First things first: anyone bitten by a rattlesnake should get help right away, even if they do not notice any symptoms. This is the same for people who are pregnant. Symptoms can include pain and swelling at the location of the bite, nausea, swelling in the mouth and throat, having trouble breathing, and /or blood complications (bleeding and problems with clotting). People are advised to not try and treat the bite themselves. Treating a rattlesnake bite quickly and correctly can help lower the chance of complications such as bleeding and blood clots.

Complications

One serious complication from a rattlesnake bite can be the formation of blood clots. In general, people who are pregnant are five times more likely to experience a blood clot compared with people who are not pregnant.^1. Blood clots can change the amount of blood the pregnancy receives. Clots can also break off and travel to the lungs (called a pulmonary embolism) which can be life-threatening. Other complications associated with blood clots include miscarriage, stillbirth, reduced growth of the pregnancy, clots blocking veins or arteries (thrombosis), oxygen and nutrients not passing to the fetus through the placenta (placental insufficiency), changes in blood pressure, preterm delivery (birth before week 37), heart attack, stroke, and death.

Pregnancy outcomes often depend on different factors. Every pregnancy starts out with a 3-5% chance of having a birth defect (called the background risk). Also, miscarriage is common and can occur in any pregnancy for many different reasons. For snake bites in particular, such factors that can affect outcomes include the amount of venom a pregnancy is exposed to, gestational age at the time of the bite, and when treatment is started, how long it lasts, and quality of treatment.

Information on snake bites in pregnancy is limited. There are case reports that describe issues such as hydrocephalus (an abnormal buildup of fluid in the ventricles in the brain), intracranial hemorrhage (bleeding in the skull), reduced fetal movements, placental abruption (when the placenta separates from the inner wall of the uterus before delivery), miscarriage, stillbirth, and maternal death. While case reports do not establish that the snake venom caused these issues, treating a snake bite is important.

Treatment During Pregnancy

Treatment plans for rattlesnake bites in general can include antivenom (an antibody that can work to stop a venom’s toxins) and laboratory testing to monitor how the person’s blood is clotting. When a bite occurs in pregnancy, a healthcare provider may want to monitor fetal movement and / or fetal heart rate.

There are reports of healthy, live births after treatment with antivenom. Though information on rattlesnake bites and the use of antivenom during pregnancy is limited, the benefits of treating a rattlesnake bite with antivenom are expected to outweigh the risks of untreated illness during pregnancy. The few reports of follow up on infants exposed to antivenom during pregnancy have not suggested any long-term medical concerns.

Rattlesnake bites in pregnancy are a serious exposure that should receive medical attention right away. It is true that there are things about rattlesnake bites in pregnancy for which we have limited information, including the use of antivenom. However, treatment and monitoring are likely going to be recommended in order to protect the health of the person who is pregnant and the health of the pregnancy. More information on rattlesnake bites can be found at the Arizona Poison and Drug Information Center website here.

References:

Centers for Disease Control and Prevention (2022). Pregnant? Don’t overlook blood clots. Published June 9, 2022. Accessed July 26, 2022.

The post That Bites! Rattlesnakes and Pregnancy appeared first on MotherToBaby.

Think about it, I am sure you have heard…

“If you do this ________, your baby will sleep through the night.”

“I had 4 kids and that has never happened to me…”

“You need to stop drinking coffee if you want to breastfeed.”

“You should consider changing your diet, it might help you lose some of the baby weight.”

Sound familiar? That someone can be your parents, siblings, partner, the in-laws, grandparents, extended family members, or some random person/influencer online. With no shame, those are probably good ideas that may have worked for them whenever you had their own kids but it might not be the same for you and that is okay.  Every experience is different, and no kid is the same.

When I was pregnant, I felt so great! I was on top of the world (ignoring the weight gain, and the shortness of breath). Really, no joke. Receiving compliments everywhere I went felt awesome!

But now that I have my baby… it sometimes feels like everyone wants me to do more and do “better”. Culture and ethnicity play a huge part in how we approach parenthood but let me tell you… being a Latina woman holds no exception.

So, let’s talk about some myths among the Latino community.

#1, Adding a little bit of cereal to the baby’s bottle will help him/her sleep better, especially at night.

Fact or Myth?

This is true or a fact but not necessarily for a healthy standpoint. You may notice your baby sleeping for longer periods of time but it’s because they are being overfed and it will require more effort from the digestive system to break down this heavy meal. Think about that time when you ate way more than what you were used to. You might have felt tired and opted for a nap; the same thing happens to your baby. Remember that babies need to eat every 2-3 hrs., and sometimes earlier if you are exclusively breastfeeding (since breastmilk is easier to digest, compared to formula).

So, next time you hear this, please, do not add any cereal to your baby’s bottle unless your pediatrician instructs you to do so. You can read more about “Boosting your Breastmilk” here: https://mothertobaby.org/baby-blog/boosting-milk-for-baby-the-supply-demands-of-breastfeeding/.

#2 You should start a liquid diet once you have your baby to produce more breastmilk and lose the weight gained.

Fact or Myth?

Myth! You have spent 9 months “eating for two” and now they want you to stop eating and go on a liquid diet!  This is not only a myth, but it could also be harmful to you, especially if breastfeeding is a goal of yours. To successfully produce enough breastmilk to feed your baby, your body needs to be well nourished. The goal is to be hydrated and eat a variety of foods from each food group [carbohydrates, proteins (vegetable or animal sources), vegetables, fruits, and dairy] and to nurse your baby as often as they want/need (on demand). So please, drink lots of water but also eat solid foods, unless your healthcare provider instructs you to do something else.

PS: If you want to know more about nutrition, talk to a registered dietitian. They will work with you to help achieve your goals. Read more about other blogs on nutrition at: https://mothertobaby.org/category/food-beverages/.

#3 Eating eggs after delivery will make your breastmilk smell bad and your baby won’t latch.

Fact or Myth?

Yet, another myth! All foods have different mechanisms of digestion, and although some take longer to digest, it is a myth that some residues will affect the smell of your breastmilk. Same as above, if you are a fan of eggs and you have been eating them throughout the pregnancy, there is no conclusive evidence to suggest that you should stop eating them after delivery. On the contrary, studies show that the earlier we expose our babies to the Big 8 food allergens (milk, eggs, fish, crustacean shellfish, tree nuts, peanuts, wheat, and soybeans; with sesame being the 9th added), the better likelihood there is that this may reduce their chances of having a food allergy later in life. So once again, it is safe to say you can continue drinking your water and eating your meals, bearing in mind the importance of practicing food safety [eating fully cooked foods, with an internal temperature of 160°F, for the eggs] Learn more about food safety here: https://mothertobaby.org/fact-sheets/eating-raw-undercooked-or-cold-meats-and-seafood/,

#4 Drinking coffee while breastfeeding will make your baby fussy.

Fact or Myth?

This is a fact but when the intake of caffeine surpasses 300mg a day. Remember that being fussy is not a diagnosis, it is a symptom of some underlying problem. Fussiness and gassiness are very common in babies since they are not moving. If you are breastfeeding and your baby is getting fussy very often, contact your healthcare provider. But rest assured that one cup of brewed coffee a day will not make your baby fussy as it is typically around 137 mg of caffeine. More often than not, there are other reasons why your baby might be fussy such as: excessive sugar intake, complex carbohydrates intake (which are harder to break down in your digestive system), among many other reasons. To learn more about caffeine intake during the pregnancy or while breastfeeding, check out our Fact Sheet at: https://mothertobaby.org/fact-sheets/caffeine-pregnancy/ .

Now that we have talked about some myths among our community, I hope we can spread the word and you may feel more empowered to make your own decisions based on what we have discussed today.

Being a Latina mom living in the United States has given me a different perspective but no matter where I am, I have heard these myths about motherhood more often than I would like to admit. Hopefully debunking and explaining some of these myths will help you and others understand that at the end of the day, you are more than capable of making good choices and you know what works best for you and your baby.

Take care of yourself so you can take care of that little person you just had. At MotherToBaby we are here to help you, just one call, text, chat, or email away.

The post Fact or Myth? From One Latina Mom to Another appeared first on MotherToBaby.

Sunscreen and Pregnancy

Pregnant women often ask MotherToBaby about whether sunscreen is ok to use during pregnancy. The US Food and Drug Administration (FDA) regulates sunscreen ingredients to ensure safety and effectiveness. The FDA is currently in the process of updating requirements, so stay tuned for news on that front. The FDA reminds us that, “Given the recognized public health benefits of sunscreen use, Americans should continue to use sunscreen with other sun protective measures as this important rulemaking effort moves forward.”

What’s in Sunscreen?

There are two types of UV rays that cause skin damage: UV-A and UV-B. Sunscreens that protect against both types of rays are called ‘broad spectrum’. There are many different active ingredients in sunscreens sold in the US. Some contain chemicals like oxybenzone, an agent banned in some areas because it is harmful to coral. It used to be thought that because they were applied topically to the skin, sunscreens did not end up in the bloodstream. However, several recent studies have found that there is some absorption of sunscreen chemicals through the skin, although in relatively small amounts. Many of these sunscreen chemicals have not been studied very well in pregnancy, although they are not known to have a negative effect on the pregnancy or baby.   Aside from active sunscreen ingredients, many products contain other ingredients such as CBD oil (made from the marijuana plant) that have not been studied well in pregnancy. Read the label! Apply your sunscreen properly and then wash your hands.

Alternatives

One alternative is to use a mineral sunscreen such as titanium dioxide and zinc oxide. These are physical blocking agents and stay on top of the skin. That means they are not absorbed through the skin and may be a good choice. These mineral sunscreens are best applied as a lotion rather than a spray since they may be a hazard when inhaled.

Also, limit your exposure by using a hat and other protective clothing, and not going out in the sun during peak hours (between 10a – 2p).

Our last bit of advice? Enjoy your summer!

The post Screening Your Sunscreen During Pregnancy appeared first on MotherToBaby.