Pregnancy

Zika: Worse than we thought?

John Ross, MD, FIDSA
John Ross, MD, FIDSA, Contributing Editor

Just a few months ago, public health experts were confident that there would be minimal spread of Zika virus into the United States. But as they’ve continued to study Zika and catalog its effects on countries around the world, they’re discovering that it might be scarier than they initially thought. We’ve summarized the latest findings on Zika and included tips to help you ward it off.

Over 35 and expecting: Is it safer to give birth “early”?

Hope Ricciotti, MD
Hope Ricciotti, MD, Editor in Chief, Harvard Women's Health Watch

For women having children over age 35, the decision to induce labor is usually based on an increased risk of stillbirth. The duration of labor also factors into the decision, as does the possibility that induction could increase the chance of a cesarean birth, though current medical evidence does not necessarily support this assertion.

An obstetrician (who is also a feminist) weighs in on the CDC’s “no birth control, no drinking” recommendation

Hope Ricciotti, MD
Hope Ricciotti, MD, Editor in Chief, Harvard Women's Health Watch

The CDC recently advised all sexually active women of childbearing age, and who aren’t on birth control, to avoid alcohol completely because of potential harmful effects to an unborn child. The science behind the recommendation is sound, but the way it was delivered has raised quite a few eyebrows. In this piece, Dr. Ricciotti examines where the message fell short and describes how she emphasizes shared decision-making and autonomy when she counsels her patients.

New depression screening guidelines benefit pregnant women and new moms–and everyone

Hope Ricciotti, MD
Hope Ricciotti, MD, Editor in Chief, Harvard Women's Health Watch

The U.S. Preventive Services Task Force has recently updated their guidelines on depression screening to include pregnant and postpartum women, which will be a great help to the many new moms who experience mood changes that go beyond the “baby blues.” The updated guidelines offer other benefits, too, that help improve everyone’s access to mental health care — especially those who can’t currently afford it.

Zika, pregnancy, and winter travel: Many unknowns, and a cautious message

Hope Ricciotti, MD
Hope Ricciotti, MD, Editor in Chief, Harvard Women's Health Watch

If you’re planning an escape from the dreary winter weather, and you’re pregnant or trying to get pregnant, you may want to plan your destination carefully. There’s still a lot we don’t know about Zika virus — which is now widespread in several favorite tropical destinations, such as the Caribbean — and its potential pregnancy-related complications. Until we know more, it’s better to be safe and follow the precautions we’ve listed here.

New depression screening guidelines outline very helpful, yet achievable goals

Michael Craig Miller, M.D.
Michael Craig Miller, M.D., Senior Editor, Mental Health Publishing, Harvard Health Publications

The U.S. Preventive Services Task Force recently updated their guidelines on screening for depression. This time around, they recommended widespread screening through primary care practices, plus gave special attention to women who are pregnant or recently gave birth. These matter-of-fact, achievable guidelines and goals have the potential to reap enormous health benefits.

Lead poisoning: What everyone needs to know

Claire McCarthy, MD
Claire McCarthy, MD, Faculty Editor, Harvard Health Publications

Even though the use of lead has been regulated for many years, tragedies like the one currently ongoing in Flint, Michigan still occur. Exposure to lead in childhood can have health effects that can change a child’s life forever. We’ve listed steps you can take to keep your child — and everyone in your home — safe from lead poisoning.

What you need to know about Zika virus

John Ross, MD, FIDSA
John Ross, MD, FIDSA, Contributing Editor

Zika, a formerly rare and obscure virus, has recently spread throughout the Pacific islands and the Americas. Although Zika virus rarely makes people seriously ill, it’s been implicated in a huge rise in the number of birth defects in babies born to mothers who’ve had Zika. Although its impact in the U.S. is expected to be much less severe than in warmer climates, we’ve listed some tips to reduce your exposure to the type of mosquito that carries Zika.

Where is best for birth: Hospital or home?

Jeffrey Ecker, MD
Jeffrey Ecker, MD, Contributing Editor

By the mid-20th century, most births took place in the hospital. But increasingly, some women are choosing to have their babies at home in an effort to avoid seemingly unnecessary interventions and find an alternative to hospital environments. We don’t have the best data to assess the safety of home birth. But a recent analysis offers insights that can help women make choices based on what they value the most.

C-section rates: Consider this when deciding where to have your baby

Hope Ricciotti, MD
Hope Ricciotti, MD, Editor in Chief, Harvard Women's Health Watch

For years, there has been concern about the high rate of cesarean births — but just how many cesareans are too many? A recent study suggests that a cesarean rate of 19% is about right. The reasons for high cesarean rates may be related more to each hospital’s circumstances and processes than to other, more commonly cited reasons. If you’re concerned, find out the C-section rate at the hospital where you plan to deliver your baby.