Miscarriage and Stillbirth Research - OnHealth

Health Concerns
Because most women with PCOS have hormonal imbalances and are overweight or obese, they are at a higher risk for miscarriage and complications such as gestational diabetes mellitus, preeclampsia, macrosomia, and preterm labor during pregnancy.7-13 Research has also indicated that infants born to women with PCOS have higher rates of admission to neonatal intensive care units.14 Many physicians with whom I have worked recommend initiating an oral glucose tolerance test sooner in women with PCOS. They recommend testing at 20 weeks gestation to screen for gestational diabetes mellitus and, if normal, repeat it by the standard screening time for all pregnant women between 24 and 28 weeks gestation. Proper medical management and medical nutrition therapy are imperative to prevent the onset of medical complications and optimize fetal growth and development. Postmeal physical activity, such as walking for 10 to 20 minutes, can help manage blood pressure and insulin resistance by controlling postprandial hyperglycemia.

However, miscarriage is much more common than one would think, and there are resources available to

She sees women, men and couples who are dealing with depression, anxiety, stress and difficulties adjusting to parenting. Kanthi assists women and couples experiencing grief and loss associated with miscarriage and birth trauma. She also works with mothers and parents experiencing difficulties bonding with their babies.

Miscarriage and Stillbirth Research

Choose any medical condition from the provided list. Your paper should include: “miscarriages

Metformin is recommended for pregnant women with PCOS, as it can reduce the incidence of preeclampsia, macrosomia, gestational diabetes mellitus, preterm labor, and the risk of miscarriage.8,9 A study showed that at dosages between 1.5 and 2.55 grams per day, metformin did not affect the birth weight, length, growth, or motor-social development of 126 infants compared with their control counterparts.15 Metformin helps prevent gestational diabetes mellitus and improve pregnancy outcomes in women with PCOS by helping reduce preconception and pregnancy weight gain, hyperinsulinemia, and insulin resistance and secretion.2,3

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For women with PCOS, pregnancy should be considered a state of pre-gestational diabetes mellitus and as a precaution, diet guidelines should reflect those for gestational diabetes mellitus. A slight reduction in carbohydrate intake of 35% to 40% of total calories is therefore suggested and consistent with the American Diabetes Association guidelines for gestational diabetes mellitus. The majority of carbohydrates should be of whole grain and high-fiber quality, with at least 28 grams each day (the dietary reference intake requirement) for optimal glucose and insulin control. Dietetics professionals must convey the importance of distributing carbohydrates evenly throughout the day and encouraging three meals and two to four snacks, as well as an evening snack to manage glucose levels throughout the night. All meals and snacks must include protein-rich foods to help stabilize glucose levels. Due to the high rate of miscarriage and gestational diabetes mellitus related to elevated insulin levels, women with PCOS should limit or avoid simple carbohydrates, including sweetened beverages (eg, juices, soft drinks, sports drinks), candies, and desserts.

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The joyous time of pregnancy can pose additional concerns to women with PCOS, as they are at a higher risk for miscarriage and obstetrical complications such as gestational diabetes mellitus, preterm labor, pregnancy-induced hypertension, and macrosomia. Some women may be resistant to eating carbohydrate foods while others may consume too many of them, posing additional risks to mother and fetus. Dietitians must educate patients about the benefits of a good diet and lifestyle to sustain a healthy pregnancy. In general, PCOS in pregnancy should be considered a state of pre-gestational diabetes mellitus and dietary guidelines should resemble those for gestational diabetes mellitus. In addition, some women with PCOS may have difficulty breast-feeding and producing an adequate milk supply for their infants due to hormonal imbalances. Dietitians can play an integral part in the health of women with PCOS during pregnancy and throughout the lactation period.

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The doctor — she wasn’t my regular doctor, just the one on call the day I rushed in for my peace-of-mind ultrasound — said that nothing I’d done could have caused this miscarriage.