АНЕМИЯ ПРИ БРЕМЕННОСТ

ANEMIA DURING PREGNANCY

Anemia during pregnancy -During pregnancy, blood  plasma volume increases by about 20-30% . This leads to the development of a mild anemia, which is easily detected by routine blood tests (whole blood count), but is not a cause for concern.

AM I AT RISK?

In some cases, the risk of developing severe anemia during pregnancy is increased:

  1. Getting pregnant soon after a previous pregnancy;
  2. Being pregnant with twins or triplets;
  3. Low iron intake due to poor nutrition;
  4. Heavy menstrual bleeding before becoming pregnant.
SYMPTOMS

Symptoms typical for anemia include fatigue, irritability, shortness of breath, palpitations, chest pain, cold limbs, difficult concentration, pale skin, brittle nails.

IRON DEFICIENCY ANEMIA

This type of anemia is the most common one. It is caused by insufficient intake or increased loss of iron (eg bleeding). We need iron to create hemoglobin. When your body lacks iron,  formation of new erythrocytes is very difficult.

 As the condition develops slowly, the body manages to adapt to some extent, the symptoms are too nonspecific to pay attention to and are often explained by other causes. Usually iron deficiency anemia is already present before the woman becomes pregnant. During pregnancy, when the body’s iron needs are higher, the condition may worsen.

This is dangerous for both the fetus and the mother. Severe anemia could lead to preterm birth, low birth weight, and anemia during infancy. For the mother, the risks are associated with greater blood loss during childbirth and decreased immunity.

PREVENTION WITH DIET

There are two types of iron — heme and non-heme. Heme iron is found in meat and is easier to digest. Non-heme iron is found in eggs, milk and plant foods and is more difficult to digest. Therefore, vegetarians and vegans are at a risk of developing iron deficiency anemia.

Take serious care of your diet if you are pregnant or planning to become pregnant. Include in your menu foods rich in iron such as green leafy vegetables (spinach), red meat, eggs, nuts, tofu. Iron is best absorbed in the presence of vitamin C (citrus fruits, tomatoes, peppers, kiwis, strawberries). If prenatal multivitamins and dietary changes are not able to help with your iron deficiency, you will be prescribed a special iron supplement. Depending on the severity of your condition, you may be referred to a hematologist.

Ден на Отворени Врати в New Life

OPEN DAY AT NEW LIFE CLINIC

Inside New Life Clinic

On October 05, 2019 / Saturday / at 11:00 — Open Day at New Life Reproductive Health Center and free consultation with New Life team for couples visiting Open Day.
All couples are kindly requested to make an appointment on 032/693 693 or on our free phone number 0800 13 006, where they will receive complete information about the event.

When you visit, you will have the opportunity to see the clinic from the inside and get answers to questions that interest you from specialists who are not only excellent professionals but also people with an extremely positive attitude. The manager of New Life, Dr. Dobrinka Petrova, together with Dr. Dimitar Tanev, Dr. Andrey Minchev and Dr. Maria Mateeva and the embryologists Assoc. Prof. Dr. Rumen Dimitrov, Tsvetomir Ivanov, and Hristina Georgieva will personally inform you about the latest in assisted reproductive technology. Our Open Day will give you an opportunity to get to know the rest of the staff and the extremely comfortable conditions offered by the first Israeli Center for Reproductive Health in Bulgaria.

ИЗБОР НА ЛЕКАР

HOW TO CHOOSE YOUR DOCTOR?

Everyone strives to receive the highest quality medical help. However, sometimes it is quite difficult to decide which doctor to go to. In this article, we have provided some tips to help you choose your doctor.

INTERNET ISN’T ALWAYS HELPFUL

The internet is full of groups and pages that discuss the skills of doctors of all specialties. You can often come across conflicting opinions about the same person, which is very confusing. Our advice is to approach these materials very critically because it is not always certain how credible they are. Moreover, everyone will have a different experience depending on their attitude towards their appointment.

Instead, look for more information about additional training, qualifications, and interests that a doctor has. If they match your problem — trust them,  it is very likely that they’ll be able to help you.

DOES HEALTH INSURANCE COVER IT?

We are all required to pay for our health insurance. For some social groups, such as children, students up to 26 years and retired people, health insurance is covered by the state. This gives us the advantage of getting a referral to see a specialist. Sometimes it takes more time, but it’s a way to save yourself a lot of money.

Before you make an appointment, you need to ask if your doctor of choice has a contract with the National Health Insurance Fund. If not, don’t be ashamed to ask about the cost of the procedure you need.

DO NOT UNDERESTIMATE YOUNG DOCTORS

Recently trained physicians may not have that much experience, but they are certainly up to date with the latest innovations in medicine. They are more likely to attend conferences and additional training to learn about the most up-to-date practices. Do not underestimate or exclude them as an option for your next visit.

A DOCTOR YOU CAN TRUST

There is one popular saying that you should tell and show everything to your doctor. This means that you should not hide important details if you want the right diagnosis and treatment. When you are at the doctor’s office, pay attention to how you’re feeling. Is it easy for you to share your concerns with your doctor? Doctor-patient relationships should go smoothly, especially when you’ll have to pay multiple visits as it is with in vitro fertilization.

СПОНТАНЕН АБОРТ

MISCARRIAGES: CAUSES, SYMPTOMS AND EMOTIONAL SUPPOR

Miscarriage is one of the worst complications of pregnancy. Although nearly 20% of pregnancies end this way, it still remains taboo.

A miscarriage is the loss of a fetus before it is able to live outside the uterus (20 weeks). There is early (up to 12 weeks) and late (after 12 weeks) miscarriage.

 CAUSES

The main cause of a miscarriage are chromosomal defects in the fetus. They usually occur after fertilization and are not inherited by the parents.

 On the mother’s part, the cause may be related to old age, various diseases (Hashimoto’s thyroiditis, thrombophilia, etc.), traumas, infections, smoking, alcohol use. There is also a risk of miscarriage when the father works with heavy metals and other dangerous substances.

Moderate exercise, sex and work (unless it involves harmful chemicals) will not  lead to a miscarriage.

WHAT ARE THE SYMPTOMS?

The symptoms of a miscarriage depend on how advanced the pregnancy is. Sometimes it can occur so early that it could be misinterpreted for a delayed menstruation, a.k.a chemical pregnancy. Symptoms of miscarriage include:

  1. Spotting or heavy bleeding, which can range from bright red to brown;
  2. Low abdominal or back pain;

These symptoms are not specific to miscarriages. Many women report mild bleeding at the beginning of pregnancy, but manage to give birth to completely healthy babies. However, if this occurs, you should contact your obstetrician immediately. Better safe than sorry.

TREATMENT

If diagnosed early enough (in the «threatened abortion» phase when the cervix is intact), treatment may be attempted. In other cases, termination of pregnancy is the standard approach. If the patient’s blood type is Rh-negative, anti-D gamma globulin is also administered. If desired, oral contraceptives can be started immediately after the procedure or during your next menstruation.

EMOTIONAL SUPPORT

Unfortunately, miscarriage can happen to any expecting mother. Losing a much-desired baby is equivalent to losing a loved one. It is completely natural to mourn despite encouraging comments from loved ones that «you will have another baby». It is just as normal to seek support from family and friends, or to need some solitude.

Don’t blame yourself for what happened. The reasons for most miscarriages are beyond our control and cannot be predicted. The probability that this will happen again with your next pregnancy is very low — about 1%.

Give yourself plenty of time to recover physically as well as mentally before attempting to get pregnant again. Even if it seems impossible, remember that this dark period will pass at some point.

If you have any other concerns or just need professional advice and support, our psychologist at New Life Medical Center is here to help you.

СЕКС ПО ВРЕМЕ НА БРЕМЕННОСТ

SEX DURING PREGNANCY

Hormonal changes during pregnancy also affect libido. For some women, it goes up, while for others, sex is the last thing they would want to do. Whichever category you fall into — it’s totally normal!

IS IT SAFE FOR THE FETUS?

If your pregnancy is normal, sex is allowed. The fetus is protected by the amniotic fluid, uterus and abdominal muscles, therefore it cannot be harmed. As your pregnancy progresses and your belly grows, you will only have to experiment more. However, the most important thing is that everyone is comfortable and having fun.

SHOULD I USE A CONDOM?

Yes, if your partner has recently had a sexually transmitted infection or is currently having one. Condoms are also required when you are with a new partner. This rule applies to vaginal as well as oral and anal sex.

WHEN SHOULD I AVOID SEX?

Breast stimulation, orgasms, and prostaglandins in semen can cause uterine contractions. In a low-risk pregnancy, they are not a problem. However, in some cases, your doctor will advise you to refrain from having sex. These include — bleeding, placenta praevia, history of miscarriage or premature birth, cervical incompetence, etc.

SEX AFTER PREGNANCY

It is perfectly normal if sex isn’t a priority after childbirth. Post-delivery discomfort and new challenges of parenthood should not be ignored. Most gynecologists recommend abstaining from sexual activity  6 weeks after delivery. Of course, for every woman, this period varies because not only physical but also emotional readiness is important.

Breastfeeding can only prevent you from getting pregnant again for the first 6 months. In addition, it should be practiced frequently — every 4 hours during the day and 6 — at night. If you are not planning to increase the number of family members soon, we recommend discussing your contraception options with your doctor.

ЛИПСА НА ВИТАМИНИ

VITAMIN DEFICIENCIES

ARE THEY DANGEROUS AND HOW TO PREVENT THEM?

Hypovitaminosis means deficiency of one or several vitamins. They usually occur as a result of poor nutrition or difficulty in absorbing the vitamins taken with food.

SIGNS AND SYMPTOMS

Vitamin deficiencies do not develop overnight, but rather in months, even years. Fortunately, the body has ways to «suggest» that a similar problem has occurred:

  1. If you are deficient in vitamin B1 (thiamine), B2 (riboflavin) and B6 (pyridoxine), your skin might become dry, your lips might become chapped and cracked in the corners.

Good sources of thiamine, riboflavin, and pyridoxine are whole grains, meat, fish, eggs, dairy products, legumes, leafy greens, nuts, and seeds

  1. Deficiency of vitamin B12, folic acid, and vitamin C can lead to anemia. Symptoms include fatigue, memory problems, tingling in the toes and fingers, paleness, palpitations, etc. Vegans, pregnant women, and smokers most often suffer from this type of anemia.

Folic acid is found in leafy greens such as spinach. Vitamin B12 is found in meat, eggs and dairy products.

  1. Bleeding gums may be a sign of low intake of vitamin C. Vitamin C plays a key role in wound healing, immunity, collagen formation, and is also an antioxidant. Eating fresh fruits and vegetables every day is enough to provide your daily vitamin C needs.
  2. Vitamin A is needed for the formation of the pigment rhodopsin in the retina. If you do not take enough of this vitamin with food, your night vision can become impaired.

Vitamin A is fat-soluble and is stored in the liver. Excessive intake of food supplements containing it can be toxic. It is advisable to avoid them when not prescribed by a specialist. Instead, make a change in your diet — eggs, milk, meat, and yellow-orange colored fruits and vegetables are an ideal source of vitamin A.

  1. Dandruff and seborrhoeic dermatitis can be caused by many factors, one of which is low zinc, niacin (vitamin B3), riboflavin (vitamin B2) and pyridoxine (vitamin B6) diet.
HOW TO OBTAIN ALL THE NECESSARY VITAMINS?

In case you do not need extra vitamins (pregnancy, breastfeeding) and do not suffer from diseases of the gastrointestinal tract that would prevent their absorption, proper nutrition should be enough. Adults should consume at least 400 grams (optimal is 800 grams) of fruit and vegetables a day. It is recommended that they are eaten whole and not in the form of juice. This will prevent a sudden rise in your blood sugar levels, whereas fiber is beneficial to the digestive system.

АСТРОЛОГИЯ ПРИ РАЖДАНЕТО

NATAL ASTROLOGY — TRUTH OR MYTH?

Astrology is a study of the impact that distant cosmic objects, usually stars and planets, have on human life.

There is hardly anyone who does not know their zodiac sign. However, this is far from enough to provide any explanation for the character, interests and life path of the individual. For such a detailed and personalized description, it is necessary to make a birth chart that can be read by an experienced astrologer.

WHAT IS A BIRTH CHART?

Natal astrology is one of the most important sections of traditional astrology that deals with the study of birth charts or birth horoscopes.

The word «natal» is derived from Latin and means «related to birth». Therefore, natal astrology is based on the date, time and place of birth at which birth charts are drawn. They show the location of the stars and planets at the moment of the child’s birth, which reflects on the events of his or her future life.

Birth charts can provide information about:

  1. Health status — whether the person will become ill often and what diseases he/she will be predisposed to;
  2. Material well-being;
  3. Love life;
  4. Intellectual development, hobbies, and work.

It is important to note that the birth chart is not a concrete prediction of life events. Rather, it is a guide to what someone’s life has the potential to be like. Let’s say that according to your birth horoscope you will have success in the field of art. That doesn’t mean you could never get into the business, for example. Just the latter would cost you more effort.

BOY OR GIRL?

Astrologers believe that the fate of a person is set at the moment of conception. This can be understood by the zodiac sign and the location of other planets. It is believed that boys are born if, at the time of conception, the moon was in one of the «male» signs — Aries, Gemini, Leo, Libra, Sagittarius, and Aquarius. The rest are «female».

Proponents of astrology claim that it is an exact science in which nothing is occult. According to skeptics, the truth of the predictions is just a happy coincidence. Do you think that there is a connection between birth charts and real-life events?

Инозитол

WHAT’S INOSITOL?

Inositol or vitamin B8 is found in many fruits, vegetables, and nuts. The body produces it from the carbohydrates we take.

Although they call it so, inositol is not a vitamin, but a type of sugar that has a variety of functions:

  1. It plays an important part in the structure of cell membranes.
  2. It is necessary for normal insulin action. Insulin is needed to digest glucose that we take with food. Without it, glucose can not pass from the blood into some tissues (fat, muscle, etc.). Inositol is believed to help optimize blood sugar levels and prevent insulin resistance, which is increasingly common nowadays.
  3. Promotes the release of some neurotransmitters such as dopamine and serotonin in the brain.
INOSITOL AND POLYCYSTIC OVARIAN SYNDROME

Polycystic ovarian syndrome (PCOS) affects about 10% of women worldwide. Symptoms include irregular menstruation, excess weight, insulin resistance, elevated cholesterol.

Very often, women with PCOS have difficulty getting pregnant.

Studies have shown that inositol and folic acid may stimulate ovulation and lower testosterone levels. However, don’t forget that if you have PCOS, optimizing your weight will help you the most.

EFFECTS OF MENTAL HEALTH

Inositol raises serotonin levels in the brain. Therefore, it could be useful as a complementary therapy in people with anxiety or depression.

Inositol has almost no side effects. However, its safety in pregnant and lactating women has not been studied. Despite its incredible potential, inositol is still a supplement and can not replace your prescribed treatment.

ДЕПРЕСИЯ ПО ВРЕМЕ НА ИН ВИТРО

DEPRESSION DURING IN VITRO FERTILIZATION — A MYTH OR A FACT?

DEPRESSION DURING IN VITRO FERTILIZATION — A MYTH OR A FACT?

Stress in our daily lives is inevitable. Within certain limits, however, it helps the body adapt to different conditions. Going over our limits might bring along some health issues. These may affect the body (high blood pressure, fatigue, hair loss) or your mental health (depression, anxiety).

In vitro fertilization gives hope to millions of couples. Although beneficial, it may also appear to be a source of excessive stress that may lead to depression.

There are several theories why patients develop depression during an in vitro cycle.

On one hand, a hormonal treatment used for controlled ovarian hyperstimulation (COHS) can affect your mood. Every drug has side effects but, fortunately, those here are rare. However, if something worries you, we recommend discussing it with your obstetrician-gynecologist.

Emotions, multiple procedures, waiting and expectations are the more likely cause of depression. Concerns about financing the procedure also have a negative impact on the psyche. Women who have suffered from depression in the past have a greater chance of developing depression during their IVF cycle.

SIGNS OF DEPRESSION

Depression has dozens of symptoms, and in each person, they manifest differently. These include fatigue, sadness, sleeping problems, concentration issues, lack of desire for going out or working. Some people resort to alcohol and food. Sense of guilt («It’s my fault I can’t get pregnant») is also common.

Do not forget that even if you have experienced some of the above-mentioned symptoms, it does not mean that you are suffering from depression.

SELF-HELP

If you are going to have IVF or another form of assisted reproduction, the following tips can help you deal with emotional stress:

  1. Learn about your upcoming procedures. Your obstetrician-gynecologist will explain in detail what exactly is going to happen to you. You can learn from online articles and videos as well.
  2. Consider who you would like to tell about your in vitro procedure. Some patients decide not to share the news with too many friends and relatives so they will not be overwhelmed with questions.
  3. Be ready for changes to the original plan. For example, it might turn out that you have a greater chance to conceive by using donor eggs.
  4. Think realistically. So far no one can guarantee that you will get pregnant from the first attempt. Do not rule out the possibility that you might need multiple cycles.
  5. Do not be ashamed to seek professional help. New Life clinic has a psychologist who will be available at the most difficult times for you and your partner.
САМОТНА МАЙКА И ИН ВИТРО

BEING A SINGLE MOTHER AND IN VITRO FERTILIZATION

Assisted reproductive technologies (ART) offer hope not only to couples with infertility but also to single women who want to become mothers. Being a single mother is no longer a taboo, and more women choose not to wait for the ideal partner to enter their lives.

WHAT IS THE MOST APPROPRIATE METHOD TO CONCEIVE?

If you don’t have any indications for in vitro fertilization (IVF), it is usually recommended that you start with intrauterine insemination (IUI). The advantages of the procedure are the lack of follicular puncture and the more affordable price.

Donor sperm is used for these procedures. At New Life Specialized Medical Center for Gynecology, you can choose from a carefully selected list of donors with different physical features, education, hobbies, and interests all of which are mentioned in each donor’s personal profile.

CAN I APPLY FOR FINANCING BY THE STATE?

Any woman under the age of 43 who is a Bulgarian citizen or a resident of the Republic of Bulgaria who meets the indications for receiving financial assistance for assisted reproduction may apply for financing from the Center for Assisted Reproduction. The Center covers exclusively in vitro fertilization and ICSI.

Municipal funds, and in particular that of the Municipality of Plovdiv, provide funds for in vitro procedures only to married couples or couples registered as cohabiting.

HOMOSEXUALITY AND ASSISTED REPRODUCTION

For homosexual women, the only way to have a biological child is through assisted reproductive technologies (ART) using donor sperm. In the absence of indications for IVF, it is desirable to first try IUI.

 Unfortunately, same-gender couples in Bulgaria do not have the same rights as «traditional» families. This means that the child’s legal parent would only be the woman who gave birth to them. If something happens to her, her partner will not automatically acquire guardianship of the child.

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