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Pregnancy At Week 15

Pregnancy At Week 15

You and your unborn child will experience many changes throughout the entire nine month time period, and pregnancy week 15 is no exception. Here is what you can expect this week!

1. Week 15 Baby and Mother Growth Benchmarks

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    Your unborn baby will weigh approximately as much as an apple by the time you reach the 15th week. You might be surprised by how much your body has already changed when you consider that your child is only two-and-a-half ounces and about four inches long, but you should still have full mobility. Most women will not experience a lot of weight gain by this point either. However, your body is preparing to accommodate a much larger baby in the near future.

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    Meanwhile, the baby is beginning to be able to sense light. You can probably find out the baby’s gender at this stage, but it may still take a few more weeks to get a definitive answer. Either way, the lungs are beginning to develop air sacs, and taste buds are starting to form. Your child’s legs have outpaced their arms, and all of the limbs and joints can are now movable.

    2. Symptoms to Expect During Pregnancy Week 15

    The majority of women will stop dealing with morning sickness by pregnancy week 15, but do not be surprised if you still occasionally feel nauseated. At this stage, new symptoms may begin to develop that have nothing to do with your stomach. It’s relatively common for pregnancy hormones to cause dental issues such as gingivitis. This means that your gums may be swollen or red, and they could bleed or feel sensitive when you brush your teeth.

    Other symptoms that you can expect during the 15th week include varicose veins, a stuffy nose, headaches, round ligament pain, dizziness, faintness and the dreaded pregnancy brain. In most cases, none of these symptoms will lead to any serious issues. However, it is important to tell your doctor if you experience any severe round ligament pain. Additionally, you should sit, lie or kneel down immediately whenever you feel dizzy or lightheaded in order to protect yourself and your baby.

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    3. Pregnancy Week 15: Items of Concern

    Gingivitis is much more than just an irritant. If you fail to get this problem properly addressed, it could lead to issues such as preeclampsia and even premature labor. Although both of these potential complications are most likely to happen much later on, you need to take steps during the 15th week to protect your baby.

    4. Activities for Week 15

    As previously mentioned, your baby is beginning to sense light, even though their eyes are still fused shut. If you shine a flashlight toward your belly, you just might feel your baby move. This is also the perfect week to begin talking to your baby on a regular basis to initiate the bonding process. This can be anything from speaking directly to the child all the way to reading emails aloud.

    At this stage, it is normal for both soon-to-be parents to feel stressed out. Therefore, you should also set aside some time this week to do something relaxing as a couple. You could go on a date, take a candlelit bubble bath or even indulge in some adult coloring together. Ultimately, the activity itself does not matter as long as it is able to help both of you relax.

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    5. What to Expect When the Baby Moves

    You might not feel your baby move for a few more weeks even with the flashlight trick, but it is still a good idea to know what to expect. Be aware that he or she has been moving undetected by you for at least seven weeks already. Once you begin to feel it, you may initially assume that you are merely hungry or experiencing gas. Over time, though, the tapping or popcorn popping sensation will become more noticeable and distinguishable.

    6. Weight Gain Goals

    By pregnancy week 15, it is normal to have gained anywhere from nothing to 10 pounds. Most women have a difficult time putting on more than a few pounds by this stage because of the morning sickness that plagues them until the first trimester is over. However, now that you are able to keep food down, it is time to focus on gaining a healthy amount of weight for you and your baby.

    A good goal to shoot for is one pound per week from now until the baby is born. Do not be distressed if you gain a little less or more than this, though, as long as you average about four pounds a month.

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    7. Tips for a More Comfortable 15th Week

    Gas and bloating are very common by week 15, but you do not have to allow this to make you physically uncomfortable. Instead, avoid foods that are known to cause gas, including beans, broccoli, cabbage and anything that has been fried. You can also cut down on bloating and indigestion by eating several small meals per day. This may take more effort than making three larger meals, but your body will thank you for it.

    As you progress further into your second trimester, it will be time to tell everyone your big news if you have not shared this information yet. You will also want to read up on tips that will help you do everything from relieve lower back pain to continue having a pleasurable sex life throughout the rest of your pregnancy.

    Featured photo credit: Vladimir Pustovit via flic.kr

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    Published on November 30, 2018

    Signs of Postnatal Depression And What to Do When It Strikes

    Signs of Postnatal Depression And What to Do When It Strikes

    Postpartum depression (PPD) strikes about 15% of women around childbirth.[1] Moreover, this mood disorder is estimated to affect 1% to 26% of new fathers.[2] The causes of which are thought to be linked to hormonal changes, genetics, previous mental illness and the obvious change in circumstance.

    The stigma of mental health – with or without support from family members and health professionals – often deters women from seeking help for their PPD. In this article, I will show you 10 ways to begin overcoming PPD.

    Symptoms of Postnatal Depression

    Postnatal depression is defined as depressive disorder, beginning anytime within pregnancy up to the first year of the child’s life. The symptoms of post natal depression are the same as those of depression. In order to receive a diagnosis from the doctor, 5 symptoms must be shown over a two week period. The symptoms and criteria are:

    • Feelings of sadness, emptiness, or hopelessness, nearly every day, for most of the day or the observation of a depressed mood made by others
    • Loss of interest or pleasure in activities
    • Weight loss or decreased appetite
    • Changes in sleep patterns
    • Feelings of restlessness
    • Loss of energy
    • Feelings of worthlessness or guilt
    • Loss of concentration or increased indecisiveness
    • Recurrent thoughts of death, with or without plans of suicide
    • Lack of interest or pleasure in usual activities
    • Low libido
    • Fatigue, decreased energy and motivation
    • Poor self-care
    • Social withdrawal
    • Insomnia or excessive sleep
    • Diminished ability to make decisions and think clearly
    • Lack of concentration and poor memory
    • Fear that you can not care for the baby or fear of the baby
    • Worry about harming self, baby, or partner

    Should you, a friend or your partner be showing any of these signs, I recommend you to seek medical advice.

    Causes of Post Natal Depression

    It is worth noting here that there is a difference between what is commonly known as ‘The Baby Blues’ and post natal depression.

    Postpartum blues, commonly known as “baby blues,” is a transient postpartum mood disorder characterized by milder depressive symptoms than postpartum depression. This type of depression can occur in up to 80% of all mothers following delivery. The Baby Blues should clear within 14 days, if not it is likely an indicator of something more in depth.

    It is not known exactly what causes post natal depression, however there are some correlating factors. These factors have a close correlation and haven’t been shown to cause PPD:

    • Prenatal depression or anxiety
    • A personal or family history of depression
    • Moderate to severe premenstrual symptoms
    • Stressful life events experienced during pregnancy
    • Maternity blues
    • Birth-related psychological trauma
    • Birth-related physical trauma
    • Previous stillbirth or miscarriage
    • Formula-feeding rather than breast-feeding
    • Cigarette smoking
    • Low self-esteem
    • Childcare or life stress
    • Low social support
    • Poor marital relationship or single marital status
    • Low socioeconomic status
    • Infant temperament problems/colic
    • Unplanned/unwanted pregnancy
    • Elevated prolactin levels
    • Oxytocin depletion

    One of the strongest predictors of paternal PPD is having a partner who has PPD, with fathers developing PPD 50% of the time when their female partner has PPD. [3]

    Ways to Overcome Post Natal Depression

    1. Seek Medical Help

    As knowledge of PPD grows, more and more physicians are becoming aware of the indicators and risk factors. This means that health care providers are looking for signs as early as their first prenatal care visit.

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    If you are at risk, letting your provider know early in your pregnancy means that you’ll be given extra support and care throughout the process. It is best to seek treatment as soon as possible.

    If it’s detected late or not at all, the condition may worsen. Experts have also found that children can be affected by a parent’s untreated PPD. Such children may be more prone to sleep disturbances, impaired cognitive development, insecurity, and frequent temper tantrums.

    2. Therapy

    This is the first line of defence against post natal depression and will commonly be prescribed alongside medication. Around 90% of post natal depression cases in women are treated with a combination of the two treatments.

    You don’t need to do anything special to prepare. Your counselor will ask questions about your life, and it’s important you answer honestly. You won’t be judged for what you tell, and whatever you talk about will be just between the two of you. Your counselor will teach you how to look at some things differently, and how to change certain habits to help yourself feel better.

    Therapy is personalized for everyone, but women in counselling for postpartum depression often discuss topics including; who you’re feeling, your behaviour, your actions and your life. (If you need immediate support please call the San Diego Access and Crisis Line at (888) 724-7240. The toll-free call is available 24 hours a day, seven days a week.)

    3. Medication

    There have been a few studies of medications for treating PPD, however, the sample sizes were small, thus evidence is generally weak.

    Some evidence suggests that mothers with PPD will respond similarly to people with major depressive disorder. There is evidence which suggests that selective serotonin reuptake inhibitors (SSRIs) are effective treatment for PPD.

    However, a recent study has found that adding sertraline, an SSRI, to psychotherapy does not appear to confer any additional benefit. Therefore, it is not completely clear which antidepressants are most effective for treatment of PPD.

    There are currently no antidepressants that are FDA approved for use during lactation. Most antidepressants are excreted in breast milk. However, there are limited studies showing the effects and safety of these antidepressants on breastfed babies.

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    4. Communication with Partner

    Don’t blame yourself, your partner, close friends or relatives. Life is tough at this time, and tiredness and irritability can lead to quarrels.

    ‘Having a go’ at your partner can weaken your relationship when it needs to be at its strongest. It can be a huge relief to talk to someone understanding.

    By spending time with your partner doing activities that you both enjoy, like going for a walk, can really help. This change of state, from moving location, can significantly elevate mood whilst providing ‘neutral ground’ in which to open up communication.

    Be honest with your partner and show ways in which they can support you best through this time, even if it’s just talking or letting you have time to go take a shower.

    5. Self Care and Rest

    Don’t try to be ‘superwoman’. Try to do less and make sure that you don’t get over-tired. It’s common that women are the experts at ‘being busy’ and ‘doing it all’.

    Rest whilst the baby is sleeping, and really take time to prioritise yourself. Throughout life, if you’re constantly giving out energy, you will be left feeling unbalanced. It’s important to become aware of one’s energy and making sure to give yourself energy first, before giving out is imperative.

    Your body has just been through the trauma of the birth, which is very stressful. It therefore needs time to recover so taking time to yourself is important. Things as simple as a cup of tea, or shower or listening to music will really help.

    6. Supplementation (especially DHA)

    St John’s Wort is a herbal remedy available from chemists. There is evidence that it is effective in mild to moderate depression. It seems to work in much the same way as some antidepressants, but some people find that it has fewer side-effects.

    One problem is that St John’s Wort can interfere with the way other medications work. If you are taking other medication, you should discuss it with your doctor. This is very important if you are taking the oral contraceptive pill. St John’s Wort might stop your pill working. This can lead to an unplanned pregnancy.

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    It is also worth noting that fish oil (containing DHA) is being shown to correlate with lower instances of PPD. DHA consumption during pregnancy — at levels that are reasonably attained from foods — has the potential to decrease symptoms of postpartum depression,” conclude study researchers led by Michelle Price Judge, PhD, RD, a faculty member at the University of Connecticut School of Nursing.

    7. Movement

    Before starting any exercise program, you should consult with your doctor and find a fully qualified pre and post natal specialist. That being said, there is plenty of movement that can be done prior to ‘hitting the gym’, such as walking.

    Not only does being outside positively benefit you by getting some fresh air and vitamin D. The same is said for your baby, who will likely sleep better once they’ve been outside. Exercise gets your endorphins going, which helps alleviate depression symptoms, It can also get you focused on something for yourself. In an analysis of data from 1996 to 2016, researchers discovered that moms who stayed physically active after birth experienced fewer depressive symptoms.[4] In contrast, one study found women who led a more sedentary lifestyle were, in general, more likely to experience postpartum depression in the first place. [5]

    The type of workout doesn’t matter much. Yoga for pregnant women, stretching, and cardio are essentially equal in terms of making you feel better.

    8. Socializing and Support Groups

    Do go to local groups for new mothers or postnatal support groups. Your health visitor can tell you about groups in your area. You may not feel like going to these groups if your are depressed.

    See if someone can go with you. You may find the support of other new mothers helpful. You may find some women who feel the same way as you do.

    9. Accept Help

    Some cultures believe that the symptoms of postpartum depression or similar illnesses can be avoided through protective rituals in the period after birth. Chinese women participate in a ritual that is known as “doing the month” (confinement) in which they spend the first 30 days after giving birth resting in bed, while the mother or mother-in-law takes care of domestic duties and childcare.

    Whilst this may seem extreme, it’s worth noting that being able to accept help from your friends, partner and family can be extremely beneficial.

    10. Avoid Smoking, Drink and Drugs

    Which may seem common sense, however you may be tempted by the short term ‘fix’.

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    Don’t use alcohol or drugs. They may make you feel better for a short time, but it doesn’t last. Alcohol and drugs can make depression worse. They are also bad for your physical health.

    Final Thoughts

    Most women will get better without any treatment within 3 to 6 months. One in four mothers with PND are still depressed when their child is one-year-old. However, this can mean a lot of suffering.

    PND can spoil the experience of new motherhood. It can strain your relationship with your baby and partner. You may not look after your baby, or yourself, as well as you would when you are well.

    PND can affect your child’s development and behaviour even after the depression has ended. So the shorter it lasts, the better.

    Sometimes there is an obvious reason for PND, but not always. You may feel distressed, or guilty for feeling like this, as you expected to be happy about having a baby. However, PND can happen to anyone and it is not your fault.

    It’s never too late to seek help. Even if you have been depressed for a while, you can get better. The help you need depends on how severe your illness is. Mild PND can be helped by increased support from family and friends.

    Featured photo credit: Derek Thomson via unsplash.com

    Reference

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