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Dr. Robert Warnock shares advice and information on infertility treatments, learning how to detect pregnancy symptoms and helping you to understand what you can expect.

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WebMD Health News

Wednesday, December 14, 2005

Pregnancy and Worry
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One of the challenges of my profession is dealing with the anxieties that naturally come up for women during their pregnancies. Sure, there are plenty of concerns that are natural for parents-to-be, and it is appropriate for us to address all issues sincerely and honestly without cynicism and with only the best intentions. But sometimes it seems that we are obsessed today with a compulsive perfectionism that is inappropriate under early-21st-century circumstances, and it seems that a good reality-check might be appropriate.

I have contemplated writing about this for quite some time. But I was challenged by the complexity of producing something readable that was both light-hearted and sincerely poignant. Needless to say, I was elated to find that MSNBC's Victoria Clayton was up to the task. She has done an excellent job in her article, The pregnancy panic attack, and I refer you to her for a wonderful discussion of the stress surrounding pregnancy.

There are a couple of points that I want to emphasize that may help to put prenatal anxiety into perspective:
  1. There has never been a safer time for newborns and pregnant women in the history of the human race despite our concerns about stress, hard work, partying, obesity, environmental toxins, food additives, medical interventions, etc., etc., yet ...
  2. Despite the relative safety surrounding pregnancy and childbirth today, 3% of babies are still affected with major congenital anomalies. This is a sobering fact that ought to serve to bring into perspective all the worrying we do about sometimes seemingly silly scenarios and unlikely outcomes. What's obvious is that most of the concerns that parents have about unwise or unintentional exposures to this and that, or whether they make the right choice about this test or that procedure, pale in comparison to the significant risk inherent in the decision to reproduce.
What I'm suggesting is that women (and their partners) should realize that they are choosing to accept some risks when they choose to become pregnant and continue a pregnancy, and that reproduction is not nearly a perfect exercise. Yet they should be powerfully optimistic about the probable outcome this day and age and not fall victim to needless preoccupation with unproductive worry. I believe that our consciousness does shape our experiences, and that couples who have positive outlooks will have wonderful families despite the details.

Now that I've managed to ramble on in seriousness, please re-read Victoria's column, and have a great day!

Happy Pregnancy and Happy Holidays!

RW, MD

Related Topics: Yoga in Pregnancy, Make the Best Choices for Your Baby

Posted by: R Warnock at 12:18 AM

5 Comments:

Blogger missmaternity said...

I was wondering if you can get pregnant the day or the day after you have intercourse.I heard that it takes two weeks.Also I have been sexually active with my husband since april 24th,how come my doctor says im 37 weeks pregnant and my uterus is also measuring that far?Could this mean the baby isnt his?I am confused

1:43 PM  
Anonymous erin said...

I completely agree that you should try to enjoy your pregnancy and not panic about what "could" happen. Last March I got pregnant for the first time following infertility treatment. From the day the stick turned blue I worried about what could happen, what all the blood levels meant, what the ultrasounds showed, etc... At 6.5 weeks we saw a perfectly sized sac and baby with a heart beat over 100. The next week it was down to 75 and erratic. I miscarried two weeks later. All the worrying I did could not have changed the outcome. All the obsessing kept me from enjoying the short time I had to be pregnant. The miscarriage would have been just as devastating, but I would at least have had some happy memories from that period of enormous potential. I haven't been able to get pregnant since, but I am hopeful someday that I will be. When that time comes I plan to ignore the test results and the compulsion to know everything and just enjoy the experience. it is impossible to control the outcome through panic and obsessive worry and now that I realize that I think my next time around will be more fufilling.

3:12 PM  
Blogger Panic Blogger said...

I started having severe panis attacks during pregnancy. Im glad somebodies writing about this.

2:43 AM  
Blogger Laura M. said...

I am writing just to illustrate, I suppose, worry overboard! My dh and I tried to conceive for 2 1/2 years before our first was "planted" successfully. I had some painful complications in my pelvic area while nursing her, and was told I had adhesions binding my ovary to my uterus, as a component of Myofascial Pain Syndrome. Worrying, we hesitated to get back on birth control right away... well the first was a long time in coming!

So at four months postpartum, in pain fron a pelvic adhesion and still-settling and moving parts 'down there', we found out I was pregnant again. It had to have been around week 14 or 16 when the adhesion tore.

Now nearly two years following the second birth, adhesions have come up again. Do I have more adhesions or am I in pain from the torn adhesion (that I thought would've heald by now)

My husband and I do worry. We worry that we will not be able to conceive another child... I worry about pain. What do you do for adhesions when they act up?

Worry can be useful if it helps you to be prepared; useless if there is nothing you could do anyway; and possibly antagonstic if through acting out of fear or worry puts you in a place perhaps even worse than what you'd feared!

Great Article!

5:01 AM  
Blogger heyskh said...

I am one of those people that pass out extremely easy. I almost pass out when I have to have my blood drawn. Does anyone have any siggestions for that? I do not want to miss out on the beauty of the birth cause I am about to pass out. Thanks!

1:38 PM  

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