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Pregnancy Bliss | Reproductive Health Hub

Reduced fetal movements in late pregnancy

Question:  I am pregnant 8 months and 2 weeks. Sometimes my baby does not move inside or I don’t feel it move. I am worried about this. what will I do? My doctor preferred scanning me 9th month. What will this scanning help to my delivery? P.

Answer: Whilst it is common for the baby’s movement to appear reduced towards the end of the pregnancy, a significant reduction in movements is and should be a cause for concern. It is sometimes a warning that all is not well with the baby and an assessment is essential and urgent in any such situation. It is true that in many cases, monitoring will give reassuring results. However, there is no way of kUltrasound scan in pregnancynowing which baby might actually be in trouble unless proper monitoring is done. Where facilities allow, this will involve an ultrasound scan as well as cardiotocographic (CTG) monitoring. There is really no point in planning a scan at the end of pregnancy because the baby is due to come out anyway and such a plan runs the risk of being done when it is too late. If you are worried about your baby’s rate of activity you should insist that the baby is monitored (now, not later) to ensure its wellbeing. Any conscientious doctor cannot refuse such a request. Best wishes.

Significance of Hepatitis B test results

Question:  What do the results of the hepatitis blood test mean. I’ve been told I don’t have hepatitis now but that I had it in the past. Yet my results show some tests are positive. Am I being told the whole truth? I am 16 weeks pregnant. O.A. (UK)

Answer: Yes, the results for Hepatitis B blood tests can be confusing, even for doctors. However, all are logical if properly explained. You will be aware that the vast majority who get infected with Hepatitis B will clear the infection completely from their body, leaving them immune for life. That immunity is demonstrated by the presence of antibodies. The test for the presence of antibodies will therefore be ‘Positive’ for anybody who has had an infection in the past. I suspect this was the case with you. If the infection had persisted, as it does in a small minority of those exposed, another test, that of ‘antigen’ will also be positive. You will then find a test marked as Hep B surface antigen or HbsAg. For somebody like yourself who has cleared the infection from their system, this test will be negative. Presence of Hepatitis B surface antigen indicate that the infection is still active. For a pregnant woman, this implies that there is a risk of passing on the infection to the baby in the womb. If you were told this test is negative you should relax. There is no risk to your baby. In summary: Hepatitis B core antibody Positive plus hepatitis B surface antigen Negative: Previous infection but no active infection.

Pregnancy after using Mirena

Question:  I have been advised to use the mirena coil for contraception because my periods are all over the place with the pill. I’m only 25 and was worried this may affect my ability to have children in the future. What’s your opinion? P.F.

Answer: This is not my opinion but a statement of fact. Your using the Mirena device will not affect your ability to have children in the future in any way. Mirena is a very effective contraceptive and obviously convenient since you won’t need to remember to do anything once the device is in place.

However, its contraceptive effect ceases once it is removed from the womb cavity. You can conceive as early as 2-4 weeks after the removal depending on how long it has been in place. You absolutely shouldn’t worry about your future fertility as a result of using Mirena. Can I also add that Mirena is very effective in regulating menstruation particularly so where the problem is that of heavy periods.

Ovulation calendar and trying to conceive

Question:  I was trying for a 3 rd child since last 3 months. I used to calculate mmenstrual cycley ovulation cycle as per the ovulation calendar in the internet. It did not succeed.How frequently I should contact during the ovulation. Could u pls help me. M. (United Arab Emirates)

Answer: Sometimes when we want something badly, we can get rather impatient. That’s only human. My view is that you are probably being impatient. Three months is nowhere near long enough for you to start worrying. The fact that you already have two children would suggest that you do not have problems and conception will happen in due course. Regarding your specific question on how often you should have intercourse during the ovulation phase, the general advise is that you should aim to have sex on average every 24 hours, that is, at least once a day, in the 5-6 days around your ovulation (see image on the right). Can I also add that you should try to make this process as natural as possible because that minimises the stress that can be associated with having sex for the specific aim of conceiving. That is never good. My best wishes.

CTG monitoring in pregnancy

Both an ultrasound scan (above) and CTG monitoring (right) may be necessary in a case of reduced fetal movements to ensure fetal wellbeing. In some cases, evidence of fetal compromise is found and that may trigger early delivery