Joined in 2023 
82 
63 About this deal
There is a legend that surrounds a play, they say that any woman who plays this role will become pregnant. Dorothea learns just how true this may be after she performs in the role herself.
Steinman, Gary. “Mechanisms of twinning. IV. Sex preference and lactation.” The Journal of Reproductive Medicine, 01 Nov. 2001, no. 46, no. 11, pp. 1003-1007, https://europepmc.org/article/med/11762143One woman in five who's had HD has post-traumatic stress symptoms (PTSS) after the birth (Christodoulou-Smith et al 2011). This may affect whether you're able, or willing, to get breastfeeding going, and your close relationships (Christodoulou-Smith et al 2011).
No. Gestational hypertension is high blood pressure that occurs in the latter half of pregnancy but doesn’t affect your kidneys or cause protein in your pee. This condition can advance to preeclampsia, so your provider will monitor your pregnancy more frequently. High blood pressure (hypertension) during pregnancy typically goes away after your baby’s delivered. However, it increases your risk of high blood pressure and heart disease in the future. If you had a severe form of preeclampsia or gestational hypertension, you may need medication for a few weeks after delivery. It’s important to see your provider within 10 days postpartum (after your baby is born) if you had a severe form of high blood pressure at delivery. Potassium iodide (KI) is another medication that can be used to treat mild hyperthyroidism. However, there have been limited studies in pregnancy. Most use in pregnancy has been in Japan, which has shown effectiveness in treating mild hyperthyroidism with minimal adverse effects. Of note, Japan has a higher iodine intake than most of the world, so the effectiveness of KI cannot be extrapolated to other countries. Nevertheless, KI can be considered in women with mild hyperthyroidism who do not tolerate ATDs. [2] [8] [11] Your doctor will need to help you manage this. Without treatment, there’s a higher chance your baby will be born prematurely or have a low birth weight. Either of these can put them at risk for health problems. Treatments
If you're already taking medicine to lower your blood pressure and want to try for a baby, talk to your GP or specialist first. They may want to switch you to a different medicine before you get pregnant. Hypertension can prevent the placenta from getting enough blood. If the placenta doesn’t get enough blood, your baby gets less oxygen and food. This can result in low birth weight. Most women still can deliver a healthy baby if hypertension is detected and treated early. Martin, N G et al. “Pituitary-ovarian function in mothers who have had two sets of dizygotic twins.” Fertil Steril, Jun. 1984, vol. 41, no. 6, doi: 10.1016/s0015-0282(16)47901-x, https://pubmed.ncbi.nlm.nih.gov/6427021/
Medication is necessary when vomiting puts your health or the health of the fetus (baby) at risk. Some of the most commonly used anti-nausea drugs are promethazine and meclizine. These medications can be taken in different ways. For example, promethazine can be taken as an injection, suppository, oral medication, or topical treatment.Steinman, Gary. “Mechanisms of twinning: VII. Effect of diet and heredity on the human twinning rate.” The Journal of Reproductive Medicine, May 2006, vo. 51, no. 5, pp. 405-10, https://pubmed.ncbi.nlm.nih.gov/16779988/ When it comes to medications, it is very important that you weigh the risks and the benefits. Some drugs may have adverse effects on you or the development of your baby. Discuss the risks and side effects of each drug with your health care provider. Where can I get more help? This is the story of the sexual deeds of a young, naughty pregnant loli and her older boyfriend. Language: English Words: 42,597 Chapters: 11/? Comments: 20 Kudos: 531 Bookmarks: 108 Hits: 96,070 Historically, PTU was commonly used for hyperthyroidism in all patients. However, it is associated with hepatoxicity that can lead to liver failure and subsequent need for transplantation. Therefore, methimazole is more commonly used now if tolerated. An exception to this is during early pregnancy due to methimazole and carbimazole's association with a rare embryopathy, which includes aplasia cutis, abdominal wall defects, esophageal atresia, choanal atresia, eye abnormalities, urinary tract abnormalities, and circulatory defects. [1] [2] [4] [5] [7] [8] [11] [12]After the first trimester, when the majority of organogenesis is complete, patients are then transitioned to methimazole. This transition is necessary to decrease the likelihood of hepatotoxicity. [2] [4] [8] [10] [12]PTU is associated with less severe birth defects that may not be discovered until years after birth. Some congenital defects noted at birth include unilateral kidney dysgenesis or agenesis, situs inversus, and cardiac outflow tract defects. These defects typically occur in isolation as opposed to methimazole embryopathy, which is linked to a constellation of defects. [6] [10] [11]Due to the detrimental maternal health effects and the risk of fetal loss with untreated overt hyperthyroidism, treatment with antithyroid drugs is usually necessary, despite potential teratogenicity. [6] [11]If a patient does not tolerate PTU, treatment with methimazole is preferred to no treatment at all, even in the first trimester. [13] ATDs cross the placenta and can correct fetal hyperthyroidism caused by maternal TRAbs. However, ATDs can overcorrect fetal hyperthyroidism even if the mother is euthyroid, causing fetal hypothyroidism. Thus, the goal of treatment is to use the lowest dose of antithyroid medication possible, with a TSH target slightly lower than the reference range and a maternal free T4 at the high-end of normal. [1] [2] [3] [4] [6] [8] [10] [11] [12]If the TSH becomes normal, it likely means that the fetus is receiving too much ATD. [8]
Great Deal 
New Comment