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Pregnancy Bliss | Reproductive Health Hub

“Mixed growth” in urine test

Question:   Hi,pls what is the meaning of moderate mixed growth in urine?  M. (UK)

Answer: When a urine sample is sent to the laboratory, a culture is done to try to grow the bacteria that may be causing an infection in the urinary tract. In a true infection there will be only one type of bacteria identified and it is on the basis of those results that the appropriate effective antibiotic will be recommended. In some cases, the culture reveals a mixed growth. In other words,  a variety of bacteria are grown. This will normally indicate that there is no urinary tract infection. The grown bacteria will be simply a contamination, typically  picked up in the process of collecting the sample. Remember the external genitalia and surrounding areas are awash with bacteria (harmless) which can be inadvertently picked up when collecting the urine sample. Those results you describe mean there is no evidence of urinary tract infection.

Losing weight during pregnancy

Question:  how can i lose weight during pregnancy?

my weight is 115kg

my height is 170cm

my age is 23. S. (Egypt)

Answer:  Setting out specifically to lose weight when you are already pregnant could be a mistake. The fact that you have realised there is a problem with your weight is an important first step. Any strategy of losing weight hinges on two main principles which are co-dependent: Calorie intake and calorie expenditure. There is no other magic route. You can therefore manage some weight re-balancing during pregnancy by taking a critical look, first at your calorie intake. With your weight which puts your Body Mass Index (BMI) at 39.8, you are classified as being morbidly obese. It means you have, up to now, been having a higher calorie intake than what your body burns. You should therefore start by carefully analysing your diet. You may find that there are many areas of adjustment which will allow for a reduction in your average calorific intake. During your pregnancy, there is no reason for you to take in more than 2,000 calories a day. If you can achieve that, you can then go on to look at how you can increase your physical activity. You may not achieve a dramatic weight loss during your pregnancy but, at the very least, you will prevent an even greater weight gain, something many overweight women are prone to during pregnancy. Your ultimate goal for long-term benefit should be to embark upon a weight loss program after delivery. It won’t be easy but it will definitely be worth it for both you and your child. My best wishes.

Augmentin in pregnancy

Question:  is augmentin  safe for pregnancy (during 5 months)? S.S. (Saudi Arabia)

Answer: There are concerns about the use of Augmentin in pregnancy after a large study whAugmentin (Co-amoxiclav)ere this antibiotic was used showed some adverse effects on some babies. Only a small number of babies were affected but this raised a question mark on its safety in pregnancy. It is therefore advised to avoid unless there is no effective alternative. Augmentin, the generic name of which is Co-amixiclav, is a combination of two drugs, namely Amoxicillin and Potassium clavulanate. It is mostly used for urinary tract infection and, in many instances, Amoxicillin on its own is sufficient. Alternatively a cephalosporin antibiotic such as Cefalexin could be used. Both these are perfectly safe to use at any stage of pregnancy

Zinnat (Cefuroxime) in early pregnancy

Question:  I am 8 weeks pregnant and I’ve being diagnosed with a urinary tract infection, I was prescribed zinnat cefuroxime 250 mg to be taken twice daily. Is it safe as i am still i my first trimester? Y.O. (Nigeria)

Answer:  Zinnat, the generic name of which is Cefuroxime, belongs to a class of antibiotics known as cephalosporins. Like all cephalosporins, Zinnat is safe to use at any stage of pregnancy including the first trimester.

Ampiclox in pregnancy

Question:   Thank you for the website, it is very educative. I want to know if Ampiclox is safe in early pregnancy? J. (Nigeria)

Answer:  Thank you for the kind compliments. Ampiclox is a combination of two types of Penicillin antibiotics, namely, Ampicillin and Cloxacillin.

The combination produces what is termed as a broad-spectrum antibiotic capable of dealing effectively with a wide variety of bacteria. It is completely safe to use at any stage of pregnancy. So that you know, as a rule of thumb, penicillins are safe in pregnancy.

Removing fallopian tubes for IVF

Question:   My  specialist is advising that I have my fallopian tubes removed before starting treatment for ivf. I’m shocked by this! Is it really necessary or are they trying to get more money from us? What’s your advice? A.A. (Mexico)

Answer: I have a feeling you have not given me the whole story. It is indeed the case that, if embarking upon assisted conception in the form of IVF and your fallopian tubes are found to have a significant amount of damage, it may improve your chances of success if the tubes are either occluded or, better still, removed. The type of tubal damage that is definitely known to reduce the chances of a successful IVF is where the tubes are fluid-filled. This condition is known as hydrosalpinx. When you have hydrosalpinx, you will be advised to consider having the tubes removed, usually via keyhole surgery (laparoscopy). It is important to bear in mind that such tubes are completely non-functional so their being there serves no useful purpose. In addition, they reduce chances of a successful IVF. That may very well be the reason you were so advised.

There are lingering concerns about the safety of Augmentin in pregnancy after a study showed increased risk of a  bowel condition known as necrotising enterocolitis