Some women have health issues which need special attention during pregnancy...
Asthma
If you suffer from asthma, how you are affected during pregnancy can vary. You may find the condition improves or you may notice no difference at all. However, if you find your asthma gets worse, it's important that you check with your doctor. The medicines used to treat asthma are safe for your baby. However, if asthma is poorly controlled, there is a risk of your baby not growing well. Your doctor may want to monitor your asthma control more closely during your pregnancy. For more advice, log on to www.asthma.org.uk/adviceline.
Epilepsy
Researchers aren’t sure whether pregnancy affects the frequency of epileptic fits. Any anti-convulsant drugs you’re taking may need adjusting while you’re pregnant. All anti-convulsants are risky for your unborn baby, but the risk of not taking the drugs is at least as great and may be greater. Generally, as long as pregnancy does not bring on an increase in the number of fits, most doctors leave the pre-pregnancy medication alone. You may be more likely to have pregnancy complications, and problems with your developing baby, so you should be offered a detailed anomaly scan (see Week 18) and be under the care of an obstetrician and a consultant specialising in epilepsy.
Diabetes
If you already had insulin-dependent diabetes before this pregnancy, it’s very important to control your blood sugar levels well now. You’ll receive advice on your insulin regime, diet and exercise. Monitor your blood glucose levels carefully; it may be necessary to increase the number of insulin injections. Your pregnancy and your baby are at higher risk, so your care will be shared between your diabetes specialist and your antenatal care team.
High blood pressure
Your blood pressure will be monitored carefully to check that pregnancy doesn’t cause it to rise even more, putting you and the baby at risk. Anti- hypertensive drugs being taken before pregnancy may need to be monitored and the dose adjusted. Your baby’s growth will be monitored carefully by regular ultrasound scans.
There are specialist support groups, which can give advice and information if you need special care. Check out 'Who can help?' and visit www.bounty.com for more details.




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