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Pregnancy

Want to know what it feels like to be pregnant and what symptoms to expect at each stage?

Here you can track your pregnancy week by week and receive information on how big your baby is, baby’s estimated weight and length, and the changes your body goes through at each stage of pregnancy.

We also have tips and advice from gynaecologists, doulas, midwives and other experts on pregnancy nutrition, exercise, risks, how to take care of your body and health while pregnant, solutions to common problems like heartburn, where to buy maternity clothing in South Africa and what to pack in your hospital bag.

PregnancyYour Health

The link between iron and healthy birth outcomes  

by Phytoceutics July 10, 2024
written by Phytoceutics
https://babyyumyum.com/wp-content/uploads/The-link-between-iron-and-healthy-birth-outcomes.mp3

Pregnancy requires a host of nutritional demands and health considerations that can impact both the mother and developing foetus. Iron plays a significant role in this, because iron deficiencies are extremely common during pregnancy. Understanding the importance of preventing and treating iron deficiencies is incredibly important for you and your child’s health. Written by Phytoceutics.

Blue-iron_Pregnancy

Due to the increased demands for iron to support the growing foetus and placenta, iron deficiencies can cause issues for mothers; however, it could also potentially lead to adverse outcomes for their child’s brain development.

The critical role of Iron during pregnancy

An estimated 30-50% of pregnant women worldwide suffer from iron deficiency and 15-20% with iron deficiency anaemia (IDA).1 The body uses iron to produce haemoglobin, the protein in red blood cells responsible for transporting oxygen from the lungs to the rest of the body.

During pregnancy, a woman’s blood volume grows steadily with most having a 45% increase by the third trimester.2 This increase in blood volume means more iron is required, and a lack of consumption could lead to symptoms of iron deficiencies (tiredness, fatigue etc.) which, when more severe, can complicate pregnancy and the child’s health.

IDA Impact on birth outcomes

Maintaining iron levels during pregnancy is essential, and deficiencies could potentially lead to adverse outcomes for the child’s intellectual ability, increasing the risk of intellectual disability (ID), autism spectrum disorder (ASD), and attention deficit disorder/hyperactivity disorder (ADD/ADHD).

A significant study published in JAMA Psychiatry has highlighted the substantial association between prenatal maternal anaemia and an increased risk of neurodevelopmental disorders.1

The study indicated that the risk of autism in children born to mothers with early anaemia was 44% higher compared to children with non-anaemic mothers, the risk of ADHD was 37% higher, and the risk of intellectual disability was 120% higher. It is important to note that anaemia diagnosed after the 30th week of pregnancy was not associated with a higher risk for any of these conditions.1

This emphasises the critical importance of screening for and maintaining adequate iron levels throughout pregnancy to support healthy brain development of the foetus.

BlueIron Pregnancy Bottle Pack Front - BabyYumYum

Ensuring adequate iron intake

To prevent IDA and its associated risks, pregnant women should focus on both dietary sources of iron and supplementation. Iron-rich foods include lean meats, leafy green vegetables, legumes, and fortified cereals. However, dietary intake alone may not suffice to meet the heightened iron demands during pregnancy, making iron supplements a crucial part of prenatal care.

BlueIron is a highly bioavailable, liquid iron supplement with natural flavours of Nordic blueberries and is designed to boost iron levels and reduce tiredness and fatigue.3 BlueIron is a favoured iron supplement as it is in liquid format, overcoming pill-aversion; is sugar-free and tastes great.

For expectant mothers, BlueIron Pregnancy provides the recommended levels of iron to support the additional needs of pregnant and breastfeeding women, whilst containing beneficial folic acid and vitamins C & B12 for a healthy pregnancy.3 The BlueIron range ensures controlled iron absorption into the body to reduce gastrointestinal side effects, and provides a trusted safety profile and efficacy.3

BlueIron can be found in DisChem, Clicks, and independent health stores nationwide. For more information about the range please visit www.phytoceutics.com.

References:

  1. Wiegersma, Am., et al. Association of Prenatal Maternal Anemia With Neurodevelopmental Disorders. 2019. JAMA Psychiatry. doi: 10.1001/jamapsychiatry.2019.2309
  2. Nwadike, V. What is low iron during pregnancy?. 2021. Available at: https://www.medicalnewstoday.com/articles/anemia-in-pregnancy-2
  3. Phytoceutics. 2024. https://www.phytoceutics.com/brand/blue-iron/

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Foetal alcohol syndrome is the most severe form of a spectrum of disorders caused by drinking alcohol during pregnancy
ExpertsPregnancy

Expert All about Foetal Alcohol Syndrome

by Dr Maraschin, expert paediatrician July 5, 2024
written by Dr Maraschin, expert paediatrician
https://babyyumyum.com/wp-content/uploads/All-about-Foetal-Alcohol-Syndrome.mp3

Foetal alcohol syndrome is the most severe form of a spectrum of disorders caused by drinking alcohol during pregnancy. BYY expert, paediatrician Dr Maraschin, talks about the effects on children.

Foetal alcohol spectrum disorder (FASD) affects each individual to a greater or lesser extent. Imagine a spectrum as a rainbow, a band of light that reflects different colours. The colours go from red to orange, yellow, green, blue, indigo and violet in a continuum of light. Suppose we imagine that in a spectrum, each colour represents several symptoms, ranging in severity, but ultimately, the collective falls within a specific disorder.

If we understand a range of colours, then we understand a spectrum. Mild cases may struggle with a few behavioural issues while another may have stunted growth, cognitive problems, behavioural issues and lifelong mental health difficulties. The most severe end of the spectrum is known as Foetal Alcohol Syndrome. (FAS)

How does Foetal Alcohol Syndrome occur? 

Let’s take a hypothetical exampple: Jenny and her husband Bryan had been married for three years. They had been speaking about falling pregnant, so Jenny had just stopped her contraceptive medication. Jenny’s best friend, Cathy, was getting married. Jenny was the matron of honour and decided to spoil Cathy. Before the kitchen tea, Jenny booked for the two of them to have their nails done. While they chatted excitedly, they sipped on a glass or two of bubbles, just like the old days.

On Saturday, Jenny hosted a beautiful kitchen tea for Cathy. That evening, all the young ladies went out for a bachelorette. It was a classy event at a lovely venue. They enjoyed some wine and, as often happens, a couple of shooters – nothing unusual for a girl’s night out. The wedding took place a month later. Jenny and Bryan had a wonderful evening – a couple of glasses of wine and a champagne toast to their special friends.

Jenny had been feeling a bit off and very tired in the weeks leading up to the wedding. Still, she wouldn’t allow this to get in the way of celebrating her friend’s special day. A week or so later, Jenny thought it best to consult her doctor as her symptoms weren’t improving. She was also late with her period but hadn’t given pregnancy a thought until now. The doctor confirmed that Jenny was indeed nine weeks pregnant.

The couple were overjoyed, although surprised that it had all happened so quickly. There was a little scare around the 14-week period when Jenny was advised to get some bed rest. Other than that, her pregnancy went well. Seven months later, they welcomed a baby boy, Joshua, into their home. He was a little small for gestational age but other than that; he was healthy.

How does FAS affect a child?

The first couple of weeks were not easy. Joshua had difficulty sucking. Breastfeeding was a struggle, and Joshua didn’t gain weight as he should. Jenny eventually decided to bottle feed Joshua, as he managed to do it more easily. She was reassured by all around that many mothers struggle with breastfeeding. His sleep was also an issue, but many young parents complained about a lack of sleep.

By the age of 2 years, Joshua was not speaking. Jenny and Bryan were concerned about his tantrums and inability to sit still for any length of time. They even avoided going out with friends, as Joshua would make life difficult, while other babies were content with playing, chatting and entertaining themselves. 

The couple decided that it was time to take their child to a paediatrician, with all of their specific concerns written down so they didn’t forget anything. The paediatrician noted all their concerns. She then plotted Joshua’s growth, which was found to be below average in terms of his weight, height, and head circumference. The paediatrician examined the child and made a note of her findings. His lack of speech, disruptive behaviour and developmental delays were of concern. The paediatrician asked the parents make a follow-up appointment to discuss her findings with them and go through the various options for a plan to deal with Joshua going forward. 

When Jenny and Bryan returned the following week, the paediatrician presented them with her findings. Many of the findings and details given to her by Jenny and Bryan led her to believe that Joshua may have any of four syndromes. These included Autism spectrum (ASD), Williams Syndrome, a possibility of an attention deficit disorder or Foetal Alcohol Spectrum disorder. 

Given Joshua’s facial features, the paediatrician felt that the most likely diagnosis was that Joshua fell somewhere under the umbrella of a Foetal Alcohol Spectrum Disorder. (FASD)

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The parents asked questions and the doctor tried to answer:

  1. Bryan: When could this have happened?

Doctor: Some of the most severe problems occur when a woman drinks alcohol in the first trimester of her pregnancy.

Jenny: I didn’t know I was pregnant at the time of the nails, bachelorette party, or wedding.

  1. Jenny: I didn’t have that much to drink. How could this happen? 

Doctor: Unfortunately, we don’t have a measure of how much alcohol will cause damage. What we do know is that if you drink during pregnancy, your baby will be at risk. This is especially true during the first trimester.  

Jenny: I was in the first trimester when the celebrations were taking place.

  1. Jenny: But, I never had any hard liquor…

Doctor: Wine, beer, hard ciders and hard liquor can all harm a foetus.

  1. Bryan: What happened that our baby could have been so affected?

Doctor: Alcohol is passed through your bloodstream to your foetus via the umbilical cord. The umbilical cord is formed by week three. A foetus is unable to break down the alcohol, so alcohol consumed at any stage of pregnancy remains in the foetus for a longer period than it would an adult. During this time, it interferes with development.

Remember that the heart cells of a foetus cluster by 5 to 6 weeks and begin to pulse. Little buds form that will become the arms and legs. By the eighth week, most of the organs and systems will have taken shape. Alcohol affects the foetus in the following ways:

  • Alcohol kills cells in different parts of the foetus and may result in abnormal physical development. 
  • The major damage is done to the brain and nervous system. The baby’s brain begins to develop during the first trimester, making it very sensitive to any interference. When we drink alcohol as adults, by products are formed. These are, in fact, toxins. Our mature livers are usually able to process the toxins. Unfortunately, these toxins build up in the foetus’s brain and interfere with how nerve cells develop and function. 
  • Alcohol causes the blood vessels to constrict. This means that the blood flow from the mother to the placenta slows down. When this happens, oxygen and critical nutrients are unable to reach the foetus as they should. A lack of oxygen or food will negatively impact the development of a foetus.
  • During the pregnancy, this would increase the risk of miscarriage, prematurity or a low-birth-weight baby. After birth, a child that was exposed to alcohol during pregnancy may suffer from some form of damage, which places them on the spectrum of foetal alcohol syndrome.
  1. Bryan: Many of our friends have conceived while on holiday or over the festive season when they are partying up a storm. Why doesn’t this happen to their children?

Doctor: In truth, there are very few statistics on Foetal Alcohol Syndrome. Since it is a spectrum, some children have very mild symptoms and may go throughout their lives, never knowing that they fall on this spectrum at all. They may just be an individual with a slight learning difficulty.

Another may have sight or hearing problems, and another may have attention issues. Generally, mothers aren’t comfortable talking about alcohol consumption when they are pregnant, but we know that roughly 1 out of 9 pregnant women do consume alcohol at some point during their pregnancy. Like you say, many couples conceived during the festive season. Given the available data, scientists estimate that there are less than 2 cases of Foetal Alcohol Syndrome babies in every 1000 births in America. Foetal Alcohol Syndrome (FAS) is at the far end of the spectrum.

But let’s take all cases, beginning with the mild cases and moving across to the severe cases. We are likely to find that 1 to 5 out of every 100 children in America and Europe fall somewhere under the umbrella of this disorder. Given these statistics, we believe that our South African statistics are pretty similar.  

Read: 21 early signs of pregnancy

  1. Jenny: Why did we have to wait until now to be given this information? 

Doctor: Severe cases of Foetal Alcohol Syndrome can be diagnosed at birth, but many of the typical physical features tend to become evident between the ages of eight months and eight years. Very early on, the signs may be slow growth in the womb or weight issues after birth.

In the early years (0 to 5 years), these children may suffer from poor sleep cycles, attention deficits, and impulsivity and do not often cope well with change. If we take these features on their own, one can see that many children may, in fact, display these characteristics.

In our initial consultation, I was concerned about the presence of these characteristics, along with your concern about his language delay and behavioural issues. Joshua’s facial features added to the picture. No one facial feature can be used to diagnose this disorder, but if we put everything together, Joshua’s little eyes, his thin upper lip, the absence of the ridge between his nose and upper lip and the shape of his nasal bridge all lead us to this diagnosis.

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Doctor: Let me show you a picture of the classic features:

Foetal Alcohol Syndrome classic features in children

https://my.clevelandclinic.org/health/diseases/15677-fetal-alcohol-syndrome

  1. Bryan: Can’t you just do a test and tell us for sure if our boy has this syndrome?

Doctor: Bryan, I know that this has come as a terrible shock. You are loving parents who want the best for your child. Unfortunately, there isn’t a test that I can do which would either confirm or refute this diagnosis. We have to base our diagnosis on Joshua’s physical signs and symptoms.

What we know already is that there was alcohol exposure in the first trimester. He has abnormal facial features. He was small at birth, and the measurements we took at our last consultation indicate that he is below average now. His speech is impaired and he is already showing signs of emotional and behavioural issues.

I am sorry to bear difficult news, but you are courageous parents who initiated the process when you sought my help. You knew Joshua was different to the other children in your friendship group.

  1. Jenny and Bryan: But what now? 

Doctor: You have already ticked the first two boxes. Making a diagnosis before the age of 6 years is critical. Providing Joshua with a loving and supportive home during the school years is extremely important.

I can see that you are strong and positive as a couple, but support groups will be available to you at any time you need them. You will have bad days, and when that happens, don’t be afraid to ask for help. At a later stage, Joshua may require medication to help him with his attention issues. Joshua is likely to need therapy to address his educational and behavioural issues. Many capable and compassionate therapists can assist you. These interventions can begin immediately. I can refer you to a number of centres, and somewhere in there, you will find your tribe.

There are many parents, like yourselves, coming to terms with complicated diagnoses. The silver lining on the rainbow is that you have not been afraid to address the issue. You are here and willing to seek support. The days ahead will not all be sunny, but you have taken the first steps to provide Joshua with the best possible outcome. 

The parents were struck by the enormity of the task ahead of them. Joshua was going to need a lot of support to get through life. The thought of having another child was terrifying, but unlike other disorders, Foetal Alcohol Syndrome can be avoided.

Later, Jenny and Bryan set up an organisation to provide education to couples about the dangers of alcohol. Their slogan, “No alcohol can be considered safe when thinking about getting pregnant or any time during those precious nine months.” 

My scenario was intended to bring you the facts about this disorder. It is a spectrum. That means that it may affect children in a very subtle way but may also have devastating effects. Later in life, these children are more likely to suffer from mental illnesses like depression, anxiety and eating disorders. School is a real struggle, so the tendency to hide in the shadows and associate with the wrong crowd becomes a reality. This leads to alcohol and drug abuse as well as inappropriate sexual behaviours.

Due to their behavioural problems like aggression and rule-breaking, these children often find themselves in trouble, and many fail to complete school. Unfortunately, there is no cure. There is management. This is critical to a positive outcome. The message that needs to be put out there is that this disorder can be prevented. No amount of alcohol is safe. If you are thinking of getting pregnant, then alcohol has to be eliminated 100% before and during the pregnancy. The long-term damage of a short-lived pleasure is not worth it. 

Also read: SA’s Teen pregnancy problem

References:

https://www.apa.org/monitor/2022/07/news-fetal-alcohol-syndrome

https://www.aap.org/en/patient-care/fetal-alcohol-spectrum-disorders/

https://publications.aap.org/pediatrics/article/136/5/e20153113/33770/Fetal-Alcohol-Spectrum-Disorders

https://www.webmd.com/baby/fetal-alcohol-syndrome

https://my.clevelandclinic.org/health/diseases/15677-fetal-alcohol-syndrome

https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/understanding-fetal-alcohol-spectrum-disorders

https://www.rochester.edu/newscenter/fetal-alcohol-syndrome-fasd-survivors-thriving-499312

https://www.cdc.gov/ncbddd/fasd/facts.html

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When a younger woman is diagnosed with breast cancer, the conversation will inevitably include fertility.
ExpertsFertility & TreatmentsHealth & WellnessInfertilityYour Health

Expert Breast cancer, fertility and pregnancy

by Dr Justus Apffelstaedt, specialist surgeon with a particular interest in breast, thyroid and parathyroid health management, June 27, 2024
written by Dr Justus Apffelstaedt, specialist surgeon with a particular interest in breast, thyroid and parathyroid health management,
https://babyyumyum.com/wp-content/uploads/Breast-cancer-fertility-and-pregnancy.mp3

When a younger woman is diagnosed with breast cancer, the conversation will inevitably include fertility. Here’s all you need to know. By BYY expert, Dr Justus Apffelstaedt, specialist surgeon.

More women are postponing childbearing until they have finished tertiary education, are established in their careers, and have formed stable relationships. For women who have not yet finished family planning, a breast cancer diagnosis has profound implications on their ability to have a child.

As regular mammographic screening is recommended only from the age of 40 upwards (unless there is a history of breast cancer in your family), younger female patients’ cancer is usually detected clinically (a lump in the breast) and likely to be at a more advanced stage than screen-detected cancer. 

While breast cancer itself does not have any known effect on fertility, the treatment of it does.

Some of the implications and important factors that women should be aware of when undergoing treatment and wanting to fall pregnant are outlined below.

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  1. Hormones

As many breast cancers are stimulated in their growth by oestrogen, several treatments reduce oestrogen levels or block the effect of oestrogen in target tissues. One of the most common medications prescribed for premenopausal women suppresses ovarian sex hormone production. When on these medications, women are in an artificial menopausal state and therefore infertile.  

Other treatments modulate the effect oestrogen has on breast tissue by binding to the oestrogen receptor in breast tissue and blocking it. The most prominent in this group – Tamoxifen – does not make women infertile but has strong teratogenic effects, i.e. if women get pregnant while on Tamoxifen, the chance of having a misformed baby are high and these women should practice effective contraception. This is particularly important, as Tamoxifen is routinely given for 5 years and in many cases for 10 years.

  1. Chemotherapy

A side effect of chemotherapy is that it decreases ovarian function permanently. This means, that with advancing age, more and more women are permanently postmenopausal after completion of chemotherapy.

As a rough rule of thumb, chemotherapy for breast cancer ages ovaries by about 10 years. In practice, this means that almost all women aged 40 and older will experience early menopause after chemotherapy and women before that age will experience decreased fertility.

While chemotherapy is also teratogenic, this only holds true for the first trimester of pregnancy; thereafter it can be given safely. Care must be taken, however, to avoid undergoing chemotherapy near the birth as the risk of post-partum sepsis in chemotherapy is very high.

  1. Bisphosphonates and Biologicals

For both groups of medication, there is very little information available. It seems that both do not have a significant effect on fertility but must not be given during pregnancy. Bisphosphonates such as Zoledronate have an anti-angiogenic effect (i.e. they prevent formation of new blood vessels). Angiogenesis is understandably an essential process in the intra-uterine growth and development of the baby. Biologicals such as Trastuzumab have significant cardiotoxicity; i.e. make it more difficult for the heart to cope with the increased load during pregnancy.

  1. Radiotherapy

Radiotherapy is part of many treatment plans for primary breast cancer; it is obviously highly teratogenic and cannot be given during pregnancy; at other times, it is relatively safe and does not influence ovarian function unless the ovaries are in the radiation field such as in radiation for pelvic bone metastases.

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For women who have not yet finished family planning, a breast cancer diagnosis has profound implications on their ability to have a child
  1. Surgery

Breast surgery does not influence fertility. However, the associated general anaesthetic is known to lead to a spontaneous miscarriage in about 1 in 200 to 300 pregnant women. 

As can be seen, all breast cancer treatments aside from surgery have the potential to lead to deformities in the child and miscarriages or significantly reduce fertility. Discussions pre-treatments are vital and fertility management options such as egg or embryo freezing are strongly recommended.

If a pregnancy does occur during active treatment, this requires a multi-disciplinary evaluation of mother and baby and very complex decisions regarding further treatment or continuing the pregnancy. 

We suggest that every younger woman given a breast cancer diagnosis asks the questions below:

  • Could treatment increase the risk of, or cause, infertility? Could treatment make it difficult to become pregnant or carry a pregnancy in the future?
  • Are there other recommended cancer treatments that might not cause fertility problems?
  • Which fertility option(s) there are?
  • What fertility preservation options are available at this hospital? At a fertility clinic?
  • Would you recommend a fertility specialist (such as a reproductive endocrinologist) who I could talk with to learn more?
  • Is birth control recommended?
  • After treatment, what are the chances that my fertility will return? How long might it take for my fertility to return?

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Teen pregnancy is a pressing issue worldwide, and South Africa has an epidemic. How do we navigate this as parents?
PregnancyTweens & TeensWellness

SA’s teen pregnancy problem

by Tshepy Matloga-Malope, seasoned media and communications specialist May 27, 2024
written by Tshepy Matloga-Malope, seasoned media and communications specialist
https://babyyumyum.com/wp-content/uploads/SAs-teen-pregnancy-problem.mp3

Teen pregnancy is a pressing issue worldwide, and South Africa has an epidemic. How do we navigate this as parents? By Tshepy Matloga-Malope.

Approximately 16 million adolescent girls aged 15–19 give birth each year, contributing to nearly 11% of all births worldwide, and many of these are the result of unintended pregnancies. More than 90% of these births occur in low- and middle-income countries (LMICs) [1–4].

Impact of teen pregnancy

According to the latest statistics, South Africa has one of the highest rates of teenage pregnancy in sub-Saharan Africa. A study conducted by the South African Medical Research Council found that approximately 30% of all pregnancies in the country occur among teenage girls aged between 15 and 19. The impact of these unintended pregnancies includes depression, anxiety, and early school dropouts, which may further exacerbate the cycle of poverty.

Contributing factors for teen pregnancy

Adolescent and young women, especially those in the younger age group of 15–19 years, experience difficulties in accessing contraception services, mainly at the interpersonal and health service levels.

Lack of support for the use of contraceptives from parents and carers as well as from sexual partners were key barriers at the interpersonal level, while providers’ negative attitudes were the main barrier at the health service level.

According to Dr. Kim Jonas, Specialist Scientist, Health Systems Research Unit at the South African Medical Research Council (SAMRC), “lack of parental and partner support to use contraceptives is a contributing factor to teenage pregnancy, including myths and misinformation about the different types of contraceptives and stigma associated with being seen at the health facility for contraceptives,” she says. 

This alarming trend not only puts the health and well-being of young mothers at risk but also has profound social and economic consequences, posing significant challenges to their families and society as a whole.

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Parent’s guide to managing teen pregnancy

 Dealing with teenage pregnancy as a parent can be incredibly challenging. Here is how parents can deal best with it: 

  • It is essential for parents to approach the situation with empathy, understanding, and open communication. It is crucial to create a safe and supportive environment for their teenage daughters to discuss their feelings, fears, and concerns openly.
  • Many teen moms feel isolated and alone during pregnancy, and this should not be the case. They need to know that their family does not judge them for falling pregnant, as that causes them too much emotional stress, which affects their mental health and wellbeing. 
  • Pregnant teens also need to be educated about becoming moms, supported, and encouraged to go for antenatal care.
  • Pregnant teenagers also need to be supported with the school curriculum to ensure that they are not left behind and that they are able to continue with school soon after delivery. If possible or feasible, be allowed to resume school as soon as possible after delivery, and the parents can help look after the baby or provide support for the baby’s aftercare.

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 The role of schools & communities

It is also crucial for schools and communities to provide comprehensive sex education programmes that empower young people with the knowledge and skills to make informed decisions about their sexual health.

“There is a need for a collaborative approach from all different key players (DoH, DBE, DSD, and community/youth representatives) to address the challenges in access and use of contraceptives by adolescent girls. It’s not going to be a one-size-fits-all or a once-off approach. It needs to be a continuous and adaptive process, focusing on expanding access, diminishing the myths and misconceptions in the communities, and involving parents and young men in the strategies,” advises  Dr. Jonas.

It is also essential for policymakers, healthcare providers, educators, and community leaders to work together to implement effective strategies and programs. By investing in sexual and reproductive health services, promoting gender equality, and providing support for young mothers, we can create a more inclusive and supportive society for all.

By promoting awareness, understanding, and access to contraception, we can help prevent unintended teen pregnancies and reduce the risks associated with early motherhood.

Read: 15 pregnancy realities they don’t tell you about

teen pregnancy

Frequently asked questions (FAQ’s) on teen pregnancy

What are some factors contributing to the surge in teenage pregnancies in South Africa?

Factors contributing to the surge in teenage pregnancies include socio-economic difficulties, inadequate sex education, gender-based violence, limited access to contraception, and the stigma and mental health impact associated with teenage parenthood.

How many teenage pregnancies were recorded in South Africa between April 2021 and March 2022?

Between April 2021 and March 2022, 90,000 pregnancies were recorded for girls aged ten to 19 years in South Africa, with over 150,000 young girls becoming pregnant in the 2022-’23 financial year.

What are some challenges faced by teenage mothers in South Africa?

Challenges faced by teenage mothers in South Africa include emotional and psychological difficulties, societal stigma, abrupt transitions to parenthood, and stress, which can lead to anxiety, depression, and post-traumatic stress disorder (PTSD).

What are the key strategies to address teenage pregnancies in South Africa?

Key strategies to address teenage pregnancies in South Africa include comprehensive sex education, accessible healthcare services, community outreach programs, youth-friendly clinics, mental health support, and advocacy for policy changes promoting reproductive rights and gender equality.

How can comprehensive sex education help in reducing teenage pregnancies?

Comprehensive sex education empowers young people with knowledge about reproductive health, contraception, and consent, which can help them make informed choices and reduce the risk of unplanned pregnancies.

Why is it important to ensure access to reproductive healthcare services for adolescents?

Ensuring access to reproductive healthcare services for adolescents is important because it enables them to access contraceptive options, family planning counseling, and antenatal care, contributing to the prevention of teenage pregnancies and improvement of maternal and child health outcomes.

What role do community outreach programs play in addressing teenage pregnancies?

Community outreach programs play a vital role in raising awareness, reducing stigma, and providing information on sexual health to adolescents and their communities, thereby contributing to the prevention of teenage pregnancies.

How can youth-friendly clinics support teenagers facing reproductive health challenges?

Youth-friendly clinics offer confidential services and support tailored to the needs of adolescents, providing a safe and welcoming environment where teenagers can access reproductive healthcare services and receive guidance and counseling.

What are some advocacy efforts needed to address teenage pregnancies?

Advocacy efforts needed to address teenage pregnancies include promoting policies that promote reproductive rights, gender equality, and youth empowerment, as well as advocating for increased funding and resources for comprehensive sex education and reproductive healthcare services.

What are the long-term goals of initiatives aimed at reducing teenage pregnancies in South Africa?

The long-term goals of initiatives aimed at reducing teenage pregnancies in South Africa include improving maternal and child health outcomes, empowering young people to make informed choices about their reproductive health, and promoting gender equality and social justice.

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An ectopic pregnancy occurs when a fertilised egg implants and grows outside the uterus, most commonly within the fallopian tubes.
Health & WellnessMiscarriage & Baby LossYour Health

What is an Ectopic Pregnancy?

by Tshepy Matloga-Malope, seasoned media and communications specialist May 26, 2024
written by Tshepy Matloga-Malope, seasoned media and communications specialist
https://babyyumyum.com/wp-content/uploads/What-is-an-ectopic-pregnancy.mp3

An ectopic pregnancy occurs when a fertilised egg implants and grows outside the uterus, most commonly within the fallopian tubes. By Tshepy Matloga-Malope.

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Ectopic Pregnancy is a cause of morbidity and mortality word wide—in other words, it can be a life threatening condition in women of childbearing age.

This abnormal implantation of an egg can lead to complications as a pregnancy progresses. According to research, in 93% of cases, the ectopic pregnancy is located in the fallopian tube, and sometimes the ectopic pregnancy occurs in the pelvic or abdominal cavity. Very rarely it occurs in the cervix, and less-reported sites are the ovaries and broad ligaments.

This abnormal localisation of pregnancy can be a life-threatening obstetrical condition found in women of reproductive age, and it is a leading cause of maternal death if rupture occurs in the first trimester of pregnancy.

In South Africa, EP was reported to occur in 11 out of every 1000 reported pregnancies, and the mortality rate was estimated at 2.0%.

Causes & risk factors of an ectopic pregnancy:

According to Dr. Fhulufhelo Tshivhula, an experienced obstetrician and gynaecologist at Dr. F. Tshivhula Practice in Polokwane, the primary cause of an ectopic pregnancy is usually a structural abnormality in the fallopian tubes that hinders the fertilised egg from reaching the uterus. Other risk factors include:

  1. Previous tubal surgery
  2. Infertility
  3. Previous genital infection (e.g. pelvic inflammatory disease)
  4. Previous miscarriage and induced abortion
  5. Past and current smoker
  6. women over 40 years
  7. Intrauterine device use for more than two years
  8. Sterilisation
  9. Previous ectopic pregnancy
  10. Sexual promiscuity

“Being aware of these risk factors and seeking early prenatal care can help in the timely diagnosis and management of ectopic pregnancies,” said Dr. Tshivhula who emphasises the importance of recognising these symptoms early on and seeking prompt medical attention to prevent further complications.

Symptoms of an ectopic pregnancy:

  • The typical triad of symptoms includes amenorrhoea (missed periods), vaginal bleeding and abdominal pains.
  • The clinical presentation can easily be confused with a miscarriage.
  • Other symptoms fainting, dizziness and weakness.

Check out: Myths about miscarriages

Diagnosis of an ectopic pregnancy:

The diagnostic process involves a combination of tests, including blood tests to check for pregnancy hormones, ultrasound scans to detect the location of the pregnancy, and physical examinations to assess the patient’s symptoms.

During the gynaecological examination, the doctor will feel that the uterus is softer and possibly slightly larger than normal, but smaller than for the anticipated duration of the pregnancy. The cervix is often tender when moved, and there may be a palpable mass around the left or right fallopian tube.

“The pregnancy test in the urine or in the blood may be positive. An ultrasound examination will show an empty uterus. This strongly suggests an ectopic pregnancy,” said Dr. Tshivhula.

Could It Be an Ectopic Pregnancy? 7 Warning Signs Every Woman Needs to Know`

Treatment for an ectopic pregnancy:

Once an ectopic pregnancy is diagnosed, the treatment depends on various factors, such as the stage of pregnancy and the patient’s overall health.

An emergency laparotomy is the main treatment. Even if an ectopic pregnancy is discovered prior to rupture, surgery, often, a laparoscopy—is still required for treatment. The embryo and the tissues around it are removed, the tube is opened, and any bleeding is stopped with sutures or cauterisation.

The damaged tube can be completely removed laparoscopically if necessary. The benefit of this kind of endoscopic surgery is that the patient can be released from the hospital sooner and heal more quickly than with a traditional abdominal incision. In most cases, the pregnancy cannot be salvaged and needs to be removed to prevent life-threatening complications for the mother.

An ectopic pregnancy is a serious medical condition that requires immediate attention. Understanding the causes, recognising the symptoms, early diagnosis, and appropriate treatment are crucial aspects of managing this condition effectively. Left untreated, ectopic pregnancy can be fatal due to intra-abdominal haemorrhage. Please also seek counselling or psychological assistance if this happens to you as this can be a very traumatising experience that includes the loss of a pregnancy.

Also read: The infertility blues and What is a Rainbow Baby? Understanding the Meaning and Significance

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The Power of Staying Active During Labour
ChildbirthMembers-OnlyPregnancy

Premium The Power of Staying Active During Labour

by BabyYumYum May 10, 2024
written by BabyYumYum

Lying still is not your only option when labour begins, and many mothers are discovering just how powerful movement can be. Exploring staying active during labour can help your body work more efficiently, encourage baby’s positioning and even ease the intensity of contractions. Simple actions like walking, swaying, changing positions or using a birthing ball can make a noticeable difference to comfort and progress. Movement also gives you a sense of control in a moment that can feel unpredictable. When you work with your body instead of against it, labour can feel more manageable and far more empowering.

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Childbirth is a significant event in any women’s life. It’s important to know that childbirth is strongly associated with increased incidence of pelvic floor disorders later in life
ExpertsHealth & WellnessYour Health

Expert What will childbirth do to my pelvic floor?

by Dr Shareefa Rahim, Gynaecologist and Obstetrician April 25, 2024
written by Dr Shareefa Rahim, Gynaecologist and Obstetrician

BYY’s expert Gynaecologist and Specialist Obstetrician, Dr Rahim, explains the role of childbirth in PFDs (Pelvic Floor Disorders).

Childbirth is a significant event in any women’s life. It’s important to know that childbirth is strongly associated with increased incidence of pelvic floor disorders later in life. To understand Pelvic Floor Disorders (PFDs), it is crucial to know what the pelvic floor is and how it is affected by childbirth.

The Pelvic Floor is made up of muscles, bones and ligaments that cross the body from front to back and side to side. In females, the pelvic floor supports organs like the uterus, bladder, and rectum. In addition, the muscles play a role in opening and closing the vagina, urethra, and anus and help optimise circulation in the lower half of the body. PFDs encompass stress urinary incontinence, overactive bladder syndrome, pelvic organ prolapse and faecal incontinence.

Also read: Everything you need to know about Caesarean births in SA

Various factors that can lead to PFDs from childbirth:

Parity (the number of children birthed)

Several studies have shown that women who have children are more commonly affected by PFDs than women of the same age group, without child. With increasing number of childbirths, the prevalence of urinary incontinence, pelvic organ prolapse and faecal incontinence increases.

Mode of delivery

There is a misconception that Caesarean section birth prevents the occurrence of PFDs while in fact Caesarean section only mildly reduces the risk of developing PFDs. In a recent study, vaginal childbirth was associated with twice the risk of developing bothersome symptoms of stress incontinence compared with women who delivered exclusively via caesarean.

Maternal age

Delayed childbearing has been identified as a risk factor for PFDs, irrespective of mode of delivery. There is a strong connection between symptoms of stress incontinence and maternal age of 30 years or older at the first childbirth.

Operative vaginal delivery

Operative Vaginal Delivery/Instrumental Vaginal Delivery refers to the use of traction devices such as forceps and vacuums, to assist childbirth along with uterine contractions and maternal expulsive efforts. Operative Vaginal Delivery is associated with a fourfold increase in the adjusted odds for stress incontinence and overactive bladder syndrome, while increased with eightfold for pelvic organ prolapse.

Mechanical injury to the pelvic floor

Mechanical support to the pelvis is provided by the pelvic muscles and bony attachments. During delivery of the baby, the pelvic tissues may be subjected to damage. As the head crowns, the ligaments that hold the pelvic supporting muscles to the pelvic bones may tear. The pelvic muscles may also get injured.  Any damage to the muscles may lead to the widening of the perineum (gap in the midline through which passes the urethra, vagina and rectum), thus causing the downward descent of the pelvic organs.

Denervation injury

The pudendal nerve controls the muscles responsible for the opening and closing of the urethra and rectum, and therefore plays an important role in maintaining continence. Stretching and compression injury to the nerve has been reported in about 40% cases of vaginal deliveries. Many of the pelvic injuries are reversible, leads to the return of continence after childbirth. However, during severe injury to the nerve, return of the function may be delayed.

Check out: What’s normal vaginal discharge?

PFDS are common conditions and are responsible for significant financial and emotional burden to patients. However, in the light of currently available data, doctor’s efforts should be directed towards exposure to modifiable risk factors, such as minimising the use of forceps, shortening of duration of active pushing and increase vigilance for anal sphincter injuries.

Fortunately, there are currently existing treatments for PFDs. While it may take several weeks or months after delivery for the struggles you face to diminish, you should seek medical help if your symptoms are severe and impacting your quality of life.

Check out: Your most embarrassing birth questions answered

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Understanding Pregnancy in Weeks, Months, and Trimesters Being pregnant is an incredible journey, filled with excitement, anticipation, and perhaps a touch of nervousness. As your body embarks on this transformative experience, it's natural to wonder about how many months pregnant you are
Pregnancy

How many months pregnant am I?

by Ally Cohen, Content Creator and Digital Marketer April 12, 2024
written by Ally Cohen, Content Creator and Digital Marketer

Understanding Pregnancy in Weeks, Months, and Trimesters. Pregnancy is an incredible journey, filled with excitement, anticipation, and perhaps a touch of nervousness. As your body embarks on this transformative experience, it's natural to wonder about how many months pregnant you are.

In this comprehensive guide, we’ll delve into the duration of pregnancy, simplify the conversion from weeks to months, and unravel the concept of trimesters. Let’s embark on this enlightening journey together!

Deciphering the duration of pregnancy

1. The 280-day countdown

When it comes to pregnancy, we often hear about the magical 280 days. This duration is typically calculated from the first day of your last menstrual period (LMP).

Now, in terms of weeks, this equates to roughly 40 weeks, which, if you’re doing the math, might sound like it should be exactly ten months. But hold on, it’s a bit more complex than that!

In reality, this translates to a little over nine months. Why? Because our calendar months aren’t exactly four weeks long, making the calculation a tad more nuanced.

2. Navigating weeks to months

Let’s talk about breaking down those weeks into months, shall we? 

First Trimester: This exciting phase spans from Weeks 1 to 13, which coincides with Months 1 to 3 of your pregnancy journey. It’s a time of wonder, as the tiny being inside you starts to form and grow.

Second Trimester: Weeks 14 to 27 mark the second leg of your pregnancy marathon, corresponding to Months 4 to 6. Many expectant parents find this period to be the sweet spot, as morning sickness typically subsides, and that adorable baby bump starts to make its debut.

Third Trimester: Ah, the homestretch! From Weeks 28 to 40, you’re in the final lap, encompassing Months 7 to 9. As your due date draws near, you might experience a mix of excitement and nervousness, eagerly awaiting the arrival of your little bundle of joy.

ALSO CHECK OUT: Chinese Gender Chart

3. Clarifying the duration

So, back to the burning question: is pregnancy nine or ten months? Well, it’s a bit of both, really.

Technically, pregnancy lasts nine months. But remember, our calendar months don’t align perfectly with the 28-day cycle of a lunar month. Therefore, it’s more accurate to say that pregnancy spans a little over nine months, encompassing those extra days that don’t neatly fit into our monthly calendars.

Expert insights

Dr. Sipho Mkhize (Obstetrician-Gynecologist):

“Understanding the duration of pregnancy is not just about counting weeks and months; it’s about embracing the miraculous journey of creating life. Each milestone, from the first flutter to the final push, is a testament to the incredible power of the human body.”

Prof. Emma Johnson (Maternal-Fetal Medicine Specialist):

“Every pregnancy is a unique and awe-inspiring experience. Trust in your body’s innate wisdom, seek guidance from qualified healthcare professionals, and revel in the wonder of bringing new life into the world.”

Being pregnant is an extraordinary adventure

Pregnancy is an extraordinary adventure, marked by moments of joy, anticipation, and the occasional bout of pregnancy brain. As you marvel at the passing weeks and months, remember that you’re not just growing a baby—you’re nurturing the miracle of life itself. So, cherish each milestone, from the fluttering kicks to the peaceful moments of bonding, and know that you’re embarking on a journey that’s nothing short of miraculous.

Read: 15 pregnancy realities they don’t tell you about (but you’ll laugh about later)

Also view: BabyYumYum pregnancy due date calculator

and When to Take a Pregnancy Test: Know the Right Time

Disclaimer: This article is intended for informational purposes only and should not replace professional medical advice. Always consult with a qualified healthcare provider regarding any pregnancy-related concerns.


References:

  • BabyCenter. (2021). Pregnancy in Weeks, Months, and Trimesters
  • The Mother Baby Center. (2023). Trimester Timeline: Calculating Pregnancy Weeks to Months
  • BabyVine. (2021). Pregnancy: How to Count Weeks and Months When You Are Pregnant
Are you pregnant? How many months? Share with us in comments. 

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Artistic impression of Cameron Diaz with new baby. Being an older mum comes with unique benefits and challenges. This guide explores what to expect and offers tips for thriving in older motherhood.
CelebrityLifestyle

Older Motherhood: What to Expect and How to Thrive

by Ally Cohen, Content Creator and Digital Marketer April 5, 2024
written by Ally Cohen, Content Creator and Digital Marketer

The news of Cameron Diaz and Benji Madden welcoming their second child, Cardinal Madden, at the age of 51, in March 2024, has sparked conversations about older motherhood. By Ally Cohen

Embracing older motherhood is a journey filled with both joy and unique challenges. In today’s world, more women are choosing to become mums later in life, bringing a wealth of experience, patience, and stability to their parenting. But what does it truly mean to be an older mum?

In a world where age often dictates the timeline for major life events, the journey of Cameron Diaz and Benji Madden is a testament to breaking norms. The recent announcement of their second child in March 2024, Cardinal Madden, at Cameron’s age of 51, has ignited conversations about the joys and challenges of parenthood later in life. 

Diaz, known for her iconic roles on screen, continues to defy stereotypes with enthusiasm proving that age is not a barrier for her expanding her family. 

Benefits of parenthood at an older age

While the decision to become a parent later in life is deeply personal and comes with its own set of considerations, studies have discovered some benefits to embracing motherhood at an older age: 

    • Longer lifespan: Studies suggest that women who have their first child after the age of 25 are more likely to live longer, with a higher chance of reaching the age of  90 and beyond. The reasons behind this correlation are not fully understood, but it offers a promising outlook for older mothers.
    • Taller & smarter kids: Children born to older mothers tend to exhibit certain advantages, including better physical fitness, higher academic achievement, and even a slight height advantage over their peers. While the exact reasons for these trends remain unclear, they underscore the positive outcomes associated with older motherhood.
    • Stability & maturity: Older mothers often bring a wealth of life experience, stability, and maturity to their parenting journey. This can result in reduced stress during pregnancy and a positive, more realistic attitude towards parenthood. 
    • Financial security: Many older parents have had the opportunity to establish themselves in their careers and achieve financial stability. This allows them to provide a secure and comfortable upbringing for their children, free from some of the financial pressures faced by younger parents.
    • Energy levels: Contrary to popular belief, older mothers often exhibit energy levels comparable to those of younger mothers. With advancements in healthcare and lifestyle choices, age does not necessarily limit one’s vitality and ability to engage actively in parenting.

    Tips for a healthy pregnancy at an older age

    If you’re considering pregnancy at an older age or are already expecting, prioritising your health and well-being is essential.

    Here are some tips to support a healthy pregnancy:

      1. Preconception checkup: Schedule a thorough checkup with your healthcare provider before conceiving. Discuss any existing health conditions, concerns and medications. 
      2. Take supplements: Invest in maternal supplements before conception and continue throughout pregnancy to ensure a healthy pregnancy and baby. 
      3. Maintain a healthy weight: Aim for a healthy weight before pregnancy to reduce the risk of complications during pregnancy and childbirth.
      4. Avoid harmful substances: Quit smoking, avoid alcohol, steer clear of recreational drugs and limit caffeine intake. Avoid environmental toxins as much as possible. 
      5. Stay physically active: Engage in regular exercise appropriate for pregnancy, such as walking, swimming, or prenatal yoga. Consult your doctor for personalized recommendations.
      6. Eat nutritious foods: Prioritize a balanced diet rich in fruits, vegetables, whole grains, and lean proteins to support your health and the development of your baby.
      7. Manage stress: Practice relaxation techniques, seek emotional support, and prioritise self-care to manage stress and promote emotional well-being during pregnancy.

      Actress Cameron Diaz and her musician husband, Benji Madden, took to social media to share the joyous news of the arrival of their baby boy, Cardinal Madden.

       

      Also read: Navigating motherhood: 10 essential rules every mom should know


      Disclaimer: The information provided in this article is for educational purposes only and should not be construed as medical advice. Always consult with a qualified healthcare professional for personalised guidance and recommendations tailored to your individual needs.

      Sources:

      TIME – The Benefits of Being an Older Mother

      Reader’s Digest – Being an Older Mom Has Major Benefits, Says Study

      Verywell Family – Unique Struggles and Benefits of Older Parents

      HealthyWomen – The Benefit of Being an Older Mom

      Baby Chick – 6 Surprising Benefits of Being an Older Mom

      NICHD – What can I do to promote a healthy pregnancy?

      Department of Health and Aged Care – Your Healthy Pregnancy

      Verywell Health – Geriatric Pregnancy: Risks, Benefits, What to Expect

      Are you an older mom? Tell us your experience in comments. 

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      Pregnancy reality, brought to life with a delightful blend of humour and quirky charm that celebrates the unique and amusing moments of expecting mothers' experiences
      Pregnancy

      15 pregnancy realities they don’t tell you about (but you’ll laugh about later)

      by Ally Cohen, Content Creator and Digital Marketer March 29, 2024
      written by Ally Cohen, Content Creator and Digital Marketer

      Pregnancy is an incredible journey filled with joy, excitement, and a few unexpected surprises along the way. While many aspects of pregnancy are talked about, there are some realities that often catch expecting parents off guard. By Ally Cohen

      Let’s dive into 15 pregnancy realities that no one may have warned you about, but they’re all part of the wonderful adventure of growing a tiny human.

      1. The round-the-clock nausea

      Morning sickness? More like all-day sickness! It doesn’t care about the time—it can strike anytime, anywhere, and you’re left feeling queasy when you least expect it. While it’s commonly referred to as “morning sickness,” many expecting mothers find themselves battling nausea and vomiting throughout the day, not just in the morning hours. 

      The cause of morning sickness isn’t entirely understood, but it’s believed to be related to hormonal changes, particularly the rise in human chorionic gonadotropin (hCG) levels during early pregnancy. Some lucky mums-to-be breeze through the first trimester without a hint of nausea, while others find themselves glued to the porcelain throne for weeks on end.

      2. The sleep struggle

      Finding a comfortable sleeping position becomes a nightly challenge. It’s like trying to solve a Rubik’s cube while blindfolded—except you’re just trying to get some shut-eye. As your belly grows and your body undergoes numerous changes, finding that perfect sleeping position becomes increasingly elusive. 

      The back is a no-go zone due to the pressure it puts on major blood vessels, and lying flat on your stomach is out of the question. Left side? Right side? Pillows propped everywhere? It’s a nightly ritual of trial and error as you attempt to drift off into dreamland. And just when you finally find a somewhat comfortable position, nature calls, and it’s back to square one.

      3. Hormones on a rollercoaster

      Your emotions take you on a wild ride, thanks to those lovely pregnancy hormones. One minute you’re sobbing over a sappy movie, and the next you’re laughing hysterically at a silly joke. Blame it on the hormones! Pregnancy hormones, including estrogen and progesterone, go into overdrive during pregnancy, affecting everything from your mood to your appetite. 

      These hormonal fluctuations can lead to mood swings, tearful breakdowns over seemingly trivial matters, and uncontrollable bursts of laughter at the most inappropriate times. While it can feel like you’re riding an emotional rollercoaster, rest assured that it’s all perfectly normal and part of the miraculous journey of pregnancy.

      4. Pregnancy brain strikes again

      Forgetfulness becomes your new normal. You’ll walk into a room and forget why you’re there, or spend hours looking for your phone while holding it in your hand. Pregnancy brain is real, folks! You’re not losing your mind—you’re just experiencing pregnancy brain, a phenomenon characterized by forgetfulness, absent-mindedness, and occasional bouts of clumsiness. 

      Blame it on the hormonal changes, sleep disturbances, and the sheer mental and physical exhaustion that often accompany pregnancy. From forgetting appointments to putting the milk in the pantry and the cereal in the fridge, pregnancy brain can make you feel like you’re living in a perpetual fog. But rest assured, it’s a temporary condition, and your memory will return to normal once you welcome your little bundle of joy into the world.

      ALSO VISIT: Chinese Gender Chart

      Pregnancy reality, portrayed with witty humour and endearing quirkiness that evoke smiles and chuckles from expecting mothers

      5. Everyone’s a pregnancy expert

      Get ready for a flood of advice—from your neighbour’s cousin’s sister to the lady at the grocery store. Suddenly, everyone’s an expert on pregnancy and parenting, and they’re not shy about sharing their wisdom. As soon as you announce your pregnancy, you’ll find yourself bombarded with well-meaning advice, suggestions, and anecdotes from friends, family members, colleagues, and even complete strangers. 

      From the best prenatal vitamins to the most effective labour positions, everyone has an opinion on how you should navigate your pregnancy journey. While some advice may be helpful, others may leave you scratching your head in bewilderment. Remember, every pregnancy is unique, and what works for one person may not necessarily work for another. Trust your instincts, do your research, and don’t be afraid to politely decline unsolicited advice that doesn’t resonate with you.

      6. The never-ending bathroom trips

      Your bladder becomes your new best friend, demanding attention around the clock. Say goodbye to uninterrupted Netflix sessions—you’ll be making frequent bathroom trips like it’s your new hobby. If you thought you were acquainted with your bladder before pregnancy, prepare to become inseparable companions over the next nine months. As your uterus expands and puts pressure on your bladder, you’ll find yourself making countless trips to the bathroom throughout the day and night. 

      Whether it’s the urge to pee every hour on the hour or the sudden sprint to the toilet when a sneeze catches you off guard, your bladder will make its presence known like never before. Embrace the frequent bathroom breaks as an opportunity to stretch your legs, hydrate, and sneak in a few moments of much-needed rest and relaxation.

      7. Cravings get weird

      Cravings take you on a culinary adventure you never expected. Pickles and peanut butter sandwiches? Why not! Suddenly, you’re concocting food combinations that would make a chef blush. Ah, pregnancy cravings—the stuff of legends! From the classic pickles and ice cream to the downright bizarre (pickle juice slushies, anyone?), pregnancy cravings can range from the sublime to the ridiculous. While the exact cause of pregnancy cravings remains a mystery, hormonal fluctuations, nutrient deficiencies, and changes in taste and smell are believed to play a role. 

      Whether you find yourself craving sweet, salty, sour, or savoury foods, indulge your cravings in moderation and listen to your body’s cues. Just remember to balance those midnight ice cream runs with plenty of nutritious fruits, vegetables, and whole grains to support your growing baby’s development.

      Read The funniest things women have done while pregnant (because pregnancy brain is REAL!)

      8. Acne’s surprise comeback

      Just when you thought you left acne behind in high school, it decides to make a grand reappearance. Pregnancy hormones wreak havoc on your skin, and you find yourself battling breakouts like a teenager. Ah, the joys of pregnancy acne! As if dealing with morning sickness, fatigue, and mood swings weren’t enough, now you have to contend with stubborn breakouts and pesky blemishes. Blame it on the surge in hormone levels, which can stimulate the sebaceous glands in your skin and lead to increased oil production. 

      Combine that with changes in skin pH, increased blood flow, and a buildup of dead skin cells, and you have the perfect recipe for pregnancy-related acne. While it can be frustrating to deal with breakouts during pregnancy, there are steps you can take to keep your skin clear and healthy. Stick to a gentle skincare routine, avoid harsh chemicals and abrasive exfoliants, and consult your healthcare provider before using any acne treatments or medications.

      9. Unexpected hair growth

      Thicker hair sounds like a dream—until it starts showing up in unexpected places. You’ll find yourself questioning if you’re growing a baby or a werewolf. Pregnancy hormones can work wonders for your hair, giving it a thicker, fuller appearance and a healthy, glossy sheen. But while you may enjoy luscious locks on your head, you may also notice hair sprouting in places you never expected—hello, belly hair! From peach fuzz to full-blown hair growth, it’s not uncommon for pregnant women to experience increased hair growth on their face, abdomen, arms, and legs. 

      Blame it on those pesky hormones, which can stimulate hair follicles and disrupt the normal hair growth cycle. While it may feel like you’re auditioning for a role in a werewolf movie, rest assured that the excess hair growth is usually temporary and will subside after you give birth. In the meantime, embrace your inner goddess and rock that pregnancy glow!

      10. Maternity clothes dilemma

      Finding clothes that fit becomes a whole new adventure. The maternity section offers limited choices, and suddenly, comfort trumps fashion. Embrace the stretchy waistbands! As your belly expands and your body undergoes numerous changes during pregnancy, finding clothes that fit comfortably and flatter your changing figure becomes a top priority. While the maternity section offers a range of options designed to accommodate your growing bump, you may find yourself facing a dilemma—do you prioritize comfort or style?

       From stretchy leggings and oversized T-shirts to flowy dresses and elastic-waist pants, maternity clothes come in all shapes, sizes, and styles to suit your personal preferences and lifestyle. Embrace the opportunity to experiment with new silhouettes, colours, and textures, and remember that comfort is key during pregnancy. Whether you opt for form-fitting basics or loose-fitting layers, choose pieces that make you feel confident, comfortable, and fabulous throughout your pregnancy journey.

      11. Baby bump: friend or foe?

      Your baby bump becomes a conversation starter, a resting spot for snacks, and an obstacle in tight spaces. Who knew something so cute could be so cumbersome? Ah, the baby bump—the quintessential symbol of pregnancy and motherhood. From the moment it makes its grand entrance, your baby bump becomes the focal point of every conversation, photo opportunity, and social media post. 

      Friends, family members, and even complete strangers can’t resist commenting on the size, shape, and position of your growing belly, and you find yourself fielding questions about your due date, baby’s gender, and pregnancy cravings on a daily basis. 

      But while your baby bump may attract plenty of attention and admiration, it also comes with its fair share of challenges. From navigating crowded spaces and squeezing into tight corners to finding a comfortable sleeping position and getting dressed without toppling over, your baby bump presents a unique set of obstacles and adventures. Embrace the journey, laugh at the unexpected, and remember that your baby bump is a beautiful reminder of the miraculous journey of pregnancy.

      12. Swollen feet & ankles

      Say hello to cankles—the not-so-glamorous side effect of pregnancy. Fashionable shoes become relics of the past as you opt for comfort over style. As your due date approaches and your baby bump grows larger, you may notice swelling in your feet, ankles, and legs—a condition affectionately known as “cankles” (a delightful combination of calves and ankles). Blame it on the increased pressure on your veins and blood vessels, which can impede circulation and cause fluid retention in your lower extremities. 

      While mild swelling is a common and usually harmless side effect of pregnancy, severe or sudden swelling accompanied by other symptoms, such as high blood pressure, headaches, or vision changes, may be a sign of a more serious condition, such as preeclampsia. If you experience any concerning symptoms, be sure to contact your healthcare provider for guidance and evaluation. In the meantime, elevate your feet whenever possible, stay hydrated, and avoid standing or sitting for long periods to help reduce swelling and discomfort.

      YOU MUST CHECK OUT: Due date calculator

      Pregnancy reality, depicted with a comedic twist and charming quirkiness that captures the delightful absurdities of expecting mothers' experiences. The prompt showcases moments of laughter and mirth as the whimsical and unconventional aspects of pregnancy are playfully exaggerated

      13. The dance party within

      Feeling those first kicks is magical until your baby discovers your bladder. But those tiny movements remind you of the miracle growing inside you. One of the most exciting milestones of pregnancy is feeling your baby’s first movements, known as “quickening.” It’s a magical moment that signals the beginning of a beautiful bond between you and your unborn child. As your baby grows and develops in the womb, you’ll feel a variety of sensations, from gentle flutters and subtle nudges to full-blown somersaults and karate kicks. While those initial movements may catch you by surprise, they soon become a source of comfort, reassurance, and joy as you connect with your baby in a profound and meaningful way. And while those tiny kicks and punches may occasionally catch you off guard—especially when they target your bladder with pinpoint accuracy—they serve as a poignant reminder of the miracle unfolding within you. So, cherish each flutter, embrace each kick, and revel in the wondrous dance party happening inside your belly.

      14. The pregnancy waddle

      Walking gracefully? Not anymore. The pregnancy waddle becomes your signature move, accompanied by a soundtrack of grunts and groans. As your pregnancy progresses and your baby bump grows larger, you may notice changes in your posture, gait, and overall movement. Enter the pregnancy waddle—a quirky, endearing, and slightly awkward walking style that becomes your new signature move. Characterized by a side-to-side sway and a slightly exaggerated hip sway, the pregnancy waddle is as unique as it is unmistakable. Blame it on the shift in your body’s centre of gravity, the strain on your back and pelvic muscles, and the sheer size and weight of your baby bump. While the pregnancy waddle may elicit a few chuckles and quizzical glances from passersby, it’s a perfectly normal and natural adaptation to the physical changes of pregnancy. So, embrace your inner penguin, strut your stuff with pride, and wear your pregnancy waddle like a badge of honour—it’s all part of the beautiful journey of motherhood.

      15. Countdown to D-day

      As the due date approaches, a mix of excitement, nerves, and anticipation sets in. You’re about to embark on the adventure of a lifetime, and the journey is just beginning. The final countdown to your baby’s arrival is a whirlwind of emotions, from excitement and anticipation to nervousness and apprehension. As the due date draws nearer, you may find yourself experiencing a range of conflicting emotions, wondering if you’re truly ready for the challenges and joys of parenthood. But amidst the uncertainty and butterflies in your stomach, there’s an undeniable sense of excitement and wonder as you prepare to meet your little one for the first time. 

      From assembling the crib and washing tiny onesies to packing your hospital bag and finalizing your birth plan, each task brings you one step closer to holding your precious baby in your arms. As you eagerly await the arrival of your bundle of joy, take comfort in knowing that you’re surrounded by love, support, and a community of fellow parents who have walked this path before you. Embrace the journey, cherish the moments, and get ready for the adventure of a lifetime—parenthood awaits!

      Embracing the humour in pregnancy realities

      Pregnancy is an incredible journey filled with surprises, challenges, and plenty of laughs along the way. While some aspects may catch you off guard, they’re all part of the beautiful adventure of bringing new life into the world. So, embrace the quirks, laugh at the unexpected, and cherish every moment of this remarkable journey. After all, these are the stories you’ll be sharing for years to come!

      Read more pregnancy articles online

      NEXT READ: 21 early signs of pregnancy

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