/health-info/your-physical-recovery/ on this server. Your technical support key is: 340c-e909-1756-6707Are warnings about pregnancy hot tub use just old wives' tales? Or, should you stay away from the hot tub when you're expecting? Most of the time, a soak in a hot tub is just a pleasant, relaxing experience. But even when you're not pregnant, hot tubs do come with a few risks: If you've chosen to be extra-careful during your pregnancy, you may want to avoid hot tubs for the reasons listed above. But even if you're comfortable risking a skin rash or an unusual infection, during pregnancy hot tub use may not be a good idea. Doctors have long worried that the rise in body temperature caused by soaking in a hot tub could be harmful to an unborn baby. Studies in animals showed that elevated body temperature could cause fetal death, but no one knew for sure if the same thing happened in humans. Then, in 2003, researchers at Johns Hopkins decided to see if there was really a connection between pregnancy hot tub use and miscarriage.

They tracked over 1,000 women to see if pregnancy loss was more likely in women who used hot tubs. In fact, they found that hot tub users were about twice as likely to have miscarriages. The risk seemed to be highest in the first month of pregnancy and returned to normal around the second trimester. One caution about this study is that the researchers weren't able to examine every aspect of the women's lives. It's possible that women who tend to use hot tubs have something else in common that puts them at higher risk of miscarriage.Sofa Seat Cushion Covers Uk For many years, there has been concern about hot tub use making birth defects more likely. Curtain Tie Back NailsAs far back as 1979, the Consumer Product Safety Commission was warning that in the first three months of pregnancy, hot tub use could cause brain damage. Imagery For Weight Loss

In 1992, researchers tracking health issues in over 20,000 women concluded that women who used hot tubs or saunas during pregnancy were more likely to have babies with neural tube defects (neural tube defects are problems with the brain and spinal cord, such as spina bifida). The U.S. Centers for Disease Control and Prevention continue to warn that hot tub use is a risk factor for these types of birth defects. Your best bet, if you're pregnant, is not to use hot tubs at all. Stay out of saunas and steam rooms, too, since they can also raise your body temperature. If you must have a soak, take precautions to help reduce your risks. If you need an alternative way to relax aching muscles, consider stretching exercises, yoga, or pregnancy massage. Of course, you should always check with your doctor to make sure what you've chosen is safe. It Takes Two to TangoWomen's Health, Fertility, Thyroid, Autoimmune Pregnancy after Miscarriage : What should I know? Miscarriage is very common and can happen as often as in an estimated 50% of pregnancies. 

Many miscarriages happen before pregnancy is even detected, however with the availability of early pregnancy testing women are becoming increasingly aware of early miscarriages.  Statistics compiled on miscarriage often include only reported miscarriages and since many miscarriages happen before the missed period, they go unreported.  Around 80% of miscarriages happen in the first trimester. What causes a miscarriage? Miscarriages are most commonly caused by chromosomal abnormalities in the embryo.  Other causes include hormonal conditions, thyroid conditions, autoimmune conditions and blood clotting disorders.  Stress also plays a role in miscarriage, as do lifestyle factors. What are my chances of having another miscarriage? If you have had 1 miscarriage, the chance of you having a second miscarriage is actually quite low, around 4 percent.  The chance of having 3 miscarriages is extremely low, around 1 percent.  A previous miscarriage can really cause a lot of anxiety in a newly pregnant woman however rest assured that your chance of miscarrying again is actually quite low.

Signs of miscarriage include bright red colored bleeding, passing of clots, prolonged loss of pregnancy symptoms, and significant or intense cramping.  Mild cramping in early pregnancy is very normal. This is caused by stretching of the uterus and its ligaments, and nearly all healthy pregnant women experience some degree of cramping.  Brownish discharge in early pregnancy is also a common phenomenon and occurs frequently after intercourse, irritation of the cervix and pap tests, as changes in hormones make bleeding from the cervix more likely. It can also occur as implantation of the embryo occurs, which is known as implantation bleeding. Integrative medicine assessment after miscarriage Although in conventional medicine no assessment is traditionally done until a woman has had 3 first trimester miscarriages, there are factors that can be investigated both prior to conceiving again and during the early stages of the next pregnancy to ensure that all is well.  Having 2 miscarriages is often enough to warrant this first stage of testing.

This can alleviate stress around miscarriage and is an important part of preventing another miscarriage. There are 3 things that are important to assess in a woman who has experienced miscarriage.  If the miscarriage is incomplete, ultrasound scans will also be necessary to add to these. Assess thyroid function before achieving another pregnancy.  TSH levels should be around 1 – 2.5.  TSH should be assessed overall in any woman trying to conceive and especially in women who have recently had a miscarriage. Once pregnant, early progesterone and quantitative hCG levels can be assessed.  These can help determine if there is sufficient progesterone to maintain pregnancy. Progesterone is essential to prevent the immune system from rejecting the embryo, is anti-inflammatory, stimulates hCG production, and produces the mucous plug which protects the baby from infection. Normal levels of beta hCG should double every 2-3 days in early pregnancy, though the range of what is considered as a normal hCG level can be very large.

Normal levels of progesterone in pregnancy are illustrated below Assess stress levels and ensure stress management techniques are in place for the next pregnancy.  This can include yoga, meditation, acupuncture or deep breathing exercises. This is very important as having a prior miscarriage usually increases stress in the earliest weeks of pregnancy.  Stress management is of the utmost importance at this stage. Assess factors which may increase risk for miscarriage.  This can include smoking (50% increased risk), alcohol (over 5 drinks per week increases risk by 4 times), excessive caffeine (more than 2 coffees daily doubles risk), medications, lack of sleep, hot baths, being under or overweight, paternal age over 40 (increases risk by 60%) , and maternal age (over age 40 – half of all pregnancies end in miscarriage). If a woman has had 3 miscarriages it is important to assess all of the above, plus:This can help to identify chromosomal disorders that might predispose to miscarriage

testing for blood clotting factors which includes:  partial thromboplastin time, factor V Leiden and other testing for thrombophilia. testing for autoimmune factors.  This can include ANA (antinuclear antibodies), Antiphospholipid antibodies, and Rheumatoid factor. full hormonal panel testing and semen analysis to detect possible cases of pcos, low ovarian reserve, adrenal conditions male factor and other conditions. pelvic ultrasound or hysteroscopy to detect ovarian or uterine pathologies Can miscarriage be prevented? If the miscarriage is caused by a chromosomal disorder then the miscarriage cannot be prevented.  If it is caused by hormonal imbalance, clotting factors, thyroid disease, male factor or autoimmune disease, it can often be successfully treated with integrative medicine. Basic natural therapies which may be beneficial in preventing a miscarriage High quality third party tested fish oil.  Fish oil is anti-inflammatory and can help address many of the concerns which may be linked to miscarriage. 

This includes blood clotting problems, thyroid disease, and inflammatory auto-immune conditions.  Ask your naturopathic physician about which fish oil would be most effective in your case and if it would be suitable for you to take.  Fish oil has been shown to be of benefit to women with recurrent miscarriage by enhancing uterine artery perfusion.1mg per day of folic acid is recommended prior to achieving pregnancy. Get acupuncture in early pregnancy.  This can not only address stress, but can balance hormones, improve thyroid function, and reduce inflammation. Customized nutritional support prescribed for the factors in your case.  After being fully assessed, differing treatments may be applied prior to and during early pregnancy which can decrease chance of miscarriage.  Being on a healthy whole foods diet and supplements clinically proven to improve the health of sperm and eggs prior to conception can reduce the chance of having abnormalities in the embryo.  Antioxidants and mitochondrial nutrients are excellent examples of these types of therapies. 

Effective nutraceutical therapies exist for polycystic ovarian syndrome, adrenal conditions, male factor, low ovarian reserve and endometriosis.  Have a full assessment completed so that supplements can be targeted to your needs. Stress management activities should be done daily. Ensure you are getting 9 hours of high quality sleep in early pregnancy and be in bed by 10pm at the latest to maximize adrenal health. References for this articleProgesterone levels in Pregnancy. Bentov Y, Esfandiari N, Burstein E, Casper RF. The use of mitochondrial nutrients to improve the outcome of infertility treatment in older patients. Epub 2009 Sep 3. Lazzarin N, Vaquero E, Exacoustos C, Bertonotti E, Romanini ME, Arduini D. Low-dose aspirin and omega-3 fatty acids improve uterine artery blood flow velocity in women with recurrent miscarriage due to impaired uterine perfusion. Epub 2008 Aug 9. Puscheck, MD, Professor, Department of Obstetrics and Gynecology, Wayne State University School of Medicine.