Questions and Answers about Pregnancy

by | June 23, 2020

Netdoctor’s editorial staff has compiled a series of frequently asked questions and answers in pregnancy. The answers are provided by midwives and specialists.

Questions and Answers about Pregnancy

How, When does the risk of miscarriage increase?

Hey! Is a 41 year old 5-year-old mother wondering when and how age starts to affect the risk of miscarriage? How big is the risk of miscarriage at my age? That I wonder is because I have had two miscarriages in the past six months, one in week 13 and one in week 7! No before or between my other pregnancies!

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Response

Hey!
The chance of becoming pregnant decreases with age and after 40 years the possibility of achieving a pregnancy is reduced very quickly. At the age of 36, 70% become pregnant within one year, as opposed to 25% in a woman aged 40 years. Normally, between 10 and 40% of all pregnancies, regardless of age, end in miscarriage. Since the risk of chromosome-damaged child / fetus rises sharply after the age of 40, the risk of miscarriage is also high.

Hope you got answers to your questions!

Sincerely

Maria Hallström
Midwife

A question about birth control pills and pregnancy

Hi, If you eat the pill and then want to get pregnant, do you have to take a break first then before you can try to get pregnant?

Response

Hey!
You do not need to stop taking your birth control pills before trying to get pregnant. It has even been found that women who ate birth control pills became pregnant more easily, especially during the first three months.
Good luck!

Sincerely

Maria Hallström
Midwife

High blood pressure in early pregnancy

Had mild preeclampsia during my first pregnancy, who debuted iv 39. Had high blood pressure for 6 weeks after delivery (was allowed to eat Trandate 100 mg 1×2). Is now pregnant again (after 9 months) and is only iv 6. Have due to headaches checked blood pressure and have 145-170 / 90-95. Is 29 years old and overweight (BMI 37). How to do it? Should you be eating BT-lowering medicine this early in pregnancy? What are the risks for the child and me with this blood pressure?

Response

Hey!
I think it will be relevant with blood pressure treatment this time too. However, this is not something we do via the internet, but it is important that you go through the checks and medical exams that you plan for you through maternal health care. It is probably just as good that you imagine that there will be a lot of medical visits during pregnancy because of this. Trust that you are well cared for in the contact you have. It is safe to consult other doctors who specialize in blood pressure.

Sincerely

Roland T Strand
Specialist Physician

How soon after conception does one get pregnancy symptoms?

I’m trying to get pregnant and have some questions. How soon after conception does one begin to get pregnancy symptoms? Is it only a few days after conception or is it not until the absence of men? I have a child since before 4 years and also about 2 years ago have done an abortion. Does the chance of getting pregnant after a miscarriage decrease? My abortion was quite complicated, had to take abortion pills first but they did not help so that is why I also had to scrap. Could this have affected my chances ??
Have a question even about pregnancy sickness. Have heard that the running sick pill Postafen should help, is that correct ??

Response

Hey!

You wonder how soon after conception you start to get pregnancy symptoms. Since you have been pregnant twice before, I suspect that you may feel pregnancy symptoms, such as chest tightness, tenderness in the abdomen and early morning nausea, already the days before missing out. Otherwise, most women usually suspect pregnancy approx. two weeks after missing menstruation and buy a pregnancy test yourself.

That you performed an abortion, which was quite complicated according to. yourself, should not affect your chances of getting pregnant again. It is true that T Postafen is a driving sickness pill that also helps against pregnancy sickness. Good luck with your upcoming pregnancy and childbirth!

Sincerely

Maria Hallström, Leg midwife

Does the fetus get the nutrition it needs even if I do not eat such a nutritious diet?

Hey! I am pregnant in 24v.The blood value is down to 101 now and the midwife said it absolutely must not go down below 100 because then it must be investigated. What happens to the baby when I get too low blood levels ?? Had gone up 0.5kg since last visit 4v ago. Have a little trouble with the food o can’t eat meat or hot dinners. Does the baby take what it needs anyway ??

Response

Hey! A normal course of pregnancy implies a strong increase in iron requirements and the strongest demand applies especially during the last trimester. Even in severely adverse conditions, the fetus takes what it needs. It is similar in terms of nutritional supply to the fetus even if you have difficulty eating at all. You are the worst in both parts, which is why it is important that you try to get a nutritious diet even if it looks different than when you are not pregnant. Good luck!

Sincerely

Susanna Olsson, Leg. Midwife

I am pregnant and need to use nasal spray. Is it dangerous for the fetus?

Noseband,
I am pregnant in week 28, since a little over a month I am very strongly disturbed by the noseband. I started by taking regular nasal spray but feel that I can no longer keep up with it. Have tried saline solution and a nasal spray Nasonex that I received from the doctor earlier.
What should I do, can I use regular nasal spray for any length of time without damaging the nose and especially the baby?

Response

Hi.
Mucosal swelling is not too uncommon during pregnancy. Saline only removes ingrown snores. Cold nasal spray, like Nezeril, is vasoconstrictor and should not be used for more than 10 days (overuse causes chronic nasal congestion, which is treated with Nasonex, for example). Nasonex can be used by prescription without damaging your nose and there is no data that human fetuses are damaged as late in pregnancy as you are now.

How Nasonex works, you can continue with that treatment.

Sincerely

Rolf Löf, Specialist, general medicine

Ultrasound?

I’m almost 25 years old and
I’m pregnant in week 6. I wonder why you do ultrasound first in weeks 16-18? Should you not check earlier to see if there is anything wrong with the fetus.
My sister lives in Spain and already in week 12 they have done a lot of tests and tests. down syndrome test. grateful for answers

Response

Hey!

I will try to answer your questions, as it may look a little different depending on where in Sweden you live, and what policy applies in your county council.

All pregnant women are offered some form of fetal diagnosis upon enrollment. The most common form of fetal diagnosis is ultrasound in tomb 16-19, (a midwife / doctor “looks after the baby” in its entirety and measures and determines the duration of pregnancy).

In most county councils, women over 35 years of age are also offered at conception, a u-sound in grave 11-13 a so-called. NUPP (neck clearing) – examination, where one measures a fluid gap in the neck of the child. By measuring the child’s fluid gap in relation to the child’s and mother’s age, a probability calculation is made of the risk that the child will be born with a chromosome disorder, commonly called Down Syndrome.

A new type of fetal diagnosis, KUB is a combined test with a blood test, which measures specific hormones that may be elevated if the child has a chromosome abnormality, and NUPP. These tests, usually NUPP, can be prescribed if the expectant mother has previously given birth to a child with some form of chromosome abnormality and is younger than 35 years.
In case of concern, the parents in many county councils are informed about the possibility of performing these tests via the private market. Good luck !

Sincerely

Maria Hallström
Midwife

First pregnancy…

Hi.
I am a 26 year old woman who is pregnant for the first time. I am 7 weeks old and I wonder if it is normal to have light pink floats? I do not have them constantly but it may be some day before I get one and it is not much, it is barely visible.

Response

Hey!
Congratulations! At the beginning of a pregnancy v 4-12, it is a yellow body hormone (pregnancy preservation) that controls your pregnancy positively. It is then very common with colored floats brown / red / white floats. It depends, among other things, on increased circulation / bleeding in your genitals mainly to the uterus and vagina, which results in increased flow as in your case. If a miscarriage should occur, you suffer from severe menstrual pain with copious bleeding. Live well and healthy, without nicotine and alcohol, when you wait for children!
Good luck!

Sincerely

Maria Hallström
Midwife

Questions about the HCG level!

Hello,

Is a declining HCG value always indicative of miscarriage? Could it be that the HCG level is temporarily falling and then rising again in a normal pregnancy?

Response

Hey!
Thank you for your question! A decreasing HCG value may be a sign of miscarriage before pregnancy week 10-12. After Grave Week 12, the HCG value drops slowly again until Grave Week 25 to a level similar to Grave Week 6-7. The HCG value is then there at a relatively constant level until birth. In case of suspected extrapregnancy, the HCG value can be monitored and helpful in diagnosis.

Sincerely

Maria Hallström
Midwife

Question about pregnancy & age

Hey! I am 37 years old and mother of two boys. We would love to have a third child but the life situation right now is not the best. How long can we wait before my age can become a problem?

Response

Hey!
Today both women and men have their first child at the age of 30. A children’s mosque reception in Stockholm often sees first-borns just under the 40-year mark. From a medical perspective, a woman with a regular men’s cycle can “give birth to children” between the ages of 13 and about 45, without “help”. In the early teens and in the years before menopause, menstrual cycles can occur without ovulation. Naturally, the possibility of becoming pregnant with increasing age decreases. The chance of becoming pregnant decreases with age and after 40 years the possibility of achieving a pregnancy is reduced very quickly. At the age of 36, 70% become pregnant within one year, as opposed to 25% in a woman aged 40. Normally between 10 and 40% of all pregnancies, regardless of age, end in miscarriage. As the risk of chromosome-damaged child / fetus rises sharply after the age of 40, the risk of miscarriage is also high. You also mention that your life situation right now is not the best. A safe and stable life situation / couple relationship increases the chance of becoming pregnant as well as having a normal pregnancy and childbirth, regardless of age. Good luck!

Sincerely

Maria Hallström
Midwife