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Pregnancy Bliss | Reproductive Health Hub

Intake of sugar and development of diabetes

Question: can excess intake of sugar cause diabetes (of any type)? Be it in pregnancy or in non pregnancy ? B. (Nigeria)

Answer: No; ‘excessive’ intake of sugar cannot directly lead to development of diabetes. Of course chronic high sugar intake can contribute to development of obesity which, in turn, can lead to development of Type 2 diabetes.

Vaginal spotting in early pregnancy

Question:  Hi, i'm just over 12 weeks in pregnancy and 2 days ago i had very slight bleeding more so when i wiped but nothing since, only a pinkish colour on the tissue afterwards. Could you tell me if this is normal or should i contact my GP? Kind regards, K. (Ireland)

Answer: No amount of vaginal bleeding in pregnancy should be regarded as ‘normal’, whether there is pain or not. It is indeed the case that the vast majority of the type of bleeding you are describing will usually be innocuous, with no effect on the pregnancy. It is, nonetheless, important to verify that all is well. Advice in such cases is always to see your doctor or midwife for this to be done. At the very least, this will put your mind at rest. Best wishes.

Acquiring anti-Cw  antibodies

Question:  I was diagnosed with anti-cw over 20 yrs ago when pregnant with my first child. Myself and children suffered no ill affects due to these anti-bodies. I have recently had screening for bloods due to an operation i am having next month and these anti-bodies are still present. I have never had a blood transfusion, used drugs and am in good health. How did i get these anti-bodies and what problems can occur in the future? Hope you can help. C.S. (UK)

Answer: Anti-Cw antibodies are one group of antibodies that are relatively rare. One aspect of these antibodies is that they can be found where no known triggering factor is apparent. This is sometimes described as ‘naturally occurring’ antibodies. In effect, like in your case, there is no history of exposure to somebody else’s blood product to explain the development of the antibodies. Some studies have shown that some women may have developed these antibodies as a result of exposure to semen from their partners who have Cw antigens (the protein component which trigger development of these antibodies). There is strong evidence that semen can carry these protein components and therefore the respective sexual partners can thereby end up developing these anti-Cw antibodies. It is possible this is how you ended up with these antibodies. It is very unlikely that  this will have any clinical significance for you in the future. Of course were you to need a blood transfusion, compatible blood will need to be found but that should not be a problem. You do not need to worry.

Succenturiate lobe of placenta

Question:  Hi, I’m 20 wks pregnant and had my scan today. Report says that 'possible succenturiate lobe at lower edge of placenta'. I just want to know what it exactly means and is it any thing to worry about or is it normal.. Hope to hear from you soon. Thanks. J. (UK)

Answer:  The placenta is normally made of several lobes in close proximity to each other forming one unit. Occasionally, a lobe will be found to have developed separate from the other lobes. That is what is known as a succenturiate lobe. The potential significance of this is that, if its presence is unrecognised, it can potentially be left behind when the placenta is delivered. This can cause postpartum haemorrhage. The fact that its presence has been identified in your case eliminates that potential risk. Another issue that can be potentially associated with a succenturiate lobe is a complication called vasa praevia. This can only occur if the separate lobe is on the opposite side of the main placenta. This does not appear to be the case with you asthe lobe has been described to be ‘at the lower edge of the placenta. There are more details about vasa praevia here: All in all I think you do not need to worry at all.

Trying to conceive

Question:  I am trying for pregnancy and not succeeded so far. I am very sad. P. (India)

Answer: There is no doubt that inability to conceive can be very distressing indeed. However, there is really no information here for me to offer you any advice. I would be happy to do so if you expand more on your circumstances.

Light bleeding; negative scan

Question:  I am 29yrs old,i have kid of 3yrs. Now, after testing with a strip (urine) i found I am pregnant. I had some bleeding after. The amount of total blood gone was almost a quarter of regular menstrual bleeding . It lasted for two days only while using the toilets. I had visited doctor who did the following 1/ blood test to analyse pregnancy.( positive ) 2/ ultra sound (nothing detected ) 3/ beta hcg quantitative (55.82IU/L).

As per the doctor the baby is about 4 weeks and needs to wait for 10 days to have another scanning. Today we did a scanning. but nothing detected in th uterus. so she suggested for another beta hcg quantitative to see whether baby is growing somewhere else other than uterus. Now we are waiting for the result. Just want to know what could be wrong. Regards. A. (Oman)

Answer: This must be a worrying time for you. Your doctor has done the correct tests to try to find out what might be going on. The suggestion that the pregnancy might be 4 weeks old was almost certainly based on the fact that nothing was seen on the scan. You would expect to see the gestational sac and the fetus at five weeks onwards. The fact that a repeat scan 10 days later still did not show anything in the uterus is strongly suggestive that something is not right. It may mean the pregnancy has failed ( a very early miscarriage) but it may also mean that the pregnancy is implanted outside the womb (ectopic pregnancy). The level of the beta-hCG done earlier was quite low at only 55 units. That will tend to suggest a failed or failing pregnancy. The repeat that your doctor has ordered will shed more light on what is going on and give you clarity.