Pregnancy, Maternity and Health Tips for Expecting Parents

The COVID-19 pandemic has been hard on many people in a variety of ways, even babies. For babies born during the Covid19  pandemic, a JAMA study suggests, the log-term health problems has the potential to be lifelong.

The first three years of life are crucial for brain development in humans. But it’s not just the health of babies that it affected, but the interactions between babies, parents and other would be caregivers. Babies need to be touched, spoken to, swaddled, smiled at, played with, stimulated and loved. As they respond to those interactions, neural connections are constructed in the brain. Without those interactions, an infant's brain doesn’t develop and grow as it should.

A stressed out or depressed parent or caregiver may find it hard to find the time and energy required to give the child's brain the love, stimulation and attention it needs to develop. There are many studies showing that poverty, maternal depression and other factors can change the development of a child's brain forever.

 

Methodology

As part of an ongoing study of babies and their mothers, researchers from Columbia University studied the development of three groups of 6-month-old infants. Two of the groups were born during the COVID-19 pandemic; the mothers of one group had COVID-19, while the mothers of the other did not. The third group was a historical cohort (a group of babies who were born before the pandemic).

Mothers participating in the study used an Ages and Stages Questionnaire (ASQ-3) to record their babies’ development and evolution. The researchers noted no difference in the development of the two groups of babies born during the pandemic, suggesting that prenatal exposure to COVID-19 doesn’t affect development, which is good news. But babies born during the pandemic scored lower in gross motor, fine motor, and social-emotional development than the babies born before the pandemic. Examples of developmental tasks for babies in this age group are rolling from back to tummy (gross motor), reaching for or grasping a toy with both hands (fine motor), and acting differently to strangers than to parents or familiar people (social-emotional development).

 

Infant Development during COVID

It’s just one study, and we need to do more research to better understand this, but the findings are not really surprising given what we know about infant development. The COVID-19 pandemic has caused a lot of stress — emotional, financial, and otherwise — for so many families. It has also markedly affected the number and kind of interactions we have with other people. Babies are on average interacting with fewer people (and seeing fewer faces because of masking) than they did before the pandemic.

Even though we need to do more research, this study should serve as a warning for us as a society. The children of this pandemic will carry scars forever if we don’t intervene now. We’ve already seen the emotional and educational effects on children, and we need to be aware of the developmental effects on babies too. The stakes are too high to ignore the research.

 

What Can be Done?

We need to find ways to financially and emotionally support families with young children. We need to be diligent, energetic and creative, and work every angle available. And even if our government can't help out enough and play a role, our communities and individuals must take up the slack.

And parents and caregivers of infants and toddlers need to know about this research — and ask for help. It’s understandable and natural for parents to think that babies are too small and unaware to be affected by the pandemic. But they are affected, in ways that could be long-lasting. Talk to your doctor about what you can do to help yourself, your family, and your baby’s future.

Photo by Filip Mroz on Unsplash

When you’re having a baby, your body will go through a multitude of changes. Some you’ll expect (the weight gain, for example) while others might come as a surprise (hello, hemorrhoids!). Here’s the rundown on the trimester-by-trimester changes most expectant moms experience. Keep in mind that while these symptoms are perfectly normal, if any cause you severe discomfort or stop you from going about your daily routines, talk to your doctor.

In Your First Trimester
 In the initial trimester, your body isn’t quite used to the idea of being pregnant yet, and your increasing hormone levels are wreaking some havoc. Here’s what to expect:

• Your breasts will most likely become swollen, and your nipples may start to stick out.

• Morning sickness can cause some soon-to-be new moms to have upset stomachs or to throw up.

• An increase in hormone levels can bring on acne (talk to your doctor before using any acne medication).

• Mood swings may occur (again, blame the hormones!). Don’t be surprised if one second you’re laughing with friends and the next you’re sobbing.

• It’s likely you’ll experience constipation or difficulty with bowel movements.

• You may need to urinate more frequently.

In Your Second Trimester
By now your body has probably settled into a more steady pregnancy routine. Here’s what expectant moms should be on the lookout for during this time.

• General body aches in the back, groin, or thighs may start to kick in.

• Your skin may start to change, including a darkening around your nipples and the appearance of stretch marks, especially on your stomach, breasts, thighs, and buttocks.

• Your ankles, fingers, and face may start to swell.

• Other normal symptoms are itching of the abdomen, palms, and feet as well swelling of your ankles, fingers, and face. However, if any of these symptoms are accompanied with nausea, a loss of appetite, vomiting, or extreme fatigue, contact your doctor immediately, as it could be a sign of something more serious.

In Your Third Trimester
Good news: You’re almost at the finish line! Here are a few additional symptoms expectant moms may notice in those final weeks:

• Shortness of breath, heartburn, and swelling may occur, as well as the development of hemorrhoids.

• Your breasts may become very tender, and may begin to leak colostrum, a watery pre-milk your body produces as it gets ready to provide nourishment for your new baby.

• Your new baby will probably “drop” during these weeks, moving lower in your abdomen to prepare for birth.

While some of the symptoms are annoying and even worrisome, keep in mind that most disappear within a few months of giving birth. And by that time, you’ll be so in love with your new baby, you won't even notice a little acne!

Meals should be a pleasure during pregnancy, not a problem. But certain foods can be risky when you’re eating for two. For your baby’s safety, steer clear of the following foods when expecting, and always ask your doctor if you have any questions on what you should -- and shouldn’t -- eat .

Fish high in mercury. Eating fish is an important part of your pregnancy diet because much of it is packed with omega-3 fatty acids, which are super nutrients for your new baby’s brain development. But not every kind of fish is recommended. Some larger ones contain too much mercury, which can affect your baby’s nervous system. Steer clear of shark, king mackerel, swordfish, and tilefish. And limit safer varieties of fish to 12 ounces a week.

Some raw and undercooked foods. The risk with anything raw is that you may contract a case of food poisoning. While it’s rare for this illness to affect your new baby, it’s not pleasant to deal with, whether you’re pregnant or not. To be on the safe side, cook eggs, seafood, shellfish, meat, and chicken fully. Skip raw fish and shellfish, smoked fish, refrigerated pate, and raw sprouts like radish, mung bean, and alfalfa.

Unpasteurized cheese, milk, and juice. Unpasteurized products are off the menu when you’re expecting. Read labels carefully to be sure all milk and juice you drink has been pasteurized and the cheese you consume (especially soft varieties like Brie,  Camembert, and goat cheese,) is made with pasteurized, not raw, milk.

Deli meats. Listeriosis, a rather serious foodborne illness, is the concern for this category. It’s a good idea to avoid deli meats and hot dogs anyway as they aren’t a healthy choice (many are high in sodium). If you do indulge in deli items during pregnancy, be sure to heat all meats and franks until they are steaming.

Remember to practice good hygiene in the kitchen -- it’s smart whether you’re having a baby or not. Always wash your hands before preparing food or eating a meal, and wash produce well under running water, using a brush to scrub the outer layer of tough-skinned fruits and veggies. Knowing your diet is safe for your new baby will put any expectant mom at ease. Happy eating!

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