Healthy Mother & Baby: Gestational Diabetes

Wednesday, March 25, 2015 2:40 PM comments (0)

gestational diabetesGestational diabetes develops during pregnancy, typically between the 24th and 28th weeks. Most women will experience some change in glucose levels during pregnancy due to fluctuating hormone levels. Gestational diabetes develops when glucose levels rise but a woman’s pancreas is unable to produce enough insulin to regulate blood sugar levels. Developing gestational diabetes does not mean a woman was diabetic prior to her pregnancy, however approximately 20% of women with gestational diabetes will go on to develop type 2 diabetes later in life.  Women with gestational diabetes must make lifestyle changes to ensure their health as well as their baby’s. 

Rebecca Jacobson, MD, Obstetrics/Gynecology, discusses when women should be screened and what changes an expectant mother should make after diagnosis:

Women are screened for gestational diabetes approximately 24-28 weeks into pregnancy. However, women who are at a higher risk for developing gestational diabetes—risk factors such as obesity, previous instance of gestational diabetes, family history of diabetes—will likely require earlier screening. 

It’s important to keep gestational diabetes in check to prevent complications that could affect your baby, such as excessive birth weight, increased risk of cesarean section, increased risk of birth trauma, premature birth, low infant blood sugar at birth, and an increased risk for type 2 diabetes and obesity later in life. Left untreated, gestational diabetes can also result in a baby’s death. 

Treatment options:

  • Monitor blood sugar. Expectant mothers diagnosed with gestational diabetes will likely have to monitor blood sugar upwards of four to five times a day—in the morning and after meals— to keep levels within a healthy range. 
  • Maintain a healthy diet. The right foods and portion sizes, as well as steering clear of sugary snacks and drinks, will help keep sugar levels in check and prevent excess weight gain during pregnancy. Women newly diagnosed with gestational diabetes should work with their doctors and a nutritionist to create a balanced diet plan with weight gain goals because weight loss is not recommended during pregnancy. 
  • Exercise regularly. Exercise is important during pregnancy both for mother and growing baby. Exercise lowers blood sugar levels because the body transports glucose into cells, which produces the energy for physical activity. Moderate-to-vigorous exercise, with a doctor’s permission, is recommended nearly every day of the week.
  • Supplement with medication. Changing one’s diet and regular exercise might not be enough to combat gestational diabetes. Some women will require additional treatment with medication, which can be administered orally or as an injection. 

Have questions about gestational diabetes or advice to offer other women newly diagnosed with gestational diabetes? Join our new online community The Parent 'Hood to start a conversation today. Click here to find out more. 

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Safe and Sound: Reducing SIDS in Infants

Monday, December 01, 2014 4:56 PM comments (0)

For exhausted new parents, it can be a relief when your infant finally settles down to sleep for the night (or even just a couple of hours) but there can be fear as well. Sudden Infant Death Syndrome (SIDS) can happen even when all the right safety measures are practiced. The exact cause of SIDS is unknown. SIDS is most common in infants less than six months of age but can occur between one month and one year. 

While nothing can prevent every case, there are ways to significantly reduce the risk of SIDS. William MacKendrick, MD, Neonatologist at NorthShore, shares safe sleeping recommendations every parent should practice:

  • Place your baby on his or her back in the crib. Incidences of SIDS are higher in babies placed on their stomachs to sleep.
  • Use a firm mattress and don't place anything other than your infant in the crib. It’s important to keep all toys, sheets, blankets, pillows and other materials out of the crib as they can be unsafe and hazardous. Crib bumpers are also not recommended.
  • Keep your baby away from smoke. If you smoke, only smoke outdoors away from your child. Fumes from smoking can increase a baby's risk for breathing difficulties.
  • Avoid co-sleeping (sleeping in the same bed) with your infant; however, cribs can be kept in your bedroom but your baby should sleep in his or her crib.
  • Keep the temperature in your baby’s room comfortable but not too warm. Warmer temperatures can put your baby too deeply to sleep, making it difficult to wake.

Have your own questions about safe sleeping or another parenting topic? Join the conversation in our new online community: The Parent 'Hood. 

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The Benefits of Breastfeeding for Mom and Baby

Friday, July 05, 2013 1:00 PM comments (0)

breastfeedingIn return for sweet smiles and abundant cuteness, babies ask only for love, affection, the right to be awake when you want to sleep and nourishment. What form that nourishment takes is up to you.

New mothers who are unable to breastfeed should not feel guilty because formula is an effective way to feed your baby and ensure he or she receives proper nutrition.  But, the health benefits of breastfeeding for both mother and baby are many and exclusive breastfeeding for the first few months of a baby’s life is recommended. New moms should take note that many of the same benefits of breastfeeding can be achieved through a combination of breastfeeding and supplementing with formula.  

Ann Borders, MD, and Emmet Hirsch, MD, obsectrics/gynecology at NorthShore, share some of the valuable health benefits of breastfeeding:

  • Breast milk is nutritious and easy to digest. It’s the perfect combination of vitamins, fat and protein. It’s easy for a baby’s sensitive digestive system to break down, reducing constipation and gas.
  • Breast milk is an infection and disease fighter. It provides antibodies that help combat infection. Breastfed babies have fewer ear and respiratory infections. Breastfed babies have less risk of Sudden Infant Death Syndrome (SIDS). Babies breastfed for at least six months are less likely to become obese as children and adults. It’s believed that breastfeeding is linked to lower rates of asthma, type 2 diabetes and some forms of cancer later in life. 
  • Breastfeeding is a bonding experience. It is extremely important for a mother and child to establish a secure bond in the first months of a child’s life. The physical closeness and contact of breastfeeding is an important opportunity for bonding. 
  • Breastfeeding saves money. Formula comes with a heavy price tag. Breastfeeding can save thousands of dollars a year. Add to that sum the potential long-term costs of healthcare for issues breastfeeding might help prevent. The Centers for Disease Control and Prevention (CDC) reports that families that follow breastfeeding guidelines save $1,200 - $1,500 in formula costs alone in the first year.
  • Breastfeeding burns calories. A woman who breastfeeds burns approximately 500 extra calories per day, making it easier to shift those extra pounds from pregnancy. That’s the equivalent of jogging for one hour. It also helps her uterus return to the size it was before pregnancy.
  • Breastfeeding is healthy for mom too. Breastfeeding lowers a woman’s risk of developing type 2 diabetes, and breast and ovarian cancers. Breastfeeding has been linked to lower risk of postpartum depression. Some studies show that it could also lower her risk for osteoporosis. 

Did you breastfeed? What were the advantages/disadvantages for you? For more advice on breastfeeding from Ann Borders, MD, click here

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Gearing up for Motherhood: Pregnancy Checklist from Beginning to Baby [Infographic]

Thursday, May 09, 2013 9:23 AM comments (0)

Mother's Day might have passed but every day can be a celebration of moms, moms-to-be and the many adventures of motherhood. For expectant mothers, the experts at NorthShore University HealthSystem have created a checklist for the stages of pregnancy, week by week. Every mommy-to-be can learn how to take care of herself during each and every stage of pregnancy and track her baby’s developments along the way.

Click on the infographic to learn more about the stages of pregnancy and how a mommy-to-be can prepare for baby.

motherhood

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