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Prepare for healthy pregnancy

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5 behaviors to help reduce the risk of birth defects

(Family Features) If you are thinking about becoming pregnant, now is a perfect time to make a plan. There are steps you can take to increase your chances of having a healthy, full-term pregnancy and baby – and part of that includes learning about birth defects. Understanding birth defects across the lifespan can help those affected have the information they need to seek proper care.

Each year, birth defects affect about 1 in 33 babies born in the United States, according to the U.S. Centers for Disease Control and Prevention (CDC). Mainly developing in the first three months of pregnancy as a baby’s organs form, birth defects present as structural changes and can affect one or more parts of the body (heart, brain, foot, etc.). They can cause problems for a baby’s overall health, how the body develops and functions, and are a leading cause of infant death.

Common birth defects include congenital heart defects, cleft lip, cleft palate and spina bifida. An individual’s genetics, behaviors and social and environmental factors can impact one’s risk for birth defects. Even though all birth defects cannot be prevented, there are things you can do before and during pregnancy to increase your chance of having a healthy baby.

“It’s critical that women who are planning to conceive or are pregnant adopt healthy behaviors to reduce the chances of having a baby with birth defects, which are a leading cause of infant death,” said Dr. Zsakeba Henderson, March of Dimes senior vice president and interim chief medical and health officer. “We also encourage these women to get the COVID-19 vaccine since high fevers caused by an infection during the first trimester can increase the risk of birth defects.”

To help prepare for a healthy pregnancy and baby, consider these tips from the experts at March of Dimes, the leading nonprofit fighting for the health of all moms and babies, and the CDC:

1. Have a pre-pregnancy checkup. Before you become pregnant, visit your health care provider to talk about managing your health conditions and creating a treatment plan. Talk about all the prescription and over-the-counter medicines, vitamins and supplements you’re currently taking. You should see your provider before each pregnancy.

2. Get vaccinated. Speak with your health care provider about any vaccinations you may need before each pregnancy, including the COVID-19 vaccine and booster, and flu shot. Make sure your family members are also up to date on their vaccinations to help prevent the spread of diseases.

Pregnant women are at a higher risk of severe illness or death from COVID-19 compared to those who have not been impacted by the infectious disease. Research shows babies of pregnant people with COVID-19 may be at an increased risk of preterm birth and other complications. High fevers caused by any infection during the first trimester of pregnancy can also increase the risk of certain birth defects. The COVID-19 vaccination is recommended for all people ages 5 and older, including those who are pregnant, lactating, trying to become pregnant or might get pregnant.

3. Take folic acid. Folic acid is a B vitamin that prevents serious birth defects of the brain and spine. Before becoming pregnant, take a multivitamin containing 400 micrograms of folic acid every day to help ensure your baby’s proper development and growth. While pregnant, increase to 600 micrograms daily.

Add to your diet foods containing folate, the natural form of folic acid, such as lentils, green leafy vegetables, black beans and orange juice. In addition, you can consume foods made from fortified grain products, which have folic acid added, such as bread, pasta and cereal, and foods made from fortified corn masa flour, such as cornbread, corn tortillas, tacos and tamales.

4. Try to reach a healthy weight. Talk to your health care provider about how to reach a healthy weight before becoming pregnant, as excess weight can affect your fertility and increase the risk of birth defects and other complications. Maintain a healthy lifestyle that includes eating healthy foods and regular physical activity.

5. Don’t smoke, drink alcohol or use harmful substances. Cigarettes and e-cigarettes contain harmful substances that can damage the placenta or reach the baby’s bloodstream. Smoking cigarettes can cause certain birth defects, like cleft lip and palate.

It is also not safe to drink alcohol at any time during pregnancy. This includes the first few weeks of pregnancy when you might not even know you are pregnant. Drinking alcohol can cause serious health problems for your baby, including birth defects. Additionally, do not take opioids, which are drugs that are often used to treat pain. Opioid use during pregnancy can lead to neonatal abstinence syndrome, preterm birth and may cause birth defects. Consult your physician before stopping or changing any prescribed medications.

Find more resources to support your family across the lifespan at marchofdimes.org/birthdefects and cdc.gov/birthdefects.

Understanding Common Birth Defects

Cleft lip and cleft palate are birth defects in a baby’s lip and mouth that can be repaired by surgery. Additional surgery, special dental care and speech therapy may be needed as the child gets older.

Clubfoot is a birth defect of the foot where a baby’s foot turns inward, so the bottom of the foot faces sideways or up. Clubfoot doesn’t improve without treatment, such as pointing, stretching, casting the foot or using braces. With early treatment, most children with clubfoot can walk, run and play without pain.

Congenital heart defects (CHDs) are heart conditions babies are born with. They can affect how the heart looks, how it works or both. CHDs are the most common types of birth defects. Babies with critical CHDs, which can cause serious health problems or death, need surgery or other treatment within the first year of life.

Hearing loss is a common birth defect that can happen when any part of the ear isn’t working in the usual way and may affect a baby’s ability to develop speech, language and social skills. Some babies with hearing loss may need hearing aids, medicine, surgery or speech therapy.

Photos courtesy of Getty Images


SOURCE:
March of Dimes

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Know these 4 core factors to avoid a heart health syndrome

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(Family Features) In the U.S., 1 in 3 adults is at risk for a newly recognized syndrome that comes from a combination of heart disease, kidney disease, type 2 diabetes and excess body weight. This cluster of conditions, called cardiovascular-kidney-metabolic (CKM) syndrome, is an example of how problems in one part of your body can affect other parts.

To avoid CKM syndrome, health experts suggest paying close attention to four of the American Heart Association’s Life’s Essential 8 – blood pressure, lipids, body weight and blood sugar level – which are core health factors that impact your metabolic health.

Good metabolic health means your body uses energy well and keeps these factors in a normal range. However, when numbers are off in one area, it can affect others, raising your risk for heart disease, stroke, kidney disease and diabetes.

Consider these tips from the American Heart Association to help keep your core health factors under control.

Blood Pressure
High blood pressure, also known as hypertension, happens when the force of your blood pushing against the walls of your blood vessels is too high. High blood pressure is a leading cause of heart disease, stroke and kidney disease.

Because high blood pressure doesn’t have symptoms, the only way to know you have it is to get your blood pressure checked. Healthy blood pressure is below 120/80. If your blood pressure is 130/80 or higher, talk to your doctor about checking your other core health factors.

Lifestyle changes can help reduce high blood pressure. One example is a Dietary Approaches to Stop Hypertension (DASH) eating pattern that’s low in fat and rich in fruits, vegetables, whole grains and low-fat dairy products. Losing 10 pounds and reducing alcohol consumption can also reduce blood pressure.

Cholesterol
Cholesterol is a waxy substance your liver makes then circulates in the blood where your body uses it to build cells and make vitamins and hormones. You may also get cholesterol from eating animal products. If there’s too much cholesterol circulating, your risk of type 2 diabetes, heart disease and stroke may increase.

For optimal CKM health, your LDL cholesterol should be below 100 and triglycerides below 150. Triglycerides are the most common type of fat in the body. If your triglyceride level is 135 or higher, talk to your doctor about decreasing your risk.

Losing body weight and increasing physical activity decrease triglyceride levels. In addition, DASH and Mediterranean (plant-based, high-fiber, low-fat) eating patterns support healthy LDL and triglyceride levels.

Body Weight
Healthy weight may be determined by body mass index (BMI), a number that represents your weight in relation to your height. Extra body fat can mean a higher risk for many health problems, including heart disease, stroke, high blood pressure, high cholesterol and diabetes.

CKM syndrome starts when BMI is 25 or higher and waist circumference is 88 centimeters or higher for women and 102 centimeters or higher for men. Aim for a BMI between 18.5-25.

To lose weight and keep it off, start by setting realistic goals. Understand how much and why you eat, manage portion sizes, make smart snack substitutions and be physically active.

Blood Sugar
High blood sugar can slowly damage the kidneys. In fact, diabetes is the leading cause of kidney disease, and it increases the risk of heart attack and stroke.

Blood sugar is measured in two ways: a fasting blood glucose test (short term blood sugar) and an A1C test (long term blood sugar control). A normal fasting blood glucose level is 70-99 and a normal A1C level is below 5.7%. Fasting blood glucose above 125 and A1C of 6.5% or higher means you have diabetes.

Habits that help you avoid high blood pressure, weight gain and high cholesterol also keep your blood sugar in check. These are especially important if you have a family history of diabetes.

Learn more about CKM syndrome and how to manage your risk at heart.org/CKMhealth.

Photos courtesy of Shutterstock


SOURCE:
American Heart Association

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What older adults need to know about vaccines for a healthy new year

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(Family Features) Around the new year, many people set goals for better health. People ages 65 and older can kick off a healthy new year by getting vaccinated for flu, COVID-19 and RSV. These respiratory infections can become more dangerous as people age. Vaccines can help older people risk less severe illness and do more of what they enjoy.

Those who provide care for older adults can support their health by helping them get vaccinated now. That’s especially important because older people have a higher risk of getting very sick or even dying from flu, COVID-19 and RSV.

Vaccines help protect older adults from serious illness

As people get older, their ability to fight off infection decreases, putting them at higher risk for complications if they get a respiratory infection. They are more likely to get severely ill and need medical or hospital care from flu, COVID-19 and RSV. Those living in long-term care facilities often have health issues that make flu, COVID-19 and RSV serious risks.

The Centers for Disease Control and Prevention (CDC) urges all people ages 6 months and older to get this season’s flu and COVID-19 vaccines.

Those ages 75 and older – or ages 60 and older with certain health issues or who live in a nursing home – should get one dose of an RSV vaccine if they haven’t had it before. It’s safe to get vaccines for flu and COVID-19 (and RSV, for those who are eligible) all at the same time. Any side effects from the vaccines are usually mild and go away on their own in a few days.

Get vaccinated for a healthy new year

Vaccines are a great way for older people to start the year by protecting their health. Most deaths from flu, COVID-19 and RSV are in people ages 65 and older, and the risk grows with age. However, vaccines cut your risk of being in the hospital for flu or COVID-19 by about half and for RSV by about 70%, according to the CDC.

Those who look after older loved ones can help them avoid severe respiratory illness by helping them get vaccinated. In addition to getting vaccinated, there are other ways to help prevent serious illness. When around others indoors, use fans or open windows for better ventilation. Wearing a mask, using physical distancing and washing your hands often can also help. You can use home tests to check for COVID-19 if you have symptoms.

Visit cdc.gov/RiskLessDoMore to learn more about flu, COVID-19 and RSV vaccines. Order your free COVID-19 test kits (up to four per household) at COVIDTests.gov.

Talk with your doctor about which vaccines are right for you or an older adult you care for. Or go to vaccines.gov to get started and find a pharmacy near you.

Photo courtesy of Shutterstock


SOURCE:
U.S. Department of Health and Human Services

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What you need to know about glaucoma

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(Family Features) More than 4.2 million Americans live with glaucoma, a leading cause of vision loss in the nation. Although there is no cure for glaucoma, early detection and treatment can stop this condition in its tracks.

“Glaucoma is a leading cause of vision loss and blindness in the United States, but it’s estimated that half of people with glaucoma don’t know they have it,” said Michael F. Chiang, M.D. “Glaucoma has no early symptoms, and the only way to check if you have it is to get a comprehensive dilated eye exam. There’s no cure for glaucoma, but starting treatment as early as possible can help stop vision loss.”

Regular eye exams are among the best lines of defense because symptoms may not appear until the disease has progressed significantly. Knowing more about how to spot the condition and what you can do about it may help protect your vision in the long run.

Glaucoma is actually a group of eye diseases that damage the optic nerve in the back of the eye and cause vision loss and blindness. The most common type in the United States is open-angle glaucoma. Other, less common, types include angle-closure glaucoma and congenital glaucoma.

Learn more about glaucoma from the experts at the National Eye Institute in honor of Glaucoma Awareness Month.

Causes
For some people, glaucoma is the result of another medical condition, but that’s not always the case. While experts still aren’t sure exactly what causes open-angle glaucoma, it’s believed to be related to the pressure that builds in the eye when fluid doesn’t drain fast enough. Over time, the pressure causes nerve damage, which then leads to vision loss.

Risk Factors
Glaucoma is not preventable and can affect anyone. However, some groups of people are at higher risk, including those over age 60 – particularly Hispanic or Latino individuals. African American individuals over age 40 are also at greater risk, as are people with a family history of glaucoma.

Symptoms
Early on, most people do not experience any symptoms of glaucoma. Over time, you may start to notice disruptions to your vision, such as blind spots or decreased peripheral vision (what you see from the sides of your eyes) in one or both eyes. This loss may be especially prevalent closest to your nose. Symptoms typically progress so slowly that people get used to it and don’t realize their vision is changing, which is why so many people with glaucoma don’t know they have it.

Intense eye pain, nausea, red eyes and blurry vision are all potential signs of angle-closure glaucoma, and immediate emergency treatment is necessary.

Diagnosis
The only way to properly diagnose glaucoma is through a dilated eye exam, including visual field testing to check your side vision. This routine test is painless and involves looking straight ahead while your doctor checks how well you can see objects off to the side or at the top or bottom of your field of vision.

Treatment
Without treatment, glaucoma can eventually lead to blindness. Treatment won’t undo any vision damage, but it can stop it from getting worse. Treatment may involve prescription eye drops to reduce eye pressure. Other treatment options include a laser procedure or surgery to help fluid drain. Vision rehabilitation services and devices may help if vision loss affects your everyday activities.

Find more information about glaucoma and eye health at nei.nih.gov/glaucoma.

Photo courtesy of Shutterstock


SOURCE:
National Eye Institute

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