
Goji berries contain betaine, a nutrient that, for a non-pregnant woman, can be wonderful, but quite harmful for a pregnant woman. It can cause uterine contractions and bleeding, and may even disrupt a few essential body functions, thus resulting in a miscarriage. It is recommended to consume large amounts of goji berry (more than 10 grams a day) for abortion in a natural way.
4. Parsley for Abortion
Everyone loves the aromatic twist that parsley lends to different dishes around the world. This wondrous herb is not only the most preferred medium of garnish, but is also loaded with essential oils and Vitamin C.
Parsley is known to cause menstrual flow, and consuming large amounts of parsley during the early stages of your pregnancy (before 10 weeks) can result in a natural abortion. The ample amounts of Vitamin C make parsley one of the most effective natural remedies for abortion. Vitamin C in parsley increases the oestrogen levels in the body and these elevated hormones result in increased blood to the reproductive organs. Apart from this the volatile oils aid in thinning the uterine walls and softening the cervix and thus results in uterine spasms.
5. Vitamin C for Abortion
Vitamin C is a super healthy nutrient, having ample health benefits. It is abundant in many fruits such as pineapple, papaya, berries, etc. However, it has a flip side, in that it can be used as a home remedy for an abortion. You can consume it via fruits, or you can take Vitamin C supplements to terminate your pregnancy. However, if you wish to take supplements, it is recommended to get in touch with your doctor before doing so. Consuming high levels of vitamin C can prove to be detrimental and may cause kidney problems. Consuming Vitamin C increases oestrogen and reduces the progesterone in the body. Low levels of progesterone leads to bleeding and eventually causes abortion.
6. Sesame Seeds for Abortion
Sesame seeds are power packed with proteins, iron, amino acids, calcium and Vitamins B, C and E. These ‘super’ seeds are effective in treating flu and cold, and are also effective in keeping constipation at bay! Additionally, consuming sesame seeds causes abortion in a natural way, as they can cause contraction of the uterine muscles. You may soak the seeds overnight and consume them in the morning for a few days, or till the result is achieved. Though there is no recommended dosage for consuming sesame seeds, as these seeds do not pose any hazards to your health, consuming a handful a day should be good enough.
7. Cohosh for Abortion
Cohosh herbs are one of the most effective natural remedies for abortion. These herbs are available in red, blue and black varieties, and they are known for their medicinal properties. For non-pregnant women, blue cohosh is beneficial in regulating the hormonal imbalance, and it is also effective in regulating the menstrual cycle. Black cohosh is helpful in treating insomnia, hot flushes, mood swings and irritability that may arise in the menopausal stage.
However, apart from this, blue and black cohosh, when taken together, are very effective for inducing an abortion. The caulosaponin and oxytocin present in them trigger the abortion process by softening the cervix and causing uterine contractions.
8. Acacia Pods and Banana Leaves for Abortion
Acacia pods and banana leave shoots are very effective in causing abortion. You may take equal amounts of acacia seeds and banana leave shoots and powder them after drying. Take this powder mixed with sugar and hot water until the menstruation begins. Though the exact scientific cause behind this process in not established, this remedy has been known to be effective in termination of a pregnancy.
9. Chamomile Tea for Abortion
Chamomile tea is a blessing for tea lovers. This fragrant tea is beneficial in treating insomnia, depression and spasms. However, many people may not know that consuming chamomile tea is also a great way of terminating pregnancy naturally. The presence of thujone in chamomile induces uterine contractions leading to abortion. If you are aiming for abortion by consuming chamomile tea, you may have to increase the consumption of this tea for up to 2 to 3 cups a day for a week.
10. Evening Primrose Oil for Abortion
Evening primrose oil has immense health benefits for skin and bone ailments. However, if it is consumed in a form of pill or applied in substantial amounts on the cervix, it may result in abortion.
11. Mugwort Leaves for Abortion
Mugwort is a perennial plant that is primarily used to treat women’s reproductive ailments for centuries. It is also very effective in treating various medical conditions such as bronchitis, digestive problems, and muscle stiffness. This herb can also induce an abortion, as it is known to stimulate a menstrual flow. Mugwort is rich in essential oils, flavonoids, absinthin and tannin, which are known for stimulating the uterus and cause abortions.
12. Cotton Root Bark for Abortion
This biennial shrub has been known for centuries to have abortifacient (abortion-inducing) properties. Cotton root bark was used to treat fertility issues, menstrual cramps and labia tumours. Cotton root bark is an effective natural remedy for abortion. However, it is very important that you have access to a cotton plant that is free of harmful chemicals and pesticides. You may make a decoction by infusing this plant in boiling water. You may keep taking tea made with cotton root bark till your menstruation commences.
13. Pennyroyal for Abortion
Pennyroyal is an effective herb in dealing with termination of pregnancies. This herb comes in two forms, European pennyroyal and American pennyroyal. Extra caution must be exercised when dealing with this herb, as negligent handling may lead to fatal consequences. You may take this herb in fresh as well as dried form, and boil it in water to make tea. You may drink this tea for a few days, or till the bleeding starts. Be cautious about over-consuming this tea.
14. Cinnamon for Abortion
Cinnamon is one of the most loved and popular spices all over the world. This fragrant spice is widely used in food, beverages, desserts and even medicines. If consumed in the initial stages of pregnancy, it may lead to uterine contractions and bleeding, resulting in abortion. The complexity of its components makes it difficult to establish the exact cause that results in abortion, but this spice has been in practice for terminating unwanted pregnancies since ages. You may consume cinnamon in powdered form or as supplements. However, it is recommended not to go overboard with consumption of this spice, as it may lead to other side effects.
15. Acupuncture for Abortion
Acupuncture has been in practice for centuries. It is based on the principle that ailments result from a disrupted flow of energy in the body. In order to be hale and hearty, this disrupted energy has to start flowing again in the body. Thus, certain areas or spots in the body are stimulated to let the energy flow.
For aborting a pregnancy, acupuncture focuses on certain points in the body that could be stimulated. When these points are stimulated, it may result in a miscarriage. These points are SP6 and L14. However, it is strongly recommended that you take the help of an acupuncture expert if you wish to terminate your pregnancy through this method.
16. Sexual Intercourse for Abortion
Yes, having sex can also lead to a natural abortion! Having sex and orgasms multiple times a day in the initial stages of pregnancy may lead to abortions. Therefore, if you wish to end your pregnancy, you may practice regular sex, as orgasms cause abortions in a natural manner.
17. Hot Water Showers for Abortion
When you expose your body to extreme temperatures (102 degrees or more) in the initial stages of pregnancy, your body’s basal temperature rises, resulting in your body going into crisis mode. Your body acts vigorously to regulate your rising temperature, rather than focusing on the foetus. Taking hot water showers is recommended for up to two weeks or just until you achieve your desired outcome.
18. Massage for Abortion
Massage is an excellent way to relax tired muscles. However, when done in the early stages of pregnancy, it can lead to an abortion. You may take any massage oil and use it to massage your belly area. The main focus should be to keep the strokes downwards and keep applying pressure on the pelvic region. The pressure and strokes will result in releasing the foetus.
19. Taking Aspirin for Abortion
If you are pregnant, aspirin is amongst the first few medicines that you will be told not to take. However, if you are dealing with an unwanted pregnancy, then taking aspirin may provide you with a solution. You may take an aspirin 5 to 6 times a day for a few days or till the termination of pregnancy. You may include other food items such as figs, ginger and cinnamon, which are effective in generating body heat and thus helpful in aiding abortion. It is recommended to take your doctor’s advice on taking aspirin for abortion.
20. Exercise for Abortion
Exercising is a great way of keeping our body and mind healthy. In the early stages of pregnancy, you may be advised against following a strenuous exercising regime. However, if you wish to get rid of your unwanted pregnancy, then exercise your way to an abortion. High intensity workouts such as sit ups, crunches, squats, running, jogging or even weight training may be done till you achieve the desired outcome.
Disclaimer: The above mentioned methods are effective in terminating an undesired or unwanted pregnancy. However, it is strongly recommended that you consult your doctor before adopting any of the above mentioned methods of abortion to avoid complications.
Also Read:
Best Ways to Have Natural Miscarriage
How to Take Care of Yourself After An Abortion
Chances of Pregnancy After An Abortion
How To Terminate Pregnancy After 1 Month
Read more
How To Avoid Pregnancy After One Month?
While pregnancy is happy news for many couples, it can be stressful for some. An unplanned pregnancy can be overwhelming, and deciding on the future course of action can be difficult. The likelihood of effectively terminating a pregnancy is mostly influenced by your general health and well-being and the stage of your pregnancy. Before having the operation, be careful to discuss it with your doctor. Your future pregnancy attempts will be less likely to experience difficulties. If you want to know how to avoid 1 month pregnancy, here’s what you should know. Many people search how to stop pregnancy after one month, but proper medical guidance and supervision are essential for safety.
How to Stop Pregnancy After One Month?
How to stop pregnancy in one month? There are two ways to stop pregnancy after one month – a medical abortion or a surgical abortion. As the term suggests, medical abortion involves using medication to interrupt a pregnancy’s progress. Medicines are best because they are non-invasive in nature (1).
Methods to Stop Pregnancy Without a Surgical Abortion
There is no way you can stop a pregnancy without abortion. But it’s possible to bypass the surgical intervention.
1. Medical Abortion
In this, prescribed medicines are used to stop foetal development. Tablets containing mifepristone and misoprostol are generally recommended. They must be taken one after the other with a short interval. After this, uterine contractions take place and lead to the expulsion of the foetus. It’s accompanied by bleeding that can last up to two weeks. You may have to visit your doctor thrice during this period to verify the progress of the abortion (2).
Who Shouldn’t Go for Medical Abortion
Medical abortion isn’t the right choice if:
You’re over 9 weeks pregnant.
You’re prone to adrenal failure or have a blood-clotting disorder.
You have an intact IUD.
You take medicines that can interfere with medical abortion.
You don’t have access to a doctor or hospital.
2. Herbal Abortion
Quite a few women opt for herbs to stop pregnancy. Though there are plenty of such remedies available, they are an unsafe method of pregnancy termination (3). Herbs such as yarrow (scientific name Achillea millefolium), when consumed in a certain amount, can cause miscarriage. It can also worsen any bleeding disorders if present.
3. Hormonal Abortion
In this process, hormones like prostaglandin are injected into the uterus to induce premature labour. This causes the death and subsequent expulsion of the foetus (4).
4. Saline Water Method
Yet another intrusive procedure, saline water is injected into the womb to bring about dehydration. Salt injections poison the foetus.
Home Remedies for Abortion After 1 Month
There are some tried and tested natural remedies to stop pregnancy in the early stage. These are:
1. Papaya
Unripe papaya has benefits as well as drawbacks for pregnant women. Rich in oxytocin and prostaglandin, this fruit brings about uterine contractions during labour. The fruit is also a source of phytochemicals that can impair progesterone activity. However, it doesn’t cause abortion every time this method is used.
2. Cinnamon
Another popular home remedy to stop pregnancy is raw cinnamon or cinnamon supplements. The compounds in cinnamon can induce labour. Since cinnamon supplements may cause an allergic reaction, consult a doctor before moving ahead.
3. Pineapple
Bromelain, a proteolytic enzyme found in pineapples, can soften the cervix. It is believed that eating the flesh of immature fruit could induce a spontaneous miscarriage.
4. Sesame Seeds
They can be eaten with honey or combined with palm jaggery. A specific dose is believed to raise the body temperature and trigger contractions.
5. Green Tea and Chamomile
Another long-held belief is that excessive chamomile or green tea drinking might cause uterine contractions.
6. Heavy Workout
Some people also believe that heavy-weight or strenuous exercises, like crunches and sit-ups, can lead to abortion. Yet, no credible scientific studies support this widely held notion.
Surgical Abortion
Surgical abortion has been used for over four decades. Though it’s a quick procedure, it must be done by a qualified doctor in a hospital or clinic (5). It can be performed at any time during the first trimester.
What Is Surgical Abortion?
In a surgical abortion, instruments are used to carry out the procedure. You will be administered a local anaesthetic, and medications will be given during and after the procedure. You should ask your spouse to accompany you to the clinic.
Procedure
Any type of surgical abortion may be used based on how far your pregnancy has progressed. Vacuum aspiration can be performed in the first month of pregnancy and up to 16 weeks, while dilation and evacuation (D&E) can be performed after 16 weeks. Dilation and extraction (D&X) can be performed after 21 weeks. We explain these methods in brief below:
1. Vacuum/Suction Aspiration (6-16 Weeks)
Vacuum aspiration, also called suction aspiration and suction curettage, is a method in which a dilator is used to open the cervix after administration of a local anaesthetic. The cervix is held in place with the help of forceps of various sizes. Then, a thin tube, which is attached to a pump, is inserted into the uterus through the cervix. The pump, which may be manually or electrically operated, is used to suction out the contents of the uterus. This is followed by bleeding similar to a menstrual period.
Though the procedure takes only 15 minutes, you may have to stay in the hospital for a few hours. The doctor may also prescribe antibiotics to keep infections away.
You’ll experience some side effects after suction aspiration is carried out. Dizziness, cramping, nausea, and sweating are a few examples. Some women also have extended or heavy bleeding, blood clots, cervical damage, and perforation of the uterus. If any tissue has been left behind in the uterus, there are chances of an infection. If you develop fever, pain or any kind of abdominal tenderness, you should immediately contact your doctor.
2. Dilation & Evacuation (D&E) (After 16 Weeks)
This is another type of surgical abortion, which involves inserting a synthetic dilator into the cervix 24 hours before the surgery. First, an injection is given to ensure fetal death. The cervix is then dilated using aspiration, and a tube is inserted to remove the uterine lining. A curette and suction device help to scrape out the lining.
This procedure takes about half an hour, and antibiotics are prescribed to prevent infections.
3. Dilation & Evacuation (After 21 Weeks)
D&X is used only when there are complications with the pregnancy. A doctor might deliver the baby by using medical methods or introducing foleys with an abortifacient solution.
Medical Abortion vs Suction Aspiration
Medical abortion can be conducted up to 10 weeks from the first day of the last period, while suction aspiration can be done up to 12 weeks. In both these procedures, cramping and discomfort, like that experienced during a heavy menstrual period, are to be expected. Both these techniques have an approximate 99 per cent success rate. If a medical abortion fails, then you will need to get a suction aspiration. When a suction aspiration fails, it might have to be repeated (6).
Risks
The risk of health complications in a medical abortion is at least 10 times less than that of continuing a pregnancy. It is very rare to see major problems in this type of termination. The pills used for medical abortions have been in circulation since the 1980s. The risk factors for surgical aspirations are also the same. They are safest in the first eight weeks, and problems are almost non-existent when done in the first trimester.
Advantages
In medical abortions, there is no need for anaesthesia, surgical instruments or even a visit to the hospital. It feels more like a natural miscarriage and can be done early in the pregnancy. Aspiration abortions see much less bleeding and can be done even if the pregnancy has progressed.
Disadvantages
Medical abortions need at least two days, and bleeding can last up to two weeks. Aspiration abortions are more invasive and require the use of anaesthesia. Therefore, they are also susceptible to anaesthesia side effects.
What Are Some Possible Complications of Abortion?
Abortions are safe only when the healthcare professional follows the essential steps to complete the entire process. In the absence of that, the following problems may arise (7):
Infected pregnancy
Foetal tissues still in the womb
The failure to terminate
Severe bleeding that could require receiving blood transfusions
Cervical injury
Damage to the womb
Risks to mental health
Recovering From Abortion
Abortion or termination of pregnancy is an emotionally and physically draining experience. It’s essential to get rest and nutrition and gradually return to normalcy. Your doctor will advise you to take time off from work and avoid exercising for a while. You’ll need to keep yourself hydrated with lots of water and fluids. Your food must be balanced, healthy, and have a good dose of minerals, vitamins, and proteins. You should refrain from sexual intercourse until your mind and heart are ready. Once you have gone ahead with the termination of pregnancy, stop thinking about it and don’t feel guilty or negative. Vent out your feelings by talking to a near and dear one, your doctor, or by jotting down your thoughts in a diary. Your doctor will also guide you on preventing pregnancy after 1 month. So adhere to the guidance and take care of your body (8).
FAQs
1. Is it possible for a pregnancy to reverse on its own at one month without intervention?
While rare cases of early miscarriage can occur naturally, it is unpredictable and should not be relied upon for stopping pregnancy after 1 month. Any concerns or decisions should be discussed with a qualified healthcare provider.
2. Can irregular periods affect decisions about avoiding pregnancy after one month?
Yes, irregular periods can make it harder to accurately determine gestational age, which may influence the type and timing of medical options available. A doctor can confirm the pregnancy stage through proper evaluation.
3. Can stress or lifestyle changes naturally stop a one-month pregnancy?
No, stress or lifestyle changes such as diet, exercise, or home remedies cannot safely or reliably stop an established one-month pregnancy. Medical consultation is essential for appropriate and safe options.
The decision to prevent or terminate a pregnancy is yours to make, and it’s best to do it in consultation with a doctor. This can help to prevent infections and any long-term complications. If you do this on your own and encounter complications such as excessive bleeding or unusual pain, then don’t hesitate to seek medical help immediately! Also, use adequate contraception and birth control measures to prevent the need for abortions in future. Too many abortions can take a toll on your health and lead to problems in carrying a pregnancy to term in future.
Also Read:
Ways to Have a Miscarriage Naturally
What Are the Types of Abortion Procedures?
Natural and Safe Home Remedies for Abortion
Abortion Pills – How Does it Work, Side Effects & Risks
Read more
10 Things You Should Know About C-Sections
While vaginal delivery is the most preferred choice for all pregnant women, it might not always be the route taken during labour. A C-section or caesarean delivery often harbours fear, curiosity, and misunderstanding. You might have even wondered if a C-section is an easier or painless option as compared to vaginal delivery. While you have plenty to know about a C-section, from videos to books, there’s always a slew of things you might not be aware of. Since a C-section is a type of surgery, we’ve asked our experts to share some unexpected truths and inside information about a C-section delivery and recovery.
But let’s look at some basics first!
What Is a C-section?
A C-section or caesarean delivery is a surgical procedure that is required when vaginal delivery is not possible or can’t be done safely, or when the health and safety of the mother and the baby is compromised. During a C-section, the baby is delivered through the incisions made on the abdominal wall and uterus of the pregnant woman (1).
When Would You Need a C-Section?
Women usually require a C-section if there are chances of complications occurring during labour in a vaginal delivery. A C-section can be planned, in which your doctor can suggest a suitable date according to your pregnancy progress. In case of medical concern, doctors might require to do an emergency C-section, which is performed when there’s a health risk to the baby or the mother, such as if the baby is in distress, the baby is in an unusual position, there’s an issue with the progress of labour, and more (2) (3).
Although a C-section is a relatively safe procedure, there are some possible complications that could arise after the procedure is done, such as infections, increased risk of respiratory distress for your baby, or complications with future pregnancies (4). It is important to know all the pros and cons before the procedure.
Things People Don’t Know About Caesarean Deliveries
Here are some things to take note of when you are about to undergo a C-section.
1. Postpartum Bleeding Will Occur Even With a C-section
Although you are going with a C-section and not a vaginal delivery, you should expect postpartum bleeding as the uterus cleans itself after the placenta is removed. It’s totally normal (5). Nonetheless, the bleeding after a C-section will be a bit less compared to that after a vaginal delivery. Do expect bleeding for several weeks, during which the colour of the blood could range from dark red to brown to yellow to white (6).
2. Post-Op Care
After the C-section, you’ll be provided post-op care and will be monitored in the recovery room for a few hours. Your caesarean will not hurt because of the anaesthesia, but you may feel a bit of a tugging sensation. You can expect to have a catheter in place until the anaesthesia subsides and you feel normal sensation in your legs to access the toilet safely. C-section recovery pain is normal but manageable with doctor-prescribed oral painkillers and anti-inflammatory medication. A support belt is also recommended after a C-section, as the abdominal muscles need support as they recover.
3. Pack That Hospital Bag Early
When you’re in the third trimester, pack that bag so you’re not scrambling. Think: nursing bras, comfy clothes, high-waisted undies, maternity pads, toiletries, and maybe a good book. For baby: diapers, wipes, swaddles, a couple of cotton onesies, a beanie/cotton cap and mittens, etc.
4. Skin-to-skin Contact With the Baby
Regardless of not giving birth vaginally, mothers can have skin-to-skin contact or kangaroo care with their babies to provide infants with necessary warmth and comfort.
5. Breastfeeding After a C-Section
If you have had an unplanned C-section delivery, your doctor may allow you more rest and recovery and be less likely to encourage you to breastfeed right after delivery. Rest assured, your C-section does not hinder your ability to breastfeed. Since a C-section is a major surgery, abdominal incision, limited mobility, and pain can add to breastfeeding difficulties (7). You may want to try favourable positions, like football hold, side-lying position, or laid-back position, for breastfeeding better (8).
If your doctor recommends more time to relax and formula feed your baby, look for one with synbiotics, which is a combination of prebiotics and probiotics.
6. What Are Synbiotics, Anyway?
Babies born via C-section don’t get exposed to the good bacteria in the vaginal canal, which can delay the growth of healthy gut microbes like Bifidobacterium and Bacteroidota (9). This might make them more prone to things like asthma, obesity, or allergies down the road (10).
Giving them synbiotics early on (especially if you’re formula-feeding) can help their gut get back on track by feeding and restoring good bacteria (11) (12).
You can look for baby formula that includes synbiotics, and additionally contains vitamins C & D, calcium, DHA and other nutrients to support healthy growth in babies up to 6 months.
7. You Might Get the Shakes and Shivers
Spinal anaesthesia (which numbs the lower half of your body) is common during a C-section, and it can make you shake or shiver uncontrollably. It’s weird but totally normal. It’s just your body reacting to the meds and temperature drop. It goes away soon after. (13). The shakes will come off as a light shiver and eventually subside as the anaesthesia wears off.
8. Worried About The Scar? Don’t be!
The incision is usually horizontal, right above your pubic area. For the first 6 weeks, just keep it clean and dry—don’t put anything on it unless your doctor says so. Incisions and stitches nowadays are a lot neater than they used to be, so it might fade with time (and a good scar cream). Either way, it is a reminder of one of the sweetest days of your life.
9. Postpartum Depression
Yes, postpartum depression or postpartum blues are real. Persistent sadness, lack of bonding with the baby, severe mood swings, and overwhelming fatigue are some symptoms of postpartum depression. The pain associated with a C-section, hormonal changes, and sleep deprivation can accelerate the chances of postpartum depression. Getting professional help, joining support groups, and talking to loved ones or professionals can help you deal with your emotional state.
10. You May Feel Swollen and Have Gas Pains
Swelling around the C-section incision, legs, arms, and hands is commonly seen after a caesarean delivery due to fluid retention and hormonal shifts in the body occurring right after birth. Postpartum swelling, also known as oedema, is normal and gradually wears off. Keep yourself hydrated, wear compression socks, and keep your feet elevated to reduce swelling.
The first few days after a C-section are indeed the most challenging, as the body goes through intense physical, emotional, and hormonal shifts. Preparing and educating yourself well, listening to your body, and accepting help when needed can help make the recovery process more manageable. Remember that every person’s pregnancy and postpartum journey is unique. Discuss any symptoms and discomfort with your doctor to make sure you’re doing what you can to make recovery smoother!
References/Resources:
1. Cleveland Clinic – C-Section
2. Mayo Clinic – C-section
3. Tommy’s – C-sections (caesareans) – everything you need to know
4. BetterHealth Channel – Caesarean section
5. Tommy’s – Bleeding after a c-section (caesarean): what to expect
6. Cleveland Clinic – Lochia
7. American Academy of Pediatrics – Breastfeeding After Cesarean (C-Section) Delivery
8. HSE – Breastfeeding after a caesarean section
9. European Journal of Clinical Nutrition – Restoration of gut microbiota with a specific synbiotic-containing infant formula in healthy Chinese infants born by cesarean section
10. Danone Research & Innovation – Supplementation of a unique synbiotics supports healthy gut development in C-section delivered infants
11. PubMe Central – Clinical outcomes following pre-, pro- and synbiotic supplementation after caesarean birth or antibiotic exposure in the first week of life in term born infants: A systematic review of the literature
12. PubMed Central – The Impact of Probiotics, Prebiotics, and Synbiotics during Pregnancy or Lactation on the Intestinal Microbiota of Children Born by Cesarean Section: A Systematic Review
13. BMC Anesthesiology – Postspinal anesthesia shivering in lower abdominal and lower limb surgeries: a randomized controlled comparison between paracetamol and dexamethasone
Also Read:
Diet After C Section Delivery
Massage After C-section Delivery
Recovering After a C-Section Delivery
C-Section Delivery – What Are the Benefits and Risks?
Read more
Anteverted Uterus & Pregnancy – Is It Normal?
The most important organ of the female reproductive system is the uterus. This organ plays a key role during menstruation and holds the baby when a woman is pregnant. In addition, this organ regulates the menstrual cycles, thus ensuring the normal functioning of the body. However, many women may have an anteverted uterus.
An anteverted uterus is normal, occurring in almost 75% of women. It denotes a forward tilt of the uterus toward the bladder. The amount that the uterus leans forward varies from person to person. It is neither an abnormality nor a medical condition and does not affect the uterus’s physical structure. A woman’s health or ability to reproduce is unaffected by an anteverted uterus. To understand its impact in detail, read on to learn all about anteverted uterus and pregnancy.
What Is an Anteverted Uterus?
When the uterus is tilted towards the front of the abdomen, it is known as an anteverted uterus (1). There are two abnormal positions of the uterus. One is anteverted, and the other is retroverted. The uterus is said to be retroverted when it is tilted backwards (2). Talking specifically about the anteverted uterus, a tilted forward uterus implies that the uterus gets dislocated towards the bladder. This is a common issue in women, making them think they would have complexities in their menstrual cycles and pregnancy. But having an anteverted uterus is perfectly normal and doesn’t affect a woman’s ability to get pregnant. You may not even know if you have an anteverted uterus.
Can You Get Pregnant With an Anteverted Uterus?
It was believed that a woman with an anteverted uterus could not get pregnant. However, recent advancements suggest otherwise. The tilting of the uterus is nowhere related to a woman’s fertility (1) (3). This is because the passage the sperm covers through the uterus and the further process of fertilisation has no connection with the orientation of the uterus.
If a woman is pregnant and the uterus tilt is beyond a specific limit, she may experience discomfort and pain while emptying her bladder. If a pregnant woman has an anteverted uterus, she must visit a gynaecologist to experience severe back pain or irritations in the abdominal region.
An interesting fact that may surprise you is that when a woman with an anteverted uterus is pregnant, her baby bump becomes visible sooner than expected. In some cases, an anteverted uterus pregnancy bump can occur even before 12 weeks of gestation.
How Is an Anteverted Uterus Diagnosed?
An anteverted uterus can be diagnosed using the following two methods (3):
Pelvic Exam: This method is used by experienced doctors to touch and feel the uterus, the pelvic region, the ovaries, and the abdomen, to get an idea of whether the uterus is tilted or not. Based on the doctor’s intuition, she may further ask the woman to go for an ultrasound.
Ultrasound: This technological invention involves using sound waves to create sonogram images of the abdomen on the screen. This way, the doctor analyses the images on the screen to know whether the uterus is tilted or not.
How Can You Get Pregnant Faster With Anteverted Uterus?
A woman with an anteverted uterus must always get a uterine examination or an early pregnancy check-up. These will give you an accurate view of the anteverted uterus’ condition and any problems it might cause.
You’ll learn how to get pregnant rapidly, understand the best position for the anteverted uterus to conceive and gain advantages from the process while pregnant.
Impact of an Anteverted Uterus on Pregnancy
It is known that the forward tilt of the uterus neither affects a woman’s ability to get pregnant nor does it create any problems in delivery (though it has been found that some natural processes that ought to occur inside the uterus get affected). Therefore, it is highly recommended to consult a gynaecologist even if there are no severe complications.
Also, there are certain rare cases where a pregnant woman may develop problems such as uterine fibroids, uterus polyps, ovarian cysts or even fibroid tumours because of an anteverted uterus (4). And this is why expert consultation is required in the initial stages of pregnancy.
Can You Have Sex If You Have an Anteverted Uterus?
Having an anteverted uterus will not affect your sexual health or sexual life. So, yes, you can have sex with an anteverted uterus if you want to get pregnant or otherwise.
When to See Doctor?
Always seek medical attention if you have irregularities during your cycle or menstruation. For example, It’s probably time for a check-up if you suffer unusual bleeding in between periods, unusual discharge, itchiness, soreness, or the feeling that something could be “wrong” (4).
FAQs
1. Does an anteverted uterus cause complications in pregnancy?
Generally, no. It does not cause pregnancy complications. The uterus naturally expands and changes position as the pregnancy progresses.
2. Can an anteverted uterus cause infertility treatments like IVF to fail?
No, uterine position does not affect the success of IVF or other fertility treatments. Success depends on multiple factors like egg quality and embryo health (5).
3. Can an anteverted uterus cause miscarriage?
No, an anteverted uterus does not increase the risk of miscarriage. Miscarriages are usually related to chromosomal or hormonal factors, not uterine position.
Having an anteverted uterus is common and does not affect a woman’s fertility or ability to get pregnant. If you are trying to get pregnant for long, get your uterus examined. In case of any doubt or confusion, consulting a gynaecologist is the best bet. So please speak to your doctor about any problem you may have and follow her instructions. Stay informed, eat healthy, exercise, and lead a healthy life!
Also Read:
Uterus while Pregnant
Uterine Prolapse in Pregnancy
Uterus Pain during Early Pregnancy
Read more
Gestational Diabetes Mellitus
Pregnancy has a way of filling your days with both excitement and quiet questions. One moment, you may be thinking about baby names or tiny clothes. The next, you are trying to understand a medical term your doctor has just mentioned.
Gestational diabetes mellitus (GDM) is one of those terms that can feel unfamiliar and a little unsettling at first. Let’s find out what it means and what you can expect.
What Is Gestational Diabetes?
Gestational diabetes is a form of diabetes that develops during pregnancy. It affects how the body processes sugar, leading to higher-than-normal blood glucose levels. It is quite common, especially in countries like India, where about 10–14.3% of pregnant women are affected (1). However, unlike other types of diabetes, it is usually temporary and often resolves after the baby is born.
Even so, it requires careful attention to support the health of both the mother and the baby.
Does It Have Symptoms?
Gestational diabetes often does not cause noticeable symptoms. Some women may experience:
Increased thirst
Frequent urination
Unusual fatigue
These signs can also occur in a normal pregnancy, which makes them easy to miss.
Why Does It Happen?
During pregnancy, the body produces hormones that support the baby’s growth. Some of these hormones can interfere with insulin, the hormone that helps move sugar from the bloodstream into the cells for energy.
As a result, the body becomes more resistant to insulin. This is a natural process that ensures enough glucose remains available for the baby.
In some cases, the body cannot produce enough insulin to compensate for this resistance. When this happens, blood sugar levels rise, leading to gestational diabetes.
Who Is at a Higher Risk?
Gestational diabetes can affect any pregnant woman, but certain factors increase the risk:
Family history of diabetes.
Being overweight before pregnancy.
Previous gestational diabetes.
A history of delivering a larger-than-average baby.
Age over 25.
It is important to note that many women with no clear risk factors still develop it. This is why routine screening is part of standard prenatal care.
How Is It Diagnosed?
Gestational diabetes is usually identified between 24 and 28 weeks of pregnancy (2). Screening is recommended for all pregnant women, regardless of risk factors, and may also be done earlier in pregnancy if needed.
You will be asked to drink a 75 g glucose solution, and your blood sugar will be checked after 2 hours (1) (2) (3). If the result is higher than expected, additional testing confirms the diagnosis.
Effects of Gestational Diabetes on the Mother and Baby
With proper care, most women with gestational diabetes have healthy pregnancies and deliver healthy babies.
If it is not well managed, there can be complications (1) (2):
For the Mother:
High blood pressure (pre-eclampsia)
Excess amniotic fluid (polyhydramnios)
Prolonged or difficult labour
Obstructed labour
Higher chance of cesarean (C-section) delivery
Heavy bleeding after delivery (postpartum haemorrhage)
Infections
Worsening of eye problems (retinopathy)
For the Baby:
Miscarriage (spontaneous abortion)
Death in the womb (intrauterine death or stillbirth)
Congenital (birth) defects
Large body size, leading to difficult delivery
Shoulder dystocia (baby’s shoulder getting stuck during birth)
Birth injuries
Low blood sugar after birth (neonatal hypoglycaemia)
Breathing problems (respiratory distress syndrome)
How to Manage Gestational Diabetes
Here are a few ways to manage gestational diabetes effectively and maintain healthy blood sugar levels throughout pregnancy (1).
1. Balanced Diet
Eat smaller, frequent meals (3 meals + 2-3 snacks daily). Aim for regular, balanced meals that include whole grains, protein, healthy fats, and vegetables. Avoid large spikes in sugar intake and try to space meals evenly through the day (3).
2. Stay Active
Light physical activity, such as walking, helps the body use insulin more effectively. Even a short walk after meals can help. Aim for 20-30 minutes daily (3).
3. Monitoring Blood Sugar
Regular checks help track how the body is responding and guide treatment decisions.
4. Medication (if needed)
Some women may need insulin or other medication if lifestyle changes are not enough.
Does Gestational Diabetes Go Away?
In most cases, gestational diabetes resolves after delivery. Once the placenta is delivered, hormone levels return to normal, and insulin function improves.
However, follow-up care remains important.
Women who have had gestational diabetes have a higher risk of developing type 2 diabetes later in life (1). Regular checkups and a healthy lifestyle can help reduce this risk.
Gestational diabetes may feel unexpected, but it is manageable. With proper care, awareness, and small daily adjustments, most women can maintain a healthy pregnancy and a healthy baby.
Also Read:
Gestational Diabetes and Labour Induction
Diet Plan for Gestational Diabetes
How Does Having Gestational Diabetes Affect Your Delivery
Read more
6 Common Complications of Getting Pregnant in Your 30s and Precautions to Take
The 30s are usually a great time – you’re more likely to be well-settled, with your family and financial matters in order, and with a clearer plan for what’s ahead in your life. It may also seem like the right time to either have your first baby or add a new member to your happy family.
But having a baby in your 30s can understandably also present certain complications, ranging from minor to major. While there isn’t too much reason for you to panic, it always helps to be prepared so that you can stay ahead of whatever can come your way.
Common Pregnancy Complications You May Face in Your 30s
Getting pregnant in your 30s is not an impossible feat, although you may face a little more difficulty than your peers in their 20s. Similarly, becoming pregnant in your 30s does make you prone to certain complications, such as the following:
1. Premature Labour or Delivery
Pre-term labour is when labour begins before 37 weeks of gestation. This is obviously a serious complication, because giving birth to your baby too early can result in health complications and developmental delays. However, if identified right in the beginning, premature labour is something that can be thwarted. Look out for signs such as cramps (more than five or so in an hour), watery fluid discharge or bright red blood from your vagina, or a dull backache; even if your due date isn’t close.
Precautions to Take
The very first thing you need to do is to take care of your diet; in terms of quantity and quality. Eat healthy food, stocking up on polyunsaturated fats, Vitamin D, and DHA in your diet. Make sure you don’t skip any of your prenatal care appointments and quit any unhealthy habits you may have, drinking and smoking being at the top of the list. If you have a history of premature labour and birth, your doctor may even recommend preventive medication.
2. Gestational Diabetes
Women who become pregnant in their 30s have higher chances of developing gestational diabetes; in fact, it can occur in almost 3 to 5% of all pregnancies. This means that they could have high blood sugar levels during pregnancy, even though they were normal before. Now, the symptoms aren’t going to be very noticeable for this condition and it’s usually discovered during routine screening tests. But if you notice that you feel exceptionally thirsty or hungry, or find yourself making one too many trips to the bathroom, it’s best to get yourself screened. In case this condition goes unchecked, it may result in excessive birth weight of the baby, preterm birth, or put the child at risk of developing Type 2 diabetes later in life. If you have gestational diabetes, it can also put you at risk of high blood pressure or preeclampsia, or developing diabetes in the future.
Precautions to Take
To lower your risk of developing gestational diabetes, it’s important to prepare your body for pregnancy. For one, consider losing weight (if needed) as being overweight can increase your risk of developing this condition. However, make sure you have your doctor’s approval or supervision for the same. Apart from that, eat small healthy meals frequently throughout the day to keep your blood sugar levels stable.
The various tests and medical expenses for treating gestational diabetes can put a strain on your wallet. You can consider tackling these expenses, from hospitalisation, diagnostic tests, medication and more, with the Pregnancy Complications Cover from Bajaj Finserv. With a coverage of up to Rs. 50,000 at just Rs. 499, and an easy application process, this would be an ideal financial precaution to take for a possible complication during your pregnancy.
3. Preeclampsia
Preeclampsia is a potentially dangerous complication of pregnancy, usually characterised by high blood pressure and possible damage to other organ systems. Other signs include swelling of the hands and feet, water retention (decreased urine output), nausea and headaches, changes in vision, and shortness of breath as well. Being obese, carrying multiples or going through your first pregnancy can also put you at risk for this condition. There are severe complications both you and your baby could be prone to if you have preeclampsia, including placental abruption, organ damage, HELLP syndrome, foetal growth restriction and so on.
Precautions to Take
While complete prevention isn’t possible, there are certain things you can do to lower your risk of developing this condition. For one, keeping your weight under control can go a long way. Keep a track of your weight gain and blood pressure throughout your pregnancy and follow your doctor’s recommendation to keep them under control. Stay well-hydrated and also keep your feet elevated several times during the day.
4. Low Birth Weight Baby
The term ‘low birth weight baby’ is used for babies born weighing less than 2500 grams, often a common situation in the case of premature births. Other causes for your baby to be born with low birth weight can also be complications you face during pregnancy, intrauterine growth restriction (IUGR), birth defects, or problems with the mother’s placenta.
Precautions to Take
There are a few things you can do with regards to your lifestyle and health to avoid (as much as possible) the possibilities of a low birth weight baby. For one, cut out any harmful habit you have (the earlier the better) that can cause you and your unborn baby trouble. Pay close attention to your diet and exercise as well. Also, attending every scheduled prenatal visit helps your doctor keep a proper track of how your pregnancy is progressing as well.
5. Caesarean Delivery
It’s a well-known fact that the older the mother-to-be, the more her chances of delivering her baby through a C-section increase. In fact, the chances of you having to undergo a C-section is almost 20% higher in your 30s, than in your 20s. Issues like increased foetal distress or prolonged second-stage labour can be causes to deliver via C-section.
Precautions to Take
It’s not always possible to avoid a C-section delivery, but you can try these tips to reduce the possibility. For starters, you can attend prenatal classes which will keep you healthy and active, reducing your risk of developing complications later on. And as with anything else, your diet and exercise levels will also play a major role in your pregnancy. When you’re in labour, it’s best to wait as much as possible before getting an epidural or being induced even, as these are linked to higher C-section rates.
6. Ectopic Pregnancy
This is mainly applicable to women who are in the ages of 35 to 44, whereby the fertilised egg attaches itself in a place other than the uterus. By doing so, the egg cannot develop properly, and therefore, must be treated. Apart from the age factor, other causes for ectopic pregnancy include having had an ectopic pregnancy previously, or abdominal/pelvic surgery, induced abortions, endometriosis, or using fertility medications. If you experience dizziness or weakness, a sharp stabbing pain that comes and goes (especially on one side of the body), or heavy or light vaginal bleeding, you might want to get yourself checked to rule out any problems.
Precautions to Take
The problem with an ectopic pregnancy is that the chances of having a successful delivery are extremely rare; treatment usually involves terminating the pregnancy itself. Hence, while there’s no way to reduce the risk of an ectopic pregnancy, it’s important to get medical help as soon as you see symptoms. These include pelvic pain, bleeding through the vagina, shoulder pain; and in some severe cases, heavy bleeding, lightheadedness, abdominal pain, and even shock. While the loss of a pregnancy can be shattering, please remember that your health and well-being is also at stake in case of an ectopic pregnancy.
You can take care of the related medical expenses with the Pregnancy Complications Cover introduced by Bajaj Finserv under its Pocket Insurance & Subscriptions category. The plan offers coverage for pre-hospitalisation, hospitalisation, medication, and the doctor’s fee, simply on confirmation of the diagnosis through an ultrasound scan.
Getting pregnant in your 30s can be a great thing, and is, most often, a smooth-sailing process. However, there are chances that you may run into certain complications, such as the above. Take the necessary precautions, follow a healthy diet, exercise regularly, and try and stay stress-free as much as possible to ensure a smooth journey to motherhood.
Also Read:
Pregnancy Complications during First Trimester
Pregnancy Complications during Second Trimester
Pregnancy Complications during Third Trimester
Read more
Period After Abortion: When It Starts and What to Expect
Some women may feel a little anxious thinking about their next period after an abortion. The recovery process may be different for every woman as it depends on factors like how their bodies cope with the abortion, how well they look after their health after the abortion, and how far their pregnancy had progressed before the abortion.
But it is important to understand the difference between post-abortion bleeding and the start of regular periods after the procedure. In the case of surgical abortion, bleeding after the procedure is normal, but it should not be mistaken for menstruation.
Moreover, abortions that occur in the second trimester of pregnancy may pose health issues both physically and mentally. On the whole, most women usually experience irregular or delayed periods after an abortion.
What Is Post-Abortion Bleeding and Is It Different From Periods?
Post-abortion bleeding is the bleeding that occurs immediately after a medical or surgical abortion and is not the same as a menstrual period. This bleeding happens as the uterus sheds remaining tissue and returns to its normal size. It may be heavier than usual for a period at first and gradually lighten over days or weeks.
Unlike a regular period, a post-abortion bleeding may include clots, and it can also vary in colour from bright red to dark brown, and come with cramping. As far as side effects are concerned, they could range from fatigue, mild pelvic pain, or spotting between days, which are also common and usually temporary.
Medical Abortion vs Surgical Abortion
What is the difference between surgical and medical abortion? We have the answers for you (1) (2).
Surgical Abortion
Medical Abortion
A procedure where the doctor uses gentle suction to empty the uterus.
A procedure involving a combination of medications that helps in aborting the pregnancy.
Can be done up to 14 weeks since the start of your last period or 15 weeks of pregnancy.
Can be done up to 9 weeks since the start of your last period or 10 weeks of pregnancy.
Usually requires one visit for the procedure.
Usually requires more than one visit for the procedure.
98% effective
95-97% effective
You may experience mild cramps.
You may experience strong cramping and nausea.
Bleeding after a surgical abortion is usually lighter but more predictable.
Bleeding after a medical abortion often lasts longer and may be heavier initially.
Surgical abortion may cause shorter-lasting cramps
Medical abortion often causes stronger cramps as the uterus contracts.
Medical abortion is always recommended and is preferred over surgical abortion, except for some cases, such as a missed abortion. You should consult your doctor, as she should be able to give you the right advice.
Things to Remember About Bleeding After a Surgical/Medical Abortion
Here are some important things to remember about bleeding after getting an abortion:
After a surgical abortion procedure, it is normal to experience irregular bleeding for 4-6 weeks.
After getting an abortion via a medical procedure, heavier bleeding is expected for 3-4 days, followed by average bleeding for 4-6 weeks and up to 8 weeks (4).
You may pass some tissues while bleeding, and this usually lasts for 3-4 days.
It may take some time for your regular period to start. Your body may be taking more time to heal from the abortion process or to expel the pregnancy hormones from your body. You may also have a delayed period if you are suffering from stress and depression.
Bleeding after a medical abortion may come in waves and last up to two weeks.
Bleeding after a surgical abortion is usually lighter but may continue as spotting.
When Do Periods Start After an Abortion?
After the abortion, some bleeding for 2 to 6 weeks is considered normal. Post-abortion bleeding is normally heavier in the beginning but becomes lighter eventually. After the recovery, bleeding has reduced, and the body starts preparing for the first period after the abortion, which can take several weeks.
Women who have an abortion during the first trimester of their pregnancy are likely to get their first period after the abortion within 4 to 8 weeks. However, in case the recovery bleeding has extended beyond 8 weeks and your period has not started, contact your doctor.
It is also important to keep in mind that even after the abortion, the pregnancy hormone levels in the body may be high, which can cause changes in the menstrual cycle. Also, having an abortion does not affect fertility. So, in case of unprotected sex after an abortion, the chances of getting pregnant again are high (3).
First Menstrual Cycle After Abortion
The first period after abortion can feel different from your usual cycle as your body adjusts hormonally.
Timing and Duration
The first period after abortion and how long it lasts may vary. It can be slightly longer or shorter than usual and may arrive earlier or later than expected. This variation is normal during early recovery.
Characteristics
Menstruation after abortion may be heavier or lighter than normal, with thicker blood or small clots. Some people notice stronger cramps, while others experience milder discomfort.
Other Signs
You may also notice breast tenderness, mood changes, fatigue, or mild lower-back pain during the first cycle, all of which are linked to hormonal shifts.
Second Menstrual and Other Subsequent Cycle After Abortion
By the second or third cycle, most people notice their periods becoming more regular. Flow, timing, and symptoms usually stabilise as hormones settle. If irregularity continues beyond a few cycles, it’s advisable to consult a healthcare provider.
Which Period Products Can Be Used?
During the first period after abortion, pads are often recommended initially to monitor bleeding. Once bleeding reduces and healing is complete, tampons or menstrual cups can be used if approved by your doctor. Comfort, hygiene, and infection prevention should guide product choice.
Changes in the Menstrual Cycle After an Abortion
There may be certain changes in your menstrual cycle after an abortion, and they are:
1. Change in the Flow
If you have had an abortion through a surgical process, your first period may have a lighter flow. It also may last only for a few days, unlike your normal period. But in case you experience heavy bleeding that continues unusually for days together, contact your doctor. If your abortion was done through medical means, you may experience a heavy period.
2. Irregular Periods
After an abortion, you will most likely experience irregularities while menstruating. For example, you may notice light bleeding 2 weeks after your period. The abnormalities can occur due to the presence of pregnancy hormones in the body.
What If You Have an Abnormal Period?
The sudden termination of the pregnancy can confuse your body, and it may take some time to get rid of the pregnancy hormones and come back to its regular cycle. The presence of pregnancy hormones in the body can bring about certain changes or delays in the menstrual cycle or cause irregular periods after abortion.
During the first period after your abortion, heavy or light bleeding may occur, depending on the type of abortion you have had, accompanied by blood clots and cramping. It is the body’s way of ejecting all the remaining tissues and products of pregnancy. You may experience this for the next few menstrual cycles.
Medication for Menstrual Cramping
Your doctor may suggest over-the-counter pain relievers for mild menstrual cramping. Putting a hot bottle wrapped in a towel or a heating pad on your lower back or stomach may bring relief from the pain. You can also try propping up your feet or consider taking birth control pills, but do so only after consulting the doctor. The American College of Obstetricians and Gynecologists also considers using birth control right after the abortion (5).
Tips for Self-care Post Abortion
Abortion can take a toll on a woman, both physically and mentally. Therefore, it is vital to take care of one’s health after an abortion for complete recovery. Some helpful tips are listed below (6):
Take adequate rest and maintain a healthy diet.
Turn to your family and friends for emotional support o to deal with the situation.
Avoid unprotected intercourse with your partner.
Ensure regular check-ups and follow-up care with your doctor.
Avoid lifting heavy objects.
Do not indulge in heavy exercise for a while.
In case of surgical abortion, take prescribed antibiotics without fail.
One week after the surgical abortion, avoid having sex and putting anything inside the vagina, like douche or tampon. Start your hormonal birth control after consulting your doctor, even though you have not started having sex yet.
When to Call Your Doctor
It is advisable to contact your doctor if you happen to experience excessive bleeding, soaking up to two pads or more in an hour, two hours in a row or large blood clots along with painful cramping (7). In case you pass tissues with painful cramping, experience foul-smelling vaginal discharge, release blood clots larger than the size of a lemon, or have high fever, you might require medical intervention (6). Some women may experience late periods after having an abortion. However, if there is no sign of periods post-abortion, it may be a cause for concern. Also, recovery bleeding post your abortion that goes up to 8 weeks or more will need medical attention. It can also happen that some women may get their first period but skip their second period after the abortion. In that case, they may want to get a pregnancy test done or consult a doctor.
FAQs
1. When can you start taking birth control after an abortion, and will it affect your periods?
Birth control can often be started immediately or within a few days after abortion, depending on the method. Hormonal contraception may temporarily affect cycle timing but helps regulate periods over time and prevents unplanned pregnancy.
2. When is pregnancy possible after abortion?
Pregnancy is possible as soon as ovulation resumes, which can happen before your next period or while getting period after abortion. This is why contraception is important if you wish to avoid pregnancy.
3. Should you be worried if you do not get periods after an abortion?
A no period after abortion situation can happen due to hormonal changes or stress. However, if you’re unsure after an abortion, when your next period is or if you haven’t started getting your period after an abortion within eight weeks, medical advice is recommended. Persistent absence of a post abortion period should always be checked.
It is normal to experience some deviations while menstruating after an abortion. Nevertheless, in case of any doubt, it is always advisable to consult a doctor for necessary guidance and timely treatment. Not worrying unnecessarily and remaining stress-free, along with taking good rest and eating healthy, will go a long way in helping your body to recover from the trauma of abortion.
Also Read:
Physical and Emotional Side Effects after Abortion
Taking Care of Yourself Post Abortion
How To Terminate Pregnancy After 1 Month
How Soon After Miscarriage Do You Ovulate?
Read more
Ectopic Pregnancy – Symptoms, Reasons and Treatment
Pregnancy is one of the most beautiful experiences for a woman. The gift of being a mother is overwhelming and much cherished by women and their partners. However, not all pregnancies turn out to be normal, and some cannot be carried to fruition. One such type of pregnancy is an ectopic pregnancy, which is also called a tubal pregnancy. Almost 2% of the pregnancies in the world are ectopic and pose health risks to the mother.
An ectopic pregnancy can initially look like a normal one, but as it progresses, it can be painful and will need to be terminated. Read this post to learn more about ectopic pregnancy, its diagnosis, treatment, etc.
What Is an Ectopic Pregnancy?
In a conventional pregnancy, the sperm and egg fertilise in the fallopian tube and are implanted in the spongy endometrial lining in the uterus. This lining provides all the nutrients necessary for the egg.
When it comes to an ectopic pregnancy meaning, however, the fertilised egg is implanted outside the uterus. An ectopic pregnancy is more dangerous than it sounds as it could prove to be fatal for the mother. Thus, it is of extreme importance that you keep an eye out for any odd symptoms in the initial phase of your pregnancy and consult your doctor immediately if you feel something is amiss.
How Does Ectopic Pregnancy Happen?
As explained earlier, a normal pregnancy happens when the sperm swims up to the fallopian tube for fertilisation, and the fertilised egg is implanted in the inner lining of the uterus. However, if the fallopian tube is damaged or too narrow, it can cause the egg to implant in a different location. The implantation can happen just outside the fallopian tubes, abdominal space, ovary, or even the cervix. In such a case, the egg does not mature as it should, and the baby does not develop.
How Common Is an Ectopic Pregnancy?
According to a study in the UK, 1 in every 85 pregnancies is an ectopic pregnancy. This roughly adds up to 12000 ectopic pregnancies in a year.
Another study shows that only 50% of the affected women displayed all the symptoms of an ectopic pregnancy, hence making it extra difficult to identify it.
What Are the Causes of Ectopic Pregnancy?
The exact reasons for an ectopic pregnancy can be unclear and depend on a case to case basis. But, it can be credited to anything that causes stress or an imbalance to the affected woman’s uterus, such as surgery or pelvic inflammatory diseases. One common reason is a damaged fallopian tube that can prevent the transportation of a fertilised egg to the uterus and cause it to get implanted in the fallopian tube itself.
What Are the Signs and Symptoms of an Ectopic Pregnancy?
This kind of pregnancy shows symptoms of a normal pregnancy at the beginning, such as these very early signs:
A missed period
Nausea
Fatigue
Tender or tingly breasts
Constant urination
However, as an ectopic pregnancy advances, has discomforting symptoms, the most obvious one being excessive vaginal bleeding. This happens when the ectopic pregnancy has ruptured and is classified as a medical emergency. In case of a ruptured ectopic pregnancy, the following symptoms and signs are seen:
Excessive sweating
Severe and sharp pelvic and abdominal pain
Very fast heartbeat (>100 beats/min)
Clammy and pale skin like in anaemia
Lightheadedness or dizziness
Excessive vaginal bleeding
Shoulder pain in some cases (as abdominal bleeding can irritate the diaphragm and manifests in your body as shoulder pain)
Signs of shock
What Are the Risk Factors for Ectopic Pregnancy?
There are a few risk factors that can lead to ectopic pregnancy:
All observed cases of ectopic pregnancies were found to be within the age of 35-44.
If your previous pregnancy was ectopic, then there is a good chance that your next one could be the same. This is because an ectopic pregnancy can cause tissue damage.
In case you’ve had pelvic or abdominal surgery, you could have an ectopic pregnancy as a surgery poses the risk of damage to the fallopian tubes and may lead to an ectopic pregnancy.
Pelvic inflammatory diseases are a common risk factor as they cause scar tissue to develop on the fallopian tubes.
Previously induced abortions can also increase risk as they may have injured the internal organs.
If you happen to conceive while an IUD is in place, you can have an ectopic pregnancy.
Similarly, a previous tubal ligation can sometimes disrupt conception by altering the fallopian tube.
Smoking, it is believed, affects the ability of the fallopian tubes to function normally and transport the fertilised egg to the uterus, thus causing an ectopic pregnancy.
If you are undergoing fertility treatment or medication, you have an increased risk. During treatment, the opening of the fallopian tubes is enlarged to make it simpler for the embryos to be transported. This dilation may become counterproductive and may lead to an ectopic pregnancy.
Endometriosis, a condition when the endometrial tissue grows in places other than inside the uterus, can also cause an ectopic pregnancy.
What Are the Complications of an Ectopic Pregnancy?
Ectopic pregnancy occurs when a fertilized egg implants outside the uterus, often in a fallopian tube. If left untreated, it can lead to severe complications that may endanger the mother’s health and future fertility.
1. Severe Internal Bleeding
When the ectopic pregnancy ruptures, it can cause significant damage to blood vessels, leading to life-threatening internal bleeding. This often requires emergency surgical intervention to control blood loss and prevent further complications.
2. Infection Risk
A ruptured ectopic pregnancy can increase the risk of pelvic or abdominal infections. If untreated, these infections may spread to other organs, potentially leading to sepsis, which is a critical and life-threatening condition.
3. Damage to Reproductive Organs
The rupture of a fallopian tube or other affected areas can lead to scarring, structural damage, or even the removal of the tube. This damage can reduce the chances of natural conception and may require fertility treatments in the future.
4. Shock or Low Blood Pressure
Excessive blood loss can lead to hypovolemic shock, a condition where the body cannot maintain adequate blood pressure and oxygen supply to vital organs. Symptoms include rapid heart rate, fainting, and confusion, requiring immediate medical attention.
5. Future Ectopic Pregnancies
Women who have experienced an ectopic pregnancy are at a higher risk of having another ectopic pregnancy in the future. This risk is often due to damage or scarring of the fallopian tubes, emphasizing the need for regular monitoring in subsequent pregnancies.
6. Emotional and Psychological Impact
The experience of losing a pregnancy, coupled with the physical trauma of an ectopic pregnancy, can lead to emotional distress, anxiety, or even depression. Many women may benefit from counseling or support groups to cope with these feelings and find emotional healing.
Ectopic Pregnancy Test
There is no specific test that can pinpoint an ectopic pregnancy. In most cases, an ectopic pregnancy is diagnosed due to an excessive display of the above-mentioned symptoms.
Just like a normal pregnancy, an ectopic pregnancy shows a positive pregnancy test due to the presence of the hCG hormone that would seem to be harmless. However, if the hCG levels do not increase at the expected rate, then an ectopic pregnancy is suspected.
This is followed by vaginal ultrasound and a pelvic examination for further confirmation.
How Is an Ectopic Pregnancy Diagnosed?
An ectopic pregnancy is hard to diagnose, as symptoms can resemble any other normal pregnancy. In cases where the symptoms are very evident, the following diagnosis methods are used:
Vaginal Ultrasound: The most common way for diagnosis that can show the location of the fertilised egg.
Blood Tests: As explained previously, blood hCG levels are analysed that are usually expressed during pregnancy. This is done when the ectopic pregnancy is not identified during an ultrasound.
Keyhole Surgery: This is a simple laparoscopic technique that can make the visualisation of the cervix and fallopian tube easier with the help of general anaesthetics. This helps you stay aware of cervix pregnancy if required.
How Is an Ectopic Pregnancy Treated?
In an ectopic pregnancy, there is no way that the embryo will survive. And the bigger it gets, the greater the risk for the mother. As the fertilised egg cannot be transplanted to the uterus either, the only option is to terminate the pregnancy.
The treatments usually employed are:
1. Expectant Management
In some cases, if the symptoms are not profound, then you are not given any medication or treatment. This is usually preferred so that you will not have to suffer the medical side-effects. You are, however, closely monitored, and your pregnancy will mostly dissolve on its own. There is mild discomfort that comes along with this method, but will be taken care of.
2. Medication
A dose of methotrexate is injected into your system and will stop the embryo from growing. This will also be closely monitored by your doctor, and a second dose will be provided if deemed necessary. There are certain side-effects to this as well, and you will have to exercise some caution that your doctor will explain to you
After having been treated with methotrexate, doctors will advise you to use contraception for at least three months as the drug is still present in your body and can harm your child in case of conception.
You are also asked to refrain from drinking alcohol as it can react with methotrexate and cause serious damage to your liver.
3. Surgery
Doctors resort to surgery only when internal bleeding is detected. It involves the removal of the fallopian tube where the pregnancy is found. This is done with the help of laparoscopy, and there are two types of keyhole surgeries carried out:
Salpingostomy: A small cut is made in the fallopian tube that is used to remove the ectopic growth. The cut is then left to heal on its own or is stitched.
Salpingectomy: The part of the fallopian tube where the ectopic growth is seen is removed, and the remaining length of the tube is reconnected. This is done when the ectopic pregnancy has ruptured and damaged the fallopian tube.
In the above-discussed cases, one of the possible side effects is the rupturing of your fallopian tubes. At this point, surgery is performed, and your fallopian tube is either fixed or removed based on the extent of the damage.
Treatment options are always widely discussed before a decision is made, and depends on the level of your condition. Always make sure that you are comfortable with the decision and never hesitate to ask questions.
Chances of Getting Pregnant After an Ectopic Pregnancy
There is good news for those who have had an ectopic pregnancy. According to statistics, women who have had an ectopic pregnancy have a 65% chance of having a healthy pregnancy within 18 months of experiencing it. The probability is expected to rise to 85% in the next 2 years, thanks to improvements in medical surgery related to this field.
It is important to remember that if your fallopian tubes are healthy and well-treated, a normal pregnancy is bound to happen.
Can an Ectopic Pregnancy Be Prevented?
There is no concrete way to prevent an ectopic pregnancy, as in most cases, women aren’t aware of what’s going on in their reproductive organs before taking a test. This makes it hard to predict conclusively if there is an ectopic pregnancy or not.
You can, however, reduce the risks that contribute to an ectopic/cervical pregnancy:
If you are a regular smoker, quit smoking. It was found that women who smoked had a higher probability of having an ectopic pregnancy than women who didn’t smoke.
It is best to use contraceptives, such as condoms that reduce the chances of getting STDs that can cause pelvic inflammatory diseases. These diseases contribute to the development of scar tissues in the fallopian tube and ultimately, an ectopic pregnancy.
During the first few weeks of your pregnancy, closely monitor your body and hCG levels to detect any discrepancies.
Monitor the health of your fallopian tubes with a check-up when you are planning a baby, to prevent tubal pregnancy.
Support After an Ectopic Pregnancy
After an ectopic pregnancy, it is only natural the mother’s emotional and physical health is affected.
Post diagnosis and fallopian tube pregnancy treatment, your doctor will need to confirm the termination of the pregnancy, but even after he does, the mother may experience a continuation of the symptoms.
This is mainly due to the presence of pregnancy hormones such as hCG in the body even after the pregnancy. This still conveys the feeling of being pregnant. If there are feelings of anxiousness, fear, anger, or depression, the mother needs to be reminded that the failed pregnancy is not her fault.
The loss of pregnancy is not only depressing for the mother, but for the partner and the family as well. It is prudent to seek the professional help needed or even just have a heart-to-heart conversation with someone close. Finding other women who have gone through the same experience and forming an ectopic pregnancy support group can help, too.
How to Deal With an Ectopic Pregnancy?
If you have experienced an ectopic pregnancy, remember that if one fallopian tube is removed, you always have the other one to support your future pregnancies. Believe in yourself and your body’s ability to heal itself. The body has its own healing mechanism, and all you need is time and peace of mind.
Ectopic pregnancies are, in short, the opposite of every mother’s dream. Make constant trips to your gynaecologist to ensure good health and to be prepared for conception well in advance. Do not ignore any symptom or sign that you feel is uneasy. After an ectopic pregnancy, take the time to nurture yourself back to normal.
FAQs
1. Can an ectopic pregnancy resolve on its own?
In rare cases, an ectopic pregnancy may resolve without medical intervention, such as through tubal miscarriage. However, this is uncommon, and most cases require medical or surgical treatment to prevent complications.
2. Are there symptoms specific to a non-tubal ectopic pregnancy?
Yes, while most ectopic pregnancies occur in the fallopian tubes, non-tubal ectopic pregnancies (e.g., in the abdomen or ovary) may cause localised pain and unusual bleeding, and they may not be detected until complications arise.
3. How does an ectopic pregnancy affect hormone levels?
An ectopic pregnancy can cause slower-than-normal increases in hCG levels, which is often a key indicator for diagnosis. These abnormal hormone patterns can differentiate it from a healthy uterine pregnancy.
Ectopic pregnancies are not widely discussed and only come to the fore when they occur. You can do your bit to help educate as many women as you can so they can take the precautions needed to avoid them and stay alert if they see a risk.
References/Resources:
1. Ectopic Pregnancy; Cleveland Clinic; https://my.clevelandclinic.org/health/diseases/9687-ectopic-pregnancy
2. FAQs: Ectopic Pregnancy; American College of Obstetricians and Gynecologists; https://www.acog.org/womens-health/faqs/ectopic-pregnancy
3. Ectopic pregnancy; NHS; https://www.nhs.uk/conditions/ectopic-pregnancy/
4. Mummert. T, Gnugnoli. D; Ectopic Pregnancy; National Library of Medicine; https://www.ncbi.nlm.nih.gov/books/NBK539860/
5. Ectopic pregnancy; Better Health Channel; https://www.betterhealth.vic.gov.au/health/healthyliving/ectopic-pregnancy
6. Ectopic Pregnancy; Cedars Sinai; https://www.cedars-sinai.org/health-library/diseases-and-conditions/e/ectopic-pregnancy.html
7. What is an Ectopic Pregnancy?; The Ectopic Pregnancy Trust; https://ectopic.org.uk/what-is-an-ectopic-pregnancy
Also Read:
Abdominal Pregnancy
Chemical Pregnancy
Causes of Overdue Pregnancy
Symptoms Of Heterotopic Pregnancy
Read more
Cervical Length During Pregnancy – What Is Normal and What to Expect
Ensuring a healthy pregnancy is a top priority for expectant mothers, and understanding the various factors that may influence it is crucial. Among these factors, cervical length during pregnancy emerges as a significant consideration, as it plays a pivotal role in preventing complications during pregnancy. This article aims to provide comprehensive insights into the concept of cervical length in pregnancy and its potential impact on the gestation period. Monitoring cervical length during pregnancy is a routine part of prenatal care, and healthcare professionals often employ ultrasound examinations to assess it. According to the American College of Obstetricians and Gynecologists (ACOG), an unusually shortened cervix during pregnancy may be an indication of an increased risk of preterm labour, prompting closer monitoring and potential interventions to safeguard both the mother and the baby (1).
What Is Cervical Length?
The cervix is the lower part of the uterus that remains closed during pregnancy and gradually shortens as labour approaches. It is a three-centimetre-long canal that connects the uterus to the vagina. The cervical length is simply the length of the canal, including the cervical opening. In pregnant women, the cervix needs to be of a specific length for the growth of a healthy baby. Measuring cervical length helps doctors assess the risk of preterm birth, especially in women with a history of preterm delivery or other risk factors.
Why Is the Cervical Length Important?
The cervix is almost inflexible until you get pregnant. Once you conceive, it becomes softer and shorter, loses muscle tone, and dilates. This is known as cervical effacement, which allows the foetus to fit inside the cervical canal while being born. However, if your cervix is too short, you may be at risk of preterm labour and all the complications that come along with premature birth (2).
Normal Cervical Length During Pregnancy Chart
A normal cervical length in pregnancy varies slightly throughout the terms, but it generally remains above 25 mm (2.5 cm) until later gestation. The following chart provides approximate normal ranges commonly used in obstetric practice.
Week
Normal Cervical Length
12 – 14 weeks
35–50 mm
16–18 weeks
35–50 mm
20–24 weeks
35–50 mm
24–28 weeks
30–45 mm
28–32 weeks
30–40 mm
32–36 weeks
25–40 mm
36–40 weeks
Gradually shortens in preparation for labour
Are Having a Short Cervix and Cervical Insufficiency Related?
No, a short cervix and cervical insufficiency are totally different things. A short cervix merely refers to the length of the cervical canal. Cervical insufficiency, on the other hand, refers to the premature cervical effacement and dilation that happen when the muscles are unable to remain firm and strong. Cervical insufficiency can lead to a short cervix.
How Do I Know If My Cervix Is Short?
A short cervix often causes no symptoms and is usually detected during an ultrasound examination. However, some women may experience:
Increased pelvic pressure
Persistent lower backache
Mild abdominal cramping
Changes in vaginal discharge
Light spotting or bleeding
Sensation that the baby is pushing downward
Can Cervical Length Change During Pregnancy?
Yes. Cervical length naturally changes throughout pregnancy. In most women, the cervix remains long and closed until the third trimester. However, some women may experience earlier shortening, which can increase the risk of preterm birth. Regular ultrasound monitoring may be recommended for those at higher risk.
Factors That Influence the Cervical Length
Several factors influence cervical length. Some of them are:
1. Anatomy
Some women have a short cervix. That’s how their bodies are built.
2. Distended Uterus
In multiple pregnancies, the uterus stretches beyond its capacity. It pushes downwards on the cervix, reducing its length.
3. Cervical Insufficiency
Cervical insufficiency or an incompetent cervix is a condition caused by the lack of cervical muscle strength, which can influence cervical length (3).
How Is the Length of the Cervix Measured?
An ultrasound transvaginal scan can help to measure the cervical length. Ideally, the cervical length in the 24th week should be about 3.5 – 5 cm, whereas at 28 weeks, it should be 3.5 – 4 cm. At 32 weeks, the cervical length for normal delivery in cm is 3 – 3.5 cm. A cervix shorter than 2.5 cm increases the likelihood of preterm birth.
Is Measuring the Cervical Length a Must?
Doctors usually recommend the cervical length scan to women carrying twins or multiples or having a medical history of premature birth and miscarriage.
What Are the Risks Associated With Short Cervical Length?
Preterm birth stands out as a significant risk associated with a short cervical length (4). Beyond potential health challenges for the infant, premature delivery elevates the likelihood of complications such as preeclampsia, haemorrhage, and infection for the mother.
It’s essential to recognise that a shortened cervix can also be a contributing factor to cervical incompetence, characterised by premature cervical opening typically occurring in the second trimester. Cervical incompetence poses a severe threat, potentially leading to miscarriage or preterm birth if not addressed promptly.
Moreover, a reduced cervical length heightens the probability of requiring a cesarean delivery. This is attributed to the potential inadequate dilation of the shortened cervix during labour, creating difficulties for the baby to traverse the birth canal. In certain instances, opting for a cesarean delivery becomes imperative to ensure the safety and well-being of both the mother and the newborn.
Tips to Deal With a Short Cervix
Here are a few things you should do if your cervix is too short:
1. Bed Rest
Bed rest shouldn’t be compromised. Lying down prevents the uterus and the foetus from bearing down on the cervix, thus preventing it from early effacement.
2. Cerclage
This is a minor surgery in which your doctor will stitch your cervix shut with a couple of sutures. The procedure is quick and performed under anaesthesia. It is done for women who have had prior preterm deliveries. Some doctors believe that cerclages can lead to infection and inflammation, but these can be controlled with the right medications.
3. Hormonal Treatment
In this treatment, your doctor will place the pregnancy hormone, progesterone, in the cervical area. Progesterone can help in the relaxation of the uterus.
4. Pessary
A silicone device known as a pessary can be used to support the cervix, keeping it closed shut.
Cervical Length in Twin or Multiple Pregnancies
Women expecting twins or triplets are more likely to experience early labour (spontaneous preterm birth) compared to those who are pregnant with a single baby (5). While normal cervical length varies, the average mid-pregnancy CL for twin gestations is typically between 35 mm and 40 mm (6). To give you a context on when the cervical length remains in the normal range and when it exceeds (7):
Low Risk: Generally ≥ 30 mm.
Borderline/Close Monitoring: Below 30 mm to 35 mm.
High Risk (Short Cervix): ≤ 25 mm before 24 weeks of gestation is often used as an indicator to signal a high risk for spontaneous preterm delivery.
When to Consult a Doctor?
It is important to talk to your doctor about any worries regarding cervical length, particularly if you notice:
Any indications or symptoms of a shortened cervix.
A background of preterm labour or cervical insufficiency.
Risk factors for cervical shortening include multiple pregnancies or past cervical procedures.
FAQs
1. Can Cervical Length Be Improved During Pregnancy?
Cervical length in pregnancy is generally a biological characteristic and cannot be significantly altered. However, certain interventions, like progesterone supplementation or cervical cerclage, may be recommended by healthcare professionals in specific cases to address potential issues.
2. How Often Should Cervical Length Be Monitored During Pregnancy?
The frequency of cervical size during pregnancy monitoring varies based on individual risk factors and healthcare provider recommendations. Generally, healthcare professionals assess cervical length during routine ultrasound examinations, with more frequent monitoring for those at higher risk of complications.
3. What Can I Do to Maintain a Healthy Cervical Length During Pregnancy?
While cervical length is largely influenced by biological factors, maintaining overall health is essential. Following a balanced diet, staying hydrated, avoiding tobacco and illicit substances, and attending regular prenatal check-ups contribute to overall well-being. However, specific interventions for cervical length are typically determined and guided by healthcare providers based on individual circumstances.
It’s important to understand the changes your body goes through during pregnancy. Cervical length plays a major role during pregnancy, so it is essential to stay informed about it. Do not worry if you have a normal cervical length in pregnancy. If you have any concerns about the cervical length during pregnancy, consult your gynaecologist.
Also Read:
Cervical Position in Pregnancy
Can you get Pregnant with Small Uterus
Cervix Dilation during Labour and Birth
Read more
Breech Baby – Causes, Risks, and Turning
Not all pregnancies are normal – some go more smoothly, while some come with issues like babies in a breech position. You will obviously be worried if your doctor informs you that you have a breech baby, meaning their buttock or feet are poised to emerge first instead of their head. It is normal for babies to be in a breech position in early pregnancy, and by the end of the pregnancy, they will turn. While medical interventions are available, many parents seek natural methods to encourage their breech babies to turn into the optimal head-down position for childbirth. So, how to turn a breech baby naturally? Let us present you with some techniques and exercises to turn it the right way naturally!
What Is Baby Breech?
A breech position during pregnancy is an asymmetry or imbalance in the mother’s pelvis or soft tissues. This is unavoidable, as many women have a slight twist in the pelvis, which is common (1). In a breech, the baby’s bottom or feet are facing towards the lower portion of the uterus, as opposed to the normal delivery position, in which the baby’s head is down in the lower portion of the uterus (2).
Almost all babies are in the breech position at some point in pregnancy, but by 36 or 37 weeks, almost all turn naturally in a head-down position.
What Are the Chances of Having a Breech Baby?
By 36 weeks, about 3 to 4% of babies remain in breech position in full-term pregnancies, which usually leads to delivery in about the 39th or 40th week of pregnancy (3). Most babies turn head down naturally before delivery.
Different Types of Breech Positions
There are four types of breech positions during pregnancy (4):
1. Frank Breech: In this position of breech, the baby’s buttocks are facing down, facing the vagina, while the legs stick up straight upward in front of the body. The baby’s feet may come near the fetus’s face.
2. Complete Breech: In a complete breech position, the baby’s buttocks are facing down, while the knees and hips are flexed in a crossed position.
3. Footling Breech: This is the position in which the baby’s one or both feet are positioned downward, making it deliver before the rest of the body.
4. Transverse Lie: In this position of breech, the baby lies horizontally across the uterus instead of vertically (5).
The ideal fetal position required for pregnancy is when the baby faces down, faces your back and their chin is tucked to their chest. The baby’s head is ready to enter the vaginal canal.
Causes of Breech Baby
There can be many causes of baby breech, and all the responsibility can’t be on the mother. While doctors can ascertain the exact reason for breech position, the American Pregnancy Association lists some of the common causes of breech position (6) (7):
Serious falls
Crossing legs
Long car rides
A neck or ankle injury
Sports injuries
Abrupt stops that torque the torso
Carrying or supporting a toddler on the hip or doing hip rotation, causing activities over time
Low amniotic fluid
Abnormally shaped uterus
Early or premature birth
Diagnosis of Breech Baby
During the later weeks of pregnancy, the obstetricians routinely check the baby’s position. By gently examining the abdomen, they can often tell whether the baby’s head is down or positioned differently. If needed or there’s any doubt, the doctor may suggest an ultrasound scan or pelvic exam to confirm the exact position.
While breech position is an unwanted one in the later days of pregnancy, it’s important to remember that many babies remain in a breech position (head up, feet down) until around 36 weeks. Most doctors wait until the 37th week of pregnancy before confirming a persistent breech presentation and discussing delivery planning.
Risks of Having a Breech Baby
Delivering a baby vaginally in a breech position can be very challenging and come with additional risks, which are (8):
Baby getting stuck: The baby’s body may pass through the birth canal while the head becomes lodged against the pelvic bones, making delivery difficult.
Bone injuries: Because the baby’s legs and arms may be extended in unusual ways, there is a higher chance of fractures or joint dislocations during delivery.
Umbilical cord prolapse: The umbilical cord can slip down before the baby or become compressed, potentially limiting oxygen supply.
Due to these risks, a planned cesarean section is often considered a safer option when a baby remains breech near full term (8).
Can You Feel If Your Baby Flips?
It is possible to notice if the baby has turned or not. You may tell if the breech flips by observing the baby’s kicks. Earlier, the head would be near the womb; now, it will be near the pelvic region, with the feet high in the womb. Leg kicks are stronger than kicks from arms, so you may be able to notice a difference when the baby kicks, and you feel them strongly at the top of the womb.
Techniques to Turn a Breech Baby
Your ultrasound report might have shocked you when you learned that your baby was in a breech position. This may be a matter of concern, but the good news is that there exist ways to turn a breech baby into a head-down position naturally. If you want to know how to turn a breech baby naturally, refer to the following effective techniques:
1. Light
Light can do wonders. When you come to know in your late pregnancy that your baby’s head is not facing downward, you may not know what to do next. By simply putting a flashlight on the lower pelvic area, you can see the magic happen.
It is known that by the end of the second trimester, the foetus can recognise light from the outside. When you shine light on your lower pelvic area, there is a pretty good chance that the baby will follow the light and move his head towards the bottom. Though there is no conclusive study related to this, there is no harm in trying this simple technique.
2. A Magical Touch of Frost
This is another simple way to turn your baby’s head downward. Placing the ice pack or a frozen pea pack would do. All you need to do is place a towel on your tummy, particularly where the head is and then gently keep the ice pack on it. It is likely that the baby would feel the cold and would try to move away from it, and that is what you want. Isn’t it?
3. Go the Medical Way
Most babies in breech position at the time of delivery will require a cesarean delivery. This technique should be considered as an alternative when nothing else seems to work. The procedure that is widely used for physically turning the baby is called ECV or External Cephalic Version (ECV). If ECV also fails, a cesarean is recommended (9).
First of all, your doctor or midwife would help your uterus relax by giving you an epidural. Once it is done, the gynaecologist would physically try to move or tilt the baby. This could be painful and dangerous, too. But using the right technique and expertise, it can be achieved without much effort. But one should never ignore the risks associated with the process that could lead to placental abruption, caesarean section surgery, or umbilical cord prolapse.
4. Try Changing Your Side
You can also look forward to effective sleeping positions to turn a breech baby. Turning to the sides can help your breech baby come into the right position. This is because, by turning again and again to either side, you make your pelvis flexible, which further allows the baby to turn. This is a natural process, and you would not even realise it in your sleep when your baby tilts back to the head down position. Sleep on your left side instead of your right side for increased blood circulation. Also, bending your legs and knees should be done, and a pillow should be placed between your legs.
5. Experiment With Moxibustion Acupuncture
Acupuncture is a great way to turn a breech baby. In this technique, a physician would pinch the thin and narrow needles on both of your toes. Then, incense called moxibustion comprises a herb called moxa or mugwort, which is burned, and its smoke is spread around the toes. It is believed that the combination of heat, needle pressure, and smoke can help increase fetal movement, stimulate estrogen and prostaglandin production, and increase uterine contraction (10).
6. The Soothing Magic of Water
There is no denying the fact that a pregnant woman feels relaxed and light when in water. If you are a pro at swimming, you can flip forward and backwards in the water or even try the breaststroke. This can greatly help in flipping the baby to the head-down position. Another thing that you could try is a headstand under the water. This may sound weird, but it is a useful and effective technique. However, one needs to be careful when hitting the water and should always take advice from their doctors prior to diving. And, also while going for the headstand underwater, do take help from someone who can hold both your feet in position.
7. Make Some Noise for the Baby
You would be surprised to know that a baby starts to respond to noise from outside once you reach the third trimester. Therefore, this method can also prove to work positively. All you need to do is play some calming music and place the headphones on the lower pelvic area. The baby would hear this music and would naturally move down to where the sound may seem to be coming from.
8. The Power of Hypnotism
This is the craziest thing you might be hearing, but yes, it is a technique that has led to positive results in the past. The science behind this includes the fact that our conscious mind takes a back seat while the subconscious mind dominates our thoughts. A hypnotist would hypnotise the mother-to-be and ask her to relax and forget all her worries. Once the body is relaxed, she would be asked to create a mental image of her baby in the right position. This can help in activating the process in reality.
9. Try a Massage
Prenatal massages have been popular since time immemorial. Massage can help relax and get the much-needed break from pregnancy stress and pain.
A massage can significantly help in flipping the baby to the desired position. You should know that when you are pregnant, the ligaments, the tendons, and even the muscles around the pelvic area turn stiff. But with the right kind of massage, your body and mind will relax and thus make way for the baby to turn downwards. Massages during pregnancy should only be performed by a qualified masseuse who has been trained specifically with pregnancy massage techniques for pregnant women.
10. Going the Webster Way
This technique is conducted by an expert chiropractor. This process is carried out to realign your pelvic bones and relax your ligaments, creating a natural passage for the baby to move his head downward. You won’t get the desired result in a day, so you need to be patient. You would have to attend sessions at least 3 times a week when you are nearing your delivery date. Moreover, there is limited evidence on the safety of this technique (11). Also, make sure that your chiropractor is trained and professional with a successful track record in the past.
11. Grab Some Pulsatilla Herb
This involves relying on homoeopathy for flipping over the baby. Pulsatilla is a herb that is derived from the windflower and is recommended for women by their physicians when they are pregnant with a breech baby. If the positioning of the placenta or the uterine aberration is the reason for your breech baby, this herb is not your thing. But if everything is normal except the resistance your baby is showing towards turning over, pulsatilla can prove to be a boon. It is the dosage of this herb that aids in expanding your uterus, thus adding space for your baby to flip over.
Exercises to Turn a Breech Baby
While the above-mentioned techniques would do the needful, exercises can also help turn your breech baby to the normal head-down position. Also, exercising keeps you fit and your mood happy, so why not try to give some space for your baby to move? There should be no problem in turning a baby before 37 weeks with these exercises. However, turning a breech baby at 37 weeks or after should be done only under medical assistance.
1. Slope Your Body
Also called the tilt method, this exercise can be easily done with the help of an iron board. Look for a stable surface like your sofa and rest the ironing board in the slope position, with one end on the sofa and the other on the floor.
Lie down on the iron board with your head towards the floor and your feet towards the sofa. But keep someone by your side, as balancing could be an issue. This tilt would put some pressure on the baby’s head, and he would probably tuck his chin; thus, there is a possibility of him flipping over. Try this exercise at least 3 times a day, with each session lasting for about 10-15 minutes, for effective results later.
2. Knee to Chest
This exercise is based on gravitational pull. It is a simple exercise that involves you getting down on your knees on a mat. Next, keep your forearms on the ground, tuck your chin into the resting forearm and elevate your butt in the air. Stay in this position for about 5-10 minutes. This exercise helps the lower portion of your uterus to expand, thus creating more space for the baby to turn the right way.
It is recommended to do knee-to-chest exercises at least 2 times a day. Also, prefer doing it on an empty stomach, as it could add to discomfort or nausea later. If you feel your baby turning while doing this exercise, use one of your hands to exert gentle pressure on the baby’s rear part that lies just above the pubic bone.
3. The Cat-Cow Position
Also called the hands and knee position, a mom-to-be can rely on it in order to turn the baby around. This position can help turn the body flexibly so that the flipping over of the baby can be achieved easily. Get a yoga mat or a simple mat for yourself. Now, get down on your knees and put your hands on the mat. Also, drop your belly low. This position is similar to a cow posture. Next, elevate your back in a curved position and stay there. This is similar to a cat position. Repeat this 3-4 times a day, and you may notice a miracle when your breech baby is no longer breech.
4. Forward-Leaning Inversion
This exercise is similar to the knee-to-chest exercise but involves a bit more effort. Follow a similar pattern to that of the knee-to-chest exercise. However, this time, place your lower body on the couch or the bed and your upper body parts, i.e., the head and elbows, on the ground.
Do remember to tuck your chin, as this very step will help in pelvic muscle relaxation. Keep someone by your side while you practice this exercise. Stay in the position for about 30 seconds and repeat it 3-4 times a day.
5. Pay Attention to Your Posture
Exercising is one important thing, but what is more important is keeping your posture straight. A perfect posture would provide your baby with enough space to turn over. The right way to maintain good posture is to stand straight with your chin perpendicular to the ground. Let your shoulders rest naturally without attempting to move them backwards. Remember not to stand in a tilted position as if your belly is protruding and pull in your butts so that your body’s centre of gravity stays on them.
6. Breech Tilt
Breech tilt is an amazing activity to understand if you want to know how to turn a breech baby at home. Place a pillow under your hips and bend your knees gently. Now, put a pillow under your head; this way, you won’t lie straight on your back. Do this activity 10-15 minutes at a time on an empty stomach and when your little infant is active and kicking.
7. Massage With Breech Tilt
After putting a pillow under your hips and head, lie in a comfortable position and start massaging your belly using both hands. Massage your belly in the direction your baby can easily turn to. You can use a massage oil as well, and gently massage the belly. Asking your doctor or midwife is also helpful.
8. Side Lying Release
You can do the side-lying release activity on both sides for several minutes. Take the help of a midwife so she can assist you better. Remember to do this on both sides.
Lay on one side with your head elevated on a pillow and your neck straight. The expectant mother pushes her hip all the way up to the edge of the couch while holding a chair or a table close by. When the pregnant person’s leg hangs, the helper must stop them from cocking their hip forward.
Following that, the expectant woman straightens her lower leg, but the assistant must not pull the leg straight. Toes ought to be pointed up and flexed toward the knee. The pregnant person lifts their leg up and over their thigh just a little bit after the helper is steady and in place (but not before).
The SLR receiver allows their leg to sag slowly in front of them. As soon as the leg hangs a little lower, wait two to three minutes. Do both sides to prevent the pelvis from becoming unstable. The pregnant woman should then stand up and walk around the room in all directions or straight back if there is enough room.
9. Mini Massages
Perform circular mini-massages between the rib and abdomen along the front of the rib cage to soften the superficial margin between the fascia surrounding the rib cage, the respiratory diaphragm, and the peritoneum.
What Happens If You Have to Deliver a Breech Baby?
With a smooth flow of pregnancy, when at the last minute the baby is breech, or if you can’t have the delivery you expected, many pregnant women get stressed and anxious if the baby won’t turn. But it is important to trust the process and the medical experts and try as many natural techniques as you can between 34 and 36 weeks of pregnancy. If you have any doubts, do not hesitate to voice your concerns.
Things to Keep in Mind
Flipping a breech baby can be a challenging task. And, if you try the above techniques and exercises, you may get to achieve what you desire. However, there are some things to keep in mind so as to avoid any issues during the course of pregnancy or during labour.
A breech baby position is a normal thing till you reach your 30th week of pregnancy, and fine until you reach the 32nd week.
Always take advice from your gynaecologist before trying any technique or exercise, as there may be health risks associated with your specific condition.
In case your baby is still breech by the end of the 37th week of pregnancy, medical assistance is strictly recommended. It is important to note that ECV, or an External Cephalic Version, for manually turning a breech baby, could be conducted in such cases.
You need to be confident and positive, and you should not mourn why this happened to you.
If you have any pain or discomfort during exercise, stop immediately.
Drink as much water as you can. Drinking fluids is one effective solution for all body problems, and there is no denying this fact.
ECV is not a recommended technique for pregnant women who are expecting twins or for pregnant women who have a heart-shaped womb and not a pear-shaped one.
Trust yourself, your baby, and your body; sometimes, all you need to do is wait and get your baby to turn into a head-down position naturally. Panicking is not the solution here.
Turning a breech baby becomes important in order to avoid problems in babies, such as hip dysplasia or even lack of oxygen that reaches the brain.
Talking can be helpful sometimes. It is the words that come from the heart that can prove to be helpful. Talk to your belly; let the baby hear what you want and what he needs to do in this situation.
Lastly, a C-section is the last option if no other technique works. It is always better to pre-plan for your C-section in order to avert any issues later.
When to Consult a Doctor
Typically, your doctor will be the one to inform you if your baby is in a breech position in pregnancy during your routine prenatal checkup or ultrasound. Once you know, it’s important to discuss all your options. You can ask about the pros and cons of a vaginal breech birth versus a cesarean, what the C-section surgery would involve if they recommend it, and how you can prepare both physically and emotionally.
FAQs
1. Can breech babies turn on their own?
Most foetuses, earlier in a breech position, will turn head-down before reaching full term (37 weeks). However, some cases don’t. If a baby is still in a breech position, your doctor will monitor your routine prenatal care and may suggest an external cephalic version or a C-section, whichever is required.
2. Can you have a normal delivery with a breech baby?
It is possible to have a vaginal birth if your baby is in a breech position. However, vaginal breech birth carries higher risks than when a baby is head-down. The main concerns include potential injury to the baby’s arms or legs, complications with the umbilical cord, as it could get compressed or twisted, and difficulty delivering the baby’s head and shoulders safely. These challenges can sometimes affect the baby’s oxygen supply during birth (4).
Note: Not all doctors have the same level of experience with vaginal breech births. That’s why it’s important to have an open discussion with your doctor or midwife. They can walk you through the possible risks and benefits and help you decide what’s safest based on your individual pregnancy.
3. Do breech babies experience health issues later in life?
In most cases, babies born in a breech position grow up perfectly healthy and do not experience long-term problems because of how they were positioned at birth. After delivery, paediatricians usually check the baby’s hips carefully, as breech babies have a slightly higher chance of hip concerns. If anything needs monitoring, your doctor will guide you on the next steps.
4. Is a C-section more complicated with a breech position baby?
A C-section birth for a breech infant can be slightly more complex than one for a head-down baby. However, most obstetricians are well-trained and experienced in handling these situations. The procedure may require minor adjustments, such as a slightly larger incision or different techniques to gently guide the baby out safely.
Even though the approach may vary a bit, C-sections for breech babies are commonly performed and are generally considered a safe option.
5. Are exercises helpful in turning a breech baby?
Yes, some targeted positioning exercises, especially for pregnancy, may help, but scientific evidence is limited. It is always best to consult your obstetrician before starting any exercise.
Looking at the above information, you would know by now what a breech baby is and what you could do about it. Maintain your calm and meditate to steer clear of any stress. Also, knowing that this is a normal situation and only about 3% of babies do not turn in the head-down position by the end of 37 weeks becomes important here. Take it as an add-on tip; remember to trust yourself and your instincts rather than believing in what others have to say.
Also Read:
Umbilical Cord Around Neck
Causes of Breech Baby Birth Defect
Baby in Vertex Position during Labour and Delivery
Read more
Sort By
Latest
Most Popular
Trending
Please select atleast one Filter