Tuesday August 20, 2019

Study Claims, There Should Be Treatment Options Given for Miscarriage

Miscarriage is the most common complication of pregnancy and affects an estimated one in four pregnancies. 

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Miscarriage is the most common complication of pregnancy and affects an estimated one in four pregnancies. Pixabay

Though miscarriage is a traumatic experience for both parents, resulting in feelings of loss and grief that in some cases can lead to anxiety and depression, women experiencing miscarriage should be offered a choice in the treatment they receive, suggests a study.

Miscarriage is the most common complication of pregnancy and affects an estimated one in four pregnancies.

Although guidelines recommend trying to resolve an unsuccessful pregnancy naturally, the new analysis shows that this is only successful in 70 per cent of cases, and potentially comes with complications that are rarely communicated to patients.

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Some women are more keen on having a quick surgical intervention so that they can resume their lifestyle immediately, some are very keen to avoid surgery and prefer to go with a tablet, and others want to take a more natural approach,” Wattar added. Pixabay

The study from the University of Warwick and Queen Mary University of London, demonstrates little to no difference in medical effectiveness in resolving an unsuccessful pregnancy between medical and surgical options.

Thus, the team recommend the doctors to offer women a choice of treatment options for miscarriage to enable them to make an informed decision that takes account of potential uncomfortable side effects, long waiting times and extended periods of recovery.

“What we have to do is provide women with evidence about the benefits and effectiveness of each treatment option and potential side effects so that they can choose what they feel most comfortable with,” said lead author Bassel Wattar from Warwick Medical School.

“Some women are more keen on having a quick surgical intervention so that they can resume their lifestyle immediately, some are very keen to avoid surgery and prefer to go with a tablet, and others want to take a more natural approach,” Wattar added.

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Miscarriage is the most common complication of pregnancy and affects an estimated one in four pregnancies. Pixabay

For the results, published in the journal Human Reproduction Update, the team reviewed 46 trials involving over 9,000 women who experienced spontaneous loss of pregnancy (miscarriage) before 14 weeks gestation.
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During a miscarriage, the body will aim to resolve the unsuccessful pregnancy naturally but conservative treatment can be painful with increased bleeding, increased likelihood of hospital admission, reduced quality of treatment and reduced satisfaction.

However, surgery which include electric vacuum aspiration, and medical treatment with a tablet were found to have similar effectiveness in treating miscarriage as conservative treatment. (IANS)

Next Story

Too Much Coffee During Pregnancy Bad for Baby’s Liver, Says New Study

For the study, the researchers investigated the effects of low (equivalent to 2-3 cups of coffee) and high doses (equivalent to 6-9 cups of coffee) of caffeine given to pregnant rats, on liver function and hormone levels of their offspring

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A patron holds an iced beverage at a Starbucks coffee store in Pasadena, Calif., July 25, 2013. VOA

Ladies, limit your tea or coffee intake if you’re expecting, as researchers have found that excess caffeine intake during pregnancy may impair baby’s liver development and increase the risk of liver disease in adulthood.

In a study on rats, it was found that pregnant rats, which were given caffeine, had offspring with lower birth weight, altered growth and stress hormone levels and impaired liver development.

Published in the Journal of Endocrinology, the study indicates that consuming 2-3 cups of coffee a day may alter stress and growth hormone levels in a manner that can impair development of baby’s liver.

“Our results indicate that prenatal caffeine causes an excess of stress hormone activity in the mother, which inhibits IGF-1 activity for liver development before birth. However, compensatory mechanisms do occur after birth to accelerate growth and restore normal liver function as IGF-1 activity increases and stress hormone signalling decreases,” said study co-author Yinxian Wen from the Wuhan University in China.

Insulin-like growth factor 1 (IGF-1) is a hormone that plays an important role in childhood growth. “The increased risk of fatty liver disease, caused by prenatal caffeine exposure, is most likely a consequence of this enhanced, compensatory postnatal IGF-1 activity,” Wen said.

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A model wears the Owlet Band pregnancy monitor at the Owlet booth at CES International, Jan. 9, 2019, in Las Vegas. The device can track fetal heart rate, kicks and contractions. VOA

For the study, the researchers investigated the effects of low (equivalent to 2-3 cups of coffee) and high doses (equivalent to 6-9 cups of coffee) of caffeine given to pregnant rats, on liver function and hormone levels of their offspring.

“Our work suggests that prenatal caffeine is not good for babies and although these findings still need to be confirmed in people, I would recommend that women avoid caffeine during pregnancy,” Wen said.

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Sweta Gupta, Clinical Director and Senior Consultant at Fertility Solutions, Medicover Fertility in Delhi, agreed that too much of caffeine could be harmful for the baby. “Pregnancy is a time of craving and mood swings. Some consider coffee for relief in such situations,” she said.

However, according to Harshal Rajekar, Consultant Gastro Surgeon, Columbia Asia Hospital in Pune, there is hardly any evidence showing that caffeine is harmful for pregnant woman or her baby’s liver though it’s true that excess of caffeine can affect sleep and may deprive the mother of adequate rest during pregnancy, which can, in turn, harm both the mother and the child. (IANS)