Pregnancy and childbirth - it's always great. But there are times when a child does not fit into the lives of their future parents. Such a pregnancy can be the result of negligence, ignorance of the basics of sex life, "no response" of contraception and a variety of other reasons.

Every woman wants to be a mother, but very often women are faced with the fact that this particular pregnancy is not desirable for them, it happens:

• if the woman's age does not allow her to give birth to a healthy child, and then keep it;
• if a woman is not financially independent, and relatives against the child;
• if the child against his future father;
• if the pregnancy is the result of rape;
• if a woman does not know how to protect themselves from unwanted pregnancy.

This is just basic common causes, in fact they can be very much, and they will be diverse as life itself.

How to prevent unwanted pregnancy

Very often young girls only first-hand knowledge about the possibilities of protection from unwanted pregnancy and did not know how to use these tools, causing irreparable harm to their health.

The most commonly used and proven means of contraception is the condom. This so-called barrier method of protection from unwanted pregnancy. If a woman has more than one sexual partner, the condom will protect her even from diseases, sexually transmitted diseases.

Women living with family life can be used IUD or hormonal contraceptives. Hormonal contraceptives today are an excellent way to protect against unwanted pregnancy. Their disadvantage is that they do not protect against sexually transmitted infections.

How can terminate an unwanted pregnancy

Unwanted pregnancy is possible only by means of abortion. Abortion, especially if it is first, it affects the health of women, very often after the women does not happen at children.

In the early stages of pregnancy (before 12 weeks) can be carried out medical abortion, mini-abortions or abortion tool. They all have their limitations on the duration of pregnancy. Any of these types of abortions has its indications and contraindications, and can be carried out only obstetrician-gynecologist in a hospital. If the abortion is performed by non-specialist or by the woman herself, it is called a criminal (ie the criminal case). Such rigor respected but unfortunately mortality in illegal abortions Criminal abortion: issues relevant at all times   It exceeds all possible presentation on the subject.

Medical abortion - abortion is using drugs, which are used in early pregnancy and prevent the formation of progesterone Progesterone - norm and pathology Necessary for the carrying of a pregnancy. Mini-abortion - termination of pregnancy by a negative pressure, also carried out in the early stages of pregnancy. Tool abortion - the most traumatic method, it can be done even with a 3-month pregnancy. Held scraping Scraping - heavy and unsafe procedure   mucous membrane of the uterus along with the fetal egg.

Late in pregnancy may also be interrupted, but only for medical reasons, the presence of severe diseases in pregnant women. Abortion produce a gynecology department, or by removing the fetus after opening the uterus, or by introducing medicinal fluids into the uterus.

You have decided to still keep an unwanted pregnancy

Its within certainly it affects both on the mother and the baby. The fact that the carrying of unwanted pregnancy is always accompanied by severe stress and emotional experiences that are moving into a state of chronic stress How to beat stress? Create an oasis . And in times of stress the body produces substances that promote the revitalization of the whole organism: high blood pressure, increased heart and breathing, spasm of blood vessels and so on. Imagine what the state of the pregnant woman constantly, except it will not affect the pregnancy?

The child also suffers, because the blood vessels spasm did not give him the required amount of nutrients and oxygen. Furthermore, it was found that the experience of the mother and child are transmitted certainly. All this adversely affects the child's development, especially in the state of his brain, the formation of immunity and so on.

What is the way out of this situation?

The solution, of course, is to get acquainted with the means of preventing pregnancy. And if unwanted pregnancies still occurred, the decision on its continuation or termination must be taken immediately: pull no sense, it will only aggravate the situation. If, however, there is the slightest chance that the child is better to save, it would be much better physical and mental health of the mother.

When you finally make the choice to benefit the child, no matter what the situation was not preceded by an unwanted pregnancy, it will be not so relevant to the fore, of course, will your future baby.

  Galina Romanenko

Options for treatment of fetal tachycardia

All forms of fetal tachycardia, which are intermittent, not accompanied by dysfunction of the heart muscle or valve, and appear less than 50% of the time, do not require treatment, but they should be under close medical supervision. Fetal heart rate should be measured in a hospital medical officer. After instructing the mother can use the manual Doppler monitor to measure heart rate twice a day at home. If episodes of fetal tachycardia participate or become more persistent, the mother should inform your doctor. Echocardiography must first take place at least twice a week to promptly detect any changes in the condition of the fetus.

For the treatment of fetal tachycardia mother prescribed antiarrhythmic drugs .  Treatment of ventricular tachycardia fetus depends on its etiology; polymorphic ventricular tachycardia fetal type "pirouette" is treated by intravenous administration of magnesium mother administered, lidocaine, and propranolol (orally) .  If ventricular tachycardia associated with long QT interval syndrome, drugs must be avoided, which contribute to lengthening QT interval, since such drugs may promote arrhythmias .  Other forms of monomorphic VT fetus manifested in different ways .  If the heart rate during a ventricular tachyarrhythmia is slightly higher than in sinus rhythm, observation may be the best treatment option .  If the frequency is greater than 220 beats per minute, sotalol or amiodarone prescribed .  Flecainide is also effective, but should be used with caution in the presence of ventricular dysfunction, because of the increased risk of complications (conduction disturbances, cardiac arrest and death) associated with this drug .  The short (one to two weeks) course of dexamethasone Dexamethasone - one of the most effective glucocorticosteroids   (4-8 mg per day) is effective in those cases when there is suspicion of viral myocarditis or isoimmune.

Supraventricular (supraventricular) tachycardia Tachycardia - the body to the limit?   the fruit is definitely the best lends itself to medical treatment .  Subject to the rules of the drugs survival is 90% .  However, no studies of the effect of drug treatment on the nervous system of the fetus in the long run .  Typically, digoxin is used as a first line therapy in the United States, whereas in Europe for this purpose, flecainide .  As a second-line therapy for the treatment of drug resistant supraventricular tachycardia with fetal hydrops fetus intramuscularly administered digoxin .  This method of administration substantially reduces conversion time in comparison with the results obtained when administered digoxin mother or oral administration without increasing mortality .  For the treatment of the fruit, which was not detected ventricular dysfunction, flecainide and sotalol used as second-line therapy .  The efficacy of treatment was 60-80%; However, fruit with severe ventricular dysfunction or atrioventricular valve insufficiency of the most effective drug recognized as amiodarone (approximately 93% efficiency), and is associated with a low risk of arrhythmia Arrhythmia - when we hear your heart .

Possible risk

A number of reports described the rejection of various antiarrhythmic drugs when administered in the umbilical cord, or intramuscularly. The risks associated with the introduction of drugs in the umbilical cord, in most cases outweigh the benefits; In addition, monitoring drug levels in the umbilical cord does not increase the probability of survival of the fetus. Intramuscular administration of digoxin fetus provides rapid achievement of therapeutic concentrations of the drug in the fetus with dropsy, and can be used prior to or as a supplement to more powerful drugs in fetuses with hydrocephalus caused tachycardia.

When drug therapy side effects on the mother and fetus are ubiquitous, but most healthy young women side effects are generally tolerant and are reversible. Amiodarone is associated with thyroid dysfunction The thyroid gland - is responsible for your hormones   the mother and baby.

Sotalol and flecainide proaritmogennoe more than amiodarone, and taking them may cause the sudden death of the fetus .  The exception is the (to our knowledge), amiodarone .  Furthermore, treatment with flecainide electrocardiographic changes associated neonates .  With sotalol and flecainide side effects for the mother, usually insignificant, but in the case of any anti-arrhythmic drugs should be monitored electrocardiographic changes .  Beta-blockers appear to be an ideal drug for the treatment of tachycardia, but they do not cross the placenta, which greatly reduces their effectiveness .  Propranolol is associated with increased uterine tone, whereas procainamide, Class IV antiarrhythmic agent, capable of increasing the uterine .  Finally, digoxin, which is associated with the least risk to the mother and the fetus, causes nausea in some patients when used at doses necessary to convert intrauterine .  The most effective for the treatment of atrial flutter fetus is recognized as sotalol; However, in mild cases of atrial flutter enough digoxin .